Slight issue…

Kyle rerouted us to St. Lucia last night after some issues with the propeller and auto pilot in addition to no wind so we were having to use our motor. We heard a funny vibrating sound. Usually it’s not recommended to come into a new bay at night, especially for rookies, but we had no choice. Our friend Jorge recommended this beautiful bay called Anse Des Pitons Bay. We found a mooring ball to tie to and then dove in this morning to check it all out.

Kyle was able to tighten the autopilot and the vibration went way. Praise God!! We really enjoyed our very short stay in St. Lucia between the two beautiful Pitons. We were able to use our wetsuits for the first time. The kids loved how they helped them float and kept them warm. Some local fisherman also brought us over some fresh caught Tuna. Delicious!!

We’re off now for St. Maarten. We’ll see how the sailing goes. We will remain flexible and stop when needed. Weather looks beautiful and the wind is mostly easterly for a beam reach. Smooth sailing we hope!

We must go on…

Leaving from Bequia in St. Vincent and headed to St. Maarten where no COVID testing is required to enter from a low risk country. After much prayer and discernment we decided to skip many of the windward islands (St. Lucia, Martinique, Dominica, Guadalupe, Montserrat, Antigua, Barbuda & St. Kitts) unfortunately due to rules about incoming COVID testing. We plan to sail overnight and see about resting in Dominica or Guadalupe overnight if needed. We will request to stay wherever we stop but if denied we’ll keep on sailing.

Kyle’s in his happy place!
Wow! This is fast for our boat. We were mostly cruising around 5-7 knots.
Charlie was sick with Strep Throat on antibiotics and feeling sea sick…but still he’s got a line out.
We spotted dolphins, baby orca whales and brown boobie birds on our sail. Thomas wanted to get his bathsuit on to “ride a dolphin”.

Bon Voyage…for real this time

Well, we’re off! Leaving Grenada finally after over one year…5 different apartments, COVID lockdowns, one trip back to the US, one quarantine at a hotel for 6 days then back to the boat, provisioning, meetings with government officials and local doctors, volunteering with our local parish, lots of new friends to include local Grenadians, Expats and Cruiser families. What an adventure! We certainly didn’t plan it that way but we saw God’s hand in it all and are so grateful we were there and protected from the craziness of the world in 2020!!

We are so excited to be sailing and the plans are somewhat up in the air again as we leave Grenada. We are not feeling called to do the COVID testing required to enter any of the Caribbean islands but we do have a beautiful “weather window” to make it safely to our next destination. Next stop is Bequia an island that is part of St. Vincent just north in the Grenadines. Please God guide us! Our Lady Stella Maris, pray for us!

Christened and Blessed!!

Our boat, Stella Maris, was christened two weeks ago today. Literally 9 months after arriving here in Grenada, we were finally able to launch our boat! Very much like the gestation of a baby. Ironically, this is the very same day that my birth-daughter Alyssa, delivered her first baby, Leah Rose Feldpausch!! She came out of the water and Stella Maris went in=)

So we arrived in Grenada September 25th, 2019 and we launched our boat into the water for the first time June 24th and she weighed in at 24 tons. Alyssa carried Leah Rose for 9 months and she was born on June 24th, weighing in at 8#13oz.

Thomas’s 3rd birthday was June 23rd so we moved most of our belongings from our apartment onto the boat to be able to celebrate his birthday there. The family slept our first night together “on the hard”(on land). This was so exciting for him because he would ask Kyle daily, “Is the boat safe for me yet Daddy?”. On his birthday Kyle could finally say “yes!”.

The next day at 3pm the boat lift came for us! It was incredible to see the gigantic lift approaching our boat while we were standing on the deck. As it was approaching we were listening to our VBS cd from last summer. The song lyrics couldn’t have been more perfect…”Wherever you lead me, I’m gonna follow. I’m trusting you God. You are good… Life will get crazy, wild and amazing, I’m trusting you God. You are good!”… It described perfectly all that we’ve felt on this journey!

Charlie’s 11th birthday was June 25th and his quote was the best! “This is a good birthday present Mom!”. He got to wake up on his birthday to breakfast in bed in his very own cabin.

Our priest, Fr. Marcin, was there with us ready to christen the boat as soon as it went in however it took longer then expected so he returned, so appropriately, on Monday June 29th, the solemnity of St. Peter and Paul to bless our boat.

We were able to go sailing for the first time this past Saturday and it was incredible! We took the boat to Dragon Bay which is one of the best snorkeling spots here in Grenada.

It is so nice to be in the water, but there is a lot more to be done on the boat and a lot to learn to be able to sail such a big boat safely as a family so we’ll be staying here in Grenada for the remainder of hurricane season getting more training and more work finished on the boat. We plan to start sailing north in December 2020 for likely one year. We’ve been surprised with all that God has had in store for us so far so we will “remain flexible” as Kyle likes to say and open to God’s call for us.

I’m so proud of Kyle and all the hard work he has put into this boat!! It was a lot more work then we ever imagined. I’m so excited to see where we go from here!

Ava makes us the Brady Bunch…

Well, as Kevin Page said, our family is now looking a lot like the Brady Bunch! Ava Maris Koestner, born on Feb 18th at 9:35am right here at home in Grenada (Southern Caribbean) evens the score with three girls and three boys…but “don’t forget about Alyssa, Mom” says Emily and Kyla…we never would. The girls love adding in that extra girl, our beautiful Alyssa Feldpausch, who is now having a little girl of her own, due in June. Little Ava will officially be an aunt at 4 months old and I’ll officially be a birthgrandma at 40. Whoa!!

We often can’t see God’s plan until hindsight. That is definitely true in this case. My intuition-and many Grenadians-kept saying to go to the USA to deliver the baby. However, my prayer life said to stay and “TRUST”. This was the same message when we decided to try for Ava. It seemed crazy to add a pregnancy to the mix of moving (now we’re up to 9 times since August 2019), fixing up a boat in a foreign country, and sailing the Caribbean on a mission called “NFP by Sea”. People may not believe that NFP (Natural Family Planning) works to space pregnancies if they see I’m pregnant again, and really it just seems nuts to add all the risk. Yet we felt God calling us to TRUST HIM.

Same thing with the delivery. One day early in the pregnancy, Kyle said why can’t we fly Laura Slater, the midwife who safely delivered our last baby, down for the delivery? Genius! She’s been in practice 40 years and hardly ever gets more than a weekend vacation which she usually takes locally. This could do her well. Win, win!! She hesitantly agreed, but the location of her “said vacation” kept changing as we realized our boat was nowhere near ready to sail. Even our location within Grenada kept changing as each location had limited availability. Finally we ended up in the same large, ocean-view apartment where I delivered our new friends’ baby, and our bedroom was the same room where their sweet baby girl was born. Wow, ok that seems a little wild and then it made more sense why I felt God calling me to deliver her baby, against all my medical sense and feelings of incompetence.

Ava was born here in our apartment in Westerhall, St. David, Grenada. Laura flew down for the birth when I was 38 weeks and little Ava decided that Laura needed a vacation before she could do any more deliveries (she delivered a baby 5 hours before her flight left out of Grand Rapids at 6am). At 39 weeks, we decided either we birth at a hospital locally or we induce labor. I had already prayed a lot about this and had brought with me (thanks to my midwife, Elizabeth Rykse at HCC) cytotec or misoprostol for induction. It had already worked three other times (Alyssa, Charlie and Peter) so we decided to give it a go. We started Monday evening after our Priest, Fr. Marcin, was here to bless our apartment and she was born Tuesday morning at 9:35am in the bathtub with Kyle by my side and Laura attending. Ava was looking up instead of down…she was anxious to see the world already!!

Laura tested Ava’s blood with an Eldon Home Kit. I have O negative blood type, but Ava is A+ (like her dad, already getting good grades). It was a fun homeschool lesson for the kids on blood types. Laura also showed the kids the placenta and explained all about it. They all loved it except Kyla who was thoroughly grossed out!

Our last two babies, Peter and Thomas, both needed phototherapy due to Hyperbilirubinemia of the Newborn (aka Jaundice). With Ava, we were worried of course that she would need the same treatment. Laura advised us on how to do indirect phototherapy at home, but I was skeptical this would work. However, again I felt called to trust God, through the advice of Laura, and it absolutely worked! I even found an article on UpToDate in support for all my skeptical doctor friends too.

Filtered sunlight — Indirect (filtered) sunlight phototherapy appears to be a reasonable clinical alternative to treat mild-to-moderate hyperbilirubinemia in low-resource settings when regulated and approved phototherapy devices are not available…Data from a resource-limited center has shown that filtered sunlight phototherapy using commercial window tinting films (which remove harmful UV and IR light rays) is a safe and efficacious method for reducing TB levels and can provide similar results to that of conventional phototherapy.

Unconjugated hyperbilirubinemia in the newborn: Interventions.

Now for the name…Ava Maris Koestner. I’ve always prayed about our baby names and usually get an answer…well this time I wasn’t getting that. I went to daily Mass by myself one day and I felt God was calling me to have Kyle name her…I remembered the story of Zechariah in the bible when they named their son John. I personally really wanted a Marian name to honor our Blessed Mother, Mary. I really liked Maria or Ava (saint and princess) and had a multitude of saints middle names picked out in a list for Kyle…Therese, Lucia, Stellamaris…and Maria Grace after our dear friends’ daughter who passed away after heart surgery and of whom I often ask to pray for us. I kept asking him about the name but he had no response until she was born and he said, “Her name is Ava Maris.” Ava, from Eve or life, the foreshadow of Mary. Maris which is latin for “of the sea”. It is derived from the phrase Stella Maris (“star of the sea”), an epithet for the Virgin Mary and our boats new name. What a perfect combo of honoring our Blessed Mother and for our adventure on the sea!

Yet another blessing happened with our car. For our 7-person family we’d been renting monthly a 7-passenger vehicle, a Chinese DFSK Glory. For the car people, Kyle complained it had an inferior CVT (Continuously Variable Transmission) as it was terrible on the Grenadian hills, at times requiring passengers to disembark to ascend. Kyle received a call the day before the birth from the rental company saying they needed the car back for a previous reservation (I guess they know the meaning of the word in Grenada). Because the only replacement they had was a 5-passenger Rav4 they had to search the island for a vehicle to fit our family. They finally found a Toyota Noah with how many seats? Eight. Just enough for our newest addition and making it more comfortable when squeezing four in back with Nana and Bumpa visiting this week. It also had a better powertrain for the Grenadian volcanic hills. They brought it to us while I was in labor for Ava. The timing couldn’t have been better. See how God provides!!!

Thank you God!! You are due all the glory in this story that gives witness to your Amazing Grace! Also, thank you to all those who prayed for us during this time of waiting and trusting. Your prayers were felt and so much appreciated!!

Dreaming Big

This podcast is Bishop Robert Barron, speaking about Dreaming Big. It’s a must listen for us all!! It was specifically timely for Kyle and I as our boat still remains “on the hard” in Clarke’s Court Marina here in Grenada.

“On the hard” means it’s still on land and not in the water yet. We will be spending Christmas moving into a 2 bedroom apartment and storing our stuff for the boat in the Marina.

Our family has gotten an upper respiratory virus and now we are getting a GI bug. 4 down so far. I pray it stops there 🙏.

We know God’s plan is perfect but it’s definitely hard to understand what the purpose is in this current moment.

We miss you all and hope you enjoy every bit of snow for white Christmas and we will promise to soak up the sun here and enjoy the warmth.

Let’s all remember (especially speaking to ourselves) to ask God for the deepest desires of our hearts…and dream big!

Are you ready to give everything to Him?

We haven’t posted in a while b/c it has been a little rough going with the boat. Kyle is doing a great job trying to juggle it all, but our goal to splash the boat (Stella Maris) as of Dec 2nd will very likely come and go. As with most projects we are over budget and way over the estimated original date to be in the water by Oct 18, 2019.

Friday night I had what we might call a “moment”. My thoughts easily turned to, what are we doing here? What is the point of the kids and I being here in Grenada with Kyle when he is fully consumed by this project…seems a lot like his job and all his home projects to me.

I left the room and ate some puppy chow, b/c doesn’t sugar make everything better? Truthfully, I went into the kitchen to find flights back home for the kids and I. We’ll just come back when everything is more settled I thought. I’ll stay with my Mom, homeschool the kids back with our community of homeschoolers and just continue my telemedicine work from home. This is pointless…we’re renting a house and a car and Kyle can just stay near the boatyard for cheap and won’t need a car or a big space for family.

I was going to get my computer to do some searching for flights but I remembered I hadn’t done my devotions for the day. In the morning I usually read my Bible in Year (which I’m on year two and only at April 12th), read the reflection and then meditate for the 30 seconds I get before the kids come telling me how hungry they are or about their dream the night prior.

So I opened my bible saying “please God give me some wisdom here”. The Old Testament reading was the end of the book of Judges 3-4 where the Israelites just keep worshiping false Gods, become slaves, cry for help and God again saves them, over and over again. Then Psalm 88-89 where we praise God for his endless mercy. Then Luke 9: 46-62 where Jesus says “follow me” and the guy says, “I will follow you, Lord; but let me first say farewell to those at my home.” and Jesus says, “No one who puts his hand to plow and looks back is fit for the kingdom of God”…oh…that is what He wants me to hear…

I suddenly remember all that we’ve been able to accomplish here, why we are here, and most importantly who asked us to come…the Lord…

Over the last couple of weeks we’ve spoken to a Couples for Christ group at our church (Blessed Sacrament) about Theology of the Body and Natural Family Planning. Kyle did the first part and was able to really connect with the men and speak to the women’s hearts. We were then invited to the Missionaries of Charity (Mother Teresa’s order…my favorite!!) to speak to a group of women, young and old about Theology of the Body, Chastity and Natural Family Planning. The following evening we held a Billings Ovulation Method class where we invited both groups and had a total of four couples and two single women (one age 50 and one age 23)…a success…we have a follow-up with all of them on Dec 2nd and booked them all for 30 minute follow ups back to back. I also have the contact for the Director of the Planned Parenthood here in Grenada and an OB/GYN as well as someone in the Government who helps with the Grenada Medical Society…I just have to call them…in my “free time”.

Also I did a home delivery here for a neighbor near us. They are from Florida and have lived here 3 years. They have 8 children and were expecting baby number 9. She was 37 weeks when I met her and had only been to the doctor twice because the access to care is so difficult! The doctor doesn’t take appointments so she had to show up 2 hours early before his office opened, wait in line to see if she will make it in and then wait another 3 hours to maybe be seen…he only takes 10 appts daily. Then you pay cash before leaving the office. Her last delivery here was with him and he was a fine doctor, however when you’ve done home deliveries with Midwives that have always went beautifully, you dread going back to the hospital in a third world country again.

Our kids first met as I was driving by and noted the multiple children and of course I pulled the car over to meet them, much to my mortified Charlie’s surprise. He actually shrank down in his seat to hide because he was so embarrassed by his crazy Mom! Needless the say, they were fast friends.

The kids noticed her pregnancy and of course mentioned I did OB back home so she admittedly wondered if this was God blessing her with the option of home delivery again. I secretly thought about how amazing it would be to do a delivery again and thought how odd it was that my friend Mollie Engle had basically made me take an extra delivery kit with me. She was in training to be a surgical tech and someone had given her “some medical supplies” to practice with. She had me take a look and I realized I was looking at a C-Section kit. I laughed and told her that I already had my delivery kit for myself so I didn’t need to take it but thanked her anyway. She insisted I take it saying “you never know you might deliver someone’s baby” and when I made my final excuse of not having room, she gave me her green and red christmas bin and somehow our husbands crammed it into the U-haul. I even inadvertently picked up 2 cytotec prescriptions in case of postpartum hemorrhage. I had the injectable pitocin for precautionary treatment and even an ambu bag in case I needed to resuscitate a baby. I literally had it all for a home delivery.

When she asked me if I would consider delivering her baby my immediate response was to laugh and tell her that I had thought about that too but it would be CRAZY…I’d never delivered a baby at home (besides that I’d had a home delivery myself with Thomas). I always had monitors and nurses and OB/GYN back up and more than that, I hadn’t delivered a baby in two years b/c our practice stopped doing deliveries. We just did pre/postnatal care and of course I did a lot of fertility, abnormal cycles, etc. I did agree to at least do some prenatal visits at her house weekly until her delivery so that at least she and baby were monitored and safe. I told her I’d pray about the idea and wanted her to as well. She admitted she was finally getting excited about her delivery with the idea of being about to be at home and I felt the call again to trust God for the results.

Of course, He doesn’t disappoint and her Mother in Law arrived who is an RN at a Pregnancy Crisis Center in Florida and a major help. We loved swapping pro-life stories and then her baby came and the delivery was absolutely beautiful. She called me when her water broke, which was only shortly after her contractions started. I arrived within 15 minutes and her baby was born about 15 minutes later while she stood at the bedside. I handed her her beautiful baby girl and everything was smooth sailing from there. God is soooo good. Her husband prayed a prayer of thanksgiving and blessing on their daughter and I knew I was doing His work. Absolutely amazing!

Most days here go by so quickly! We are waking up at 6am, doing devotions, family rosary exercise (which is a hot mess most of the time), breakfast, Kyle leaves, we do chores and school. The afternoon is seeing patients online, then dinner and bed and do it again. I often think where is the time going? I thought life would slow down here? Where’s the island time and why is it only applying to our boat which we really just want to be sailing away from here?

Then I go back to my reflection from Dr. Tim Gray which is for us all…”Jesus wants all that we have to give because he has given everything to us. Are you ready to give everything to him?”

Interview of Dr. Koestner on the Diagnosis and Treatment of PCOS (Polycystic Ovarian Syndrome)

Dr. Craig Turcynski, Director of Development and Strategic Planning for BOMA-USA (Billings Ovulation Method of America – USA) interviewed me on the diagnosis and treatment of PCOS and the role that a women’s NFP or Fertility Awareness chart contributes to that process.

Dr. Turcynski was previously the Director of an IVF laboratory at LSU’s Medical Center. I later learned he left that industry due to the mounting scientific evidence that there was a safer and more evidence based way to help couples achieve pregnancy naturally.

https://zoom.us/recording/play/d_j7hUWyb4sZYMmcPwaHEOHhQHWOBiVE-hub3kDanH5S96eiIrAE6qr1_0ahx7TN