Barry Ewy:
We are thrilled to have Dr. Sandy Christensen join us on this episode of the Blessings Broadcast. So Dr. Christensen, welcome.
Dr. Sandy Christiansen:
Thank you. Glad to be here.
Barry Ewy:
Well, it's great to have you here and we certainly appreciate you taking time out of your busy schedule to join us. And I'll just do a little bit of background on you, and I think our guests or our listeners will get a good idea of just how busy you are.
Dr. Christensen is board certified in obstetrics and gynecology, and she's a fellow of the American College of Obstetrics and Gynecologists.
Dr. Christensen currently serves as the Associate Medical Director and Practicum Director for the National Institute of Family and Life Advocates. That's also known as NIFLA. That's a common acronym that's used for that organization. She's also the medical director and staff physician of a medical pregnancy center in Maryland. And then lastly, if this isn't enough, although there's a lot more I could add, Dr. Sandy also teaches Life Advocate Training to Healthcare Professionals in African and Asian countries through Life Equip Group.
So again, Dr. Christian, welcome and thank you for taking your time to be here.
Dr. Sandy Christiansen:
Well, thank you so much. It's been a pleasure to be part of Blessings International in the sense of partnering with pregnancy centers and helping that get started. It's been a true blessing to them, the different services and resources that you provide. So thank you for your work with the pregnancy centers.
Barry Ewy:
That's great. Well, thank you. So that's let's start right there: pregnancy centers. So we're going to use that term a lot through our visit today. So pregnancy resource centers also I think another term that's used is medical pregnancy center. So let's just start there. What are pregnancy resource centers?
Dr. Sandy Christiansen:
My first thought, honestly, is they are sanctuaries. They are safe places for women and men to come to receive support for their pregnancies and ultimately be empowered to choose life for their unborn child, and in some cases receive— Well they always receive the love of Christ, but in sometimes they make a decision for Christ. The spiritual nature of the pregnancy center is key. Really, everyone who volunteers or works there is a Christ follower. It is the motivation for the ministry. We are loved, therefore, we extend Jesus' love to others. We look for opportunities for spiritual inroads because John 10:10 tells us Jesus came to bring abundant life. Abundant life is only found in the transformation that happens when we put our trust in Jesus as Lord and Savior. And so as you mentioned, I do work one day a week in the local pregnancy medical clinic. And it really is a great joy to be there. Pregnancy resource centers: there's a distinction. The pregnancy resource center, the PRC, is a non-medical place versus the pregnancy medical clinic, which is a medical clinic. So both of them provide similar services and then there's a distinct difference when they become medical. They're all free. Women and men can come, predominantly women, and we hope their partners come, but they come and they can get free pregnancy tests, they can get counsel about their pregnancy decision regarding parenting, adoption, they get education about abortion procedures and risks and fetal development. And if they make a life decision, then they also have the opportunity to engage in classes that equip them to be parents, how to take care of a newborn, etc. And they get free items such as baby clothes, maternity clothes, car seats, other baby equipment. It's we're there to be the hands and feet of Jesus so that these women, as they choose life, can have a successful pregnancy and get their life started well.
When a pregnancy resource center becomes a medical clinic, it's very similar, but once you begin the practice of medicine, which is that limited obstetrical ultrasound, you do have to adhere to all the guidelines and things that any doctor's office follows. And so there, you have a medical director that oversees the clinic. That person's license authorizes the nurses and other medical professionals to provide the medical services such as the nurse-run pregnancy tests, the limited obstetrical ultrasound, which is the diagnosis of pregnancy and then any other, you know, sexually transmitted infection testing and that sort of thing.
Barry Ewy:
If there was sexually transmitted infection and they wanted to provide treatment for that, whether it was medical treatment, prescription or other, that's when you start seeing that sort of thing as well. Is that right? As well as maybe prenatal vitamins?
Dr. Sandy Christiansen:
Absolutely, and that's where Blessings International has come in and you have provided deeply discounted prenatal vitamins, pregnancy tests, the antibiotics that we use frequently in the center where I am in Maryland. We use your medicines and also you know local pharmacies, but that really helps these pregnancy centers provide those much-needed services because even a woman who's considering—especially a woman who's considering abortion—we offer that STD test because if she goes into that procedure with an infection, it can have very, very severe outcomes for her. And so it is really critical.
Barry Ewy:
You've named and discussed some of the overall aspects of healthcare that's received in pregnancy centers. Are there other things that medically in pregnancy centers for these women? And how is that important in their overall aspect of healthcare?
Dr. Sandy Christiansen:
If we think of the population that tends to come to the pregnancy center, most of them are women who do not have ready access to health care, other than an emergency room. They don't have health insurance. And so the pregnancy resource center, or particularly the pregnancy medical clinic, provides a critical link to this gap in access. And one of the most important aspects of having a healthy pregnancy is early entry into prenatal care and while most PMCs don't do full prenatal care, they do provide that early confirmation of pregnancy or that diagnosis of an intrauterine pregnancy that is critical for the future obstetrician. As a former practicing OB—I don't practice obstetrics anymore—knowing exactly when that patient is due is absolutely critical because then you can interpret is this preterm labor or not? Do I need to induce because of health concerns and complications happening? And then there's the prenatal vitamins that you need, getting those started as early as possible. It's critical in the development of the unborn child. And then education about pregnancy and parenting and how to take care of newborns, all of these things are aspects that our current healthcare system does not have answers for. And so pregnancy medical clinics are absolutely critical in this way. There are other services which we can talk about, but those are the primary ones.
Barry Ewy:
One of things you mentioned was that there you all have a lot of patients that are either uninsured or underinsured. Have you seen that grow in the last five years, or is that has it gotten better?
Dr. Sandy Christiansen:
Yes, I believe it has not gotten better. There is theoretically access to health care, but it's not free. When women become pregnant, then they can apply for state covered insurance. But when they're not pregnant, they don't have that regular doctor where they're getting regular care. Their nutrition is often not great. It's not uncommon for them to be anemic starting that pregnancy, and so on. So again, I have seen certainly no improvement in that since I've been involved in my pregnancy center in Maryland for over twenty years.
Barry Ewy:
So that might be a great space for our listeners to understand that it really one of the keys is for the women to be diagnosed as pregnant so that they then have access to health insurance or coverage that they wouldn't otherwise and that might be a great way to get some of these women to the pregnancy resource centers and the medical clinic, so at least they can be shown to be pregnant. Is that accurate?
Dr. Sandy Christiansen:
Yes. For example, there's a lot of women who come to us who are in who are immigrants and for one reason or another, they don't necessarily have access to care, and we provide a critical proof of pregnancy, which is: they get a pregnancy test done by a nurse, the nurse signs a verification form, which they can then take to the local health department to document that they are in fact have a positive pregnancy test and can then sign up for insurance if they are eligible, or if there's a other resources for them if they don't have access to that. So it is really critical. It's a critical service that we provide.
Laura Berry:
Almost eight years ago, Dr. Christensen, you were critical in helping blessings determine which medicines, vitamins, medical supplies, that blessings should continuously carry for pregnancy resource centers and pregnancy medical centers. So I just want to say a huge thank you. It kind of gets me a little emotional because I see you and I think, wow, we're so blessed to be working alongside folks on the front line of life largely because you helped us to see what we can do to serve others in this space. So a huge thank you for your faithfulness in serving blessings behind the scenes really do appreciate really do appreciate you.
How long have you been working in this PRC/PMC space.
Dr. Sandy Christiansen:
First I want to thank you. I think it's a God thing, right? That he ordered that that somehow you would reach out to me and we were able to make that happen because of your generosity in your organization. So thanks back to you.
I was actually in my residency in Philadelphia back in the early 90s when a local pregnancy center reached out to me to provide some medical counsel. And so that was probably my very first contact with the pregnancy center. And so God placed that in my heart very early on in my training. And then a few years later, really in the late 90s, I got involved with a local pregnancy center in Maryland. And initially was a volunteer, then a board member, spent a season as interim director for one year, and then since 2004, medical director there, and then in the I'm going to say early 2000s, I think around two thousand seven I got connected with Care Net at the national level. So it's been a joy and a long journey.
Laura Berry:
Hmm. Are there any stories that stand out to you how PRCs and PMCs have specifically helped women? Is there a story that you just continue to remember throughout your years of serving?
Dr. Sandy Christiansen:
There are so many stories, Laura, as you can imagine, so many of them. Sometimes the more poignant ones are the ones you remember the most.
On a positive note, there was a woman that came in with her partner. We were about to close. We had evening hours. I was scheduled to leave the next day for a conference, and I was eager to get home. And so when I got the receptionist said, “We've got someone just walked in and they look really upset,” and in the flash I was like, “I want to go home.” But I instantly said, “Nope, God, this this is this is from you.”
So we saw her. She thought she was early pregnant, she didn't want to be pregnant, she and her partner were not married. We do the ultrasound and she's well into her second trimester. So this was like the first patient that I had. It's not uncommon for the father of the baby to get a little lightheaded, but she got a little lightheaded. She was just very upset to realize all this. She didn't really know for sure she was pregnant. It was overwhelming.
And we did everything we could to demonstrate the beauty of that life in her womb, that beautiful baby, talking to her and her partner. She would have been looking at a late-term abortion. It would have been horrendous. And she left there. Ultimately she chose life and she ended up becoming someone who really was a champion and support supporter of our center. And so that was a very, very positive story. And we have many of those.
We had a patient come in this past year for STI testing, and we always do a pregnancy test just so we know if we need to use particular antibiotics if she's pregnant.
Well, she was and very much didn't want to be. And we were ready to offer her an ultrasound and she said no, she's going to leave. And the client services manager had talked to her, and she was like, “No, I'm leaving.” And I happened to run into her in the hallway. And God just prompted me to say, “It's really important for you to get an ultrasound and here's why.” And she said, “Okay.” So we did her ultrasound. And yes, she had a live baby, early pregnancy. She left there not really knowing what she was going to do. She was thinking abortion and ultimately she ended up choosing life as well. So that was that was a joyful, joyful story.
And then there's some sad ones. I can remember a situation of twins in the second trimester, and it was absolutely heartbreaking. This young woman with her father supporting her to get the abortion because of things related to her college career. And it was heartbreaking. I remember that because I have twins. I think it particularly hit me hard.
Barry Ewy:
Yeah, that has to be a challenging aspect of being a physician provider dealing in in that sort of situation.
What are some of the challenges that are facing PRCs and PMCs today and how are the organizations, or the folks working in those areas, working to overcome those?
Dr. Sandy Christiansen:
Great question again, Barry. PMCs and PRCs are really among the most beneficial organizations in the United States. If you look at the Charlotte Lozier Institute report, Care Net, Heartbeat and NIFLA feed them our stats, and it's clear if you assign a dollar value to the services, the free services—millions of dollars, the lives saved, and so on. Much-needed services. And yet there are those who oppose us and try to discredit, whether it's legislative attacks, attorneys general, media, vandals. The center where I am, we've been vandalized three times. Literally.
I'm a physician, certified OB. I work physically in that center. I'm not an off-site director. There's nothing wrong with that, medical director. That's legitimate. But I'm physically there. When the Dobbs decision was leaked, spray painted across the front of our historic building in red paint, “Fake clinic,” and all kind of smears with other kinds of things there, brick thrown through the glass. Three times, we've been vandalized. So these are real issues that pregnancy centers face every day, but ultimately, what are the solutions? How do we overcome those obstacles? We do fight the legislative and legal battles. We do seek political solutions, but honestly the pathway to making abortion unthinkable is through the hearts and minds of everyday people. The spiritual transformation is what will turn the tide, I believe. People need Jesus, and the best thing we can do is to show up every day and be the hands and feet of Jesus everywhere we go, especially in that pregnancy centers.
Barry Ewy:
That just shows the great work that's being done because the enemy really wants to attack where great work is being done for the Lord. And so that's clearly what you all are doing there. And just a quick aside, you mentioned the Dobbs case. So Dobbs vs Jackson Women's Health was the case that was decided by the US Supreme Court that returned to the states the decision of whether or not abortion could be legal and at what points it could be legal. And we continue to see states taking very differing views on that. And some certainly in line with what we as Christians and faithful believers would like to see where it's not allowed and then other states that unfortunately are allowing very late term abortions up to the point of right before birth actually. So we're seeing that just a wide variance of that. But anyway, just certainly a lot of good work being done by the PRC and the PMC space and I think that's why those attacks keep happening.
Laura Berry:
Yeah, no doubt. No doubt.
Doctor Christensen, if you wouldn't mind and I think this is largely unknown to our audience, but can you share what is a chemical abortion and how is it reversed?
Dr. Sandy Christiansen:
Absolutely. So the US Food and Drug Administration approved a protocol of two drugs, mifepristone plus mesoprostal, to be used to abort pregnancies, at this point, up to ten weeks from a woman's last menstrual period. The first drug, miphopristone, blocks the pregnancy hormone, progesterone, which is absolutely necessary for the growing baby to attach and remain attached and receive nourishment from the mother. So, with the administration of the mifepristone, the woman takes that the baby, the attachment to the uterus breaks down, and the baby usually dies over the next several days, not instantly, and that's critical to the reversal.
The protocol involves then the next day or day after, the woman takes mesoprostal, which is the prostaglandin medication or chemical that causes their cramping and bleeding and results in the expulsion of the baby, uterine contents. So that's how that protocol works. And there's we could talk at length about the risks and so on, but that's its basic method of action. It doesn't always work. There is a failure rate. And that's what helps lend itself to this reversal. So the way this all got started: there was actually two physicians, one on the east coast, one on the west, who got contacted by women who were had taken that first drug, the drug that blocks the progesterone hormone. And they instantly regretted their decision and called their OB, either family doc, they were both family docs, called them up and said, “What can I do?” And both these doctors, Harrison on the east coast, Delgado on the west coast, thought, “Hmm, well, it's a progesterone blocker, maybe if I give her a lot of natural progesterone, it will overcome that blockade and restore the pregnancy, the attachment of the baby to the uterus and maintain that pregnancy.” And so, lo and behold, they attempted that and it worked.
And over the years, Dr. Delgado has continued that research to investigate this protocol, this use of natural progesterone. Natural progesterone has been used in pregnancy for decades, fifty years. It’s used to reduce the risk of miscarriage, it's used in the infertility realm, etc. Totally safe. And what we're finding is that if you catch that early enough, if within the first seventy-two hours after taking just that first drug, that miphopristone drug, that there's a success rate of about 60-plus percent, some more recent study dipped into like the lower 60s, earlier reports are in the higher 60%, but significant survival and healthy pregnancy outcomes. And there's over 7,500 babies that have been rescued to date. There's no negative side effect [with progesterone after] taking the miphopristone and harming the baby. There is no increased risk of birth abnormalities from that, and so it's been a life-saving measure that many physicians across the country, including pregnancy medical clinics, have gotten involved in that as well.
Laura Berry:
That is beautiful and I love how God provided that wisdom to both Dr. Harrison and Delgado to come together and then we've got all these wonderful babies that have been born as a result.
Dr. Christensen, what is the National Institute of Family and Life Advocates, also known as NIFLA? Can you share a little bit about NIFLA and how NIFLA works to promote life?
Dr. Sandy Christiansen:
So it was founded in 1993 by Thomas Glesnar, who's an attorney. Tom is still at the helm, thankfully. He NIFLA exists to protect their over 1,800 affiliated PRCs, of which 1,600 are medical. They actually pioneered the use of ultrasound in the PMCs and is the premier national organization who is providing legal counsel and training to equip pregnancy medical clinics. They exist to protect, equip, and defend life affirming centers that then empower abortion vulnerable women and families to choose life for their unborn children.
And for example, the Institute in Ultrasound provides training for nurses and other healthcare professionals to how to do a limited obstetrical ultrasound, which has the purpose of confirming a pregnancy. Is there a baby in the uterus? Does the baby have a heartbeat? About how far along is that baby? And I have the joy of helping train those nurses as well. NIFLA also takes legal action to fight and protect and defend pregnancy centers against legislative attacks from those who seek to promote abortion and take down centers. And notably, NIFLA was the plaintiff in the NiFLA versus Becerra case that went up to the Supreme Court in California, then up to the Supreme Court that was providing foundational legis decision that has been cited numerous, numerous times in other legislative battles and lawsuits and things against pregnancy centers about their right to be who they are and not be forced to promote abortion.
Barry Ewy:
So considering that a lot of what NIFLA does is legal, what does your role as the associate medical director look like? What is your day-to-day there?
Dr. Sandy Christiansen:
So NIFLA use their legal power and knowledge to benefit medical pregnancy centers. So having medical professionals involved is critical as we train nurses, as we write medical policies and procedures that these pregnancy medical clinics use to practice medicine at a very high standard of care. If you had asked me back when I was in medical school that one day I would be doing this job where it's a marriage of my faith and my practice, I would never have believed it. But it's really been a dream in that way. And so, really we are we are all made in God's image, Imago Dei, and there's to me there's nothing more important than defending that God-given right to life. So my day-to-day work is quite varied. For example, today we're doing a podcast. During the general session, I'm going down to Annapolis and testifying for life and against assisted suicide. I'm also writing white papers and things to educate our affiliates and workshops at conferences, etc. It's just a wonderful opportunity to be in the pro-life realm and be involved in in using what God has given me to serve and share with others.
Barry Ewy:
Yeah. I'm sure that is exciting to look back over your career and see where God has directed your steps and how he led you to this point. But which, as you said, when you were back in medical school you probably never would have thought you would have been in this role.
Laura Berry:
And I highly recommend listening to Dr. Christensen as she speaks at the annual conference in NIFLA next year. And Dr. Christensen, I've listened to you speak and it's such a delight because you know you come away going, “Gosh, I learned so much more about this space,” and so I'm always grateful for the way that you're able to explain whatever category within the PMC world that you're covering.
You spoke a little bit about how you were drawn to this space early on in your medical career, I believe you said your residency. What had you motivated or encouraged to take your OBGYN career and go fully into clinical medicine within this pro-life advocacy space?
Dr. Sandy Christiansen:
Interestingly, my given name is Sandra. And someone gave me a plaque when I graduated medical school that said, “Helper and defender of mankind,” which Sandra is the root of Alexander. And oddly enough, that is exactly what I ended up doing.
I want to mention something that I think is critical for me personally and hopefully other healthcare professionals: going to medical school and getting indoctrinated and all of that, and you graduate and you go to residency and you think you're all that. And so I saw myself as a physician who yeah, I'm a Christian. I'm a physician who's a Christian. And then God changed my heart through a series of life events that I thought, “You know what, I am first and foremost a Christian. I happen to be a physician.” And so as I got more involved in pro-life ministry, I didn't see initially, I thought it was sort of natural. You're an OBGYN, you're a Christian. Of course you're going to help this pregnancy center. Yeah, I'll help you, I'll do this. And I thought, “I hear people say they have a calling.” I thought I didn't feel like I had a calling. And then eventually I realized, “My gosh, I have a calling. I'm called to do this.” And it's really to defend the fatherless and intervene for those babies who can't speak for themselves. And ultimately, as all of us who are Christ followers, we make our plans, but God directs our steps. And so He just orchestrated my life to kind of take me into this path.
Laura Berry:
What is Hippocratic medicine and why does it matter to physicians today?
Dr. Sandy Christiansen:
I love this question because it's a drumbeat of mine, honestly. Most of us do not know who Hippocrates was. Well, he was a physician around 400 BC, and honestly, he revolutionized the practice of medicine around moral principles and scientific practices. And that included protecting the vulnerable at the beginning and end of life and seeking what was the ultimate good for the patient. Providing healthcare at the highest standards according to the science.
And so today, Christian physicians and other healthcare professionals, we hold strong convictions. And similar to Hippocrates, we pledge we are professionals that profess to a creed that says, “I'm going to seek my patient's highest good. I'm not going to conform to societal pressures. We're not going to be vending machines that you come to the doctor and push and say, ‘I want an abortion. And it's my right.’” The doctor says, “Let's take a look at your life. Let me talk to you. Do you know this risk, that risk? Do you understand the bigger picture? In good conscience, I cannot recommend that. I cannot provide or refer that.”
The consumer press today is so intense. We've got the pressure to prescribe hormones that will change someone's gender, take off body parts. It's madness. And so if we don't have that Hippocratic stance, we're in deep trouble as healthcare professionals.
Barry Ewy:
If you think about conscious rights, which I think, in some way, kind of goes along with the Hippocratic Oath and practicing Hippocratic medicine, what would you want future healthcare administrators to understand about that?
Dr. Sandy Christiansen:
It's absolutely critical. Back in the around 2008/2009 right before the change in administration, the Bush administration was seeking to shore up all the right of conscious legislative laws and so on that were in existence in anticipation of the Affordable Care Act. And I got involved, Christian Medical Dental Association pulled me in. I had stories from my residency. I lost learning opportunities. I was reprimanded. I was dressed down by my attending physician because I wouldn't perform or do abortions. And that was a very difficult time. I was humiliated, honestly, in front of my team and so on.
Years go by and all of a sudden God says, “Okay, now's your chance to tell your story.” And way out of my comfort zone, I spoke at a the National Press Club in Washington DC. It was live streamed by CNN and Fox. I got stand-up interviews with CNN. I did Sanjay Gupta's show in my pregnancy center. It was videoed. Every magazine, self-magazine, Washington Post, Janet Partial radio, I tons and tons and tons of media. Got my story before the President's Council on Bioethics. That was very heady. That was crazy. That was you know, Ed Pellegrino, Dr. Ben Carson, Robbie George. I mean, it was way out of my comfort zone, but God chose to redeem what the locusts had eaten and say, “Here, this is this is true, this is what's happening.”
And it's critical for our students, our medical students, our nursing students, our healthcare students and residents to stand up for their rights. And there's plenty of folks who will help them. There's NIFLA, there's Lions Defending Freedom, there's Thomas More Society. And so it's I think that I would say it's not going to be easy. You will be targeted. As soon as you stand up and draw a line in the sand, you can lose your job. But it's critical that we stand up because otherwise everything's going to wash over us. And in Ephesians where the Bible talks about, when the day of evil comes, be ready to stand. And our only offensive weapon is the Word of God, and we are just to stand, and even taking a stand is not easy.
But I just see us these little lights, these little Christian folks standing up wherever they are, whatever realm God has them in, and just taking those waves and just trusting in him and being anchored in God's word. And I think that is so critical.
Laura Berry:
Yeah, and that is such a terrific reminder, Dr. Christensen, an incredible encouragement to young physicians who may be listening to this podcast and some of the pressures that they're facing. That that is such a terrific word.
What would a real win for the pro-life medical community look like in the next ten years or five years? Five to ten years.
Dr. Sandy Christiansen:
It's an interesting question. As Barry mentioned a bit ago, our states are a packed work quilt on the life issue. And so it's really hard to make a global statement of what would that look like across the country. In Maryland, abortion is legal up to term. We're an abortion destination state. We have a constitutional amendment forever enshrining abortion. So in Maryland, I would say that the community would in many ways embrace the pregnancy center and recognize the deep value.
I do think accomplishing a cultural shift where abortion becomes unthinkable is not a quick process short of a massive move of the Holy Spirit.
Barry Ewy:
You have certainly given us a lot of great information and our listeners, I'm sure, will just really appreciate the information that that you've shared. And that so as we kind of come to the wrap up of today's podcast, one of the things we always like to ask our guests is what is an impactful Bible verse and why? So I'll share Blessings’, as you may be thinking about yours, but for us it's Hebrews 6:14: “Surely blessing, I will bless thee.”
And the reason we've chosen that one is because we have been so blessed by the Lord and all that He's given us and we feel like we need to be able to give that back to those that we come in contact with and that we have the opportunity to bless, not only here in the United States, but also around the world. And so Hebrews 6:14 is ours. So would you be willing to share yours?
Dr. Sandy Christiansen:
Absolutely. Lamentations 3:22-23, “Because of the Lord's great love, we are not consumed, for his compassions never fail. They are new every morning. Great is your faithfulness.”
This verse has great significance for me. We sang the hymn, Great Is Thy Faithfulness, at our wedding. Over the years, I've seen God's abiding presence, His mercy and grace in my life and the lives of others. And to me, this verse is a promise full of hope that each day brings a new beginning, and with it, reasons to press on, as it says in Philippians, toward the goal to win the prize, which God has called us heavenward in Christ Jesus.
Barry Ewy:
Great. Thank you so much for sharing that. Well again, thank you for joining us for this episode of Blessings Broadcast. It's been a true joy to have you here and to be able to have you share with our listeners the information that you have and your background and just the great work that is being done in both pregnancy resource centers and the pregnancy medical clinics. We greatly appreciate all that you've done for those areas throughout your career and for sharing the information that you have.
Laura Berry:
And again, working behind the scenes of Blessings without realizing how much you've done for us. We really are so grateful for you, Dr. Christians. Thank you. Thank you for joining us. Thank you for being with us. Tremendous wisdom. We learned so much today.
Dr. Sandy Christiansen:
It's really my pleasure and I wish you all God's richest blessing as you continue with your wonderful ministry.
