The Pfennigers – Fred and Lydia

“Do not be anxious about anything . . .”

It had been a short night for both of us.  Especially for my husband who had been on call that night for OB.  But as of yet, I have not been able to sleep well when I know he’s in the hospital and dealing with difficult situations.  As I was coming on for the next 24 hours he was updating me on what had happened over night.  He’d had three more women come in during the night in addition to the two I left him from my last shift –two first time moms and one who wanted a vaginal delivery after her last delivery via c-section (making her high risk for uterus rupture).  In addition, he’d been working all night with another patient that I’d admitted the day before whose baby had probably died anywhere from one to three weeks ago and she was about six weeks shy of being full term.  This was a very difficult situation, not only emotionally, but also medically as this baby was breech (butt first) and her last delivery was a c-section.   We had made several phone calls to talk with other OB’s in the US that we had worked with to ask them their opinion on the best way to work with this patient and her baby –there was no easy answer.  Our biggest concern was that her uterus would rupture and we could potentially lose mom, in addition to having already lost baby.

Thoughts:  How do you not worry when it is someone’s life and their baby’s life that is in your care?  The quality and/or quickness of the decisions you make can make a difference for them of life, death, or disability.  These decisions also affect them financially –if they have enough money to buy food or clothes.  Worry has always been a struggle of mine and here it seems to have amplified.

“. . . but in everything by prayer and supplication with thanksgiving let your requests be made known to God.” 

Of the five patients he had worked with during the night, he was leaving me three after one delivered vaginally and one required a c-section secondary to fetal distress.  The question now became if the other three would be able to deliver as well or were we looking at three more c-sections?  As the morning progressed so was the progression of labor of the mother whose baby had died inside of her.  After a few more hours, they called me letting me know that she was wanting to push.  Ok, now the hard part comes for me, delivering the baby, not only breech but with the uncertainty of what kind of condition the baby would be in. I prayed asking God for help and wisdom.  As the butt came out I had more difficulty then I had anticipated delivering the legs, but was able to do so.  Ok, take a breath, we have time . . . pray.  As the baby’s torso came down I kept reaching for the arms to help deliver them but they were not within the “easy” reach that I thought they would be.  Breathe, pray, ok, tell her to push again.  I was finally able to reach the arms and deliver them, all the time praying again and knowing that the head was going to be a difficult challenge and praying that God would give me the wisdom to be able to deliver this baby.  Breathe, pray, pray, mentally think it through, and ask her to push again.  But the baby’s head is not coming.  As I struggled in my thoughts of how better to work with this and prayed for God’s guidance, in through the door, unexpectedly, walks my husband (who I thought was sleeping) asking me if I needed any help –how had he known to come in? He hadn’t. . . but God had!  We were able to deliver the rest of the baby.  For the mother this was a very difficult situation –this was the second baby that she had lost like this in the third trimester.  At that moment, though grieved by the loss of this child, I was very thankful to God for the life of this mother and that we had not lost her or caused any injury to her in this whole process.  When I asked her if we could pray and thank God for her safety, she declined for the moment.

Thoughts: It’s not always easy to be thankful.  Sometimes we may not always realize the way God is intervening in our lives or protecting us.  It can be easy to ask God for things but not always easy to thank and praise Him, especially when we don’t yet know the outcome! I’m very thankful that God knows my needs and knows my words before I even say them! 

“And the peace of God, which surpasses all understanding, will guard your hearts and your minds in Christ Jesus.”

The day was yet to be over. On finishing up this delivery and making sure mom was stable, I went to see the other first-time mom who was laboring.  Her cervix had not changed in over eight hours and she was feeling exhausted and asking for a c-section, I consented given her current condition –second c-section for the morning.  Before going back to the OR, I was called to see the lady who’d had the previous c-section because the baby’s heart rate was dropping.  After a few interventions, baby stable, and discussion with mom, it was decided that she also needed to have a c-section done –third one for the morning.  Wow, did we really have to do three c-sections?  As, I left the OB floor to head home for a late lunch, all three mom’s were stable and doing well and the two live births were also doing well and stable.

Thoughts: I was exhausted as I headed home –both mentally, emotionally and spiritually.  I was crying inside for the mom who had lost her baby but I was also feeling blessed that all three moms and the two babies were all doing well without complications.  It’s during these times that sometimes I wish I had a simple job.  But I have to believe and trust that God has brought me here for a reason that He knows what He is doing even when I feel like I do not!  It is in resting in this that I find peace.  I still get anxious and worried but it is a peace that my soul has to stand on and stay anchored to, otherwise I will not stay here long –my heart can’t take it.  I felt very blessed the next day as I got to pray with this mom who had lost her baby –she had also found her peace in the “storm.” Thank you, Lord. 

We continue to need and appreciate very much your prayers for the patients (for physical and spiritual healing) and for wisdom for us as we work through some very difficult situations.

 God bless.

You can find the 2013 Summer Newsletter under the Newletter tab and or click here.  Thank you for your continued prayer and financial support.

God Bless

If one thing is true for missionary medicine is that there is no shortage of interesting cases – hepatitis B, miscarriage, ectopic pregnancy, sepsis, mandibular mass, congestive heart failure, placenta previa, severe pre-eclampsia, hyperthyroidism, new onset atrial fibrillation, colles fracture, tib fib fracture, etc. –and this is only day #16.  The theme over these last two weeks seems to be congestive heart failure and strokes.

The difficulty of the cases are compounded by the fact that the Togolese seem to come to the hospital only if they are really sick.  Having high blood pressure is not sick.  Having a stroke is not sick.  Having a stroke and not improving over the following 12 to 24 hours is sick.  Having a diagnosis of congestive heart failure and being on meds is not sick.  Having a diagnosis of congestive heart failure, being off of meds for months and having difficulty breathing is sick.

Intensive Care Unit

Of all the cases one sticks in my mind today, the 47 year old mother who was cooking dinner the night before, sat down and fell over.  Family helped her up and immediately noticed drooling, left sided weakness and loss of speech.  We saw her the next day at around 10 am.  A quick physical confirmed the family’s observation and added two additional findings, unequal and non-reactive pupils and decreased consciousness.  She was sick, really sick.

In the US there is a well-established stroke protocol that includes CT scan, neurosurgery consult, TPA, symptomatic treatment including sedation, hyperventilation, risk reduction and last ditch efforts.  Here we have only symptomatic treatment and risk reduction.

Within a short period of time, the 47 year old mother’s blood pressure started to rise, her pulse started to slow and she stopped breathing.  Things were going in the wrong direction.  As she changed we did what we could.  We attempted to treat her blood pressure with labetalol and hydralazine, we gave her mannitol and we bagged her (breathed for her).

As we are resuscitating her, I know she will not survive, but I am uncertain.  I know the problem with her is cerebral pressure, but I am uncertain.  I know we are doing what we can for her, but I am uncertain.  I know what she needs above all is a craniotomy/external ventricular drainage to relieve the pressure in her head, but it is too late, I think, I am uncertain.

After 30 minutes of resuscitation that include a bedside prayer, we stopped and she stopped.  But I could not.

Now comes the questions and tears again, what did we do, what didn’t we do, should we have done something different, are we competent, and should we be here?  With every loss we are left to ponder our contribution.  We are left to wonder if the outcome would have been different in the US.  We are left to ponder the difference between missionary and American medicine.

Resources is the obvious answer.  Certainty is the other answer. 

Going to the doctor in the US with a problem will result in tests, consultations and follow up visits.  At the end of it all you will be given a diagnosis and/or prognosis with certainty.  This process can take a matter of hours to weeks to months.  The speed at which it is done is directly related to how sick you are.  The sicker you are, the quicker the test and consults are done.  Built into this process, unintentionally, are the results and time.  Doctors and families alike, through results and time, come to a peace –a general understanding of the prognosis of the patient at hand.  And when a patient dies the doctor and family can reflect and justify that they did all they could.

Missionary medicine is different.  We have uncertainty.  Did the 47 year old mother with a stroke have a general diffuse bleed that could have benefited from an external ventricular drain and or a focal bleed that could have benefited from a simple burr hole?  I do not know.  Can we do it here and should we have tried?  I do not know.  Had we started the mannitol sooner, would we have made a difference?  I do not know.  Would time on a ventilator have made a difference?  I do not know.  Did I give up to early?  I do not know, I am uncertain.

Lord we pray for strength and peace in the encounters and decision we make.

We pray for understanding and wisdom in the disease process we treat.

We give thanks for the people you have surrounded us with.

We are standing our Your Shoulders

We would like to take this time to say thank you to everyone for their kind words and support.  Yes we are in Togo, but we here only because we are standing on your shoulders.  We could not be here without your support.

A special thanks to the attendings at Tacoma Family Medicine Rural Fellowship Program in Tacoma Washington, Saint Elizabeth OB fellowship in Edgewood, Kentucky, and Dr. Stocks in Missouri for continuing to take our calls and answering our questions.

A special thanks Dr. Evans (Quincy Illinois) for putting us in contact with Dr. Sullivant and for the Nephrotic Syndrome consult.  Thanks to Dr. Sullivant (Quincy Illinois) for a crash review of stroke and the treatment there of.

A special thanks to Samaritan’s Purse for giving us this opportunity to serve overseas through their Post Residency Program.

God Bless

One of our supporting churches back home sent us some questions that they were interested in knowing.  So we had fun recording our answers to their questions and thought you might enjoy watching too.

If any of you would have questions or something that you would like for us to try and do please feel free to email us and we’ll see what we can do!  Sorry we don’t do any singing and dancing!

God bless!

We’ve updated our prayer page and will be adding new pictures shortly.

10 days ago was orientation.  5 days ago was our first days of call.  3 days ago was our first c-section.  2 days ago was our first cast.  Today was our first death.

Our team

Here in Togo we are for the most part, not including visiting doctors, 3 family doctors, 1 surgeon and 1 pediatrician.

Our shifts

We (my wife and I) each have 15 twenty four hour shifts to work.  One works and one stays at home with Noah.  Depending on the day, the shift could start at 7:30 / 8 or 9 am.  Depending on the day, we could be responsible for just the OB floor and or the whole hospital – Peds, Adults, Intensive Care and OB – 50 beds in all.

Our patients

We see patients from all over.  People travel from the capital Lomé to see us.  We do refer patients, however, rarely.  These are patients who are beyond our ability to treat with the caveat that if for whatever reason they are unable to get help, they can come back to see us and we will try.

Saturday August 3, 2103 – A typical 24 hour day?

I started the day grumpy as rounding started early.  First stop pediatrics.

Dr. K was signing out 9 kids to me before heading to Ghana for the day.  5 kids going home, 4 staying.  The sickest of the bunch has cerebral malaria and suffering from seizures.  The night before the child had required 3 doses of valium and 1 of Phenobarbital.  Instructions: if the kid seizes give her pheonbarb.  Check.

Next stop, Miss B, a nurse practitioner.  Our task, round on the 6 medicine patients in the hospital.  The sickest patient was a 21 year old female with what is believed to be post partum congestive heart failure.  My wife had admitted her yesterday and from all reports she was on deaths door.  Working together with Dr. G (another family doctor), we had come up with a treatment plan that consisted of easing the load on the heart.  Today she looked amazing.  Win 1, Losses 0.

Next stop OB, 5 post partum patients to round on and 1 laboring patient.  In between rounding on the patients, I got to deliver the laboring patient, and I was made aware of an admit to the hospital with congestive heart failure.  His vitals were stable, labs pending, and medications given. I’ll see him after lunch I thought.  Win 2 Losses 0.

As I was leaving the hospital, I noticed a young man laying on the gurney struggling to breathe in the triage area.  I stopped by the nurses’ station to inquire who he was.  They handed me the file, 19 y/o males admitted for congestive heart failure!  This was the admit I was made aware of while on the OB floor.  He’s definitely not stable.  Lunch will have to wait.  I hit him will all we had lasix, nitro paste, dopamine, and fluids.  I called for advice.  He never got better.  I watched him die.  Win 2 Losses 1.

The evening was topped off with 4 more admits, 2 of them had HIV, 3 of them had a Hematocrit of 15% (normal is above 36%).  I got to bed around 11 pm.

The phone rang at 4:30 am.  “Hello” I said.  “This is the OB floor.  We have a transfer from an outside clinic of a lady in labor with BP of 202/110.”  “OK” I said, “I will be right over.”

Entering the OB ward I noticed there were a lot of people on the floor, more so than when I had left a few hours ago. In approaching the nurses’ station I was politely told that we have 5 active laboring patients!  2 are stable, 1 is breech and will require c-section, 1 is a VBAC that a doctor must delivery, and 1 has BP of 202/110.  Starting with the worst, I rounded on each patient assessing them and writing orders as I went.  After realizing the true scope of 5 laboring patients, 1 who was potentially very sick, I called in my wife.  Leaving Noah at a fellow missionary’s place, my wife came in and did the c-section.  Meanwhile I delivered 2 of the patients vaginally, including the VBAC patient.  I left the hospital at 9:30 am while my wife stayed to start her 24 hour shift.

Some Thoughts

After praying with the family who lost there 19 year old boy, the father simply said to me, “Thank you for all you did.”

“Naked I came from my mother’s womb, and naked I will depart.  The LORD gave and the LORD has taken away; may the name of the LORD be praised” (Job 1:21).

In thanking me, I am left wondering what I did!  Did I make the right decisions? Did I give the right medications?  Did I run the right tests?  Did I cause his death?  Am I competent?  Should I be here?

In the USA it would be different.  A 19 y/o male with CHF would not be left to a generalist with a book and a phone but with a specialist.  Would it mean that the actual treatment would be necessarily different in the end? . . . No.  It would simply mean that today I would not be crying and wondering what else I could have done.

“In their hearts humans plan their course, but the LORD establishes their steps.”  Proverbs 16:9

God Bless

Masses, Blood, and Rodents – Welcome to Africa

We arrived in Lomé on the night of 16^th around 7 pm after a long 20 hours of traveling.  Our first observation of our new home was it was already dark –we thought maybe we had the wrong time!   But we found out that Togo is just above the equator and as such it has 12 hours of night and 12 hours of day and the change between them is quick.

We then spent a hot two plus hours in the airport waiting for our bags (all arrived safely except for our stroller that came the next day –thank you God!) and filling out VISA forms.  Our second observation, there are no lines in Togo!  Instead people form a mass that moves towards things.  Surprisingly, the mass was mostly polite and considerate.  And thanks to Noah, we were moved, by security, from the end of the blob to the front with no real objections.

Leaving Lomé, we drove for a little over 2.5 hours on paved and then dirt roads to the HBB hospital in Tsiko, where we will be stationed for the next two years.  Our third observation, this part of Togo has a lot of vegetation, and the Chinese are here!  On either side of the road one appreciates large tracks of land that appear to be over grown with vegetation, that is until you come to the Chinese agriculture school.  Here, a large section of land has been cleared for growing among other things rice.  I hear rice grows well here in Togo.

Arriving at HBB we slowed down at the first missionary house to say “Hi” to the family playing.  The conversation turned quickly to an inquiry of blood type.  At the hospital was a young lady pregnant with a hematocrit of 11 (normal is 30 to 45) and they were looking for blood.  Lydia won and gave up 2 units.  Our fifth observation, the missionary families are direct and to the point.

Our fifth and final observation, in Togo any kind of meat can make a good meal! This morning as we were walking through the kitchen, we saw our gardener outside our door with a rock above his head in his hand looking intently at something in along the side of our house in the bushes and there was another person at the other end of the bushes and they were yelling something to each other.  A few moments later, one of the rocks flew and the other man held up a giant rat about the size of a small dog!  The gardeners had seen it -they were happy -they are now going to have meat for dinner!  Welcome to Togo!

Thank you Dave and Ann, MAG and Friends

Just after leaving Switzerland and before coming to Togo, we spent 10 days in Madison Indiana.  During this time we also made trips to Northern Kentucky and Indianapolis to visit friends and supporters. 

While in Madison we stayed with the in-laws, Dave and Ann.  Outside of the “bed and breakfast” that they provided for our time there, they also took care of Noah so that we could spend time repacking and re-organizing ourselves for the time in Togo.  The stay was capped by a water fight and fireworks show on the 13^th of July that will be remembered for a while!  Thank you Dave and Ann for all that you have done for us.  We would not be where we are today without your encouragement, support and thoughtfulness.

On the 7^th of July we went to Grace Fellowship (our old church in Northern Kentucky) and spent time with our past small groups.  On the 14^th of July, we made a small presentation at MAG (Madison Assembly of God) about our upcoming two years in Togo.  The presentation was topped off by an after church lunch which was attended by many.  Thank you very much Grace and MAG for your prayer and financial support. We are where we are today thanks to you and our other supporters.

Goodbye Switzerland

Our last week in Switzerland we made a trip to Canton Uri, in which we visited family in Altdorf and Unterschachen.  Altdorf is home of the legendary William Tell. From my aunt I learned that my great grandma was an only child who had 17 children.  Each of the 17 children had 7 to 15 kids and the majority of them live in the Altdorf area.  Yes . . .  there is a chance that I am a descendant of the legendary William Tell!!  Unterschachen is the birth place of one set of my grandparents (the Muller family), where we spent time in the Alps with Uncle Sepp and Cousin Doris milking cows and watching cheese be made.  We also visited Sursee, which is the birth place of the other set of grandparents.    From there we traveled to Zug to say goodbye to Cousin Renate and Franz and their family.  We will miss you Switzerland!

God bless.

Still a Step behind! (A Short Story)

In the beginning living in a foreign country is not easy.  You feel different, odd like you are a step behind everyone else.  Then, you start to understand the language, you start to understand the big picture around you, and you start to think you can blend into the crowd.  This was our mind set when we decided to go the village celebration of Les Ponts des Martels.

The festival started with a father/son run.  We arrived on time, took our place along the street and cheered as the runners went by.  Our status as one of the locals was confirmed as we were identified with a “Bonjour” from a few members of the community.  After the race, we took Noah on one of the carnival rides.

Paying attention to the crowd around us, we noticed people were moving into the local ice rink.  Unsure of what was happening, we nervously decided to follow.  Hoping to blend in, my wife and I walked together towards the ice rink, each holding one of Noah hands while allowing him to walk between us.

Within moments I started to feel uncomfortable and noticed that people were looking and laughing at us.  Uncertain of what was happening I looked at my wife . . . nothing out of the ordinary there. I then looked down at Noah.  Yup, he was smiling, could it be that I thought as I continued to scan the rest of him . . . pacifier, jacket, diaper . . . diaper!!!  Unbeknownst to us, as we had been walking, Noah’s pants had fallen down to his ankles.  So much for blending in.

 On the up side, a few more people are smiling and saying “Bonjour” to us in the community now!

How I believe -> A Leap of Faith (A Question)

How do I believe?  This question has been on my mind for a while now.  More specifically, what are the steps I take to encourage a Christian life?  As we are getting ready to leave Switzerland for the USA and then on to Togo for two years, I am left to ponder what I must do to encourage a Christian life.  In the same breath you could ask is it important?

Encouraging a Christian Life – 4 ideas

Believing in God is personal for me.  I do it through making a choice, following the example, listening and praying.  My relation with Christ is imperfect as I am a sinner and he is righteous.  I am put on guard when confronted by the expectation of others.

A Choice.  Believing in God is a choice for me.  I make this choice everyday not by completing a checklist of things to do.  I make this choice by believing in a God who died on the cross for our sins.  His actions justify my existence; and as such I do not have to prove my worth, I solely have to believe in him.

Following the Example.  As a young man trying to survive this world, I had idols, individuals who I admired and wanted to be like.  In each case, they have stumbled and fallen.  Which each fall, my life was turned upside down.  How am I to make decision and or live if I have no consistent guidance?  Today I choose Christ, his life and his death, as the example of how to live my life.

Listening.  Listening to God is a choice and is something I am learning to do.  It is difficult to listen to God when we are caught up in this world –work, expectations, money, etc.  As a young man, I chased position and opportunity, moving often in search of them.  I did not give God the opportunity to work in my life.  Today, like when I was young, I live with goals, aspirations and dreams, but I am allowing God to work in my life.

Praying.  Praying is a time of reflection of things that are happening not only in my life, but also in the lives of those around me.  Praying allows me to reflect on the nature of God, and it allows me to pass burdens and worries from my shoulders to God.

Is it important?

This is the million-dollar question.  The answer is yes as it is a matter of salvation.  But is there another way to answer this question?  I think there is.

If we look at the world around us, only one thing can be said which has been said by every generation: “What a mess!”

From wars to famine to financial crisis to you name it, we humans do one thing very consistently: we sin.

No set of laws, no monitoring system, no societal system can stop us.  The only thing that will make us better is individual responsibility and a vision of the future.

But in the absence or in our case the failure of a societal system, how do you develop individual responsibility and or a vision.  The answer is simple, have an example, have a vision.

The importance of the example/vision cannot be understated.  It would have to be the perfect example/vision.  It would have to be comprehensive, leaving no situation undefined or untouched.

Thus imagine that if you would, a comprehensive book that not only teaches us how to react in every incident such that individual responsibility would rein but would give us a vision for the future.  How would that change the actions of a bank giving out mortgages in the name of profit?  Or how would that change the actions of an individual trying to live beyond his/her means?

The question then becomes with the perfect example, with the perfect vision, how do you get individuals to follow it?  You can’t.  People must choose to follow it.  How are they going to choose to follow it?  They need to see it in action; they need to hear it in words.

Do not get me wrong, I am not against society, I am for it.  However, for it and its laws to work, we need something more.  We need something that will guide, direct, and motivate our actions.  Being a Christian is important.

Taking A Leap of Faith

 As a young manager, it was easy to make a decision when I had the solution at hand and/or I could see the outcome with certainty; on the other hand it was hard to make a decision when I had no solution or I could not see the outcome with certainty.  How do you fire someone with a critical skill set when you have no immediate replacement?  Take a Leap of Faith!  You have to believe that everything will work out if you make a decision for the right reasons, even if you can’t see the outcome.

 I encourage my Christian life by making a choice, following the example, listening, and praying.  I believe being a Christian is important.  I am taking a leap of faith that what I am dong will glorify God and have a positive impact on this world.

God Bless

Saturday morning was strange, we somehow felt different.  We felt rushed as we prepared to go to Sursee and Altdorf to visit cousins.  The 7:40 am bus to Neuchatel arrived on time, and as we got on the bus we wondered if we should have waited for the second bus at 9:40.  Arriving in Neuchatel at 8:30 we purchased our train tickets to Sursee.  The train was to depart at 9:24.  Noah was slightly unsettled and like always, wanted to walk.  We sat on the bench for a breather, and we put our sack on the floor in front of us and got out Lydia’s iphone. Lydia placed her purse next to me on my right and went for a walk with Noah.  At around 9:10 Lydia was back and we repacked her purse and our sack.  She then went for another short walk with Noah while I relaxed, reflecting on the weekend to come visiting cousins.

“Excusez-moi” he said.  I turned to my left to see a man about my age holding what appeared to be a train ticket in his hand, sitting about 3 feet from me.  “Do you know when the train to Bern leaves?” he said in French.  Interesting question I thought, wondering why he is asking me and not looking at the train schedule at the end of the station.  “What did you say I asked?” in French.  “When does the train leave for Bern he asked?”  A bit confused I leaned over towards him to see his ticket.  The ticket was odd, something I had not seen before.  In addition, the destination read “Biel.”  Not wanting to spend time trying to figure out this man’s question, I pointed to the train schedule at the end of the station.  He replied “Merci,” and left.  I watched him as he walked away.  He stopped in front of the train schedule and with exaggerated hand motions, appeared to locate the train to Bern and left for platform two.  I stood up, picked up my pack sack and went to the stairs to wait for Lydia.  As her and Noah approached from the distance I noticed that she did not have her purse!!!  What I hadn’t seen, was that while the one man was distracting me, someone else had come and taken the purse!

Disappointed, angry, upset, and frustrated are only a few of the words that explain what we felt.  I mean, we had plans and this was definitely a huge roadblock and not just for that day.  In reporting the theft to station employees, we were directed to the Neuchatel police.  There we filled out a report, with a description of the individual and canceled our credit cards.  Not knowing what to do next, we found a place to relax and contemplate what we were going to do.  We had no means of traveling either home or too my cousins and no way of contacting anyone.

 What happened next can only be described as a true example of the nature of Christ and a blessing from God.  We “happened” across a friend, who invited us home, to their place.  There we were fed, comforted and provide with the means – car, phone, and much more –to carry out our weekend plans.  In trying to repay the kindness after our weekend we were simply told “I have made worse investments in my life than this!”

We were not stripped of our clothes, beaten, or left for dead that day (though we may have felt like it) but this family became a living example of the “Good Samaritan.”  They “took pity” on us; they “bandaged our wounds, pouring on oil and wine. (Luke10:33-34)” And they gave of what they had to provide for us physically, emotionally, spiritually, and materially.  For us that day, they embodied not only the second greatest command to “Love your neighbor as yourself,” but also the first greatest command to “Love the Lord your God with all your heart, soul, strength, and mind,” when they told my wife, “Don’t thank us, thank God!”  We do, we thank God for his wonderful provisions in a difficult experience!

 God Bless

P.S. Outside of the theft, we had a good time visiting Pfenniger cousins in Sursee and around 20 Muller cousins in Altdorf.  (We have now visited about 35 of 65 Swiss cousins and 9 of the surviving 11 aunts and uncles in Switzerland).  A highlight of our trip was identifying the farm my grandfather had and lost, visiting the house where my dad grew up, visiting the farm my dad was placed in to work because his family was poor and meeting up with individuals who grew up with my dad and went to school with his brothers.   

Do you ever wonder why children have so many accidents?  It is simple; they do not fear dogs, gravity and or objects in the mouth while learning to walk.

 “Dear Lord, grant me the grace of wonder.  Surprise me, amaze me, awe me in every crevice of Your universe…. Each day enrapture me with Your marvelous things without number.  I do not ask to see the reason for it all; I ask only to share the wonder of it all.”  Abraham Joshua Heschel

 Over the past few months we’ve had a chance to see so many changes in Noah.  We’ve had so much fun with him in moments of laughter! We’ve seen him go from barely crawling to standing to walking.

 There are definitely challenging days, but it is in these moments that I wonder at all that God has blessed me with.  These are memories I will hold onto and cherish.  These are moments that bring a smile and laugh no matter how long ago.  These are moments that I thank God for what He has so blessed me with and thank Him for what is to come!

 We hope that you will enjoy these three moments with us!

 God bless

Noah and Dad Playing Doggy

Noah Falling

Noah Walking

We took time this month to visit family.  For those that do not know, both my mom and my dad are from Switzerland and come from very large families (I had 22 aunts-uncles, 7 have passed away, 4 are living in Canada).  Of the eleven living in Switzerland, we have visited eight.  In addition to this, I have 73 cousins (65 are living in Switzerland, we have visited 13).

To visit the Muller family (mom’s side of the family), we have traveled to Arth-Goldau, Zug, Bern, and Frinvillier.  There is a possibility of further travel to Aldorf, Wilen and Unterschachen.  To visit the Pfenniger family (dad’s side of the family), we traveled to Root, where there was a small but fun cousin reunion!  To communicate, they speak a Swiss-German (which I can understand to some degree) and I speak a broken Swiss-German/English/French –they call it talking with your hands and feet (and yes, for those of you know me, it is the same way I speak English!!).  For the most part we talked about family, current events and played Jass (a Swiss-German card game, pronounced “yas”).

Ten years ago, when I was in Switzerland, I also had the chance to visit almost everybody (aunts-uncles and cousins) thanks to two separate Muller and Pfenniger cousins reunions.   In visiting family (and others) I have not seen in a long time, I am often amazed at how they remember me.  Humbly, I am not the engineer turned doctor going to Africa to work for two years.  I am, instead, the 8 year old boy banging on the breakfast table with my sister screaming “I am hungry”; I am the 8 year old boy wearing a bed pan on my head thinking it’s a helmet; I am the 30 year old man cooking bratwursts on the grill barking out orders like I was a short order cook; I am the 30 year old man who fell asleep on the train and almost ended up in Italy; and I am the 30 year old man leading 10 pigs down a mountain saying “Here piggy, piggy, piggy.” (To those of you laughing, they were following me, that is until the hail came, and then they ran back up the hill knocking my sister over and making my uncle laugh.  And yes he is still laughing when I met him this month.)

I am often confused when people are taken back by what I say from time to time but slowly I understand why.  There is a gap between what I think I am –which is defined by today, and what they see me as –which is defined by moments of time since birth.  As a child I used to cry easily and was referred to as “Baby Fredy,” maybe this is why my mom still reminds me to dress properly when visiting family! 

Of the towns we have seen so far, Bern is the most fascinating for multiple reasons.  First, the old village of Bern was established late in the 12^th century.   Local legend has it that the founder named the city after the first animal he killed, a Bear.  Every year since then, the city has had a bear in captivity, except for a few years when it was occupied by the French around 1798. (One wonders if the French tried to demoralize the citizens of Bern by taking their bears –the pettiness of war!)  Second, Bern is where Einstein lived, worked, studied, and met his first wife.  She was actually taking some of the same courses Einstein was at the University.  We visited his apartment and learned that he had a daughter with his first wife out of wedlock that he never saw. (The daughter was raised by his wife’s parents in Hungary.)  It was here in Bern while working at a patent office that he proposed his theory of relativity.  And third, Bern was one of the “old eight” cantons that formed the backbone of the Swiss confederations.  Until its declaration of neutrality, Switzerland was known for its fighting ability and for supplying mercenaries.  One quote we came across states “Swiss soldiers were once the cruelest in Europe, killing their prisoners as they fought.  This is a fundamental part of Swiss history.  The country probably became peaceful because it had such cruel past.” Go figure!

God Bless