Mike, Lynn, Casey and Shelby Caraway

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July 4, 2008

Dear Family and Friends,

Michael returned home to Mumba yesterday (July 3rd) after over three weeks
away, so it seems to be a good time to give you an update regarding his
mother. 

Three days before Michael's parents and sister were to return to the States,
his mother fell down three steps landing on her face on the cement while we
were visiting in Kapenta, the village where we used to live in the Rukwa
Valley.  To call it a "fall" doesn't do it justice.  It was more like sky
diving without a parachute.  She was unconscious for a while and then was
semiconscious most of the next couple of days.  She was flown out to Nairobi
the next day along with her husband, her daughter Cindy, and Michael.  Lynn
and Shelby stayed back with the missionary friends we were visiting, along
with the four boys who were living with us at the time, Jose, Steven, Luka
and Shazzar.  It was a relief to get her to a hospital in Nairobi, Kenya,
but unfortunately she did not improve as we had hoped.  After almost two
weeks in the hospital there, she was discharged to the guest house where
Michael and her family was staying.  She was alert at times, but not at all
oriented to her surroundings.  Her memory was severely impaired and even
walking was impossible for her without the help of two people.

On Thursday, June 26th, they went to the airport in Nairobi to prepare for
the long trip home.  She needed a wheelchair and they knew it would be
difficult, but the need to get her back to the States to start some type of
rehab seemed imperative.  They checked in, went through Passport Control and
Customs, received their boarding passes and were waiting to board the plane
when a KLM official came to ask the nature of Mom's problem.  They had a
letter from the doctor which was quickly faxed to Amsterdam, but the
response back was that they could not fly that night and needed a certain
form filled out by a doctor before she would be allowed on the airplane.
They took a bus back to the guest house where Michael was staying until he
could get a flight back to Tanzania.  Talk about a roller coaster of
emotions!

The next day Michael took his mother to the hospital to get the necessary
form filled out, and then went to the KLM office to try to get on that
night's flight.  The medical office in Amsterdam OK'ed her to fly, but there
were now no seats on the airplane.  They told Michael he could leave and
they would call him if they could get them on, but he patiently (as only
Michael can) sat there in the office with his Mom sitting there unaware in a
wheelchair he "borrowed" from the hospital.  I got a couple phone messages
from him during that time, one saying "I am fighting the good fight here at
KLM", and another saying "My Mom is showing them what a good passenger she
can be."  After several hours of waiting and the people probably feeling
very sorry for this poor woman in the wheelchair, they finally gave them
three seats on the plane for that night!

The two flights home were difficult for Mom, as she really wasn't aware of
her surroundings at all.  They were met in Chicago by her daughter Sue and
Lynn's Mom who then drove them two hours to Spectrum Hospital in Grand
Rapids, Michigan where she was admitted on Saturday night, June 28th, 19
days after her fall in Tanzania.  We heard from Casey, our daughter who just
returned to America after nine months of studying in Europe, that Grandma
seemed to recognize her, but didn't call her by name.  She did ask Casey how
she had been, but didn't seem at all aware that she hadn't seen her for
almost a year.  Mom has no real memory of being in Africa.

I am writing this on July 4th (Happy Fourth of July to all you Americans!)
and we just received word that she has left the hospital and been admitted
to a sub acute rehab facility.  The doctors are not exactly sure why her
symptoms are continuing as they are.  The final diagnosis in the hospital
was post-traumatic brain injury.  Along with the bleeding around the brain,
she also has diffuse contusions of the brain with frontal lobe dysfunction.
Her memory is impaired, as well as other functions.  There is really nothing
more medically that can be done - God and time are what is needed at this
point.  Pray that she will be able to understand the need for rehab and that
God will give her the desire to get well. 

Mom didn't magically get well just because she reached the United States.
As we live here in a third world country, we begin to think that everything
would be OK if we could just get to America.  We think sometimes things go
wrong here because we are so far away from "civilization".  This has been a
vivid reminder to us that our lives are in God's hands, here in Tanzania as
well as there in America.  God is in control and in that we rest..

Thanks for your prayers for Mom and the family.

With love from Africa,

Mike, Lynn and Shelby (and Casey in America!)