Archive for December, 2007



Wednesday, November 21, 2007

I knew that this week was somehow going to be important and different than the previous ones. I woke up with the idea that I had nothing to write about and then finding my head overflow with stuff to explore this morning.

This is the ‘pregnant’ quality of any transition. It is clear that I am in that phase. I’d recognize it from a mile away. We have a saying in Dutch ‘walking with your soul under your arm’ (met je ziel onder je arm lopen) which is what I did pretty much all of yesterday. Having your soul under your arm, and not being able to put it anyplace is tiresome. This soul is a heavy thing and while carrying it around you cannot do anything else. Axel saw me shuffling around the house, sitting down, picking up a book, putting it away again, checking email, responding to some, and walking away again, and so forth. Restless. Breathless.

I found myself gravitating towards the section of my bookcase where the B-authors are grouped. Transition is Bill Bridges’ territory. He has written much about the topic. I am a big fan of his. I pulled out the book he wrote about his own personal transition after the death of his wife. I looked for the marked pages of which there are many. The very first underlined phrase was “There is no beginning that does not require an ending, and no ending that doesn’t make possible a new beginning.”

So what’s ending? I think this week I am ending my status as a patient. But I am not quite back to where I was on July 13th. I am not whole, or healed. The new beginning is not there yet and so I continue to remain in this no man’s land of transition, with my soul under my arm. How long this wandering will go on I cannot guess. It is an uncomfortable time, a time of suspense and not having much of a focus or direction; it’s time in which I have to admonish myself to “hang in there!’

Having written about what happens inside me, there is, in this household, always much to write about what happens outside me. Our neighbor Kurt and his grounds keeper Paul, who had made our back door ramp last July and then dismantled it again in November, showed up in the morning to do the refrigerator switch again, the old one back upstairs, the new one down to the cellar. Sita had been haranguing us about this fateful switch made sometime in the summer. But all is back to the old normal again and Sita stood in front of the old refrigerator with its freezing compartment at the bottom, beaming.

After dinner Axel, Sita and I sat with three large cookbooks on our laps trying to figure out what to cook for our very small and intimate Thanksgiving dinner. Jim is pulled back into his own family so there will be just the three of us. You don’t cook a turkey for three people. We finally agreed on pea soup, a home made bread and pumpkin pie for desert. That will give me some focus for today and force me to put that soul down for a bit.

Earlier in the day I talked with Joan who is having surgery today on her shoulder and her elbow. The doctor will be removing her elbow plate and loosen up her shoulder joint by removing some of the scar tissue, or something to that effect. She was dreading the surgery, as I would. Keep her in your thoughts. She will be back at home tonight where her son who flew in from California, is caring for her, as Morsi is still in Egypt.

Tuesday, November 20, 2007

It is very cold, just one degree above freezing. Coming back from Africa, this is a new experience. It is also a new experience for my foot which takes longer too limber up in the cold. I am trying to fall back in my old routines but it’s hard. I am getting up too early and having more trouble than before the accident in getting myself organized. My desk is still a mess and I have a hard time concentrating. I don’t think I ever had a concussion but I act as if I did with this being a delayed reaction.

The accident and our recovery have been dominating our life the last four months. Everything had orbited around it, including our daily schedules of exercises and therapy. In Nairobi my life was organized around the needs of the task at hand, which filled each day and evening. Now, without this focus, I am feeling a bit lost. I am no longer incapacitated, having proven that I can do the work as I did in Nairobi; yet on the other hand I am not yet ready to get in the car three times a week and head to work and complete the forty+ hour week with two days working at home. But something is shifting.

I think my dreams of last night carry some clues even though it is hard to find them in my nearly undecipherable pencil scribbles on yellow Post-it Notes next to my bed. This is the text I found when I woke up this morning: “Something about (health) services – it is easy to render lots of them of dubious quality or outsource them and no longer pay attention.” There were more scribbles about a feeling that came with the words, a sinister and ominous undercurrent that combined two topics with which I occupied myself: Rwanda’s genocide and coaching. I read the chapter in State of Africa on Rwanda and with my colleagues Lourdes and Barbara I discussed the revision of a forthcoming publication on Coaching. I can only think, at this early hour, that there is some tension between an inner-directed self-centredness (Rwanda) and an outer-directed attention to others (coaching). I have a hunch that this week is going to contain some turning point for me in my recovery and return to normal life.

I started the day with a badly needed massage from Abi. Later I went to physical therapy. In between there was one work-related call (on coaching), an a few tasks such as writing my assignment report and completing my expense report in addition to a half-hearted attempt to organize myself and plan my week. If I apply my work standards from before the crash I was singularly unproductive.

My physical therapist was curious to hear about my PT experiences in Nairobi and announced that she, too, will get more aggressive as the swelling of my foot subsides (which it hasn’t). She worked hard on mobilizing the ankle joints and gave me a new set of exercises to build up the weak and tight muscles around them.

Axel also had his appointment for OT/PT in Peabody to which he still needs to be driven. He found himself in some bureaucratic mess-up related to re-activating his driver’s license that may require weeks if not months to sort out. It appears that someone inadvertently checked a box that should not have been checked on his application for a handicapped parking sticker. He was placed in the category of high risk drivers who are either post-stroke or epileptic. Given our litigious society we fear that no one is willing to take the risk of calling him fit by placing a signature on some form or another. It is a bit of a nightmare of which the end is not in sight. The fees required to pass each barrier (hundreds of dollars) also undo the benefits of the handicapped sticker which absolve us from putting quarters in parking meters. We’d have to park entire weeks at parking meters for the next few months to offset the re-instatement fees.

Monday, November 19, 2007

I am sitting in my bed with a pillow as desk and the computer on that pillow; much like I have done since July 21st minus the last two weeks. It is very early in the morning.

My dreams were many and mysterious. I was doing exercises with my foot on a raised platform on a square with lots of people looking on. At some other point I gave directions to someone to a hotel in Kathmandu. The directions were so precise, with street name (Khatra or Khadra street)l, that I could check with my Nepali friends whether it really exists. I also dreamed about being with people who push boundaries and who innovate and in some context or other used the terms innovation and denovation. I think in my dream state I invented a new word. I suppose innovation and denovation are opposites. Maybe coming back to one’s own house, hearth and loved ones is denovation, as in: going back too what was before.

It is wonderful to be home again. This is the best part of traveling after all: coming home. This homecoming was a bit different from all my previous homecomings. I used to be full of energy, no matter how far I had traveled, bring my suitcase in, unpack it, distribute gifts and goodies, have tea, dinner and whatnot, take a shower, put the laundry in the washing machine, clean off my desk, and have everything ready for a new workday. I would go to bed at a normal US time and everything looked as if I had never been away.

Not this time. My suitcase is still sitting on the floor, unopened. The Dutch cheese did not even make it into the refrigerator. I was completely exhausted and went straight to bed for an uninterrupted 8 hours of sleep. That woke me up at 3 AM.

I am stiff beyond belief. Once more I wonder when and if I will ever be limber again. I am curious what my physical therapist will say about my foot; it doesn’t feel like there was any progress and possibly even regress. My neck and shoulders are sore and my range of motion feels limited. I was allowed to travel business class but even there it was a challenge to keep my leg up and get comfortable. I don’t think I slept more than one hour on all the flights combined.

Nevertheless it was wonderful to be out in the field again and do the work I love so much doing. It was worth it and I’d do it again if the opportunity would present itself. But not right away. I think I am going to take it easy for a little bit.

Sunday, November 18, 2007

Last night I went to a reunion/alumni event at the Societeit Minerva in
Leiden. This is a socio-cultural phenomenon that is nearly impossible to explain to anyone who does not know about traditional student life in
Holland. It was a gathering of hundreds of gentlemen, generally well off, mostly in grey suits and with grey hair, and smattering of women (the male society merged with the women’s society in 1972) in a cavernous hall that is completely brawl- and beerproof. It smells and looks that way. There is not a square inch of loveliness to be found in that place. Even architecturally it is a monster but it is most functional. The event, I suspect, generates nostalgic reminiscences, family updates and inquiries into retirement. I watched and participated in it both as an alumna myself and as a foreigner. There is nothing quite like it. It is, from an American perspective, totally not politically correct (no diversity in the room, no handicapped access). I tried to forget about my foot because sitting down was imposisble until dinner started, quite late in the evening.

I had arrived very early in the morning at Schiphol airport after a mostly smooth flight. KLM cabin personnel had once again been very sollicitous and put an aluminum container in front of my seat so I could keep my leg up during the flight. I did not sleep much; nights remain somewhat difficult in anything that is not a flat bed.

My taxidriver to Den Haag was a young man from Jalalabad who had fled with his family from Pakistan to
Holland some 10 years ago. We spoke in Dutch the entire trip.
Holland is his new country. He dropped me off at my brother’s place. My sister-in-law Greet who is a Re-Balancing therapist, gave me a treatment in the morning which was happily received by my worn body. I emerged relaxed and slowed down to a crawl to find my other brothers Reinout and Willem with their mates who came to see the new, repaired and, hopefully, improved me. We had a noisy reunion where everyone talks at the same time. This is genetic. It can be rather intimidating to more introverted types. We, born into it, are masters of the craft.

The only one missing was my sister Ankie. She returned to her
Brussels home from a hospital stay and was not quite ready to drive down to Den Haag. Instead we had a very long phone call comparing hospital experiences, abdominal scars and the recovery process. After a wonderful lunch we visited the Mauritshuis, a lovely small museum at the government center in the center of Den Haag to see an extraordinary exhibit of seventeen-and eightteen-century Dutch portraits from the most famous painters
Holland has ever known. One couple painted 300 years ago that had been languishing on their separate panels in musea in different countries, were reunited again. You can imagine what a happy event that was.

On December 5th we Dutch celebrate Saint Nicholas day (Sinterklaas). The Saint arrives usually a few weeks before. What luck! While in the museum, Sint Nicolaas arrived on his white horse at the square next the the museum. From our second floor window we could see the action in a side alley where Sint’s horse trailer was waiting to take the horse back to wherever it came from. Americans, I suspect will find it a very bizarre thing: an old bearded man, dressed like a bishop (one piece of clothing that has not changed over the centuries) sitting on a white horse with tens of white people whose faces have been painted black so they look like royal slaves, dressed in the garments that were in fashion in the 1560s. They all have the same name (Zwarte Piet, Black Peter) and throw small spice cookies and candy that they carry around in pillow cases into the mass of kids and their parents who have gathered to watch the event. I can see it through the eyes of an American because I am an American. My Afghan taxi driver admitted that at first he thought it was a weird celebration. But now, after ten years in
Holland, he and his family enthusiastically participate in the event and think little about what it really portrays. It is much like Christmas in other parts of the world, a feast where, originally, the rich give gifts to the poor.

I was dropped (off) in
Leiden and met five women friends from my yearclub in a small restaurant to catch up in an environment more conducive than the cavernous hall for conversation. We had seen each other in June for some other nostalgic event and so we continued form there. Of course everyone wants to hear my story. There was actually not that much to tell since they have all followed Caringbridge and know most of what there is to know. Each had brought a poem that they had written or a favorite from a Dutch poet and a gift to celebrate my second life. I was touched deeply and will be reading through all this quietly again on my flight back to
Boston.

I came home at 1 AM from the
Leiden event. It was probably a bit much for someone in recovery like me but I would not have missed it for the world. And now, back home.

Saturday, November 17, 2007

Winter has finally started here. I know that it has because my tea froze while Sita and Jim were stacking firewood. It’s a good time for me to think back to how things have changed over the last few weeks. My vision isn’t doubled any more. I can walk and move around without it feeling like somebody is hitting me with an ice pick. I can go a few days without missing an appointment and I only have one list of things to do, not 5. I’m feeling good enough to apply for my driver’s license-which expired-and not be afraid of crashing through the front of a store.

I still get tired easily but on the other hand I’m apt to stay up late and get up at 7:30.

I don’t have as much energy as Sylvia but then again who does? I think the trick for me has been to focus on the most important things – which of course begs the question of ‘What is the most important thing?’ There is a quote from the German poet Rilke which asks ‘ What will you do with the rest of the day ? ‘ That question serves to focus me on the here and now and not so much on some distant point in the future. And by focusing on the present I somehow become more real. I am less able to convince myself that I ought to be doing something big, something important, or something that causes me to ignore what’s happening around me.

It’s a real shift to not be so driven by a vision but instead to be shaped in my actions by my own feelings right here, right now. It’s not that I can be ignoring the necessities of the present-like money or appointments. But I can be attracted to a conversation with a friend or to taking a picture of a flower. Not to be doing something that feels important right now means that I’m missing opportunities – possibilities that exist now, possibilities that won’t exist in the future. This seems to be the antidote to the phenomenon of regrets for missed chances. And I know that life is too short for that.

But this society – and my upbringing – seems to demand of us a commitment to a vision, a specific outcome that’s worth a lot in terms of sacrifice and missed chances. I can’t even count the opportunities that I consciously turned down because I was committed to some outcome that was firmly implanted in my brain. And what was implanted in my brain was often unrealistic in terms of ‘ do-ability ‘ or inappropriate for my personality or my values.

It seems important to me to be in a mode of searching for the things that I’m going to be doing for the rest of the day rather than being already committed to something. So, I’m starting to do more graphics work, printing larger and different versions of my work and really not thinking about a job as a graphics consultant, a business analyst, or a strategic planner. I am carrying a pencil around, and even an eraser, and looking at things as I did when I was learning to draw. I’m not reading Fast Company magazine so much for finding out who’s doing hot stuff, but to look for ideas of things that are interesting to me.

And so as I begin to wake up from the sleepwalk that has characterized the last few months, I find myself with a very different sense of time, and what it means to me. It’s much more precious and choosing what I will do with the rest of the day seems the most important question. I’m very thankful to have the choice. And I’m very thankful to have Sylvia back with us tomorrow.

Friday, November 16, 2007

I am waiting to board my plane. It is no yet Saturday but when I land in Amsterdam it will be. The last day of the workshop was inspiring beyond belief. Nine teams who had started on their leadership journey late May reported on what had changed as a result of their taking control and responsibility for the success of their hospital or department. Our new facilitators-to-be were listening with amazement. Group after group showed us how they had taken up a challenge and improved something that had an impact on many. Some showed graphs about immunizations. I visualized the parents of children who will live because of these vaccination improvements. It is maybe a drop in the bucket, but some family tragedies are averted because of it.

Each team was proud and full of confidence. If they can change this, they can change that, they reasoned. They are unstoppable now. Something has been set in motion. And because they learned and grew as a team, when one despairs, the others can pull the despairing member up. Several people mentioned that their family life has improved as well. I wished I could peek into all those lives but I am content just to hear the stories.

My colleague Mary O’Neil flew in on Thursday night from Boston. She is on an around-the-world tour. She arrived just in time to catch the presentation from the HR team from the central ministry of health. HR is Mary’s field so the timing was perfect. The closing ceremony of our workshop was both moving and fun. And then it was time to say goodbye. Everybody was sent off with a blessing and a wish to change Kenya for the better. I checked out of the hotel and Ida drove us to the lovely lunch restaurant next to the physical therapy place. After lunch I showed up for my last PT appointment in Kenya. While I was being treated, this time by Lula from Norway who is as much a citizen of the world as her Danish colleague Karen, Ida compiled her to-do lists in the restaurant garden next door. I was picked (up) from Ida’s home by John and Carol and met at the airport by Kyeri who guided me swiftly through check-in, immigration and to the lounge where I am writing from now. It’s a good start of a journey that worried me a bit.

Thursday, November 15, 2007

Late September when I signed on for this assignment the 16th of November looked like a long way off. It would be the day that I would know whether going to Kenya was foolish (as some around me said) or whether I could handle an assignment like that again. So the day has arrived and I am still in one piece. The piece is a little sore, especially its lower extremity because it was a very very long workday yesterday; actually it was a very long and intense week. But here I am, November the 16th and I am flying home tonight.

Yesterday started at 6 AM with my usual morning routines that include exercises under the shower and then outside the shower. By then I am usually limber enough to walk fairly normally to the breakfast restaurant which is one flight down and then a short walk past the swimming pool. After that I am being picked. Here in Kenya I am not picked up but picked, just like I am dropped, not dropped off, at the end of the day. The driver takes me to KIA, a ride of about 15 minutes if we are early enough. Then comes the set up for the day, turning on the music so that people can come waltzing in and ready to focus on the tasks ahead.

Yesterday morning was a little different because I taught a short catch up session for people who had missed it on Monday morning on adult learning. I have a lot of fun with this session. I bombard them with a fast lecture about adult learning and violate all the principles that are written on my powerpoint slides. In my reflection afterwards we uncover the feelings people had while I lectured them. After they are sure that they can be honest with me and they get past the customary politeness to professors, especially a foreigner with grey hair, I ask them if I did a good job teaching them, what they think they’ll remember from it and how they’d grade me. I am pleased when I get the lowest grade possible; I should. The rest of the program we will honor the principles of adult learning and they see how, understand why. Now they know.

In the evening there was much to do because on the eve of the last day nothing can be postponed anymore. My foot protested and I slept with it propped up on several pillows. This morning it refused to bear weight by itself, something I know it can do. I am glad I scheduled one more physical therapy session this afternoon. Ida and I will see Josephine and her little girl in the hospital (she has tonsilitis we now know) before I head out to the airport in the evening. KLM is scheduled to depart at 11:10 PM for Amsterdam.

Wednesday, November 14, 2007

Yesterday was the 14th. I am still counting in months. It now has been 4 months. I don’t think all that much about the crash anymore, except when people ask why I am limping, which I do especially on my way to or from the dining hall. It is a bit of a hike and I can’t quite hide the limp. Those are the only times and I am factual and brief in my reply. But last evening, while Eunice gave me my last massage, the image of me losing control of the plane suddenly re-appeared out of nowhere and I found my whole body going rigid, right in the middle of the massage. And then it passed. I guess there is still a part inside me someplace that has not quite come to terms with what happened. My EMDR therapy has been interrupted for three weeks and it is obvious that I am not quite done with it, no matter how good I may look and how much I appear to have resumed my old life.

And so I switch my focus from the big global picture of poverty and maternal and infant mortality to my recovering body. I can’t quite control it as it happens without my intent or consent: a body part complains and wants attention. I respond with a massage and a warm bath. When all had calmed down again I went to bed.

We have passed the halfway point of the workshop and my departure is in sight, tomorrow, in fact. The work is not quite done but we are on track and everyone is learning, as intended. This includes me. I continue to learn about working across cultural and other boundaries. From time to time there are surprises; about how seemingly innocuous words or acts that were meant to serve a common goal are received quite differently on the other end. Our collective challenge, on all sides of the many divides (culture, age, gender, profession, you name it), is to keep talking, distinguish intents from interpretations, consider impact and then move on, everyone a bit wiser. Such experiences reinforce my resolve to get better at what I believe I am supposed to do on this earth (and maybe why I was given a second chance) which is to help us learn to have productive, rather than destructive conversations about things that matter. There will be more of this today, no doubt.

Tuesday, November 13, 2007

Josephine’s little girl is sick. We sent her home to be with her. She is admitted to the hospital. The health of our children is precious and we don’t realize it until they fall ill. We worry when the doctor cannot tell us what is wrong and the medicines don’t work. But Josephine is among the lucky ones: she has access to doctors, medicine and a hospital. Our work here is for people for whom this is out of reach, a luxury they cannot afford or access. As a consequence their babies die of preventable or treatable illnesses. It is a frightening thought to imagine such a tragedy. Josephine’s worry grounds me as it reminds me of why I am here. I once had a large button made for participants in a workshop here in Kenya, many years ago. Against a background of the colors of the Kenyan flag it says in big white letters “Why Am I Here?” Sita had put that same button on the lamp next to my bed when I first came back from the hospital on July 21. William wore that button on the opening day of this workshop. It is not a bad thing to ask oneself that question periodically

We completed day two of the workshop and tried to get the participants as much grounded in the philosophy, methodology, concepts and tools of the leadership program as is possible in a short time. With life interfering, as it did with Josephine, or other commitments that pull people in and out, our facilitation team is never complete. I am blessed with a team of colleagues that is so flexible that they can handle this reality without batting an eye. I made a point of sitting down more often and putting my legs up while William and Ida ran sessions.

After the workshop was over we drank our tea hastily and went downtown. That sounds easier than it is. We inched our way to the Hilton Hotel which took a good 45 minutes. I caught the nurses in their last hour of work. They were from all over Eastern and Southern Africa as well as the Commonwealth Secretariat from London which sponsored the event. We had a wonderful conversation about what makes midwives and nurses in general effective or ineffective in their work. They had already put subjects in their curriculum that I believe are critical but usually missing such as self awareness, group and power dynamics. The examples I knew about why they need these topics resonated with everyone.

Afterwards Ida picked me up and we had an Indian dinner. Back home a few more exercises, my footbath and email checking routine and then to bed. And now, while I am writing I am multi-tasking again, Skyping with Axel and Tessa at the same time as they are winding down their day and I am ramping up mine. I am already in their tomorrow.

Monday, November 12, 2007

Yesterday things started to speed up. If I had not gotten that idea myself my dreams last night would have informed me. They were of the multi-tasking and sensory overload type such as trying to answer a phone when a noisy speaker truck drives by (the type they use here n Nairobi to broadcast election messages). But there were also babies being born, old movie reruns with extras I knew and a doctor’s check-up. For now I will let these swirl around in my mind while I figure out which marching orders my subconscious has hidden in these dream for me for today. I suspect there is something in them about letting go and letting something be born while taking care of myself. The latter will be a challenge as today I will do double duty: after the workshop I will jump in a taxi and head down-town for a work session with East African nurses who are re-writing the nursing curriculum in the Hilton Hotel. That’s how these things work here. They asked me to talk with them about adding something better in it about management and leadership than what they currently have: theories from dead white men from the US.

Yesterday I had set my alarm very early so I could do my exercises, write in my journal, have breakfast and be on time for Josephine and John to pick me up around 7 AM. When we got to the venue at the Kenya Institute of Administration (KIA) Ida and William were already there, preparing. There was still much to be done, and there were the usual ‘start-of-workshop’ glitches. But we pulled together nicely as a team and the day unfolded much as we had expected, except for the fact that we were missing some the KIA faculty (even though we are at their place) and we were all very cold. In Kenya there are also climate surprises; global warming has made the usual weather pattern unusual.

It was a long day and even longer as there was homework for all of us and for me more exercises, footbaths and all that. Being up and on my feet most of the day took its toll: my foot was swollen and stiff, my neck and shoulders sore. The icepack was waiting in my mini fridge and did the job while I soaked my foot and answered my email; I can do all these things at the same time.


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