Relative suffering – It is well with my soul

Last week at church Jen played a new song which is modelled on an old hymn called ‘It is well with my soul’ if you want to see a couple of minutes of her singing this click on this link . The hymn is written by a man called Horatio Spafford in the 1870s. Apparently this man lost his then only son to scarlet fever when he was 4. He then lost everything he owned in the great Chicago fire. He went on to have 4 daughters and they planned a trip to the UK, but he had to send his wife and daughters ahead on a boat, planning to join them soon after. He then received a telegram from his wife that famously said ‘saved alone’. The boat had sunk, only his wife had survived. The story goes that as he went to join his wife the captain of the boat he was on pointed out to him the place where the boat his family had been on sunk, and where his 4 daughters had died. This is when he wrote the hymn, including the line ‘it is well, with my soul’. It is thought that this phrase or part of the song is based on a story from the Old Testament, in 2 Kings 4. Here a lady longs after a child after being barren, God gives her a son, and then he dies. When Elisha asks her how her family are she replies ‘it is well’.

This sort of tragedy was far more common in America and the UK in the past. Nowadays, to lose 5 children would be very unusual. It is more common here in Uganda. The official childhood mortality rate is 69 per 1000 livebirths (e.g. 69/1000 children die before the age of 5). Anecdotally I suspect this is a gross underestimation. Many babies are regarded as ‘stillborn’ when actually they were born alive when minimal efforts were made to resuscitate them and try and preserve their life. Also, the poorer here, as in the UK, are more likely to have bad ‘health outcomes’ and so the tragedy of children dying at birth, or at some stage during their early years, is more common among the poor. It seems to me that many of the women that I have seen in the government hospital who have had 6, 7, 8, 9, 10 children often only have half of them still alive.

So, how do people cope with this horrendous tragedy, this horrible burden of having child after child die. To think of either of my children being ill, or dying, or even just them suffering a little, is horrible. So far, nothing significant has happened to us. But how would I cope with this?

Unfortunately I can’t give you much insight to how the woman here cope with it. Those patients that I have seen that have lost many children, I struggle to communicate with as they don’t speak English, and even then I don’t have the time, or it is not the right situation to talk about it. Somehow they do cope, in that at the very least when I see them they are alive, and trying to have another baby.

This got me thinking about the concept of relative suffering. How one person feels about one event is not always the same as how someone else feels about the same or a similar event. Do these women somehow expect that they will have several children die? Do they see it happening to their own brothers and sisters, friends and therefore are more prepared for it? It is almost the norm to lose one or two, so is this easier to cope with for them then it would be for me? What would the equivalent suffering be for me – seeing my child be ill but recovering? Would me losing one equal 5 over here? Of course, I am being facetious to a degree. But maybe there is some truth in this idea of relative suffering depending on your circumstances.

How the mother feels or suffers is, however, secondary to the fact that the babies and children themselves are dying. As you have seen from my other posts, this is a serious, and potentially avoidable scenario in many of the cases I have seen, with a little more care and professionalism in the places I have worked.

So what of the response of Spafford or the Hebrew woman in the bible: ‘it is well’. How can it possibly be ‘well’ after your own children die. Again, I cannot say I know having never even been close to this sort of suffering. But I do believe their responses were with the knowledge that they had a relationship with a God whom they trusted, whom they knew was sovereign. By this I don’t mean He caused it, and not even that He ‘allowed it’, but that somehow He is in control and he would provide a means for them to cope with it. For them, in their soul, they were still well in the knowledge that God was for them, that all things happen for the good of those that love Him, even in the face of these events. Maybe even somehow bring God glory through it. In fact, with both of these examples this last point appears to be true. With Spafford this hymn is still sung today and has brought praise to God from thousands through it being sung and thought about. With the Hebrew woman, her son was later raised from the dead by Elisha.

Can we even go one step further? Well, this is what Jesus does with His life, His teachings. In the sermon on the mount, in the section known as ‘the beatitudes’ He does go one step further. In Matthew 5 v 4 He says ‘Blessed are those who mourn, for they will be comforted.’ So not only is there the promise of comfort, but somehow this is a blessing. Could it be that those who go through this horrendous scenario of losing children are somehow blessed by it? Please don’t hear what I am not saying. I don’t wish this on anyone, on myself. But if you read the rest of these blessing, it is not what we usually consider blessings. We sometimes hear that we are ‘blessed’ by a good job, by money, by good things happening to us. Do we really consider it a blessing to mourn, to be poor in spirit, to hunger for righteousness, to be persecuted?

The things I have seen here, haven’t ‘shaken my faith’ as could be suggested. Seeing suffering, children and mothers die, and seeing how apparently some of those who are meant to help them just stand-by, or worse, contribute to the suffering, doesn’t make me think ‘where is God in all this?’. It actually makes me think of sin, or how rejecting the person who made us and loves us, is what is wrong with the world. It makes me thankful that that person provided the answer, in that He provided His own son,  to suffer and die, so that I, and anyone else, doesn’t have to go through the ultimate suffering of being forever separated from that person that made them. That suffering, which will be worse than anything seen on earth, can be avoided by choosing to follow Him. Unfortunately some of the suffering here on earth cannot be avoided, despite the efforts of men and women doing far better things than going to Uganda for 6 months to work in a hospital.


If you want to hear the modern version of the hymn that we sing in our church now it is on youtube:

And a longer blog post about Horatio Spafford that I reblogged earlier. Looking at other sources it seems reasonably reliable that these events did happen to him:

Another interesting post I reblogged earlier as well about being ‘blessed’:

Also thanks to Pastor Doug here at Calvary Chapel, Fort Portal, who told us about the story behind the hymn ‘It is well with my soul’.

The One Thing Christians Should Stop Saying

This is another post that talks about this idea of being ‘blessed’ but not as we might expect, as mentioned in our post on relative suffering

The Accidental Missionary


I was on the phone with a good friend the other day.  After covering important topics, like disparaging each other’s mothers and retelling semi-factual tales from our college days, our conversation turned to the mundane.

“So, how’s work going?” he asked.

For those of you who don’t know, I make money by teaching leadership skills and helping people learn to get along in corporate America.  My wife says it’s all a clever disguise so I can get up in front of large groups and tell stories.

I plead the fifth.

I answered my buddy’s question with,

“Definitely feeling blessed.  Last year was the best year yet for my business.  And it looks like this year will be just as busy.”

The words rolled off my tongue without a second thought.  Like reciting the Pledge of Allegiance or placing my usual lunch order at McDonald’s.

But it was a lie.


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An Inspiring Story – Horatio G. Spafford

This a post mentioned in our new post on relative suffering that might be of interest

Fresh Manna - Bible Devotions By Tim Burt

Fresh Manna
by Pastor Tim Burt

You may have at some point, heard the old hymn, ”It is Well With My Soul.” I have heard it many times at funerals. What you might not know is the story behind the man who wrote the lyrics and why he wrote them.

The hymn was written by a Chicago lawyer, Horatio G. Spafford a successful Chicago lawyer. He did not write the words ‘It is well with my soul’ because of his great success. They came as a reflection at a time of great personal tragedy from a man whose commitment to the Lord was like that of Job’s.

Horatio G. Spafford was a prominent American lawyer from the Chicago area in the mid 1800’s. He and his wife Anna were committed supporters and close friends of D.L. Moody, the famous preacher. In 1870, hardships attacked their life. The Safford’s’ only son…

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Why we have moved to Uganda

So I thought I would just start by telling you why we have moved here for 6 months. When telling people you are moving your family to ‘Africa’ for 6 months to work as a volunteer there are a variety of reactions. Most of these reactions are positive, with many of my doctor friends saying, ‘I’ve always wanted to do that’ and ‘I wish I could do that but…’. Some of our friends, completely understandably, said and thought that we were a bit crazy because of our young children and that it was a bit risky and not the best thing for them. Most people thought it would be fun, but were glad it was us rather than them.

Well, the trip was planned very quickly in one sense, but has also been planned for over a decade in another sense. We did only really decide to go in about June this year, so only had 3 months to plan and get our lives organised to come. The reason it was so ‘last minute’ was that I passed my professional exams in May and so didn’t have to do retakes or take them again later in year, and we had a small window to go before Jen had to return to work in April 2015 after maternity leave. Fortunately my employer gave me 6 months out of training to come here so we were able to leave.

But also the trip has been planned for a number of years. I spent my gap year in Cape Town, South Africa in 2001 teaching sex education in schools and working for a church and this made we think that I might work in Africa again in the future. I had a strong desire to be a doctor, partly because I knew it would be a good, enjoyable job, and partly because I felt a call on my life from God very broadly speaking to help people. Throughout medical school I always enjoyed obstetrics and so this worked out well as it is an area of medicine that there is a lot of need for in the developing world. As Jen and I got to know each other and eventually got together and got married, using our skills abroad was something that she also felt excited about and together we felt was part of God’s plan for our lives.

However, it is really difficult to know for definite until you have actually been somewhere and worked there if these feelings are right. So we hoped to go somewhere during the later years of my training (when I would be at the stage where I would have enough skills to be useful). It just so happened that we now have 2 children and they have had to come along too! But we see these 6 months as a bit of a trial as to how we will cope as a family living abroad as to whether we do this again in the future. It might be we never leave England again and actually it is right for me to work in the NHS my whole life; it might be we live abroad doing this sort of work much later in our lives when our kids are grown up; or it might be we come and go regularly over the coming years. Whatever comes of this we still think these 6 months will be worthwhile to the town we are living in now, and will be good for our family.

Just one little thought on children and what is best for them. I love our kids and obviously want to protect them and my desire is for them to be happy. Probably it is slightly more ‘dangerous’ for us to bring them here as something could happen. They could get malaria, or we could have an accident here where the medical care isn’t as good and something bad could happen. But also, as Christians we are trusting in God that it is right for us to be here right now. That doesn’t mean nothing bad will happen to us (although we do pray for protection), but that we trust God will provide the means for us to cope with whatever happens. There are numerous examples in the bible where we are called to serve God and leave our family and friends, or not be as comfortable, but where actually doing what He wants is the most important thing. I don’t want to over-spiritualise this too. We are here because we think we will enjoy it, it will be fun, our kids will gain from being in a different environment even though they are young, and I will get some medical experience that is difficult to get in the UK (for example to manage obstetric emergencies that are rarely seen in the UK such as ruptured uteri and eclampsia).

Anyway, we are here now, and have settled in, so over the next few posts I will try and tell you a little more about our life here, some of the difficulties, the good things, and the state of obstetric care here (you will never complain about having a baby in an NHS hospital again, or if you are a doctor will never complain about a midwife again, not that I personally ever do..).

Harry and I with our 'monster truck' prior to me leaving for my first day at the hospital
Harry and I with our ‘monster truck’ prior to me leaving for my first day at the hospital

Who we are and why write a blog

Us leaving our house in Leeds early in October 2014.
Us leaving our house in Leeds early in October 2014.

Blogs always seem a slightly self-indulgent thing to do. We have been in Uganda for a month and I have only just got started with this now, not just because of time, but there are more exciting things to do. But we wanted to write more publicly to anyone who was interested about our experiences as a family in Uganda so that we could tell others what we were doing and why and hopefully you might enjoy it. Very briefly we have moved to a town called Fort Portal, in Western Uganda, for 6 months from October 2014 – March 2015 to work for a charity called ‘the Liverpool-Mulago Partnership’ ( I will be working as an Obstetrician in the local government hospital very broadly speaking to improve maternity care in the region.  I will try and keep the posts brief and themed in some way. They will be a combination of how our medical work is getting on and some of our experiences working in a different health care settings, some thoughts on life here and how it is different, and how this relates to our family.

Probably the only people that will read this are my parents and my parents-in-law, but just incase someone reads it who we don’t know……we are a family of 4 from England who, whilst not originating from, now come from Leeds. Myself (Jon), my wife Jenny, Harry who is 2 and a half and Madeleine who is 7 months. What you need to know about us that is relevant to this blog and our lives is that we (Jenny and I) are Christians (in the born again sense) and that we try and make our relationship with God the most important thing in our lives. The main purpose of our lives is to serve God and to do the things he has laid out for us. Also, we are fortunate to have the skills to both be doctors and are trying to use these skills to help people. So I am an obstetrician and gynaecologist midway through my training so that I have some skills that I can practice fairly independently and pass on some of what I have been taught (for those who know what this means I am an ST5 training in West Yorkshire region, so just under 3 years until I could become a consultant). Jenny is training to be a GP, but is currently on maternity leave.

We hope you enjoy reading about our ‘Adventure in Uganda’, I’m the least creative person known so titles and making things exciting are not my thing.