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CRC MISSION PROFILE:
Medical Missions in Costa Rica
February 23 - March 5, 2004 Report: Costa Rica
Dean C. Lohse, MD

COSTA RICA MISSION REPORTS
2002 2003 2004 2005 2006 2007

One Prayer, Two Generations, Fighting a War, A Lost Sole, and One Old Man
“For we are God’s workmanship, created in Christ Jesus to do good works, which God has prepared in advance for us to do.”  Ephesians 2:10

One person went to one prayer meeting in Columbia, South Carolina, in 1951. He prayed for the lost people group of the Cabecar tribe in Costa Rica. Also at that prayer meeting was a young couple named Jones. The Joneses had been attending the Columbia Bible School and heard the prayer. They took it home as their own and soon afterward received two visions from God: The Cabecars would be their people, and they would have a large family who would all serve the Lord. In January of 1952 they arrived in Costa Rica, with Mrs. Jones being pregnant with their first child. David, age 34 (pictured above with his two sons), is the youngest of their eight children. He continues to work with the Cabecars, along with two of his brothers, Phillip and Timothy. For eight years he has been hiking into remote villages in the Talamanca Indigenous Reserve for trips ofseveral days to two weeks. He visits people, shares the Gospel, prays for them in their own language (“I don’t remember when I didn’t speak Cabecar.”). For four years he had no Christians to visit; now there are four villages where Christians meet regularly. This was the first time David has visited a village with a medical team.  One prayer.

Also pictured above is Ken Orozco, a native Costa Rican who was driven from his dysfunctional family as a young man to go to school in San Jose. God was good to him and led him to a group of Christians and a faith in the Lord, and love for a young woman named Elena, the daughter of an American missionary couple who had been working in Bambu (just outside Bribri at the edge of the Talamanca Indigenous reserve). Ken has become the leader of the mission to the Bribri tribe, native peoples and refugees in Bambu.  His sister is married to one of David’s brothers. Last year he took a team of builders from his church to go with David to one of his villages to build a shelter at the home that has the church, named “The Grandmother’s House.” This year he sent four members of his congregation to carry supplies, set up camp, cook, and to sing praise:  Nicolay, Sergio, Alexandro, and Arenas. Two generations.

Dr. Urena, known as Mauricia or “Mau” to his many friends, received a vision from God to serve the indigenous peoples of Talamanca six years ago. Despite many opportunities to go elsewhere to work less hours for better pay, he has stayed true to his calling. He is employed by the government and has several responsibilities, including the indigenous tribes. He plans on continuing service to the same area, possibly coordinating medical mission teams into Talamanca. To quote and paraphrase Mau, “This is war. There are lost people and evil spiritual forces, reflecting bad health amongst other evils, over Talamanca.  Good people go in and win a battle, gain ground, and withdraw. This is like Viet Nam. We cannot win unless we coordinate forces and keep the ground we gain. We must all work together.” Mauricio was the moving force behind joining the forces of the Joneses, the Orozcos, AguaViva Ministries (John Whited and myself), and the government medical supplies for the first time. Fighting a war.We gathered at the AguaViva church in Bribri on the morning of Feb. 24th. Supplies were packed and using one vehicle borrowed from the Wycliff Society, and David’s car, we drove to the end of the road at Vesta in the Valle de Estrelle. Then we drove through the river, past the end of the road, up the river bed until it was no longer passable. By a four hour hike later we had arrived at the “Grandmother’s House” at Alto Coen.
 
That night John and I interviewed David about his mission and his hopes for this trip. David told us that the village of Bajo Bley was without any Christians. They were aware of the Gospel since he had shared before with many people, but they remained in bondage to their tribal beliefs and to the power of the shamans who held dark spiritual powers of divination, healing, and casting of curses. They used the power for their own self- gratification and enrichment. The mythology upon which their beliefs rested was with little joy and many burdens. David was cautiously optimistic that the coupling of medical care with the Gospel message, prayer and praise, would start to break down barriers. When I asked if he had a specific goal in mind, he replied,  “Yes. There is one old man. He has heard the Gospel and come very close.”

I asked a follow-up question. “In the U.S. we usually target young people for evangelism efforts, and usually if we are making a major campaign, we target groups instead of individuals. So, why one old man?”

David looked a bit surprised. He said, “If you really believe that people are going to hell if they don’t accept Jesus in this lifetime, then it becomes much more urgent the older they get.”

He also noted that there were other potential benefits of a respected tribal elder gaining faith; it makes it so much easier for anybody else in the village to accept Jesus. Also, more personal and poignant, the man in question had been David’s father’s guide to the Cabecar tribes in the 1950s. David’s family had been a witness to this man for over half a century. Does anybody recall a parable about what a housewife might do to find a lost coin, a shepherd might do to find a lost sheep, or God might do to find a lost soul? One old man.

So the next morning we marched off into the jungle trail, ten missionaries, three paid porters to carry medicines, and lots of prayers from friends, family, and the prayer warriors of CrossRoad Church. It felt like a military campaign. The hike was strenuous, and I was humbled by the loss of a sole of my boot by midmorning, and being able to continue only because Nicolaus gave me his boots while he and his son made due with a lesser boot and sneakers. By midday, David was carrying my pack plus the heavy items from his own pack because I didn’t look like I was going to make it. We camped out by a creek in the jungle and arrived the next morning in the village of Bajo Bley. Good signs were that there were villagers that met us at the river crossing at the Rio Tellire and showed us their hot springs on the way to their village. Bad signs were that the buildings were poorly constructed, the children never smiled, and the first question directed to Dr. Urena was the start of a litany of complaints about why more hadn’t been done for them in the past.

We had the rest of the day to set up camp and set up the clinic, as well as clean up and rest. The following morning our trusty camp crew prepared an unusual breakfast of macaroni shells mixed with a can or two of pork and beans. This immediately brought a few questions to mind. First, that although they had great hearts, where had these boys learned to cook?  Second, when were they going to give us the oatmeal, and with what was it going to be served?

I asked David the name of the old village chief that we were to be in prayer for. He looked around carefully before answering in a whisper, “His name is Rosende. But you will not hear his name spoken out loud in this village.”

“Why not?” I asked. “And why are you whispering?”

“It is a sign of respect to not speak someone’s name aloud here. Everyone here knows my name, but you will probably not hear it spoken. It is a sign of respect.”

So we started praying for Rosende. But not out loud.

By midmorning, after some gathering and discussion by local tribal leaders, the clinic started. Mauricio gave me a short course in Costa Rican medications and served as a terrific resource in diagnosis and treatment of common local skin conditions. He pointed out observations regarding public health matters, like the birth weight of the children, and the timeliness of their vaccinations. He also had some practical recommendations:  everybody had lice, and everybody had parasites. After they had treatment for those ailments we could ask what was wrong with them. By the end of the day we had seen about a hundred people.

The most serious problem was a middle aged man who kept falling down. I examined him and felt he had cervical spondylitic myelopathy -- spinal cord compression from disks and bone spurs in his neck.  Mauricio was called over for consultation. Although he agreed my diagnosis was the most likely if I were examining a patient in Florida, he suggested I remember where I was. Wasn’t it more likely that he had cystercercosis (cyst in the brain that come from the pork tapeworm)? We both agreed that MRI scans would be advisable. All we had to do to get that to happen was to have this poor soul limp the two day hike to the nearest road, take the bus to Bribri where Mauricio would see him, and then arrange for an MRI in San Jose (a five hour bus trip), and then if we were correct, arrange for a Neurosurgery appointment in San Jose, and a place for him to stay before, during and after treatment. The whole process would take months, presuming nothing went wrong and the patient was still alive at the end of the process. Four days later, as we waited for rides back to Bribri at the store at the end of the road, I saw that man come limping up the road, supported by a bamboo staff, to begin the process. I’m not sure I could have the hope and courage to do the same. I wonder if I wouldn’t give up and give in if I were in his shoes.

That evening, David came to the schoolhouse where Mau, John, and I had set up our sleeping quarters. He talked about his vision and quest for the Cabecar people.  He spoke of discouragement and hard work. He talked about fears that he had about the very real power of curses from local shaman. Shaman curses seem odd to the North American experience, and it is a quick and inaccurate reflex to dismiss such things as local superstition. But David was reminding me, in the same way that Mauricio had reminded me in the morning, that we were not in Florida. The spiritual rules had changed as well. We prayed for David and he prayed for us. Later we sang praises and prayed with the whole group in at least three languages.

The following morning brought a meeting of the town elders, preceding the clinic at the schoolhouse. Mauricio laid out a vision of improved communication and medical care, and ease in registering their children as citizens in the far off town of Bribri. But it would require community effort to build a clinic, care for medicines, care for a radio, and working with David. John held out the possibility of a missionary helicopter visitation, and the construction of a local bridge for foot traffic. There was much discussion, part of which involved infighting over the best location of a bridge and placement of the radio and clinic. Since the local shaman was there, I suspect that an unspoken part of the controversy was about accepting the missionary, David, to be a messenger and an official part of village life. Mauricio concluded his presentation by telling everyone that they would be treated to the best of our medical abilities and resources, but also that prayer was available to all, and they were also welcome to join us for prayers and praise in the evening.

That evening we had the added entertainment of processing a live pig to barbecue. Nothing like praise songs and prayer in three languages covered with the smell of slowly roasting pork. Although no one joined us to sing and pray, young men hung around during the day and David was able to share the God’s Plan of Salvation with them. 

The following morning was Sunday. We held a short clinic for everyone who still wished to be seen or needed follow-up injections or exams. The day was rainy and cool. In the early afternoon I decided to prayer walk the village. Almost immediately I came upon David praying for Rosende.  David has wonderfully elaborate prayers. He prays for physical healing, peace, and prosperity, but mostly he prays for salvation through Jesus Christ and the lifting of bondage. He prays in English, Spanish, and Cabecar so that those of us on Earth can understand what he requests in Jesus’ name. Rosende soaked in the prayers, but did not himself pray for salvation on that day.

The rest of the day was spent creating a storage place for medicines to be left behind, and beginning to pack up our stuff for the walk home. And, of course, barbecue pork for all three meals. The following day was packing up and heading back down the trail to “The Grandma’s House.” The walk out was easier than the walk in because we were carrying less and we hired three local young people to help carry out stuff. We had an uneventful trip to Vesta, and caught rides back to Bribri, where we showered, slept, and licked our wounds. The following day, John and I made a visit to Timeteo’s home. Timeteo is a faithful member of the church in Bribri, and lives on the edge of the Talamanca Reserve a few miles out of town.  He had not been coming to church due to a skin condition. We shared prayers and medicines. We proceeded directly to David’s house where we met with him and his wife Lucinda, and his two sons. Lucinda makes a great chocolate cake. David shared his hopes for the ministry with the Cabecar tribe, the sacred trust that his family received for ministry to the Cabecars, and his gratefulness to God that He continued to provide for their every need.

The rest of the story is the story of a trip home, except for one odd detail. As John and Daisy dropped me off at the airport, at that very moment and place on the curb appeared Anna, the missionary from “Mamre los Palmes” on the Rio Serapiqui. Those of you who read my letter from the last mission trip will remember my description of Anna in perhaps less than flattering terms, and more importantly my recognition that she is God’s chosen instrument of salvation to the people along the Serapiqui. I took the opportunity to apologize in person, and she took the opportunity to forgive in person, and we shared the next two hours the news of God’s grace in our lives, and the missions he had laid out for us.

In the end, I look back on this trip with great humility. I was physically in need of assistance from my indigenous brothers to get to Bajo Bley and back. I was medically subservient to the skills, knowledge and vision of Dr. Urena. I was handicapped by language and cultural skills in my ability to share the Gospel -- a role taken by David Jones. So in the end, what was it that I was there to do?

One evening in Bajo Bley, I told Mauricio how much I appreciated his knowledge and skill, his teaching, his great heart and his great vision for health care of poor people of the Talamanca. He explained his calling to me, and then he said, “But I would not have come here if you had not come. It is hard enough to practice medicine where you know the language and the common illnesses, but you have made a great effort to come and do a difficult thing. I don’t think I would have come if you had not come this time and your other trips.”

So there it is: We are all God’s workmanship. I started in missions as an evangelist, I continued as a physician, but my value was as an encourager. Anna is uniquely made for the Serapiqui mission, John carries skills in construction, outdoors, and Spanish, Mauricio carries a vision and skill for better health of God’s lost peoples in Talamanca, and David is uniquely made for witnessing to the Cabecar tribe. And you, too. You are God’s workmanship, you are created in Christ Jesus to do good works that He has prepared in advance for you to do. God bless you, and you will find great joy in your mission.


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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