Archive for February, 2008



No Hurry

Arne matched me up with a flying buddy. Bill has a standing order to fly on Saturday mornings in a plane that is similar to mine and of which he is a quart owner. He usually flies alone and gets bored. He was looking around for a flying partner. I wanted to fly with a person who is more experienced than I am, but not an instructor. It seemed a perfect match. We tested our new flying partnership this morning and flew out to Barnes Airport, about one hour from Beverly by air, near Holyoke in Western Massachusetts.

kbaf.jpgAfter a snowy, rainy and slushy week the weather was perfect with unlimited visibility, clear blue skies and manageable winds. Bill has much more experience than I do, with over 500 flying hours (to my 125) and an Instrument Rating. He also has his own GPS which he mounts on the controls. He let me fly in the left seat and be pilot-in-command, which is what I wanted. I need to get back into a routine of flying regularly and getting confident and proficient again. Doing that with an accomplished pilot next to me was perfect, allowing some refresher training along the way. I would not have flown this trip on my own, nor would I have been comfortable landing at an airfield that is right in back of another.This requires talking to one control tower for a transit clearance while getting ready for landing that requires clearance from another control tower.

I had prepared for my trip the old fashioned way using dead reckoning which Bill considers a lot of work. He programs his GPS and let his GPS do the hard work of calculating, tracking and correcting. I ended up concentrating on the very basic skills of navigating (holding my course heading and altitude) and piloting (checking outside for traffic and landmarks on the ground). It was good practice, good company and a good day for looking at Massachusetts from the sky.

After landing we agreed to do more flying together. Our next trip will be after I return from Tanzania, on March 8. We plan to fly to Concord and Laconia and work on my VOR skills. VOR stands for VHF Omni-directional Radio Range which broadcast a VHF radio signal that gives me the magnetic bearing to a specific place on my aeronautical chart. If you have two you can triangulate. It is a good skill to have as it keeps you on course and helps you figure out where you are when you lose your place on the map.

Later, when the weather turns warmer we will fly up the coast of Maine and explore that part of the New England airspace that is within easy reach of Beverly Airport. I can see how flying with Bill may be one way to ease Axel back into the plane at some point in the future. When I mentioned this idea to Axel he mentioned that, in his EMDR sessions with Ruth, they haven’t even come close to exploring the crash. Luckily nobody is in a hurry.

Life is Good

I discovered how easy it is to get a lot of hits on your blog site – if that is what you want. The entry from January 1, which was named after a famous playboy and had a picture with his name embedded, kept getting hit all the time, with a record number of entries and new visits every day. It shows the power of the search engine. Apparently, anyone googling this gentleman who-shall-no-longer-be-named was led to my blog. I have removed all references to monsieur and I hope that with this, the hits will stop and I will discover the real size of my faithful readership.

I woke up to a fiery pink and orange sky this morning. The landscape outside is bleak and uninviting despite the bright colors of the morning sky. Looking out onto the yard between us and the Hoopers there is a strange design in the remaining snow. It looks like one of those mysterious patterns in cornfields or forests that you sometimes see in documentaries that prove that not everything can be explained by science. Our pattern is random, circular and frantic. From the second floor it looks like the drawing of a child that has just learned how to hold a pencil and knows about circles and lines. The pattern is probably made by moles or voles running in tunnels underneath the snow. The paw prints of a fox would explain the franticness. It is actually quite beautiful. The artists in this family are enthralled with it; the ones who believe in plots and conspiracies even more so. It does make us wonder, however, if the presence of these small rodents also means there are grubs for them to eat in this lawn that was newly seeded last summer at some expense. Why else would they be here now?

Yesterday was the 14th and signaled the 7th month post-crash. It seemed a fitting day to shed yet another doctor. I bicycled to the doctor’s office to see my ankle orthopedist. He gave my foot a last check up, made some remarks about the remaining swelling and tendon pains (normal, good pains) and let me go. No follow up appointment required. Now all that is left is the massage therapist, who I don’t ever want to let go. There is of course still the issue of the ‘debris’ in the right breast. The report from the ultrasound and mammogram, done last month, indicate ‘not cancerous,’ which is what I had expected, but a relief nevertheless (although I don’t understand how they know from looking). However, the nurse practitioner wants to watch things closely so she asked me to schedule another mammogram and ultrasound in a couple of months. This turned out to be a bit more complicated to organize than I had thought for the simple reason that my two breasts have different diagnostic codes for the referral. My insurance company is OK with re-examining the right one sooner but the left one has to wait until after April 9, when it has been one year since the previous (routine and bilateral) mammogram. The breast doctor wants to see both side by side. It took a couple of hours of phone calls and inquiries to get the green light from Blue Cross to admit both breasts into the X-ray suite.

The girls celebrated Valentine’s Day by going out for dinner, Sita and Jim close by and Tessa and Steve in distant London (ON). Axel and I had a simple dinner in front of the fire, watching Hercule Poirot. The Valentine part of the meal was a ‘mousse au chocolat’ that was as rich as mousse can be, including whipped espresso cream on the top. Life is good!

Flowers from Baghdad

Today is Valentine’s Day. I received three kinds of flowers. One set consisted of two pots of primroses in bright primary colors. These are, every year, the harbingers of spring that precede the robin by a couple of months; they show up in stores when we are in the deepest and dreariest part of winter. Another set was a picture of the Nasturtiums that grew so prolific in our garden last summer, happily reseeding themselves every year. The picture was taken, blown up, photoshopped, matted and framed by the artist himself (Axel). Nasturtiums make me happy because they come with memories of childhood summers and sucking the nectar from the flower.

The third set was the most remarkable and unexpected: they appeared on my screen as tiny little flowers that grew, then disappeared and then re-grew over and over again in the chat space of my Skype window. With them was a message from Dr. Ali from Baghdad who was on a team I worked with in Jordan a few years ago. With all the drawbacks of how technology complicates our lives and fills up all our time, this is the magic that technology brings us as well. If it had not been for technology, I would never have met Dr. Ali and even if I had, we would probably have lost contact by now. He is doing well, leading well, producing results for the Ministry of Health, and his family is safe. This is no small achievement in Baghdad.

Work continues unrelentingly. Nevertheless we found time yesterday to go out for lunch with a few colleagues who were all close to our three colleagues who died three years ago in the plane crash in Afghanistan. Some people in this group are no longer at MSH and so, once again, this was a joyous reunion even though the occasion was somber and tearful.

MSH has entered a season of much bidding activity and many of us feel like jugglers, holding multiple balls in the air and doing our best not to drop any. Sometimes we do and these drops create stresses in the system and even acute personal pain at times. It is a fact of organizational life that cannot be ignored and that needs our full and ever so precious attention. On those days I am acutely aware of the complexity of human organization. It is one thing to look at this, dispassionately, as an outside observer, as I do when I am out on the road. But it is another thing altogether when I am intimately linked to the people and systems that make up the organization. At times like that I try to observe myself at work and discover, not for the first time, how difficult it is apply what we teach. It is probably a good thing to experience such organizational hiccups from time to time. I think it keeps us honest and humble.

Just Showing Up

 

I woke up to the sound of the snowplow, scraping. I remember now that I heard something about another snowstorm in the middle of the night. But we paid no attention. We should have turned the cars around so the exit is easier. I have to shovel a way to the car before I can leave. Snow plows have a way of digging you out and at the same time hemming you in. And all that at some ungodly hour in the morning, while everyone is still asleep and it is dark as the night. The winter here is getting awfully long.

 

I am in another set of marathon days, partially because I have been taking on some extra curricular activities. I keep thinking that this too will pass. But it is a bit like the email coming in over the transom. Things do pass and then other things come along.

 

This is why I felt a little anxious last Sunday when Larissa, the daughter of my old schoolmate Xandra, knocked on our door for a visit in mid afternoon as she was showing some schoolmates around the area. Larissa is about Tessa’s age and has been studying English in Boston for a while now; not that she needs any English but because she fell in love with Boston and she keeps coming back each time after she renews her visa for another series of courses. She has, in the meantime progressed to the higher levels of the course but, despite her chatter in English, claims she is not done. Larissa is a citizen of the world. Born in Sri Lanka, raised in Holland, I don’t think I have ever seen her in the company of someone who looks, speaks like her or has her nationality. This may have been her third or fourth visit and each time she comes with at least 2 other nationalities. This time she brought Columbia (Pablo) and Sweden (Lisa).

 

My anxiousness about work completely and quickly vanished in the company of these young people. Although she promised she’d call next time, maybe this spontaneous visit was better. If she had called I might have said we were busy. Her visit reminded me of my student days in Holland and later in Senegal when no one ever called before showing up (in Senegal we had no phone and it was long before the appearance of cell-phones). I remember missing these unannounced visits when we moved to the USA and we were suddenly in the grown up world in which people went about their own lives and visits required appointments ahead of time. As it turned out Larissa’s unexpected visit was wonderful. This is how we fool ourselves about having no time and long lists of ‘have-to’s and ‘must-do’s. Axel made a big pot of tea and we sat around the table talking about everything and nothing while outside the sun and blue sky looked down on the newly dusted white landscape left after a squall had moved through the area. I appreciated Larissa taking us away from our studies and computers and serving us old fashioned great conversation with wonderful people. Keep coming Larissa!

Yesterday, after work, we celebrated the departure of one of our colleagues to Guyana for a stint of about one year. Maryellen came to MSH as a temp wanting to do simple work that did not require much stress or responsibility. See where that got her…now, six years later, she is off as our country representative in Guyana on an HIV/AIDS program, having to deliver results to the US government that pays for her and her colleagues to do work there. Her departure brought back together a bunch of people, some of whom are no longer at MSH, having moved out voluntarily or involuntarily in the great shake up of last summer at MSH; I was there for the lead-up but mostly missed its execution which took place in July 2007. It was a joyful occasion to see old friends and find out that, in general, they have been faring well. They had another sort of awakening from their ‘must-do’s and ‘have-to’s.

A Hurried Life

This morning when I woke up I had part of my daily journal already written in my head. This is what the daily practice of journaling has done to me; when I wake up I am already writing in my thoughts and the writing occurs while I notice things around me. Maybe that is one thing the crash has changed in me: I am more observant than I was before. I suppose that observation becomes a matter of survival when your world has shriveled up to a very small view, as it did for a while.

So this morning when I got up I noticed the wind whistling through the cracks of our house; I noticed the exquisite and delicate ice flowers on the windows and the sun in the blue winter sky. I also saw the dust bunnies under the bed (and left them where they were – waiting for Axel to find them and do away with them, as his tolerance for dust bunnies is so much lower than mine). But as soon as I sat in front of my computer the workday started with a vengeance that never let off. It is only now at the end of an intense and very long day that I get to do my morning write. Of course the journal entry written in my head some 15 hours ago has vanished and I have to make something up all over again.

It is therefore no wonder that, once again, I found it hard, this past Sunday, to settle down and center in my Quaker Meeting. It took me most of the hour. Once in that state of ‘expectant silence’ I could have stayed there for hours but the agreement is that after one hour we get up. I have come to regret the words that break the silence. I wish I could get into that state of suspension faster. But that wish by itself appears impatient and is emblematic of my hurried life.

Once home (Sunday), I found Axel where I had left him, in his jammies on the couch, totally absorbed by his new library book, a detective that takes place in the Turkey of the mid 1800s. He managed to stay in that place (Turkey and the couch) most of the day and finished the book in what appeared to be one long reading sweep.

I was a bit jealous because I had to do work. I have started to facilitate a virtual leadership program, taking over from my colleague Morsi, and will be on facilitator duty for the next two weeks. There are about one hundred participants in this course from Yemen, Egypt, Kenya, Uganda, Mexico, Tanzania and South Africa. Since the Yemeni and Tanzanians are eight hours ahead of us I have to do my daily posts (another sort of daily journal) before I go to bed so that they find something in their email boxes when they start their workdays long before I do. But in order to write my message to them I have to do a lot of reading on the site in a place we call the Café. The Yemeni and Egyptians are particularly chatty and the task of reading up on two weeks of chatting took a good chunk out of my Sunday.

Axel was so good to cook diner for his working wife and pulled out the Turkish cookbook, inspired by his reading, and made a wonderful pilaf from leftovers.

And so now it is Monday night and it is past my bedtime. But I needed to download my unwritten journal page to make place for tomorrow’s.

Happy me

I woke up with the words ‘Blimey’ on my lips, the only thing I remember from a series of vivid dreams. This is a word I have never uttered consciously. I discovered that it is called a ‘minced oath’ and is a contraction of ‘May God blind me.’ The unconscious works in funny ways; there is some Dutch in there (‘bli’) which is pronounced like the Dutch word for happy (blij). Happy me?

I finished the book on deep survival and it did leave me happy. Happy that we simply crashed in a bog, from about 700 feet up, rather than in shark-infested waters or on a 12.000 feet mountain ridge. Such are the stories in the book. Only a few people survived these catastrophic events and their stories of despair, hope, agony, fear, hunger, thirst and pain made our crash appear a walk in the woods.

The non-linearity of our recovery is in evidence once more. The boundary between normal and abnormal sensation in my foot is changing again but this time in the wrong direction. The sharp pains at the place of the ankle break have come back and the neck recovery appears at a standstill. It is reminder that I am not quite there yet, about 5 more months to go to that imaginary finish line that the doctor’s drew, back then in the hospital.

Yesterday we drove to Newburyport for a consultation about our financial affairs. This is a bit of a hot button issue between Axel and me but the consultant’s sensible advice made us feel much better. We left after an hour and a half with renewed commitment to simplify our lives and abstain as much as we can from the national American pastime of raking up credit card debt. The other half of the equation is Axel getting a more regular income. He is starting to engage in conversations with potential places of employment where his skills and talent might be of use.

On the way back we stopped at Edith and Hugh’s house that is being rehabbed. Like our muscles and tendons it is not quite there yet, a slow work in progress. We had a half local winter soup and a blow by blow account of their recent trip to Costa Rica. It appears there are a lot of Americans in Costa Rica; pensionados who are looking for relatively cheap tropical warmth and then some who have had it with this (US) Administration and are waiting things out in a place that has no army (like Albie and Lydia).

Our financial/social day ended with a home-cooked dinner for Annie and Lark who we had not seen since early fall when Annie had been driving us places and Lark had whisked Axel away for a ‘boys night out’ and fed him his first post-crash alcohol. Last night he continued to take Axel back on that wicked road but he is up against Sita and me; no match, really.

Sita and Jim have gone off for the weekend to Western Massachusetts to make music and thus we have the place to ourselves, like the olden days.

On his own

Axel’s OT appointments are coming to an end, at least the regular ones. Betty his occupational therapist who focused on his left arm and hand, is letting him go. He is on his own now to bring his hand, upper arm and shoulder back into full service. It is a matter of exercise discipline. The radial nerve is continuing to regenerate slowly but surely. Yesterday he came back from Abi’s massage in great spirits. He suddenly realized that his hand felt like a normal hand. It certainly looks normal; the skin tone is again the same as the skin tone of his other hand and he can extend his fingers, albeit with considerable effort. His lower arm gets sore after doing this for while but that is to be expected after this long period of inactivity.

I can tell when he gets tired because of his stoop. It reminds me of his dad (he doesn’t like it when I make that comparison). Herman walked like that in his later years, stiff and stooped.

Axel’s scar is healing nicely. When we saw Tim and Rhonda last weekend they did not even notice the scar at first. And Tim, of all people should remember, having seen Axel practically scalped. The only part that has not gotten much better much is the ‘woody’ feeling in his head. His hair has grown back nicely and even starts to curl again. But underneath it is a considerable ditch that crosses his scalp from front to back. We should have drawn the outline of the part with the wooden sensation in permanent ink to see if anything has actually changed. It may be in the same category as my tingling toes – something we’ll have to learn to live with.

I had a long and intense workday at home finally finishing a considerable chunk of a big writing project that has been in the works for months. I took some time out around noon to have my weekly massage with Abi which was, as always, wonderful. She is the one health provider who will never discharge us and that is fine with us. We expect to be needing those massages for a long time to come.

Power dreams

I had a dream about the arrogance of power. It included uniformed bullies and fear to challenge a person in authority out of a desire to get something done. In spite all the bravery that has been ascribed to me, I believe that I am one of these persons who would cower in the face of authority, especially uniformed authority when I like to get to the other (good) side of that person.

I wondered where the theme of ‘power’ came from. Maybe it was triggered by a review of the curriculum and handouts of a course that MSH is teaching in Boston University’s Summer Institute for International Health. One of the sessions I taught in the course’s first year was about power (arrogant and regular). This is the same course that we were in the middle of when the crash took place. In fact, the day after the crash, on Sunday July the 15th, we were expecting all the students at a barbecue at our house, and two days after the crash I was supposed to have started teaching. MSH reserve troops were called in to teach that week in my stead and they did it seamlessly. The course became one of the top two courses in the 2007 Summer Institute. That was a rather stark lesson about how dispensable we are, professionally at least. It is also an argument for having teaching notes that someone else can pick up.

Maybe the arrogance of power dream was the result of seeing a picture of Bush and McCain in an awkward embrace on a platform someplace, with the caption: Eight more years? Why not one hundred! I assume it was photoshopped but could not tell which is actually scary. Or, and this is probably the real reason, the dream came out of listening to a book on tape, called Inventing a Nation by Gore Vidal. It is all about power: how to apportion it, give it away, rein it in, and the individual interpretation of what it allows and disallows.

Yesterday, after another day of primarily catching up at work (will I ever get caught up?), and a quiet dinner with Axel, it was time for our periodical OBTS Board-meeting-by-phone. I remembered the first one last October and re-read my journal entry on that day. The best thing about a journal is that it makes progress so visible. I have surely come a long way (and so has Axel). I completed the work for the OBTS elections with the material for the election website delivered to our webmaster. This work started in November and it is nice to be able to tick it off my to-do list.

Obama and Ostrich

The excitement about the primaries had momentarily made me forget the weather which sucks this time of the year. This is why so many people escape the winter and go south. I drove through freezing rain, braving black ice early in the morning and made it in one piece. On such days I am afraid of getting into a traffic accident. There is not much I can do about it other than driving defensively and complying with speed limits. The chances of a ‘pilot-error’ accident are not as high as they are in the sky but it is so much more crowded with people who are not driving defensively and who are distracted by life. As I am learning more about how our emotional state can drive out critical thought and attention I wonder why there aren’t more accidents.

Yesterday was Super Tuesday, voting day for Massachusetts and many other states. I don’t think Tessa got her absentee ballot in on time and Jim discovered that his voter registration transfer had not taken place as planned. He was not excluded from voting but would have to do it in Amherst. As a result Obama lost two precious votes from our family, much to Hillary’s luck. She carried Massachusetts and many other states. But Obama carried Manchester-by-the-Sea, not just over Hillary but over Republican candidates as well. This is quite amazing for a small town of wealthy people that has been staunchly Republican as long as Axel can remember.

We went to the poll station as a family (a family that votes together…) and we were all surprised to find Axel’s name on the ballot and so we voted for him, as well as for Obama. Finding his name on the ballot for (Democratic) Town Committee is something we still don’t quite get, we didn’t know he was running. I voted for the entire Democratic slate but Sita voted only for those she new and trusted.

We had been invited to watch the returns with friends but Axel was still too punky to mingle with company, planning for a simple meal at home. Instead Sita and Jim took us out to Cala, our favorite local restaurant to celebrate our voting. Sita has discovered ostrich (in Davos of all places) and Cala happened to have it on the menu. It was a high carbon footprint meal with the ostrich being flown in all the way from Australia. We enjoyed four wonderful dishes, by taste rather than sight, since we were seated in an obscure corner of the restaurant. The returns came in too late for me to watch on TV. I got them early this morning instead.

Rapid Eyes No More

Yesterday I had my last session with EMDR Ruth. I have been seeing her since August and this was session number 17. We looked back on those first few sessions when I got myself anchored in a safe place. Finding that safe place was more important than I realized at the time. Axel is now involved in doing the same. The therapy stirred up all sorts of surprising dregs from my past. The conversations that needed to take place, at least those that could, have taken place and things have been put to bed. No longer do I have those intensely physical reactions to memories of the crash. I can look a windsock in the eye (sock) without blinking. Gone are those fleeting sensations that take my breath away even when I am up in the air or preparing for landing. I am not sure if one can get cured from the aftermatch of an accident, but this feels like it. So we said our goodbyes with a big hug and I closed yet another chapter.

The rest of the day was an intense battle with work streaming in over the transom in waves. Everything wanted my instant attention. I could not have handled the multiplicity of tasks a couple of months ago, but I look back on yesterday and I think I managed OK.

This week brings memories from the plane crash, three years ago, that ripped three young colleagues from MSH out of our and their lives in the distant mountains of Western Afghanistan. This was a week of much crying and embracing and finally a trip to Topeka Kansas to be with Carmen’s family. I wrote them, as I do every year, and remembered their daughter. The Africans have a saying that as long as someone is remembered they are not truly dead. Of course that plane accident now has a different emotional load for me as I discovered how easy it is to be suddenly gone.


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