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CRC MISSION PROFILE:
Medical Missions in Costa Rica
February 2005 Report: Talamanca, Costa Rica
Dean C. Lohse, MD

COSTA RICA MISSION REPORTS
2002 2003 2004 2005 2006 2007

I have seen a place called Talamanca. I have tasted it, touched it, heard it, and smelled it. It is a place of steep jungle, covered mountains and rocky rivers where the water flows so fast and so clear that if you simply looked in before you put your foot in, you may not know how deep it is, and you could be swept away before you knew. There are banana groves, and plantain groves, and cacao groves, and oranges and lemons and limes and coconuts. There are fish in the streams that look like trout, except that their scales are like carp and their mouth is like a sucker and they never bite on a fly (but they can be speared by young Indian boys). There are cattle and pigs and chickens and dogs without names. In the forest there are toucans and parrots and tasty little rodents called “tapisquamale.” There are snakes large and small, poisonous and constrictors, and those that only look poisonous. 

There are people native to Talamanca. They are the indigenous tribes of Cabecar and Bribri. They have a language that is related to each other, but not to any other known Western tongue. They have a god who is jealous and demanding and unforgiving. There are shaman who hold “The Stones” and have the power to invoke curses and blessings, control demons and spirits. The powers can be bought or sold or used for extortion of money or sexual favors. Tribute is exacted from Cabecar villagers each year and brought to the grand celebration at the home of the chief “Keeper of the Stones” -- an elderly woman who lives at the western end of the valley of San Jose Cabecar. It is well known among the Cabecar that if the Stones are destroyed, the world will end. 

To our Western minds, the spirits, demons, and curses, and Stones are quaint myths of another culture, and we want to make allowances for the harmless ideas like Episcopalians forgiving Lutherans for not holding communion on every Sunday morning. But to the indigenous tribes, the shaman are more present than the local police officer here, and the spirits and spells are as real as the credit on our MasterCards. If you ask a Cabecar to name the most common cause of death amongst his tribesmen, he is likely to give you a reply, which roughly translated means, “The River Jaguar.” The River Jaguar is spirit, but he is real. What else could explain the unexpected death of an otherwise healthy young man found at the riverbank? Certainly not the chichi (fermented banana mash) that he consumed before he tried to come home across the treacherous streams on the previous evening. It was the River Jaguar. And perhaps it was.

I believe in prophetic visions of Talamanca. I believe in them because I have heard the visions from God’s people, and seen little glimpses of God’s Talamanca. For example, Mrs. Jones, who spent the great majority of her adult lifetime working with her missionary husband and raising her eight children in Talamanca, had a vision of 700 Cabecar standing on a mountaintop when Jesus returns through the air to receive them. She had that vision after they had lived and worked for nearly 20 years without a single convert. I believe in the vision. There will be 700 Cabecar, and more, welcoming back Jesus. There will be Bribri, too. And standing amongst them all will be the children and grandchildren of Mrs. Jones. The great importance of prophecy is not that it simply predicts the future, but that it gives a vision for the Kingdom of God. And once that vision of the Kingdom is “caught,” it becomes worthy of our best efforts to bring the vision from eternity to this time and space continuum.

Surrounding Talamanca are people who have experienced God’s prophecy for
Talamanca. Three of Mrs. Jones’ sons, Philip, Timothy and David, along with their families, continue in the second generation mission to the Cabecar. Ken Orozco, along with his wife, also continues a second generation mission at the village of Bambu. Tom and Laurie Kennedy have established a mission church at San Lucas and are trying to establish a clinic and ministry center at Paso Marcos. Mauricio Urena, the physician in charge of medical care for Talamanca, believes in and works for better medical care with the message of salvation through both government clinics and missions. John Whited with AguaViva Ministries has established an evangelical church in the town of Bribri, and continues to work to bring the gospel to the more difficult to reach villages.

This February I had the honor of being part of a team to provide a medical and evangelical mission to the village of San Jose Cabecar. The area is typically a two day journey from Bribri in good weather. In bad weather, it is unreachable. The first day is traveling by truck, canoe, and tractor-wagon to Porfilio’s house in Bajo Coen. The second day is backpacking with porters through rivers and over small mountains to the eastern end of the San Jose Cabecar valley. This was my third trip to San Jose Cabecar over the past four years. Last year our team went on a mission to another village. This year when we arrived at the guest hut, the roof and been freshly patched, the floors swept, and there was a fire burning in the cooking pit. The village leader and hut owner came about an hour after we arrived to welcome us. He said he didn’t think we would be back after we didn’t come last year. It takes return visits to build trust.

This year’s team consisted of myself to provide medical care, John Whited to guide, translate, and cook, James Gray of MissionFOTO to take pictures and video, John Armenta to translate, David Jones to do evangelism and build relationships, Porfilio of Bajo Coen to supervise the porters and translate from Bribri into Spanish, and Eric and Matches (Raynor) to just generally help and catch fish, Adam, a college student from Indiana, and Minor, a Cabecar who was spending some discipleship time with David.

As in previous years, we set up a limited pharmacy and saw all comers with no charges or questions asked. Everybody got antiparasiticals, and nearly everybody got ibuprofen or acetaminophen. There were needs for vitamins, and cough medicines, and eye and ear drops and a few antibiotics. Cortisone creams and anti-fungal creams were popular. Basic medical needs were simple, but appreciated.

There were joys, like seeing the three-year-old girl who had been near death at a clinic in Bajo Coen three years ago before treatment by Dr Dwight Adams and his niece Dr Susan Adams. John and I had seen her two years before when her family brought her on the two hour walk from their home just to show us that she was okay. What I didn’t know then was that her paternal grandmother is “The Keeper of the Stones” at San Jose Cabecar. We ended up sending a package to medicines the grandmother on the basis of description of symptoms by her son. We promised to pray for her.

There were sorrows. One young man who had served as a porter on the first two trips to San Jose Cabecar had died in a landslide a month prior to our trip. We had visited his home to make a house call to his elderly mother on our first trip. His mother died the week following his death.

The spectacular change from prior missions was effective evangelism. Amongst the bags to be carried this year was a 60 pound generator and a gallon of gas to run it. David Jones personally carried the projector and tape player to show the Jesus film in that jungle hut. The film, combined with David’s explanations in their native tongue, brought the Gospel home in a very effective way. On the first night, three people came forward to what David called “walk on the little trail.” (I believe most of us would refer to this as the narrow path that leads to salvation). On the second night, another young man came forward. The film was shown to an audience of about fifty people both nights. These were the first professions of faith in this village to my knowledge.

As one might expect, persecution is right on the heels of faith. One of the women who came forward for Jesus went home to find her house burned to the ground. Fortunately there were no injuries to people or livestock, but they have a big re-building task ahead. The needs of this family acutely point out our limited ability to bring our new Christians into a community of faith for discipleship and support. Moments like this bring up John’s vision of a helicopter for the Central American mission field. What once seemed fanciful, now seems necessary.

We had other adventures and high and low moments. We saw the body of a great snake, ate some kind of jungle rodent (cooked well, of course), became tired and sore, prayed for deliverance of patients from the demons that plagued them at night, and had the week’s great operation to remove a splinter from a man’s leg -- not brain surgery, you understand, but appreciated just as much I think.

I believe in a Talamanca I have not seen. I believe in a Talamanca that has clean drinking water in every home, and communities of believers in every village. I believe in a Talamanca where children never die of dehydration, and the River Jaguar is without power and lost to mythical tales of the past. I believe in a Talamanca that is not exploited economically, where young people’s hands are not crippled by arthritis from chopping plantains for nominal wages. I believe in a Talamanca where native peoples are not held in bondage to spirits and curses of this world, where the Stones are broken, Jesus is honored, and prayers are freely offered and freely answered by the One who has power over all of creation.

As I look at the Talamanca I see, as compared to the one I believe in, I see a ring of great Christian warriors committed to seeing prophecy fulfilled. Their names are Jones, Whited, Kennedy, Orozco, Urena, and they stand with people they have brought to the battlefield. There is a name for this ring of warriors -- it is called the Church, the Bride of Christ.

I believe that there are Talamancas in Jacksonville, Florida. There is a Talamanca at the hospital I work at everyday. It is a place of noble purpose, but with daily battles against death and disease, greed and arrogance, complacency replacing compassion. I believe there is a Talamanca in the community around Windy Hill Elementary School, and around the City Rescue Mission., and around Simpson Memorial UMC. I believe that every eye that reads this can identify a Talamanca within reach of their ministering hands.

And I believe that there is a vision for “the Kingdom Come” to each of those Talamancas -- a vision that can be reached in this time-space continuum by the same basic means that bring the prophecy true in Costa Rica: Prayer, and living life in God’s purpose (walking on the little trail), and working with a community of faith, the Church.

I thank all of you for your prayerful support of the ministry in Costa Rica. I wish you all God’s speed in walking on your little trails and seeing God’s prophecies fulfilled in your lifetime.


For information about CRC OutReach and various mission opportunities at CrossRoad Church, contact us at 904.493.1245 or email outreach@crcumc.org.

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