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CRC MISSION PROFILE:
Medical Missions in Costa Rica
February 2006 Report: Costa Rica
Dean C. Lohse, MD

COSTA RICA MISSION REPORTS
2002 2003 2004 2005 2006 2007

Alto Uren: A Story About Gifts
 
“If someone forces you to go one mile, go with him two miles. Give to one who asks you, and do not turn away from the one who wants to borrow from you.”
-- Matthew 5: 41-42

John Whited relates a story from his first day in the engineering program at NC State. In his first math class, some big kid sitting next to him started asking him annoying questions about what the professor was saying. John kept telling him to be quiet so he could hear. Finally, he said, “If you will just shut up so I can figure out what he is talking about, I would be happy to explain everything you want to know right after class. But right now you have to just plain shut up or neither one of us will have any idea of what’s going on.” I believe the young man was asking John to walk a mile with him. 
 
Well, the young man shut up, and after class John sat down with him to go over his notes and answer his questions. After a few minutes John was compelled to say, “I am sorry to say so, but you are about the dumbest boy in math that I have ever seen in college. I knew more math in the fifth grade than you know now. Would you mind just telling me how you managed to get into this school anyway?”
 
“Why sure,” his friend replied. “I cheated. I was an athlete and I cheated on the entrance exams.”
 
Well, John remained true to his word. He told that young man everything he wanted to know about math through that course and a few others. It was a bigger bargain than John had originally intended, but he threw in some more information about living with Jesus in the here and now, and gaining eternal life. He gave what was asked, and then some more. That friend graduated, started a successful business for a few years, then sold it all, went to the seminary and now pastors a church. He went a long way from being a mooch who cheated to get into college.
 
John hasn’t changed much.
 
Last November Hernan, one of the Bribri Indians from Alto Uren, walked into the AguaViva Ministries church in the town of Bribri, Costa Rica. Alto Uren is a small village high in the mountains overlooking the Talamanca Valley in the vast Reserve for Indigenous Peoples. Five months previously John, two potential future helicopter pilots from North Carolina, David Jones the fellow missionary, and Eric Navarro, the church worker from Bribri who had walked to Alto Uren for the first time. It was a difficult two day hike in, and a very long one day hike back out. At the conclusion of the hike back the three North Americans went straight to the local medical clinic for IV fluids. They decided that if they were ever going to be able to do a mission in such a place, they would need either a helicopter or a group of porters to carry supplies up the long, steep, muddy paths to the village. Furthermore, rumors had spread to John through the Wycliff Bible translator working on Bribri that the first visit had not been well received.
 
 
Hernan, however, had known nothing of John’s experiences since John and his team had left the village, nor had he heard the rumors that about the poorly received visit. He only knew that John had visited and offered to be of help, and Hernan had a problem -- a problem worthy of a three-day trip to discuss. The village had a school built five years previously by the Costa Rican government. It had well-constructed buildings (by local standards) and real desks and chairs, and the teacher was a native of Alto Uren who was dedicated to his task. The problem was water. The village was high enough in the mountains that there were no streams that flowed from rain and runoff. All of their water came from springs in the mountainside. All the farms were located near one of these springs. The school, however, was built at that location because there was enough flat land for the three small buildings and schoolyard. The nearest water source was at least five hundred meters away. Furthermore, the latrine smelled bad and had many flies (even for local standards).
 
I believe the man had now asked John to walk a second mile, and I believe the man had asked for a gift.
 
John said that he would be there as soon as he could, and even though it was unlikely they could install flush toilets, he thought they may be able to help. He made plans for improving the latrines, surveying the water supply, and conducting a medical clinic.
 
By February 6th of this year John had assembled a team consisting of myself, Eric Navarro, Mike Slayman a budding missionary from North Carolina, and Porfilio Paez the village leader at the Bribri village of Bajo Coen who could serve as the translator from Bribri to Spanish. John also obtained from a ministry supporter, Joe Raines, the guarantee of the price of a helicopter ride one way to bring supplies and the team from Bribri to Alto Uren. I assembled some medical supplies from Jacksonville and some from the stocks at the church in Bribri, and John and his colleagues in Bribri assembled some ventilation pipes and shovels for constructing better latrines. Weather delays kept us from taking off until around noon on February 7th, but the miracles of modern helicopter transportation had us in the village 10 minutes later. By 2 PM the clinic was up and operating at the local school.
 
The “school” consisted of three buildings in a cleared area on a mountaintop. One of the buildings had a large classroom with a small cooking area. We used the cooking area for the clinic and pharmacy and the classroom as the waiting room. For the first time we had chairs in our waiting room.
 
The village was spread out across what were probably several square miles of sparsely populated mountain jungle. We asked the local residents how many people lived there and their estimate was about seventy. Their primary language was Bribri. Many of the younger men and older children spoke Spanish, but we frequently needed Porfilio to translate into Spanish, and Mike or John to translate to English for me. Essentially universal needs were for treatment of intestinal parasites, lice, vitamins, and pain medicines (ibuprofen and Tylenol). We were also able to give everyone toothbrushes and toothpaste which were nicely packaged with salvation bracelets. Over the course of the first afternoon and the next day we saw twenty-four adults and seventeen children.
 
I had the opportunity to ask the schoolteacher how they usually obtained their medical care. He told me that a government helicopter would come about once a year and see if anybody was sick that day. To have their children vaccinated the parents would walk the jungle mountain path to the village of Amubri, a 7 hour trek each way. To have the births of their children registered so that they would be citizens took another day travel to the town of Bribri.
 
While Mike and I were seeing patients in the clinic, John and Eric were traveling around the area visiting the sites of latrines and water sources. Shovels, ventilation shafts, and instructions were given for the latrine construction. The water source springs were studied for possible future solutions on accessibility.
 
At sunset on the first day Mike cooked dinner for us and two children, little Jeanette at about age 10 and her little brother, plus about four adults that seemed to be hanging around the neighborhood. The next morning there were a few more, the next afternoon there were a few more, the next evening there were a few more, and by the following morning Mike cooked six dozen eggs plus whatever else we had that was edible because pretty much the whole village turned up for breakfast.
 
At sunset on the second day a few of the men of the village gathered at the school and Eric gave a short presentation of the Gospel message. Everybody stayed for dinner. Little Jeanette came back and brought two little varnished pod-like gifts for all the mission team members. I’m not sure what they are good for, possibly just as noise makers.
 
 The following morning, we started walking home right after breakfast. Just before we left, little Jeanette showed up again with gifts. She gave each of us a gourd with a hole cut in the top -- the kind of thing that might be used as a drink container. We walked for nine or ten hours, until I couldn’t really walk anymore. I hadn’t even walked as far as a Bribri parent might walk to have his child vaccinated, and I wasn’t carrying a child. Nearing sunset and just before we got to Amubri, God sent a man in a truck that took our packs and us to the Rio Sixaola. It was well after dark when we caught a canoe ferry that took us across the river to a place where a truck from the church could come pick us up. I laid down between the rocks next to the river, and told John I wasn’t ever going back, and as a matter of fact, I wasn’t sure that I would ever be walking anywhere ever again. By 8:30 PM we arrived at the church in Bribri, more tired and dirty and hurting than I can ever remember.
 
I have had a vision of what I call “The Kingdom Come.” There are lots of parts to it, and the whole story is way too long to share here, but one part of the vision is pertinent. I envision a world where the economy is entirely gift based. There is no money. People get up and go to work each day to do what God has gifted them to do. They take joy in it because they were created to do it, and it all fills a need for the Kingdom. Everybody’s personal needs are met because people fulfill those needs doing what God calls them to do. We have a house because people are called to build it, we have a car because people are called to design it and build it and deliver it to us, we have food because people enjoy growing it, sharing it, packaging it and delivering it. And furthermore, I don’t believe there will be any cheap stuff, because what God has called us to do and what we do in joy will be nothing but the best.
 
So, when I look back on the trip to Alto Uren, I think of gifts. I think of the ventilation shafts, the shovels, vitamin pills for children, toothbrushes, and six-dozen eggs. I think of the Gospel message shared, and the gifts received -- two little polished seed pods and a gourd. I think of Joe Raines donating the helicopter ride in, because we couldn’t have made this trip without that ride. And I think of the walk out that made the helicopter ride in seem so precious.
 
I remember John’s college friend who asked for help with math and received math tutoring, and eternal life, and now he spreads the message of salvation. I like the story because I can see the end of it. I like the story of Alto Uren because I can see the beginning of it. I am wondering now what seeds of life are sowed by the gifts exchanged in Alto Uren.
 
I know I laid on that riverbank in the dark and told John I wasn’t going back. But now I look at two little polished seed pods and a gourd with a hole in it sitting on a bookshelf in my office. And every day I think of ways that a helicopter could be made available to the missionaries and Indians of Central America. And most days now I do a little running, a little weight lifting, a little biking, because I know that in the economy of “the Kingdom Come” I still owe a second mile walk to Alto Uren.
 
Dean C. Lohse
Jacksonville, Florida
March 4, 2006
 
If you would like more information about ministry in the Talamanca region of Costa Rica, or would like to contribute to providing medical care, evangelism, or a helicopter to missionaries in Central America, here are some contacts:
 
John Whited
AguaViva Ministries
71 Byrd Road
Mebane, NC 27302
john@aguavivministries.com
www.aguavivaministries.com

 
Tom Kennedy
costaken@racsa.co.cr
 
David Jones
River of God
4096 FM 2966
Quitman, TX 75783
dljones@racsa.co.cr


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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