Archive for September, 2008



Pirate talk

Axel dreamt about the Second World War. He and Jim were being pursued by the Germans while I, only inches away, happily dreamt of bicycling through snow and slush and shopkeepers putting up their Christmas and New Year’s decorations. My dream explains itself easily: it is getting cold at night but Axel’s cannot be linked to a book he is reading or a film – unless Charlie Wilson’s war counts, which we watched last night.

Yesterday was international ‘talk-like-a-pirate’ day. We discovered that there was such a day last year because Axel was very much into this theme with his eye patch and the matching hat and hooked hand that Sita bought for him. When I look at that picture, taken at the rehab hospital, it seems light years ago. Yesterday he did not dress up but I exchanged some argghs and blimeys with my colleagues by email, in between more serious work.

Axel is back at school after having skipped an entire year. He is taking three classes; one is a two weekend class on Adobe Illustrator that he is finishing this weekend for 1.5 credits. The other is about branding and the third is an advanced graphic design class, the last one before he can take his final portfolio class next semester. It’s a handful and keeps him very busy, and possibly worried at night, hence the war images.

Today I am going to fly again; my co-pilot Bill is back from his travels through Europe. I talked to the flight briefer this morning and, weatherwise, all the stars appeared to be aligned, except for patches of fog around Wiscasset. We expect these to burn off and if they don’t we’ll go someplace else. This trip to Owl’s Head is one we have been trying to make for many months now, and the fog has always been too thick and stationary to even try. It should be a beautiful trip along the coast and I am looking forward to it. Flying in the fall over New England is always spectacular. It is when I got hooked. I started my flying lessons exactly 3 years ago, on a day like this.

Still here for something

I don’t know if curiosity about other people’s lives drove me to psychology or whether psychology made me more curious. Maybe both are correct.

The social networking sites are a dream come true for me. Not only do they show what goes on in the lives of other people I am interested in, care for or am curious about, they also keep me connected in ways that would have required a huge amount of work before (and therefore often did not happen).

We learned about the (healing) power and saving grace of a strong network when you are in trouble as we were last year. Also, the older I get the more I realize that nothing important gets done without the help and support of others, doors stay closed, knowledge obscure, etc. And finally, seeing the life throbbing through places like Facebook or Myspace or any of the thousands of more specialized networks give me hope that when push comes to show, we are there for each other and this isn’t such a vast cold place with people glued to their screen, disconnected. On the contrary, I see my younger colleagues (few of the older ones are on Facebook) embedded in a life fabric that is much richer than what I see at work. I see colleagues who left MSH, sometimes intensely angry and frustrated or bored out of their minds, who found the right place, doing important and meaningful work and being happy; I stay in touch with the ones who went on to study, and can cheer them on in ways I would not have been able to do before.

This is all about the here and now, or at least my connections from the last 10 years or so. But what is also beginning to happen is that characters from my Dutch life in the 60s and 70s are beginning to pop up, one by one, with pictures, memories, news on him or her that you would only get at school reunions. In Holland we don’t quite have those the way Americans do; besides, they would not be accessible even if there were any. My high school in Haarlem had a celebration of its 600th year sometime in the 1990s (it was founded in the 1300s!) and I missed it.

One of the things I found on Facebook is a bunch of photos from a car accident that looked very scary; they were posted on the site of my friend Pia. I discovered she was in an accident that could have killed her, just weeks ago. I now know four people (five if I count myself) who have recently survived something that is rather miraculous. You’d think we still have something important to do in life. 

Not-not-yes

Not much happened yesterday. I left early and came home relatively early while Axel slept late and went into Boston for his evening class. We did not see each other. I did not row, did not get my act together in between meetings which was a shame, such great weather. Lots of ‘nots’ yesterday.

Tessa left me a nice salad for dinner, taking good care of her parents. We are traveling into Boston together tomorrow. She will spend a day with her new colleagues picking up trash on one of the Boston Harbor islands. Sounds like fun. Tessa can’t show me what she is doing for the company as it is one of my organization’s most fearsome competitors on US government bids (occasionally we are bidding together, but mostly not). She’s with the for profit world where they pay interns. We don’t do that.

A long pre-dawn conversation on Skype with our team in Pakistan this morning about how to connect disparate pieces of technical input and bring various parts of the health system at the lower regions of the health pyramid together to focus on the needs of the population. I think our leadership program can do something about it. I could sense the energy that emerged in this conversation across 10 time zones, with a group of people who work in a very difficult place. This was a conversation about two ‘nots’ cancelling each other out; a not-not conversation if you will. Two ‘nots’ making one big yes!

Ninetofive

During my vacation while seeing Joe going into work early and coming home late and exhausted, I saw myself and vowed that after I’d come back from Abidjan I would do things differently: go in later so I could actually get up with the rest of the family, have breakfast together and come home a bit later just about the time that dinner would be ready. It sounded perfect and I wondered how I could not have thought about that before. I found the answer to that on my way home yesterday.

I executed the new plan. Things did not quite work out the way I had imagined. When I got up everyone else remained sound asleep, even though it seemed late enough; so there went the nice family breakfast. I left the house a bit before 8 AM and arrived at work a little after 9. Not bad, slightly longer than if I’d gone in at 6:00 AM. But going home at 5 PM with the rest of Cambridge and Boston turned out to be a really bad idea. It took me 10 minutes just to get out of the parking lot and nearly 50 minutes to get out of Boston. I arrived home about 2 hours after I walked out of the office, at 7 PM. Dinner was not ready either.

So, all in all, a nice idea in theory but not very practical. This morning I got up at 4:30 AM again. I have a new coffee maker, a dinky cheap machine that may not last long but for now it is delighting me with its timer feature that has coffee ready when I get out of bed. It helps, now that it dark and, this morning, also cold again.

I had not been in the office for over a month and found new arrivals and others leaving. There was much catching up to do, and so I was not very productive (but very social!). And then there was (is) the overflowing mailbox, discouraging, and requiring much discipline about what to do with the new stuff that’s coming in over the transom.

The fall canvas is being colored in with trips that may or may not happen, always a tentative affair, nothing quite sure yet. Good news from Ghana; the seeds we planted in January are sprouting and the local team is being put to work, exactly as we had envisioned this when we first met as a group of strangers. I pulled out the vision we created together, and we are indeed creating what we had in mind. I can teach about the power of vision because I experience it over and over again.

It would have been a good day yesterday for rowing. I realize that if I want to get my money’s worth for this rowing season I better use every available day before hand (and possibly ankle) surgeries take me off the water for a bit, and before the boats are ordered off the water later this fall. My last row is usually sometime in October.

Now that I have a better understanding of what is wrong with my posterior tibial tendon I am a little nervous about the current arrangement which has the tendon positioned right over the ankle bone instead of behind it. It has been like that for over a year now but I had not understood the cause of the continued swelling. Now that I know it seems more fragile and I am worried that it will tear. I am suddenly getting very impatient to come to some conclusion and get all those other opinions in; but that will have to wait until the end of November which seems a long way off.

Opinions

My half of yesterday was devoted to seeking the opinions of orthopedic surgeons while Axel’s half, the second, included another visit to an MRI facility to give his physiatrist a better picture of how everything is healing/has healed.

My first visit of the day was to new orthopedic surgeon for a second opinion about what to do with my ankle. He referred to the practice in which doctor nr. 1 works as ‘the evil empire.’ I understood why, as it is a large orthopedic solutions factory with a rather hurried feel to it; a place that is about doing something to the patient rather than being with the patient. After all, time is money and being with the patient is not cost-effective. This is one of the reasons I went to see doctor nr. 2 whose office felt very unhurried, even though housed in the ugliest building one can imagine. He considered my ankle problem of great interest to the orthopedic community as it was rather rare and some docs might want to take pictures and write about it. In fact he said he never seen anything like it before (the description and MRI of my ankle did not match what I was able to do) and suggested I climb higher up the expertise ladder and see the top ankle doc at Mass General and another at Brigham, who might actually make room for me because I presented such an interesting and publishable case. Axel had already tried to get me an appointment at MGH but never got a live person on the line during the two weeks he tried. He also told me I was right to seek more opinions because the operation proposed by doctor nr. 1 is a big deal, with some risks.

By the end of the afternoon, I had gotten myself an appointment with doctor nr. 3 at MGH. It’s far into the future, a few days before Thanksgiving, but that’s what happens when you want the best of the best. This probably means that surgery around Christmas is unlikely to happen because doctors like number 3 and 4 get all the cases that no one else can fix or is entrusted to handle. I also suspect that the catchment area of MGH and its top docs is rather large, not just Boston, but the entire world.

The other doctor’s appointment was with the hand surgeon who was supposed to have fixed my right carpal tunnel problem 11 days after our crash. At that time the body had forgotten about the tunnel obstruction as it was busy with more important matters. But lately the tingling has gotten so bad that even holding the steering wheel numbs my fingers. Surgery is scheduled for October 1. I am not seeking any other opinions; a wait of two weeks feels already too long. I am impatient to get it over and done with, so I can row again and sleep through the night. “I’ll get you fixed,” were the parting words of the doctor. I know he meant well but it did feel a bit as if I am a dog or a cat.

Our visits to the various medical establishments took up most of the morning. Back home the beach beckoned and we had lunch there with the idea of a post-lunch swim. But Axel was due for an MRI, and we were late, so the swim was cancelled.

The rest of the day I spent unpacking, washing, putting things away and putting my receipts in order. With that the decks are cleared for attention to the next trip (probably end of October) and anything else that needs attention before then.

All day strong winds cleared the sky. I wondered if these winds were the tips of hurricane Ike’s tentacles. By sunset they had blown themselves away over the Atlantic or into the stratosphere, which brought the mosquitoes back. At dinner, while we feasted on fajitas, they feasted on us.

Safe landing

I am home again. After a delicious dinner with all the raw veggies I had done without for the last 10 day, prepared by Steve and Tessa, I collapsed into a deep sleep. In the middle of the night I woke up to see a full moon lighting up Lobster Cove, which is beautiful in any condition. I am very grateful to be home again.

My first sleep home ended with an intense dream about a small plane crash. Before it crashed it had been hovering low over the ground next to an embankment. The pilot, a woman, stuck her head out of the window and confirmed a date and a time I would go up with her. I had met her before. I considered for a moment hopping onto the plane right there and then, that is how low it was to the ground; but I was heading someplace else and decided to wait until Friday, the day and time we had agreed on. The plane then banked to fly away. It hit something with its wingtip and crashed onto the embankment and fell into the water. For awhile no one did anything and then people began to jump into the water. I stood too high to jump and felt powerless as I watched the passengers trying to get out. Then the image of the dream changed and I was sitting next to the damaged plane trying to keep the two hurt people inside from drifting away. I discovered there were children on board, one infant among them. They were fine but stunned. I read children’s rhymes to them while keeping an eye on the parents (I supposed) who were in bad shape. Someone had called 911 and I was impatient for someone to take over who could really help. I woke up before help arrived.

The dream was so intense and so real that there was no risk of losing it, some details maybe but not the essential story. I contained elements from our crash (badly hurt, staying awake, parents, children) but had me in an outsider’s role, experiencing a tiny bid of the agony that our rescuers had experienced. In real life the story had a good ending, which is not obvious in the dream. Somewhere, in my unconscious, there is still a filing cabinet filled with crash-related stuff, within easy reach.

The journey home from Abidjan to Paris and then from Paris to Boston was endless; seemingly more endless than many of the much longer flights I have taken earlier this year, to and from Afghanistan and Tanzania. I did not sleep at all on any of the four legs, going out and coming back. On the last stretch home I felt like an overtired child that cannot get comfortable and relax enough to get back to sleep. The size of everything on the AF planes, seat, tray table, leg room, toilets, seemed smaller than I remember. I did fly another company (AF instead of NWA/KLM) so it may actually be true. The general discomfort was exacerbated by hot flashes that come on about every 20 minutes or so; on an 8 hour flight that makes for many uncomfortable, dare I say, inconvenient, personal climate changes.

During the last interminable 30 minutes of our descent into Boston I practiced what is suggested by a favorite quote: if you are patient you can wait much faster. Although uncomfortable, I remained very patient, having waited in that tight space for so long at that point, I was able to handle the additional 30 minutes (we made a 360 turn on our way down) like a saint. And then, when we landed, the delight to put away this small furry thing that is my fear that this flight will not end well. After my frightful experience flying out of Kabul, this fear has been a little bit more present than it used to be before.It is always there and pops into my consciousness from time to time although most of the journey I manage to keep it under wraps.

The patient waiting, during the entire flight from beginning to end, was facilitated by my iPod. On settling into my space at 10 in Abidjan on Saturday night I pressed the ‘90s music’ playlist and have been listening, from that moment on, nearly nonstop (with a recharge in Paris) to an interesting mix of sounds that came from nearly all continents, meditations in several languages, Nepali language lessons, acoustics and ballads sung in various languages. By the time we landed I was only on track 147 out of the available 503; enough leftovers for a few more flights like this.

Screeches and screams

Alphonse the driver came to pick me up at 7 PM at the hotel last night. I had to leave my room at 6 PM, already quite generous of the hotel, and so I spent the last hour in the lobby, dozing off now and then which made the hour go by fast. I gave Alphonse my leftover Chinese toys and cheap gadgets for his kids and the bar of chocolate I never got around to eat. I also gave him my cell phone chip which will expire in January. I don’t expect to be back before then, so it is better if someone else uses it in the meantime. I never got attached to my number. I have already forgotten it.

In the morning Oumar sent me his contributions to our final report shich took me the rest of the day to complete. While I was working I followed on CNN the path that hurricane Ike was slashing through Texas. It is odd that we sent people into these storms to report on them when they cannot really see anything because of the wind, rain; on top of that the electricity is out. They really did not have much to say and what they said was repeated every 15 minutes as were the pictures.

In between the wet and windy reports on the American disaster I watched a program on Democracy in Africa which included some gruesome scenes from the Congo and some interesting ideas about democracy African style (as in ‘winner does not take all’). Will it happen during my lifetime, I wondered? As we know from Ivory Coast and Kenya, the progress can easily be reversed.

Oumar and I had our last lunch together in a practically deserted restaurant. The only other creatures around us where the ubiquitous bats, screeching and pooping as if there was no tomorrow. I had my last ‘sauce feuilles’ with rice, so did Oumar. Not his last, I am sure, although the crabs will be missing in his hometown of Kankan, deep inland, near Bamako. He didn’t eat the crab pieces anyways, much like I did not eat the bush meat that comes from an animal resembling a large rat.

We reviewed the 10 days we had just completed and then we said goodbye. He called me hours later that he was still at the airport, his plane delayed; nothing unusual in this part of the world, but by the time I arrived at the airport there was no sign of him, so I assumed he was on his way to Conakry or already there.

On the way to the airport I wondered what it was like to have lived here during the shooting and looting that took place not that long ago. It is not like with us in Holland where only old people now remember the war. Here, everyone would remember. Where were they, what did they do and what/who did they lose?

There are many billboards around town and a lot along the road to the airport. They promise riches, beauty, happiness, wisdom and whatnot if only you buy a certain brand of tomato sauce, cell phone, refrigerator or toothpaste. Against the backdrop of the chaos, dirt, the messiness of ordinary life, I can see the attraction. They are part of the attempt to create a consuming middle class. It may actually work.

I had the good luck of sitting in the plane on the same row as a young father with his little girl. She screamed nonstop for the first half hour, bringing in various African moms sitting in our section of the plan with advice, food, toys, even chips; all to no avail. The father who already looked much harried as he entered the plane, was getting increasingly agitated. I wondered about the story. Where was the mother? Was he taking the child to her mother or away from her? With her permission or without? Later, the AF lady who brought the bassinet that clips onto the wall chided the father for not knowing the child’s weight (mothers know such things), standing tall above him, even taller because of her high heels; after that the father looked even more diminished. With a wink to my neighbor and me, she made us witness to her warnings about all the risks associated with placing one’s baby in the bassinet.

Once we had taken off I offered to place the, by then sleeping child, in the bassinet, a delicate undertaking, and discovered what might have been the cause of the screams, a very stinky diaper. I pretended not to notice as I imagined that this would only further agitate the dad. I hoped the smell would be contained in the bassinet (it did).

And now I am sitting in the exclusive AF lounge which offers me a shower and a rich buffet of foods and drinks. TVs are everywhere, though none of the programs shown (all French) mention hurricance Ike or Texas; as if that’s already old news and not worth mentioning. Or is it because other news is considered more important (plane crash in Russia, bombs in Delhi and the Pope in Lourdes)?

Potato girl

It took me a few days to figure out that the bats are out, even during the day, because of the clouds. It’s not the light they cannot stand, it is the sun. The skies have been mostly grey since we returned to Abidjan, having a decidedly Dutch appearance. It is the right kind of weather for staying inside, watch TV and do homework. The sun does not always shine in Africa.

While I was busy behind my computer Oumar talked on the phone with several people who had participated in our workshop. They called him or he called them. At night, over dinner, he gave me a summary of what he learned. It made me realize that when I travel alone and don’t have such insider’s intelligence, I miss out on a lot. It tends to be given more freely to people seen as (more) similar to oneself. I had never thought much of that because people do share much with me; and so it is easy to get caught by the illusion of being taken in confidence and considered ‘one of them.’ I may get close but I don’t think I ever will receive the kind of phone calls Oumar gets. I imagine that much of what I hear is carefully calibrated by politeness, people trying to figure out what it is that I like to hear. This is one of the reasons why I try to work with local counterparts (the other reason is that there has to be some form of transfer before I leave).

Earlier in the day Eustache joined us for lunch at the Old Combatants restaurant. It was a rather late lunch and since on Fridays the commercial center around us empties out early there were few patrons in the gigantic restaurant and the menu very limited. But one thing that can always be had, just about any place and any time, is a grilled fish (carp , sole or machoiron) covered by an onion/tomato mixture and some mystery spices that makes it hard to reproduce, plus of course the usual staple of atieke, rice or plantain (smooshed into a paste or fried, called aloko).

After lunch I went in search of a super market because of a craving for something sweet that needed urgent attention. Unlike in neighboring Ghana earlier this year, where we were served pineapple at any occasion, here I have not seen any, only bottled juice. This is odd because Cote d’Ivoire is, I believe, a major producer of pineapple; on our way to Aboisso we drove through endless pineapple fields. The country also produces cocoa and so that is what I bought, in its processed form, chocolate, plus some dates, but I would have much preferred fresh pineapple.

For dinner we revisited a restaurant in the Mermoz section of town, also quite empty and reviewed everything that happened since we started on September 4 and what needs to happen next. I ordered the same local dish that I had for my first dinner, kedjenou. I could not finish the enormous quantity of food put before me, still full from lunch. I have eaten more rice these 10 days that I eat in an entire year at home (I am a potato girl, really).

And with that I am signing out of Ivory Coast (incha’allah), expecting, if all goes well, to write my next entry from Charles de Gaulle, terminal E or F, tomorrow morning.

Sidewalk johari

The bats and I were both late this morning. It was nearly 8 AM when I woke up and the sky was still full of them. Suddenly, and in just a few minutes, they vanished into the trees, as if humans and bats cannot be up at the same time. At dinner last night I learned that the bats are only on the section of town called Plateau. At one point the authorities decided to get rid of the bats (messy, noisy) and bombed then out of their trees and then cut the trees; an enlightened environmental action that did change things only for a while. All of the bats are back. It is, after all, their territory.

I was very aware of the date yesterday. The local news, radio and TV, all carried shots of our two presidential candidates, stiffly walking side by side at ground zero.

We made our round of visits to various stakeholders in the Global Fund to discuss what happened and sketch out next steps. We sorted out paperwork and contracts and began to lay the foundations for the next workshop that I will not attend, in November. I passed the baton, in the shape of a flipchart marker, to Oumar during our last facilitator meeting Tuesday night and he has been the team leader every since.

He leaves no opportunity unused to teach about management and leadership. He does this without even knowing it; teaching adults about changing their behavior is in his cells, he can’t help himself. We passed enough tidbits about management and leadership in our debriefing with the principal recipients of the funds that we left them hungry for more.

Last night at dinner, at a sidewalk restaurant, sitting on wobbly chairs around a wobbly table en plein air deep in Treichville, around a plate of grilled fish and atieke, he taught the president, the permanent secretary and our chief consultant about the Johari Window with great passion. My colleague Jana who taught Oumar about adult education would be proud. To hear such words as ‘moi chaché, moi aveugle, moi publique’ and ‘moi potential’ in such circumstances is quite amazing. Oumar, master trainer/story teller, kept them spellbound. It was wonderful watching him at work like that. I know the program is in good hands, he will do very well. His most important task is to transfer his skills to the local team so that he can look on, the way I do now, as his local colleagues take over. He has six more months to get to this result.

On our way to the restaurant the president took us on a tour of his childhood neighborhood. As he drove through it he kept pointing at this and that and added commentaries, the way I do when I show my colleagues in Holland where I grew up. Of course there was no comparison with that neighborhood (a small village really) and what it is now, as we are talking 1949: no paved road, few solid structures, no phones (c’était de la magie), few cars.

I could actually picture all this because my dad made a tour of Africa on behalf of the Dutch breweries in 1953 and left me a stack of postcards of many of the major African cities, including Dakar, Abidjan, Cairo, Nairobi, Johannesburg, Lusaka, Lagos, Antananarivo, etc. They are postcards made for foreigners like him, with a few cars showing (mostly old Peugeots) and many bare-breasted African women. The colonial buildings in the downtown shots are freshly painted. The shots of villages neat and orderly; not all that different from villages today except for the absence of the ubiquitous remains of the blue, pink, white or striped plastic bags. He also left me a diary that I have found hard to read at times because of the way he talks about Africans. He talks (writes) like a ‘colon.’ Even though not French or British, he was after all a man of his times. We have come a long way since then in terms of attitudes, but the environment has gotten the short end of the stick, bats, plastic bags, buildings and all.

Today is our last workday here and the report and the design for the next workshop are on the table. It turns out that not being able to change my ticket was a good thing; yesterday would have been too rushed. It was nice to sleep in and wake up with the bats.

Credible

I am back in Abidjan, goods delivered. All the angry faces have vanished and their owners become enthusiastic. We are credible now (something that has to be established, over and over again, which gets to be trying at times, hence the grey hairs). We are happy that we were able to show that (a) we know our stuff (‘animateurs maitrisent bien le sujet’), and (b) there was something to learn. Whether one day this becomes ‘there is always something to learn, no matter what’ remains to be seen. Patterns of thinking are hard to change.

The words spoken at the closing of the workshop came from the heart, as opposed to those spoken at the beginning when everything was still new and stiff. We were warmly invited to pay a visit to one of the people who had appeared rather cool and aloof at first; something shifted. It was also a reminder that first impressions can be entirely off the mark.

I handed out my usual leadership kits to remind them during their next meetings of what leadership and management means: a magnifying glass to scan and focus, a large button that says five time ‘Pourquoi,’ to remind them that fixing symptoms is a waste of resources; an eraser to erase all the mistakes of the past, and a mechanical pencil to ‘keep their points sharp.’

With that we packed our bags and headed back to Abidjan, a short ride, where we did our compte rendu with the acting chief of the MSH office. Now we are back at the hotel where we started, only one week ago. It is amazing how the psychological landscape around us has changed.

I tried to connect with the Boston office but something else has shifted also: we were not able to connect, after trying multiple ways: Skype, landline, cell phone. Nothing worked. This morning, I am also cut off from the internet. I had gotten used to a perfect and dependable connection to the outside world but am reminded again that I am in a place where such luxuries are not to be taken for granted.

I was put at the 9th floor of the hotel but requested a lower floor. It is not the height that bothers me but what to do in case of fire. May be it is a leftover fear from my childhood fire experience or having seen the movie Inferno. At any case, I have no illusion that one can survive a fire at the 9th floor. Now I am on the 4th and right above the swimming pool. I calculated that I could jump if needed.

I am on the other side of the building now, looking out over the inland part of Abidjan and the waters around it. At about 5 PM the sky started to turn dark with the frantic movement of a million fruit bats. I remembered this from Niger, sitting at the terrace of the Grand Hotel and watching the bats fly out over the Niger River. It is a breath taking nightly ritual that has gone on, probably undisturbed, for millennia. It does make one wonder why the city is not buried under tons of bat guano or whether this has already made its way into the lungs of people.

This morning at 6 AM th sky was still filled with bats but one by one they returned to their trees where they hang upside down, waiting to take to the sky again tonight. At 7 a few stragglers, adolescents probably, are still fluttering outside my window, and then, 30 minutes later there are none to be seen.


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