Each week, Redeemer Church is going to post 2 blog posts each week from a dear family who has been a part of the Redeemer Church family here in Bellingham for years and moved to Africa to do medical education for 9 months. The Sund Family, Greg, Stephanie, Ella, Biniyam, and Mekdes have lived in Burundi for the last 8 months and we wanted you to be up-to-date on all that they are doing and all that is happening in Africa.

Below is the Sund's blog post in October from Africa called "Reanimation Update". You can find more blogs from there personal blog here > Beyond Our Backdoor

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Yesterday, the first group of 6 medical students finished their Reanimation rotation at Kibuye hospital.  To celebrate, Stephanie and I inivited these 6 students over to our house for dinner last night.  I can't tell you how much I have enjoyed working with these students.  They are bright, hard-working, eager to learn, kind and compassionate with their patients, they all speak between 3 and 5 languages and switch back and forth with great ease, and each of them grew up in a country ravaged by civil war (something they rarely talk about).

Last night, one of the students who is actually from the D.R. Congo began talking about the teaching he has received at Kibuye and how drastically different it is from anything he had ever experienced before.  The students at Kibuye work with doctors who are patient and kind to their students and their patients.  They are doctors who are humble enough to admit when they have made a mistake and also to admit when they don't know the answer to a question.  As this student was talking I thought I sensed his voice beginning to crack a bit, and then he admitted that he gets emotional when he talks about this.  

It occured to me that with all the changes going on at this hospital with this team of American physicians, perhaps the greatest change is that of atmosphere.  This long-term team (and I hope the short-termers like us as well) are modelling for dozens of students each year what it means to be a physician who is humble and patient, and who treats his or her students and patients as human beings created in the image of God.  And these students will then graduate and go on to be leaders in their hospitals and their communities and I believe they will become the kind of doctors that they are studying under now.  Last night was a great reminder to me of why we are here. 

Five of the six students (the sixth was out of town)

I also got this new fancy stamp!  I am told that you are not a real doctor in Burundi until you have your own stamp.  Also, I could not officially graduate this group of students without this stamp.  What does one need to get ones own stamp?  About $25 and a short trip to Gitega.  No need to show any proof that you actually are a physician.  Next week I am thinking of becoming a neurosurgeon!

Each week, Redeemer Church is going to post 2 blog posts each week from a dear family who has been a part of the Redeemer Church family here in Bellingham for years and moved to Africa to do medical education for 9 months. The Sund Family, Greg, Stephanie, Ella, Biniyam, and Mekdes have lived in Burundi for the last 8 months and we wanted you to be up-to-date on all that they are doing and all that is happening in Africa.

Below is the Sund's blog post in October from Africa called "Free Range Children". You can find more blogs from their personal blog here > Beyond Our Backdoor

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I have fond memories of childhood.  The long summer days when I’d jump on my bike and join the other members of the Camouflage Club (previously known as the Clue Club) in the woods near our house to build our fort, climb trees, solve whatever mysteries came our way. We’d be off on our own playing outside until my parents, quite literally, blew a horn signaling it was time to come home. 

I’ve often bemoaned the fact that the world we live in is too different for me to allow our children the same freedoms I had.  When we moved into the our house back in the US I was excited about the woods that lay beyond our fence, “The mysterious beyond” we labeled it and encouraged our kids to go explore.  That is, until we saw the tarp, the sleeping bag, the evidence of a campfire.  We live in a small city, there are many homeless, occasionally they camp just beyond our fence.  Neighborhood kids are fun when home, but often busy with activities, or our kids have activities. If they want to play at a park, I’m there with them.  I don’t want to be a helicopter parent, but in the US it is hard to have free range kids.  

On our first day in Kibuye, Anna, the other 9 year old, asked if the girls could join her for a walk.   “We don’t know, can they? Is it safe?” And so our motto came to be “If Anna’s parents let her do it, then it’s okay, you can too.” And off our girls went with Anna into the woods to walk past tea fields and Burundians hoeing and to find a mound of red earth just beyond the bamboo fence. They spent they next few days shaping the clay into bowls and animals, creating “claytopia”. Ella even had a Burundian boy paint her face with the red clay.  (We like to tease her in saying that we’re pretty sure this means that they are now engaged.) They let Biniyam join them and I unpacked in peace and strange silence. 

That night I had a nightmare in which I was back in the US.  I was unpacking and Biniyam ran into the room, he said some people brought him home and wanted to talk to me. They were from DSHS and they said they had found my 5 year old wandering around town by himself and why wasn’t I watching him? Once awake I found the dream amusing, pointing to the big reason I don’t allow my children to roam free in Bellingham. I’m afraid of other people, that they will hurt my kids or what hassle they will make for me. I fear people looking at their phones while they drive and not watching for kids crossing the street. I trust my kids, I don’t trust the community at large.

But here they have a controlled area in which to roam, and it’s of a pretty good size.  There is one short road and rarely does a car open the barrier and drive slowly through.  They have multiple houses in which to play (for example, I currently have 3 children playing at my house, none of whom are mine, my children are playing at someone else’s). Before school they will often head out and find friends to play with and after school until dinner they’re with friends.  They spend a lot of time in our “art studio” room drawing their characters for whatever storyline they have going that day and then they head outside to act out their stories. They catch toads and lizards, they climb trees, they play chase, they build forts, they solve mysteries. They don’t complain of boredom, they don’t beg for media time, they fall asleep quickly and sleep through the night. This is my favorite part of our life here in Burundi, watching our kids experience this childhood of freedom and exploration. 

Each week, Redeemer Church is going to post 2 blog posts each week from a dear family who has been a part of the Redeemer Church family here in Bellingham for years moved to Africa to do medical education for 9 months. The Sund Family, Greg, Stephanie, Ella, Biniyam, and Mekdes have lived in Burundi for the last 8 months and we wanted you to be up-to-date on all that they are doing and all that is happening in Africa.

Below is the Sund's blog post in September from Africa called "Making History Can Be Painful". You can find more blogs from there personal blog here > Beyond Our Backdoor 

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The anesthesia students have been very excited this week.  That is because today, we scheduled the very first surgery under general endotracheal anesthesia at Kibuye hospital.  There has been an anesthesia machine in the OR since I arrived, but it had not been set up or used until today.  This week, Jason and I worked on getting it ready to go, connecting an oxygen tank to one port, an air compressor to another and filling it with expired halothane and expired CO2 absorbent.  So what could go wrong?

After discussing the plan with the students, drawing up the medications and preparing the intubation equipment, I handed my ipad to one of the students and asked him if he would take a couple pictures of the intubation to memorialize this historic event.  So, we injected the induction drugs, and this patient turned out to be one of the most difficult intubations I have ever encountered.  The reason for the surgery was to remove a tumor on his neck.  This tumor was apparently distorting his airway, making visualization of his vocal cords almost impossible.  So, what should have been a 15 second induction of anesthesia turned into a 45 minute scene of chaos and mayhem.  At one point I could not ventilate the patient and so his oxygen level dropped to undectable  levels.  The medical student with my ipad continued to take pictures this whole time, 133 photos to be exact.  And I remember thinking at one point that I REALLY wished I had not asked someone to take photos of this historic event.

Alas, by the grace of God, the endotracheal tube finally found its home, the man had his surgery, woke up and appears to be doing fine, and hopefully our next general anesthetic will go a little smoother than this one.  

A few of the less incriminating photos ..... (Photos below are a slide show, click through them)

Each week, Redeemer is going to post 2 blog posts each week from a dear family who has been a part of the Redeemer Church family for years who moved to Africa to do medical education for 9 months. The Sund Family, Greg, Stephanie, Ella, Biniyam, and Mekdes have lived in Burundi for the last 8 months and we wanted you to be up-to-date on all that they are doing and all that is happening in Africa.

Below is the Sund's blog post in September from Africa called "Well Sent". You can find more blogs from there personal blog here > Beyond Our Backdoor 

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One thing about our time in Burundi that I don’t feel like we have properly addressed yet is that fact that behind our family coming here are a great number of people back home who sent us.  We were sent in many ways and by many people.  And I am sure many of the people reading this blog are the same people who provided for us with financial donations, prayers and words of encouragement as well as support in many other ways.  Here are some of the ways in which we were “well sent”.

1. Many people donated generous financial gifts to help our family with the cost of airfare, visas, malaria meds and countless other pieces of this trip.  We are deeply grateful for all of your support.
2. My anesthesia group (Bellingham Anesthesia Associates) gave me the nine month sabbatical to make this trip a reality.  Our CEO also worked on many pieces required for this trip to come to fruition, including health insurance, credentialing paperwork and malpractice insurance issues.
3. Our children’s teachers in Bellingham were generous with their time in helping prepare our family for this time and specifically for helping Stephanie prepare to enter the world of homeschooling.
4. My band back in Bellingham “Runaway Truck Ramp” hosted a surprise party/fundraiser for the hospital here in Kibuye.  It was such a wonderful time with friends from work and our local church attending and giving generously toward the Kibuye hospital expansion project (https://www.whm.org/project/details?ID=19170)
5. The staff at the hospital where I work  threw another party two nights before we left for Burundi and took up a collection for our trip.  Again, we felt so deeply loved by the thought and effort that went into these two parties.
6. The hospital where I work also donated many supplies which I was able to bring with me to use in our work here.  We have already started using the ear tubes!
7. Our friend Ethan volunteered his time and skills as a real estate agent to help us rent our house while we are away.
8. As we were driving toward the airport on our way to Burundi, our dear friend Kim stood with her son Harper on the overpass by our house with a giant sign saying “We love you to Burundi and back!”.  
9. My parents have provided much support for us in many ways, one of which was allowing us to move in with them for the six weeks prior to our departure while our house was being rented.  
10. We have received many e-mails, phone calls and other personal messages of support and encouragement in the weeks and months leading up to our departure.
11. The week before we left, the elders of our local church (Redeemer) had a going away party for us.
12. And on our final Sunday in Bellingham, our church family (Redeemer Church) gathered around us, laid their hands on us and prayed for our family and for God’s work in Burundi. (redeemernw.org)

There are many other ways we were blessed by our friends and family and we want to again say, thank you, thank you, thank you.  We truly feel loved.

“By this we know love, that he laid down his life for us, and we ought to lay down our lives for the brothers .... Little children, let us not love in word or talk but in deed and in truth.” (1 John 3:16,18)

Each week, Redeemer is going to post 2 blog posts each week from a dear family who has been a part of the Redeemer Church family for years who moved to Africa to do medical education for 9 months. The Sund Family, Greg, Stephanie, Ella, Biniyam, and Mekdes have lived in Burundi for the last 8 months and we wanted you to be up-to-date on all that they are doing and all that is happening in Africa.

Below is the Sund's blog post in September from Africa called "Réanimation". You can find more blogs from there personal blog here > Beyond Our Backdoor

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Soon after we arrived in Burundi, I was informed by the dean of the medical school that I am a “Réanimationist”.  I am still not sure exactly what a Réanimationist is, but I have to admit, the title is pretty cool.  In fact, I am considering having business cards and T shirts made up.  Greg Sund,Réanimationist, MD.  

As to what the practice of reanimation involves, the answers I have received have been mixed.  As I now understand it, it does NOT involve copying cartoon characters.  And I am not in fact expected to bring dead people back to life.  And after some clarification, it turns out that I am not expected to give the power of vision to children who have gone blind from meningitis (yes, I was asked to consult on a patient for this very reason).  

From what I now understand, it involves a combination of anesthesia and critical care medicine, with an emphasis on resuscitation.  The reason my new title is important is because all medical students in Burundi are required to rotate through one month of “Reanimation”.  Given that the medical school here has no reanimationist, this requirement has gone unable to be fulfilled for many of the medical students (apparently, there are 3 or 4 “Reanimationists” in the country, but they do not have enough availability to get all of the medical students through this rotation).

So, I was asked if, during my time here, I would lead a monthly Reanimation rotation, with 6 students each month, in the hopes of getting 30 or 40 students through this requirement while I am in Burundi.  I said yes, and this past week, we began.  

Mercifully, they chose 6 of their best English speakers to ease me into this new role.  Our schedule involves 2 lectures each week, mornings in the O.R. learning about anesthesia, then spending 3 afternoons each week rounding on critically ill patients, which we are asked to consult on by various services (Peds, Internal Medicine, Surgery).  To be certain, this afternoon portion is a role I am far removed from back in the U.S.  I did 3 months of critical care rotations during my residency, but since then, the only time I am invited into the ICU is when someone needs to be intubated or needs an invasive line.  So, I am hitting the books, and trying to dredge up all those critical care memories that have been suppressed for years.

The first week has gone surprisingly well.  And I have actually found myself enjoying my time on rounds.  There are plenty of moments that involve me stepping out of my comfort zone (eg. rounding on a patient in isolation with multi-drug resistant tuberculosis).  But the students are wonderful.  They are diligent, and compassionate, and they are learning so much with so few resources (no ipads, no computers, and the only books they read are a handful of medical books in English which are kept at the hospital … then they are required to present all this information in French).  

So, the next time you are feeling less than animated … feel free to call me … Greg Sund, Réanimationist ….. MD.

(Reflections by Dane Burgess from Bob Thunes book, The Gospel-Centered Life)

What exactly is "the gospel"? It is a question that when posed to Christians can seem to bring more of the "deer in a headlights look" then a confident explanation spoken out of true understanding of identity. A lot of the time, when you ask a Christian "what is the gospel?" you tend to get answers that are broken down to two, three or even four core principles. But the problem within those principles is that they come off as dis-genuine and they lack true conviction. And when I mean principles, I am talking about very basic core beliefs that might be true about the Gospel but when boiled down to the bare minimum of its meaning will have no weightiness to its true reality.

But when you understand "the gospel" as an intricate story of God creating, man falling, Christ redeeming and a new people created then you start to see how your own life fits within this Redemptive Historical reality. 

Creation: The Story Doesn't Start With Us, But God 

As all stories begin, it starts with a beginning. But within this story, our human tendencies is to begin with us. Yes this story has something to do with us but it isn't primarily about us but God. 

God is eternal, infinite, perfect and unchanging who created all things before there was anything (Genesis 1:1-31). We can see through Scripture that our God is one God but He exists in three persons, Father, Son and Holy Spirit (Matthew 28:19). God was perfectly happy and  completely joyful amongst himself. Which means he did not create the world because he was lacking in anything. He already had perfect glory, community, joy and worship within the Trinity. Rather He created creation out of the outpouring of His perfection, His goodness and His love. Humans were made in the image of God (Genesis 1:27). And he created us to join in and experience that perfect joy he had amongst himself within the Trinity. We are the created and not the creator. We are dependent and under His authority whether we like it or not. We are on His terms and not on our own. We were made to worship, love and serve him. Not serve ourselves. 

God's words when he was done with all of creation were "And God saw everything that he had made, and behold, it was very good." There was perfect order, perfect structure and all of creation was under submission to its Creator. 

Fall: We Batched It, Not God 

Humans were made in the "imago dei", which means we were made in the image of God. We were created by God to worship Him. All that we did was to be directed towards him. But instead of coming under full submission to God's authority, humans (We, all of us) turned away from God in sinful rebellion (Genesis 3:1-7; Isaiah 53:6). Our cosmic treason caused a great disease or an illness to saturate all of creation. God's perfect creation that he said "was very good" is now tainted. Cosmic brokenness happened because of our sin. Pain, suffering, death and sorrow to name a few happened because of us.

For now "all sin and fall short of the glory of God." Human beings, because of the great fall, are sinners by nature and by choice (Ephesian 2:1-3). Non of us truly think of ourselves as that bad or sinful. Someone is always worse then I am, we say. But in reality this view only shows our true lack of understanding of how our sinfulness is committed towards a Holy, Perfect God. 

"Sin is not primarily an action, it's a disposition" - Bob Thune

Sin is our soul's bend towards our perfect Creator. Sin has permitted everything within us. Our pride, our selfishness, our independence, and our lack love towards God and our neighbors. At times sin is very open and obvious but other times it is hidden within ourselves. Like I said earlier, sin has permeated every part of creation and there is no hope for change or is there...

Redemption: God's Acts To Save Us And What We Have Broken 

How often do we put our hope and trust in other sinful human beings to save us or save our world. We look to political systems to bring us out of bondage, we look towards self-help books to make us feel better. And yet no matter what we do, there is always that sense of brokenness and guilt that we can't seem to get rid of fully. That is why we need a hero. We need a Savior. That hero and Savior is Jesus Christ. We sinners need a Savior, a Redeemer, a Deliverer to free us from the captivity of our own sin and restore the order of the world back to its original purpose. A purpose that had a worshipful, dependent bend towards God as Creator. 

Jesus Christ being fully God (to incur sin fully) and being fully man (to pay the ultimate debt we  owe to God). God sent his Son to be a perfect substitute. One who lived the life we could not live and died the death that we ultimately deserved. 

"This is why God sent Jesus into the world to be our substitute (1 John 4:14). The Bible teaches that Jesus was fully God - the second person of the Trinity - and also fully human. He was born to a human mother, lived a real flesh-and-blood existence, and died a brutal death on a Roman cross outside Jerusalem. Jesus lived a life of perfect obedience to God (Hebrews 4:15), making him the only person in history who did not deserve judgment. But on the cross, he took our place, dying for our sin. He received the condemnation and death we deserve so that, when we put our trust in him, we can receive the blessing of life he deserves (2 Cor. 5:21)" - The Gospel Centered Life pg. 9

Jesus did die in our place. But how do we know who he said he was unless he could show us who he was? We know this by him rising from the dead, displaying his victory over sin, satan and death. All that was lost, broken and corrupted in the fall will ultimately be put right. Redemption isn't simply salvation for individual souls; it means that all of creation is being put back to the way it was suppose to be.

Restoration: Now This Is More Like It 

What is required of us to partake in this restoring process? How to we experience salvation and become mirrors of redemption towards our world? By faith alone (Ephesians 2:8-9). Faith is complete trust or confidence in Someone. It is a heart that has a whole-hearted commitment to Jesus Christ. 

When we trust in Jesus Christ we are released from the penalty of sin and from the power of sin. We were originally created "able not to sin" but through the fall we were "not able not to sin" but for those who believe in Jesus we are now "able not to sin" and once Jesus brings redemption to completion of all things we will "not be able to sin." That is an amazing hope and reality that will come one day! One day, for those who are in Christ, will not be able to sin. Are you kidding me!!

We are free to die to ourselves and live a life that has a dependent bending of the knees towards our King Jesus. We are free to serve because Christ first served us. We are free to see all the things we own as gifts given to us by God and steward them well to bless others. We are finally free in whatever we do to do it all for the Glory of God. 

Jesus promised that he will return soon to judge sin and make all things new. Until then, he is gathering under His rule a people from every tribe, tongue and nation (Rev. 7:9). As he has given us eternal life, he has also called us to participate with Him in His mission (Matthew 28:18-20). 

This is the Gospel! A story of triumph and vindication. A story of hope and longing. It is the good news, the greatest news this world has ever heard and needs to hear.

photo credit: JLM Photography. via photopin cc