We’ve been here for 18 months and 12 days now, and in true Lotz style it’s taken us this long to tell some of our story and contribute to the blog. Us Lotzies have earned a rather notorious reputation for being late you see. But as they say, better late than pregnant! As it turns out though, being pregnant apparently isn’t too bad a thing to be – especially not if you ask some of the Madwaleni wives of 2015! (On second thought, if you’re a husband, never risk asking your wife whether it really was that bad being pregnant).


(The wives feeling much better after their pregnancies were over 😉 )


But how wives feel during pregnancy is not a topic to be discussed here if I have any good sense and if I don’t want to send the egret tree of emotions aflight*, and so I’d like to move swiftly on to the glorious little gifts that came after 4 pregnancies in 2015.

So, there are all sorts of things to do at Madwaleni besides work, and if you’ve read the blog posts before this you’ll see a whole bunch of great examples!  Ladies have made delicious jam and preserves, men have made great decks and other manly projects from wood and cement. Then some of the ladies and men (the married ones at least), got together for a very special project – and they made some babies! And so it was that Rosa Jo Gibson, Benjamin Luke Miller, Jordan Anne Poole and Peyton Lily Lotz were all born successively in 2015, well and truly ‘Made At Madwaleni!’ 🙂

(Some may find it no surprise that the Gibson was born very, very early in the year, and that the Lotzie was born very last 😉 )


Babies with names

(And here they are! 🙂  )


These 4 fresh little creatures have very quickly made their marks on our community as their own little individual selves. While Peyton has only recently grown out of the ‘drooling blob’ phase of life, they’re all flourishing in their own way. Rosa has made a name for herself as being something of an early adventurer, always on the move, wild at heart and definitely not afraid of loudly expressing her squeals of delight! Jordan, quite one for the spotlight, has recently taken to showing off her new found crawling skills with much animation – much to the amusement of onlookers and her proud parents! There’s no doubt she’s a Poole, when her father inspires her on with ‘Otees’ laid out on the floor! 🙂 And then there is Ben; aka Ben10, previously known as Ben12, also known as Ben-Dogg. The only lad amongst the 3 ladies born in 2015, this guy is set for an interesting time! He is often to be seen looking down on the crazy ladies around him, thoughtfully considering their motives and (wisely) keeping his distance for the moment. Most likely to avoid being drooled on by the silly creatures. 🙂 He enjoys gangster music and counting to 12.



(It’s amazing to see their little characters developing already! Except for Peyton, she was just working hard at blobbing 🙂  )



You may be interested to hear a little about what it’s like having a baby at Madwaleni, so we’ll share our story.

Living at a hospital definitely has it’s benefits. Unlike living on a deserted tropical island somewhere out in the ocean, at least you’re nice and close to emergency facilities if you run into trouble during childbirth. We kept this fact in mind as we set about working out how best to get Michaela to where we wanted to deliver when ‘it all went down’, so to speak. As much as delivering at Madwaleni could be a viable option if ‘push came to shove’ (sorry, can’t help myself), the setting just felt a little awkward for us. Yes, our team has great experience and our maternity outcomes have really been turned around in the last 2 years with no maternal deaths, I think we both felt like it would be a lot of pressure to put on our close friends and colleagues to ask them to deliver our baby. Especially since at that stage we were such a small team! So, like those that had gone before us, we looked west to the little city of East London, where a particular Gynae practice had become renowned for delivering the Madwaleni babies.

Logistically, our plan then consisted of carrying on as normal here at Mads (Michaela took maternity leave from about 38 weeks), then if Michaela went into labour we’d have our bags packed and everything ready in the car, and we’d jump in and fly through to East London hoping that the 3 hour journey would coincide perfectly with the delivery of our baby as soon as we got Michaela onto a bed and comfy. By some miracle, things had worked out perfectly for the 6 other deliveries of Madwaleni babies that had happened up till this point, and ours was an exercise of faith that God would keep us safe and help us through it in His perfect timing as well. Then the service delivery protests started, and our faith was seriously put to the test!

For the past few months, from about June last year, the surrounding community had rightfully become disgruntled with the injustice of poor service delivery to their homes in the area around our hospital. While some villages enjoyed some semblance of Eskom connection, others were completely overlooked, very few had decent ablution facilities available, and none had running water beyond the odd hut with a rainwater tank installed. Their initial marches on the main road servicing the hospital went completely unnoticed by the powers that be, and so, in order to draw much needed attention to their plight, they decided to involve Madwaleni in their efforts. Unfortunately, this played out as a small disaster when they decided to lay siege to the hospital. They cut off first the road leading to us, then our main gates, preventing not only supplies from reaching us, but also ambulances, staff, and even sick patients from entering the hospital to seek care. In one emotional instance, a young pregnant lady managed to clamber over the barbed wire perimeter fence when no one was looking, just in time to get to our maternity unit where we diagnosed a life threatening condition which we were able to manage just in time. This protest was eventually cleared, but the community’s unhappiness and the resulting effects on access to the hospital then continued to wax and wane over the next few weeks, in the midst of which we found ourselves trying to plan an emergency dash through to East London if the moment arose!

One weekday afternoon in September, with Michaela quite ripe, I had a post-call afternoon off and we decided to drive through to Mthatha for a much needed shopping trip at the brand new ‘BT Ngebs’ shopping centre (complete with a small Woolworths Food, and a Melissa’s Deli!). I was tired and Michaela drove us out of the hospital and down the short stretch of tar. All was well when all of a sudden, in the distance, we saw a dark shadow looming and growing from behind a coming rise in the road. Flailing sticks and flying rocks preceded what we soon realised was an angry mob, blocking the road and approaching us in full song. Our thoughts at negotiating with what is usually a lovely community of people who have otherwise welcomed us into their surroundings, were quickly dispelled by their taunts and chants, and we turned tail. It’s sad and rather terrifying to see a mob mentality get out of hand! For some reason, we then decided that it would be a good idea to take an alternative back road gravel route to Mthatha in order to avoid the mob, and not let them disrupt our shopping needs, and I learnt a few very important lessons from what followed.

  1. Never be too hasty to make an important decision when you are post-call.
  2. Never be too hasty to make an important decision when you’re pregnant. The ‘pregnancy brain’ is a real condition – ask anyone at Madwaleni 🙂
  3. Never trust a GPS’s recommendation for directions on back roads on the Wild Coast.
  4. Never trust a GPS’s estimated time of arrival on back road routes on the Wild Coast.

What was supposed to be a 1hour 15min trip to Mthatha turned into a 3 hour epic on some nice rough Transkei roads, which were really ideal for inducing labour (but at a time we didn’t really want to be induced!). Thankfully, nothing happened out of turn, but some might say that tender pregnancy hormones that up till that point had been quite well suppressed finally came pouring out when a rather infuriated donkey seemed to join ranks with the sentiments of the angry mob we had long since left behind, and came charging down the dirt road straight at our car, with teeth bared and hooves flying. The narrow miss with disaster pretty well illustrated the afternoon’s adventures for us, as we later finally got home well after dark, dodging broken tree stumps, fence posts and scattered stones on the tar road to finally make our way back into the hospital after the protesters had retired for the night. A little shaken but safe, we were very thankful for the prayers and concerns of our Madwaleni family who had been very worried about us and our little escapade!

As it turned out though, we then decided to take some time off and head through to East London to finish our wait there (and not a moment to soon as protests resumed and the hospital was closed off again the day after we left!), where our little baby was then born safely and much to our relief and thanksgiving. And on arriving home we arrived back to a family of community at the hospital who celebrated with us, and cared for us and cooked for us, and all the worrying and misadventures before simply faded away.

And so this is a little part of our story here at Madwaleni, which is of course part of the greater story being woven together by the people and families who call this home. We have since been joined by a whole flock of wonderful people in 2016, and I have no doubt that we as a community may soon be competing with the egrets! But until then, it seems the tapestry of our story here keeps growing more and more vibrant and colourful each day with each new arrival (be it another ‘M.A.M.’ baby or new peeps joining us), and with each new adventure.


(The mums and babes!)


In many ways I guess we’re here following the advice God gave to His people in Jeremiah 29:5-7… We’re settling in our houses, planting gardens, having children and working for the good of the people here. So do think about joining us if these stories strike a cord with you, and come add to what’s happening here! And if you’re feeling broody, it’s a great place to make babies too 🙂



JD (and Michaela, and Peyton, and Mumbo!)



*As you may have read or heard, or even seen or smelt for yourself, Madwaleni is honoured to play host to some mighty flocks of migratory cattle egrets every summer. These white devils roost in a few chosen trees around the hospital every year, where what must surely be hundreds can be found in a single tree. This has some nasty effects on our senses as you might be able to imagine, but scaring them off lends itself to a certain sense of satisfaction, albeit temporary. However, when a hundred birds take flight from a tree, they do so with an impressive show of screeching, flapping of white wings and dropping of unnecessary white cargo. You just don’t ever want to find yourself caught in the white storm of raining guano that results.


One thought on “M.A.M

  1. Dear young Mothers, Congratulations with the healthy babies and mothers. Every time when a letter comes in, I am pleased to hear and see the progress at Madwaleni. Perhaps you might know, my time was 1965-68, the good old days. No tear road, no telephone, just a call centre and a ring tone in various length and numbers. Two times a week the post/goods bus from Mthata to the Haven. We had to catch it at Mount Pleasant. The road sometimes so bad to drive the landrover, that Punja Punja brought it in on horseback. But we had to learn Xhosa and this was hard enough. The staff of one doctor and later on two and sometimes three. June 2011 I spent some days at Madwaleni and attended the ICM conference in Durban, International Conference of Midwives. Two/ three midwives joined the conference too. Please give them my greetings. In June there was hardly a church community and the referent did not attended the services every Sunday. What is the present situation? August 2009 we celebrated the 50 year funding of Madwaleni Mission Station with a service in church. Do you know the book of DR David Bosch; Transforming mission? It is good to see that Christian doctors do work at the old Mission Station. The local people( Bomvana’s) said ‘iDutch’ as they talked of the hospital. Sometimes I am longing for nice warm Madwaleni weather, a short of water and than a nice warm rain. The next letter I like to get some information about the hospital work. And photo’s of the new houses.Stay all well and blessings to you all.Sorry for my bad English writing. Yours sincerely, Sophia van Schaik ( Fia) My Xhosa name ’uSister-Nomahashe’.

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