Archive for March, 2014

Preparing to roll

With a business center that doesn’t quite live up to its name we ventured out on Sunday afternoon to the biggest mall in Asia to find a copy place. A scary undertaking as the mall stretches over acres and acres and it was Sunday. But we lucked out and the copy and printing places were close together right by the main entrance and the crowds just started to thicken when we left.

While M took care of business I lounged around in a pretend French café and sampled, now fully informed, a cronut, leaving half for M who joined me when the copying and printing was done. She is learning slowly that everything – EVERYTHING – is prepared with loads of sugar. If you don’t say anything that’s what you will get – it’s the default.

While she was working I was eyeing the sushi assembly line restaurant across the walkway – it was lunch time after all. Close up the sushi on the moving small colored dishes didn’t look quite as appetizing as from a distance so we ordered a la carte: salmon sashimi, seaweed salad and a tuna temaki. I am in seventh heaven in this place with sushi and sashimi at every corner. The green tea was unsweetened when I emphasized this but (over)sweetened when I got my refill, triggering the default.

I finally, after a week, tried the workout facilities and swimming pool that is part of my view, five floors down. The gym was hot but I managed to bicycle for 15 minutes, followed by what can hardly be called a swim when you have to dodge small Japanese boys with giant tubes around them and two large Lebanese men occupying the middle ground. M set out to exercise but gave up quickly because of the heat and went, presumably, back to work.

We met up later in the day with our research colleagues and sampled the national dish, chicken and pork (always and everywhere pork) adobo. Tasty, sweet and salty. After dinner we checked out the conference room and prepared the name tags and hand-outs. We are ready for the first ever Philippines stakeholder meeting to take the agenda for mobility-challenged individuals forward. It’s ready-to-roll time.

Cronuts, copy and creative conversations

This morning at breakfast we joined with others from our group. They had moved here from the other hotel after seeing the plane travelling participants from last week’s course off to their various destinations. A complex undertaking as they were accompanied by two large boxes with wheelchair samples.

We had some great conversations about everything and nothing. As people learned about life in Kabul from me, I learned about cronuts which are apparently popular here (and in the US). I didn’t know that I ate one yesterday. I did notice it was exceptionally rich and left my hands greasy. Who cooked this up? I wondered. As if putting more calories in a donut is a good thing. And then to think I had a real croissant as well, a triple whammy I came to regret.

We are fine-tuning the design and preparing the materials for the stakeholder meeting that starts tomorrow. This may include a trip to Copylandia at the Mall of Asia, a 30 minute ride from here. I am sure it is a favorite Sunday attraction. I expect one mega large shopping and eating frenzy if to judge from our experience of the smaller mall (still rather large) around the corner from our hotel.

We have been looking for days for a Copycat or Kinkos here to no avail. Today we learned about Copylandia. I see a business opportunity for an enterprising young person.

After the stakeholder meeting is over we are embarking on the last part of our assignment here: a management and stakeholder workshop on Wednesday and Thursday. Somewhat complementing the basic skills training course of last week, it is for those who run wheelchair service or training programs, or want to start one and who are in decision making roles. The program requires considerable technical expertise about wheelchairs and so most of the sessions will be run by our local experts. M and I will do the few sessions that are related to management of resources and change. There is nothing to design as it is a pilot; we just follow a script.

Last night we went to a Chinese/Japanese restaurant, a surprising combination I had not seen before. When we entered we were met with the welcoming shouts I remember from Japan but not the bows, illustrating that this was indeed a joint enterprise. We asked for Shabu-Shabu and got Mongolian hotpot which is basically the same, although my Shabu-Shabu experience in Japan was more elegant and refined. This one reminded me of our Mongolian hotpot meal which Axel, Tessa and I enjoyed in Bejing 11 years ago.

Yesterday was the Harvard Social Enterprise Conference in which I participated with Sita and Axel last year. I had to cancel this year but Tessa took my place, continuing the near complete family participation. Sita had organized, pro bono, a complex and creative series of sessions (Idealabs) in her role as US President of the Value Web – a worldwide network of graphic facilitators and we were her helpers. I am sorry I missed it and am waiting for the reports. I am going to try something creative here myself – not that creative but surely more creative than what the participants will be expecting; song, dance, poetry or other art forms are on the program.

Celebrations

Today was the final day of the basic wheelchair service training and the participants got to apply everything their learned on 6 people who were badly in need of a good wheelchair. Each of them had a condition that required a unique fitting: a young boy with TB who had a bone infection and needed his leg straight for a year; an older gentleman who had had a stroke and needed much support; two women with spinal cord injury, one of them with pressure sores, a man who had contracted polio and a double amputee.

It’s a complicated undertaking requiring good measurement, selecting the right chair and then making the adjustments. There is also the art of making the right seat cushion and foam wedges to relieve pressures that, if not corrected, create pressure sores; in warm and humid places such sores can easily get infected.

I have developed a new appreciation and much respect for these wheelchair folks. As I watch the trainers help their trainees focus on the safety and comfort of their clients I am quite moved. I suppose these people are lucky, to get this kind of service.

Just as the trainees are finishing their course I start to get to know them, hear their stories, especially of those who are wheelchair users themselves. From their personal experiences the plight of disabled people in the Philippines becomes very real – the hardship, the daily challenges, the misperceptions and misguided actions of the able-bodied.

One is a marathon wheelchair athlete whose dream it is to wheel himself to the Boston marathon finish line. To make that possible he has to be invited; and to be invited you have to be really good. He is working on that in regional marathons. We talked briefly about last year’s marathon – he watched it all, and will watch again this year, hopefully enjoying the accomplishments rather than the dramatic turn of events near the finish line.

The closing was touching. After several brief speeches, certificates, much applause and picture taking it was time to part. When everyone was gone the many supplies and wheelchairs were packed up: two sample chairs that will go to each trainee’s place of work, and the practicum supplies that will accompany the Philippina lead trainer and M who are off to Vietnam, for a similar course after we complete our events next week.

And then we piled into a bus with the exhausted but happy trainers and sat in traffic (only for an hour this time) to join a US/Canadian research team that is part of the larger USAID initiative to provide quality products and services mobility services to those who need them. They are staying in an even fancier hotel that was full of other celebrants. It is graduation in the Philippines and apparently families go out for birthday,judging from the singing and clapping that happened all around us.

Indulgences

Tonight I had my second massage in only four days. I am trying out the enormous variety and supply of massage places – with prices so low I could have one every day. M had scheduled her 3 hour indulgence but then backed off, having to work when our office in Washington wakes up. In hindsight this was a good decision (not the long work day but the quality of the massage). I stuck with my plan, a two hour event, first a foot massage then hot stones.

It was the first massage for my recovering left foot, so I requested a gentle touch and the foot was relieved. The hot stone massage was not quite like the soothing and gauzy massage in our previous hotel. It wasn’t the heat of the stones (the masseuse handled them under loud ‘ouches’) but rather the power of the masseuse. Moderate touch was more than I could bear, even ‘soft’ was pretty darn intense. I think I’ll try my next massage in one of the other twenty or so places in the neighborhood.

The massage parlor was just heating up when I was done around 10:30 PM. I was surprised about the number of men among its clientele, some with their women, who came in for a foot massage. It was clearly an outing, with plenty of room for a party of six or eight. They seemed to have a jolly time, drinking coffee and texting incessantly. One couple came in with what looked like his or her mother in law. Imagine that, taking your mother in law and your spouse out for a massage on Thursday evening. Well, why not?

My posts may suggest that only M is working hard (she is) but that is the nature of her assignment (getting everyone and everything to the right place at the right time in the right quantities and in full compliance with all the rules and regulations – no small feat!). In between all these indulgences work is being done as I am starting to ramp up and getting into gear for a very busy next week.

Of service

Our fancy hotel has a butler service. He first showed up virtually on my TV screen – only his body, above the knees and below the neck – wonder why he is headless. Maybe this allows us to fantasize that he is our favorite guy?butler

The butler also is behind button #1 on my phone and shows up, this time a woman, to check my room, bring my room service and what not. I wonder whether all live butlers are women. Serving is an art that the Filipinos have mastered well, male and female alike: my masseuse in Kabul and those in many other places of the world hail from here; my colleague’s mom is a nurse, one of the Philippines major exports; even the brother of our taxi driver who lives in LA is, he told us, “taking care of someone over there.”

Yesterday we arrived too late at our new hotel, after completing our third trip across town, to eat a meal at any of the hotel restaurants. Too pooped to explore the neighborhood eateries I ordered the only appealing item on the room service menu, beer-batter fish sticks and a local beer. After that I took a seas salt bath and watched TV right from the tub.

Breakfast on the 21st floor was arranged for all time zones and for people from other countries who only eat their own food. As a result it looked like breakfast, lunch and dinner were all served at the same time. I sampled pieces of Chinese, Arab, Japanese, and French breakfasts and left the restaurant too full for comfort. Buffets require such discipline.

The luxuries that surround us contrast starkly with the street kids that hang around McDonalds down the street and an enormous mall that is obscenely opulent with more food than whole villages could consume in a week or maybe even a month. The kids are barefoot and smoke what appear to be cigarettes. When a loud honking Jollybee (a McDonald wannabee chain) parade came by the children clapped. But none of the Jollybee people whose heads were hidden underneath giant plastic hamburgers and chicken patties, handed them anything edible.

The mall is big (though not the biggest one in Asia which I am told is nearby) and rather intense if you don’t like loud blaring music, cellphone company frenzies or frantic food courts. We were looking for a printing place, like Copycat or Kinkos but all we could find was a sketchy internet café – it looked liked a great source for viruses.

Lunch and dinner were Japanese – I am in seventh heaven as Japanese is my favorite cuisine. We are clearly in the biosphere of Japan with restaurants serving all my favorite foods both inside and outside the hotel, in the mall, take out, eat in and for breakfast.

Transit

After lunch we traveled across town to pick up the course certificates which DHL had delivered to our new hotel on the other side of town. We had not quite planned it that way but one of the signatories, staying in the old hotel, is travelling tomorrow early in the morning and needs to sign them tonight. This required a 3 hour round trip which took up the entire afternoon. When the day is over and we are settled in our posh rooms we will have spent more than four hours motoring across town.

The ride to our new hotel seemed interminable but at least we got to see what Manila looks like. Each time we saw a clump of posh high rises we perked up hoping we had reached our destination. But there are many clumps like that, alternated by low rise popular neighborhoods. Sometimes it felt like we were going around in circles, alternating posh and not posh. We were looking for a sign of the ocean but only occasionally seeing dirty and water-hyacinth-infested waterways.

My colleague M gets car sick in stop and go traffic – an occupational hazard in our line of work. She has to have a carbonated drink handy, and ideally a waterproof baggie. She held her head up high staring at points in front of us while I babbled along telling her all the great sights she missed on the side.

Back at our old hotel, while M took care of very slowly conducted financial transactions, I met with a formidable disability rights advocate who rolled herself into the restaurant with the same determination that she has apparently used to get to her present senior government position. This was supposed to be a brief meeting about next week’s program which she will open and close. She kept us spellbound for hours about how she got to her current place in the hierarchy in spite of all the obstacles put in her way. Later we learned that her teenage daughter had been waiting in the car outside. I could just hear her say, “mo-om, what took you so long!” followed by a long face for the rest of the ride home.

Moving up & about

This morning we checked out of the hotel to move into phase two of our stay here. We are going from a three star to a five star hotel, moving up from a run down (but not unsafe) commercial neighborhood to a near oceanfront high rise surrounded by a shopping-mall, countless Pacific Rim restaurants and night clubs.

Our friendly wanna-be posh three star hotel was perfectly fine although the doors to our apartments (a kitchen, living room, bathroom and bedroom) were a bit too flimsy and some elementary things like bedside lamps and outlets missing. The place is awash with uniformed staff, all very friendly and well trained to serve. As if there weren’t enough people to serve us, there are hospitality industry trainees everywhere; all young women, petite, gorgeous, and well groomed. They stand in bunches at the reception, at the business center and in back of the training room, always smiling and saying hello every time you pass by them. They wear name tags that say ‘trainee’ underneath their cute or exotic names (Twinkle, Apple, Berneice (no typo), Fernyl).

I was wondering how they learned during their internship. I never saw them doing anything; they were always just standing there with their hands folded figleave style. And yet, when I asked them questions about their school, exams and internship they appeared to be quite advanced in their studies. They are learning by standing around and observing. It is one way, I suppose, to learn about ‘serving the customer.’

Our exposure to Manila, which we already knew is not the Philippines, has been very limited. The first two days of the wheelchair workshop kept us inside a windowless conference room. The practicum is taking place the remaining three days at the premises of a social enterprise located at the edge of Metro Manila. The place is run nearly entirely by people in wheelchairs. The core business is wheelchair manufacture and rehabilitation. But they do much more than that and the enterprise is constantly looking for employment opportunities for its graduates with the message that people in wheelchairs are perfectly capable to participate in the economy. Some grow hydroponic lettuce which is sold in the market; others provide data entry services for a Japanese company to name just a few of its income generating activities.

The wheelchair providers in the course are very animated as they apply their skills to real life challenges and dilemmas such as ramps and stairs. They also have to test their skills on people they don’t know, assessing them and then choosing the best chair and adjusting it for a perfect fit. People are excited as they learn things that are relevant to their job and important for their clients. It’s a very good course.pressure sore reliefup the stairs

Lunch at the practicum venue is less fancy than at the hotel. We eat what the kitchen prepared, still copious but served camp style. This is not a place for vegetarians. Pork seems to be the source of animal protein of choice (at least for Christians) and is prepared in a thousand different ways: knuckles, skin with layers of fat alternated with meat, pork bellies, chops, rinds, ribs,etc. Second place is for fish, usually deep fried – a little greasy for breakfast. And then of course there is always rice.

Zoned out

The flight from Detroit to Nagoya took about 15 hours. It felt like an eternity; only the two hours that I slept went quickly. I was lucky to have garnered an aisle seat, albeit it way in the back of a very full plane, a double decker Boeing. I was one of many people who had asked for a wheelchair. This meant that an army of wheelchair handlers were waiting for us at the jetway in Nagoya. With the dozen or so cleaners who descended on our plane it was quite a crowd that welcomed us, with deep bows, smiles and words of welcome. The Japanese have this way of making you very welcome.

The wait in Japan was short, so was the last leg of the trip, a mere three hours in southwesterly direction. After the orderliness of the Japanese airport experience, Manila was the opposite – the worst airport in Asia said the hotel driver with a smile as if he was proud of the qualification (I am actually not sure it is true – the experience was comparable to old Delhi airport).

It seemed like all the jumbos from Asia and Europe had landed in Manila at the same time. Hordes of people thronged towards the immigration booths and filled all the empty spaces around the luggage carousels. The wheelchair was a godsend as I was able to sit through the next two hours, which is how long it took to get through immigration, waiting for luggage in a huge, hot and cacophonous hall and then waiting for the hotel pick-up bus outside in a traffic jam of luggage carts in the hot and humid night air. By 1:30 AM Monday morning (12:30 PM Sunday Boston time) I tumbled into bed, 29 hours after I left home.

And now it is the end of Monday here in the Philippines while the day is just starting at home. We observed day one of a five-day training for wheelchair providers, the program for which I designed a deck of training of trainers cards a year ago. I did not experience much of the Philippines, having been most of the day in a conference room that only has the illusion of daylight (yellow fluorescent lights behind opaque windows). Outside it was overcast and raining which I discovered when getting out to acquire a simcard at the local Mini Mart. This was not a great experience because of poor customer service combined with me being impatient.

The highlight of the day is yet to come. I scheduled a 90 minute massage after dinner. The challenge is staying up until 7:30. If I succeed I surely will fall asleep during the massage.

Legs

I am back on the road, waiting for an early morning flight to Detroit, then Nagoya and then Manila. I am flying backwards in time zones until I am 13 hours ahead again – it remains difficult to wrap my head around this.

I have requested wheelchair assistance again, mostly because I cannot quite handle the long walks from gate to gate. Not knowing the places I will land, other than Detroit, this seemed like a good idea; besides it was a great experience last time, this zipping by long lines and all these hidden elevators.

Unlike the last trip, when I had an orthopedic boot on and crutches, and looked the part, this time I don’t look the part unless someone very alert notices my new rocker bottom sneakers that help with my gait. But those used to be advertised for butt firming, so who would know?

I felt a bit like a cheat when I sat down to wait for my wheelchair handler in a specially designated section of terminal A. I felt even more like a cheat when it turned out that my handler looked like he had had polio as a child, with a very crooked leg.

I learned that he was from Ethiopia. His bad leg was not the result of polio but, what we would call here medical malpractice; a leg poorly set after he broke it at the age of 8. He was living in a rural area and I could just imagine the kind of healthcare he received. He had had several operations, none of them seemed to have made things better, possibly worse. His leg will never get right. He told me it didn’t bother him anymore and that he could walk fine without pain. That made me feel better, and less embarrassed about being pushed by a limper.

He too, like Khin I wrote about yesterday, got his visa through the lottery and just received his American nationality. He is in the process of getting his wife here and then, he smiled, there will be children!

Travelling into the new year

I split my day between grand-mothering, packing and finishing up some assignments. I took Faro to the drugstore for some last minute errands and re-discovered what it is like to shop with a toddler in a store that has all the children’s toys displayed on the lowest shelves, eye and hand level for Faro. Within the shortest time all the plastic trucks and boats and balls were scattered across the aisle. I ended up taking Faro under my arm like a football and, under loud protest, left the shop. The grocery store was easier with its shopping cart. I gave him the bag of clementines to hold on to while I shopped for the rest on my list. The mesh bag was toddler proof and kept him busy until we were done.

On our way to the airport we learned about the latest attack on the Serena Hotel in Kabul. I remember that restaurant from when Sita and I were lodged there in 2006; a nice place to celebrate the beginning of the Afghan (and Persian) new year, nao roz. The massacre was apparently carried out by a handful of young men who had managed to slip into the heavily fortified hotel. Such fortifications have never stopped terrorist attacks, at least not in Kabul; maybe it only stops those who are less committed – attackers are not meant to survive – or stave off petty crime.

The masterminds behind the attacks got the desired front page news coverage, which was, I am sure, one of the objectives; the other, sowing fear and terror to derail the elections got some election monitors to pack their bags but may have hardened others to forge ahead and vote for the one they think can stop this senseless violence. What a lousy way to start the new year. But then again, let’s not get superstitious; it is only one out of many ore days to come – hopefully better days.


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