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The Great Physician

Medical / Health, Partner, Professional Life, Transformation

2020 has been a very challenging time for the world. All of us have found ourselves in a different situation than we anticipated at the start of the year. Personally, it has brought a sudden halt to my work. Worldwide border restrictions have left me unexpectedly outside of my country of service. But along with the frustration, it has given me a chance to reflect on the past two years since I went overseas to work.

I had been living in an Asian city on a high plateau. After a period of language study, I started work as a doctor in the obstetrics and ultrasound departments of a local hospital. It was a really challenging start but I began to learn that to be accepted in a local context requires patience, humility and a healthy respect for the people and systems that surround you. As my relationships improved, so did the opportunities. Despite my basic language skills, I was invited to begin formal clinical teaching.

God had given me a vision to bring learning opportunities and up-to-date skills to people who lack access to them so that they, in turn, can better serve their own people. It is also my desire that healthcare workers may come to know Jesus, the Great Physician, and serve patients with the compassion that reflects His love for the world. As the initial months passed by, I found myself busy doing all the much-needed “good” things. Most of my days were occupied by acquiring general and medical language, preparing lessons and getting to know my colleagues and the culture of the hospitals. I was also learning about day-to-day clinical work in that context. As time passed by, I found little time to do anything else. While the response to my teaching was good, I had neither the time nor language ability to talk about the deeper issues of faith.

As I got more involved in the day-to-day working environment, a different set of challenges become apparent. Why is a stillborn baby treated with less care than a live birth? Why is life-saving treatment delayed while waiting for the family to make necessary phone calls to find the money to pay for it? Why is terminating a pregnancy the only option offered when certain maternal or fetal risks become known? Why is general decision-making done so differently to what I know as best-practice? Should we not treat a person, dead or alive, with or without money, with dignity? Should we not as healthcare workers give patients balanced advice regarding their choices? The underlying issues behind these questions are complex and I began to see that the foundations have something to do with how we view the value of a person. I believe that each person—each patient—is created in the image of God, valuable and priceless, and this affects how I treat them. But how can I show this to my colleagues?

One day, a lady doctor whom I had been working with asked me if I was someone with faith. I was surprised with this unexpected question as I had not yet had any direct conversations about matters of faith. I asked her the reason for her question. She had noticed an incident where a patient’s decision had upset me. From my reaction, she concluded that I must be someone with faith. We discussed the issues surrounding it, particularly the value of every life. That day I realised that I can begin by helping one person change one aspect of their worldview at a time, even though I’d like to change everything at once! This was exciting. It is possible, with the help of the Great Physician, to point others to Him through our daily choices and conduct.

We need evidence-based medical practices to improve patient outcomes. But just as importantly, we also need to model through our daily work the compassion and love that the Great Physician has for each life. Go, love the world, just as Jesus does.

Hannah is an obstetrician living and working in Asia.
Names have been changed.

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Gods love overcomes fear

Business, Arab World, Partner, Professional Life, Transformation

We live in a 4,000 year old city, along with 25 million others. Pollution fills the air like a grey soup and the economy is in a permanent struggle to keep ahead of population growth. Yet the noise and chaos brings a captivating vibrancy to the place we call home. Hanging over this society are deep divisions between rich and poor, women and men, and between Christians and Muslims resulting in brokenness, mistrust and violence. As a minority, Christians often focus on self-preservation and separate themselves from the majority Muslims.

Eight years ago, corruption, injustice, poverty and lost opportunity drove the Middle East into revolution. In the midst of this, my family was seeking God and felt called to business for transformation. We were convinced that business has the potential to impact the financial, social and spiritual aspects of people’s lives. We soon found ourselves wearing aprons, serving coffees and baking cakes for our new, tiny coffee business!

Since then, it’s been a journey of hard work, stress, miracles and joy! Our business brings together people from marginalised backgrounds and provides a safe space for training and discipleship. We are now a community where we work, learn, laugh, eat and pray together. Sounds nice? Maybe, but the journey doesn’t always feel nice. In fact, it’s REALLY HARD.

One of our team, Ash, joined us from a slum area with dreams of being an accountant. I recall his extreme discomfort when I took him for his first visit to a bank! He was brought up in an environment where violence was normal. His father beat his mother and his brother followed in his footsteps. Ash would have made a perfect drug lord. He was angry most of the time and was always ready for a fight. There would have been many fist fights with other team members if I hadn’t physically held him back.

We strive to model and operate by Godly principles including love, grace and forgiveness. This was difficult for Ash’s colleagues whom he often offended and frightened. Yet today, Ash is part of the management team of two men and two women, after insisting for a long while that business is only for men. He is now dependable and supportive of all of his colleagues. His faith has grown and it’s become normal for him to discuss matters of faith with both Christians and Muslims.

Mary is another team member from a slum area who battled with her family to get a basic education and find work against her parents’ wishes that she only prepare for marriage and children. Mary is an evangelical Christian which is unusual here and we were excited by the potential of her working with us. However, Mary’s behaviour towards her colleagues was far from salt and light. Her deep insecurities and fears poured out on her colleagues in the form of verbal abuse, bitterness and unforgiveness while showing a completely different side in our Bible studies. I was frustrated!

We came to a moment of confrontation when I was prepared to fire her. However, that same morning my wonderful wife and business partner told me that God had been speaking to her about how we should be growing in love for our team. Ouch! Love is an interesting concept. 1 John 3:16 talks about giving up our lives for our brothers and sisters. Who is our brother and sister? What does giving up our lives mean? 1 John 4:18 also tells us that there is no fear in love, but perfect love casts out fear.

I suddenly realised that fear was in the way of God’s love. I was challenged to allow God’s love to remove my own fear. Only then could I really show love to Mary. Only then can I help Mary start to overcome her fears and the destructive force they were having on colleagues. It starts with me!

Striving to constantly grow in God and demonstrating His love is hard work. But we have seen enormous joy and fulfilment in seeing God’s transforming love impact lives through our business.

Jacob and his family live in the Middle East, working in business for transformation.
All names have been changed.

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Discovering Central Asia

Education, On Track, Professional Life

“By the way, could you please run our staff Professional Development Day?” This request concluded an email from an international school we were soon to visit. That email reinforced my thinking: the need to be VERY flexible during our On Track Discover trips, and the great need in overseas schools for help in all aspects of professional development, curriculum, teaching and staff support.

In Sept – Oct last year, our On Track Discover team visited a beautiful, mountainous country now emerging from its time under Soviet rule. Much has changed since then, yet much remains the same. We were able to observe both scenarios. We offered professional development at an international school and visited NGOs served by mission families at the school. It was truly a privilege to spend time with Interserve Partners, local NGOs and the school staff.

One particular NGO for children with Downs Syndrome had a major impact on all of us. The couple who founded this organisation have a daughter with Downs Syndrome who, they were told, would never speak, walk or interact. They were told to ‘put her away’. This was just eight years ago. In response, they embarked on a program to stimulate and encourage their daughter. They have now started a school and host support groups for parents. Currently, this NGO supports over 200 families. They are living proof that their faith and methods work because their daughter, now nine years old, is a student at an international school and can speak three languages – Russian, English, and the local language. How many can you speak?

Richard has led On Track Discover trips to Central Asia and the Middle East. He has years, and has a keen interest in supporting schools overseas. [Document | On Track Introduction]

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Thinking about good stewardship

Community Development, Creation Care, Professional Life

Last week I had a meeting with a business owner in a South East Asian country. I was asked to explain why ‘organic’ foods made business more difficult and how it could be worth it. These are not simple questions so I decided to write it all down as a way to process it all. Until recently for me, caring for creation revolved around natural resources, conservation, waste and pollution. But as I wrote, I realised that food production is indeed part of caring for God’s world and the people in it.

I am a consultant with a number of social businesses which aim to use profit from running a business to achieve social outcomes, rather than wealth for the owners. Some of these businesses produce organic food and offer a range of environmental, economic and social benefits (see diagram).

Two examples of these social businesses are:
• An organic farm producing a range of herbal teas and other healthy products.
• A catering business supplying organic meals for workshops, trainings, events and meetings.

The food is healthy. Some say it is tastier. Both businesses struggle with profitability. There are extra costs involved in organic production since other solutions are needed are needed for pest, weed and disease control. Yield is often lower, too.

Solutions are challenging to find. Instead of chemical fertilisers, organic manure and compost are needed to supply nutrients for plant growth. Manure and compost take time to collect and make. It is expensive to transport and generally requires high quantities to supply enough nutrients. It can cost up to ten times the cost of chemical fertilisers. The options for organically protecting plants from pests take much more time than applying chemical sprays. Farm labour is also becoming scarcer as young people move from rural to urban areas. Being organic and profitable generally requires a higher level of technical expertise and cost.

Does the food need to be organic to be healthy? Not necessarily. However, the one that uses harmful chemicals isn’t usually the one who pays all of the costs. People, wildlife and the environment—sometimes a long way away or without a voice—can bear the suffering.

Living in a city, my own family is increasingly becoming disconnected from production. We shop at markets or supermarkets. We don’t know much about its source or how far it has travelled, and we want it cheap. The reality is that organic production needs at least a 20% price premium to make it work.

Is this good stewardship of the natural resources we have been given? I find myself wanting to support these businesses even though I am not a ‘die-in-the-ditch’ organic consumer. The social, environmental and health outcomes offer an excellent wholistic context in which to minister to the owners, employees, other farmers and customers. Both of these businesses have operated for more than five years, and aim to be at a sufficient scale to make a difference and be sustainable. Relationships are being built and our respect for both people and the environment in which they live demonstrates God’s love for all creation.

Roger has lived in South East Asia for over ten years, working with various social businesses.

Names have been changed.

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The problem of snakebite

Medical / Health, Creation Care, Professional Life

“Can we find out more about snakes?” That request from our physician consultant started me on an unexpected journey. After extensive research including interviewing over 34,000 people in the community, we now understand much more about human–snake conflict. Most importantly, we have learnt that snakebite requires a wholistic response.

A public health perspective
South Asia has approximately 70,000 snakebite deaths per year; there are approximately 100,000 deaths worldwide. Other impacts of snakebite include disability due to limb damage, social and mental health issues, and crippling economic costs from the loss of healthy income earners. In 2018, the World Health Organisation recognised ‘snakebite envenoming’ as a neglected tropical disease, enabling more funding and planning for prevention and better treatment.

A scientific–medical perspective
We need to understand the chemical actions of venom and the medical symptoms of snakebite. We also need to develop diagnostic tests and antivenom that are safe, effective and affordable.

An environmental perspective
Many people’s first suggestion is to kill snakes. This would lead to more rats, which eat more grain, leaving people without food. Understanding snakes’ place in the environment can help us modify interactions more appropriately. Snakebite is primarily a rural problem. Tropical regions are most impacted, with snakebite cases mainly coinciding with the monsoon season. In our area, bites tend to happen in the cool of the evening; snakes come out to hunt just when people are also more active outdoors. Lighting and torches will help people to see and avoid standing on snakes.

Understanding the geographical distribution of snake species is crucial to providing the relevant antivenom. Environmental management has a place in decreasing the incidence of snakebites. Advisors recommend sleeping with a well-tucked-in mosquito net; properly disposing of waste and securing grain storage to decrease rat and snake populations; and establishing buffer zones between grain crops and housing.

Personally, I have come to appreciate the amazing design of snakes. Their scale patterns are remarkably consistent within a species and some designs and colours are quite eye-catching.

An economic perspective
There is an inverse relationship between a country’s Gross Domestic Product (GDP) and the incidence of snakebite deaths: lower GDP = more snakebite deaths. Rural areas usually have a weaker political voice and fewer health resources: antivenom is costly to produce and requires well-trained health workers to administer; protective footwear is expensive; ambulance services are deaths of farm animals cost farmers dearly.

A spiritual perspective
In South Asia, 70–90% of snakebite victims first present to a traditional healer. Many would not kill a snake because snakes are worshipped, and many believe a snake will only bite you if the gods allow it. Others believe the snake’s death will cause the snakebite victim to also die. This spiritual perspective has both religious and cultural aspects. Hindus, Buddhists, Animists and Christians all have snake-related beliefs.

The Bible has many literal and analogical references to snakes, and they are not all negative. Most often people think of the Genesis 3 serpent and its connection to Satan in Revelation 12, but we also have the bronze snake of Numbers 21:4–9 which people could look to and be healed. Then, John 3:14–15 says, “Just as Moses lifted up the snake in the wilderness, so the Son of Man must be lifted up, that everyone who believes may have eternal life in him”. These verses, which occur just before John 3:16 in Jesus’ discussion with Nicodemus, need further exploration in parts of our world where snakes and snakebites are common and their connection with the spiritual is pervasive.

“Your kingdom come”
Often when we pray the Lord’s Prayer, I get to this and stop: “Your kingdom come, your will be done on earth as it is in heaven”. What does God’s kingdom look like for human–snake interactions? Snakebite is a huge problem where I can only ever make a small impact. When I look at it from the perspective that God has given me an opportunity to be part of His Kingdom work, then I press on with the task He has given me to do.

Amelia has served in South Asia for more than 15 years, as a nurse, PhD student, and in building local
research capacity.

Name has been changed.

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Tell people about our suffering

Community Development, Life Lessons, Partner, Prayer, Professional Life, Women

"Will you love Muslims the way I love them?" She turned around, to the girl behind her in the pews. But she hadn't said anything. When she heard the voice again, 15-year-old Patricia knew it was God who called her.

It's hard for me to find her. Somewhere in the famous community center on the Chris Lebeaustreet in Amsterdam is the office of Road of Hope, the organization Patricia Silva Barendregt started three years ago to help refugees integrate. After twenty minutes of wandering around I find her hidden in a small, musty office on the top floor. Except for a simple desk and a discarded laser printer, it’s bare and empty. But soon the Brazilian refugee worker colours the room with her cheerful voice and lively anecdotes.

Am I going to die?
Since the moment God spoke to her, the Arab world has had an almost magnetic attraction to her. Even though she had never actually met a Muslim before. "Where I lived, in northern Brazil, there were no Muslims. I was pretty scared, actually. ‘No God, I can't do this. Isn’t there a lot of persecution in those countries?’ But I was also curious. I started writing letters with missionaries in the Middle East. What's it like living there? What's the climate, the food, the people? Is there really a lot of persecution? Am I going to die?"

Hollywood image
There wasn't much room for doubt. Convinced of her vocation, Patricia went to study theology. She immersed herself in the world of Islam and left for Egypt through a missionary organization. She remembers her arrival well. Everything was different. Everywhere she looked, she saw women wearing headscarves. It turned out to be an excellent conversation opener. Not that the passionate Brazilian seems to really need it, during the interview she talks with a flair that Moses would have been jealous of. "Then I sat on the bus next to two girls with a niqab and asked in Arabic: 'This is so different from where I come from, how do you wear it and what do you do with your make-up?' 'We can teach you', they said. That's how I became friends with a lot of women."
"One day I went home with one of those girls. When she had changed, I didn't recognize her at first, without covering. We became good friends. "You're the first Christian in my life I've talked to", she said. Many Muslims have a Hollywood image of Christians, as if they are often drunk and violent. "But you're so quiet," she said to me. "You dress like us, you're almost a Muslim.” I'll take that as a compliment, haha!"

you belong with us
Two years later Patricia came in contact with refugees fort he first time in her life, when she was transferred to war-torn Sudan. She lived and worked in a refugee camp, ate the same food and drank the same water. "I think I've had diseases I don't even know the name of."
Irresponsible, according to the the missionary coordinator, who ordered the team to stay outside the camp. The team refused. "The people in the camp said to us, 'You are the first foreigners who really live with us, you belong with us'. If we left, we wouldn't be much different from other foreigners coming and going."

road of death
Patricia couldn't let go of the distressing situation of the refugees. In 2014 she came to the Netherlands to study International Development Studies at the University of Amsterdam. Focussing on development issues. Her goal: Iraq. To help refugees, especially from Syria, on their way to a new future. It became Amsterdam. Love caused a small change of direction on the missionary route of the young missionary when she met her husband in the capital. That and a probing visit to the Zaatari refugee camp in Jordan, where she did research for her master's thesis.
Patricia remembers very well the first woman she spoke to in the camp. "She had those beautiful green eyes that I will never forget. As I walked out of her tent, she grabbed my hand and said, 'Please, tell people about our suffering, about what it is like to live as a refugee. That's where the idea for Road of Hope was born. Refugees describe their flight as a road of death."

He's there
Back in Amsterdam Patricia refused to be happy for a while. "I had all those images in my head of people suffering from conflict, rape and violence. Then I can't be happy, can I?" After months of crying, bad sleep and intense conversations with a Red Cross staff member, she began to experience some rest again. "That man said: 'All the faces you have seen and keep coming into your thoughts: God knows them all. He is there. Don't forget that.' It gave me peace. I didn't have to be there. I can also help the refugees who are here. But not alone. That's why I started sending letters to churches in Brazil to support me. I noticed that they were praying for me: I could sleep again and I was doing better. In June 2016, Road of Hope was founded."

Patricia started by counseling three refugee families. Now her organization plays an important role in the work of Amsterdam refugees. Since this autumn, Patricia and her organisation have joined Team NL, the work of Interserve in the Netherlands. There she shares her knowledge and experience about working with immigrants. She also offers On Trackers from Interserve, who will be sent out for a short time, the opportunity to gain experience with cross-cultural work in her own country.

A Brazilian woman. Called to show God's love to refugees in Amsterdam. Intrigued I leave Road of Hope: God's roads are indeed higher than our own.

NOTE:
A short documentary about the work of Road of Hope can be watched at http://bit.ly/roadofhope.

STREAMERS:
"Many Muslims have a Hollywood image of Christians, as if they're often drunk and violent."
"I think I've had diseases I don't even know the name of."
"You are the first foreigners who really live with us, you belong with us."
"I had all these images in my head of people suffering from conflict, rape and violence. Then I can't be happy, can I?"

Photos available at the Dutch office.

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Social work and software

Administration, Partner, Professional Life, Transformation

OSCaR is one of those things that’s hard to write about. It’s a social work case management and database software package. It doesn’t tug at your heartstrings like rehabilitating drug users, or rescuing people from trafficking, or reuniting children with their families. It’s certainly not what I had in mind when our family left Australia for Cambodia in 2014.

In my life before Cambodia, I was a case management social worker in a high school, working directly with disengaged young people. I also had some experience supervising social work students through their university placements. Coming here, I knew that I probably wouldn’t be doing the same thing – social work in a second language is really tough – and I assumed I would fit into a support role at an NGO.

Social work is a fledgling discipline in Cambodia.The Royal University of Phnom Penh started offering the Bachelor of Social Work in 2008, and the number of qualified social workers in the country is low. While there are many Cambodians at NGOs with a lot of life experience, the lack of formal education often results in people making things up as they go. It goes without saying that social work like that often doesn’t lead to the best outcomes for vulnerable people. Unfortunately, there is also a history of some missionaries obtaining visas as social workers despite being unqualified, contributing to the perception that social work is not a real discipline. But now work is in progress to address these issues.

I now work at Children in Families (CIF), a local NGO dedicated to providing family-based care for vulnerable children. When I started here in 2015, I was asked to conduct a social work audit. We had some good practice strengths, but weaknesses in client assessment and record-keeping. Those administrative things don’t sound particularly exciting, but they have knock-on effects for the quality of social work generally. How can you make a good plan for someone if you haven’t assessed and understood their situation? How can you keep the details of 20 people fresh in your mind and provide high quality follow-up every single day, if you never adequately write down the things you’re doing with them? And how can you ever hope to report on your work to your donors (and so keep on doing that work in the future!) if you haven’t got records of what you’ve done?

I’m not a computer programmer, but I grew up comfortable with computers. And our office already did most of its work digitally, so it felt natural to look at supporting our work with better software. We applied for (and won!) a grant to develop a case management system in late 2015. The system has continued to be more and more widely adopted, but it’s tempting to ask, so what?

I’ve been really excited to see how OSCaR has contributed to the development of social work practice at CIF. Our assessment structure is now more relevant and lets us track long-term whether the work we do is improving the lives of the kids we support. We keep records in Khmer, with processes in place to let managers supervise their staff. We track all the things we need to in order to report on our work to our donors, and our managers are beginning to understand how they can be involved in monitoring and evaluation processes themselves. As I’ve helped other organisations integrate OSCaR into their practice, I’ve seen how they also wrestle more with their own work and consider how best to serve their beneficiaries.

I believe that God wants to see Christians not only reach out to the vulnerable, but reach out in ways that are helpful, relevant and competent. And while OSCaR by itself does not work with vulnerable people, it is supporting hundreds of social workers, in Cambodia and in other countries, to do so more effectively. This isn’t the work I expected to do, when I left Australia five years ago. But I’ve seen God bring things in line, and I’m grateful to have been put where I am.

Chris and his wife Stacie advocate for family-based care for children. Their family lives in Cambodia.

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The gift of a voice

Medical / Health, Partner, Professional Life, Transformation

Speech therapy is largely unheard of in Cambodia. Currently there are no speech therapists in the country who were trained at a Cambodian university. For the last 18 months, I have worked as Program Manager in a locally-run organisation working to grow speech therapy in Cambodia. We have a vision for a Cambodian university-qualified speech therapy profession that is able to provide high quality, culturally-relevant services to the estimated 600,000 Cambodians with communication or swallowing difficulties.

Establishing a new profession is a pretty daunting task! Curriculum writing, development strategy, clinical research and advocacy work all require connections and expertise beyond our little team of seven Cambodian staff and three foreign therapists. For a university course to be relevant to this context we need to document research and experience of using speech therapy strategies here. The purpose of this is to evaluate what approaches to speech therapy work in Cambodian culture and in the Khmer language, rather than simply transplanting models of practice from Western countries.

Cambodia has a long history of foreign therapists working in isolation for a few months or years, each investing in their small area but with little connection to government systems and no overall coordination. One of the first tasks for our organisation was to partner with others to establish the Cambodian Speech Therapy Network, with an aim to share resources and learning, and to be an orientation point for future speech therapists coming into the country.

Another early task was to establish a speech therapy clinic as a social enterprise. Two years in, our private clinic is booked out and needs more staff than we can find. This clinic brings opportunities to document therapy in Cambodia. Furthermore, also critical to ongoing success, the clinic helps to raise awareness and builds advocacy platforms with influential Cambodians whose families have benefited from therapy.

Currently, many children with disabilities are not in school even though by law and by government policy children with special needs are allowed to attend. Last year we designed and implemented a pilot project to coach rural primary and preschool teachers in their inclusion of children with communication difficulties within government schools. Beginning with disability-accessible schools from the government’s special education department, our staff worked to train the teachers in skills and knowledge that assists them in using teaching methods that helps all children learn. Presenting our results to the government was a tangible example of how speech therapy could help Cambodians. We ended the year with a formal partnership agreement with the Ministry of Education and had some very pleasing discussions with the University of Health Sciences as they plan a bachelor course in speech therapy to start in 2020.

Building on our national staff’s connections in the national disability and health sector, I’ve been able to bring my experience from 12 years of living and working in Cambodian poor communities along with my grassroots involvement in community-based disability rehabilitation work and establishment of community preschools and homework clubs. As a cross-cultural worker with longer-term experience, I’ve helped our local and foreign team members to understand each other better. In addition to my professional expertise in speech therapy, I’ve also drawn on Interserve’s values of partnership, servant leadership and valuing local expertise as together we grow our organisational culture and strategy.

While it’s not part of the employment criteria, it has been a surprise and encouragement to see how many staff members in the speech therapy project share the Christian faith. For the Christians within our staff it’s been easy to see God’s hand guiding our planning and his provision of resources and partnerships. It is such a joy to together celebrate God’s blessing, lament the injustice we encounter and advocate for systems that allow access to services for the poorest and most marginalised.

Ruth lives with her family in Cambodia. She works with a local NGO working to grow a Cambodian speech therapy profession.

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QA with a Doctor

Medical / Health, Other, Partner, Professional Life

Celeste is a doctor living and working in Asia.

What led you to pursue a profession in medicine?
I never had a ‘noble’ intention to do medicine. I did well at school, and it was a practical profession. I always wanted to serve people and medicine provides that. A lot of people might have thought about saving the world, but for me, it was just a good profession and I had the ability to get there.

How did you sense God calling you into cross-cultural mission?
I struggled with this. Did I really hear God asking me to mission? Some people have dreams. But I think God also works through how your brain works. So for me it was open opportunities. Having everything line up: time, ability to go, the desire to go. I find that if I respond to one thing, God will lead me to the next thing. You don’t suddenly arrive there. You just need to have the willingness first to see mission as a possibility.

You have a heart for your patients, but also for your professional colleagues.
We can serve our patients well if our hearts and our brains and our values are all connected. There is only so much that we can do for one patient, but if we can have an influence on the healthcare provider, how much more we can serve the patients over and above what we can do by ourselves.

If we hold the value of being God’s created ones, then it is reflected in how we treat patients. To be able to look after your colleagues – it changes how they see themselves and the value a patient has in their eyes.

How can you share Jesus’ love when there are professional boundaries to what you can say?
I don’t think that is any different whether you are in my country or in Australia. It is more a change in your thinking – to be Christ-like in the workplace. People read you and watch you. The dignity and kindness that you give to a person speaks volumes. As much as we have to open our mouths, the Holy Spirit is working in their hearts. I am seeing that more and more.

People will ask “Why are you so different to the other doctors?” As we grow in faith, something has to change about us. There is a time and place for you to speak and a time and place when you show Christ through what you do. He will be the one who provides an opportunity to talk about it.

Names have been changed.

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A different way of doing medicine

Medical / Health, Other, Life Lessons, Partner, Professional Life, Transformation

I was only fourteen when I decided I was going to become a medical missionary. I assumed I would be going to Africa – back then I thought all missionaries went to Africa.

But I was surprised to learn that female medical personnel were most needed in Muslim countries, where women must see a female professional and sometimes died when there were no women doctors to attend them.

So I ended up doing a medical student placement in South Asia. It was in a compound with high fences and armed guards. Women were not allowed outside the compound alone, and we had to cover every part of our body including our head. I remember old rusty beds, surgical gloves hanging out to dry after use, hot sweet tea and lots of kids with thin mums.

I started to think about wholistic health and doing medicine in a different way after I witnessed a nurse stomping a baby’s bottle under her foot. Her strange action made sense after I learned that bottle-feeding contributed to the illness of babies there. Big multinational companies sold their milk formulas cheaply and promoted bottlefeeding as the way of the West. However, many poor village women watered down the formula to make it last longer, depriving their babies of the nutrition necessary for growth. The lack of clean water and difficulty to sterilise bottles frequently led to infection and diarrhoea, then dehydration and death.

My brief time there taught me so much. I learnt the importance of preventative and community medicine. I learnt that even though curative hospital care was exhilarating and necessary, for me prevention is better than cure. I began to understand that people’s health is more than physical, and that it is bound to their poverty, education level, status, economic means, gender and religious beliefs. In short, I had begun to understand about wholism.

Another turning point in my Christian journey came when I had the opportunity to go on an evangelistic ward round. The hospital evangelist shared the gospel with patients’ relatives, who stayed to care for the patient. I thought it was great that the gospel was shared, but I was uncomfortable with the division for me: because of time constraints doctors mostly dealt with the physical and evangelists dealt with the spiritual. I didn’t want to restrict myself to being a doctor; I wanted to be a doctor sharing Christ and to teach from the Word of God. This was a good fit for the way God made me.

So I began full-time theological study while working part-time as a GP and completing my training. I was able to reflect on the interaction of the physical, emotional and spiritual. We are complex beings and being healthy is a complicated business.

When I applied to join Interserve, I was willing to go where I was most needed. That turned out to be Central Asia, where the church had grown exponentially since the fall of the Soviet Union, but leaders were young in years and young in faith. I quickly caught the vision of impacting communities in a wholistic and grassroots way, where they could be empowered to recognise and solve their problems with local resources. Our community development lessons covered many topics, such as physical health, income generation, agriculture, emotional issues and moral values like honesty and forgiveness.

Most of the communities we worked with knew we were followers of Jesus, and in time, through interaction, they developed a more positive understanding of Christianity. We did this work not as a means to evangelise or plant churches, but because it is good in itself and demonstrates the love of Jesus. In many places around the world, however, the natural consequence of such wholistic community development is that, over time, new communities of faith begin.

These early lessons have shaped my work as an Interserve Partner for the last 22 years. When there is harmony between people and God (the spiritual dimension), among people (the social dimension), within the person (the emotional dimension) and between people and their environment (the physical dimension), we have wholistic health. As Christians we work to show that Jesus is Lord of all and has reconciled all things in heaven and earth to Himself (Colossians 1:15-20). That’s wholism.

Lyn is Interserve’s Regional Director for East Asia and South Pacific. She lives in Australia with her family.

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