We just finished the first part of a four part series---what it means to be a disciple of Christ and the spiritual disciplines.
The book teaches around a diagram that can be easily explained to others. These photos are me showing them how to explain the whole diagram and then several of them practicing. The "final exam was to come....
Above: Eddie with the neck pillow on his head. :)
Below: Andrea presenting the cross of the Disciple.
In Sunday school we are covering a series of the prophets titled "Be Courageous." So one Sunday David, a couple helpers and I took the kids on a hike up a mountain that looks over Curahuasi. We formed four teams. Along the way each teach had to complete several challenges, including: making a pyramid and carrying their team leader.
The word for "baby shower" in Spanish is "baby shower." :) Their's lots of borrowed phrases in Spanish because they borrow cultural customs from us.
A couple in our church, Genovea and David, are soon to have their first child. It's fun to see the similaries and differences in what they do. David and I were in charge of the the food and opened up our home. Karla (from Bolvia) and Damaris (from Lima, Peru) where incharge of the games.
When you can't figure out what explains all the random findings....Think LUPUS!
Milka is a 23 year old woman who presented to the emergency room one Sunday with fever and alot of non specific symptoms for one week. It started with throat pain (her throat looked normal), diarrea, vomiting and abdominal pain (she had a little voluntary guarding on abdominal exam), her bones and muscles hurt all over, weakness, anorexia, and a headache (she had fever and heart rate of 116 in the ER).
Monday and Tuesday I did extensive evaluation because each result showed more and more abnormalities. Her CRP was 315, WBC 12 with 86% neutrophils, Hemaglobin 9 with MCV 90, platelets normal. Her lungs developed rales with IV fluids. Chest XR showed bilateral hilar infiltrates. Her cardiac eco showed pericardial effusion and bilateral plueral effusion. Her abdominal ultrasound showed a little ascites, inflamation of the intestinal wall and a little inflamation of the gallbladder. Thyphoid screen negative. Liver and kidney function normal. She then developed petechea. PT and aPTT where prolonged. ESR 90.
With emperic antibiotic treatment covering the lungs and abdomen her CRP and White count started coming down. She continued taquicardic. Her whole body started to swell and she because weaker and weaker.
With such diverse symptoms I started suspecting Lupus or some autoimmune disease because they're so common here. Thursday her CRP was in the 100's and she'd received 5 days of antibiotics (just incase it was more of a sepsis picture), so I started Prednisone 50mg a day and checked ANA (which is a send out test and takes a couple of weeks to come back).
Milka started to recover little by little. She was able to eat a little and her strength came back. And she was able to go home the next Monday with a Prednisone taper.
Two weeks later she returned for her follow up. Her ANA came back strongly positive for Lupus. She continued almost the same with her pericardial effusion and had developed a little heart failure, so her Prednisone was bumped back up and she was started on Metotrexate (there is Hydroxychloroquine here in Peru but not in Diospi and it's expensive).
Please pray for Milka because Lupus will affect her and be a constant part of her life from now on. Below she is posing for her picture so that the world can pray for her.
David's 5th grade homeroom had a sleepover to celebrate the year. But it's not what you would expect.
They started out their Friday morning traveling to two elementary schools and one highschool to present three skits: Joy Robber (about how the only joy that no one can take from you is Christ in your heart), True Christian (about what makes us true Christians is not going to church, reading the bible, etc but having Jesus in our hearts), and the last skit was about how Christ is the only thing that can free us from sin.
Then the kids ended by explaining the Book Without Words, which uses Green, Black, Red, White, and Yellow to explain the gospel.
Below: Dinner! Antecuchu (meat grilled on a stick).
Below: 6am run to our "prayer site" where we all prayed and then came back.We divided into 3 teams.
Students Versus Parents