Medical to the remote

This Blog is all about the work of God. Nothing we do is without the knowledge of our Father. He is the soul provider for everything we do.
We are Mordegai, Toinette, Suzaan,Gideon and Anton Rossouw from Namibia-Africa. . This Blog is all about our lives here in Cambodia while Suzaan works in South Africa. We are real Farmers from Africa and we love life and what it have to offer and enjoy it day by day.

Mordegai travels to remote villages up in the far North of Cambodia, doing much needed medical work ,where no other doctors go, with local pastors as well as the Department of Health of Ratanakiri.

Toinette is at home with the boys. Homeschooling Gideon is a task not for sissies, while Anton is in Eli school. .She joins FGC Community Link Cambodia to the villages close by, teaching local children in an after school setting and also women about Health Issues in a village setting.

We consider us Asians as we live such a long time in Asia, eating rice as a staple food and not meat......

Our motto in life comes from a dear friend:

With common sense and God we
can accomplish a lot

Robin Wales

Sunday, November 20, 2016

Monday night prayer 21 Nov.2016

This week I was faced with something that is not very uncommon in Africa, traditional healing. I know, I am walking on thin ice, by making a statement about this sort of practice but hear me out. I also use some very helpful herbal medicines and do not say it is bad.  In the short time that we are in Cambodia now, I encountered this lot and lost numerous friends to death, because of this. I know that the medical practices here are also nothing to write about, but playing with your life?? Now once again it’s because of different circumstances. It is sad that a current friend of mine is taking the Kru Khmer practice instead of me taking him to a good doctor, that can operate on him and he can walk again. I pay for everything! No, he still opt to use their traditional healers as he do not have money, no trust in medical care, nobody to help him in hospital and various excuses. I know from experience that is all valuable reasons. We cannot force someone to go to the doctor after they ripped them off by many U$$$ and still they are not fixed. Traditional healers offer them the stars and the moon and they still are left dirt poor as they also need to pay him.  
Please read the article I posted on the bottom of this page in order to understand what I am trying to write to you. Cannot express it all in words.

On a lighter note. Toinette say that she listened to one of her students, doing devotions the other morning. She reckons that 2 years ago, she could not have dream of them doing something like this. The message was strong straight to the point. These students are growing so strong in the Lord. Please pray for our pastor Yi. He is confronted with the fact that some of his believers in church are cooling down and falling off the tract. It is not easy to stand firm as a believer in Christ, when you are faced with everyday life here in Cambodia. The pressure of friends and family is huge. Pray for encouragement for him. 

 Small Leap Long is still in hospital. This from Donnie:
“”I had my staff call his mother and she says he is doing better but still getting fevers.  To my understanding he is still on I.V. fluids possibly antibiotics. It is hard to get the facts since they do not allow foreigners in.  I may try to get someone to check on him tomorrow.  He is still alert though because one time we called he spoke to us.  We really need a miracle.  I don't want him to constantly go through the pain he has with this disease. His life is so difficult so sometimes I wonder helping him survive is right.  God must have a plan for him if he has lived this long.  I will keep you updated!  Blessings! Donnie””

 Pray for Eli School as most of the students will go the CAMBODIA NATIONAL STUDENT CONVENTION on Monday till Saturday. They need to take a long bus ride and sleep over in Phnom Penh and another bus ride further. Pray for their safety on the roads as well as for the students and teachers that will accompany them. Anton did a painting and a short story to present in the Convention. Difficult to let him go but we know that this experience will set the tone also for him in the future. Sad that Gideon miss out on events like this. I hear about all the fun stuff that will happen on the way there and can just imagine all the joy, Pinoys can bring. 

I will be on my way again tomorrow into the bush. Taking taxi, bike and a good load of courage. Have some friends joining me, one girl that want to go and buy crystals from locals in the bush. she helps people with disabilities to make ends meet, by letting them make beautiful necklaces and selling it for them to earn money. 
Check her page:
Want to go and check on my friend in the bush that we helped the other day. Hope he is still alive. the only way we will know is if we go there. Will give you an update when we come back. Pray for safe travels as one of my friends need to come all the way from Phnom Penh on bike and we meet halfway. 

 Last but not the least. My sister Elizma and Peter could take their twin boys, Sebastiaan and Christiaan, home last week and it is happiness overload. Can just imagine all the joy after all this long wait. Praise God for this miracle. My heart is saddened as I think of all our friends we have that cannot have children and we pray a special blessing over them. You know who you are and may God bless you in this time. Be sure that you guys are in our prayers. 

I know this is a long list, but encourage you to dig deep and read the bottom part as well, then you will see what happens here and understand a bit more what we need to overcome in helping sick people around. 

May God Bless you all in this week to come.


Healing traditions thrive in Phnom Penh
Krouch Sopheak has never visited a modern doctor. In his 38 years, he’s cured all his aches and pains with the help of his uncle, a travelling healer from Banteay Meanchey province. “Traditional healers deal with all kinds of minor maladies,” Sopheak says, sitting next to a burlap bag filled with herbs, roots and bark in a shop in O’Russei Market. He’s come to Phnom Penh to buy herbs for his uncle, who is preparing a tonic for a woman with severe menstrual cramps. Sopheak’s uncle, 55-year-old Hok Heng, is just one of Cambodia’s many kru Khmer, traditional healers who combine herbal remedies with rituals to cure patients with ailments ranging from a minor infection to the curse of an evil spirit.
In a country where modern doctors are often poorly trained and health clinics under-regulated, many people choose to place faith in these natural prescriptions. As Cambodia develops economically, traditional healing techniques co-exist with modern medicine, and often serve as a last resort for those seeking treatment. And there seems to be little risk of losing the tradition: Even young urbanites are choosing to train in the healing arts.

Choosing a doctor

Most Cambodians switch between modern doctors and traditional healers quite fluidly, says Ian Baird, an associate professor at the University of Wisconsin-Madison who researches traditional healing practices in Southeast Asia. “Whether they are richer or poorer or urban or rural, they are very flexible,” he explains. “They think there are a number of things that might cause the illness, so they might start off by going to the doctor and the pharmacy, and if after a while they don’t get better then they begin to think maybe it’s a spirit and they go to a spirit doctor.”
People often trust the medicine from traditional healers more than pharmaceuticals because it is considered more natural, says Ryun Patterson, author of Vanishing Act: A Glimpse into Cambodia’s World of Magic. Likewise, fortune tellers and spirit mediums substitute modern psychology treatment with their services. The personalised treatment provided by a kru Khmer is an additional perk, Baird says. Patients – especially those who are poor – often view hospitals or health clinics as crowded, unfriendly places where they are ignored for hours. So they choose to seek out the services of a more traditional, and often, more local healer. “It’s likely the traditional healers are people from the same societies [as their patients], they often don’t ask for money up front; there is a very different approach that is appealing to a lot of people,” Baird says.
Still, he adds that the majority of patients visiting traditional healers, seek solutions for long-term illnesses like arthritis and back pain, not serious maladies or those that require urgent care. “We’ve had a few people come here seeking cures for cancer, but we don’t know what to prescribe for that so we don’t give them anything,” says Kong Siv Cheng, a 28-year-old who works in an herb shop with her husband, who is training to be a kru Khmer. 
Not every kru Khmer shies away from treating serious illness. In Phnom Penh, Buddhist monk Southern Serow says the majority of his patients visit him when they have problems modern doctors can’t fix. Serow has treated patients with herbs and rituals for a decade, and says that thousands of patients flock to his pagoda each year seeking treatment. “I can cure everything except HIV,” Serow says. When a patient arrives in Serow’s pagoda, the monk’s first job is to provide a diagnosis. He dips an incense stick into a jar of powder made from wild boar fat, coconut oil, python fat and bee pollen, and asks the patient to lick it from the stick.

“If the taste is sweet then the ailment is purely physical. If it’s sour, then the patient has a spiritual problem,” Serow explains. “Worst of all is if it’s spicy. A spicy flavour means the patient is beyond saving and will definitely die.”

Patients usually stay in the pagoda for a week to a month. While there, they are sprinkled twice a day with holy water. Often they are prescribed a potion to drink. “If I use only herbs and remedies, then the treatment takes longer. And if I use only blessings, it will also take too long,” he said. “Using the two together works best.” About 90 percent of the people who visit the pagoda have been cursed by an evil spirit, says Serow, who claims that he can bring people back from the brink of death by having them drink his holy water.

Serow prescribes different medications depending on the patient’s ailment. The concoction for treating evil spirits has four tree-based ingredients, all of which are ground into a fine powder stored in plastic jars on Serow’s shelf. He also has a powder made from 10 ingredients that can cure cancer, he says. And potions and powders aren’t the only method of treatment. Sometimes, Serow will write a prayer on a betel leaf in Pali, a script used in early Buddhism, and have the patient eat it. Occasionally he taps people with respiratory problems on the chest with a carved piece of blessed wood. “People come to me and give me complete control of their bodies,” he says. “They accept the service and know that if they die, then it’s their fate.”

But most of the patients under his care don’t fall ill again, he says, showing off a binder filled with photographs of cured individuals. After a patient’s departure, the monk gives them a katha, an amulet to wear around their waist for protection, or a spirit cloth known as a yuan to hang in their house. Like many kru Khmer, Serow also moonlights as a fortune teller. On the top floor of Serow’s pagoda, current patients sit in their pyjamas, rubbing salve on their faces, guzzling herbal tonics from plastic bottles, and lounging.
Rain Sop, a teacher from Prey Veng, says she first visited a medical doctor when her headaches started six years ago. She travelled to Vietnam, where medical facilities are considered superior to Cambodia’s, to get a scan.

Nothing could cure her headaches, which grew more severe last year. But after staying in Serow’s pagoda for six days her symptoms were starting to subside, she says. “I think I’ll soon recover completely,” Sop adds. Another patient, an elderly woman named Sar Ean, shows reporters a rash around her abdomen. She’s been in the pagoda for one month and nine days and her rash is beginning to disappear, she says.
On the edge of O’Russei Market, a handful of storefronts peddle herbs and tonics. The miniature bazaar is testament to Cambodia’s flourishing herbalism trade. Each shop has its own kru Khmer who mixes remedies, while assistants know which herbs to prescribe for which illness. 

Lingchu, an earthy red mushroom, is believed to cure ulcers and irritable bowel syndrome. Small seashells mixed with lemon are used to clean the urinary tract and prevent infections. Tepru, a dark red tree bark, is boiled with water or rice wine to treat constipation. Moringa tree seeds are chewed or ground into a powder to treat high blood pressure. (Some say they also prevent cancer.) “Sometimes 10 or more herbs will go into a tonic. The most common ailments people seek remedies for are stomach problems and symptoms that occur after childbirth,” says healer Ma Oun as she wraps small jars of medicinal oil in plastic to stock on the shelf.

As if on cue, a woman appears seeking herbs for someone who has just given birth. Oun and her daughter begin rummaging through the bags. “Once you boil the herbs, you have to drink them the same day,” she instructs. Two of Oun’s children, her 33-year-old son and 30-year-old daughter, are studying to be kru Khmer. Only her youngest daughter opted for modern medical school. “This will be my sister’s store,” Oun’s youngest said with a shrug. “I want to do something different.”

A professional practise?

Traditionally, Cambodia’s kru Khmer learned from an older mentor. Oun, who has been practising healing arts for 30 years, said she never received a formal education. But for her children the situation has changed. Many of the country’s latest generation of kru Khmer have passed through the National Centre for Traditional Medicine (NCTM), which began offering five-month training courses in 2009, with the initial support of the Nippon Foundation. Graduates receive accreditation from the Ministry of Health.

On its website, Nippon, a Japanese non-profit that aims to promote social innovation, extols the virtues of traditional medicine, calling it “a unique and valuable resource”. The NCTM was the first step toward preserving traditional medicine in Cambodia, as well as ensuring proper treatment in remote provinces. With Nippon funding, the school trained about 345 healers, but the money dried up in 2013. The school restarted its courses this past June with the help of donations from healers around the country. There are currently 42 students enrolled, each paying around $240 for the course.

The average student is about 25 years old, according to Moeung Vannarom, the school’s director. During the course, students learn about medicinal plants, botany and basic medicine. But for Vannarom, getting practitioners licensed is as important as standardised education for the tradition’s survival. “Training is just one factor to maintain the practice,” he said. The industry also needs regulations to guarantee high-quality services and a minimum standard of care. Although the techniques may seem strange to those accustomed to modern medicine, Patterson says their efficacy shouldn’t be underestimated. “It’s a function of belief,” he says. “Studies show this stuff is very real and has very effective results.”

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