Weary Travelers are home

Dear family and friends,

It is Sunday night, and the weary travelers have returned home. We are tired, but happy. God continues to be very faithful all around the world. Our health care team over the past twelve days saw between 1100 and 1200 people -- the most ever in the history of our missions to Ecuador. In addition, two men and three male teens carried many tons of sand, gravel, soil and block in the completion of the floor for the new Awa youth center in Lita. This was a task of great effort and dedication by the construction unit of this year's mission team, and the fruit of their labor will be realized for many years to come.

A bridge is being constructed over the Rio Verde (photos to follow)!! This river represents the edge of civilization to our mission teams. Most of the Awa live on the other side of the Rio Verde, and there are no semblances of civilization on that side. The Awa cross the Rio Verde to come to our clinic, and must traverse the river either on horseback, or by crossing over one of several five inch wide foot bridges. The new bridge will therefore change their lives. In addition, efforts are also underway in the placement of light poles and lights along the opposite side of the Rio Verde. This, too, will change life in these mountains. Undoubtedly, the change will be both for the good, as well (most likely) for the bad. But the change will come, and indeed is here. The missionaries (Bruces, Williams, and Schwabs) want the change to be entirely for the good, and by the grace of God it will be. But, much more work needs to be done. Education efforts are being planned to improve Awa hygiene and health. Likewise, the Awa church is getting stronger and more vital. It is the missionaries' prayer that the Awa church will someday be independent with regards to outside help. Our teams have been blessed to be a part of this growth and change.

Several team members crossed the Rio Verde on one of the foot bridges! Leading the way was new team member Dr. Bill Harrell. Bill is a retired pediatrician who joined the team at the last minute, in response to the great need for his services. Although initially tentative, Bill now rejoices at having found great purpose and adventure in this experience.

At our final devotion last night in Quito, the team reflected on what we had learned about ourselves, about God, and about other people. Several of us commented on how great is the kingdom of God, and how we so limit our experience of it by the smallness of our dreams. In the midst of this discussion, three guests at the hotel where we stay "happened" to hear us singing and come into the room where we were worshipping. They were from Venezuela, vacationing in Ecuador. We rejoiced to learn of each other's walk, and admitted the need for each other's encouragement. One of the young men gave me a bracelet, which he gave as a message from God to the Church at Tatesbrook. Its inscription reads "Vive con proposito en Christos", which means "Live with purpose in Christ". I promised I would pass that word along.

Please be in prayer for two Ecuadorian ministers who guide our efforts each year. Wilmon Varela was in a motorcycle accident eight months ago. He fractured his ankle, and underwent surgery, but continues to have a painful ankle. We are pursuing further efforts for treatment. Washington Pozo is also the pastor of a local church. He has been experiencing weight loss, fatigue, and chest pain. Despite a recent hospitalization, he continues to be ill. Please pray that both men will receive good medical treatment, and that they will know the peace and power that God offers despite difficult circumstances.


Mercy and grace to each of you,
Tim and Linda

Tim and Linda: Chapter Four

Dear friends and family,

Linda and I are back in Otavalo now. Resting, and shopping a little. The past ten days have flown by very quickly. We have been blessed. We returned from Lita and Rio Verde yesterday afternoon. Pleasant weather, beautiful sights, exhausted team, but peace.

Medically, there has been the usual great diversity of pathology seen in the seven days of clinics that our team has held. Included in the list for adult medicine would include a chronic tear gland infection (caused by parental abuse), probable tuberculosis, a piece of steel embedded in a cornea, multiple ear canals occluded by wax (and on two occasions, by an insect), fractures of a wrist and of an ankle (one sustained by falling from a bridge hanging thirty feet over the Rio Verde), endless cases of back pain caused by living in these mountains, several cases of pneumonia, PID, and cellulitis, one abscess of an eyelid, several major depressions, several cases of severe hypertension, one fellow with angina, another with phimosis and possible adenocarcinoma, multiple cases of roundworm infestations, one fellow with a colostomy wound abscess, etc., etc. One 40 year old man was blind as the result of an accident. He depended on his ten year old son to be led along. My compatriot, pediatrician Bill Harrell, saw many interesting pediatric cases, including a child with severe enlargement of his liver (probably due to a liver fluke), and one case of a pseudo-scorpion bite of the scalp (turns out the boy´s sister thought she saw a scorpion on the floor, and accidentally hit him in the head with a broom). All in all, a very interesting assortment.

Through all of this, the people we served were very thankful and appreciative. They showered us with smiles, hugs, kisses, handshakes and gifts. We felt as though we were able to help them. We of course recognized that most of the help given was short term, at best. But they were glad that we had come, and it spoke of the love of Jesus to them. The missionary family in Rio Verde -- Kevin and Kathy Bruce and their three children -- are wonderful people. They told us that in the fourteen years they have been serving the Awa people, that many of the Awa have rejected their efforts to bring the gospel and other help to them. However, as our team returns each year they are seeing doors beginning to open to deeper relationships with the Awa. This is of more lasting significance.

The apostle Paul wrote this to the people at Colossae: "Devote yourselves to prayer, keeping alert in it with an attitude of thanksgiving; praying at the same time for us as well, that God will open up to us a door for the word, so that we may speak forth the mystery of Christ..." I feel that this is why we go -- to be a part of the work to those here in Ecuador for whom Christ died, rose again, and lives today. The body has many parts, each playing a different role, but all significant in God's plan. We are blessed, and He is glorified.

Linda and I will be travelling with the team back to Quito this afternoon. We will fly out early on Sunday morning, and arrive in Miami around midday. We should arrive back in Kentucky around 5pm on Sunday afternoon. We look forward to seeing each of you in the coming days.

Awed by His bountiful love and power,
Tim and Linda

Tim and Linda: Chapter Three

Dear friends and family,

Linda and I have returned after our four day trek to Gualsaqui and Rio Verde. Had a great time. Will break it up into two parts, with a continuation to be given tomorrow.

The team travelled to Gualsaqui on Tuesday. This is a rural village up in the mountains near Otavalo. The people were very gracious and hospitable. They provided the team with lunch, despite their meager means. Saw the pastor there -- he related that he had had three ribs fractured a few years ago because of his commitment as a Christian. A 64 year old lady limped in, and asked for medication to help her with her hip pain. We learned that she had fallen and broken her hip 15 years earlier, and that her employer had insisted that she continue working, and not seek medical attention. Her hip fracture healed, but in an abnormal way, resulting in chronic pain and a limp. She continues to wash clothing four days a week, in order to earn enough ($5 a week) to keep food on the table. We were all humbled by our experiences in this place, but left with a deep joy knowing that these people fully trusted Jesus.

We travelled on to Lita on Tuesday night. This is always the great adventure of each year. The scenery is magnificent. We got settled in at the Awa Center, ate a quick supper, and retired early after devotion. Got an early start on Wednesday. We travelled the muddy road to Rio Verde, where about 200 Awa met us. It was a busy day, with many sick children and adults. Linda measured the vision of every patient, and played a key role in the overall care of people because of her good knowledge of Spanish. She was a real trooper. The medical and pediatric teams were challenged by the cramped quarters in the barn, and later were able to move to a tent. Much better ventilation and light there. The nurses also branched out, and started seeing patients too. Saw 200 on Wednesday, and again on Thursday. Good stories to follow.

Gotta go!
Love, Tim and Linda

Tim and Linda: Chapter Two

Dear family and friends,

Greetings from Ecuador! Linda and I continue our journey through this beautiful and diverse land. The mountains, sunrises and sunsets, lakes and vegetation have been more glorious than ever.

The past two days have been a welcome time of rest and relaxation. We went to the market here in Otavalo yesterday, and Linda was in her element, speaking and shopping in Spanish. She obtained several surprises for several of you. We have had very good times of evening devotion -- the team is excellent, and loves to tell stories. All have appreciated the blessing of hot water at Dona Esther, our hotel here in Otavalo. Food has been unusually good as well. We attended worship this morning at Galilea Baptist Church. Linda and I were impressed that services there are in many ways similar to those at Tatesbrook. The sermon (which I heard second handedly through Linda) was excellent. Wilmon, the pastor and our friend, spoke of Jesus´ call to each of us to come to Him, to take up His yoke, and to learn from Him. The youth group sang a hymn to us in English (very impressive). We enjoyed a pantomimed skit very much.

This afternoon the team enjoyed a picnic at Lake Cuicocha. This is a spectacular lake that rests within a volcanic crater. Wonderful views...good food. Had a great time. Rode there and back in the beds of two pickup trucks.

Tomorrow, we will be holding clinic at the Galilea Church. Please pray for pastor Wilmon´s right ankle. It is still painful despite surgical repair of a fracture sustained eight months ago. We will be attending to that, as well as the needs of the church and the local community. On Tuesday, we will be holding our fourth clinic at the village of Gualsaqui -- a poorer community that is near Otavalo. After that, we travel to Lita where we will be serving the Awa on Wednesday, Thursday and Friday. Pray that we will stay open to God´s use of our love and service there.

We love each of you, and look forward to sharing some of these stories with you in the coming weeks.


In Awe of His Light,
Tim and Linda

Tim and Linda: Greetings from Ecuador!

Dear friends and family,

Greetings from Ecuador! Despite some snags along the way, Linda and I have arrived safely.

We got off to a great start on Wednesday morning, and had no problems with flight changes in Miami. We and the rest of the team of 17 enjoyed the beautiful flight to Quito, but that's when the challenges began. All but one of us had cleared customs in Quito, when we learned that the officials wanted all of us to return to the airport when they discovered that we were carrying a large amount of medication. We spent the next two hours trying to resolve the issue that not all of our bags of medication had an expiration date. When the dust finally settled, about 200 courses of treatment (enough medication for about 200 people) was confiscated.

However, everything else (about 95% of our total baggage) was allowed into the country. The team worked superbly under some duress, and no one was arrested (although I did speak with some passion for one brief moment). We all got to bed at Casa Sol by midnight that night.

As is usually the case, we have been operating at full speed since. We saw 240 patients on the first day at the clinic in Quito, and we saw about 150 people today at the Punyaro school here in Otavalo. I saw lots of sick people both days. The team has had a great time, and Linda is doing great. She is in charge of measuring all patients vision. She has been given much adulation, hugs and appreciation.

So, although we are physically exhausted, we are emotionally and spiritually energized. I am looking to our first devotion tonight (which is now Friday). The team really is working well together. We appreciate all of you, and ask that you continue to keep us in your prayers. Tomorrow and Sunday are days for rest and for looking around. Linda gets to go to the big market here in Otavalo tomorrow. Many people we saw today expressed their thanks to you -- our family and church -- that we were here to serve them. I believe that God has already received glory. May that continue.


Love from Otavalo in Imbaburra province,
Tim and Linda

Mission to Ecuador, 2008: A Post-Script

Dear brothers and sisters in Christ,

I now sit in the comfort of my home here in Lexington. I wanted to share some final thoughts from this year's work in Ecuador. The team held its final devotional last night at Casa Sol in Quito. Following the reading of scripture, some music, and some teaching, team members shared their thoughts. We were joined last night by Phillip Duncan. Phillip and his wife Shelia are former missionaries to Ecuador. They now live in Catlettsburg, where Phillip works as a hospital chaplain as well as a minister at Lifesong Church in Ashland.

One of our new team members this year is Aaron Thompson. Aaron is a student in the physical therapy program at UK. He confessed last night that over the past week he had worked harder than he had ever done in his life. He said he was tired, but that it was a good tired. He felt full of God's purpose. I then related a story from Africa. The missionary there (Clay Coursey) had told me twenty years ago that children in Africa were raised to live in reality, whereas most children in the US were raised to live in a fantasy. I then surmised that God's purpose for our lives certainly consists of living in reality as we walk and live in Christ.

Phillip then related how, two years ago, he was standing outside our clinic for the Awa at Rio Verde. It was a very busy day, and there were literally hundreds of people waiting to be seen. Observing their poverty and disease, Phil confessed the anger he felt towards God in allowing such circumstances to exist. He asked God why this should be. He then told us that it was as if he was struck by lightning. He heard God say to him, "It is because this is why you are here. These people are for you, and you are for them. Live in Me, and love them." Phillip went on to observe that more than ever before in the history of the church, Christian people are going and doing, serving people like these. "God is moving" amongst His people, and the opportunity to join in that activity is before us.



Before flying back today, I donated the last of my money (about $15) for Ana's surgery (see the mission entry from yesterday). I did, however, save back one Sacageawa dollar coin. (This is a US dollar coin with an Indian woman and her baby on her back. They are used in Ecuador as well.) As I looked at that coin -- flying along above the wonderland of white clouds -- I observed how much the woman and child on that coin looked like the women and children I had been seeing over the past ten days. At the top of the coin on the front side is the word "Liberty", and to the side of the coin are the words "In God We Trust". Really, for me, that coin pretty much sums up this year's medical mission to the Quechua and Awa people of Ecuador. Just like us, they are searching for liberty -- freedom from political oppression, freedom from disease and poverty, freedom from addiction, freedom from sin, freedom from the law and the world and the Enemy. And we need not fly half-way around the world to find adults and children in need of the freedom that God offers through His Son Jesus. They live not far from us, right now.

As I was coming down the escalator to the baggage claim area, I saw my dear wife standing there. Just before she met me, a man holding a white sign spoke to her. The sign said "Liberty Mutual". God's humor and reminder was not lost on me this time.

Overwhelmed by the awesome love and grace of Dad,
Dr. Tim

The People of Ecuador

Dear family in Christ,

This has been a day of discovery and refreshing. The team has seen some of the city of Quito, including a trip by ski-lift to the top of a volcano, Guagua Pinchincha. It was a remarkable view, reminding each of us how creative our Father is. The Andes mountains are full of His wild grandeur.

I want to share with you a few of the stories of people from these recent days. First is the story of Ana. Ana is a young woman who lives in the city of Otavalo. She is the mother of three young children, but is not married. She has been attending the Galilean church which is pastored by one of our super Ecuadorian friends, Wilman. He tells me that Ana is searching for God, and is in great need now because of the development of abdominal swelling over the past month. She has been diagnosed as having a very large ovarian tumor, possibly malignant. She is scheduled to undergo surgery in a hospital in Quito on June 27. She is frightened, and is stressed because she is unable to pay the cost of the surgery ($800). As we prayed for her, she experienced emotional release, and expressed interest in knowing more about Jesus Christ. Our team leader - Shelia Duncan - promised to visit Ana in the hospital on the day of her surgery. Please pray that Ana will come through surgery well, that her costs can be covered, and that she will trust Jesus as her Lord.

Maria is a Quechua woman in her 50`s who lives in the community of Calderone on the outskirts of Quito. We saw her in the clinic we held there on this past Friday. Maria has hypertension, and when we saw her her BP was 180/110. She had last taken BP medication, prescribed by a local physician, about three years ago. She said she felt well while on the med, but could not afford to buy more. We provided a year supply of a medication donated by a US pharmaceutical company. We also advised her that this was done in the name of Jesus Christ because of God`s love for us and for her. Maria is a Christian. At this news, she broke into tears, and expressed her thanks. She told us that it was important that we continue to do this service for people like herself. We felt humbled to serve her. (See 2 Cor. 5:17-21)

Kevin and Kathy Bruce are missionaries in Ecuador. Along with the Williams family, they and their three children serve the Awa people of northern Ecuador. There are 50,000 Awa -- "people of the mountain". Kevin presented a 45 minute powerpoint presentation of the recent move that the Bruces and Williams made to their new home out in the forests of Rio Verde, near their older home in Lita. He showed photos of the cutting of trees in those forests, and the planing and notching of the planks made from them with chainsaws. He showed the construction of a foundation on the side of the mountain. There was the construction of a frame, carried out with the help of their Awa friends. There was the creative provision of electrical power with solar cells. He told us how the water supply ended up being a little too low, so that the family must tote water up to the home each day. The children are each responsible for washing their own clothing each day. Mother Kathy makes all the meals, and mends clothes, takes care of health needs for the family and community, etc. They then told us how this is much like their pursuit of a dream to establish a vibrant church in the Awa community. Through Christ living in them, they have sought to establish a foundation through friendships with the Awa. They have learned the Awa language (Doug and Kevin are probably the best non-Awa speakers of the language in the world) and they have learned about and lived in the Awa culture for years now. Finally, they are teaching the word of God and the living of the Word to these people.

When asked what needs they have, the Bruces mentioned the need for prayer -- prayer that God would continue to provide the strength they need each day, prayer for patience and persistance, prayer for security (Colombian rebels and other threats are not far away) and for good health. They also requested prayer for more male believers to function as leaders, and for Awa believers who would live lives that would serve as good testimonies to those Awa who are not yet believers. Finally, they asked for prayer for more wisdom in making tough decisions, and for continued development of their communication skills. In addition, they asked that we continue to come and provide help, as God provides the grace and ability to help.

Finally, Nick Ross is a 23 year old young man who is finishing his studies at Ohio State. I have had the privilege of getting to know Nick over the last 7 years on these mission trips. He is bright, energetic, and has a great sense of humor. Two years ago, after watching "The End of the Spear" while staying in Lita, Nick and others decided to visit the Shell area of Ecuador towards the end of their mission work that year. (Shell is the area where the Elliotts and other missionaries were serving in the 1950`s.) While there, Nick felt a strong call from God to enter the field of aviation missions. He is currently getting his flight training, and will soon be going to school to get his aviation mechanics license. This year, Nick received training as an on-the-field optician, and he and his helpers provided glasses for many Ecuadorians this year.

This year`s mission verse was Micah 6:8 -- "He has told you, O man, what is good: And what does the Lord require of you, but to do justice, to love mercy, and to walk humbly with your God." That is what we have been thinking, and living, and walking, and dreaming about.

Looking forward to seeing you again,
Dr. Tim

Rio Verde and more

Dear family in Christ,

It has been five days since I last wrote. Since then, we have visited four communities, and held five clinics. We have treated about 900 people. We traveled to Lita, where we stayed at the mission facility built by Liebenzell for the Bruce and Williams families. They now live in a more remote area called Rio Verde. They moved there to be closer to the Awa people to whom they minister. Their situation is the closest I have experienced to the kind of missionary experience we hear of from years past with regards to Jim and Elizabeth Eliot, or Taylor Hudson. They serve with great dedication and genuine love for Jesus Christ. The Awa people love them as well. I have forwarded a recent email from the Bruce family, which includes a mention of our medical team`s work there as well as some photos. The work there is sometimes hard, but is very worthwhile. Though the environment is far from pristine, the people are very needy and very grateful for any help provided. Some people I see depend on our team for their annual medical care. One fellow (Byron) comes for an annual injection of a trigger point in his upper back. Turns out he works for a Swiss organization, teaching Awa people in remote (!) locations how best to raise chickens and grow crops for food. Other conditions and procedures I encountered with the Awa included drainage of a large axillary abscess, treatment of a corneal abrasion, splinting of a fractured wrist, removal of a skin lesion, and treatment of hypertension, depression, skin infections, UTI`s , etc. We saw no scorpions this year, but were regularly serenaded by tropical birds, chickens, horses, cows and pigs. A great time!

Our other clinics were held in Salinas (an African-American community), Galilea (a suburban community in Otavalo), and an inner city community in Quito. Many people presented with chronic conditions, some of which are people that we see each year. We provide free medications, and the people are always very grateful for this. We also treat some acute conditions, and that is important as well. The people are also grateful for the information we provide regarding their health and the conditions that they have.

All of this occurs in a spiritual context. All of the church people that attend acknowledge God`s provision for their lives and health. But the non-church people that attend also are open to the idea that God is providing, especially when they learn that these loving, caring people have come for no reason other than to honor and love Jesus Christ. It does impact their lives. And it also encourages the missionaries, their families, and the people that work along with them.

More tomorrow regarding stories of specific people.

In the deep embrace of my Saviour and Redeemer,
Dr. Tim

Letter from Kevin & Kathy Bruce

Greetings from the RV Outpost!

The summer begin with a tragedy in the community south of us. The first week of June our neighbor Milton went to go fishing and found the body of a young girl floating in the river down below us. For Milton it was an extremely upsetting moment, but after praying, the Lord gave him courage to tie the body up, get help, and find out what had happened. We were in Ibarra that week, and Kathy’s sister Chrissy was at the Outpost alone, but did what she could to help. Milton soon found out that the body belonged to one of two girls that were missing from a family 3 hours’ hike upriver from the Outpost. The girls had been returning from their country farm to the community center where they went to school, and had to cross one of the swollen creeks along the way. Apparently they somehow were washed downstream. Their family, along with many others from the community, searched for the next two weeks all along the river from their community to town, but were unable to locate the other body (about 25 kilometers of river). Please pray for the family of Marco Aurelio as they deal with this sad loss. Pray for Paulino as he reaches out to them and others there in the community. One day while searching the river near us, Marco Aurelio asked me if it was true (as he had been told) that people that drowned in rivers couldn’t go to Heaven. I assured him that drowning in a river made no difference to God---His acceptance of a person had everything to do with Jesus’ sacrifice on the cross and not the manner of death. I encouraged him to help his remaining family hear God’s truth. But our hearts are heavy knowing that likely neither Marco nor his girls have accepted Jesus’ payment for their sin. Please pray for this needy family!

The beginning of this week found us assisting in a medical caravan here in RV. A missions trip organized by our friend Sheila in Kentucky came down bringing medicine and doctors. This group is visiting different communities here in Ecuador giving a free medical checkup and medicine when necessary. They have come annually here to our community, and it was a joy to work with them again. In the two days here they saw around 350 people and showed Christ’s love in a very tangible way to the Awa people. We also took the opportunity to teach the Bible with all those who came, sharing that although when Jesus was here on earth he was concerned with the health and physical issues of the people, he came with the purpose to provide a cure for the even more serious disease of sin. Just as these doctors freely offered medicine, God freely offered his Son. Click here to see a few pictures

Thank you so much for your continued prayers!

Kevin & Kathy

PS: check out this big worm we saw while hiking: http://www.youtube.com/watch?v=TtaIpfJUqF0

Kevin & Kathy Bruce

Liebenzell Mission
Casilla 10-01-692
Ibarra, Imbabura
ECUADOR
+593 9 478-7811

http://brucekev.blogspot.com

Quechuan city of Otavalo

Dear ones of CAT and River,

Salutations! This Saturday night finds yours truly relaxed, well fed and grateful. We have had a good day of taking in Ecuadorian culture here in the Quechuan city of Otavalo.

Our day on Friday was a very blessed one. Our team of 13 had a great evening of devotion, singing and sharing. The mix of people is good, both young and older. Our youngest team member, Abby, confessed that she was surprised to find how much she liked the experience thus far. She said life was ¨"different" here, and that she felt good about what she was doing. Older team members shared how simple things like mountains, sunrises and clouds had spoken to them about God's providence, creativity, love and grace. The scripture teaching from Acts 14 and Romans 1:1 seemed more alive and dynamic. We sang with hope and compassion. We were gladdened.

Tomorrow, we will be attending church with our Quechua brethren, and then will pack up to travel to Lita, the land of the Awa. I look forward to seeing the Bruce and Williams families once again, and traveling back to Rio Verde to provide health care to the Awa on Monday and Tuesday. We will be out of computer and telephone range. Please pray for us that the power and love of Jesus Christ will be made manifest to those we serve.

I will check back on Wednesday.
With Joy,
Dr. Tim

Dr. Tim arrives safely in Ecuador

Dear Brothers and Sisters in Christ at Tatesbrook and the River,

Our team of 12 arrived at N.Ky airport at 5am on the morning of 6/12. We were immediately surprised to discover that none of our medical supplies could be transported to Ecuador because of a box embargo that had recently been instituted for that country. Consequently, we sent out a delegation to purchase duffels and suitcases, early that Thursday morning. God was at work. With about twenty minutes of time left before the doors to the plane would be closed, our delegation had returned with about twenty new bags. Over the next fifteen minutes, against impossible odds, we were Holy Spirit enabled to repack all of the mission supplies that had originally taken two months to pack. We sped breathlessly through customs and took our seats with no time to spare.

Our flight to and from Miami was without event, and our flight to Quito went smoothly as well. The team - now 13 in number - made its way through immigration and customs smoothly, once again. There was a question about one item not being listed on our letter of authorization, but someone from the Customs office suddenly appeared (mysteriously so) and advised the questioning official that we were "okay". We made our way safely to the hotel in Quito for our overnight stay. I should note that my number on the team is 13, and I realized only later on Friday that today is the 13th. My stay overnight at the hotel was in room 13.

My impression at this point is that God will take care of all things. He loves us with fearless passion, and intends to provide for all of our needs. But He wants us to know this, and must teach us this lesson recurringly, with various means. I also am impressed that He wants us to be involved in His doing great things through us. Today at the clinic at Punyaro (near the craft town of Otavalo) I met a man who had been a Christian for fifteen days. He was excited about his salvation and relationship with Jesus. He was telling everyone, and his smile was infectious. We spoke different languages, but we were able to communicate well through Christ living in us. I was impressed. Hopefully, his physical needs were well addressed as well.

Tomorrow and Sunday have been set aside for rest and relaxation, as well as shopping at the market on Saturday, and worshipping at Galilea Church on Sunday. I look forward to seeing what God has to say and teach on each day. Something odd did occur to me this afternoon. The old veteran is rooming with two young men this year. When you add their ages together, and then add ten more years, you have my present age. I have gotten old... a difficult thing to admit. Nevertheless, by God's standards, I am still quite young, and beloved in His sight.

Signing off for now. Faithfully,
Dr. Tim

Moving from Otovalo to Quito

Hello everyone!

The team is wearing down some. We have been very busy the last 2 clinic days. We are traveling to Quito tomorrow for 1 1/2 day of clinic and then back to Otovalo. We are excited because we are going to get to come back for market day in Otovalo. It is the largest outdoor market in the world. Even though that is not why we come, it is a nice bonus.

The last two days were not as busy as Monday. We are seeing quite a bit of back pain. I have done a few trigger point injections (never did that before). The people are still very grateful. My brain is a little fried tonight, so I do not have much to say. I am starting to miss home alot. I have really enjoyed the time with the missionaries here this visit. Eva and Christian (married in April) are coming to the USA (Edingburg TX) for the Rio Grande Bible Institute beginning in October. I have invited them to KY for Thanksgiving. We have worked hard but the pastors and missionaries have worked hard, too to keep things running here and set up and take down.

Thanks for keeping us in your prayers. I hope just to be a little more awake tomorrow and maybe more stories.

Love, Kim

Azaya community in Ibarra

Hello to everyone!

Today we went to Azaya which is a community in Ibarra. It is a community of many blacks that came from ancestors of a wrecked slave ship centuries ago.

It was a very poor community. I do not have any pictures from today, because the missionaries told us that it was a community known for theft and not to take anything that might get stolen. I would not of had time anyway to take pictures. There were guards there at the church to keep the peace. Nothing however happened.

It was a rather usual internal medicine day with similar problems and more: hypertension, diabetes, vaginal discharge, gastritis, abdominal pain, DVT (after pregnancy), depression, sinusitis, arthritis, and several others. The previous two days, I think there was a lot of tuberculosis that had not yet been diagnosed. Lots of cough with weight loss, coughing up blood, and sweats. If my PPD does not come back positive in 6 weeks, I will be really surprised. Lots of people today had problems and could not afford medications. The priority is on rent and food before meds. Sound similar to some of the concerns in the US, too.

I probably gave away at least 17-20 1 year each supply of medications for BP. I think we have given most of the blood pressure meds away, but we still have 4 days left to have clinic. Clinic was very busy today. We saw patients for approx. 9.5 hr today. The verse of the day was Matthew 6:34 -- So do not worry about tomorrow; for tomorrow will care for itself.

Each day has enough trouble of its own. God will bring us more infections and less hypertension tomorrow if He is willing, but I am looking forward to what God sized task he has in store for us tomorrow. We are in Cotacochi tomorrow.

Some memories from today include the elderly couple I saw (husband 96 years old and wife 89 years old). He had fallen about a year ago and probably broke his knee. They were both in their Sunday best. His walker had a seat but was pulled behind him, but it was very difficult for them to walk at all. I met Wilmon and Clamenciaｴs parents (ministers in Otovalo church helping the team).

There was a woman who had just lost her 17 year old son. Another was very tearful because she had a 13 year old and then an abortion, but had not been able to have another pregnancy to term. We prayed with her and spent time explaining that Jesus will make her whole again.

God just gave me a sense that He would take care of the situation, and she would again have a child. There were more elderly people at this clinic that any of the others that I have been at while in Ecuador this year or last year. It is quite amazing they survive to an elderly age in this environment. There were two brothers and one cousin who were late teens athletes who complained of weakness and shortness of breath during futbol. They appeared anemic. They probably had a hereditary anemia such as thalessemia or sickle cell.

Another woman in her 30's had retinitis (problem causing blindness) that started when she was 13 and completely blind by age 19. I have not figured that one out yet.

Despite all of the illness and poverty, they were overall very thankful and gracious.
Talk to you soon! Love , KIM

Dr. Kim has returned to Ecuador Safely

Letter from Kim (the veteran):

Hello to everyone!

We arrived safely in Ecuador early Fri am. We spent the night in Quito and went directly to Lita on Fri (later that morning). Lots of prayers were answered again on Thurs/Fri re. getting trunks and supplies through customs in Ecuador. We again did not even have the trunks opened after we claimed them.

God continues to watch over us here. The first task for Him was when I dropped my passport in the airport. Someone pointed out that I had dropped it, and I picked it up. I may want to stay longer in Ecuador but not at the embassy getting a new passport. Thank God He watches over the little things.

The missionaries are for the most part well. Long clinic days Sat and Sun in Lita and seeing 100 or 125 per day. (There are 2 physicians this year and 1 dentist). They are very glad to have the dentist. I met the infamous Gloria with scleroderma who had to have a finger amputation 2 years ago when the team saw her with an ulcer on her hand. (Ask Tim Scott, he can tell you more.) I gave another pair of shoes away to a woman who had none. She is probably the only native Ecuador person with a pair of crocks!

As usual, I am receiveing more blessing than what I am giving.

Sorry, this is short, but have to go.
Love, Kim

THANK YOU from Kathy Bruce

Dear Dr. Tim and Shelia and the rest of you!

Hi, just wanted to write you all a note and thank you again for coming in June with the medical caravan! You were a blessing to this community, and we received many thanks afterwards for your attention. A few days after the caravan, one fellow brought us a big bag of ‘naranjillas’ and said he just wanted to say thanks for bringing the doctors. He said you were a blessing to him and his family, a great boon to the community, and that the eye clinic/glasses help was just a special bonus. He wanted us to pass those thanks on to you all—and I suppose the fruit was for you as well! Sorry we ate those all up on you!! The folks in this region aren’t especially thankful---just not very outspoken in that way---so this really meant a lot, having this fellow come to voice his thanks. I hope that’s an encouragement to you!

One more little story—there is one family in this community who have been very against our presence here in RV from years ago. They have talked bad about us behind our backs, and caused problems for us on more than one occasion. Well, they came to the caravan, and evidently the mom (grandma) of the family (Moises’ wife) had received some medicine for something (I think it was just pain pills for backache but I’m not sure). We heard from one of the believers later that this woman was doing great, was quite sure you all cured all her aches and pains for the time being anyhow, and was raving about what good doctors you were! So you all even made our ‘enemies’ happy!!! The Lord is very merciful and we believe He has His own ways of vindicating His work…thanks for being a part of that!

I also wanted to update you on Gloria, the Awa lady with scleroderma. She took her medicine faithfully for several months after her finger was amputated last summer, but about January she really let off, and even with our encouragement just wasn’t taking the medicine. “Oh, I just take a pill every now and then, and I’m fine!” she told me several times. Sort of scary, with the prednisone and other medicine she was taking…but very Awa-ish. The last few months we noticed she wasn’t doing so well again, and about the time you all came I think she was realizing that her fingers weren’t doing well and it was time to do something… Dr. Tim, I wanted to be there with her and bring her in to talk with you—but I got stuck up here at the houses with no-one else to watch so that I never even made it over to the caravan those two days you were up here. So…..I tried several times to get her hooked up with a rheumatologist who comes to Ibarra once a month. Whew, such problems! We had several false tries…The one day I actually got Gloria to Ibarra and we were actually sitting in the office waiting for this Dr---and then the receptionist finally came over to say that the Dr. had cancelled her trip this month….at the last minute. Well, finally I took her over to an internist who lives in Ibarra—not sure how much he knows about the disease but he did seem helpful and willing to research it. So…Gloria is back on medication and is slowly improving (her fingers along the base of her fingernails were having little infected spots and her hands were really tough and she was losing some movement).

THANKS very much for the bottles of prednisone that you left, Dr. Tim, that’s a great help!!! She needs to go back for a check-up and some lab work this next week. And I’m praying that this internist (Dr. Manuel Santamaria) will be interested in studying up a little on scleroderma!!! Appreciate your prayers there!

Well, I just wanted to say a big THANKS to all of you, for your time and love to these people whom very few take time to notice. It is a good testimony for the Lord and boosts our involvement in the community. We see glasses everywhere we go---visible reminders of your
time here. Sorry this note is slow in coming—but maybe it will be an encouragement for you all to hear!

In His love and with much appreciation,
Kathy Bruce for all of us here with the Awa work

Postscript from Lexington

Dear Brothers and Sisters,

Kim and I have arrived safely back in Lexington, blessed by the love of family and the comforts of home. Four of the team that was in Ecuador have returned home, while the other four remain -- some for as long as three more weeks. Please remember them (Shelia, Leah, Nick, and Courtney) in prayer as they continue working in Ecuador.

Last night was the team's final evening devotion in Ecuador. We discussed what we believed God had done during our time there. Here is what we concluded:

1) We were sent to minister to the family that provided lodging for our team during our time at the remote village of Azabi. Although we had known each other for only a few days, the family expressed their ecstatic appreciation for our care and presence (their eldest son, as it turns out, did not suffer a fracture, but did have an A-C separation of his shoulder). The father --
Vincente-- has borrowed one of our Bibles, and is reading the word. We believe that his heart is open and ready to receive Jesus.

2) We were sent to observe and experience the commitment and passion of the missionaries who worked with us. The Bruces, the Williams, Daniel, Washington, Wilman, Clemencia and others. These people -- just like the missionaries in 'End of the Spear' -- have released their lives for use by the Lord to accomplish His will, and to bring glory to God and to His kindgom. God used our team to encourage and comfort these people. Daniel, in particular, seemed to have had his faith strengthened and emboldened. As a leader, that is important. Likewise, we celebrated with the Bruces and the Williamses in the recent successes they have experienced with the Awa.

3) We were sent to encourage the Quichua and Awa whose lives have already been changed by Christ, and we were sent to plant new seeds of faith. Those Awa whose lives have been redeemed have begun to be free in Jesus. Most of their people are imprisoned by the enemy, with no sense of love, compassion, or emotional expression. Now, some of them laugh, and smile, and give thanks. The leader of the Awa has asked the team to spend more time in the future. Likewise, the leadership in Azabi asked us to return, especially in view of the fact that "nothing like this had ever happened here before".

Apparently, we were the first North Americans to have visited Azabi, within the memory of those currently living there. I was particularly impressed by Shelia Duncan's teaching of the song "Jesus Loves Me" to some of the children of Azabi while sitting in the back of a pickup truck in the rain.

They loved it. They waved as our team left, and expressed hope that we would return.

4) We were sent to be changed ourselves. God works on all of us while there. Those stories are still being developed. I am sure that more will be shared on this subject in the days ahead.

Many thanks to all of those who prayed, and spoke encouraging words, both to myself and Kim, and also to Linda and Matt. Thanks to all of those who gave other support. Please know that each of you are a significant part of any work accomplished by God through this mission. The body of Christ is lifted up and strengthened as we glorify God and give Him the praise He deserves.

One final note. Jesus advised His disciples that "My sheep hear and know my voice". He also admonishes us to ask, to seek, to knock. What impossible dream has He laid upon your heart? What dream has He given you for your community, your small group, your family, yourself? Be sure to share that dream with the body of Christ. He stands ready to provide the grace, power, and love that will make that dream a reality.

Held by the awesome grip of His grace,
Tim

Postscript from Quito

Dear Brothers and Sisters,

Kim and I have arrived here in Quito safely with the rest of the team. After dinner, we will have our last evening devotional time. These have been occasions of great sharing of faith, as we tell each other the story of Christ`s entry into our life, and what He has done and continues to do in our lives. We have enjoyed singing and worshipping. I look forward to this last night with the rest of the team. My roommate, Paul, and I have gotten to know each other. He is a big guy, and he has a big heart, and has been willing to do anything and everything to help the team and to serve the people here. He teaches RA's back at his home church in Catlettsburg, KY. He says he has been deeply blessed by seeing God at work while on this trip. He is yet one more reason why I am glad that I came. His genuine faith has been used by the Father to lift up my soul.

I also can see that God has planted many seeds in the hearts of people here who have never heard the gospel before. They have actually seen Jesus in the hands, and faces and feet of the team members, as He loves and heals through us. We have been blessed as He has entered into our hearts, and spent time with us, dining with us and changing us into fit vessels for His life. We are glad.

Thanks for being a part of this. Please know that you are. I look forward to once again singing and worshipping and praying and working with you.

Blessed by His smile,
Tim and Kim

Day 11 - Letter from Tim

Dear Brothers and Sisters,

It is a bright and sunny day in Otavalo today. It is the team´s last day here. Tonight, we travel to Quito, and tomorrow we travel home. It will be good to see family and friends once again.

The last two days have been blessed. We saw about 120 patients at Cotacachi yesterday. Several people brought their medications from last year, and were back for their annunal checkup. One lady wanted the same injection that she had received last year for her muscle aching. Another fellow that we saw at Rio Verde said that he had been headache free for one year following treatment given in 2004, and had returned for a similar treatment this year. All in all, the team is acutely aware of the sufficiency of God´s grace, who accomplishes so much with weak and earthen vessels.

Today has mostly been a day of relaxation and shopping. The team has been tired for a day or two, and needed this day before heading back. We feel satisfied by what God has done. Last night, the youth group from Galilea church here in Otavalo serenaded one of our team members on her birthday. She was most appreciative.

Kim and I have been lifted up by your faithful praying. Our Father has kept us safe, and has made effective our ministry to the people here in Ecuador. He is so very good, full of mercy, grace and truth. This is quite evident, both to those served as well as to every servant.

May you sense His hand and face in all that you do this day.

In the precious name of Jesus,
Tim and Kim from Imbaburra

Day 10 - Kim's Last Letter from Ecuador

This is probably my last letter from Ecuador. Today was our last clinic day.

We were in a village called Cotacachi. It is sortof a suburb of Otavalo. I found it quite interesting the difference in complaints compared to the Awa people in Rio Verde. The Awa were very private and did not have much to say. That is how we were able to see so many of them.

Today there were a few Quechua but most were people from town. They had a longer list of complaints and were more likely to share. Some of the dress imitated that from the USA re. jeans, shirts, etc. The complaints today were very different than the rest of the week. Some of the complaints today included vericose veins, adhesive capsulitis, temper tandrums, plantar fasciitis, ovarian cysts (stuff we see in the states often).

As people have moved to jobs that are not working the land, their weight increased as well with jobs like bus driver, radio broadcaster, etc. The people were still very appreciative for our help and medicines. I saw my first person that had been diagnosed with high cholesterol here in Ecuador today. We saw more today with high blood pressure. Interesting picture of problems that are progressive with modernization.

Tomorrow is a market day which we will do in the morning and then travel to Otavo tomorrow afternoon. We have to be at the airport around 4 am on Sunday am. I am glad to come home. I have really enjoyed my time here but am ready to see friends and family!

See you soon! Hasta luego!
Kim

Day 9 - Letter from Kim

Hello again to everyone!

The last two nights were in Lita. The days were clinics in Rio Verde (2 days) and Cotacachi (2 days). We have been very busy with long clinic days the past 2 days. The 2 days, 3 physicians saw 369 patients. 1 or 2 complaints and treatment for parasites and that is about it. There were lots of helpers or we could not have done it. The Awa tribe is in Ecuador and Columbia. Several in the community we were working had moved from Columbia. The people are quiet and stoic. They do not have much to say. We worked with 2 missionary families and 2 other missionary men.

The 2 families live on the mountain (Bruce and Williams). They walk 1 hr to get to their house from the end of the road. Keep them in your prayers. Another missionary family was in Lita where we spent the last 2 nights.

Tuesday night we watched "End of the Spear" with the 5 Ecuador missionaries and another family from Lita that is working with the people there. Talk about an emotional experience!! Lots or tears and reality probably a little too close for comfort. Definitely makes you realize the sacrifice they make and a devotion to the people they are called to serve. (If you have not seen it, you should rent it and see what I mean.) All of the missionaries and "MKs" (missionary kids) are fantastic people with a heart for God and a calling and devotion to the people they serve.

The chief complaint seen in clinic was back/arm pain and abdominal pain ("vichos") and rash/bug bites ("hungos"). No big surprise since the water is contaminated. I and none of the team has been sick yet from GI stuff, but we are very careful to drink bottled and filtered water. The ones that c/o pain are all clearing land with Machetes and chain saws. The crops are on the side of mountains, and obviously were all planted by hand. It amazes me no one has fallen down the mountain since it is so steep.

The loads some carry on their backs probably double their weight. The most prescribed drugs in Ecuador the past week: mebendazole, Tylenol or ibuprofen, clotrimazole or Lotrisone.
God continues to open my eyes. The question I have coming home is what is the most that He wants me to take home. I don't have the final answer on that yet. Keep us and especially the missionaries in your prayers. I am ready to come home. The plane still does not leave for 3 days, so God still has more people for me to see and more to teach me: You are the path; Seek my face; Rest in my presence.

Day 9 - Letter from Tim

Dear Brothers and Sisters in Christ,

The team has returned tonight to Otavalo, our home base. We are tired, but satisfied, knowing that many Awa have been touched by the gospel and love of Jesus Christ. Approximately 360 Awa people have been treated over the past two days in the clinic we held at Rio Verde. The three doctors (Kim, Courtney and myself) and our helpers were very busy, and many people were helped. Cases seen include a hernia, a uterine mass, a probable subdural hematoma, a large laceration of the arm of a man who had sutured it himself without anesthesia one week before, an infected cornea, many cases of muscle strains, colds, bacterial enteritis and roundworm infestations, as well as anemia, hypertension, goiters, and a tapeworm. By the grace of God, we had nearly all of the right medications, in just the right amounts.

One of the special things that occur in Lita is our time with the missionary families. The Bruce and Williams families are very special folks. Not only are they deeply committed to our Lord and to the work that God has given them, but also they are very talented and gifted for that work. They help the Awa learn about Christ. They teach them about many things, including health care. They help provide health care. They are mechanics, lumber jacks, construction workers, plumbers, grade school and high school teachers, preachers, expositors, electricians, translators extraordinaire (Spanish, Awa and English), counselors, historians, etc., etc.

One special time the team had with the missionaries was to watch the movie "End of the Spear". This movie addresses the lives of the missionaries who ministered to the Auca indians in eastern Ecuador in the 1950´s. As we watched the movie, it was clear to see that these people are living out the dreams portrayed in the movie. We all prayed together after the movie -- in Awa, Spanish, and English -- asking that God would continue to provide for the needs of these families, as well as for the Awa, and that the Lord´s name would be glorified.

Kim and I will be working at the church in Cotocachi tomorrow -- our last clinic day. It should be an easier day, as our time here in Ecuador winds down. We are still catching up with all that has happened. It is clear, however, that God has been working in us and all around us. We are deeply touched by what He has revealed.

Thanks for your continued prayers.
In Jesus wonderful name,
Tim

God's blessings to these precious people

These families in Azabi may not have many conveniences, but God has surrounded them with great natural beauty and everlasting moisture. The people work hard to take advantage of all of the land and wake up to this beauty every morning.



They don't know what North America is. They don't know what a store is. They know God provides for them and one day we pray that they will know what Jesus did for them.

Day 6 - Letter from Kim

Hello again!

Here I have just a few minutes because it has been somewhat of a crazy evening. We arrived back from Azabi (literally I think the end of the earth). Initially, we were not well received; we waved and no one waved back. However, after Sat to Mon, when we left, they invited us back again.

Time stands still here. There were several older patients who had no idea how old they were. There were 2 that stick in my mind. Both were Quechua and at the approximate age of 80 had never had a pair of shoes. Their feet were worn and toes really spread out. They complained of foot pain (imagine that). We had bought boots because there was a lot of mud. We gave them both a pair of boots (from our own) and both needed new glasses. (We have an instrument that measures globe of eye and auto refractory.)

One of the women came back to my "exam room" and thru translators said "I look good." Loved it and it made me laugh.

The kids were great. Lots of Azabi stories to tell. The scenery was beautiful. This was the first year there was a road to Azabi. Needless to say, it was treacherous. We got the truck stuck a few times. The cabin where we stayed was a great witnessing opportunity there as much as the village people. Lots of people heard about Jesus and 8 accepted Christ as their Savior in the last 2 days. We received gifts of fruit and eggs.

Tomorrow we leave again for 3 days and 2 nights, so again I will not have internet access. We are going to Lita and Rio Verde. Everyone the last 3 days was treated for intestinal worms. One woman reported she actually vomited up about 10 in worm (probably a tapeworm). Most just say they have abdominal pain or saw them in their stool.

Clean water is definitely appreciated. So far I have not had any diarrhea or stomach problems. Lots of hand sanitizer and bottled water.

We have met some awesome people who are doing missionary work and starting new churches here in Ecuador. Some of them serve as my interpreter. Some of my Spanish is coming back but it is still very rusty!

Lots of love from Ecuador!
Kim

Day 6 - Letter from Tim

Dear Brothers and Sisters in Christ,

Grace and Peace to you this day from God the Father. Today is Monday, and the mission team has returned safely from Azabi to Otavalo. We have been deeply blessed during our journey.
Azabi is a small community of about fifty families in northwestern Ecuador. It is located within the Intag cloud forest (so called because it sits in a deep valley high in the mountains, covered by clouds much of the time). The natural beauty there is simply stunning. Some words that describe include: lush green vegetation, surrounding steep mountains, white water river, waterfalls, unusual bird songs every morning, treacherous mud-filled roads with narrow shoulders alongside 1000 foot precipices, Ecuadorean children and adults walking to and from the school, spectacular sunrises, horses and cows, and brisk mountain air with low oxygen content.

The team sang and laughed as we traveled back and forth from the cabin to the school, sometimes sitting in the bed of the pickup truck in the rain. Much adventure, and some risk. But the Lord was faithful and kept us going, and kept us on task.

We saw about 90 patients at Azabi. Kim is demonstrating her compassion and energy in remarkable fashion. She has seen two elderly Quechu ladies who were in bad shape physically. With each, after a full medical exam and evaluation, she washed their feet, and provded for their medical needs. She also gave her boots to one, much to the senora´s delight. Kim is using her Spanish speaking skills very well and often, and is definitely my choice for rookie of the year. She remains steadfast in her love for the Lord, and in her service to others.

Yesterday, one of the Quichua families gave the team eggs from their home, and today one of the ladies gave us a large batch of beans.

They are all very gracious in expressing their appreciation, noting that nothing like this had ever happened in Azabi before. Our friend Wilman (a local pastor from Otavalo) and his wife Clemencia have accompanied us. We have set up a large tent outside the clinic area (which is inside the school). Rafael and Clemencia share their faith with people as they wait outside to be seen by the doctors. Eight people gave their life to Jesus Christ over the past two days. Please know that your prayers are making a difference. Moreover, please know that many seeds were planted in the lives of people here, both young and old.

In particular, seeds were planted in the lives of the family that owns the cabin where we stayed. Vincente, his wife, and three children were wonderful hosts for our team. We had great meals, and they helped us to settle into our new quarters. The situation was rustic, but very ample in providing for our needs. Anyway, the oldest son suffered an injury. He was thrown from a high hammock, and probably suffered a fracture of one of his clavicles. Because of the remote location, the family worried because of their son´s obvious pain. I did have pain medication for him, but obtaining it required travel back to the school (about two miles away). The father drove me back to the school, all the while traveling the mud-filled road where we had been stuck earlier in the day. The night was quite dark, but he drove with determination, and we made it safely to and back from the school. (He was aided by the fact that he had obtained much needed glasses from the team earlier in the day.) Needless to say, I was thankful for the safe trip, and he was grateful for our help. Although neither he nor his family are Christian, I do believe that they are now earnestly hearing the gospel, and are ready to receive Christ.

Again, thank you for your prayers. We have been blessed, and we believe that the people here are being touched by the love and redeeming power of Jesus. While watching the beautiful sunrise this morning, I came across this appropriate passage from Luke 1: "Because of the tender mercy of our God, with which the Sunrise from on high will visit us, To shine upon those who sit in darkness, and the shadow of death, To guide our feet into the way of peace".

At peace in following His lead,
Tim

Day 3 - Letter from Tim

Dear Brothers and Sisters in Christ,

After a day of renewing old friendships and settling into our new residence on Thursday, the team ventured out to our first day of clinic work. The clinic was held at the Galilean Church here in Otavalo. The pastor and his wife (Wilman and Clemencia) are old friends of ours, and they told us last night that they now plan the activities of their congregation around our team´s visit each summer. While conducting the clinic today, church members took the opportunity to meet neighbors who had never been to the church before -- developing relationships that they pray will lead to changed lives.

Our team of eight had a busy day -- Kim and I each saw patients, 120 in all. We were assisted by translators, and nursing assistants. Philip Duncan led a team of three in measuring people´s vision, and in fitting them with eyeglasses, using a new computer assisted optometric system created by a retired engineer. The people served were delighted, and much glory was given to our Father.

The last patient that Shelia, Leah and I saw was a 45 year old woman who just needed a checkup. However, we quickly learned that she was facing the deepest crisis of her life -- her local physician had recently advised her of need for surgery in order to treat her for cancer. She was terrified at this prospect, in view of the fact that her sister had undergone similar surgery a few years earlier, only to be crippled by the surgery, and eventually dying of cancer one year later. Moreover, she felt a strong need to survive. She has several young children, and wants to provide for their care for many years to come. Her father had died when she was very young. Finally, her husband had recently abandoned her and her children, revealing that he had been unfaithful to her for many years with another woman. Needless to say, she was distraught and depressed.

As Shelia and I sought to comfort this woman, we were both touched as her 10 year old daughter offered her comfort by holding her hand. We prayed over both of them for a long time, and offered what assistance we could. The pastor´s wife was especially helpful as she made arrangements to transport the woman and her children to church services in two days.

This reminds me of Paul's statement to the Corinthians in his second letter, chapter 9:"And God is able to make all grace abound to you, so that always having all sufficiency in everything, you may have an abundance for every good deed; as it is written´´He scattered abroad, He gave to the poor, His righteousness endures forever.´"

I hope that each of you can see and hear what He is doing in your world today.

Grace, peace and mercy from Ecuador,
Tim

Day 3 - Letter from Kim

Hello from Otavalo, Ecuador.

Most of you who are receiving this have already been praying for us here in Ecuador. I am with a team of 8 on a medical mission trip. I will give you a little background on why I am here because it actually started several months ago in march. Tim Scott asked me to go with the mission team. I prayed alot about going. I had several fears including being of no use as a doctor in a place were there was more parasites than diabetes or high blood pressure (what I see on a usual basis) and financial issues. Our tax return would cover the $1400 cost to make the trip. However, when out accountant called re. estimated tax return, he also gave good news re. donation from the Dear Santa Foundation. After this confirmation re. going, I had a peace about it (even though many other people did not). Matthew 7:8-11 talks about good gifts that the Father gives. God meets our needs and more than we expect.

As usual I was trying to get too much work done at the office on the morning before I was supposed to leave. Therefore, I did not get to spend much time with Matt on the am that I left. It was probably the thing that made me the saddest to leave. I miss him alot. This will be the longest we have been apart since we have been married. He is so good to me to put up with all that I do. Anyway, I was late to the airport to meet the team (even though I was still 1 hr and 50 min before the plane left). I know that suprises no one that I was late. I had a terrible sinking feeling when I was leaving.

Tears came to my eyes in front of all these people I barely knew. They were very nice and supportive. The only other time I felt that way was when I left NM to go to KY when my residency started. It is the fear of the unknown and leaving Matt on both occasions. I was better after getting on the plane. I am growing in confidence and everything will be ok. Ps 37:23-24: The steps of a man are established by the Lord...Because the Lord is the One who holds his hand.

The people here (the team and natives) are all very nice. 6 of 8 team members have been here before and Paul and I are new. They say they like the new perspective but I appreciate their experience. When we arrived here, it was amazing that within 1-2 hr several of the old contacts from when they had been her before came from no where. We would be walking down the streets and people came out giving Sheila and Phil hugs. Gossip and news travels fast here too. The internet cafe is closing so I have to go.

Interesting things to learn:
- Lexington is further west than Quito.
- No TP to be flushed - it stops up the commode.
- God continues to give more than I expect.
- 2 physicians saw 120 people today.

Love,
Kim