Mothers

So why are mother so essential to healthcare? They have 24/7 contact with most of the patients in a given community. They are the ones treating day-to-day health issues. And people listen to them! This is such an important concept for our project in Madagascar as we build a "grass roots" health care system. Traditionally, a system is developed by first building a hospital. These systems can work great but they usually require a continual influx of outside money and people often have to walk days to get to the facility. In our approach we are starting with the foundation of the family unit... the mothers. We want to empower families through education in healthcare prevention and treatment. Not only is this cheap and sustainable but it is available right in the home.
Will this work? At this conference I learned about several examples where this approach has had powerful and effective results. (One such example in India you can read about in National Geographic Dec '08.) In rural Madgascar, more than 60% of deaths are easily preventable--the causes are pneumonia, malaria, and diarrhea. With some basic education and resources, village health workers can treat most of these cases without a visit to a hospital. With our "grass roots" approach, mothers can effectively provide health care and impact thousands of lives.
Home

After several weeks of conference filled, family filled, and work filled traveling we have enjoyed settling back in to home life. The carved pumpkin and fall décor have resigned and our fresh-cut Christmas tree stands proud in our livingroom. It is perfectly cold outside and wonderfully warm inside. We are glad to lay low through Christmas and enjoy our surroundings as we experience this season for the first time with Oliver. His innocence has made us mindful of what we are imparting to him. Balancing the joy of giving and receiving with worshiping the one who came to us in the form of a baby.
He is a rowdy 10 months old, eager to crawl anywhere his chubby little legs will take him. He daily fills us with joy.
Here are a few family pics that Donna took of us in Texas. Check out our albums page for a lot more from this trip.



Ice, Ice Baby







Fady

Several years ago I visited an orphanage near Mananjary that has functioned to save the lives of these twins. It was tragic to see these children living with the emotional and physical scars of their abandonment. The difficult challenge is to provide an escape from this practice while keeping intact the cultural integrity of the community. This is going to require a multifaceted approach. Education and health care will be important to show the possibilities of life with twins. Along this line, the government of Madagascar is promoting an educational initiative in this region in an attempt to change some of this practice. Even more important, is the need to break the cycle of fear that is griping these communities. Some local Malagasy pastors have been sharing the love of Christ in this region which has begun to have some dramatic impacts on healing this cultural wound.
“There is no fear in love; but perfect love casts out fear… We love, because He first loved us.”( 1 John 4:18-19)
8 months...

Bundled little ski bum

climbing before crawling?

proud to stand-up
Welcoming Winter

A Walk on the Wild Side

We never know where a walk through our neighborhood might lead. This morning it led to an eye-to-eye encounter with a bull moose. We went ahead and let him have the right away, finding an alternate route back home for ourselves.

Snow has already hit the ground here in Anchorage. Hard to believe. Fall was a beautiful week this year. Here comes winter ready or not.
So long Summer

First Fair

First Ascent

First Snow

Hangin' with the Shattenberg babes

Best 30th Birthday with Best Friends

End of the Trail
Beets Are Ugly

But boy are they good. I had no idea. I have just discovered how delicious this unsightly vegetable can be. In my mind beets were those weird, red jelly slices that are served at Thanksgiving. I have since learned those are cranberries, non the less beets remained an item I would not think twice about passing up on the vegetable aisle. By forgetting to opt out of them in our CSA box I inadvertently ended up with a drawer full this week. I went to my friend Jenny about what to do and she passed on this quick, easy, and irresistible recipe. Here it is straight from her:
Mix 1/3 C olive oil, ¼ C balsamic vinegar, 1 Tbs honey and a few chopped shallots (or red onion—I never have shallots around the house)
Peel the beets and cut them into large, bite sized pieces.
Drizzle some of your vinegar mixture over the beets, tossing to coat.
Place two large squares of foil on top of each other (so you have two layers—this will prevent the beets from leaking all over your baking sheet). Place a pile of beets in the center and then wrap the foil up around them to create a packet. I usually do more than one packet—maybe fit a total of 2 cut up beets per packet.
Place the packets on a baking sheet and cook at 400 degrees for around an hour—until the beets pierce easily w/ a fork.
They are delicious plain this way, but I love to put them in a salad w/ goat cheese, avocado, and toasted walnuts. Use the leftover vinegar mixture as dressing.
There ya have it. I hope you too will experience the joy of beets this week!
Rice - The Life Blood of Madgascar

Jonathan in 2000 distributing rice in Southern Madagascar
Importing rice costs 70% more than the locally produced rice. The government of Madagascar is currently working with NGOs and other governmental organizations to increase productivity with improved farming methods and better transportation to get the rice to market.
Yet more rice will not solve the problem of malnutrition in Madagascar. Although rice does provide some calories it is devoid of many essential vitamins, minerals, and protein. Work is being done to improve the crop profile. For example sorghum, which disappeared during droughts in the 1990s, has been reintroduced. Compared to rice, this grain has a higher nutrient content and can survive through hotter, dryer weather. Much work is needed in the agricultural and economic infrastructure before the Malagasy people are free from malnutrition.
(Info adapted from the Food and Agricultural Organization of the United Nations)
Proud Wife and Mama
Oliver's big accomplishment of the week has been sitting up on his own. He enjoys it so much and doesn't seem to mind too much when he tumples over every now and then. We are having to find news ways to entertain his growing mind and body since he can now take down his play mat with one hand and tries to destroy his mobile. Check out the movies page to hear his new found voice.




Madagascar or Bust
We recently received notification that we were accepted for a grant to repay our school loans. This is a huge blessing and brings our departure goal closer to reality. Without this help it would be many more years before we could head to the mission field. The granting organization is called MedSend. They will take over our payments as long as we continue our work overseas.

We are also excited about our new partners both here in the US and in Madagascar as this "Mad Vision" builds momentum. We now have 30% of the ongoing monthly expenses raised! Thank you to those who have donated recently or are continuing as monthly givers.
Fun Fact
The Malagasy language has the same letters as the English alphabet minus the letters C, Q, U, W, and X. The word "Madagascar" is not in the Malagasy language since it has a "C". The Malagasy spell it Madagasikara. The name came from the European explorer, Marco Polo, who never went to this area of the world and probably confused it with the town of Mogadishu in Somalia. The Malagasy people actually have several names for the island including Nosin-dambo, Izao tontolo, or Ny aninvon'ny riaka.
(Info from www.wildmadagascar.org)
Summer Fun
Here are some pics from our latest adventures:
Thank You
Here are a few pictures from Mad Vision Beeville:




Kayaker's Cove
Here are some pics from our trip (you can also view them from the 'Albums' page).
Heading South

Let the Travels Begin
After Portland, Oliver and I (Mandy) headed to Texas for his debut trip. Texas was Oliver's introduction to HEAT and many family and friends. He was spoiled by his grandma and grandad and loved on by his Uncle Kole, Uncle Ben, and Aunt Donna.
A highlight of the trip was a mini-reunion with my life-long friends and all of our new babies My how we have grown since our college days.

FACING MY FEARS...
A few days after Oliver was born I was struck with the fearful realization that one day we would have to get on a plane together. That day arrived and unfortunately was worse than I feared. To be fair, four out of the five flights did go remarkably well. The only tragedy was an unfortunate diaper crisis. He grew out of diapers on the flight out of Anchorage. Thankfully we had spare clothes with us.
It was the flight we took alone from Houston to Anchorage (9 hours total with a stop in Seattle) where everything came undone. And by alone I mean, without Jonathan. We certainly were not alone in the sense that it was full flight. Oliver was very uncomfortable riding in my lap since he is quite a mover and a shaker (like his father). If I wasn't walking the aisle with him or standing in the bathroom letting him kick around on the changing table, he would start to fuss. Fussing isn't so bad, except the fuss only lasted about five seconds before he would break into the most ear-piercing scream I have ever heard. People around me would jump and cover their ears, even though they had ear phones on. This crying would last anywhere from 5-15 minutes, however long it took me to wait for the fasten seat belt sign to turn off and dash over the people next to me into the aisle or back to the bathroom. I have never found so much solace in an airplane bathroom.
Gone are the days where I sit on a plane, reading a magazine with my biggest concern being lack of leg room.
Valley View Connections

This was a rewarding time as we shared Mad Vision and experienced others growing excitement about opportunity to meet physical, emotional, and spiritual health needs in Madagascar. We have gained new financial partnerships bringing us to more than 10% of our financial goal.

Here is Oliver soaking in grandma love at Valley View.
Mad Vision and Valley View
Mandy and I will be spending some time in the Portland area with the Valley View Evangelical Church family to share about our work in Madagascar.

Now as I return with my wife Mandy and my son Oliver, we are excited to become reacquainted with our Valley View community and meet many of the new faces. We are looking forward to exploring what it means for Valley View and the Casurellas as we partner in their mission to "reach out to one another, our community, our world, in reaction to God reaching out to us."
Here are the details:
Where: Valley View Church
11501 SE Sunnyside Road
Clackamas, OR 97015
When: Sunday, 4th May 9am
Spring Showers


Happy Oliver is 11 weeks old. He is astounding us everyday with his new found voice, charming expressions, and constant engagement.

My friend Andrea was up visiting from California. She makes me laugh more than anyone I know. She and Oliver hit it off. Who do you think he is beaming for in the picture above?


Photo Shoot
Oliver is TWO MONTHS old. He is adorable...cooing, laughing, smiling, and growing more every day. He is most responsive to the faces of animals. He beams when he sees his monkey mirror in the car, the zebra above his chair, the lemur on his play mat, and his daddy. He has a thing for the wild already. We are emerging out of the newborn fog and daily becoming more acquainted with this new life. Its pretty cool.
Enjoy.













Madagascar and First Covenant Church

Here are the details:
Where: First Covenant Church
1145 C St. Anchorage, AK 99501
When: Sunday, April 6th, 3:00-5:00 p.m.
Children are welcome to join, childcare will also be provided.
Grandmas Galore and Other Good Times

Mum and Ron enjoying their newest grandson.

Easter Sunday with Marcus, Ingrid and Greta

Beautiful Alaska day

The joys of bath time.

Sweet dreams.
Six Weeks and Beyond

Survival

Oliver is three weeks old and counting. It is amazing how someone so small can have such a BIG impact. Every inch of our lives is impacted by Oliver. This is most felt in the wee hours of the morning when we used to participate in this wonderful ritual called sleep. I hear that somewhere down the road we may become acquainted with this old friend again.
We are grateful for all the friends that have gathered around us in this time of transition. Meals and baby-holding are most appreciated.
Here are some pics from Oliver's latest and greatest adventures:



Here is Oliver's first field trip into the gorgeous Alaska Wild with his parents. We are pretty sure he had the time of his life. This is Turnagain Arm, the part of Cook Inlet that surrounds Anchorage. He stayed cozy and warm, and fast asleep, during this adventure.

Announcing...

Oliver Quincy Casurella
7 February 2008
6:37 am
8 lbs 13 oz (4 kg)
21 inches
We are so excited about this new addition to our family. It felt like a long time in coming (40 weeks and 3 days), but Oliver is finally here and well worth the wait!
His days have been full of eating and sleeping and occasionally looking around to check out this whole new world. He is truly amazing and we are so blessed by his entrance into our lives.
The transition into parenthood has been a lot of work but thankfully we have had the help of Grandma Stuart. She has been cooking, cleaning, changing diapers, and helping in any way she can.
Click here to view Oliver's first album, "Operation Oliver".
Mad Preparations #1

Right now we are in our "partner development" phase. This is a challenging and rewarding job. We have enjoyed seeing others come alongside our vision for work in Madagascar, supporting us in a variety of ways. Our financial base is beginning to grow as we connect with people and churches. We are striving to connect with experts in our fields as we continue to brain storm and pull details together.
Well that's the Mad News for now. We will update again in a few weeks. In the meantime we are awaiting the arrival of our first child... due this week!
Real Estate meets Real Need
So if you or anyone you know wants to buy or sell a house... contact Reuben! Click on this link for more info: www.reubenschug.mywindermere.com













