For Nurses in Developing Countries

You know you're a nurse living in a developing country when...

1. Every time you see a body of water you think about Schistosomiasis or some other water-borne parasite.

2. You're sitting on the commode with diarrhea and as you think about your lack of water intake and proper diet during the day, you literally say out loud to yourself, "I'm losing so many electrolytes right now..."

3. You dutifully use hand sanitizer every time soap and water isn't available, but secretly you're thinking of all the diseases only soap and water can kill.

4. You notice how dilated everyone's veins are in the hot, humid climate you're in and wish you could teleport your renal patients here for the fifteen minutes prior to starting an IV on them.

5. You're constantly telling people to change their diet to include more iron because you have a strong suspicion they're anemic after quick visual assessments, such as noting pallor in their nail beds.

6. You text your friends unashamedly about your abnormal bowel function overseas.

7. You adjust your diet according to your current bowel ailments. (More tamarind allowed today I'm constipated. More rice and less fiber when I have diarrhea.)

8. You're constantly reminding people to wear their motorbike helmets because safety always comes first, no matter the heat or discomfort. (You've seen one too many head traumas from motorbike accidents.)

9. It bothers you to the nth degree when you see people smoking on hospital grounds (considering all wards have open windows and doors and smoke can go everywhere).

10 Your heart breaks a little every time you see malnourishment. Which is pretty much every day.

11. You struggle because you have an overwhelming instinct to fix everything and make everyone feel better, but you're simply unable to. You find hope in helping one person at a time entrusting them to a Higher Power.

12. You are assessing community health needs continually, as you learn more and more about the culture, health care, and superstitions/beliefs affecting health practices.

13. Your friend in your passport country still sends you a picture of her infected eye to ask if it's pinkeye. (You reply yes, it looks like it is.)

14. Your days of running around a hospital floor getting cups of ice water so your patient will take their pills - all the while wearing a jacket because the a/c is turned up so high - seem like a distant dream.

15. Though your tolerance for super-entitled patients drops a few notches, you still respond to all with compassion and empathy because you realize in developed or developing countries, people's needs are the same: physical needs for food, water, medications, and hygiene, but also emotional and mental and spiritual needs. They just manifest in a different way. No matter if they're upset in a private American hospital room or in tears in a hot, crowded Cambodian ward, they are scared, stressed, and in need of healing and a Healer. So we respond with compassion to all. Because that's what we do. Because we are nurses.

To nurses in developing countries:

May your learning experiences, encounters with the sick, and poops be solid but not too hard.

May your heart, food, and water be purified and well prepared.

May the days you have the runs be blessed with plentiful access to flush toilets, toilet paper, and empathy for  patients with E. coli.

May your searches for soap and water, Lysol, deeper meaning in life, and a paradigm for suffering be fruitful and rewarding.

Most of all, may your compassion, immune system, and faith only be strengthened by your time overseas.

The Half Truth Trap

I used to play "two truths and a lie" a lot. It was one of the most popular youth group icebreakers when I was a teenager. The goal was to tell the group two truths and one lie, but in such a way others couldn't guess which was the truth and which was the lie. It didn't take long to discover the fastest way to trick others was to slip a hint of truth into the lie (I know, this church youth group game taught me how to deceive people more effectively. Ironic.). Yet I think most of us know this principle about deception from other realms aside from the game: the most believable lies have a thread of truth in them. That's what makes them so believable. We learn this from experience, from weaving lies or from falling prey to them a few too many times. Slide some truth in with deception, and the lie just became much more convincing. And another game of "two truths" is won.

However, there's a much weightier issue with half truths than winning an icebreaker game.

A while back I came up against a mental block I just couldn't seem to get past. Logically, I knew this belief I held about myself was false, but for some reason I couldn't move past it. My heart wouldn't accept truth. In moments of quiet, accusations would start piling up in my head about why I wouldn't ever be able to embrace truth and move past this false belief. And unlike other instances where I could easily shoot down lies with logical facts, I had no defenses against these accusations.

When I was a child, I remember going to Target with my family. My mom would point to the big, red concrete balls outside the store and joke with us, "If you can pick up one of those balls, I'll give you $100!" (Or maybe it was $20, which is basically $100 when you're 9.) My siblings and I would always try, straining with every ounce of our tiny bodies to lift that concrete ball. I never could pick it up, no matter how hard I tried. And boy did I try!

That struggle to pick up a concrete ball is exactly what it felt like when I was trying to let go of my false belief and embrace truth. It felt like I was putting everything I had - all my mental energy and strength and effort - into the task, but it just wouldn't budge. No matter how hard I tried, it didn't lift or move or roll or shift. Not even a millimeter.

To get past this false belief - this felt like an impossible task.

I was worn out. Discouraged and frustrated, I alternated between feverishly scheming some new plan to convince my heart to believe the truth and feeling utterly defeated, sitting down with my back against the concrete ball and hanging my head low.

Shout out to my sister Christina & her friend Liz for the picture!

Eventually, someone had to help me break the belief down into two parts. Someone had to help me recognize the thread of truth mixed into the false belief I couldn't seem to let go of. The result was resounding freedom.

The little thread of truth - the half truth in a bag of lies - is the big, red concrete ball we cannot move. It's what makes the accusations in our heads impossible to deny. Yet when we dissect our false beliefs and identify the thread of truth in them, we gain freedom. We are able to treat the thread of truth as truth (as the big concrete sphere we can't possibly move) and the rest of the bag of lies as lies (which are much easier to stop believing when we can separate them from the half truths tripping our brains up). 

Half truths come in many forms, such as:

I am not lovable because I am...

• imperfect
• not an outgoing person
• not a quiet person

Or, I am inadequate because I...

• am not good at public speaking
• have to ask for help frequently
• learn/read/talk/etc at a slower pace than the person next to me

Or, my circumstances are difficult because...

• everyone in my life hates me
• I have no natural gifts/talents
• God doesn't love me

The list goes on and on. But when we can separate truth from deception in these false beliefs, the lies lose their persuasive power. The truth may be that we are not outgoing people or are quiet, and it's certainly true we are imperfect. We may not be good at public speaking, and our circumstances may indeed be overwhelming. We cannot change those things, and that's okay. These truths do not mean the rest of the sentence is true; we are not unlovable or inadequate or defined by our circumstances.

When we recognize the slivers of truth as the big, red concrete balls we cannot move, we are free to stop trying to do the impossible and change the facts. We are free to step around the immovable, keeping the truth and letting go of the lies. We are free to move past the concrete balls of truth into the rest of life which, just like a great big retail store, has so many wonderful things to offer us.

Are there mental blocks you've faced that seemed impossible to move past?
How did you end up moving past them?
Are there half truths are you believing? About yourself, your circumstances?

Thanks for reading. I'd love to hear from you in the comments or an email!

Insta Authenticity (On Integrity & Social Media)

It’s no secret social media can be somewhat misleading when it comes to an accurate portrayal of our lives. Facebook and Instagram have been labeled “highlight reels,” but that’s not a bad thing. I prefer highlights over every single detail of people’s lives.

Yet because social media are geared toward showcasing highlights, they can easily become comparison traps (everyone else is always having more fun than I am) or self esteem damagers (either promoting sky high egos or tearing down healthy self confidence). We’re all about the number of likes, and we're all chasing that quick “double tap” to get more red hearts on Insta.

Since I’ve been overseas, I’ve started utilizing social media more in an effort to stay connected with friend and family back in the States. I’ve found I have to double check myself before posting in order to avoid the comparison and self esteem traps of social media. Here are some of the questions I ask myself before posting to Instagram.

To filter or not to filter? That is the question...

1. Is this post accurately portraying my day/life?

Have I had a terrible week and avoided posting, but now that I have ice cream I want to show the world how happy I am? There’s nothing wrong with being pumped about an exciting event (ice cream definitely makes the list), but is all I’m posting those exciting moments? If so, maybe I’m not giving an accurate portrayal of my life to those viewing my posts. I’m not saying I want to read sob stories or posts about how miserable you are. Really, I don’t. I’m saying if I only leave my house once a week but post pictures with dozens of friends each time, people will think I’m a social butterfly, which would definitely be misleading (and that’s a nice way of putting it). On and off social media, I’m a proponent of authenticity, meaning an accurate portrayal of life. There has to be a balance somewhere.


2. Do the filters make this scene seem more beautiful than it really is?

I’ll ‘fess up. I used to add filters left and right because hey, they really do make my pictures look better! Who doesn’t need a little Amaro or Perpetua in their life? However, recently I’ve stopped to wonder: am I adding filters because I’m afraid the landscape isn’t as pretty as everyone else’s #nature shots? If the filter brings out the true beauty in the scene or helps with the lighting—if it helps give the viewer a look that’s closer to reality—I’m all for filters and edits. But if the purpose is to impress, maybe it’s better to go filterless.

3. Is this picture offensive or harmful to anyone?

Especially overseas, we have a tendency to post pictures of the unusual, and those pictures may or may not include locals and their way of life. Those people may never see my post, but if I’d be embarrassed to show them or if the post (including the hashtags) is any way mocking their way of life, it’s time to close out my social media apps. Is our #winning making someone else feel like they’re #losing? In any community, I believe we should ensure our comments and posts are respectful and loving toward all those around us.

4. What’s my motive?

If my motive is to garner “likes” or, as I mentioned above, to impress, I probably shouldn’t post it. Mostly because it’s harmful to myself. It’s a red flag I’m feeling “not enough” and am looking for my value and worth in others’ opinions. It’s a setup for failure. In these cases, posts can very well be harmless to everyone except ourselves. We’re worth protecting, too; our motive is worth checking.

These are just a few of the guidelines I use when posting to Instagram. Often, I’m about to post a picture when I perform a quick mental review with these questions, and I imagine Fat Amy’s voice (from Pitch Perfect) commenting, “Mmmm…better not." And the post is discarded, edits and hashtags and all. Upholding my values must take a higher priority than the little red hearts. It’s simply the only way Instagram will ever be #worthit to me.

How do you decide what to post on Instagram and other social media mediums?

Are there any guidelines you go by, formal or informal?

I'd love to hear your thoughts! Leave a comment or send an email over to my inbox!

Scarcity and the Spiritual

Scarcity is a topic just making its way into the public conversation arena. It can be summed up as the belief there’s “not enough:" not enough time, not enough happiness to go around for everyone, not enough money, and the list continues. It can manifest as “I am not enough”—not pretty enough, good enough, nice enough, productive enough—a lie I faced head-on after an experience in a Cambodian hospital left me painfully aware of my inadequacies.

The scarcity mindset is rampant and often leaks unnoticed into all realms of our lives, including the spiritual. I’m sure scarcity manifests itself in different ways for different people, but here are three ways I’ve noticed the “not enough” mantra invading my spiritual life.

1) I’m afraid there’s not enough grace and mercy to cover my sins.

As someone who grew up in church, the gravity of sin was hammered into me from a young age. Add perfectionism to church legalism, and it’s easy to understand why it’s such a struggle to believe Jesus’ mercy is enough to cover me every time I sin. Time after time after time, I stumble and fall, and sometimes it just seems plain impossible that Christ has any mercy left. Questions such as “How can God forgive me even though I’ve fallen into this sin so many times?” and “How can God still love me after all I’ve done?” are birthed. Yet the Word clearly says His love endures forever, and His mercies are new every morning (Lamentations 3:22). Viewing this lie as a scarcity issue has helped me understand where these fear-based doubts come from and freed me to rejoice in the abundance of the Lord’s mercy.

2) I start believing there’s not enough encouragement for all the times I feel down.

Every time I serve overseas, my mom has this wonderful tradition of collecting notes from my friends and family and sending them with me for days when I need a little extra encouragement. It’s a great resource—except for several years I convinced myself the number of moments of discouragement I'd have would exceed the number of notes to read. I stockpiled the letters for times when I “really needed” them. I tried to muscle through the hard days because I was so afraid a harder time would come and no encouragement would be left. At the end of several summer trips, I had a dozen unread notes to read on the plane home. They were still fun to open, but I found I’d robbed myself of the encouragement God had provided for the hard times.

These days I push past my fears and reach out to others when I'm having a rough day, either by sending a text or opening a note (though I try to be careful I’m seeking hope first from the Lord and not from other people’s words). It’s been a source of encouragement and strength, and on days I have no letters and no signal, the Lord continues to provide. The interactions I find most encouraging are, after all, the ones pointing me back to find strength in the Lord Himself.

3) I’m afraid God’s gifts are limited.

Even when I pray, I fall prey to the scarcity mindset. I’m hesitant to ask the Lord for hope, encouragement, or a boost in mood. I act as though there’s a quota for the gifts He gives each of His children, and we must be wise about when and why we ask for them. However, when I look at the life of Jesus in the Gospels, His generosity cannot be measured, and Paul refers to the riches of Christ as unfathomable (Ephesians 3:18). I must ask myself, “Am I robbing myself of asking for and enjoying His gifts because of a scarcity mindset?”


The root of it all, I suppose, is a belief that God is not enough. It’s a lie that creeps into my heart and makes subtle but significant changes in the way I view God and myself. When I start believing God is not enough, I search for “enough” in other places: in myself, in others’ approval, in “success,” or in knowledge. Yet Jesus is enough is a fundamental part of the Gospel. There is no scarcity in His Kingdom. I have to remind myself of this every day. He’s enough to hold my fears, my failures, my future, my down days. He's enough for my scarcity mindset and all it entails!