Our mission is to demonstrate the compassion of Jesus Christ through specific medical and surgical interventions for poor Cambodians.


Thank you all for your prayers regarding my personal safety, health, medical/spiritual wisdom, and language acquisition as I minister to the Khmer people in Jesus' name. May God open their hearts to receive His Son and the joy He provides in abundance. What a privilege to serve the Lord in this manner, being your voice and hands to these kind people.

Kendrick



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It's the bad outcomes that trouble me for days, sometimes weeks-a stinging memory even years later. We can save or improve 50 lives, but the grief comes from the young one that doesn't survive or ends up worse than when they came to us.  Such is the case with 15 year-old girl, Nov Sok Mean, who had been languishing in a private clinic for 10 days on IV antibiotics before presenting to our rural hospital with fever, coma, and seizure. Arriving in our emergency room with no records (not uncommon) we started her on high doses of IV antibiotics, steroid, and anti-seizure medication.

Two days later and seizure free, Sok Mean miraculously regained consciousness, sitting and eating on her bed.  Unfortunately, she again began spiking fevers, so we decided to send her 3 hours up the road to Phnom Penh for a CT scan of the brain.  The CT revealed enhancement of the lining of the brain, consistent with meningitis.  The spinal tap by the neurosurgeon revealed no TB, but low glucose and high protein and a white blood cell count consistent with a bacterial infection.  We changed her to multiple and more potent antibiotics and even added acyclovir, an antiviral, but the fevers remained high.  The cultures showed no growth. One night, Sok Mean lapsed into a coma at 4 am, and the neurosurgeon came in to place a shunt into one ventricle of her brain to relieve the rapidly increasing intracranial pressure.  This ventricular shunt quickly drained off the excess fluid, relieving the pressure on her brain. Sok Mean slowly regained consciousness, yet the fevers remained despite consultations with infectious disease specialists and neurologists. Her neurosurgeon and I often prayed for wisdom in how to treat her and for her cure, but it was not meant to be.  A few days afterwards, her brain shunt malfunctioned overnight and the pressures shot up, creating low blood perfusion into the brain tissue.  Once the pressure was relieved the next morning, Sok Mean's brain developed intense rebound swelling.  Now several days later, Sok Mean remains in a coma. Her young, and talented Cambodian neurosurgeon, is devastated, feeling he could have done more to prevent this.  We fear she has significant brain damage and will not recover.  "God, we beseech Thee for supernatural healing, also for wisdom and comfort for the family, and Dr. Sokchan, her neurosurgeon. Amen."

Continued







    Gilead's Hope Mid-Year Update
Kampot, Cambodia
July 1, 2016
About Kendrick N. Kahler, MD