Monthly Archives: March 2008

A Little Girl with Puffy Eyes

(Chase’s dictation taken by Jenny)

Late one afternoon after clinic was closed Doctora Nelson came to me to tell me about a patient of hers who she had scheduled to follow up with the next day. The patient was a little girl, 8 years old, with bilateral periorbital adema (eye swelling) for the past 2 months. Doctora Nelson had checked her kidney function and found it to be normal. She said, “I found her liver enzymes were elevated, but checked a liver ultrasound and it was normal. She’s had no other lab abnormalities.” The patient had traveled to Shell from the jungle, and her mother did not want to return to the jungle until an answer was found. Doctora Nelson was not going to be in clinic the next day, but her husband Doctor Nelson would be. She said that I didn’t need to feel I had to figure this out – I could call Dr. Nelson and we could try to formulate a plan together the next day.

I tried to read on patients as much as possible but I had not researched any articles for this patient when I went to bed that night. I couldn’t sleep, and felt that God was telling me to get up and read. So, I read for about three hours that night on periorbital adema. The differential diagnosis is not particularly large – it includes kidney disease, leishimaniasis (a parasite similar to malaria commonly seen in the jungle of Ecuador), juvenile dermatomyositis, and a few other things. I read through approximately 10 Up to Date articles and looked at pictures until I was too tired to continue.

The next day the little girl with puffy eyes came to see me. I asked her about any other symptoms. She’d had problems with constipation, abdominal swelling, proximal muscle weakness (shoulders and thighs), little white spots on her chest and back, and the swelling around her eyes presented first with purple discoloration on her eyelids. The purple had been slowly fading as the swelling persisted in both eyes. It was this last symptom reminded me of a picture I’d seen the night before. I pulled the picture up on the hospital computer and had the patient’s mother look at it – she said that was exactly how her daughter’s eyes had looked. I ordered some confirmatory labs (LDH and CK), both of which came back extremely high. These labs confirmed there was a muscle breakdown disease and we started the patient on a steroid – prednisone – to reduce her body’s autoimmune attack on her muscles.

Praise God for using me to help figure out what was going on with this little girl by waking me up in the middle of the night and prompting me to go and read! I know that I’m smart to have made it this far in medicine, and I know that I had to use some good ol’ fashioned elbow grease and do the reading, but it was clearly a Divine urging that led me to the right answer. It has been amazing to see God work in this and other cases during my time in Shell.

Thebault, MD

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We Flew! It was INCREDIBLE!

Yesterday was one of the most memorable days of my life – right up there with my wedding and the birth of my first child. We met some key players in an amazing story. First, the story…

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Taken from HCJB Global’s website – to read more, go to http://www.hcjb.org/about_us/history/operation_auca.html

Operation Auca—the vision to introduce the gospel to the once-savage Auca (Waodani) Indians in Ecuador’s Amazon rainforest region—brought together five outstanding young missionaries, all at the peak of their careers. Auca is the Quichua word for “savage”; Waodani is the tribe’s own word for “people.” Quichuas are descendants of the Incas.

Nate Saint, Jim Elliot, Pete Fleming, Ed McCully and Roger Youderian, all in their late 20s and early 30s, were intent on making the first peaceful contact with the then-violent tribe that was infamous for spearing outsiders and their own in an unending cycle of revenge killings.

Saint and McCully discovered a Waodani settlement from the air in late September 1955. Later Saint found a settlement that was only a 15-minute flight from their station. They told Elliot and Fleming about their findings, and the four planned their evangelistic strategy which they called “Operation Auca.”

They would keep the project secret from everyone but their wives (to avoid being joined by adventurers and the press) with the chance that someone not dedicated to the mission would start shooting at the first sign of real or imagined danger, and destroy the project.

On Oct. 6, 1955, Saint and McCully made their first of 13 “gift-drops” in Waodani territory. With Saint circling his MAF plane in a tight spiral, McCully used a rope to lower an aluminum kettle as a gift to the ground. It contained 20 brightly colored buttons and rock salt.

The two men would fly over the village nearly every Thursday and used gifts as a means of making contact and establishing a friendly relationship. Soon the Waodani began responding to the gift-drops, tying return gifts onto the rope such as a headband of woven parrot feathers. Once the Indians sent up a live parrot.

After three months of air-to-ground contact during which they made far more progress than they had hoped, the missionaries decided that it was time for one-on-one contact. They feared that they could not keep their activities secret much longer, and that delay risked a hostile encounter between the Waodani and some third party.

They decided that the expedition needed a fifth man, so they brought in Youderian who was accustomed to living with the Shuar and had learned acute survival skills.

On Dec. 3, 1955, Saint found a sandbar which he named “Palm Beach” to serve as a temporary landing strip for his yellow Piper aircraft.

The first landing was made on Palm Beach on Tuesday, Jan. 3, 1956. It took five flights to ferry in their supplies and all five missionaries. For three days the missionaries waited for the Waodani to appear. Finally, on Friday, Jan. 6, the first contact was made as three members of the tribe stepped out of the jungle and onto the beach, including an Indian they nicknamed, “George.”

Film footage shows the missionaries and Waodani interacting peacefully. But tribal members became suspicious of the outsiders. “George” lied to the tribe, telling them that the five missionaries were cannibals and they were the ones who had in fact eaten Dayuma, a woman who fled the tribe years earlier when she was a girl, fearful of the constant killings.

“George” lied to deflect attention from the fact that he and one of the young women, “Delilah,” were off in the woods on their own and they weren’t supposed to be. “George” wanted “Delilah” as another wife, but the tribe had already said no.

Three years later when Dayuma returned to the tribe and told them that the five foreigners were not cannibals, the tribe realized that George had lied to them, and they killed him.

At about 3 p.m. Sunday, Jan. 8, five of the powerful Waodani warriors speared the five missionaries to death and ransacked the plane on the beach. Although the missionaries had guns and could have defended themselves, they agreed together not to use them against the Indians, even if attacked.

Receiving no radio contact from the missionaries, on Monday Johnny Keenan, Saint’s colleague at MAF, flew over Palm Beach and spotted the damaged plane and several bodies in the river. Two days later a ground party arrived at Palm Beach and found the missionaries’ dead bodies. A memorial service was held in Quito for the five martyrs the following Sunday. Saint was 32, Elliot, 28, Fleming, 27, McCully, 28, and Youderian, 31.

Although the five met a tragic death, their efforts would lead to introduction of the gospel to this once-violent tribe three years later. All five of the Waodani killers became believers, and many of the tribal members now follow Christ. The touching story would also inspire thousands to commit their lives to full-time missionary service, helping spread the gospel to unreached people groups around the world.

Several documentary films have been made throughout the years, including “Through Gates of Splendor” and “Beyond the Gates,” produced by Bearing Fruit Communications. A dramatic motion picture, “End of the Spear,” filmed by Every Tribe Entertainment, will be released in theaters Friday, Jan. 20. A book with the same title was recently authored by Steve Saint, son of pilot Nate Saint.

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The place where we are staying, Shell Ecuador, is the place from which the 5 missionaries flew into the jungle. The airstrip is within walking distance from our house! Yesterday we boarded a tiny plane and headed into Waodani territory! Waodani, by the way, is pronounced more like “Wah-oo-rani.” It was about a half hour flight, and when we landed we were greeted by about 15 members of the tribe. When the doors to the plane opened, immediately there were arms reaching for my baby girls! I looked to Rick, our pilot, and he said that the woman reaching for Evie was Mincaye’s wife – holy smokes! Mincaye was one of the 5 men that speared the missionaries, and is now a leader of the Waodani people. He is the main character in the movie “The End of the Spear.” If you haven’t seen it, I highly recommend it.

So we climb out of the plane and are surrounded by Waodani. I was so giddy I thought I would faint! Mincaye’s son was translating for us as only the young folks speak Spanish – the elders only speak Wao (“Wah-ooh”). His wife carried Evie while a young girl picked up Anna! Both girls were quite sober, but they handled the whole thing very well. They led us through the jungle to their homes where we talked for a little while. Here’s a picture with Mincaye and his wife!

Isn’t that AMAZING? Seriously, when we were walking through the jungle Chase and I just kept looking at each other with silly smiles, shaking our heads! And when we got back into the plane I was speechless. Here are some more pictures of our adventure.

Here we’re following the Waodani into the jungle, trying to keep up with them as they carry our children away!

The girls enjoyed playing with Anna’s fine blond hair. The hands in the mouth are evidence that she was a bit nervous, but she did wonderfully!
We also landed in Dayuma’s village and had a picture taken with her. We bought a necklace that she’d made and we’ll wear it, remembering to pray for them all!

What an end to our Ecuadorian adventure. The thought of leaving will make me cry – we’re really not ready to leave. It seems like our gifts and training are a great match for this area of the world – now we wait and see what God thinks! We’re very open to returning to this amazing country.

Please visit the gallery labeled “Ecuador” for more pictures!

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Ricky & Elisabeth – an Ecuadorian Wedding

Here are a few of my favorites! The bride was GORGEOUS and the whole thing was awesome to watch. I’m thankful I was able to go, let alone help with the pictures!

The rings
The bridesmaids’ shoes
The bride and her father at the front of the church, before she was given away.
They threw confetti and blew bubbles INSIDE!
Beautiful.

Here’s my favorite shot of the day.

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Home Stretch!

It’s crazy to think that we’re in our final week. Where in the world has the time gone? We’ve had such fun here, even though we’ve worked hard and have been quite busy. Here’s a run-down on our last few days…

Thursday Chase was on call and got about 3 hours of sleep that night. Friday afternoon we got a call from Gerry and Elizabeth inviting us to join them for a swim in the river! Chase “caffeined up” and we took off. It was AWESOME! It was a bit of a hike from the main road, which was an adventure on the way back when we were racing a thunderstorm and Anna decided she didn’t want to walk, but it was beautiful too. And the river! So cool!



Saturday I got up early to shoot Gerry’s family and then head to the wedding. Wow! I’m not sure how much detail to go into there, but let’s just say that the phrase “quite an experience” doesn’t cut it! First of all, I was told that the wedding would start at 10am and I should get there early to get some shots of the bride beforehand. I arrived about 9:15 and was the first one there. I managed to sneak into the church to get some shots of the set-up, and by 10am was STILL one of about 5 people at the church! Oh my. People started arriving at 10:15, and I think the bride got there around 10:30am. Needless to say, I didn’t get any shots of the ladies getting ready or anything like that. They all arrived separately and dressed.

The ceremony began, and I was only one of a swarm of folks with cameras. It was nuts! I usually try to sneak around and be “stealth” during a wedding, and I was pretty much the only one doing that. Even people from the pews were coming up ON STAGE and taking pictures! I couldn’t believe it! I struggled to get shots that didn’t have another camera in them. Seriously, I think I counted 3-4 video cameras wandering around the stage, and at least 2 other people taking pictures that were not part of our team. It was a circus. So here I’m thinking “why did they need my help? They’ve got lots of people taking pictures!” The ceremony ends, the couple is announced, and then the MC guy tells everyone to stay seated while the professional takes some pictures. The entire church looks at me, and I about fainted. For a hurried few minutes I tried to direct the wedding parties and both families IN SPANISH so that we could take some group pictures in front of EVERYONE! My Spanish fell apart, the bridesmaids were ticked because I kept calling them “Senoras” instead of “Senoritas” and I wasn’t sure if I wanted to laugh and do a dance while the whole world was staring at me or crawl in an English-speaking hole and rot. So I laughed :)

We then RUSHED off to a nearby park with the bridal party where I was told we’d have 20 minutes to do all of the pictures! Holy smokes, seriously? It’s no big deal when the wedding starts almost an hour late, but now we’re in a rush to get to lunch on time? This made no sense to me, but we hustled. Again the SENORITAS were ticked at me and my Spanish was all mixed up, but it was a smaller crowd so I managed. It’s one thing to say “move closer” or “turn towards me” but it’s quite another to pose a bride and groom in a variety of poses with simple directional terms. This reminds me – most of the photography in Ecuador is done in a formal style, so the whole “act natural” thing was pretty much lost on them. They WANT something different, but didn’t really know what to do. Well, at least this was my perception. Maybe they just couldn’t understand what I was saying!!

So after a mad crazy rushed session we headed to the reception. They passed out champagne and a cookie, and I’d already eaten the cookie before I realized it was part of the toast. Whoops. I hung around there until dinner was served, and then bailed. Eugenia was doing a great job and didn’t really need my help anyway :) I’m uploading about 500 images to a gallery and will let you know when they’re finished so you can see them.

Chase and I had agreed that if the weather was nice we’d go to the waterfall that afternoon, and the sky was blue – not common in rainy Ecuador! At 2pm we piled into Klaudia’s truck (I took her picture this afternoon – I’ll post it soon! I’m so full of promises) and went to the “Pailon del Diablo” or “The Devil’s Punchbowl.” It was incredible! It was a 1km hike down, which meant a 1km hike straight up again carrying the girls. EXHAUSTING, but so worth it. Here’s where I promise pictures…

Shamefully we didn’t go to church on Easter Sunday. They do a 5am service and Evie informed me she planned to still be sleeping at 5am, and by the service at 7pm we were ready for bed again. But we took time to remember our Savior, and tried to explain things to Anna. At the end of the day Anna randomly said, “Jesus is alive, Mommy.” I couldn’t help but smile :) We were also invited to have lunch with our great new friends, Klaudia and Eckehart – missionaries from Germany. We will miss them when we go.

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All is well!

Just a quite note to assure you that no news is good news. We’ve been insanely busy, but we’re having a great time. Chase has seen some neat cases in the hospital – he came home from lunch yesterday and told me to grab the camera so Evie and I took off while Anna was napping and snapped a few shots of a girl with a rare muscle disease. You FHC folks will likely see those pictures next month! Chase is on call again today and made it home in time to eat two empanadas before heading out with another page. The hospital is a quick walk, which is convenient for days such as this.

I’ve been doing a shoot a day, which is far more than I’m used to working. I have little time to process the pictures, and VERY little hard drive space! It’s madness, but we’re making it work. Here’s proof:


Chad & Andi are here with MAF – Chad is a pilot. They’ve got the cutest kids!

It has been such fun getting to know the families here. I haven’t gotten to spend a whole lot of time with Ecuadorians (but Chase has!) but I’m learning a lot from folks that have been here for years. They’ve got such stories! And they have amazing hearts for the people and God’s work here. It’s cool to see so many families come together to serve here.

Oh, and a fun story! Chase and I had dinner in town when we first got here, and we met Joselo. He owns the store and is a really nice guy. We were in town again yesterday and the kids were eating ice cream from Joselo’s store. I took some pictures of Anna covered in red popsicle, and Joselo brought out his grandson and asked if I’d take pictures of him too! I haven’t posted those yet, but I’ll add one here when they’re finished. Photography has been my biggest asset here, and the greatest way to connect with people! Joselo and I even talked business a bit and I asked him what he’d think of me opening a studio. How fun would that be? I’m really looking forward to photographing the wedding on Saturday.

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