Over the past 4 years, I have had a lot of fun decorating casts with the kids here at the hospital. I am constantly trying to think of new ideas for working on casts, and always try to do something different. The other day, I stumbled upon an idea that is different from anything I have done before – instead of painting the cast, or going over it with markers, I started gluing little pompoms/fuzzy balls onto the cast of a little girl named Aicha. It came out nicely, and I was very pleased, especially because a bunch of the kids came over and joined in, helping me and Aicha out. I love it when we are able to work on something all together like this, especially when it is with a kid like Aicha, who is extra quiet and reserved. It focused all of the attention on Aicha, who is usually on the sidelines. She remains pretty quiet throughout, but had a big smile, and was giggling with the rest of the kids.

The following week, one of the girls who had helped work on Aicha’s cast, Zouera, came to the Art Therapy room for a session. Zouera has been at the hospital for awhile, and has already gone through a number of casts, which she and I have decorated together. Many of the children who come in do not really know what they want to put on their cast, but not Zouera. She was very sure of what she wanted every time. We have done flowers together, princesses, and other patterns, all at her request and under her direction.

This week when she came in, Zouera didn’t have a new cast, so the remnants of our most recent collaborative masterpiece were barely visible, and the cast was covered in dirt. That is one of the realities that I have had to come to terms with – the cast decorations are by definition temporal. They are beautiful but they are fleeting. Sometimes they meet with the cast-cutter the day after they were created, but such is life…

We could have just painted over the older paint and the dirt, but Zouera had a different idea, inspired in part by Aicha’s pompom cast. She wanted to cover her whole cast with glitter. Honestly, I wasn’t sure it would work that well, and I imagined glitter going everywhere and getting on everything except her cast (which glitter is kind of notorious for). But I knew that we should try her idea no matter what. So we doused her cast in glue (which did go everywhere and got on everything), and then poured glitter over her entire cast. The results were immediate and stunning. It seriously almost took our breath away.

I am consistently amazed by these kids. Most of them have never done any kind of art work before. Most of them have never even held a crayon in their hand, or used scissors, or glue. But aside from that, most of them have not had the opportunity to explore their natural creativity because from a very young age they are helping with the cooking and cleaning and taking care of younger siblings. I am not saying that they never have a chance to play or have fun, or that all the hallmarks of what the Western world considers “childhood” are missing from their lives entirely. But I am saying that they grow up quickly. They have to, especially when they are dealing with some sort of physical disability on top of everything else. Their lives, and the lives of most Nigeriens who live in remote, rural areas are all about survival, and survival does not leave much room for creativity.

That is why what Zouera did, and what so many of these kids do at the hospital is so amazing. They are given, often for the first time in their life, the freedom and space to be creative, to be silly, to try and to fail, to dance and to sing and to cover things in glue and glitter. This may sound like a small thing, but it is not. It is big, and it is brilliant, in every sense of the word.

These kids are full of wild and wonderful creative energy, and when they finally have the freedom and space to set it free,  they shine.


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Hassane’s Farewell

Our Spiritual Director at the hospital, Pastor Hassane Dan Karami, recently resigned from CURE in order to join Samaritan’s Purse in their effort to rebuild the destroyed churches of Niger. In January 2015, a wave of violence across Niger saw many churches and other Christian properties destroyed. It was a traumatic and trying time for the whole Christian community in Niger, and since that time it was clear that Hassane had a burden for the reconstruction of the Nigerien Church, both physically and spiritually. So while we are sad to see him go, we are aware of the importance of the work he is going to do. Plus, we know he is not going far and will remain a part of the CURE family.

Since Hassane has been the Spiritual Director at our hospital since it opened, and has provided such crucial leadership and stability for the hospital over the past 5 years, we wanted to have a small ceremony for him and his family, in order to say goodbye and to say thank you. A number of people were able to share about Hassane, and it was great to be able to honor him and his work. Since I worked so closely together with Hassane, I was able to speak as well, and here is a bit of what I shared:

“Pastor Hassane has been a pillar here at the CURE hospital in Niger from the beginning. He has served faithfully as both the Spiritual Director, but also as one of the key leaders of the hospital, and he has fulfilled both roles with humility, dignity and grace. Almost all of you here call Hassane “Papa,” out of respect, but in many ways, he really has been like a father to everyone here, and we have all learned from him and benefited from his wisdom.

Personally, I had the privilege to work very closely with Hassane, and to see with my own eyes the love he has for everyone and the goodness of his heart. I have witnessed his love of our patients, their parents, and of our personnel, and seen him demonstrate this love over and over again, either through providing prayer, counseling, advice, or just friendly conversation. I have also seen him give of himself in every way. Hassane is the kind of person that does not hesitate to help someone in need, and everyone here knows that. Many, many times I saw him give to people who are in need, to patients, to staff members and even to people outside the hospital and in the community. In fact, it is thanks to Hassane that we set up the Solidarity Fund.

We use the Solidarity Fund to help people who have real needs in our community. Sometimes it is a patient or the parents of a patient. Sometimes it is a staff member. Sometimes it is a total stranger who shows up at the hospital and has nowhere else to turn. At CURE we try to help as many people as we can through life-changing surgery, but unfortunately, there are people who have real needs that are outside the scope of what the hospital is able to do. It could be helping someone with some money to enroll their children in school, or helping someone rebuild their roof after it collapsed.

I say it is thanks to Hassane that we set up the Solidarity Fund, because when I first arrived here, I began to notice that all these people kept coming to Hassane, and he would give them his own money out of his pocket. He never spoke about it to anyone else, but I was with him in his office, and I saw how many people he was helping. Finally, I told him, “You shouldn’t have to help all of these people on your own.” So we thought about it, and finally we decided on starting a Solidarity Fund, that all of our employees could contribute to, which would be used to help people in exceptional circumstances. Over the years, this Solidarity Fund has helped a lot of people, and it started with Hassane’s generosity.

For me, this is just one example of who Hassane is, and it really shows his heart for others. Before I finish, I would like to read from the Bible, in the Book of Proverbs (since Hassane loves proverbs, especially Hausa proverbs). Proverbs 11:25 – “The generous man will be prosperous, And he who waters will himself be watered.” I love this image, and I think it is very fitting for Hassane. He is someone who “waters” others, and I am sure that almost everyone here today has been “watered” by Hassane and his generosity. He has spent 5 years watering this hospital faithfully, through service, through prayer and through leadership, in a very dry and thirsty land. We have already seen the fruit of his work, and I know we will continue to reap the harvest for years to come.

I want to officially thank Hassane for his work here at CURE, and for all the people he has blessed.”

Here are some pictures from the ceremony. Photo credit to Fanny Franceschi.

And Daouda.

We had a few other goodbyes on the same day, including Daouda from the finance department.

And Natalie.

And Natalie, one of our nurses in the ward.

Hassane sharing.

Pastor Hassane was able to share with everyone.

Hassane and Moutari.

Hassane and Moutari.

Hassane and Mary.

Hassane and his wife Mary.

Of course, Issoufou and the kitchen staff prepared a great meal of brochettes and fries!

Of course, Issoufou and the kitchen staff prepared a great meal of brochettes and fries!

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First National Clubfoot Symposium of Niger

July 2nd was an exciting day for CURE Niger – the CURE Clubfoot program hosted the first ever National Symposium on Clubfoot in the country. It was held at the national stadium, and it was a great success. There were over 100 participants, and the event was well covered by the local media. The Symposium was officially opened by a representative of Niger’s First Lady (who is also a physician and surgeon), and overall many other doctors and others who work in the health sector were present. It was an opportunity for Brian Van Hall, our Executive Director to share a bit about the Clubfoot program, but also about the CURE hospital and CURE in general. Everyone present was invited to come and visit the hospital.

The Symposium was timed to coincide with the visit of Dr. Theuri, who is the Medical Director of the CURE hospital in Kijabe, Kenya. Dr. Theuri was one of 3 surgeons who came to Niger this summer, to help cover for Dr. Negrini while he was away on vacation, and we thought it made sense to have our symposium on clubfoot during his stay, since he has played such a big role in the Clubfoot program in Kenya.

We also had Professor Sunna, a Nigerien Orthopedist at the National Hospital (Lamordé) here in Niamey. He gave a lecture on clubfoot and the Ponseti Method, and it was great to have his participation as well. One of the 10 clubfoot clinics in the program is at Lamordé, and they do a great job. All of the 10 clinics were represented at the Symposium, and we were able to hear from the team from the clinic in Maradi, who has also been very successful at recruiting patients. They were able to share some of the lessons they have learned along the way. We also heard from Pastor Hassane, who serves as the Counselling Coordinator for the program, and who spoke about the importance of the counsellors, who serve as patient advocates and are able to advise the parents of the children and walk with them throughout the course of their treatment.

Moutari Malam-Saddi, our national Clubfoot Coordinator did a great job organizing the Symposium, and helped moderate a lively discussion on the sustainability of the program and the future direction it needs to take. All were in agreement that the different actors in the health sector, and especially the Ministry of Public Health, need to be more involved in the program if we are to truly reach our goal of providing treatment for clubfoot to every child born with the disability. Some suggestions were to begin including the Ponseti Method in the curriculum for all medical students and nurses, and to continue to train health care professionals on clubfoot treatment. Overall it was very encouraging to see so many of Niger’s health care workers so involved in the discussion and dedicated to reaching the maximum number of patients through healing.

We also got to see a demonstration of the effectiveness of the treatment, as a football match and race was held with some former patients of the program. It was amazing to see them run, and exciting for them to have a chance to run on the grass at the national stadium. Who knows, maybe some of them will grow up to play for Niger’s national team!

Here is a short news clip covering the Symposium, as well as some pictures (courtesy of Fanny Franceschi).


Dr. Mele Djalo, the representative of Niger’s First Lady, Dr. Malika Issoufou, Moutari Malam-Saddi CURE’s Clubfoot Coordinator, and Dr. Theuri.

Brian Van Hall and Josh Korn

Brian Van Hall and Josh Korn


Dr. Theuri giving his lecture.


Pastor Hassane presenting at the Symposium.


These kids are all former patients of the Clubfoot program, and they were able to run and play on the field at the National Stadium.



All the kids got Clubfoot t-shirts.


The competitors!

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Her first painted cast.

Uma was a hard shell to crack. She has been at the hospital for a while now and she is the only patient who has ever refused to have her cast painted. She would see kid after kid with their painted cast and I would try to entice her with different ideas of how I could decorate her cast, but she was not having it. I’m not going to lie, this kind of hurt my ego. I couldn’t understand why she wouldn’t want to add some color to her white cast. I was determined to get down to the bottom of her aversion to a decorated cast.

She would come to art therapy and she would draw or paint, but she was mostly very serious while doing it. The truth is, I wasn’t so concerned by the fact that she didn’t want her cast painted as by the fact that she seemed to have erected a barrier to protect herself from the outside world. The fact that she seemed to be so guarded. I wanted to be able to get through to her. Today, I sat with her and started drawing different pictures on a piece of paper that I thought might catch her interest. After quite a few pictures, she cracked a little smile. Much to my amazement, she said she changed her mind and that I could paint a unicorn on her cast! Of course, unicorns are pretty awesome, but I don’t think that it was the whimsical nature of the unicorn that caught her attention. I think it was the steady persistence that eventually caused her to let me in.

One of the things that often blows people away when they visit Niger and the hospital, is how open the kids here are. How they are so quick to get excited when someone comes to visit, and how quickly they latch on to visitors who show them even the tiniest bit of kindness and love. I think this is definitely true. The kids here are so ready to give love and to receive love. Sometimes it seems like they are just waiting for an excuse or opening to come and give you a big hug. But there are also other kids that act differently. They are not as carefree. They might come off as angry or sad and they might push you away altogether. These are not the kids that stick out in a crowd of happy, bubbly kids. These are the kids that avoid the crowd, the kids that, for whatever reason, need more time and patience, and a little extra love and care. Sometimes they’re just waiting to see if you to will make the extra effort to come and find them. To look beyond the crowd and seek them out. Sometimes it is discouraging when you make an extra effort, and it feels like a hopeless cause when your efforts fail time and time again. But it is worth the effort. These kids are worth the effort, and they are worth pursuing. Every kid, whether they show it or not, wants to be loved and cared for. And often, the ones who act like they want it the least, want it more than anyone else.



It was always only a matter of time before a unicorn ended up on a cast.

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A surprise party at CURE

If you know Brian Van Hall, our Executive Director, you know that he LOVES surprises and LOVES being the center of attention. Just kidding. In fact, the opposite is true, but we wanted to celebrate his birthday in a very public way, and acknowledge him anyway. The kids at the hospital got really excited last week when I told them about the plan to make birthday signs as a surprise for Brian. While we were working on the signs, one of the kids asked me, “Are we doing this for the director because he’s so nice?” I love that question.

I told her that’s exactly why we’re doing it. That innocent little question from one of the kids says a lot. Here in Niger, culturally it makes all the sense in the world to do something to honor the “Director” (with a capital D), no matter who he is, because he is the boss. But this child was able to see that what we were doing was different. We were not doing something for “the Director,” we were doing something for Brian. He is an amazingly skilled hospital administrator and leader, but he’s also so caring, nurturing, sensitive, and humble.

On Friday morning, before devotions, the kids (and many of the mothers) all gathered together with the signs that they made, and put on their party hats. They all marched over to the chapel, singing “Happy Birthday” in French, and burst into the chapel to surprise everyone. They were so excited about this party, and even though some paper party hats and a cake are not that big of a deal, for them, this was an event. They sat so patiently and still through the entire meeting and not one of them took off their party hats. They wore them for hours even after the party.

Once the meeting was done, we cut the cake and passed it out. Each kid got their piece of cake and maybe only 2 out of the entire group actually started eating it. The rest of them just sat in their chairs staring at the cake as though they had never seen cake before in their lives. Some of them probably hadn’t. They carefully wrapped up their cake in their napkin and said they were saving it for later. I don’t think you would find that anywhere else in the world – kids sitting there, cake in hand, and not eating it! I honestly think they were just so overwhelmed and excited by the whole event that they weren’t really ready or able to eat. They were so excited by the celebration that they didn’t have time to think about cake.

I strongly believe that kids are the best judge of character. They know when they’re truly loved accepted. Brian’s revolving office door is proof that these kids feel extremely loved and accepted by him. They are constantly hanging out in his office at all times of the day. He has been nothing but loving and that is why they were so excited to celebrate him on his birthday.

Plus, you know…cake.


Getting ready to head to the chapel


I knew my giraffe party hats (from Leon’s last bday) would come in handy one day!

Brian loves all the extra attention ;)

Brian loving all the extra attention ;)










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Fear and Faith

When the recent outbreak of the Ebola virus burst into public view and public discourse, millions of dollars were invested in West Africa to treat the virus and prevent it from spreading. Of course the spread of the virus had already been wreaking havoc and destruction in West Africa for months before anyone in Europe or the US knew anything about it, but then people from outside West Africa were infected, and it became the biggest story of the news cycle. It was evident that fear played a large role in keeping Ebola in the news cycle and in shaping the public discourse around it.

Even in Niger, where no known cases of Ebola were discovered, huge investments were made to prevent the spread of the virus and to help educate the population about it. There were spots on the radio, huge billboards and a concerted effort made by the Ministry of Public Health to involve all the actors in the health sector in the campaign against the virus. This was all good and important, and probably did help prevent the spread of Ebola in Niger.

A billboard close to our house.

A billboard close to our house.

But recently, another epidemic has ravaged the population of Niger, and barely anyone outside of the country has heard anything about it. A Meningitis outbreak has caused hundreds of deaths in Niger, many of them occurring in Niamey, the capital. Fear has gripped the population, as a shortage of vaccines has put peace of mind out of reach for most, and because of the shortage, price-gouging has kept it out of reach for all but the wealthiest. The authorities even closed the schools for a week to try and slow the spread of the sickness.

It seems as though the situation has improved recently, however over the past few weeks, the sound of ambulances have been heard day and night, bringing more cases to the treatment/quarantine center, which is located just around the corner from the CURE hospital. This outbreak has been going on since January, and although it has received some coverage, for the most part it has barely registered as a blip on the radar of most major news outlets.

This is the Meningitus treatment center, around the corner from the CURE hospital.

This is the Meningitus treatment center, around the corner from the CURE hospital.

Here are the tents.

Here are the tents of the treatment center.

So for anyone keeping score, here is the breakdown:

Ebola in Niger – 0 cases and 0 deaths.

Meningitis in Niger – more than 6,000 cases and more than 400 deaths.

Even though the pace of the spread of the Meningitis seems to have slowed, it is still a threat. Everyone you talk to here in Niger is convinced that once the first rains fall, the Meningitis will be washed away. They could be right for all I know, and unfortunately, the people of Niger have plenty of experience with this kind of thing – Niger is right in the middle of the “Meningitis belt”). I don’t know about the science of this theory, but it does serve as a potent symbol for hope and healing, especially since we are suffering through the hot season, when rain is close at hand, but still so far away.

This imagery is common in the Bible as well. A dry land represents a land of death, where there is no growth or life, only heat and dust.

“You, God, are my God,
earnestly I seek you;
I thirst for you,
my whole being longs for you,
in a dry and parched land
where there is no water.”
(Ps. 63:1 NIV)

To thirst for water is to thirst for life, and rain brings that life. In Niger people understand this very well. Even when not faced with an epidemic, they know that death is never very far away. They wait for the rain, and pray for the rain to fall abundantly, because when it does they know they can expect a bountiful harvest, and that is the difference between life and death. A good rainy season means death has been put off and pushed away, at least for a while. At least for a season, the danger has past. They know that they depend on the rain, and ultimately on God, who sends the rain. They depend on God and they wait on God because they have faith in God.

“On my bed I remember you;
I think of you through the watches of the night.
Because you are my help,
I sing in the shadow of your wings.
I cling to you;
your right hand upholds me.”
(Ps. 63:6-8 NIV)

This dependence is totally foreign to people in the western world. For most of us, if we think about rain at all, we see it as something annoying. It is something that keeps us inside and prevents us from doing what we have planned. We don’t see rain as a blessing, and we certainly don’t pray for it. The idea that our survival is dependent on rain (or God, or anything) is so outdated that it borders on the absurd. It is childish. The current zeitgeist of our culture is one of self-sufficiency. We have built a whole civilization on the principle that we can figure out any problems that come our way because we are so clever. Ignorance and superstition are the only things holding us back. The destiny of the human race is progress, and technology is our salvation.

But this confidence crumples when it is confronted with real setbacks and hardship. Solidarity often dissolves into selfishness in the face of danger and people are seized with fear. This was clear in the reaction to the Ebola outbreak in the United States. People were actually upset with healthcare workers who dared to go to the center of the epidemic in order to treat the victims. They were labelled irresponsible since they risked exposure to the virus, and risked bringing Ebola from “over there” to “here.” The foolishness (to say nothing of the small-minded cruelty) of this type of thinking is so evident in our day and age of globalization, communication and intercontinental interconnectivity that it could only be the result of fear. An irrational fear that somehow tries to draw a line between “here” and “there” when no such line exists. It is the same fear that tries to draw a line between “us” and “them.”

“Whoever claims to love God yet hates a brother or sister is a liar. For whoever does not love their brother and sister, whom they have seen, cannot love God, whom they have not seen. And he has given us this command: Anyone who loves God must also love their brother and sister.” (1 John 4:20-21 NIV)

When we live by our own strength, we are filled with fear when we see that strength failing. We scramble for safety, and if we have to step on a few people to get there, so be it. But faith is like love, it casts out all fear, because it does not depend on a strength that is temporal and will fail. It is dependent on a God who is all-powerful. A God who is able to hide us in the shadow of his wings. Through faith we are happy to admit that we are not self-sufficient. We are able to say, like a child, “I cling to you,” but also, “I cling to my brothers and sisters because through them I see you.”

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Animal Casts

Last week, an unintentional  theme started to develop on the casts in the art therapy room at the hospital. All the children had animal casts, and it all started with Abdoulaye. He asked for a giraffe on his cast. Once we did a giraffe, he realized (actually, we both realized) that the possibilities were endless – we could do all kinds of animals.

Something that is great about animals, especially when working with these kids, is that they are universal. Even if you don’t speak the same language, you can act out the animal you are talking about, and make the sounds that the animal makes. This is easy with a dog or a cat, but more difficult with other animals. What sound does a lizard make for example? And even with animals that have very familiar or recognizable sounds like dogs or cats, you have to do some guess work, since different countries and cultures have different sounds for different animals. In America, dogs go “Woof woof,” whereas in Israel, dogs go “Hav hav.”

Once Abdoulaye had his giraffe on his cast the other kids started getting into the idea. Soon they were all coming up with ideas for animals on their casts, and acting out the animal sounds. I’ve written before about how painting on a child’s cast is a great way to bring positive attention to the healing process. I think that having a theme week like we did last week is also a great way to unite the kids and bring emphasis to the fact that they aren’t alone. These kids feel singled out and cursed – a lie that society wants them to believe. But when they’re surrounded by others who are going through the same thing, they no longer feel alone. In fact, they feel special. Who else gets to walk around with awesome animals casts?

These kids have all been through same pain and ridicule, but they’re also going through the same life-changing process of healing and it gives them strength.

As the kids kept coming for art therapy sessions and then returning to the patient guesthouse, they would huddle together and point at each others casts, giggling and talking about the different animals they each had. It was another way to bond and join together in the healing process. Another way to recognize the beauty within themselves, but also the beauty within their peers.












camel in the works


Thankfully I had owl tape since I couldn’t paint an animal on the gauze bandage




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Painted legs

Hamsatou was born with clubfoot on both of her feet. She spent several months with us at the hospital while she was being treated. We all missed her so much when she left. She has such a great (and serious) personality. We always counted it a victory if we managed to get her to laugh or smile. It’s not because she’s an unhappy child, she’s just extremely laid back and confident as well.

She recently came back to the hospital for a check-up. Everyone was so excited to see her again and squeeze her cute cheeks. When she came to art therapy, she was very clear in what she wanted. She asked to get her legs painted. I was confused because we’d painted her casts many times before, but now she didn’t have casts because she was done with her treatment and her legs were perfectly straight. She looked at me like I was obviously not catching on. Of course she knew she no longer had casts. She wanted her actual legs painted. So, that’s what we did!

She sat so still and didn’t budge as she got each leg painted. Once we were done, she broke out in a huge (unprovoked) smile. We were overjoyed. She was excited to go back to her mother at the patient guesthouse to show her. It’s as though she had been planning to get her legs painted ever since she knew she would be coming back to the hospital. As though to have closure with this experience. I thought about it and I really like the idea of painting on the actual skin once the treatment is finished. It’s a way of emphasizing the beautiful legs that have just been healed and it’s a way of saying, you are beautiful and we want to celebrate that beauty and bring as much positive attention and celebration around your healing.

Sometimes the kids are a step ahead of me when it comes to truly knowing how to comemmorate the beauty in their lives. I learn from them every day.



With casts on her legs (and fabric tied around her feet to protect them when she crawled).



Those chubby little legs!


Being her sassy self ;)



Happy to have her legs painted.


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St. Patrick’s Day in Niger

What do you do when you get a bunch of St. Patrick’s Day party supplies donated to the hospital? Have a photo shoot. Obviously. One of the kids said, “Are we celebrating CURE?” when he saw all the green stuff. I said, “Sure!” because we’re always celebrating over here. With each healed child, we celebrate. So happy St. Paddy’s Day and happy CURE Day, too! :)




kjhk jhbjh



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Aramatou’s last surgery

Aramatou has been at the hospital now for exactly a year and a half. In just a couple weeks she will undergo her final surgery. She has had many surgeries over the course of her stay at the hospital and she can’t stop talking about how excited she is for the 24th of February (the scheduled surgery date). Almost every time I see Aramatou, she brings it up. She can’t wait to go home and show everyone her straight legs. She said, “I can’t believe my legs used to be so crooked. When you look at my legs now, it’s even too hard for me to believe what they used to look like!” We talked about how each day that she has been at the hospital has been one step closer to her full recovery and each day she waits for her last surgery is like a little celebration because she’s that much closer to being fully healed.

We decided in an art therapy session this week that what better way to count down to her last surgery than to make a calendar that she can mark off each day until she reaches the big day. She was so excited as we made the calendar together. She kept saying, “I will be so excited to wake up each morning so that I can cross off the day! It will even be hard for me to sleep, knowing I get to cross off another day the next morning.” I can’t imagine what it must be like living in a hospital for over a year without any family members around. Aramatou is probably the strongest person I know. She has come through so much and she is fighting through to the last days with more strength and energy than when she first came.

Let’s cheer her on as she is so close to being done. Will you remember to pray for her in these next few weeks? Mark your calendars everyone! February 24th, and in the days leading up – Say a prayer for Aramatou!

Aramatou with her calendar.

Aramatou with her calendar.






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