Today is the first day I have woken up way early in the morning..I thought my time clock was past the time change, but apparently not :) It isn't too bad because I work at 7 so I would have to wake up soon anyway.
This year our surgeons and turnover times between cases have been faster so they have been finished with the second surgery around 5 or so instead of the 10 or so of years past. So today we will do 3 cases. I don't live in the reality of the cardiologists in the clinic and honestly I am kind of glad to avoid their tough job. They screen countless patients and are at the point where we have found plenty of patients for the week and are now telling patients that they can't have surgery right now. Last night they were weary from the burden of their job. And I don't blame them. So we jointly decided to push things a little and try to do 3 cases each day for the next 3 days to get a few more cases taken care of. I would rather be really busy and have helped 3 more people. They have scheduled a few patients who they expect to be very sick for Thursday and Friday, which are the nights I am working :)
Yesterday I felt myself getting frustrated towards the afternoon, not at anything in particular but just felt my patience waning. Sometimes being there all day, teaching the nurses while making sure the patients' are getting good care, answering everyone's questions, etc just puts me over the line on patience. I am praying that the Lord would bring me the patience I need...I know it is not something I can muster up. Even in the midst of that yesterday I laughed at my impatience when I looked around and saw 4 sweet Kenyan nurses at the foot of the new patients bed working on charting, asking about their pulses....God is doing great things here and I am blessed to be a part of it.
Our second patient yesterday, Agnes, is a young Mom. As soon as she got her breathing tube out she was literally praising God. She wanted me to pray for her. Then she kept saying "I am so tired, so tired, praise God" in her sweet Kenyan English. Agnes has had symptoms from her Rheumatic Heart Disease since 2005. Our first patient, Lillian was a bit sicker for a few hours, but she turned the corner and got her tube out and of course immediately wanted water. She is also a mother (yes, so far we have done all female patients ;) of 4. The oldest is 14 and the youngest a baby. She lives in Eldoret. I look forward to getting to know these two ladies a bit better today.
Tuesday, October 30, 2012
First Day of Surgery
Yesterday was the first day of surgery in our "adult" week. What most adults need surgery on here is not vessels that are blocked with plaque but valves that have become sickened due to rheumatic heart disease. Because people here don't have access to antibiotics like we do, they can get an infection like strep and left untreated it will attack their valves causing narrowing of the valve. This leads to heart failure. These patients are weak, get out of breath quickly, some have heart rhythm problems, fainting spells, constant coughing...the list goes on. One of our patients for later this week (potentially) has been having these symptoms for 7 years. I cannot imagine living life like this...unable to do so many things you long to do.
I digress. Our first days of surgery went great. Our first patient is Dorothy. She has rheumatic heart disease which has ruined her mitral valve, so the surgeon replaced it. Dorothy did amazing after surgery. Within 2 hours she was telling me about her little 3 month old boy Caleb and her desire to work as she has gone to University.
Peris is our second patient. She, like Dorothy, has rheumatic heart disease which has ruined her mitral valve, so the surgeon replaced it. She also did great. She was still pretty sleepy when I left the unit around 9 but was doing well, already drinking water and wanting to sit up.
Our nursing devotion yesterday was on taking time to be still and resting in God. This is especially hard to do here because it is go go go all the time. Today I have the luxury of going in at noon and working until midnight, so I got some sleep and have time this morning to go for a walk and be still. It is still a hard thing to do when you feel like there is work in front of you. But I need to rely on God, who is my source.
There aren't words to describe how beautiful it is here...I am sitting outside our room and it is green everywhere...such amazing beauty. I can hear the voices of school children reciting something and birds singing. God did quite a number here!
Today there should be two more patients. I think they are Jillian and Agnes, though they may have changed the plan for today. Prayers for their surgeries. Yesterday we started with cases we knew should do well, now we are getting into the more complex cases...ones that have a lot higher risk of having complications post operatively or not surviving the surgery. Continue to pray for wisdom as our team makes decisions with each patient.
I digress. Our first days of surgery went great. Our first patient is Dorothy. She has rheumatic heart disease which has ruined her mitral valve, so the surgeon replaced it. Dorothy did amazing after surgery. Within 2 hours she was telling me about her little 3 month old boy Caleb and her desire to work as she has gone to University.
Peris is our second patient. She, like Dorothy, has rheumatic heart disease which has ruined her mitral valve, so the surgeon replaced it. She also did great. She was still pretty sleepy when I left the unit around 9 but was doing well, already drinking water and wanting to sit up.
Our nursing devotion yesterday was on taking time to be still and resting in God. This is especially hard to do here because it is go go go all the time. Today I have the luxury of going in at noon and working until midnight, so I got some sleep and have time this morning to go for a walk and be still. It is still a hard thing to do when you feel like there is work in front of you. But I need to rely on God, who is my source.
There aren't words to describe how beautiful it is here...I am sitting outside our room and it is green everywhere...such amazing beauty. I can hear the voices of school children reciting something and birds singing. God did quite a number here!
Today there should be two more patients. I think they are Jillian and Agnes, though they may have changed the plan for today. Prayers for their surgeries. Yesterday we started with cases we knew should do well, now we are getting into the more complex cases...ones that have a lot higher risk of having complications post operatively or not surviving the surgery. Continue to pray for wisdom as our team makes decisions with each patient.
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| Dorothy getting set up in the OR with Luke |
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| Surgery has begun! |
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| Recovering the first heart...look at our amazing Kenyan nurse team! |
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| Teaching moment |
Monday, October 29, 2012
Shots from Sunday
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| Families from Nairobi who are coming to be screened. |
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| Patient discussion/selection last night |
Sunday, October 28, 2012
Start up tomorrow
The second group of folks arrived. We are mostly set up and ready.
Today I spent a little time with the patients being screened. They scheduled a small handful of patients to get ECHOs. 16 showed up. Then 12 more cam from Nairobi-mostly babies and small children. Needless to say they didn't screen all of those patients but we did select our first two patients. They didn't give names but they are both young ladies...a 25 year old and a 24 year old. I met one today. She has a beautiful smile.
All of the pediatric patients came with ECHO reports from Nairobi and I flipped through them. Again I am struck by how hard it is that we will not be able to help so many of these patients. Several of these pediatric patients are beyond what we can do here (Truncus with a single coronary). It is hard to meet the children, see their faces, shake their mother's hands knowing that we can't help (I have a picture of some of these sweet face that I will hopefully post later).
Thankful yet again that God knows each of these children and mamas and what he has in store for their lives.
This was one of the scriptures from church this morning. Thought it was a great way to start out the week
2 Chronicles 29:10-13
Praise be to you, Lord, the God of our father Israel, from everlasting to everlasting. Yours, Lord, is the greatness and the power and the glory and the majesty and the splendor, for everything in heaven and earth is yours. Yours, Lord, is the kingdom; you are exalted as head over all. Wealth and honor come from you; you are the ruler of all things. In your hands are strength and power to exalt and give strength to all. Now, our God, we give you thanks, and praise your glorious name.
Today I spent a little time with the patients being screened. They scheduled a small handful of patients to get ECHOs. 16 showed up. Then 12 more cam from Nairobi-mostly babies and small children. Needless to say they didn't screen all of those patients but we did select our first two patients. They didn't give names but they are both young ladies...a 25 year old and a 24 year old. I met one today. She has a beautiful smile.
All of the pediatric patients came with ECHO reports from Nairobi and I flipped through them. Again I am struck by how hard it is that we will not be able to help so many of these patients. Several of these pediatric patients are beyond what we can do here (Truncus with a single coronary). It is hard to meet the children, see their faces, shake their mother's hands knowing that we can't help (I have a picture of some of these sweet face that I will hopefully post later).
Thankful yet again that God knows each of these children and mamas and what he has in store for their lives.
This was one of the scriptures from church this morning. Thought it was a great way to start out the week
2 Chronicles 29:10-13
Praise be to you, Lord, the God of our father Israel, from everlasting to everlasting. Yours, Lord, is the greatness and the power and the glory and the majesty and the splendor, for everything in heaven and earth is yours. Yours, Lord, is the kingdom; you are exalted as head over all. Wealth and honor come from you; you are the ruler of all things. In your hands are strength and power to exalt and give strength to all. Now, our God, we give you thanks, and praise your glorious name.
Morning Walk
Saturday, October 27, 2012
These Dogs are Barking
If you haven't seen Planes, Trains and Automobiles then sorry for the title. Basically I am beat! We worked from 8 until 6 organizing and unpacking today. We managed to make it to the Canteen for a Stoney (my favorite drink ever...think really ginger-y soda) but otherwise worked through.
Pictures do better than words here. There is a storage place at Tenwek called the cages. All our Cardiac stuff gets stored there in between our trips. We started the morning off down there going through what is there and hauling it up the ramps to the Recovery Room, OR and new storage room for the Pumps and perfusion supplies.
Once it was all up it was a mess! But we powered through and managed to get everything organized neatly (which required taking everything out of their usual storage space in the recovery room to fit our stuff) and neatly labeled, thanks to Michael. We are ready for the next wave to arrive tomorrow with more supplies.
We have newly donated monitors and vents so life is looking better than it usually does at this point!
The wireless is being pretty slow, so I'll have to add pictures tomorrow morning if I can.
The words to Mumford and Sons new song Below My Feet have been running through my head all day.
Let me learn from where I have been;
Keep my eyes to serve, my hands to learn
That has been one of my prayers since hearing these great lyrics...that God would keep my eyes and my hands open to where he wants me to be. I love this place so much, but I think for the first year I am open to where God has me going and where he desires me to be, whether that is returning here year after year or digging into something new. Like so many things in life right now I am trying to learn to hold onto what I have less tightly, to be open to what the next steps in my life are, to be open to the fact that things in my life may need to change.
We were talking about the Kenyans' faith today, how they see everything as coming from God and not really thinking of much coming from their own work. How different that is from how I view my life..I think I have earned something so how could I ever think of letting it go.
Okay, off to bed. Will try to post again tomorrow and maybe get some pictures in there if the internet is better.
Pictures do better than words here. There is a storage place at Tenwek called the cages. All our Cardiac stuff gets stored there in between our trips. We started the morning off down there going through what is there and hauling it up the ramps to the Recovery Room, OR and new storage room for the Pumps and perfusion supplies.
Once it was all up it was a mess! But we powered through and managed to get everything organized neatly (which required taking everything out of their usual storage space in the recovery room to fit our stuff) and neatly labeled, thanks to Michael. We are ready for the next wave to arrive tomorrow with more supplies.
We have newly donated monitors and vents so life is looking better than it usually does at this point!
The wireless is being pretty slow, so I'll have to add pictures tomorrow morning if I can.
The words to Mumford and Sons new song Below My Feet have been running through my head all day.
Let me learn from where I have been;
Keep my eyes to serve, my hands to learn
That has been one of my prayers since hearing these great lyrics...that God would keep my eyes and my hands open to where he wants me to be. I love this place so much, but I think for the first year I am open to where God has me going and where he desires me to be, whether that is returning here year after year or digging into something new. Like so many things in life right now I am trying to learn to hold onto what I have less tightly, to be open to what the next steps in my life are, to be open to the fact that things in my life may need to change.
We were talking about the Kenyans' faith today, how they see everything as coming from God and not really thinking of much coming from their own work. How different that is from how I view my life..I think I have earned something so how could I ever think of letting it go.
Okay, off to bed. Will try to post again tomorrow and maybe get some pictures in there if the internet is better.
Friday, October 26, 2012
Made it!
We have arrived. It is around 6 here in Tenwek, I think around 10 AM in Nashville. Our travel time is complete for now and my swollen ankles and tired eyes are happy for the break. We traveled from Nashville to Atlanta to Amsterdam, had a 8 hour layover that we spent walking around the city, then got on another 8 hr flight to Nairobi. We go into Nairobi at 6 AM and then got on a van and after making a few stops for snacks and to pick people up we rode for 4 hours to Tenwek....it is good to be here.
All our travel was smooth, all our bags made it !! and everyone is settling in and getting ready to eat. Tomorrow we will start unpacking and organizing.
There are some things that no matter that it is my 7th time in this country, I am always amazed to see. Kenyans have so much hope and so much pride, even though compared to our standards they have little. I love the colors here...from the red dirt to the green hills, to the smooth dark skin contrasted by white teeth, to the colorful fabric, the bright red the masaii wear...it is all so beautiful year after year.
I am happy to be here again, happy to see what God has in store for this year-for how we will grow the program, teach, be taught, help and be helped...
Here are a few shots from the road (if they will load!)
All our travel was smooth, all our bags made it !! and everyone is settling in and getting ready to eat. Tomorrow we will start unpacking and organizing.
There are some things that no matter that it is my 7th time in this country, I am always amazed to see. Kenyans have so much hope and so much pride, even though compared to our standards they have little. I love the colors here...from the red dirt to the green hills, to the smooth dark skin contrasted by white teeth, to the colorful fabric, the bright red the masaii wear...it is all so beautiful year after year.
I am happy to be here again, happy to see what God has in store for this year-for how we will grow the program, teach, be taught, help and be helped...
Here are a few shots from the road (if they will load!)
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| A trip to Nakamat-grocery store |
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| Great Rift Valley |
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| Add caption |
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| Road stands |
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| View from Tenwek |
Wednesday, October 24, 2012
Time
In Ecclesiastes 3 it talks about there being a time for everything under the sun. 2 of the things there is a time for is to reap and a time to sow.
Right now feels like a time to reap. I got cleared from PT today; a lot of sowing went into that process. I am leaving for Kenya today; a whole lot of sowing went into getting everything ready for this trip.
So much has happened in my heart and mind in the past 4 months. It feels like there has even been some reaping from all the challenges and working through learning more about myself work that I have been doing.
I am excited to see what God has for me in this reaping season. Here we go!
I should get to Tenwek by Friday lunchtime-ish so hopefully I'll be able to get to a computer and give an update.
Right now feels like a time to reap. I got cleared from PT today; a lot of sowing went into that process. I am leaving for Kenya today; a whole lot of sowing went into getting everything ready for this trip.
So much has happened in my heart and mind in the past 4 months. It feels like there has even been some reaping from all the challenges and working through learning more about myself work that I have been doing.
I am excited to see what God has for me in this reaping season. Here we go!
I should get to Tenwek by Friday lunchtime-ish so hopefully I'll be able to get to a computer and give an update.
Monday, October 22, 2012
Living
"Each little step toward the center seemed like an impossible demand, a demand requiring me to let go one more time from wanting to be in control, to give up one more time the desire to predict life, to die one more time to the fear of not knowing where it all will lead, and to surrender one more time to a love that knows no limits. And still, I knew that I would never be able to live the great commandment to love without allowing myself to be loved without conditions or prerequisites."
Henri Nouwen (The Return of the Prodigal Son)
Henri Nouwen (The Return of the Prodigal Son)
Saturday, October 20, 2012
Can't Wait
Can't wait to meet each of our patients this year!!
Tuesday, October 16, 2012
Fall Colors
Each time fall or spring rolls around I claim it as my favorite season. So for right now, fall is my most favorite season :)
Some of the leaves are changing here and just driving around I catch my breath at how amazing some of the reds and yellows and oranges can be. Never ceases to amaze me.
On Saturday Leah and Natalie and I went out for a day hike and saw some of the colors. I think one more week and the colors will be even more vibrant...hoping it happens before I leave the country!
Some of the leaves are changing here and just driving around I catch my breath at how amazing some of the reds and yellows and oranges can be. Never ceases to amaze me.
On Saturday Leah and Natalie and I went out for a day hike and saw some of the colors. I think one more week and the colors will be even more vibrant...hoping it happens before I leave the country!
Sunday, October 14, 2012
Perfectionist
I have never thought I was a perfectionist. I have always been able to find someone in my life that fits into the box I have considered a perfectionist. But I am learning, like innumerable other words in my life, that perhaps my definition is not quite accurate.
In our girl's group book, The Gifts of Imperfection, by Brene Brown, she defines perfectionism. One part of her definition is this: perfectionism is more about perception – we want to be perceived as perfect. Again, this is unattainable – there is no way to control perception, regardless of how much time and energy we spend trying.
This is the aspect of perfectionism that I am learning has been ruling my life. I don't think in my head I am bothered if I don't perform the absolute best or "perfectly" however I want others to perceive me in a certain light, maybe not as perfect but as pretty darn good. The dictionary definition of perfect is: Having all the required or desirable elements, qualities, or characteristics; as good as it is possible to be. So if I use this definition then, yes, I guess I want people to perceive me as perfect.
When this goes unchecked, I live out of fear, I live out of shame, I feel judged, I zap all the freedom out of my life. I am incapable to live out of who I am because I let fear and shame guide my steps.
I am learning that part of living out of who I was created to be, living out of who God longs for me to be, is acknowledging my imperfection, of being okay with it and embracing it as part of who I am. I cannot walk in shame and fear and also walk in my calling because I am bound by making a mistake not by living freely.
Maybe some of this makes sense. In my head it has been transforming and freeing, even in spite of being made more aware of my inability.
In Brown's book she quotes a Leonard Cohen song: "There's a crack in everything. That's how the light gets in." Can you embrace the cracks in yourself?
In our girl's group book, The Gifts of Imperfection, by Brene Brown, she defines perfectionism. One part of her definition is this: perfectionism is more about perception – we want to be perceived as perfect. Again, this is unattainable – there is no way to control perception, regardless of how much time and energy we spend trying.
This is the aspect of perfectionism that I am learning has been ruling my life. I don't think in my head I am bothered if I don't perform the absolute best or "perfectly" however I want others to perceive me in a certain light, maybe not as perfect but as pretty darn good. The dictionary definition of perfect is: Having all the required or desirable elements, qualities, or characteristics; as good as it is possible to be. So if I use this definition then, yes, I guess I want people to perceive me as perfect.
When this goes unchecked, I live out of fear, I live out of shame, I feel judged, I zap all the freedom out of my life. I am incapable to live out of who I am because I let fear and shame guide my steps.
I am learning that part of living out of who I was created to be, living out of who God longs for me to be, is acknowledging my imperfection, of being okay with it and embracing it as part of who I am. I cannot walk in shame and fear and also walk in my calling because I am bound by making a mistake not by living freely.
Maybe some of this makes sense. In my head it has been transforming and freeing, even in spite of being made more aware of my inability.
In Brown's book she quotes a Leonard Cohen song: "There's a crack in everything. That's how the light gets in." Can you embrace the cracks in yourself?
Saturday, October 13, 2012
Amani
Right now my Dad is hiking the AT. He does a hike each fall to raise money to support some sweet children in several homes in Kenya. Sweet children who are being loved by those hoping and praying that someone will let them into their home.
Happy Hiking Dad!!
Tuesday, October 9, 2012
Joined
Romans 7:4: Therefore, my brethren, you also were made to die to the Law through
the body of Christ, so that you might be joined to another, to Him who
was raised from the dead, in order that we might bear fruit for God.
I have been spending a lot of thought and prayer towards really analyzing my life...where is my time spent, why, etc. I read this passage this morning and got stuck here. I am not going to go into all of the things that I came up with, because I didn't come up with a lot except several questions for me to think about. The first question has stuck with me today...I think I have been doing many things in my life because I "should"-meaning I haven't really died to the law...it is still alive and kicking. But over the years as I have tried to not do things just out of shoulds, I swing the other way to apathy or selfishness, but I know that is not the answer either. Which leads to question 2 and 3 and 4...
I have been spending a lot of thought and prayer towards really analyzing my life...where is my time spent, why, etc. I read this passage this morning and got stuck here. I am not going to go into all of the things that I came up with, because I didn't come up with a lot except several questions for me to think about. The first question has stuck with me today...I think I have been doing many things in my life because I "should"-meaning I haven't really died to the law...it is still alive and kicking. But over the years as I have tried to not do things just out of shoulds, I swing the other way to apathy or selfishness, but I know that is not the answer either. Which leads to question 2 and 3 and 4...
- Have I really died to the law?
- What does it mean to be joined to Christ?
- Does my life look like one joined with Christ?
- What does fruit look like?
Sunday, October 7, 2012
My Own Country
If any of you have read Abraham Vergehese's book Cutting for Stone you need to follow it with this one: My Own Country. Where Cutting for Stone was a fictional work clearly inspired by his life as a physician, My Own Country is his story of being the primary physician for many HIV/AIDs patients in a rural community when the world was just learning about this awful disease. It is a fascinating story...he deals with stigmas, prejudices, death, homosexuality, his own families response, his life as a doctor being different...so much stuff.
As I am taking time to consider my own work in the hospital, some of his experiences have touched some places that I struggle with in my job, for instance we have technology but are we always using it to promote life, health and healing or why do we act like physical illness has no emotional capacity that has massive needs. Anyway, here are few passages where he captures these ideas better...
"..much of ICU care has this futile quality, this illusion of purposefulness generated by the trappings of technology and invasive procedures. A novice in medicine sees only the drama...more years in medicine and you see how suffering is prolonged, hospital bills multiplied tenfold, the possibility of dignified death diminished."
"..my training had not really prepared me to be this kind of doctor. We were trained in hospitals not in patients' homes; we were biased toward technological interventions..; words like the "soul," the "spirit" were considered dirty words..."
As I am taking time to consider my own work in the hospital, some of his experiences have touched some places that I struggle with in my job, for instance we have technology but are we always using it to promote life, health and healing or why do we act like physical illness has no emotional capacity that has massive needs. Anyway, here are few passages where he captures these ideas better...
"..much of ICU care has this futile quality, this illusion of purposefulness generated by the trappings of technology and invasive procedures. A novice in medicine sees only the drama...more years in medicine and you see how suffering is prolonged, hospital bills multiplied tenfold, the possibility of dignified death diminished."
"..my training had not really prepared me to be this kind of doctor. We were trained in hospitals not in patients' homes; we were biased toward technological interventions..; words like the "soul," the "spirit" were considered dirty words..."
Tuesday, October 2, 2012
Blog-aversary
I missed by Blog Anniversary...it happened sometime last week. It has been 2 years since I began this journey of putting my words to paper or electronic paper and out there for people to read. I have moments of getting freaked that people read this stuff about me, but other than the fact that about 10 people read my blog :), I remember that I am okay with it. I started this blog for me and I still write it for me. It is a good way for me to process, to not be ashamed of things that I am learning or seeing, of sharing some of my heart...it is really good for me. So I will continue to write and to write for myself.
I started it in the wake of my RA diagnosis, which I continue to learn more about how it has affected me. I started it in the wake of being awakened to how God loves me and I think that 2 years later I am still amazed by how He loves me and being awakened to new aspects of that. A lot has gone down in these 2 years, a lot that has been tough but a lot that has been wonderful. I am thankful for both the hard and the good for they have both brought new understanding and realization of truth.
Thanks for sticking with me.
I started it in the wake of my RA diagnosis, which I continue to learn more about how it has affected me. I started it in the wake of being awakened to how God loves me and I think that 2 years later I am still amazed by how He loves me and being awakened to new aspects of that. A lot has gone down in these 2 years, a lot that has been tough but a lot that has been wonderful. I am thankful for both the hard and the good for they have both brought new understanding and realization of truth.
Thanks for sticking with me.
Monday, October 1, 2012
Sacred Journey
Frederick Buechner wrote a book called A Sacred Journey...it is one of the books I am currently in the midst of reading. It is his memoir, his telling of his life, his story, the people, the experiences, all the things that shaped him; his sacred journey. The following is an old prayer followed by his words...
"'For all they blessings, known and unknown, remembered and forgotten, we give thee thanks.'..it is for all the unknown ones and the more than half-forgotten ones that we do well to look back over the journeys of our lives because it is their presence that makes the life of each of us a sacred journey."
Last week I came up with 8 reasons why I am thankful for RA. It was a tough list to start writing but once I did I was encouraged to see these 8 things that I can be thankful for. I think I could make a longer list than that for reasons I am thankful for the past 3 months, brutal as they have been at times. In the midst of the brutality I so easily forget how to worship, how to be thankful, how to see out of the haze and I think each time that I emerge that the next time will be different. Maybe each time of pain has been a bit different, maybe my list of 8 will serve me the next time I am angry at God about my RA, I don't know, but the process of looking back, of thankfulness is an important one. It is important for us to see our lives as sacred journeys.
"'For all they blessings, known and unknown, remembered and forgotten, we give thee thanks.'..it is for all the unknown ones and the more than half-forgotten ones that we do well to look back over the journeys of our lives because it is their presence that makes the life of each of us a sacred journey."
Last week I came up with 8 reasons why I am thankful for RA. It was a tough list to start writing but once I did I was encouraged to see these 8 things that I can be thankful for. I think I could make a longer list than that for reasons I am thankful for the past 3 months, brutal as they have been at times. In the midst of the brutality I so easily forget how to worship, how to be thankful, how to see out of the haze and I think each time that I emerge that the next time will be different. Maybe each time of pain has been a bit different, maybe my list of 8 will serve me the next time I am angry at God about my RA, I don't know, but the process of looking back, of thankfulness is an important one. It is important for us to see our lives as sacred journeys.
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