Wednesday, February 3, 2010

We all have a part to play in Haiti's Restoration. What is Yours?

Haiti is an amazing country with amazing people, and they have changed my heart. Thank you for taking the time to read this blog. Our team leader, Dr. Joel Hurt, summed up my (and my teammates') heart in reflecting this trip that was beautifully orchestrated by Jesus:

"What you should all know is this. First of all, that this was not the doctors’ or nurses’ mission. It was OUR mission (meaning everyone who contributed both there and stateside). Countless hours of effort by some many people working in parallel were critical to allow the medical team to actually do anything. You all were an essential part of this. Second, we thank God for His obvious and plentiful provision for there were so many things we cannot explain in simply human terms. I am changed by this trip, as are all of us who went. In the end, it was us that received blessing. Thanks to you all and glory to Jesus…He is good." - Joel Hurt

If you have any questions about our trip or details, feel free to email me! sarenagreen@gmail.com.

One thing has been made abundantly clear to me, and that is Jesus keeps reminding me to tell Haiti's story. I have been overwhelmed by your responses, emails, financial donations to Hill Country & Mission of Hope, and hearts to hear these stories. From people I do know to people I don't know, I am humbled...and I all I can say is that Jesus is clearly moving His people. What beautiful proof that we are all working together, for the beautiful redemption of this country, through His love and strength. So, as long as there is an ear to listen, I will continue to tell their story, praying it inspires people to get involved. After all we are responsible for what we see, and we are called to love our neighbors as ourselves.

I have a beautiful hunch this journey is just beginning, and I am thankful to be experiencing it with you. :) We all have a part to play in this redemptive Love story, for the beautiful people of Haiti. He makes all things new.

For we are His workmanship, created in Christ Jesus for good works, which God prepared beforehand so that we would walk in them. Ephesians 2:10

So you too, when you do all the things which are commanded you, say, 'We are unworthy slaves; we have done only that which we ought to have done.' Luke 17:10

And He who sits on the throne said, "Behold, I am making all things new " And He said, "Write, for these words are faithful and true." Revelation 21:5

Currently Playing: "Joy to the World" -Sojourn

Helpful Links

Hill Country Bible Church's link (the Church we went to Haiti through):


Mission of Hope for Haiti (the Orphanage where our team stayed and worked):


Help Haiti TShirts (Aaron Ivey, our worship leader at Austin Stone, has started this. 100% of donations go to supporting 3 orphanages in Haiti)


After experiencing these organizations, I put full trust and confidence in how they use all of their donations. It was humbling to work with these amazing organizations that have such loving hearts for the dear people of Haiti.

Tuesday, February 2, 2010

1/28/10

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Thursday 1/28/10: Your courage asks me what I am afraid of, and what I know of God.

I rose at 0600 with a heavy heart, knowing it was my final day in this country that has changed my heart. I love these people, I love their hope, I love their faith in Jesus. They have blessed me so well.

We relieved our night shift at the post-op ward by 0730 and began morning medications and rounds. The surgeons had slowed down the number of operations knowing they'd be losing half of their team today. The other half would remain until Saturday (when a new fresh team of Dr's/RN's would arrive from Austin). Our plan for the patients in the post-op ward was to either transfer them to a different hospital, naval ship, or discharge them home (if they were stable enough) to their families. One of my favorite patients, a 78 year old woman, had suffered a left tibia/fibula fracture. When she'd been admitted on Tuesday, the doctors had recommended she have her leg amputated. She'd refused. They did their best to salvage the leg by placing an external fixation on her leg and dressing her leg with sterile gauze and ace bandages. When they came to re-dress her leg bandage on Thursday, her leg had progressively gotten worse. The open wounds on her left leg were so severe, it broke my heart. I could feel my nose grow pink, because I knew what this meant. The surgeons (through a translator) communicated she needed to have her leg amputated in order to survive at this point. If she refused, she would most likely die of infection from her leg. Despite the facts, she refused. She stated she was okay with dying. She was at peace. My heart so badly wanted to convince her just a little more, to have it amputated. However, I knew it was her decision. From her point of view, I realized she had lived a long life of 78 years and had loving children who never left her side. She did not want to be a burden. Her children (in their 20-30's), came and loaded her in the bed of a truck, and they made their way home. Tears streamed down my face as I waved from the post-op ward doors. She kept repeating, "Bless you, bless you", with a peaceful smile on her face as the truck pulled away.

We moved and transported six patients within a matter of hours to different hospitals (Mercy Ships, Naval Ships, U of Miami Hospital)...so we were busy :) Every time they were loaded in the ambulance I followed them to the car. I could feel tears swell up with each departure. I loved them so much. From Frantz (18 year old medical student with a fractured right tib/fib), to Johanna (16 year old crushed legs), I loved them all. I hated to see them go, but I knew they were in good hands.

Dani was still on the ward, and was in the process of being discharged. She called me over, "Sarena Sarena." I came (with a translator), and tears began rolling down her cheeks as she stated she was scared since she had nowhere to go. She had no idea where her Mother was, and had lost contact with her Father. She begged Lindsey, Jenny, and I to take her to America. What do you say? We just hugged her, and prayed out loud, that God would provide a loving earthly family for His daughter.

Two hours later (still on the ward), as I was discharging more patients, God moved mountains. Who walked through the ward doors, but Dani's Father. Dani saw him and instantly became ecstatic. She screamed "Sarena Sarena! C'est mon pere C'est mon pere! (It's my Dad it's my Dad!)". I instantly dropped what I was doing, ran over, and just hugged him (I think he was a little startled ;) ). She had presumed he was dead, since she hadn't seen him since the earthquake. Can you imagine? To catch wind of where his daughter was, without a cell phone, without a car, and to make his way 30 minutes outside of PauP to see if she was truly at this hospital, was nothing short of a miracle. God answers prayer. So Dani was discharged within the hour, to her sweet Father who fought all of the odds, to find his daughter. What a beautiful reflection of Jesus stopping at nothing to find His children; to go after the one sheep that has been separated from the herd.

What a redeemer.
I’ll find a way to get you here
If it takes my fleeting breath
Another sunrise hits the ground
And it’s a dark lonely sight
Lightyears away I hope you know
There is somebody searching
For the way to get you here
I will get you here
- "Amos Story" by Aaron Ivey
(worship leader at our Church who wrote this song about his son Amos, who was adopted from Haiti)

Then Jesus told them this parable: "Suppose one of you has a hundred sheep and loses one of them. Does he not leave the ninety-nine in the open country and go after the lost sheep until he finds it? And when he finds it, he joyfully puts it on his shoulders and goes home. Then he calls his friends and neighbors together and says, 'Rejoice with me; I have found my lost sheep.'
-Luke 15:3-6


Currently Playing: "I saw what I saw" - Sara Groves

Monday, February 1, 2010

1/27/10

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Wednesday 1/27/10: Lift up your Voice and with us Sing.

It was amazing how we woke up, with no alarm clock, just when we needed. God is good. The sunlight was our alarm :) As the days before, we were dressed and ready to relieve our night shift nurses by 0730. For the first time really since we'd arrived, Lindsey, Jenny, and I had the chance to work together in the post-op ward. Naturally, we were excited to work together. We made our morning rounds with our seven patients on the post-op ward. It's amazing how attached you grow to your patients, even within a matter of days. I loved them all, so dearly. For the first time, things had somewhat slowed down. We had a chance to foster our relationships with our sweet patients: love them, laugh with them (mainly at my broken French...which they so graciously helped me translate into Creole), and shed tears with them. Jenny soon left our ward to be a part of the triage team out in the villages (She's a pretty amazing ER nurse :)... so naturally right up her alley).

One of our sweet patients, who was 67 years old, had suffered a right leg (tibia/fibula) fracture. Her sweet daughter and son-in-law, never left her side: they spent the night by her bedside. In the AM they had some more family members bring them fresh clothes/food. While Lindsey and I were finishing with administering IV antibiotics, this woman's sweet family called us to her bedside, "Sarena...Lindsey...come!". We came over, and they graciously gave us some of their food: freshly fried fish brought to them by their family that morning. My nose rapidly turned pink, as my eyes filled with tears. To think, someone with so little, giving you their food. Lindsey and I were speechless, and humbled. Such a beautiful testament to the love and sense of community Haitians treasure so well.

The day picked up, as we moved patients in/moved patients out. Jenny came back by late afternoon, so we all three were in the ward. Towards sundown, once again we prayed for night relief. He graciously provided. As we waited for our relief to make it to the ward (around 10:00pm), we were radio-ed that another patient was going to be transferred from the PACU to the post-op ward.

Her name was Dani (short for Danishelle). She was 16 years old, and had suffered a left arm amputation. Later she told us she had to partially cut her own arm, to make it out of the rubble alive. She had been transferred to the general hospital of Haiti where they performed her amputation, but she was later transferred to us because her amputation was infected. Our surgeons did an amazing job, by cleansing, disinfecting, and re-dressing where her arm had been amputated. She was brought in on the stretcher, and we quickly (with the paramedics' help), transferred her to a fresh bed. I grabbed her some water, as she repeated "J'ai soif (I'm thirsty)". The second phrase out of her mouth was, "I want to know Jesus Christ." (we had a 15 year old boy who lived at the orphanage serving as our translator). In that moment, Lindsey, Jenny, and I all locked eyes. This is the entire reason of why we are here. We immediately gathered around and knelt at her bedside. Lindsey led in prayer, as we laid our hands on her (the 15 year old translated our prayer to her). My heart broke as tears streamed down her face. We prayed that Jesus would rescue her, that He is wooing her, He is her redeemer, and prayed His Holy Spirit would reside in her. We prayed for her healing, to know she is beautiful, to know that she is loved and Jesus is with her always, He has called her by name. With that she responded that she had lost contact with her Mother after the earthquake, and she hadn't even seen her Father since the earthquake. She presumed he was dead. Tears began streaming down all three of our faces. We kept praying. As we concluded, the 15 year old boy broke out into a Creole worship song. Dani began worshipping with him, and slowly, every other single patient on the ward (including their family), began singing in unison. With this, my tears became sobs. It was the most beautiful music I had ever heard in my life. Next, he led us all in, "Hungry I am Falling On my Knees"...which they all had apparently learned in English. As he did, we all, by God's beauty and grace, worshipped Jesus in unison, in one language. It was a moment so powerful, I pray I will always recount His powerful presence in that moment. As we sobbed, sweet Dani would alternate wiping Lindsey and my tears from our faces. I couldn't believe this 16 year old, who'd lost her arm and had no idea where her parents were, was comforting us.

It was a beautiful, broken, and redeeming night orchestrated by Jesus. He is mighty to save.
But because of his great love for us, God, who is rich in mercy, made us alive with Christ even when we were dead in transgressions—it is by grace you have been saved.
- Ephesians 2:4

But now, this is what the LORD says— he who created you, O Jacob, he who formed you, O Israel: "Fear not, for I have redeemed you; I have summoned you by name; you are mine.
-Isaiah 43:1


Currently Playing: "All Creatures of our God and King" - Patty Griffin

1/26/10

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Tuesday 1/26/10: Even in the storm, be Glorified.

I have never slept so well. That's the beauty of being so physically exhausted by the end of the day...your sleep is sweet :). We were up and moving at 0630, and at the clinic by 0730. Since word had spread we had a full surgical team from the day before, our patient load had dramatically increased. The surgeons did a phenomenal job with managing the myriad of procedures they took on.

One of the beautiful ladies who'd had an amputation from the night before, was showing multiple signs of weakening. She had labored breathing, was not oriented, and was severely anemic. We attempted to transport her to the general hospital in Haiti via our paramedic team. She coded once on the way was resuscitated, but coded again once arriving to the hospital and did not recover. When I heard, my (and I know others) heart was devastated.

I spent most all day working in the PACU (recovery from anesthesia, post-op). One patient in particular gripped my heart. She was 18 years old, and had a 1 1/2 year old sweet baby girl. I cared for the sweet baby girl, while her Mom recovered from anesthesia. While the patient was still coming off of her anesthesia (somewhat loopy), she began saying she was not going to survive (in Creole). While in her bed, she began grabbing my arm and telling the translator through her tears, for me to take her baby. I grabbed her and kept reminding her she was going to survive, and she would be taking her baby home once she was better. I fought back tears as I kept holding her arms and repeating this. It was such an intense moment, and finally she grew calm and rested. She had suffered a dislocated shoulder and had several abscesses drained. Several hours later, once she was alert and oriented, we fed her, I clothed her sweet baby girl, and she was on her way. Before she left she grabbed my arm and said, "Thank you (in English). Je t'aime (I love you)." They bless me so much more than I bless them.

I ended my 16 hour shift in the post-op ward. It was the perfect way to end a somewhat hectic morning. The patients in the ward were recovering from surgery, and needed to stay overnight for monitoring. Outside of the ward, I began hearing worship that was coming from a church on the MOH compound. The songs echoed through the ward, and in that moment I remembered, "This is all about Jesus. His Kingdom. His people. His redemption. Praise Him that He uses us."


Currently Playing: "You are the Moon" - The Hush Sound

1/25/10

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Monday 1/25/10: How He loves us.

We awoke at 0630, and quickly began preparing for the day. We stayed at Brad & Vanessa Johnson's home on the MOH compound (slept on the floor and some outside in tents). Along with our team, there were about 30-40 other medical professionals staying on the compound. I stuffed my backpack with power bars and other things I figured I'd need through the day. After a quick breakfast at the compound's cafeteria, we made our trek down the hill to the clinic building. Patients had already begun lining up outside of the hospital. We took our places within the clinic, and opened at 0730. Simply put, it was organized chaos :). We had a triage team that assessed the patients' needs outside, and from there were either sent straight to the OR (broken limbs were easy to spot) or the ER/ICU (dehydration, fevers, pregnant mothers in labor). I was thankful that Lindsey, Jenny, and I knew which each other's strengths were, so we worked as team so well. We started IV's, gave IV medications, monitored vital signs, along with the ER and internal medicine doctors. I absolutely loved working with all of our doctors. It was a physically exhausting day not only because we worked 18-19 hours, but also because we were attempting to organize how the flow of our hospital ran...as well as knowing where certain supplies were stored.

We had patients with multiple leg and arm fractures. I was simply blown away with the pain tolerance of our patients. They were so thankful for any medical care they received, and they hardly ever complained of any pain. My heart was overwhelmed by their strength and their faith in Jesus.

As the sun was setting and the patient flow began dwindling, we thought we were pretty much finished with surgeries for the day. We were wrong. Two women in wheel chairs, rolled through the clinic gate. Both had received leg amputations at the General Hospital in Port-au-Prince, and now both needed revisions due to infections. I felt my nose grow pink and my eyes fill with tears, as I saw them being wheeled in. I could not imagine the trauma they had endured within the previous week. They were quickly taken to the OR, where the surgeon team began both revisions. As the surgeons were in the middle of their surgeries, both women (very heavily sedated and on pain medications...so they did not feel a thing), broke out into praise in worship. The surgeons later told us they fought back tears. To think while these women were having their leg amputations revised/cleaned, were praising Jesus. In the midst of unspeakable pain, He gave them joy and loved them with His everlasting love.

Once they were brought to the recovery room, myself, Lindsey, and Jenny did our best to manage their pain with medication, as well as the other 14 patients who were staying overnight on our post-op ward. We prayed for night shift relief, so we could get some sleep, and God so graciously answered. Two other nurses from other medical teams also staying on MOH, volunteered to work 5-6 hours in the night, so we could get our rest and be ready for Tuesday. Jesus was so quick in answering prayers during this trip, and that was just one example of His beautiful timing.

We gave shift report to the night shift, and Jenny, Lindsey, and I made our way up to Brad & Vanessa's house (about a two mile walk) around midnight. Our bodies were physically exhausted, but our hearts were full. It was a beautiful exhaustion, to be used by Him.

Currently Playing: "How He loves us" -David Crowder Band

1/24/10 (3)

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1/24/10 (2)

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Sunday 1/24/10 (1)

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Sunday, January 31, 2010

Sunday 1/24/10: For to Him, all are alive.

My soul sings. That is the best way to describe how I feel. I know in my heart, God has created me to serve His people (particularly in 3rd world nations) through my medical giftings. I am humbled and so thankful. Every patient I interact with blesses me more than I bless them, and the Haitians proved this statement over and over.

Our medical team met at the private airport hangar Sunday morning. Our team was comprised of: 5 orthopedic surgeons, 1 general surgeon, 1 family physician, 1 ER doctor, 1 internal medicine doctor, 3 anesthesiologists, 2 surgical assistants, and 3 nurses (myself included). Our team members were from Austin and Dallas. I was thankful the two other nurses are my dear friends: Lindsey Griffin and Jenny Husband. God is so good like that :) After a quick debrief led by Joel Hurt (an orthopedic surgeon and coordinator of our team), we loaded into two small jets (once belonging to Bernie Madoff...God has a funny sense of humor). My heart was full. I simply could not believe within 3 hours, we would be landing in Port-au-Prince. He had moved so quickly to provide this trip on such short notice, and simply removed barrier after barrier to make a level path. I was so overwhelmed by His provision.

Lindsey, Jenny, and I sat in the back, as we discussed possible scenarios. None of the team members honestly had a clear picture of what to expect, so we began roughly organizing our plans to the best of our ability. Once we'd settled logistics, we began reading scripture out loud. As we did, the three of us decided what better way to put on our spiritual armor than to write His truth on our arms...so we did. We wrote scripture on our arms to encourage one another, ourselves, and our future patients (Unfortunately, the minute we landed the high humidity quickly removed the scripture, but we still were encouraged during the plane ride ;) ). As our plane descended into Port-au-Prince the plane gradually grew silent, as all eyes peered out the windows. Lindsey, Jenny, and I quickly huddled together and prayed: for Jesus's redemption, healing, endurance, strength, unity, and peace.

We were greeted by the leaders of MOH (Mission of Hope) at the PauP (Port-au-Prince) airport. The first thing I noticed once we landed was the smell. It was very distinct, like burnt rubber. I knew the reason for the powerful smell, and my heart broke at the thought of so many lost lives. They loaded us (along with our slew of medical supplies) onto a school bus, and we made our way to Mission of Hope (approximately 20-30 minutes outside of Port-au-Prince). As we drove through the capital, the bus was silent. We absorbed the landscape, the people, and the devastation. Once we made it to Mission of Hope (a 70 acre plot of land with high security), we unloaded our belongings and began setting up the hospital we would be running. Since our medical team was so well rounded, we had the ability to open up our own hospital (God is good). There was already a clinic on the MOH compound, so we essentially took over this clinic building and made it into a hospital complete with: 1 operating room, 1 ICU/ER room, 1 pharmacy, 1 PACU (post anesthesia recovery room), and 1 post-op ward. We were up until about midnight completing this transformation.

Our bodies were physically tired, but our hearts were bursting with anticipation and purpose. I could not wait for Monday. I was so ready to love the broken, hurting, and lost with His love. My soul was singing.

He is not the God of the dead, but of the living, for to Him all are alive.
-Luke 20:38


Currently Playing: "Truth (Helios Remix)" - Balmorhea

Friday, January 22, 2010

My Ways are Higher than your ways.

Where to begin? The last twenty-four hours have been a complete whirlwind. All I know is that His ways are higher than my ways. I love how God is beautifully orchestrating this entire process, so as to bring the Haitians the most effective care when and where they need it most. He is so good.

An amazing trip opportunity sprouted up within the last twenty-four hours, that we simply could not ignore. The logistics, safety, and personnel involved proved too perfect to pass up. So, after some [fast paced] scrambling and praying, God has provided me with the opportunity to leave for Haiti this Saturday (that's right, tomorrow) and return the following Thursday/Friday. Our team (comprised of doctors & nurses from ASCC, Hill Country Bible Church, and Watermark Church in Dallas), will fly out on a private plane straight to Haiti Saturday at noon. We will be working at Mission of Hope Haiti, where they have set up medical clinics within their private facility. We will have clean drinking water and food provided. Within this facility, physicians on the ground have already set up their own OR complete with electricity and supplies. Our team will be bringing an extensive list of supplies the team on the ground has already requested, and I'm sure we'll be put to work quickly.

As far as support goes, we will raise it once we return (since it is such short notice). If you want to begin contributing financially, visit Hill Country Bible's donation link. Also on that link, they have beautiful prayer requests that I encourage you to pray over the next few days.

I know I am not prepared for the brokenness my eyes will see, but I pray His love and light will flow through me. He makes all things new.

Specific things to pray for:
-The Lord would use use effectively and efficiently to deliver the utmost patient care
-Anointed hands for His healing
-Wisdom/discernment in medication administration and patient care
-Heed the Spirit, whatever shape that takes
-Safety for our team
-Jesus would be magnified

Thank you for embarking on this journey with me :) I will do my best to keep you updated with stories on my blog once I return!

"As the heavens are higher than the earth,
so are my ways higher than your ways and my thoughts than your thoughts."
- Isaiah 55:9

Currently Playing: "Wake up the World" - JJ Heller

Tuesday, January 19, 2010

Light my way.

It's official: I will be Haiti bound February 1 - February 7, 2010. God has continued to bowl me over with His provision in this process. I will be traveling with several close medical friends and doctors from Austin, and our group will merge into a larger medical team for Mercy Works. My heart is pretty much overflowing :)

I am thankful He has given me the desire of my heart in this process, and I am so humbled to be used by Him to love His people...what a joy and privilege.

Our team will be working in medical tent clinics set up by Mercy Works. They already have healthcare professionals on the ground and providing medical/spiritual relief to the victims of the earthquake.

My trip will cost approximately $1,600 which includes: airfare, housing, and food. If you feel so led, please consider supporting my efforts. All checks can be made payable to Mercy Works, and mailed to:
Mercy Works
c/o YWAM
PO Box 3000
Garden Valley, TX 75771
Please include a piece of paper with my name in the mailing envelope, to indicate who the check is intended to support :). To confirm payments, please email myself: sarenagreen@gmail.com, with the amount you have committed to donate. Mercy Works has been overwhelmed on a variety of levels, so this way I can ensure all of the support is properly received.

Please feel free to email if you have any questions! Again, thank you for taking the time to hear my heart, and thank you for helping me serve His people with His love. We all have a part to play in His redemptive Love story.

And He who sits on the throne said, "Behold, I am making all things new " And He said, "Write, for these words are faithful and true." - Revelation 21:5


Currently Playing: "Who will Rise Up?" - Churches Helping Churches

Saturday, January 16, 2010

His Lovingkindness will not be Removed from You.

It's all happening. My prayers are being answered, confirmed, and reconfirmed. It's almost scary.
After the devastating earthquake in Haiti on January 12, 2010, I couldn't escape the thought of going. The following day at work, it consumed my every thought. After a few phone calls to friends I figured shared the same desire, we began piecing together realistic options for making our way to Haiti. We prayed the Lord would swiftly open or swiftly close doors, pertaining to Haiti. We confessed it is a privilege at all, that we are used by Him, as a part of His redemptive Love story. He does not need us. We simply prayed that if the Lord wanted us to go to Haiti, that He would make a clear way.

He has answered.

Our team will be going through the ministry: Mercy Works. We have spoken with Ryan King, the ASCC missions coordinator, and they will be making an announcement at the Austin Stone Community Church tomorrow (Jan 17, 2010). If you are a healthcare professional and you feel called to serve the people of Haiti, feel free to contact myself, or visit their website for details.
We are awaiting specific departure dates (hopefully we will go within the next 3 weeks). It is a beautiful and humbling thing to watch potential road block after road block disappear before my eyes (scheduling with work, application forms). He is good.
My heart is overwhelmed because I know in my bones, this is what I was created to do: to serve the spiritually and physically broken through my medical giftings. I have never been more certain of anything in my life, and I am so thankful He has made this so abundantly clear to me.
Jesus is beautiful. That's all I know to say :) I am overwhelmed with His everlasting love for you, for me, and all of His children.
The trip cost will total $1600. We will be in Haiti for one week. The trip expenses include: airfare, housing, food. Once I have received the final dates with Mercy Works, I will begin the process of raising support.
I know I am not prepared to see with my own eyes, the devastation of which I've only caught glimpses of through American media. I am prepared to love with His love, and I'm quite certain the Haitians will teach me more of His love than I could offer. I am so thankful to be a part of His redemptive Love story.
More details to come! Thank you for taking the time to hear my heart.
Dream big in how He is calling you to serve the people of Haiti (prayer, financially, fundraisers, service, concerts, tshirts). Heed his voice. His understanding truly has no limit.
Also, for amazing updates pertaining to the people of Haiti, visit: Discover the Journey. They are on the ground in Haiti, and covering the plight of the earthquake victims. You can also follow them on twitter: @followDTJ, @jonathanolinger.

My prayer for the people of Haiti:

"For the mountains may be removed and the hills may shake,
But My lovingkindness will not be removed from you,
And My covenant of peace will not be shaken,"
Says the LORD who has compassion on you. -Isaiah 54:10



Currently Playing: "Fight Day" - Thomas Newman