In Pakistan, Being a Doctor is More Than Medicine

Katie Back Salmon • Oct 17, 2016

Most mornings, Dr. Luke Cutherell’s alarm rings at 4:30 a.m. — that is, if he wasn’t already awake operating all night. After a quick run, Cutherell studies his Bible over breakfast, and by 7:00 a.m., he’s at Bach Christian Hospital in northern Pakistan, making rounds with inpatients.

An hour later, he gathers with a multinational staff of 225 nurses, physicians and surgeons to pray for the healing work ahead. Then he’s off to the clinic, where 300 to 400 people are eagerly waiting to receive treatment for everything from kidney stones to cancer.

These patients have traveled distances ranging from down the block to down the mountain, often passing other medical facilities along the way. They trade convenient treatment for compassionate care – something Bach earned a reputation for 60 years ago in a mud-brick clinic.

A Legacy of Care

The roots of Bach Christian Hospital reach back to 1951 when Dr. Andrew Karsgaard, a TEAM missionary, opened a dispensary and clinic to help the medically underserved and suffering in northern Pakistan. Locals flocked to the clinic, but Karsgaard saw unfulfilled potential to do more through life-saving surgeries.

The other missionaries agreed and voted to each contribute $10 a month (of their $66 monthly earnings) into a rent fund. Their investments, plus a large donation from a generous donor, allowed the doctors to break ground on Bach Christian Hospital in 1956.

Among these founding members were Caleb and Loretta Cutherell and their son Luke, whom Karsgaard delivered in Pakistan.

Growing up at Bach, Luke watched doctors and staff bridge cultural and religious divides through medical care. One surgeon in particular, Dr. Bob Blanchard, impressed Luke with the way he used his skills to build unique relationships with his patients. When it came time for Luke to pick a career, he was inspired to follow Blanchard’s example.

“As I began to think about what God would have for me and how I could make an impact in a [gospel] resistant country,” he remembers, “ I was drawn to the fact that when you operate on someone, there’s a special bond that develops . … You make a commitment to that person, and that person has committed their life to your hands. It’s a dramatic thing in some respects.”

So after attending medical school in the U.S., Dr. Luke Cutherell returned to Pakistan as a general surgeon and today serves as the director of Bach Christian Hospital.

More than Medicine

Historically, Bach treated many patients suffering from typhoid or tuberculosis. As Pakistan has developed economically, the doctors see less of these cases and now can serve more patients facing high-risk pregnancies, tumors and cancers, burns or gallbladder disease.

But to Cutherell, the hospital’s high regard in the community cannot be attributed to technical skills alone.

One thing we have to offer is compassion ,” he says. “We’re not here to make money. We’re here to serve. … We’re committed to caring for poor people and trying to make it possible that nobody’s turned away because of lack of funds, even though we expect everybody to pay something.”

The other service Bach offers the community is just as intangible.

Cutherell explains, “ If you ask people again and again, why they come here, they say, ‘We trust you. When we buy medicines in the bazaar and other places, those are second-rate medicines. They’re not pure. We don’t trust the people that make them. But we trust what you do.”

What it Means to Serve in the Name of Jesus

This reputation has caused the demand for care to outstrip what Cutherell and his staff can provide. For the chance to be served, some patients line the hospital gate at night and stay until morning . And it’s common for Cutherell to receive phone calls from family members of sick people pleading with him to see their loved one.

It’s a tension that Cutherell recognizes as a problem, but growing, he asserts, would cause a much greater one. “It’s a common practice in missionary medicine that need drives how things are done,” he says. As a result, Cutherell has seen hospitals expand too rapidly, resulting in a burnt out staff and an anemic operation.

Instead of need, Cutherell is driven by a commitment to constantly improve the quality of care at Bach. “If we’re serving in the name of Jesus,” he says, “the care had better be better than what’s around you. If it’s worse than what’s available around you, don’t do it in the name of Jesus. You don’t honor him with second-rate work. That’s central to our thinking.”

When first-rate work leads to physical healing for a sick patient, Cutherell can’t help but consider himself blessed too.

“To see a child badly burned whole again and a woman with breast cancer to be healed of that [or] the kid last night that needed his appendix out is happy and wanting to go home this evening. Those kinds of things are very rewarding. …

“We consider ourselves privileged to be here. It’s not been easy, necessarily, but at the same time, there have been rewards that are probably far more than we deserve.”

By Suzanne Pearson 08 Mar, 2024
Through God-ordained partnerships and creative connections, TEAM worker Keith Moore sees the global Church advancing in amazing ways. In the global missions landscape, a phrase that comes up often is “from everywhere, to everywhere.” God is calling His global Church in literal new directions, as He raises up cross-cultural workers to be sent from places that were once on the receiving end of missions work. We call this movement “polycentric sending.” TEAM workers Dawn and Keith Moore have seen first-hand this transition taking place. Their story involves the unlikely but beautiful intersection of Charlotte, North Carolina; Tegucigalpa, Honduras; and Memphis, Tennessee...and beyond. The Path to Honduras Keith and Dawn joined TEAM in 1991 and served as church planters for nine years in Bogota, Colombia. After safety concerns precipitated their return to the States in 1999, they knew they wanted to continue serving in Latin America. The Moores felt called to Honduras but wanted to connect with a strong missional church to help send them. The Lord orchestrated a collaboration with Bellevue Baptist Church in Memphis, Tennessee. “Some people asked, ‘Why Honduras? Missionaries have been there for 100 years. It’s already reached,’” Keith says. “But there’s a whole section of Latin America that had not been reached - the upper crust.” Keith goes on to explain that he and Dawn felt called to reach college-educated professionals in Honduras – a ministry vision that resonated with the missional goals of Bellevue Baptist. Impact and Growth With the support of this new church partnership as well as another sending church in Birmingham, Alabama, the Moores embarked on their next adventure. Keith and Dawn started Impacto Honduras Church from scratch, and in less than 20 years, the church grew into four locations with 1600 total members. The Moores and other TEAM workers also created a “Bible school” type training program to help professionals who feel a call to ministry to make that transition. Throughout this period of explosive growth, church partnerships played an integral role. “It’s such a different vision when you have a church that says, ‘OK, this is our deal, we want to make this happen,’” Keith explains. “They helped us with everything. They took away every single obstacle to growth. Every time we needed something, they were there.” In 2017, the Moores once again found themselves on the verge of another decision. Was it time to leave Honduras? “I had no desire to leave,” Keith recalls. “People were coming to Christ every week! It was just so amazing.” However, back in the U.S., Keith and Dawn’s parents were in their 80s and would soon be in need of more care. “We realized that either we would leave in a crisis, or we would leave strategically,” says Keith. The couple began to implement a careful succession plan. By the time they left, the four churches were established with strong, Honduran leadership ready to carry on the work of the Gospel.
By Suzanne Pearson 23 Feb, 2024
Justin Burkholder, pictured here with his wife Jenny and their daughters Isabella, Olivia, and Zoey, has recently been named as TEAM’s next International Director. On February 19, 2024, with much excitement and gratitude to the Lord, TEAM announced that Justin Burkholder will become our organization’s new International Director, effective July 1, 2024. Justin, who is currently TEAM’s Executive Director of Global Ministry, will assume his new role upon the retirement of the current International Director, Dave Hall. ( Read the full press release here. ) We sat down recently with Justin to learn a little more about his background, his family, and the journey that has led him to TEAM. Q: Tell us a little bit about your “origin story” - Where did you grow up? What was your family like? A: I grew up in Mexico City as a missionary kid. My parents were focused on church planting. We were very close as a family. Both of my parents are still alive, and my dad serves as a pastor in southern Florida. I have one brother who is a pastor in Wisconsin, and the most special individual in my family is my sister, Amber. She was born with a very severe case of cerebral palsy and is entirely dependent on my mother...who is extraordinary! The three most impactful forces that have shaped who I am (outside of God’s grace) are growing up in Mexico, having parents who loved and planted churches, and sharing life with someone with a severe disability. My parents belonged at the time to a church and denomination that came with quite a bit of legalism and performance-oriented Christianity. Grace was a challenging concept to grasp. While I had an awareness of my sin and need for redemption, it wasn’t until I attended Moody Bible Institute that I began to grasp the fullness of God’s grace and His delight in His children. I have continued learning and trusting in the Gospel through formal education, like completing my M.Div., and through spiritual practices in community. Learning the Gospel and believing the Gospel has been a daily exercise. The Gospel is as beautiful and multi-faceted as a diamond! At an individual level, it is simple enough for us to live convinced that “Jesus loves me, this I know.” At a corporate level, it becomes the foundation that forms and informs our life as a spiritual family. At a cosmic level, it is redemption that reaches as far as the curse is found. It is hard to even grasp the multiplicity of goodness found in the Good News. Q: Share a little bit about your family life now. What does a typical day look like in the Burkholder household? A: My wife Jenny is my high-school sweetheart! She brings joy and kindness wherever she goes. She’s the best listener I’ve ever met, and we love spending time together. We have three daughters. Isabella is ten, Olivia is seven, and Zoey is four. Each of the girls is unique and has taught us a lot in our process of following Jesus together. We like to go out on walks and go to the park together. Once a month I try to get some alone time with each of my daughters which usually includes bowling or trampolines. A typical day in the Burkholder house starts around 5:00am. Because of traffic here in Guatemala City, we have to leave early for school. After school, the girls come home to different activities - sometimes swimming class, sometimes piano lessons. Four or five nights a week we have dinner together where we usually talk about our high and low moments of the day. On weekends, we enjoy time together, playing outside, or watching sports together. Go Cubs and Go Buckeyes! Q: What are your interests and hobbies? If you have the day off, what are you likely to be up to? A: I enjoy physical activity, running, strength-training and following sports. I also love music and, truth be told, am a bit snobby about my taste in music! I also am a very curious person and love reading just about anything that passes through my hands. A day off is usually an opportunity for time with family. Jenny and I like to cook something interesting together on our days off. Often there is time for some reading and watching some type of athletic event. Q: How did God lead you to TEAM? A: My wife and I were working in the Chicago suburbs. I was a youth pastor and she was a Spanish teacher. When we got married, we had already sensed God’s direction to serve cross-culturally, but it was a matter of discerning when and where. There was a driving desire in me to see a church deeply love the Scriptures and at the same time, be deeply engaged in loving and serving their city and the most vulnerable among them. As God directed our paths, we visited a variety of places and made some friends in Guatemala who opened up the path for us to serve here. While we were exploring, we knew that the International Director of an organization called TEAM happened to go to our church, so I decided I should probably invite him out for breakfast - his name was Charlie Davis. Charlie was extremely thoughtful, passionate about disciple-making, and very gracious in creating space for us as we stepped into this endeavor. Charlie connected me with Steve Dresselhaus, a fellow TEAM global worker who was at that time serving as the Senior Director for the Americas. I cannot express the debt that I owe Steve. He walked closely with me in the transition, encouraged courageous thinking about the church and her role in society, and blasted open the doors for us to serve in Guatemala. After meeting Steve, we spent some days praying about joining TEAM. One thing I will never forget – one night during the process, I found myself wide awake in the middle of the night. A peace like I have seldom experienced passed over me confirming that we should join TEAM. There is no doubt in my mind that God tied all of these pieces together to bring us into the TEAM family and community. Q: What roles have you held in TEAM? What have been the milestones in those roles? A: The most important role I have held in TEAM is that of a global worker. God in His grace has allowed us to help plant two churches here in Guatemala, serve in leadership development, counseling, and discipleship. Our greatest joy has been found walking with those who are learning to follow Christ more deeply. I served as the Ministry Area Leader in Guatemala from 2016 to 2019. We helped to establish and lead this ministry area as it grew from just four global workers to over 15. I then served as Senior Director for Mexico and Central America from 2019 to 2021, Regional Executive Director for the Americas in 2021 and 2022, and then transitioned to the role of Executive Director of Global Ministry which I’ll continue in until the end of June. Q: What do you love most about being a part of TEAM? Why TEAM rather than other organizations or job opportunities? A: The TEAM community is full of people who have faithfully served God’s mission and have given up a lot to do so. It is a privilege to know many of our global workers and be counted among them. I am also fascinated by the fact that TEAM has existed now for more than 130 years! There is something to be said about the resilience and faithfulness of an organization that has continued to impact the world for so long. The rest of our conversation with Justin will be coming soon on blog! We’ll hear more about how God called Justin to the role of International Director, and what Justin sees for the next chapter in TEAM’s work in the global Church.
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