Ideal med school day
Before med school, I had a preconception of what a typical day in med school would be like. It would include some lecturing, walking through the hospital in my white coat, and some studying. Unfortunately, these days are very few in reality. Typically it is several hours of lecturing followed by several hours of studying followed by several more hours of studying. However, yesterday was one of those, “fantasy days”.
Yesterday, I sat in biochem for 1 hr learning about DNA. That was followed with a lecture from a radiologist reviewing the pelvis and lower limb. Then, it was up to the anatomy lab where we bisected the pelvis and removed the right leg of our cadavers so that we could see, in cross section, what we are currently learning about. And that was all in the morning.
Lunch was provided by an interest group with a guest speaker who spoke about his ideas for healthcare reform. Very interesting and very entertaining. As soon as that was finished, I grabbed my white coat from the wall and headed to the cancer center in the hospital. After I had asked for the Dr. that I was shadowing, they told me she had just gone to the other end of the hospital to do the procedure I was supposed to observe. “If you walk fast, you may catch her.” So off I went walking at Dr. speed through the hospital *highlight of my day. Then, I asked the nurses on the floor where this Dr. was and they said room 8. I knocked, entered, and introduced myself to the Dr. I was shadowing. She told me to throw on the gloves so I could not only observe the bone marrow biopsy, but help. White coat came off and sterile gloves went on. She was telling me that they take bone from the superior posterior iliac crest. Crazy thing; i knew what she was talking about b/c we were just looking at that structure that morning in anatomy!
After the procedure, I walked back and finished out my day in typical med student fashion… a few hours of studying followed by a few more hours of studying.
Jesus, thank You so much for the calling to medicine on my life. Thank you Lord that when you call us to a mission field, you place a brokenness for the people there and a delight for the Hope that you are to them. Thank you Jesus for placing an odd delight in my heart for biochemistry and medical procedures to help me better worship You and display You in medicine. God, save my medical community.
the gospel in ATP Synthetase
ATP Synthetase produces ATP, the major energy currency in the body. This occurs when Hydrogen protons flow down the ATP synthetase into the mitochondrial matrix. The work done to produce the Hydrogens that flow down is performed by the Electron Transport Chain. Wikipedia
DNP is a drug that comes along side ATP synthetase and provides an alternate way for Hydrogens to enter the matrix. When this occurs, Hydrogens enter the matrix via DNP. The electron transport chain continues to do work, but no ATP is produced. Wikipedia
Gospel
God is good and we are not 2 Tim 2:13. There is a clear separation between us and God. Jesus says that He is the Way and that nobody comes to the Father except through Him John 14:6. Jesus bridged the gap by becoming our sin and giving us His righteousness 2 Cor 5:21. We work with the power of Jesus working in us Gal 2:20-21.
The Gospel in ATP synthetase
Like Jesus, ATP synthetase tells the Hydorgen protons (us) that it is the way to get to the matrix and produce energy. DNP, like religion, then comes along and tells the Hydrogen protons that you don’t have to go through ATP synthetase and that there is another way to the matrix (God). Sadly, the electron transport chain keeps working diligently in vain with no ATP (energy) production.
In our sinfulness, we choose other ways to get to God outside of Jesus. We choose religion and/or rebellion (here we say that we are, “god”). In both circumstances, we work diligently in vain pursuing love and identity. And it gets worse.
There is another protein in the body called thermogenin Wikipedia. We are born with Thermogenin and it is called, “brown adipose tissue”. Thermogenin, like DNP, provides an alternate way for Hydrogen protons to get to the matrix. However, when Hydrogen protons travel down thermogenin, no ATP is produced -just heat. With thermogenin, you may be comfortable and warm, but you will never be active.
We are born sinful with alternate desires for love and identity outside of Jesus Psalm 58:3-4, 51:5.
But, there is Good News:!
Ephesians 2
By Grace Through Faith
1 And you were dead in the trespasses and sins 2 in which you once walked, following the course of this world, following the prince of the power of the air, the spirit that is now at work in the sons of disobedience— 3among whom we all once lived in the passions of our flesh, carrying out the desires of the body[a] and the mind, and were by nature children of wrath, like the rest of mankind. 4But[b] God, being rich in mercy, because of the great love with which he loved us, 5even when we were dead in our trespasses, made us alive together with Christ— by grace you have been saved— 6and raised us up with him and seated us with him in the heavenly places in Christ Jesus, 7so that in the coming ages he might show the immeasurable riches of his grace in kindness toward us in Christ Jesus. 8For by grace you have been saved through faith. And this is not your own doing; it is the gift of God, 9 not a result of works, so that no one may boast. 10For we are his workmanship, created in Christ Jesus for good works, which God prepared beforehand, that we should walk in them.
Praise God for ATP synthetase! Romans 1:20
Friday – Day 5
Today was the last day. This is a picture of our gatekeepers and me today : )
First awesome story:
We saw a lady in line today with her children. However, we remembered this lady from yesterday! Yesterday, she had stood in line for hours, but we were unable to see her and her family. We simply were running out of medicine and eye glasses. And so we rejoiced when we saw her today. We told her how sorry we were that we were unable to treat her yesterday, but how excited we were that she was here today (different clinic site) and we were able to treat her and her family.
One of the most difficult parts of banding and triaging patients is discerning when people are speaking the truth and lying about their illnesses…and yes, they lie. : ( But today, this lady’s perseverance proved her genuine need for medical attention. Although her perseverance didn’t get her any medicine sooner, it was a good reflection of an inward desire.
Second awesome story:
Our bus driver was from the Ecuador military and two of our interpreters had been talking with him about his faith all week. He has a wife with two kids (1 newborn) and is working and providing for his family. His belief in God is vague if at all. Like everybody else in Ecuador, he was raised Catholic. Granted, there are Catholics who are sincerely Christians just like there are Baptists who are sincerely Christians. However, if there is no desire to grow closer to God, love in your heart based on the love of God displayed at the cross, and no submission to Jesus as King, then you probably are not a Christian even though you claim to be Baptist, Catholic, or Pentecostal.
But our driver did not claim Christ at all. So all week, two of our interpreters were growing relationally and spiritually with our driver.
This morning, I presented our driver with a financial offering that our medical team had raised for him. We wanted to show him our appreciation for his time spent with us and our appreciation for him being a man and stepping up to provide and be a presence for his family. We wanted to love him just like God has loved us…by giving. After we prayed with him, he went around and hugged each of our necks and thanked us for our gift. I have been to Ecuador for 10 years now and have never seen a driver react this way toward the financial gift at the end of the week. His appreciation was so genuine…and it gets better…
Tonight, our driver showed up at the Crusade looking for one of the interpreters who had befriended him all week! Our entire missionary team (180 ppl) blocks off a street in one of the communities we have been ministering in and basically have a huge outdoor church service where Jesus is exalted and the gospel is preached.Between 500 and 1,000 people show up. And tonight, our driver was there! Unfortunately, we couldn’t find the interpreter that he was looking for, but we received some contact info to pass off to our interpreter.
We are praying for our driver’s salvation and for Jesus’ Kingdom to spread to one more heart.
Thursday – Day 4
Haha, this is a candid shot w/ my dear friend and pharmacy student Chris.
My job at the clinic entails banding the patients outside in line with purple and gray hospital bands. The rest of my day, I am running between stations at the clinic ensuring that all of my team is satisfied and guarding traffic flow at the main gate.
This is unfortunate because I rarely get to see the end product of our clinic: satisfied and happy patients who have just received medical and spiritual care.
However, today we were banding people and a man arrived at the back of the line. He insisted that he did not want to see a doctor (purple band) and only wanted eye glasses (gray band). So, we gave him a gray band and let him go ahead in the clinic in front of all the people because all he needed were glasses whereas they all needed to see a doctor.
Only about fifteen minutes later, he came out in his greased up coveralls smiling from ear to ear and telling us, “Gracias” for the glasses. Then he crossed the street, caught a bus, and headed off to work.
It got me REALLY excited to be able to immediately see how we had helped this man. Normally, people wait in line and don’t leave the clinic until several hours later. This man, however, was able to receive the care he needed in only about 15 minutes and was still able to go to work today.
Gloria Dios!
Wednesday – Day 3
Today had a different feel to it than the previous two days. On Monday, we were forced to run a short clinic so we didn’t see as many people as we’d like to. On Tuesday, we were trying to make up for Monday’s short day by working extremely hard on very little sleep. And then came today; Wednesday.
I had spoken to several people on my team on separate occasions about the lack of a spiritual attitude in our clinic. Sure we were seeing more people than we had planned on and that was great, but were we pushing back darkness?
So today, now that we are somewhat rested, and our numbers were back on track, we wanted to slow down our pace and pray for the people we treated. We made it a point to pray for every patient that we saw. Patients were prayed for by the doctor, nurse, translator, pharmacist, and eye tech’s. We wanted to push back darkness with the Light of Christ. And the strangest thing happened…
Philippians 1 is correct when it says that multiple people laboring diligently in the gospel begin to work in a unity of mind and spirit that is supernatural. Our team grew today. We didn’t grow in number, we grew in depth. When we wanted to focus on praying over our patients, it was truly for their good – not ours. However, Philippians 1 IS true! As we prayed and labored in our clinic today, we began to form and mesh into not a team of 20 individuals but to one team with one mind, one spirit, and one purpose: showing and proclaiming the gospel to those in need.
I am stoked to see what God allows us to be a part of tomorrow!
Tuesday – Day 2
Today, we went to a place called Karolina. Our clinic was in the small hut you see in the picture.
Past
Last year, one of our mobile clinics went to Karolina for two of the days. When they arrived, Karolina had not received a single drop of water for seven days. Also, it was a tent city. There were about 1,000 patients awaiting their arrival. The medical team leader’s heart broke as she knew that she could not see all of the people who were in so desperate need. Out of the 1,000 patients, only about 500 were seen.
In Karolina was one small church led by a pastor who sought out our missionary team for help.
Present
Today, all three of our mobile clinics traveled to Karolina. All three of our buses stopped at a dirt road crossroads. Me, and the other two team leaders left our buses and were met by the pastor of the church who first sought our help a year ago. However, today would be vastly different than last year.
Today, the pastor introduced us each to our guides. Our guides then took each team to their separate locations in Karolina. We were led to the three churches of this pastor in various parts of Karolina! The pastor told us how he had been training his church members for a month so that they could help us help their community most efficiently.
Today, we treated over 1200 patients between eye glasses, dental, and general medicine! The pastor of this large community was tear filled as he thanked us for our work there today.
Future
The future of Karolina looks bright, in every sense of the word. The Light of the world (Jesus) is pushing back the darkness in that community and He is doing it through His Bride, the Church. The Church, theologians will tell you, includes every believer to have ever lived and ever will live, where as the church (little, “c”) is the local expression of the larger Church (big, “C”). All are the body of Christ. *Deep, I know…it’s a mystery (Ephesians).
It was neat today because I was a part of the little, “c” church temporarily expanding to the big, “C” Church to point a community towards King Jesus.
The future of Karolina is Hopeful because Jesus loves Karolina. We know this because God the Father sent his Son,Jesus, to earth to die for the sins of the people of Karolina so that they may know and love the One True God. We also know this because Jesus and the Spirit have sent a pastor and church planter to Karolina to be His body as King Jesus pushes back darkness and as Dr. Jesus heals people’s broken and sinful hearts. We also know this because God is sovereign and allowed us (medical missionaries) to partner with Karolina and the local church(es) there to see their city look a little more like Heaven until Jesus brings Heaven to earth and makes His Kingdom a physical reality.
Questions:
What is your past? Does it include Jesus and your distance from Him?
What is your present? Does it include Jesus and your oneness with Him (you’re never, “kinda married”)?
What is your future? Does it include worshiping Jesus as Loving King or suffering under Jesus as Righteous Judge?
Monday – Day 1
Today was our first day at our mobile medical clinic. However, today was special. Today was special because we were escorted by the Marines, transported by the Coast Guard, and all this was organized by the Navy. We went, with the Ecuador military, to an island in desperate need of medical care and the gospel. Two of our teams went (my team being one of them).
We rode on the Coast Guard’s Cutter (not our actual boat in picture above – haven’t uploaded pic’s yet). Once we got near the island, they sent us off in smaller boats to shore…then we walked.
The most rewarding part of my day today was at the very end. We were wrapping up and I had put a band on the Principal of the school that was hosting us to be seen by the doctor. He came to me and asked if his wife could be seen as well and I had to tell him, “No” because we were simply running out of time.
Shortly after that, he came to me with his wife and asked if his wife could have his medical band so that she could see the doctor and he would simply do without. Dang; he got me! The gospel SCREAMED from his attitude and heart.
1 Corinthians talks about how Jesus was perfect. Jesus is Holy, Jesus is Perfect, Jesus is Sinless, Jesus is Righteous and Good. But, at the cross, Jesus traded all of His perfection for all of our sin. Jesus became our sin so that we would become His righteousness.
Just as the Principal gave up his health for the sake of his wife, Jesus gave up everything at the cross for the sake of His bride, the Church.
Overcome with what Jesus has done for me, I gave the Principal an additional band so that he AND his wife could be seen.
Who is reminding you of the gospel?
Who are you reminding of the gospel?
First Harmony Family Service!
Just wanted to offer a recap of the first Harmony Family service (at least the kids’ portion).
At Harmony, we want to partner with parents and equip them to disciple their kids. During our Sunday service, we separate kids from parents and teach the kids the same thing that the pastor is teaching their parents.
This morning, we taught from Habakkuk (tough book). However, some GREAT things came from this morning.
1) the Gospel was preached.
2) 5 kids and 3 babies
3) plethora of volunteers
4) one girl raised her hand and told us how she prayed for her cat to feel better and God heard her prayer just like He heard Habakkuk’s prayer.
5) one boy told us during craft that he wasn’t a Christian. After everything he told me about how much fun he had and how he’s excited about coming back next week!
2 Ways to Sin
I’m going through Psalms right now in my personal time and first half of Psalm 106 jumped out at me.
The first thing to note is that David sings about how sinful we really are earlier in Psalm 51. Later, in Romans, Paul addresses how we don’t sin because we don’t know the Truth, but we do sin because we do know the Truth and reject Him. Our first and, “natural” default is to reject God.
This leads to the question of,
If we will always choose sin and reject God, then how do we ever choose God reject sin?
Answer: Grace. Jesus answers this in John 15 when He says that you choose God because I (Jesus) choose God and I live in you.
And finally, we come back to Psalm 106. David says that Israel sinned against God stemming from 2 sources. [Their sin actually stemmed from their evil hearts but it expressed itself through 2 "doorways"]
1. They Forgot the Past
21They forgot God, their Savior,
who had done great things in Egypt,
They forgot how God had saved them. It is almost funny to me at how Paul, when writing to the christian churches, constantly reminds them of the Gospel. Before Paul gives them ANY practical advise or comment, He always begins with the Gospel – their past and ours.
How often do you forget the Gospel? I forget that Jesus, God, came to earth and lived the perfect life. Jesus fulfilled EVERY command where I had failed miserably. Then, at the cross, Jesus exchanged His perfection for my sinfulness. He exchanged His wholeness for my brokenness. And finally, Jesus rose from the grave, defeating death, so that I never had to be separated from the love of God as He was on the cross. How often I forget this powerful Truth.
When we forget the Gospel, we become self righteous as we try to earn favor with God. Or, we become hopelessly lonely as we forget how near and how much the love of God is for us. This opens the door for our hearts to reject God and lead us to sin.
2. They denied their future
24Then they despised the pleasant land,
having no faith in his promise.
They did not believe that God was a good and loving God. And it is easy not to believe that when you forget how Good and Loving He was at the cross. But anyway, Paul addresses OUR future in Ephesians 1.
When I sin, it is partly because I do not believe in my inheritance that Christ has purchased for me at the cross. I do not believe that God is good and loving and wants my joy to be complete. However, my joy will ONLY be complete once it is founded in Christ. God knows this and I short myself whenever I settle for anything less than Christ for my joy.
So, I encourage you to:
Remember your past & believe your future!
Should Men Be Allowed to Father Children After They’re Dead?
I came across this article today.
Should Men Be Allowed to Father Children After They’re Dead?
My dad’s dead and he never even knew I existed. It’s a pretty sticky ethical and moral dilemma.”
This article presents the scenario of utilizing frozen sperm of dead men to impregnate women with babies. Is this moral? Is this good? Should a man die childless or should a child live fatherless?
The answer to this question lies in the definition of, “Father”. Dictionary.com defines a father as:
–noun
1. a male parent.
2. a father-in-law, stepfather, or adoptive father.
3. any male ancestor, especially the founder of a race, family, or line; progenitor.
If the definition of a father is origin of child’s dna, then adoptive fathers don’t exist. If the definition of a father is a male guardian, then any teacher, coach, or babysitter could proudly wear the banner of, “Father”. However, my definition of Father is found in how God is my Father and calls me to father my children.
Ephesians 5 describes the husband as the head of his household as Christ is Head of the Church. But, as the head, the father must balance three main roles; Prophet, Priest, and King.
Prophet
Jesus is the Prophet. There are many prophets throughout the old testament who proclaim the word of God. Jesus not only proclaimed the word of God, he WAS the Word of God! This means that we as husbands and fathers are called to proclaim the gospel through our words and lives to our families. Joshua 4
Priest
Jesus is our Priest. Jesus has made the sacrifice on our behalf to cover our sins. Jesus Was the sacrifice on our behalf. Jesus is the one person who stands between us and God. At the cross, Jesus brought God to us. At the throne, Jesus brings us to God. We are priestly fathers when we sacrificially love our wife and kids. We reflect Jesus when we bring our family to God in prayer and we bring God to our family by displaying to them the gospel in everything we do. Job 1
King
Jesus is King. Jesus rules over all. Jesus holds all things together. Jesus presides over His Kingdom in our hearts and, at the end of times, over everything we see. Jesus keeps the world spinning and, by Grace, keeps us breathing. As fathers, we reflect Kingly Jesus by the authority we carry in our household. But this authority doesn’t come from a hard fist or abusive words. This authority is compelled by the sacrificial love the father displays to mom and kids. Revelation 21
With these three qualities, I argue that it would be extremely difficult to be prophet, priest, and king while dead. It is one thing when horrendous tragedy occurs and a father of infants and toddlers is killed. However, is it wise to knowingly conceive a child with an absent father?
No.

