Guatemala Evangelical Missionary Community
Gaspar
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The following emails tell the story:

Update on Gaspar 11/03/06:

 

I spoke with Hector yesterday and he told me that he visited with Gaspar twice in the past week and spoke with him at length about God.  Gaspar has a grown son who lives next door to him who worships MAXIMON, a pagan god here in Guatemala.  He was afraid of what his kids and wife would think.

 

Hector explained that Gaspar was responsible for himself and then his family.  After much discussion Gaspar accepted that Jesus Christ died for him and prayed to receive him as his Savior.  He was very happy as was Hector!

 

As for money for the operation, Gaspar has decided to wait and he was given no money.  He is happy to meet with Don Ives and the medical team in December for further consideration. We will keep you posted.

10/19/06
 
Hi, Jim and Rani!  I hope you're both doing well!
 
I'd like to tell you guys about our Santa Catarina friend Gaspar Gonazalez Nimacachi.  Jim, you probably remember Gaspar from last year; his family was the first family that I began to work for following the storm.  Also, his family was the 8th family to receive one of the new houses you paid for.
 
I've been in Guatemala for a month now, and have made 3-4 brief visits to Santa Catarina so far.  On each of those visits I stopped and visited Gaspar, his wife Rosa, and/or some of their children (and have seen other of their children in Antigua), because I've become good friends with the entire family.
 
Gaspar has been ill this entire time (I'm not sure how long he'd been ill prior to my visits).  His doctor in the Solola national hospital is apparently suggesting he undergo a third stomach operation (the first two took place a few years (or more) ago, I believe).  During my first or second visit with him he asked for a Q200 loan.  He was nearly out of the medicine he needed to inject himself with daily that gives his body more vitamins and strength prior to the operation.  I gave him the money instead of lending the money.  My next visit a week or two later I gave him some more money.  Yesterday I visited the family again and learned his body is too weak for the operation at present, that he would need two liters of blood.  Blood in Guatemala apparently costs Q2,500 per liter, so two liters at Q5,000 is a prohibitive cost for the family.  I asked him why family members couldn't donate the blood (he would need four donors at a half-liter per donor), and the family said that Oscar (the eldest son) offered to donate blood the previous time he had an operation but he was not allowed to donate on account of weighing only 120 pounds.  A person must weigh at least 140 pounds to donate blood, according to the family.  So I asked why other relatives or friends in Santa Catarina couldn't help by donating blood, and the family answered that that's not something people do for free--they would expect to be paid.
 
The family said his blood was weak, with a lot of water in it.  They also said something about his blood level being 90 at present, and that it would need to reach 120 before he could have the operation.  (Are they talking about blood pressure here? or something else?)
 
Jim, I have with me a photocopy of the sheet of paper Gaspar received as a result of his September 27 ultrasound exam ("Ultrasonido Hepatico y Vias Biliares") at the hospital.  (He also has about four X-ray photos from that exam, which I don't have copies of presently.)  The sheet I have gives a description of his illness, which is about 1-2 paragraphs in length.  Following that is the diagnosis, as follows:
 
1.  Colecistitis Cronica Calculosa
2.  Vesicula Biliar Escleroatrofica
 
I'm not able to translate the first diagnosis.  For the second diagnosis I am able to translate only the first word, which is gall bladder.
 
Jim, since you'll be arriving with a team of doctors in less than two months, perhaps one of those doctors could help us out beforehand with Gaspar.  I could type out the 1-2-paragraph-long description of Gaspar's problem so that someone on your end could translate it (and the above diagnosis) for us; or I could seek professional help on this end for a translation of the document.  I could also fax the page I have from Gaspar's Solola doctor along with a copy of the photos from his ultrasound exam.  Armed with this information possibly one of the doctors from your team could take a look at the info. and offer us his/her insights?
 
If no member of your team of doctors is able to review Gaspar's case before coming here, my other thought is what we might be able to do about Gaspar's need for two liters of blood.  Paying nearly $700 for the blood seems like way too much.  Maybe your team of doctors could bring the two liters of blood with them when they fly here, assuming blood can be acquired much more cheaply (or free?) back home?  Or, maybe with the help of four foreigners, i.e., myself, Rani (who'll be arriving soon), and two others in the Lake Atitlan area, we could go to the Solola hospital with Gaspar and see if our blood is compatible with Gaspar's (who has O positive blood) and, if so, donate our blood for Gaspar?  Quite possibly by posting a few notices in Panajachel and another Lake Atitlan tourist town or two to seek volunteers to offer their blood, we could find a few foreign volunteers interested in helping.
 
From yesterday's visit with Gaspar's family it sounds like they'd ideally like to avoid the operation.  They're hoping that with just the right medicine, i.e., something that perhaps one of our U.S. doctors could offer us, and/or with new blood, he could be cured without having to go through another surgery.  His family fears, and perhaps his Solola doctor does too, that he might not survive another operation.
 
That's enough info. for now!  I thank you guys in advance for any ideas/help you're able to offer Gaspar and his family.
 
Best wishes,
 
Brian
 
P.S.  I'm in Nebaj at present, but expect to return to the Lake Atitlan/Antigua areas within two weeks.  Certainly I'll return to Santa Catarina on very short notice, Jim, if your doctors have urgent advice/information for Gaspar.  Also, Gaspar's son Juventino, who lives with them in Santa Catarina, has a cell phone.  That number is 5840-9326.
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10/28/06
 
Hi, Jim and RaniRani, the website your doctor friend offered seems to be for arranging U.S. teams of doctors to pay visits to poor countries.  Since Jim is bringing a team of doctors with him in December, maybe one of Jim's doctors could treat Gaspar's gall bladder disease.  If not, or if waiting another 5-6 weeks until those doctors arrive would risk Gaspar's life (he seems to be entirely bedridden these several weeks that I've been here, with his wife even having to help him with bathroom duties sometimes), then I'm sure Gaspar would opt to have his doctor at the Solola national hospital operate on him.  That's where you and I can play a part, Rani:  in donating blood for him.  He needs four donors, at 1/2 liter per donor.  His blood type is O positive.  I don't know my blood type, nor does my father know (whom I wrote recently).  My father, however, is O positive himself, so that increases the probability that that is my blood type too.  Gaspar's donors must have either O positive or O negative blood types.  Upon looking up blood-type info. in the online encyclopedia Wikipedia (http://en.wikipedia.org/wiki/Blood_type), I found that 45% of Americans have either O positive or O negative blood types.
 
Here at the Nebaj national hospital this week has been a team of doctors from Helps International.  I visited the hospital Monday afternoon to ask if they could help Gaspar.  The doctors and other volunteers were eager to help; unfortunately, since Gaspar would need that blood transfusion first, then a one or two day wait after receiving the blood before operating, combined with the fact that he lives several hours away, just did not leave us with enough time.  This was also because the operation is serious enough that the doctors would want to monitor him for at least a couple days following the operation.  Yesterday was the doctors' last day in town.  It was inspiring, however, that a couple of the translators immediately suggested they and other volunteers could join me in donating blood for Gaspar.
 
Jim, any word from any of your doctors re their ability to perform Gaspar's operation?  And Rani, if Gaspar would prefer to operate ASAP at the Solola hospital, would you be willing to join me in at least attempting to donate blood?  If you and I both have O positive or negative blood, that reduces the number of other donors we would need to two.  At first I had the idea of posting notices in English in the Panajachel area, seeking other foreign visitors to donate blood.  Then I had the idea to look for volunteer donors in my village of Chuatuj.  This was also due to reading on the Wikipedia website that 100% of South American natives have either O positive or O negative blood.  Technically Gaspar is a Central American native, but I'd be willing to bet that Central American natives have very high percentages of O blood type too.  If so, the chances would be much greater that a native Guatemalan would have O blood type than an American or European.  I told Domingo of Chuatuj that if he and any others from Chuatuj were willing to travel to Solola with me we could turn it into a fun trip, riding a boat across Lake Atitlan, etc.  I would pay their expenses for the trip, of course.
 
If Gaspar and others in Chuatuj are not willing to help, I could spread the word around to a couple other of my villages here in search of donors.  Another possibility is a couple friends who will arrive by boat at Puerto San Jose on November 5 to visit me for two weeks.  Maybe they'd be willing to donate their blood.
 
That's where we stand now!  I thank you guys in advance for any ideas and help.
 
Best wishes,
 
Brian
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10/30/06
 
Hi, everybody!  Thanks so very much, Jim, for passing along my message to Don, Cherie, and Hector, in search for help.  I've just traveled from Nebaj to Santa Catarina today to see how Gaspar is doing.  Gaspar left me his son Juventino's cell phone number and I'd tried calling it a few times this week, but it wasn't working.  I also tried calling Matilde this morning, knowing she's been traveling to Santa from Antigua every weekend, but I couldn't get through to her either.
 
Upon arriving in Santa this afternoon I ran into Matilde.  She said she ran into Gaspar yesterday on the street and therefore assumed he was doing better (it had appeared on my previous 3-4 visits these past five weeks that he'd been entirely bedridden all this time).  When visiting Gaspar moments later, he explained he was going out for short walks from time to time purely out of boredom from all his time spent in bed.
 
I told him about my search for blood donors, my attempt to have the Helps International team of doctors in Nebaj this week help him, and my being in communication with Jim and one or more of Jim's doctors.  I told him we would find the blood donors for him, including ASAP if he wishes to have the operation in the Solola national hospital.  I also told him that if he prefers to wait until December, one of Jim's doctors could look at him and even possibly (??) perform the surgery.  A final option I presented him, requiring a wait of an additional month, involves waiting for the return of Helps International on Jan. 14 to a town near Coban.  It sounded like Helps Int'l would be able to perform this surgery--we would simply need to be ready to begin the process (blood donation, surgery, and post-surgery monitoring) first thing when the week begins.
 
Gaspar says he's feeling a little better and does not want to have another surgery, especially in the Solola hospital.  He fears he won't survive it.  Thus, he'd like to wait until Jim's team of doctors arrives in December.  What he's really hoping for is a miracle pill that will make him feel better.  Who knows--perhaps Jim's doctors will have just the pill?
 
I'd given Gaspar Q400 (U.S. $53) earlier this month, and handed him another Q400 today.  This was because I asked if he was still taking the injections of vitamins to fortify his body, which I had previously thought he was self-administering on a daily basis.  Today, however, he noted that a doctor does this for him, on an every-other-day basis, at a cost of Q105 per doctor visit.  Was he stretching the truth a bit here to get me to feel sorry for him and offer money once again?  Who knows?  He didn't ask for money this time; in fact, only once in my three latest visits did he ask for money, and then it was to borrow Q200.  So I'm inclined to believe everything he's telling me.  I note these possible doubts only because a couple of his wife's younger sisters and their mother buttonholed me after my visit with Gaspar and asked for money too, which I didn't give.  When I told them I was helping Gaspar because he could be dying, they hinted that he's doing a lot better now.  There's a lot of jealousy, behind-the-back bad-mouthing, etc. that goes on here in Guatemala, including among family members.  I've seen a lot of it in my village of Xexocom and plenty too among Santa Catarina folks.  Remember, Q800 is at least three weeks' salary around here for those lucky enough to have a salaried job, explaining people's jealousy.
 
Today I questioned Gaspar re his other stomach operation(s).  His first was 12 years ago, at the Xela national hospital.  (He also seemed to indicate that the doctors at the Solola hospital were having trouble locating the exam results from that 12-years-earlier surgery at a different hospital, something they would like to see.)  Two years after that first surgery he was a passenger in a bus accident, causing the artificial tubes from that earlier surgery to come apart, requiring another surgery.  (Or something like that.)
 
Gaspar has in his possession the photographs from his Sept. 27 ultrasound at the Solola national hospital.  Don and Cherie, if either of you or any of the other doctors would like to see these photos before coming to Guatemala, I'm sure Jim, Rani, or I could fax them to the States.  Just let us know.  Furthermore, Gaspar and his wife today mentioned they were thinking now about having another ultrasound done soon to see if improvements could be found.
 
Jim and Rani, Juventino's correct phone number is 5840-9327.  I'll most likely be up in the Nebaj area for most of the next two months organizing stove projects (not reachable by phone but almost always reachable by e-mail).  I will pass through Pana and Santa sometime soon on account of picking up two friends at Puerto San Jose next Sunday.  And surely I'll pass through the area on average every 2-4 weeks.  Otherwise, Jim and Rani, you both (and Hector too) would sure help me a lot if you could monitor Gaspar's situation these next several weeks since you'll be in the area.  Try not to freely hand out cash unless absolutely necessary, on account of my already handing out a lot (by Guatemalan standards), which has caused friction among family members and neighbors, and on account of Gaspar and family possibly trying to reel us in for more money.  But I'll leave that up to you!
 
If the doctors back in the States feel he should have the surgery ASAP, and/or if Gaspar feels worse and wishes this, and blood is needed, please contact me Jim and Rani and I'd be happy to donate (if my blood is compatible).  And possibly either/both of my friends could too.  And, if you guys can't find donors among your SJ1010 friends, I could possibly round up another donor or two in the Nebaj area.
 
Thanks to all of you for your help!!!
 
Best wishes,
 
Brian
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10/31/06
 
Brian,
 
I am so glad that Gaspar is feeling better. Praise the Lord! I would really love a copy of the ultrasound report as well as any past records that Gaspar can get to me. I am not an MD but rather an NP so I will bring the information home with me and confer with a radiologist, GI specialist, etc to find the best course of action. As long is he is feeling better (and since he is apprehensive about another surgery) I would ask that you also contact Helps international and provide the ultrasound results and records to them as well. That way if he needs the surgery they will be able to provide it.
 
God bless your work,
 
Don
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11/01/06
 
Hi, Don!  Thanks so much for your speedy reply!  Re getting a copy of the ultrasound report to you as well as any past records of Gaspar, are you requesting those copies now (by fax?), or not until your arrival in December?  If now by fax, I'm sure that won't be a problem.  I already have a copy of the 1/3-page-long ultrasound report (in Spanish, of course).  I don't have a copy of the photos of that ultrasound yet, but we could certainly photocopy those too.  Re previous records, it sounds like Gaspar's doctor at the Solola national hospital is having trouble herself in securing the records from Gaspar's previous operation(s) 10-12 years earlier at the Xela national hospital.  But I'll get whatever I can for you.  Or if you simply would like to pick up these photocopies when you and your team arrive next month, that's also no problem.  I'll see that photocopies are made of everything Gaspar has and will leave this with Jim while he awaits your arrival.
 
Thank you!
 
Best wishes,
 
Brian
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