When I first arrived in Kenya, I was mainly focused on one thing: being useful.

I wanted to contribute as much as possible to the team and make the most of my time. In those first few days, though, I found that harder than I expected. I hadn’t fully orientated yet, I didn’t always know the systems, and I wasn’t qualified to do some of the tasks that needed doing. I found it frustrating to sit back and observe when I wanted to help.

Over the coming days and weeks, that began to change. I started by doing smaller jobs – learning to write discharge summaries, documenting patient notes, and gradually building confidence speaking with patients. Those small responsibilities grew into bigger ones. I’ve had the privilege of assisting in surgery, learning practical skills from surgeons who are generous with their teaching, and being trusted a little more each week. It’s stretched me, but in a good way. I’ve realised that being useful isn’t about doing the biggest task in the room; it’s about faithfully doing whatever is in front of you.

One clinic day recently has stayed with me. A woman came in with advanced gastric cancer. Her prognosis wasn’t good, and she needed chemotherapy. Her husband explained that they simply couldn’t afford the treatment. They were already struggling financially while supporting their children.

What struck me wasn’t anger or despair, but his response. He said that despite everything, he would trust God’s plan. “God can do things that we can’t,” he told us.

The consultant and I prayed with them in the room. It was a simple moment, but it really affected me. His faith wasn’t abstract - it was being lived out in the middle of uncertainty and financial strain. I stepped out of clinic afterwards for a few minutes just to process it. I continue to be amazed at the depth of faith I see here in Kenyan patients and their families. Phrases like, “This is the day the Lord has made; let us rejoice and be glad in it,” aren’t just sayings - they reflect a genuine attitude.

Working here has also made me far more aware of how much I take for granted. Things I wouldn’t normally think twice about - like running water while scrubbing in - are not guaranteed. We only turn the tap on as needed. Surgical equipment is limited, so you learn to use what you have with intention. When ordering investigations, there is always consideration of what the final bill will be for the patient. One of my favourite observations has been the brief prayer over the patient and surgeons before induction of anaesthesia, included as part of the routine surgical checklist.

It feels very different from what I’m accustomed to in the UK, where our healthcare is free at the point of access. Patients also often present much later in the course of their illness than they would at home, which reshapes your clinical thinking and serves as a powerful reminder of how much access to healthcare can vary.

I’ve been really encouraged by the work ethic of the doctors and nurses here, both Kenyan and missionary. Everyone is deeply committed to the mission of the hospital and genuinely wants to do the best they can for each patient. That dedication has challenged me, and I hope I take some of that mindset back with me.

Another highlight has been the weekly Bible studies learning from Acts with the surgical team. It’s been grounding to grow spiritually alongside growing academically. Taking time to pause, reflect, and pray together has been a reminder of why we do what we do. Outside the hospital, I’ve loved meeting new friends and exploring more of Kenya. Being in a different environment, surrounded by such varied landscapes and cultures, has given me a fresh appreciation for God’s creation.

Overall, this experience has stretched me, humbled me, and taught me not to take things for granted. I came wanting to contribute as much as possible, and while I hope I have, I’m also aware of how much I’ve received. The faith, resilience, and generosity of the people I’ve met here have left a lasting impression on me.

As I mentioned, “This is the day the Lord has made” is something I’ve heard during my time here and it has shown me the importance of making the steady, daily choice to trust God’s will not our own, whatever the circumstances.