Archive for December, 2009

Story of Street Medicine in Santa Barbara

Wednesday, December 30th, 2009

Cameron is a part of Doctors without Walls – Street Medicine Santa Barbara.  Here is something that he put together that describes what they do and see on the streets.  They come to Pershing Park every week to care for our friends on the streets.  Please support them at http://www.santabarbarastreetmedicine.org.

“I move at a hurried pace, dropping in and out of the sodium glow of the late night street lights, into the dark and then out of it. The air is heavy with a damp cold as I carry the small pack of medical supplies on my back. In front of me, the voice of Dr. Mimi Doohan carries softly as she talks with social worker Jennifer Ferraez about a young homeless girl, probably no more than 19 years old, that they have been reaching out to over the past month. As usual, they are meditating on her situation and discussing how to improve it. Two student volunteers from UC Santa Barbara are with us, carrying clipboards and a hospitality bag that contains things like socks. I am talking with Susan Franks, a registered nurse who is out with the team for the first time. Perry Cabugous trails behind us, a powerfully built volunteer who provides security for our team. This is one of two Doctors Without Walls / Santa Barbara Street Medicine medical teams canvassing downtown Santa Barbara tonight.

Our medical team is moving down Haley Street towards State Street. As we hit the corner of Chappalla Street, Jennifer flags down a slightly build man, with disheveled gray hair. The stubble on his face is beyond the 5 o’clock shadow of someone who had the luxury of shaving in the morning. His subtly soiled jeans show their age. He is quietly muttering to himself, lips moving on a stoic face that shows little emotion. In his hand there is a large garbage bag, probably contains all he owns, which he lets fall to the ground at the sound of Jennifer’s voice. The stoic face takes on a faint glow, and Jennifer approaches him under Perry’s strong gaze.

I know the face – it’s the face of Jeremy. This isn’t the first time we’ve run into Jeremy, who is a schizophrenic living on the streets. Tonight he is on his way to the Salvation Army for shelter, or at least he was until Jennifer called his name. The two talk now, and I join them. The way that Jeremy speaks reminds me of the way a small child would speak, and his eyes light up like a child’s in his interaction with Jennifer. Jennifer’s warm gaze mirrors his own as she talks with him as most of us would talk with a good friend. I check with Jeremy to see if he needs any medical care, but he doesn’t have any medical complains at present he says. Tonight, the mild-mannered Jeremy shows Jennifer a ticket he received from the Santa Barbara PD. It’s a citation issued under Santa Barbara’s anti-sleeping that makes it illegal for any person to sleep on a beach, street, sidewalk, or public way between sunset and 6am. It’s also a citation that Jeremy cannot pay. Before we Jeremy continue on his way, Jennifer gives him a phone number to call. It will put him in touch with someone that can help him deal with his citations. I shake Jeremy’s hand after Jennifer says goodbye. As we continue to move towards State Street Jennifer gives me a smile and say that I should probably use some of the hand sanitizer we carry in the medical bags.

“Jeremy’s hand makes its way to some not-so-clean places sometimes,” she says.

I break squeeze a small portion of the gelatinous fluid into my hands.

Fast forward a couple minutes, and we are walking up State Street between Cota and Ortega. We approach a man sitting quietly on a small wooden bench. A red sweatshirt envelops his stocky torso. A brief case of sorts is resting next to his side. Jessielee, one of the volunteers from UCSB, stops and introduces herself. A momentary expression of incredulous disbelief is followed by a smile and a reply to Jessielee’s greeting. His black round face shows the creases of age, and is unfamiliar to all of us. Jennifer steps forward and begins talking with the man. His happiness at being acknowledge is apparent. He’s probably been sitting on the street side bench for hours, with little more than a passing glance from the that continual flow of people streaming up and down the sidewalks of State.

The man’s name is Kurtis, and it turns out that he is a recently released inmate of San Quinton. At sixty years old, Kurtis has served his time for a crime he committed almost 35 years ago in Santa Barbara. Upon being released, the state authorities sent him back to the county and city where he commited the crime, despite that fact that Kurtis’ family lives in Alabama. He has no friends or contacts in Santa Barbara, is entirely unfamiliar with the city, and is now homeless. The suitcase by his side contains everything he owns. Most of its contents consist of a one-month supply of pharmaceuticals that he was give upon his release from prison. Kurtis is a diabetic. When his one month supply of insulin is exhausted, he will be left to fend for himself and procure the vital blood sugar stabilizer on his own. Upon learning that Kurtis has a number of medical conditions, Dr. Mimi Doohan steps forward and begins to discuss these medical conditions with him. His face is beaming and gracious as he talks with the doctor and continues to share his story and open up. But as he to tell us more about his situation, tears wash away the happiness and relief that have painted his face up to this point. He explains to us that he feels entirely helpless. He arrived in Santa Barbara 3 days ago. Being unfamiliar with local resources in the community, he has been sleeping on the streets and does not know where to seek shelter.

Dr. Doohan and Jennifer begin to talk with Kurtis about the various places he can go to get shelter, educating him on the local resources in Santa Barbara that can help him find a more stable living situation. After doing this Jennifer place a call to Rick at the Santa Barbara Rescue Mission. Normally late night arrivals are not admitted, but Jennifer is able to secure a place for Kurtis.

Kurtis agrees to walk with us to the Rescue Mission. Our medical team accompanies him down State towards Yanonali. Dr. Doohan and Jennifer agree that the Rescue mission is only about a mile away. Upon reaching the corner of Cota Street, Kurtis begins to sob again. He tells Dr. Doohan that this is where it happened – this is where he shot three people as a young, foolish 20-some year old. The remorse for his past actions is palpable. We continue to make our way towards the mission, arriving at the underpass of the 101 on State. Midway beneath the underpass, Kurtis stops us. He tells us that he needs an insulin injection immediately. Susan Franks goes to work and finds the insulin in his brief case. In no more than a minute, the registered nurse has also found the syringe, drawn up the requested dose of insulin, and administered the injection to Kurtis. He waits for a short while until the effects of the injection kick in. With a heavy thanks, Kurtis and the team continue towards the rescue mission down the barely lit cooridor of Yanonali Street. It is now past 8 o’clock on a late winter night, and as I suspected the Rescue Mission is further away than initially estimated.

Kurtis is becoming tired and has to take breaks every one or two blocks. The low lighting proves to be a challenge for Kurtis, who as poor eye site and cataracts. In addition to that, it appears that Kurtis is drunk. He must have been aware of that appearance, because about five blocks away from the mission he tells us that an officer stopped him earlier in the day and asked him why he was walking so unsteadily. He tells us jovially that he always walks this way, and that’s the reply he gave the officer.

About three blocks away from the mission, Kurtis reaches for something in the pocket of his sweatshirt. A small plastic bottle of vodka falls to the concrete sidewalk.

“Huh… that’s not mine. Where’d that come from? Must have been one of those young kids on State Street slipping it into my pocket,” he says.

Though some of us laugh, none of our attitude towards Kurtis change. Alcohol is a reality of life on the streets. Doctors Without Walls bases its efforts on each individuals needs, and right now Kurtis needs a bed at the Rescue Mission and detox services. He’s not going to get those services on the street. So, we all continue towards the mission.

After two miles of walking, Jennifer places another phone call to Rick who meets us at the entrance. Rick looks at Kurtis for a moment, and then asks, “When’d they let you out?” Rick and Kurtis begin to laugh. In an completely unanticipated twist, we learn that Rick and Kurtis were cell mates. Rick, a manager of the Santa Barbara Rescue Mission, had no idea that this was the Kurtis we were escorting prior to his arrival at the mission. The medical team and I are stunned by this development. It seems unbelievable. Rick thanks us for getting Kurtis over to the mission.

As we walk back to our cars, we are hopeful that Kurtis will have a good mentor in Rick.”

God is With Us

Tuesday, December 22nd, 2009

I am sitting in Borders, about one hour away from being on the radio with my friend Nick – sharing about the work of Doctors without Walls Street Med Santa Barbara and their need for funding, and I realized maybe I can get one last Christmas blog in…  Merry Christmas to you all.

When I think of my journey of the past few years, I often get confused myself.  Trying to tell people what happened or why I am doing what I am doing can be a bit strange as well.  Reactions to the tale are never the same.

I was listening to the radio today and someone was talking about Deism, the idea that The Creator started it all up and then that was it… it is based on reason, seeing that someone probably started everything but then vanished because what we see can give as much evidence that God is not here as much as He is here…

All I know at Christmas is that the message is that He is with us, and that He is still active in history, and that He has not hidden himself away somewhere.  God became human and became poor in history and that event has radically changed reality.

Or, it should…

I think we, the church, are coming out our infancy toward maturity.  That is the way I feel, and as I speak at churches most people agree that we need to be out in the heart of culture more, but we all are grappling with how that is done.  We the church must receive the message first, the counter cultural gospel that calls us to be more than consumers, but to become selfless givers like the Lord himself.  We will know we are maturing when we look like Him, when our communities are actively practicing what God set before us.

Before us now is the greatest opportunity of history – the world indeed asking, begging, seeking, knocking for compassion.  The door is wide open for lovers.  I think of every leader within just about every non-profit and church I know, and they are all expressing a need for support and volunteers to meet the need.

Talked with someone from the Food Bank and the need is the greatest ever, and they are not sure they can help all the families coming.

Santa Barbara Street Medicine will need to make up $50,ooo they will not be receiving via a grant this year.

Young life has seen a 30% drop in giving.

The time seems ripe for us, God’s little experimental band of women and men, to see what it means to share resources more and more, and lay down some of our own dreams for the poor.

Jesus left us this way, that He emptied Himself, became a servant, became poor – an example for the most powerful way of life.

God is with us, with you, with everyone, beckoning a return and a trust – it begins with us… Merry Christmas!

Mary Past, Present, and Future

Wednesday, December 16th, 2009

Luke 2 recounts that when Mary received the news from the shepherds about what the angels had said about Jesus, that she treasured the news and pondered what she had heard.  Christmas may be more about some deep introspection about who we have been given, and what it might mean to the world, than anything else.

It is said in the scriptures as well that the kingdom of heaven is within us, and that we carry this treasure in earthen vessels.  Something to consider and ponder as well, as we have some time here over the holidays to prepare for 2010.

There is now little doubt in my mind that the gospel cannot be separated from a direct connection with the poor.  Jesus himself born into a poor family, taking the form of a servant, announcing His will to preach the good news to the poor, and time spent with the people on the margins… you can also read the news pronounced before his birth and at his birth – about how he would bring equity to a world not desiring equity.

I note now that again, like Mary, many women are taking the lead in being Jesus to the poor.

One woman I met this year has raised enough funds to a family living in an apartment filled with cockroaches and rats, to move into the Village where we can now walk with this family and help them toward a brighter future.  Alexis here at the Village has been instrumental as well, spending time with the family and working hard to get them moved in by Christmas.  Another group of women has dedicated finances toward getting this family new furniture (they can’t take any furniture or clothes with them because of the cockroaches)…  They have all carried on the tradition of Mary, who treasured her Son above all else.

We could be waking up – now we just have to get organized.

All kinds of friends bought presents and sent gift cards for West Side kids at Christmas.

I visited a 4H club last night and the kids made care packages for our friends at Pershing Park.

People from all over are bringing sleeping bags, blankets, and socks for our friends at Pershing tonight.

Habitat for Humanity is doing some new housing for families on the West Side.

My pondering this Christmas is how I might be a better servant/leader now for an awakening movement.  For whatever reason, God has placed me in the middle with a view of all the possibilities and kingdom dreams.  It can both be exhilarating and depressing at times, riding this thing out.  I believe that 2010 can truly be the year of living generously, as there will be more opportunities than ever, but we all may have to dig even deeper.

Because on the other end of the reality, there is still much work to be done.  I heard on the radio this week that one in seven children in the USA lives under the poverty level.  It breaks my heart to read on one of the wish cards from kids at the Carrillo Apartments, that this little girl wishes “they had enough food to eat.”  I think “how can this be true in Santa Barbara?”

I also see the line of hungry getting longer at Pershing Park – many of them being friends without homes, but many of them just not having enough money to get food.

So, ponder all that you have been given in Jesus, and consider what it means to the very real world.  We aren’t just passing through, we have treasured time here to make a difference and see how the holistic gospel truly transforms lives and the communities we live in.  Here’s to a generous 2010 lived together.

Christmas Schizophrenia

Wednesday, December 9th, 2009

My wife sent me this quote:  ”The dogmas of the quiet past are inadequate to the stormy present. The occasion is piled high with difficulty and we must rise with the occasion. As our case is new, so we must think anew and act anew.”  (Abraham Lincoln)

I could argue that we have a stormy present, piled high with difficulty, yet we have not risen to the occasion (but there have been seeds of hope perceived…)

1 out of 7 children in the United States lives in poverty.  (psst – I know where these children are in our city)

28 men and women have died in the city on the streets this year.  (almost double of last year)  Freedom died Monday night because of the cold.  Freedom – who I had a few conversations with during the summer of love.  Thankfully, I got to know him this summer so I got the chance to enjoy his friendship, though short term.

I have to admit that often I am not sure what to do?  Anything?  Everything?  Speak out for justice or remain status quo with ideas like the poor you will always have with you little man.  Pat myself on the head, have some hot chocolate and go to sleep and dream of a better world?

Or turn some tables over somewhere everywhere to wake up a slumbering humanity.  There are times I think we should go ahead and close earth, pick the best specimens and send them to Mars for a new beginning.  But, of course we know what would happen.

I ask myself, why am I in this position.  There is someone better who could do better with what I have been given, someone wiser, a better people person, not so flakey – something like that.  By doing this Uffizi thing, I know there would be many mistakes made, and the hope has always been that the younger will follow and do it better.  I hope it is so.

But, what should be done?  Should I invite Bob Dylan to town?  There has to be some folk song that can solve the whole shabang.

I am having a schizophrenic Christmas – high in hope and despair.  I don’t think there is a song for this one yet.  Maybe I will write it by the end of the year.

It won’t help me that I want to bring justice to the slum next door.  I should probably be medicated first.

Santa Barbara, you aren’t as healthy as you may pretend to be this Christmas – your underbelly is ill like it is said in Isaiah 1.  And in the end, God says, “Come let us reason together, and your stains will be washed away and become like the snow…”   Our poor have become invisible to us and it troubles God…