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Update 21st March 2006
 
The Lord is blessing and leading us as we continue our work in Gaua. After Jeff left in early Febuary we settled into a steady routine of seeing many patients. Before I had started breakfast every day, patients would start arriving six days a week at our Bungalow with a large variety of problems, some serious but others not serious at all. Many here have teeth that need extraction. I would be seeing patients all morning and frequently every afternoon also. This workload is not what I need or desire but I realized that there would be a lot of people to deal with for a few weeks as the inhabitants of Gaua have never had a resident physician (especially one who pulls teeth) at any time in their history. But we were hoping it would slow down.
 
Government Clinic in Trouble
Also I became a little concerned when I visited the local government health center on two occasions and was told that only one or two patients were now going to this clinic at the top of the island, when previously it had been quite busy. It was obvious that everyone was now coming to see me instead. I immediately set out to communicate with leaders around the island that villagers should be informed that they should continue visiting their clinic as I had too many patients coming to me. Since then numbers have dropped a little but many continue to come to see me.
 
Trip Around Gaua
In the second week of March, according to plans laid with "Minister Philip"-the local SDA lay minister, we set out in the Banana Boat around the entire island. Philip brought with him a band of young singing men to support him, and I packed a versatile medical kit- while Philip brought a small generator, a TV and DVD player donated to him for this work, and also some SDA musical videos- from various parts of the Pacific, which were destined to create interest wherever we went. Anything digital is fascinating to these people, and music is something they can listen and watch over and over.
 
Whole Village Turns Up
We began in Durig, the small remote village which we visited with Jeff. In spite of its remoteness, it has 3 families of baptized SDAs. This village is very receptive to us. Again many sick people turned out for medical and dental attention. After spending the whole day seeing patients, I sat to watch the musical videos and the entire village bar none were present to see it also. Half way through, as announced on our arrival, Philip then preached a lively message from the Bible and sang songs with his team of singers. Hearts were convicted and touched, and he closed with prayer. The musical video was watched again till late at night. And thus it went from day to day as we began to visit the villages around the island.
 
Rough Waters
The next morning we set off in rough waters, and the seas began to cause some concern. Our path forced us to take a difficult direction with respect to the waves, which were coming from behind and to the left side of us, sometimes threatening to tip our boat over. But the Lord saw us through, and just as we were able to leave the rough water by slipping into a shallow lagoon which was protected from the bigger waves by the reef, we passed a ship heading to where we had come from. Ships are very uncommon around this aread, and the small ship was being very roughly tossed around by the waves. Later we saw the ship had turned as it had been unable to reach the place we had just come from, and had decided rather to circumnavigate the whole island to avoid this rough patch of ocean, which the locals call the "Big Sea" (meaning big waves!). After pulling up onto the sandy beach of Biam, we found another community who were awed to have us visit. Visitors are almost unheard of in this place. Again we saw patients, and showed videos, and every time Philip made attempts to reach hearts in a very pleasant and winsome way. He certainly has a gift with breaking down barriers, and he understands the culture and language well enough to do this.
 
Doctor-Minister Combination
This combination of local minister working with missionary doctor is a very good plan-the Lord's plan. The Lord blessed us so much in working together this way. My medical work was dealing with very real and physical needs. Then the opporunity to watch a musical video supplied a perfect excuse for a social gathering, and this provided the perfect situation for Philip share on spiritual matters and preach the gospel. Many of Philip's messages were concerning the Sabbath and salvation issues, and it was evident everywhere we went that we were breaking up the ground for God. With every step this tour was turning into a historic moment in the spreading of the gospel and the three angel's messages in this island.
 
Our next village was Koro, the third remote village on the South of Gaua. Many in this island had deformities-probably due to the inbreeding that tends to occur in these remote areas. Again barriers broke down and many people came for treatments. Like other villages, this village was called together-this time by the blowing of a large shell trumpet which echoed through the forest. The chiefs then held announcements that minister Philip would show videos and deliver a sermon. It seemed that every time he spoke, he spoke with more clarity, persuasiveness and power than before. We spent the night here and got badly attacked by mosquitos. Our home was one of the chief's homes, which he used little and although it looked nicer than many island huts, it was moldy inside and had a strong smell of decomposing vegetation. But we saw many sick who were so appreciative of our help and seemed to win the hearts of these dear people.
 
On To West Gaua
Next morning we set out accross the water, heading west around the south-west tip of Gaua, and heeded up the first of 3 remote villages on the west coast. The water now became very smooth, as the winds prevail from the east, thus leaving the west quiet-almost unlike an ocean! We were told that typically the west coast has small waves and smooth seas, as we saw it. This time it was like a pond. There are mighty cliffs and impenetrable forests, and a variety of beaches and rocky coastline. Most of the villages are perched on 100 foot cliffs above the water and provide beautiful views of the water and wonderful sunsets. The name of the first village is Tulap. In 2001 the New Zealand government provided a very adequate medical clinic building in this village, but the first health worker, a nurse, committed adultery and his life was threatened, so he left within a short time after he arrived. Since then, noone has come to replace him. Again we set up clinic (the local chief decided to break into the clinic and let us in because the person with the key was on the other side of the island). I saw a lot of patients here, and as usual, pulled many teeth.
 
The following day we arrived in Ontar, the most receptive village on this tour. We spent two nights with these exceptionally kind and open people, and the messages Philip preached, stirred up hearts and we believe will surely bring forth fruit-perhaps soon. At this stage of the tour, I was already exhausted, and the workload was still heavily upon me. Sleeping in moldy village huts on hard dirty floors covered with insect infested mats didnt seem to help. More than one day was given to seeing patients, but I developed a fever and found it difficult to continue seeing patients, so I was glad to finish the last case, a man with a strange sinus passage that had formed in one of his toes. I excised and drained and bandaged his foot. Again Philip preached, and the people served up their best laplap-some of the best I have ever tasted. But I couldnt each much, as I felt a little nauseous. Philip experienced some ill effects from one of the fish he was served. It caused a strange hypersensitivity to water--touching salt water made his skin tingle as if touching nettles.
 
Making History
On this tour we were increasingly aware that we were making history for this island, because all of these very remote places have been dominated by only one form of Christianity-a hybrid of Anglicanism and paganism-with local bamboo churches controlled by a local village chief. The Anglican church appears to give little or no support at all to these people, and they often are not visited in literally years. But as Minister Philip presented the Sabbath to these villages, the concept of a religion based on the Bible came to them as a new and strange thing. Some were receptive and rejoiced, but the news of our arrival was at times presented negatively to the next village.
 
Zaccheus
This was especially the case at the last village we visited. During announcements to the village after we had arrived, the village chief-a man of very small stature-this time emphasized that they while he appreciated the medical help we were able to provide, the religious part was only to be musical videos. It was painfully obvious that he had decided that he didnt want Philip to preach on his territory. But the little chief, who in my mind, I refer to as "Zaccheus", was the first of my patients- and the Lord had different plans. He had 3 broken teeth to pull and he blood pressure was dangerously high-210/110! I didnt waste the opportunity to tell him to avoid meats and especially pig meat, as well as other high sodium foods, and told him I would take his pressure again just before we were to leave, as sometimes the stress of visiting a doctor can make a patient's BP go up. The pain in his tooth, together with the shocking news about his blood pressure, seemed to humble him. After pulling teeth, draining abscesses, and seeing many malaria and other cases, we decided to pack up and go. The video was stopped, and I told Zaccheus we needed to run a small class for hydrotherapy and massage to teach people how to deal with muscle aches and strains. Many, many people here, including women, constantly suffer from back pain from carrying huge weights of copra. As my voice was now very hoarse I asked Philip and the other singers to teach the class, which he took to very well, after observing only one class previously, which I had given in the previous village. To Zaccheus' dismay, the class turned into a sermon to the entire community, because everything about hydrotherapy and massage can be turned into a spiritual lesson. So at every opporunity I spoke up to give linking thoughts to Philip, that would enable him to bring in spiritual lessons. At the end, the singing group got up to sing SDA hymns arcapella, and closed with a prayer which touched hearts. It was as if the evangelist had been denied to preach, and yet the spirit spoke more through that prayer than a sermon could ever have done. Every voice was hushed to hear the prayer of God's servant as he prayed for God's special blessing on these people and the Spirit of God was manifestly present. After packing up, we went down to the beach were the boat was tied, where I had opportunity to take Zaccheus' blood pressure again. It remained dangerously high, and he was obviously distressed about it, so after exorting him on lifestyle aspects, which I believed were the key to his recovery, I gave him some medication as I felt he needed a little help to get through this crisis. When we left he seemed awe-struck, and humbled, as if God had taken everything into His own hands, and overruled on this day. We apologized that our visit was so short, and assured him that we would return to his village again. Who knows what that visit will be like?!
 
Stormy Weather
As we finally made our way up to the north-west corner of the island, we hit a rainstorm, and as we had a few extra people on board, the boat being cramped for space, I was unable to get my rainy weather gear out. So although I was already chilled, I had to tolerate the brisk breeze (yes it was very cold!) and howling wind as we hit the waves which were coming from in front of us. The salty spray made it difficult to see, and I had to ask Matthew, my strong friend who was with us, to take the helm and guide us to the north east of the island-which he did gladly. All of us began to shake from the chill of spray combined with wind, and were were glad to finally return, at the end of our fifth day, to the church on the north east of the island. From there, we dropped off various people at different stages on the east coast, until only Matthew and I remained as we turned into Kaska bay. Praise God, the tour was a success, and to cap it off, the tide was high enough to bring the boat right up to beach near our home!
 
After our arrival, I developed a fever which grew worse as the days have passed, and I decided to take antimalarials in case I was coming down with malaria. Since then, 5 days later, I have now bounced back to life and health, and I am unsure if it was malaria or not. But I praise God for all that He has done.
 
Future Plans
As we look to the future, we have plans to develop a short correspondence course to train young people as health educators. We have a very simple correspondence course on health currently running, comprising only 12 lessons, produced by one of the conferences in Australia for anyone interested in health. It has brought us in contact with knowledge-hungry young people and has helped us see the great potential for teaching on this knowledge-deprived island. We want to avoid institutionalized education but operate a simple course "out the back of the house"-to save time and simplicity. Those who want to learn come for lessons, complete them at home, then return them for marking. In time we may add actual classes perhaps once a week on pertinent and hands-on aspects of the course. So far, we have every reason to believe the students will accept our efforts to lead them into the Bible in this way.
 
Power Quotes
I claim the following statements for encouragement and direction and can say that we have seen the fruit of following the divine plan which God has outlined for medical ministry:
 
"The message from the spirit of prophecy today to this people is a call for a reorganization of the entire medical missionary work, the key of which is unity..The nurse or physician is no longer to content himself to simply minister to men's physical necessity, but is to perform a double ministry. The minister and missionary worker are to minister alike to soul and body in their need, and thus the entire work is to become one united medical missionary evangelistic work." (LLM p37)
 
"Medical missionary evangelists will be able to do excellent pioneer work. The work of the minister should blend fully with that of the medical missionary evangelist." (7T 111)
 
"The work you have been doing... is meeting Heaven's approval...You have demonstrated that if our physicians and our ministers would work together in the presentation of truth to the people, more can be reached than could be influenced by the ministers laboring alone." (KC 168)
 
Pioneer Work
The plan of doing pioneer work in close connection with evangelists like Philip is very appealing to me. It seems to be a very fruitful way for me to spend my time. I would like to spread my influence over various islands in Torba, working where the people are most needy and most receptive, and following the same divinely inspired principle. Ideally, I would like to work with several ministers around these islands, who would each have plenty to do in the various unentered areas of this province, shepherding the growing flocks under their care, and themselves needing encouragement and help from time to time. In helping with the medical needs of these islands, my work is being used where it is most needed and most appreciated. So far, we have no plans to pay anyone to help us, but are keeping the whole operation as lightweight as possible.
 
Please continue to pray for us.
 
Mark Turnbull
Laymen Ministries Volunteer
Vanuatu Mission of SDAs
 
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