Archive for March, 2015

Shoulder day

After 120 poor nights (I fell on 11/29/2014) this last one before surgery was the worst. I woke up after short bouts of sleep, sometimes as short as 10 minutes, from the pain in my arm/shoulder. Much of it is what the physical therapist call “deferred’ pain, going up and down my arm and back. I woke up a wreck.

Every time I woke up I was worried that I would accidentally take a sip of water or do something else that would result in a stern nurse saying, on my arrival at the hospital, “sorry, you shouldn’t have done that, we need to reschedule your surgery!” I am both looking forward to the surgery and dreading it, especially the aftermath. I am reminded of what I teach people about change when you want it, there is still a loss involved.

Yesterday at work I cleaned my desk in between 6 hours of meetings and then got on the road. It rained hard and I was in the worst fog I have ever seen here (but familiar from having lived half my life in the Low Lands). It was so bad that I crawled off the exit to Manchester’s Pine Street at a snail’s pace, not able to see more than 20 feet in front of me. That’s when the stripes on the road are to guide you, but most were hardly visible.

Axel had planned to go into Boston to take an evening class on web design but when I told him about the enormous puddles and traffic jams and fog he decided to skip class. He made us carnitas which we ate in front of the fireplace while watching two mysteries in a row. I tried to finish knitting at least one of the finger puppets from the Alice in Wonderland series, found on Etsy. The Wizard of Oz puppet designs were thrown in for good measure. I am curious when I can knit again as these are delightful little projects, assembled from tiny knitted pieces, sometimes as little as 3 stitches and 3 rows (the cherries on the bunny’s hat). You can get a lot done that way. The white bunny with the clock is nearly done and for Alice I am waiting for an order of tiny little skeins of wool in pastel colors.fingerpuppet-rabbit

For desert, something we rarely have, Axel had made a Dame Blanche, to celebrate that the day of surgery was upon us. The recliner was moved to the bedroom and my Audible bookshelf is being filled for long days of snoozing and waking of the less than alert kind. And now I will finish the new Hercule Poirot (the Monogram Murders) written by someone other than Agatha herself, in a style that has kept the old Hercule with us.

Find and follow

I was invited to teach meeting design and facilitation skills on the request of some young colleagues. After I figured out how to bill my time I said, yes, and let’s do it before my surgery, meaning it has to happen this week. In preparing for the sessions I pulled out a box with materials I had not looked at for a decade. It turned out to contain the sessions of a Leadership Course I did nearly 15 years ago. In the box I found two letters to self, something I used to do at the end of such courses. One was to a very senior official of the Eastern Cape in South Africa and the other to a young researcher in India. They were sealed but had a little notecard pinned to them indicating what I should ask them about when I would contact them some months after the course. I trust LinkedIn to find these people and then will send the letters.

As I went through the session files I realized I was feeling rather sad. The sessions were full of psychology, creativity and fun. I now teach according to something that was designed by others (or even myself) some time ago and that have to be delivered in a short time following a more or less pre-ordained structure. There no longer seem to be space for the things I used to do and loved to do.

It’s true that as you get older you look back on things with nostalgia; making things in the past appear rosier than they actually were. And although I do remember some of the more painful episodes in my tenure at MSH, when I think back on my nearly 30 years here I realize how blessed I have been, and continue to be, to first find and then follow my real calling and, all along, have a chance to rub it off on others who might find their calling resonant with mine. I am looking forward to the sessions, nearly as much as to my surgery, ha!

Cheap and lovely

Never in my life have I visited a bridal shop. My first wedding dress I made myself and had family members embroider sections. It was a hippy dress, a kaftan with a Peruvian motif which was all the rage in 1980. My second wedding dress was an a regular summer dress I already had. Sita’s wedding dress we bought in Beirut when we vacationed there with the girls in the spring of 2010. We walked by a boutique off Hamra street and saw this exquisite dress made from cloth found in Central Asia. It was love at first sight. We walked around the block one time to take some distance, as the price was rather steep, but came back and Sita tried it on. We bought it right there and then. This was 6 months before her wedding. Problem solved.

But with Tessa, our one and only fashionista in the family, things were bound to be different. She researches things such as clothes, especially a piece of clothing as symbolically important as a wedding dress. She signed herself up for a wedding gown trunk sale at a small wedding dress boutique in upscale Beacon Hill in Boston and the invited her mom and sister to accompany her. A trunk sale, I later learned, is somewhat like a chain letter: you get the trunk, invite people to try out the dressed that are packed in the trunk, try to sell some and then pack everything up and send the trunk to the next wedding gown place.

And so we headed towards Boston in the snow. The bridal boutique is located on the top floor of an old brownstone, with industrial size roof windows and everything painted white. The snow outside, looking over one of Beacon Hill’s main streets complemented the indoor white nicely. The saleslady, understanding my concerns when I saw the three racks with fancy dresses, told me which racks were 2000 dollars and under (I don’t think there was anything under) and the rack where prices ran as high as 7000 dollars.

Tessa tried on about 8 dresses and modeled them to us as if she was a professional model. Sita and I accessorized her with various hair pieces we found in the display cases. I noticed one tiny little bejeweled hair comb for 250 dollars and hoped that Tessa would not be impulsive.

Of course she wasn’t. After the selection of dresses we liked was reduced to four we received the price list. Our favorite was 3000 and the other three were 2000. It’s funny how your perspective changes when you know dresses can be up to 7000 dollars. Suddenly the 2000 dollar dresses seemed like a bargain. Tessa now has a focus for her bargain hunting on the internet, something she is very good at. I don’t think we’ll be spending 2000 dollars on a wedding dress.

We said our goodbyes and told the sales lady we would think about the dresses, had a cup of coffee and then lunch at Life Alive in Cambridge, a very creative vegan restaurant that catered to all our wishes. It was a lovely girls outing and I feel so very blessed with these two remarkable women who entered our lives 29 and 34 years ago.

Virtual spring

Since we returned there has been more snow, so much that this winter has now broken all records. It snowed last Sunday and it snowed last night again. All the grimy snow has been covered over by a thin layer of sparkly white snow. That’s the only redeeming factor of the storm last night.

That we have broken all records thanks to last Sunday’s storm is a small comfort. There is still about half a meter of snow covering our yard. The lookout bench by the cove is only now starting to appear. In the morning when I get up, just before dawn, I see wildlife, frantically searching for food – the foxes, the skunks have all woken up to their internal clock that says it is spring, but outside their dens it looks more like the middle of winter. The short-legged ones in particular have a hard time scurrying up the steep snowbanks.

I am thinking of the snowbells and bluebells and crocuses that must have come up, creating tiny caves underneath the icy compacted snow. They will remain white and may never show their colors this spring. It’s the stuff of children books I remember – the coloring that happens underground before the tiny flowers show off to the world. This would be a children’s book about frustrations and setback, the little white darlings returning to their home, throwing temper tantrums, and the color fairy trying to shush them.

The past week I was the chief facilitator of a virtual leadership program with teams from Madagascar, Cote d’Ivoire, Burkina and the DRC. After about 5 weeks of getting used to the site and the concept of a blended (virtual and face to face) course, most teams have found their groove but it took a lot of handholding, checking multiple sites and constantly switching back and forth between French and the English of the rest of my work life. I would often start typing an email realizing it was full of ‘q’s’ and ‘z’s’ and punctuations at the wrong places. Why can’t we harmonize the keyboards across languages? As the day continued I would make more and more of these mistakes, a sign of my tiredness.

My nights remain problematic. I wake up many times with my shoulder the sorest in the early hours of the day; as a result I get up as I can’t find a position in bed that relieves the pain. Standing up is better, and if it is a weekday, I might as well start my workday, since Madagascar is 7 hours ahead and I can actually get some phone calls in.

Yesterday I had my pre-operation check in, the EKG, bloodwork and such, and was found to be fit for surgery a week from now. I told the nurse if she had found me unfit I would have thrown a fit, I can’t stand the pain any longer.

Sleep

Our first day home was a workday for me. I worked from home by telephone and was able to be mildly productive. I took a nap in the afternoon and went to bed early. On Thursday I went in to work for a series of meetings that kept me occupied for a good part of the day but by 3 I started to fade, my eyes red. Still, I didn’t drive home until 5 after I had had a chance to say hello to our various country representatives who were in our office for a week of strategizing and connecting. They were in meetings all day long so I had to park myself ioutside their meeting room to get a chance to say just a quick hello.

Sita, Jim and Faro joined us at dinnertime where Axel showed off his cooking skills with a delicious Pad Thai. But always, when Axel cooks, we eat very late. I don’t know how I was able to stay awake till ten when the meal was finally cooked.

During our absence one of our plants died, the passion flower that is a bit of a Lazarus plant, having died a few times before but always coming back. It is an old plant that we rescued from Axel’s father’s greenhouse and has some sentimental value. We keep our fingers crossed that it will come back again this time.

In the meantime, Sita taught us that the leaves and the twigs are medicinal. She boiled the twigs and crumpled the dried up leaves. It helps with sleep, she told us, and isn’t addictive. Last night I made a cup of passion flower tea and fell asleep instantly, sleeping for four hours without interruption.

Since I fell and hurt my shoulder on November 30 I have not had a full night sleep as the shoulder is particularly painful at night. I often wake up every hour or two hours. So the passion flower-induced sleep is an improvement.

I was cleared by my family doctor for my shoulder surgery and have another clearance procedure next Friday at the hospital, and then it is countdown. I never thought I would look forward to surgery but now I do. I would like to get back to a good night sleep and be done with this constant low grade pain in my shoulder.

Homeward

The last day of our vacation raced by. We said goodbye to the elephants, the Burmese serving staff and drove into Chiangmai, some 55 kilometers to the northeast in a fancy van. The driver dropped us off at the cooking school where we offloaded our luggage and went to the market to check out the local produce. We had a guide who was just learning English but except for one item, knew all the English names of the things we would be cooking with. He bought us a sugary snack with banana paste and coconut to tie us over until we had cooked the first part of our lunch.

We were the only students in the class and thus had a semi private lesson. We picked our dishes: Axel was going to cook Massaman curry, a coconut chicken soup (Tom Kha), and Pad Thai. I picked a green curry, a spicy prawn soup (Tom Yum) and spring rolls. The cooking school threw in sticky mango rice as a bonus. We first made the most labor-intensive dish, the curries, then cut up the ingredients for the soups. Halfway through the class we ate what we produced then went back to work on the remaining dishes. When we were done we had about one hour to spare before going to the airport to catch our flight to Bangkok. We found a pedicure place and had our legs and feet massaged and my nails colored.

The planes to and from Chiangmai are jumbo jets that are completely filled and fly about 4 to 5 times a day (Thai Airways); there are other carriers as well, doing the same. It is quite astounding how many people go between those to cities. Some of the passengers are tourists but many are not. The flights are cheap, 40 to 60 dollars each way and going by road or train takes a whole day.

In Bangkok we were shuttled to our hotel for a short night. We had to be at the airport at 4 AM for our flight home, first to Narita and then via Minneapolis to Boston. This time I lucked out and got the upgrade I had requested, leaving Axel behind in his mildly comfortable Economy Comfort seat. Despite the availability of a seat that could turn into a flatbed I did not sleep at all; between the painful shoulder and the noise of the plane I could only doze. Our friend Edward who has a limo service picked us up and drove us home – we were practically comatose.

Heaven

It seems appropriate that we celebrate International Women’s Day at a place that helps to empower women and girls to keep them from falling into the clutches of sex traffickers.

This morning we got up early to ride the elephants for their early morning walk. We sat on their heads with our legs tucked under their flappy ears, leaning down on their foreheads. A one-and-a-half year old calf accompanied mama on the walk. We went up and down, with ups easier than downs as the downhill required more shoulder action to keep from tipping head-over down their faces. We lumbered along the very uneven ground, amazed at the dexterity of these giant animals.

On the suggestion of a California couple that we saw riding by our hut the day before, we had put on long pants to keep from chafing our legs on their rough hides. Three young men from Manchester (UK) had shorts and T-shorts and were barefoot. They opted for going into the river where elephants and humans alike were sprayed by the elephant handlers. The baby elephant was frolicking in the water, diving under mama and coming out the other end, then running up the slope to roll around in the sand before taking another bath.

After breakfast we had ourselves dropped off at a meditation center with a temple that is in a cave or rather under an enormous overhang of a steep rock formation. Axel is getting quite good at meditating –he can sit still for 45 minutes in spite of all his body problems. I can hardly make it past 20 and used the remaining time to follow the bats that flitted above our heads.  Two other people were meditating, one monk in brown robes and one woman in white. The woman was like a statue. The monk sat in a position that neither one of us could stand very long, one leg tucked under and the other across in front. Once in a while he interrupted his meditation with a walking meditation. If only I could see inside their heads what this nothingness was all about.

We were gifted a book (in exchange for a donation) that turned out to be translated under the auspices of an associated meditation center in Boston. It is a little difficult for my busy brain to grasp the content but I will try.

On our return we met two doctors from a medical school on the US west coast getting ready to go out to far flung villages with medical supplies. They are scouting out possibilities for medical students to come out here to get some practical experience.

We tried out more of the wonderful dishes on the menu, green curry, Tom Yum, and iced Thai tea while exploring what to do on our last day. We quickly decided on cooking school, but which of the 10 or so that advertised their classes in booklets and online?

Soon the massage lady showed up and I had another hour long massage, then Axel an hour and a half. When I was done the four year old elephant was already frolicking in the river and, the lodge guests were invited into the river to participate in the fun. Armed with brushes and pails, we scrubbed her, she sprayed us with water and everyone got wet kisses from the snake-like elephant trunk. One by one we got to ride her in the river. As bamboo rafts came by, her handler instructed her to spray the people on the raft under loud squeaky screams from the young women who rafted down, sometimes in their finest clothes.

In the evening we sat at the big common tables overlooking the river and striking up conversations with our fellow lodgers, most a generation younger than us. Axel is very good at this and in no time we had a nice community of people, coming and going, and hearing from those who are not doing 9-5 jobs; who see the world while doing what they love to earn the little money one needs here to get on. The Four-Hour Workweek is one of the favorite books that everyone seems to know.

Chill time

We picked an eco-lodge (Chai Lai Orchid Lodge) about 55 kms southwest of Chiangmai, in the mountains, that was both reasonably priced, came highly recommended, and was a social enterprise to boot. The income from the lodge supports an organization called ‘Daughters Rising,’ which focuses on teaching uneducated ethnic Burmese girls the skills, and helping them to develop confidence so they can stand up against the traffickers that raid the communities of ethnic minorities for the Bangkok sex industry. I am glad we didn’t go to the red light district which is presented as family friendly entertainment for tourists. I am afraid that even such innocent visits feed the industry.

We arrived late in the dark and had to cross, by foot, a swinging rope bridge high over the river. We were fed two fabulous Thai meals (Pad Thai and Tom Kha) and then were led to our comfortable but not fancy huts where we slept until the first batch of roosters woke us at 4:30; a second alarm came at 6:30 followed by loud music (Thai? Burmese?) and then the trumpeting of the elephants that are living right next to us.

The mornings are cold and I had to dig deep into my duffle bag to find something warm but we quickly learned that the cold only lasts a very short time. Mid-day temperatures are in the high 20s.

From our little porch we watched fellow lodge guests ride two elephants to the river for their morning bath and then had breakfasts while more elephant activity was going on right under our noses.

After breakfast our first order of business was a Thai massage, a whole body one for me and a leg and foot massage for Axel, whose foot problems are responding well to the various massages he has had. The masseuse said a little prayer before starting the massage. It is a reverent business here.

In the afternoon we were trucked a few kilometers up the river and boarded a raft that was made from thick (4 inches) and long (18 feet) bamboo poles tied together with rubber tire strips. Although we could have punted ourselves, and Axel even considered it, we were happy with our local punter/guide who navigated us expertly down the stream. It is the dry season and the river is low, so one can get very stuck with the long slender rafts, especially through narrow rocky openings.

Unlike us, the urbanites from Chiang Mai who go into the mountains for weekend fun, punted themselves. Rafting here is like canoeing on the Ipswich River on a weekend in the summer but without restrictions on alcohol. The rafts were loaded with cases and coolers full of beer. Drinking beer in a canoe is one thing, but drinking and rafting here requires more skill. This kind of rafting requires one to stand up on the slippery bamboo poles and becomes increasingly difficulty as the beer supply dwindles. By the end of the rafting trip many of the boys were hardly coherent (they practiced their little English on us: goodbye, I love you) and some had given up and sprawled down on the raft with the, more sober, girls, having taken over the punting. It was quite amusing. Counting the empties I calculated that on some rafts the average consumption was about 10 cans a person.

By the end of the trip one glides past countless little decks built in and on the river out of bamboo and palm leaves where families picnic. Spraying the people who glide past is part of the entertainment, especially for the kids who are everywhere in the ankle or knee deep water. It was all good and (mostly) innocent fun and unlikely to cause accidents. But when the rainy season starts and the water is 5 feet higher and moves with great speed down the mountain I can imagine that not all rafting trips end well.

Work and play

Axel came to pick me up at the end of Wednesday and whisked me off to a restaurant by the Chao Phrah Ya river that bisects Bangkok. When we arrived we discovered that the restaurant also offered dinner cruises and we rushed on board as staff indicated that departure was imminent. We didn’t quite know what we had signed up. It was a two hour dinner cruise through Bangkok, one half hour upstream and one half hour downstream from the restaurant.

I had barely been in Bangkok and only knew the airport, the hotel and a few places in the neighborhood of the hotel which is in the middle of the commercial district, and might as well have been Los Angeles.

Axel had been exploring other neighborhoods and was now able to show me the places (main temple, palace) he had visited.  It was a national Buddhist holiday and the temples were full and festive. It was the best way for me to see the number and variety of Bangkok’s many temples, as all were lit up to see in their full glory while we were sliding by and eating yet another spicy Thai dinner.

On Thursday the expert presentations and powerpoints were done and it was time to funnel all the inputs into a limited set of critical and actionable ideas that would not overwhelm the participants when they’d get home.

The shift meant that my role changed: until then I had played the role of traffic police and ensured that slides were loaded on the right computer and formatted correctly. On Thursday my task became more intense and demanding. I created various structures and processes that would allow the distilling, checking, and focusing of the content presented thus far and making sure people applied their best possible thinking.  I also slipped in a thing or two about leadership, something that is taken for granted and misunderstood at the same time. There was a great thirst for more about this but this was not my conference.

In the evening the talent show took place as I had envisioned it. To everyone’s surprise, four days after I asked for talent show contributions we had 14 acts and quite a few displays of talent.

I opened with a poem that chronicled the conference from start to end, followed by the partners (GDF, TBA, WHO, GFATM, with a solidarity song accompanied by guitar played on an iPad. The conference organizing committee composed new TB lyrics on a South African song. We had a fashion show where all those in national dress were called on the stage. My dress, a facilitator uniform, was made out of paper and held together by blue artist tape and staples, and was decorated with hotel mints and markers. We watched samba dancing that included the Zimbabweans who surprised us with their fearlessness.  Also fearless were the Burmese with a dance and song and the always giggling team of Filipinos (the youngest participants). They pulled me in to dance the cha-cha-cha. For once everyone found me stumbling and unprepared.

The SADC countries sang and danced in a way that made it hard to sit still, bringing the Pakistanis right onto the stage. There was a slide show of the modeling clay products produced by various participants who had understood what these colored ‘sticks’ were for and some storytelling and jokes. We finished with a slideshow put together by a representative and expert photographer from WHO-Geneva who inserted call-outs in his slides that got everyone in stitches. What we saw was a demonstration of the the Pygmalion effect (remember My Fair lady?): people live up to the expectations you have of them.

On Friday at noon the conference came to a high energy end with the usual concerns about how to keep this up. It won’t of course and we all know it. Still, the participants expressed intentions and proposed mechanisms to encourage the partners and our own staff in the field and at HQ to help stay in touch, follow up and provide support and encouragement to the country teams. We produced a Bangkok Commitments document that took 90  minutes to be drafted (not bad, considering we had 53 people doing the drafting) and then another hour edit the product.  We pasted it on a large board with the conference title and sponsor logos and then everyone signed. We said our goodbyes over lunch and everyone fanned out over Bangkok while we headed out to airport for our flight to Chiangmai in the north where we are now enjoying the first of 3 days of R&R.

Energy and tired feet

The TB conference is going as I hoped it would be. It makes for long days for all of us in the organizing team but the pieces are falling nicely into place and producing the hoped for energy and engagement. I even got some people to agree to perform an act on talent night (Thursday), something that my colleagues unanimously told me would not work. I like to prove people wrong. I also think that people rise to the challenge when they are presented with one, especially one as enjoyable as showing one’s talents (even though everyone denies having talents) or showing something from one’s country that is a source of pride (poetry, songs, dances).

Axel traipsed all over town using various forms of transports, including a river taxi, to get to the largest temple in Bangkok for a three hour meditation lesson/session. For this he got up at 5 AM to catch the 7 AM session. But the assigned monk had wandered off and he was entertained by the monk in charge of ‘foreign meditation’ who told him in broken English about his trials and tribulations with the US customs department for somewhat unBuddhist actions. Since the assigned monk for the foreigners didn’t come back till 1 PM Axel had time on his hands and visited the nearby Royal Palace (no longer occupied). He did this in the company of some 10 thousand Chinese and Japanese visitors, all lining up behind flags on sticks and taking selfies at every corner, holding their fingers in V formation in back of each others’ heads.

And so this is how, through Axel’s discoveries, I am experiencing Bangkok (and previously Cambodia) vicariously, from stories and photos.

We dined in an English pub because it served oysters and tapas and good beer. Tomorrow is a Buddhist holiday and alcohol will not be available in public places, so people appeared to be drinking for two days.

Our feet were aching, mine from thinking on my feet most of the day and Axel’s from walking in the city. Conveniently, there was a massage place right next to the pub. Massages parlors (the proper ones) are as ubiquitous as ATMs (maybe the improper ones are too but I wouldn’t know). We walked in and asked for a half hour foot massage. We got our feet washed and then expertly massaged for 30 minutes, for the price of 7 dollars each and a 70 cent tip. I can imagine going there every day, even late at night.

We sat side by side, trying to stay awake, sometimes mumbling to each other while our masseuses also mumbled, smiled and tried to communicate. I wasn’t sure if she asked whether I was pregnant (I had just eaten and may have looked that way). One of the masseuses was pregnant, which got this ‘conversation’ started. I tried to communicate that I was not, as I already had two grown up daughters (hand indicating big) and a small grandchild (hand indicating small). I am not sure whether she thought the small child was mine also and that I was awaiting my fourth. So we laughed and smiled and made hand movements with the hope of understanding but no way of ever finding out.


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