Saturday, August 13, 2011
"The two most important tools an architect has are the eraser in the drawing room and the sledgehammer on the construction site." ---Frank Lloyd Wright
"The physicist's greatest tool is his wastebasket." ---Albert Einstein
"There are days when I make five of them, but one has to reckon that of 20 drawings, only one will be successful." ---Vincent Van Gogh
"There is no such thing as failure. Only giving up too soon." ---Jonas Salk
"There's a way to do it better--find it." ---
"Fail. Fail again. Fail better." ---
"If you want to succeed, double your failure rate." ---Tom Watson, IBM
"I write 99 pages of shit for every one page of masterpiece." ---Ernest Hemingway
Thursday, July 28, 2011
There are four "sections" in the pediatric ward. The first is "Intensive care" which consists of three beds separated from the rest in a large room by screens. There are no special machines there; they are just located closer to the table where the doctor and interns sit to write their notes. This area is for the children who are the sickest. The rest of the beds in that large room are the section called "P1" This is for the kid's who are a little better than the ones in Intensive Care. The most common diagnosis is malaria and pneumonia. Dr. Lace told us that malaria is the number one killer of children under age 5 in Tanzania. It presents as fever, vomiting, diarrhea, as well as other symptoms. That, of course, could be other things, but they have very few diagnostic tools and malaria is so common that they just generally treat for it. There were also cases of kidney disease in which protien is shed in the urine, a mystery case of headache and dizziness, and a probable skull fracture that was a week old. It was very interesting to watch Dr. Lace interact with the interns, both of whom are Tanzanian medical students. Because there is so little in the way of technology, Dr. Lace emphasizes listening the patient's story, the physical exam, and informed reasoning about what is likely going on. He has shared with us earlier the challenges of bringing in technology that is appropriate to the setting, and his finding over the years that the most helpful thing is conversations with the doctors about specific cases, sharing information and expanding their knowledge base. We had one case of an umbilical hernia with a granuloma (a part of the umbilical cord that had not died) in a month old baby. The intern had thought it was an infection, because she had never seen this before. But Dr. Lace recognized it immediately -- and now the intern will know about this possibility for the future as well.
A third section is "P2" where the kids from "P1" go when they are a bit better but not yet ready to go home. The fourth section is the "Malnutrition Room" There were three patients in there today. One is an HIV positive baby who was left with his grandparents for 10 months while his mother looked for work. While there the grandparents stopped giving him his medicine and he stopped eating. He is responding to the care at the hospital and the intern was considering releasing him, but Dr. Lace said keep him here for at least a week, "We need to fatten him up!" Another was a baby who is 12 months old, but is the same size as a newborn. He has been vomiting all his life, can't keep any food down. It is a mystery how he has survived! Dr. Lace is hoping that they can get some more "investigations" (tests) done to discover the why of his ailment.
From there we went to the actual hospital. We were able to tour the renovations which will be quite an improvement. Instead of open windows, there will be sliding windows with screens. Instead of concrete slab floors there will be tile floors. There are lovely rooms with glass doors and walls. We went to the nursery for the newborns and preemies. There were some amazing sights there. A few babies look healthy and responsive and will go home today probably. There was a set of twins with Cerebral Palsy, and some tiny ones who need oxygen. Many have nasal gastric feeding tubes because they can't suck, and some can't swallow. There was one baby I kept watching closely to see if he was going to get that next breath. It came seldom and was the only sign that he was still alive. But they said he was better than the day before! The cribs have 2-3 babies in them. There is no bedding, so each baby is wrapped in or resting on a cotton cloth, called kanga here.
We also saw the women in the breast feeding class. That is good!
We met the only local pediatrician (for an area of 1 1/2 million people). She said to us "This is how it is here. It is hard to be born in Africa. But if you survive your birth, you will be strong!"
expensive. The shop person would say "Give me a price." I wasn't very successful the first time but
the next time I went shopping I saw a carved wooden bowl I really liked. I asked, "How much?"
He said, "One hundred dollars". I said that is too much. He asked how much I would pay and I
said $30. Of course he said 'NO".
I went out of that shop empty-handed and the other shop keepers saw that. After that whatever price they
said, I said that was too much. Again, they wanted me to give a price and I did. I got seven gifts that day
for the prices I wanted.
So bartering does work.
The students that we have in the computer class are from a shelter for homeless youth. The agency works hard to get the students off the streets and into their safe environment. One of the goals is to help the individual gain job skills and computer literacy is one of those. Some of these young people are also in tailoring or cooking classes in the afternoons.
Many of the students were shy to start with but have opened up and have gotten quite engaged. Some of the young people have a small amount of English but the language barrier has been another challenge. It is a wonderful feeling to be helping someone through an experience and then for them to share that with another student who hasn't quite understood yet. It may have only been a few days but the students are certainly gaining their skills. And now really enjoying their facebook and emails!!
The Orphans Foundation Fund organization has great hopes for this computer lab to help individuals gain job skills and in the future to also be available for others in the community to pay for their classes. This will then become an income source for some of the programs as well.
Our group felt very close to those individuals in the village last week and were sad to leave them but this week has developed into a whole new group of relationships and just as meaningful. It's a wonder what can happen in a week's time.
The director came over and he knows how to speak Swahili, English, and Tanzanian Sign Language, very impressive. He would interpret for us what the deaf people were saying and our responses or questions to them. We all introduced our names then the director said we could go to the sitting area and one of the girls would come over and teach us some Tanzanian Sign Language. There was a board that had words in Swahili and English and she showed us the signs for them. Our whole group was signing and I was very excited to learn and enjoyed watching the rest of my group sign also. There is a person at the place we are staying who uses Tanzanian Sign Language so I wanted to be able to communicate with him.
Once we learned Tanzanian Sign Language I was asked to go up and show the same words in American Sign Language. I really enjoyed showing them my signs and they loved learning it. All of the deaf workers there came over to watch and they asked me a whole bunch of words to show them and they usually laughed when they saw the difference. It was a fun, interactive experience. This went on for about a half hour and then one of our group leaders asked for a picture with everyone so we all got in a picture. That is a picture I will always cherish.
After this, we were moved to another area where a Maasai man brought over a huge slab of meat on a stick and began handing us chunks of it. At this point, Gladness told us we were the guests of honor at this party. This meant that we had to eat the meat or it would be very disrespectful. Not normally eating much meat myself, I reluctantly accepted the pieces they handed me. It was not appetizing, but as soon as I got a piece down they promptly handed me another. I quickly learned to eat a bit slower to prohibit them giving me too much.
When the entire slab of meat had been eaten, I let out a sigh of relief. They quickly brought more though, howver this time they brought goat ribs. I politely declined their generous offer this time, as did most of our group. When the Maasai were done eating, I noticed them rubbing their meaty and juicy hands all over their bodies. I asked Gladness about this and she told me that it is because they enjoy the smell of it so much and it also moisturizes their skin.
A few of us then went for a walk around the village and down a small path. After 10 minutes we noticed about 30 children running towards us. We stopped to see what they were doing. It turns out they were just following us so they could stare at us some more! After walking through our paparazzi back to the party, we were invited to dance with the Maasai women. They graciously motioned us to join their circle and taught us their traditional dance moves ( a lot of shaking of the shoulders and chest as well as jumping).
I feel blessed to have had an opportunity such as this and to experience the Maasai lifestyle for the 5 days we stayed in Lengasti. Tonight was truly one to remember.
Chronologically the story may be endless so you may receive several blog entries on different topics. Happy reading and we look forward to seeing you.
Thursday, July 14, 2011
Sunday, July 10, 2011
We're packed, or at least far along enough in the packing process to know that all but one has hone their personal stuff down to one carry-on and one personal bag, except one traveler, and that we think we have about six team bags to check with stuff for the villages. Quite remarkable in the list for the villages are 3000 condoms and 6 laptops. There are also volleyballs, jump ropes, glasses, clothes, dental hygiene supplies, woodworking tools and several other odds and ends. All the tickets and itineraries are in a three-ring notebook and the crisp new $100 bills for buying visas are securely packaged.
One last walk through with the team and then with empty SD cards and full batteries, the adventure begins. It's about now that I wonder where all the adrenaline has gone as we compare the comfort of an Oregon summer in the comfort of our home against the unknowns and challenges of living and working in a country and lifestyle we have never experienced. Hindsight tells me that all will be great throughout the trip and especially when we return.
Sunday, July 3, 2011
The wedding day started with wet grass and a heavy cloud cover. Arriving a couple hours before the ceremony we again helped with some details like setting up the electronic slideshow at the guest book and carrying the cakes from the house to the tent. At the time of the wedding the rain held its breath and so the microphone and handful of chairs were moved to the bottom of the ridge making a grand amphitheater and a great view of the brief ceremony. The couple arrived together in the back of a '56 red and white classic Chevy from the far end of the open field. The bride and groom each read prepared statements avowing their love and exchanging rings. The minister who said very little announced them as lifetime tentmates and the chatter began after the kiss.
For the next couple hours some hundred or more old acquaintances and strangers shared stories, ate and drank. Around the time the sun would set by most people's standards, a bonfire was started, the older generation went home and the canoe filled with beer kegs was pulled down the hill to the fire. The rain showed its moist head and gently showered the ongoing party.
Thursday, June 30, 2011
Sometimes it's a name, sometimes it's a face transformed for 20 years ago, sometimes it's a combination and sometimes it takes some time, but slowly memories are jostled and time slips back 20 years. Sometimes an acquaintance's remark reminds one that live is not quite the same as in the lower 48. "I got married a couple years ago. And I got an indoor toilet. I'm so happy; I have everything I want." She continued, "Last night after selling souvenirs all day, I sat on the lawn chair sipping wine and swapping mosquitoes as the sun momentarily broke through the clouds and bad a cool day feel warm. Life is good. It would be nice to have enough money to not have to skimp every day." Then, commenting on the 200 tourists in a two street community of 600, "It's so great to get away from this busy cosmopolitan environment."
As we paid the clerk in a new grocery store, the first real one ever at this end of the valley, we asked how long she'd lived here hoping to determine her connection to someone we knew earlier. She said, "Seven year, " and I thought "We've been gone much longer than that." She added, "But my husband's been here 30."
"Now there's someone I might know," I thought and asked, "Who is he."
So the small world concept just fell into place. Jack was one of our dearest friends when we lived here and was near the top of our list of persons we hoped to see while here. We gave her our phone number and a couple hours later he called. He lived along the route of our evening jaunt and we had an hour to use. It was a great reunion visit; as if we'd never been apart except we have many stories to tell.
We're here to visit our son and attend the wedding of the son of another dear friend. An early stop at their house led us to moving table under the tents in the field set for the wedding and washing pint canning jars to serve as drinking glasses at the wedding. Not exactly champagne flutes but more in keeping with the lifestyle of the families and the "green" theme of the wedding. At 35 years of age, Nate, the groom started teaching middle social studies and coaching three teams at a school in southern Arizona. Perhaps the closest connection between Arizona and Alaska is that they start with the same letter of the alphabet. Cassalan completed her masters in public health which included an internship doing a feasibility study for a medical clinic in the Trapper Creek area. She reported to the Sunshine Community Health Center board that there was a positive reaction to having a clinic more readily available to the residents and there was a need.
Speaking of the clinic, an institution that Gail, with the support of her husband, and the backing of a group of community members, started the Sunshine Community Health Clinic 25 years, opening on November 5, 1986, to patients with one and a half employees and a 50 thousand dollar grant, now has 40 employees and a multi-million dollar annual budget. Now in its third building, the clinic's growth mirrors the changes in the community and has lived far beyond its expectations and wildest dreams. Within a month during this anniversary year, a free medical clinic will open its doors for the first time in Polk County, inspired and promoted by Gail.
Bake some king salmon from Darron at Gunderson's and the day ends nearly perfect.
Sunday, June 26, 2011
Earlier in the day JoAnn King inspired the members of the congregation of Christ's Church to connect with one of the nine individual travelers as a prayer partner. While only nine will board the plane, many more will travel the journey.
Five team members attend the church and discussions around what to take. Briefly the goal is simple, minimal and only with the essentials; leave valuables and cosmetics at home and plan to leave the clothes in Africa when returning to Oregon. Nine people have nine different ideas of the meaning of this goal.
In the remaining days before the plane lifts off, the team will continue to gather items for the schools, orphanages and boarding schools in Arusha and Lengasti, items such as old eyeglasses, used children's clothes, jump ropes, frisbees, soccer balls, bird netting and much more. Any donations including money are welcome.
Monday, June 20, 2011
This trip, like most of the trips, started with the question: would you like to go to Tanzania on a mission trip. With enough "yeses" and some enthusiasm, the planning starts and at first it's crude and vague. With only 24 days to boarding the plane, the details are growing like weeds: what to take, what to expect, schedules, projects with supplies and tools, and projects with what to prepare for teaching. Every morning time is dedicated to compiling the thoughts of the previous day and informing the team of any changes.
This trip involves a team of nine, five students from Western Oregon and four adults including one who just had a knee replacement. As arrangements evolved two students ended up on a different schedule typically traveling about six hours later than the rest of the team. Despite the simplicity of the statement, the details are interesting, challenging and sometimes easily overlooked, like attending the midnight movie with the rest of the team when you don't arrive until 1:00AM.
One of our contacts, a lady in a village called Lengasti, within driving distance of Arusha Tanzania, just emailed us a schedule during our four night stay. It includes a day of welcome, a climb with a view and a swim in a hot springs, as well as teaching health and building garden beds and playground equipment. Our other 13 days will be spent traveling (it a long flight), teaching computer literacy and working with a variety of childhood and health related agencies in Arusha and a day in the Ngorongoro Crater with the lions, giraffes and other wild critters.
We expect to be basically removed from outside communication especially Internet and so real time communication will be limited and reporting back will be relegated to a post-trip movie, collection of pictures and some narrative. We board the plan July 14, return to Oregon August 1 and hope to have a report by mid August. See you then.
Wednesday, June 8, 2011
Saturday, May 21, 2011
And a fire for some of the wood that was broken down in the ice storm before Christmas two-plus years ago. The burn season started months ago but the last effort was foiled with all the rain and drenched branches. No problem yesterday. One match, some newspapers and old card board and within minutes the heat drove me back. Ultimately that was the gem of the day because that area near the road on the top of the hill now looks great.
Later while sitting in the green, soaking up the warmth of the day and pulling weeds, and there are plenty to pull, Sheba came back and lean against me pushing me over. Actually I allowed myself to be pushed over. As I lay there she lay down beside me and cuddled close as if she were going to sleep with me. The Kodak moment slipped by with no Kodak. But lying in warm dry grass was a sign that winter is finally losing its grip.
The first iris may burst open today as the stalks are tall and stately with color showing at the tips. The first Shasta daisy is a small one but still boasts to be the only and first one. Tulips are drooping and daffodils have wilted some weeks ago. The peonia have buds but they are slow to open so it will be awhile for they to show their colors. Forget-me-nots are everywhere and the bluebells are still very bright and oh so plentiful. The comfrey is taking its dominant role but it fits in the category of plants that get pulled.
Yesterday's weather was the apex and today will be a lesser day but still quite adequate for a day on the coast. We're off.