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Tenth month

Today we are only two more months away from the anniversary of the crash. I repeat the monthly ritual of reading the previous (now nine) entries in my blog tagged as ‘the 14th.’ It makes me a bit philosophical. The 14th of July may well become our new collective birthday, or should I say, re-birth or survival day?

Sita sent us a note and picture from Frankfurt. Guess what they make there? She is flying to Egypt in style (business class). We don’t feel sorry for her. When we said goodbye yesterday I remarked how one of us seems to be always coming into the US when the other is going out. “I learned it by watching you, mom!” she answered. Watch out what you do in front of your kids!

Tessa’s arrival cancelled out Sita’s departure; we still have two kids at the dinner table, Tessa and Jim, and of course there is Chicha the puppy who greeted me with great yelps of something (curiosity, pleasure, fear?).

It was nearly warm enough to sit outside in the late afternoon sun. With a cup of steaming hot tea in our hands we could do it for a lilttle while. But when the sun goes down we are reminded that it is not summer yet.

Back at work I slid back into a work routine as if I had not left. There people are used to me flitting in and out. And when I have an internet connection on the road I keep up with mails, requests, etc. as if I were physically present. We actuallly do have many colleagues with whom we work just fine even though they live and work far away.

We are at the end of our annual workplanning cycle with several trips lined up for me in the second half of the year. I always worry a bit about scheduling but then, each year, things fall more or less into place.

For the next few months there are no trips scheduled which is a new experience this year, having made one trip each month. Not that I can sit back, relax and twiddle my thumbs. Next week is our project’s worldwide meeting where staff from all over comes together for a stock taking and celebratory event; after that an annual conference on international health in DC for people who are in my trade, followed by the organizational behavior teaching conference in Boston in mid June. In between there is jury duty; my first as an American citizen. Until September 21, 2005 I was able to ignore these calls for jury duty, as an alien. But now I am tagged for real. More about that later.

Diamonds and dancing goats

I am now waking up with the sun; finally. It was along winter. I was glad to have a day of working at home yesterday; to organize myself, finish unpacking, and putting things away.

At breakfast I read to Axel to children’s book about the discovery of coffee that I bought in Addis (Kaldi and the dancing goats). Reading it aloud to someone else made me realize that it is an odd children’s book with several, unintended no doubt, messages to children like: when you see animals act funny after eating bright red berries, try them yourselves. Or, there are berries that you can pop in your mouth and they alter your mood. Tell your dad and he will agree; and then you can sell the stuff to others and get rich!

We followed Kaldi’s advice and ground the Yirga Chaffe beans for breakfast. The coffee was as good as adverised and everyone drunk too much, whch made us, just like the dancing goats, all energized and hopping around the entire morning. I was very productive as a result.

Tessa called us a few times from the road and is now back in the US although she did not make it home. She and Val decided to try their luck at the Herkimer mines where a particular kind of diamond is found. It is actually not a diamond but a particular kind of quartz which was discovered by quarrymen in the late 1700s. Val sells these at her store in Rockport. They shine and sparkle, hence the name.

The girls planned to sleep in the car, kept warm by their two dogs, since they had not prepared for an overnight. I hope the dogs bodies did the trick because I slept under a puff last night. It is still cold in Manchester and I imagine the nights to be quite cold in Upstate New York.

Sita came back from a trip to the bookstore with several books about Egypt. She is having a hard time deciding where to go after the work is done to see something of the country. The books did not help as they only expanded the range of choices. The heat in Upper Egypt may drive her to Alexandria rather than Aswan and Luxor. She is leaving today.

Frontal lobe

We are back home after a quick and pleasant flight back to the US. The blooms that we saw in Holland when we arrived two weeks ago are now visible here; we got a double spring.

Axel went to the head doctor, a long overdue visit, at Spaulding Rehabilitation hospital (the official rehab site of the Red Sox it proudly advertises). As it turned out Axel did have some damage on his frontal lobe. The doctor explained that for normal people the neural paths in the frontal lobe are like a 12-lane highway. Axel has about half that number closed off for traffic right now. This explains much. In a perverted kind of way Axel sounded relieved on the phone, after his visit. The problems he has had organizing himself and his forgetfulness aren’t because of old age or something that he could do anything about. The doctor explained that the frontal lobe is like the brain’s control tower. Axel could fly just fine but the control tower was only operating at half its capacity; thus the flow of traffic was not all that well organized with just a few too many glitches.

The problems were indeed caused by the crash which had resulted in a ‘contrecoup;’ the impact had pushed his brain hard against the front of the skull. That was the bad news. The good news is that the damage can be undone through a variety of therapies that will help to recreate the damaged neural pathways. This includes speech therapy and occupational therapy to help with his slightly damaged organizational capacities. We both hope that he will come out of this better than the pre-crash original, with bright newly asphalted neural highways!

Tessa is on her way back from Canada, driving in convoy with her best friend Val who went there to pry her out of her depression (and appeared successful). Tessa needed a little R&R from her friendless existence in London in the parental home. We are looking forward to having her here. We believe that the many gardening chores that come with spring time are just what the doctor prescribed.

And just when Tessa arrives Sita is leaving the homestead again for a trip to Egypt for a piece of work that resulted from her, apparently, excellent performance in Davos, earlier this year. We warned her that it will be hot (we heard from Joan and Morsi that it was 140 degrees Fahrenheit in Aswan where they were a couple of weeks ago).

Next

I woke up early after going to bed late. Closing off our 13-week course took me much longer than I had expected as it took a long time to review everything so that I could write the proper closing comments. I tumbled into bed exhausted next to a similarly exhausted Axel who was already asleep. We made a nice pair.

My dreams wove many of the yesterday’s strands together with so many images that it is hard to catch them all. Something heavy (which looked more like a large piece of building equipment than a plane) falling out of the sky (still, the concern is obvious); leaving my purse on a table at a busy street and running back to get it through very heavy sand, the kind that makes it hard it hard to run in. All sorts of colored skeins of wool tangled together; a picture of someone’s mother with a bite taken out of it. “He didn’t take his malaria medication,” said one of my public health colleagues as if this was totally normal and to be expected – I did find out yesterday that I don’t need malaria medication for Addis. Groups of purple-clad church ladies fainting in clusters along the road and finally a depressed Axel who told me he was sitting on a hill behind the house, right in back of where Scott, another colleague of mine, was sitting working at his computer, putting in numbers.

If I could only get at the whole story from which these snippets are pulled I could probably write a bunch of great and bizarre books. Now it’s more like a powerpoint slideshow with the presenter notes mostly missing.

Axel had his last PT appointment for the trip that causes him much anxiety. He was told to get up every 45 minutes during the plane and walk – of course this means no sleeping. When we get to Holland we have to get in a car pretty quick after our arrival because the family reunion starts at the end of the morning so there will be no time to rest. This probably adds to the anxiety. He also knows none of those people except my brothers and sister.

I made my first visit to the hallowed halls of harvard (medical school first and then the public school). It was a gorgeous day and the crème-de-la-crème of our next generation of doctors, young, eager, smart, well off and in all shades of skin, hair and eye color were sitting in the sun on the quad, or elsewhere outside having lunch. It was a very vibrant place, as universities are supposed to be. Marc and I had lunch and he then showed me around a bit and we talked some more; we still have about 5 more years to catch upon.

I was reminded again of how much I enjoy teaching. The materials I had brought lent themselves well to a class like that. Three of my younger colleagues were able to attend as well and could advise, at the end of the class, a young woman from the British NHS about how to use our materials to start making small changes in the way people work together. It’s a revolutionary idea but at MSH they are doing just that. Granted, we are a bit smaller, but the principles apply just the same.

The work is not quite done today but I hope, sometime later to veer into the vacation lane. Sita will drive us to the airport at the end of the afternoon. I am very happy I am not departing alone this time, and not straight to an assignment. And now the empty suitcase suggests my next activity. How nice it would be, for once, not have a ‘next activity’ for awhile. Hopefully that will be Sunday morning.

Birds that sing

More dreams, sweet ones, about a trip (not surprising) but not the kind of trip I take in real life. There was something about listening to a bird and wanting a young girl to save the song in her auditory memory. I wanted her to be able to listen through my head and hear what I heard. There was also a big house with many places to sleep and a photo of the Harry Potter variety, in which people move. I showed, to women in light blue burqas, a picture of women in light blue burqas, singing and laughing. It was contagious and we all broke out in song and laughter. I recognize some elements of the dream but not all. It was a nice dream and it made me start the day full of energy and hope for a good outcome. One of these good outcomes would be the class I will teach today at Harvard’s School of Public Health on the invitation of my former colleague Marc. I love to teach and I am looking forward to it. I will be trying out some materials that we have developed for measuring the results of our leadership interventions. Some of our younger staff are coming along to the class (young girls listening to what I hear in my head?).

We received an excited email from Morsi and Joan from Egypt about the continuing ripples of their leadership interventions that started 6 years ago. Later I heard from my friend Margaret Benefiel that the Egypt story is featured in her second book that will come out later this year. Margaret and here husband Ken came for dinner, which they do periodically when Margaret is on her writing retreat in Gloucester and Ken comes for a sort of conjugal visit. They always bring a bag full of great Thai food. We ate outside by the cove, for the first time since we started hibernating last fall. It was a glorious evening, marred only by the first mosquito and a few no-see-ums that pestered us towards the end of the meal. Their dog Rufus got to lick the plates afterwards.

Another highlight was Prateek’s visit to MSH. Prateek was one of our students in the first leadership course we did with Boston University in 2006. He is part of an extraordinary group of mostly young people, who we have stayed in touch with and whose public health careers are starting to take off. Meghann, who I saw in Kabul, is part of that group and so is Tae who I will see next week in Addis, and Chaltone who I saw in Tanzania. We sat around the table and ate pizza while we listened to Prateek’s stories about getting public health interventions launched in Cambodia. I see how he is leading, despite his young age and short career. It is exciting to follow his journey and that of the others.

In the background are two virtual events that I facilitate as part of a team. Both are coming to an end today. Participants are starting to comment on the impact of the experience on them. That too is gratifying and makes it worth all the time and headaches that have gone into designing and executing the events. Later today I will prepare a big virtual celebration, which I found out years ago, you can actually do, as if you were all together in a fancy ballroom in a hotel. Your imagination just has to work a little harder, but it can be done.

Snippets

Last night was full of dreams again. But when I woke up, just minutes before the alarm went off, the dreams popped like soap bubbles. I tried grasping at them for awhile but my mind could not retrieve the images; all I could register were some vague feelings that, much like the film of soap that remains after the bubble pops, have little to do with the shape and colors of the real thing.

Last night I went to bed after a long non stop workday that started at about 5 in the morning and finished at 9:30 at night. It is the mixed blessing of those virtual events. I used to say what a wonderful invention it was because you could be a facilitator in your pijamas. It is great to do if there is nothing else going on and the image of me sitting in my pijamas gives it an aura of leisure. But now, with a full plate during the day, getting ready to leave for a trip, the virtual events end up being relegated to the evening, while our participants in Africa, Asia and the Middle East are asleep and I can prepare the ‘classroom’ for the next day without anyone looking in. Both events have three days to go and then I will go myself, taking a break from this extreme multi-tasking. The trip allows for a few days of rest in Holland and then the focus shifts to Ethiopia.

After work I drove to Beverly, had dinner in the parking lot of the supermarket and had my hair cut by Bonny. I was reminded of the haircuts she gave Axel and me, a few months after the crash, while we were sitting outside looking out over the cove. I am sure that the hair snipped off then is now serving as bedding for baby birds, squirrels or chipmunks with animal mothers vowing never to do without this new luxury.

When I came home I found Axel busy with his (and Sita’s) beer project, now in its final stage of bottling. It is a lot of work, as is the whole process. But judging from his mood I could tell that he enjoyed it and is looking forward to the first tasting.

Footprint

The countdown to my next departure has started and with it the long list of things to be completed. This includes two sets of virtual facilitation responsibilities, one of which is shared with two other people and thus requires phonecalls, drafts and approvals. Another is teaching a class at Harvard’s School of Public Health which was cooked up when I met Marc in Dar es Salaam, two months ago. April the 24th seemed far away in the future then but now, with only two days to go, this proposal requires some serious attention.

It is Earth day today and I learned to my great dismay that I am a very bad person in the book of conservers. I lead a wasteful life (commuting by car and plane and being a private pilot for fun) that produces about 54 tons of carbon dioxide and very little to offset it. In my dreams last night I was rowing, using my own energy to propel myself, but it did not count for much in the Earth Day Carbon Footprint calculator.

I did try out my new Alden shell yesterday. I wore Axel’s olive green wellies so that I did not have to get my feet wet before stepping into the boat. Compared to the dory or the kayaks this new boat is fast: it takes me about 10 seconds to cross the cove at mid-tide. The real rowing will have to happen out on the bay. A flat sea is preferable over the usually choppy waters so I may need to wait until after this trip. In the meantime Axel insists on re-doing the woodwork (seat, oars, footrest) with real marine-grade varnish, brightwork, so that the boat looks presentable again. He is also making a case for waxing the fiberglass with something that keeps it from deteriorating in the sunlight. Of course all these chemicals will probably cancel out whatever ecological benefit this boat will bring to this household.

We ended Boston’s Marathon day with a dinner at Edith’s to celebrate the marathon victors. Edith has run the marathon some ten years ago and knows, deep in her cells, what such a last minute sprint means that brought Ethiopia’s fastest woman runner first to the finish line. I celebrated the Kenyan and Ehtiopian victories by sending congratulatory emails to my Ethiopian and Kenyan friends, one a namesake of the men’s race winner. I marvel at how one part of Africa can so dominate long distance running. But nothing beats the Japanese in the over 70 category. Imagine that, running after 70, after flying halfway around the world. It must be the noodle diet.

Beach

It is nice when you have an illustrator in the family because the notes you find in the morning on the counter are so much fun. Sita returned from a week in New York, finished off with a weekend in Northampton while we were on the Cape.

Yesterday morning was another glorious day in North Truro. We went for a walk along the beach in Wellfleet, Atlantic side, where a 19th century shipwreck had washed up on the shore in a January storm. It was our first serious walk on a sandy beach since July. Before then we had taken such walks for granted but now we realize they are hard on the body; sturdy shoes helped and we kept the walk short, much too short as far as Abby was concerned. We also wanted to be back before a memorial service, set up on top of the dune, would start so we did not have to walk across the aisle in the middle of the service. On the beach below several shrines were set up for the fallen friend. We could tell from the items in the shrine that he was a surfer, a pirate, liked roses and used lipbalm. By the time we had climbed back onto the dune the parking lot had flled up with a large crowd of mourners.

We went to the Lighthouse café in Wellfleet to have a second, more substantive breakfast and then parted ways. On the long way home Axel finally succumbed to the allergy medication, taken as a preventive measure for dealing with seasonal and animal-induced allergies. He drifted in and out of sleep while I kept myself awake listening to Cervantes’ storytelling about chivalry and damsels in distress, some 400 years ago in Spain (we women have come a long way!). In the background was the loud and rythmic humming of the wind streaming by the boat on our carroof.

Although I would have loved to put the boat into the water, the low tide and choppy ocean conspired against me. I also have to solve the issue of how to get into the boat without getting my feet wet as we have no nice dock like the rowing club has. And the water is still very cold

I prepared dinner while on the phone with Ankie from Brussels, catching up on the things not written in my blog. We will be seeing each other soon and often, as distances do not seem to matter much these days. We will meet at a reunion of my maternal grandmother’s family on Saturday in a place in Holland that is full of childhood memories.

Up and out

My real waking up this morning took place in North Truro on Cape Cod. But in the dream it was Israel. I am glad I woke up because I did not seem to be able to get myself out of Israel on my own and something had to happen.

How did I get there? I had been visiting a camp with lots of children who were all involved in one form of gymnastics or another (dance included), each with its own particular uniform. I felt very stiff and awkward amidst all that limberness. At some point a teacher took pity on me and taught me. Her first exercise was to sit with on left leg crossed over the other. I was having a hard time figuring out which leg over which, and it took me awhile to get it right. She then told me to switch my shoes – they were hiking boots – and put the right one on the left foot and the left one on the right. There was something healing about this that I did not get; it only felt awkward but I was a good student and followed instructions.

After that exercise I wandered around the place and discovered a wall that had been taken down. I peeked through it and saw a wonderful scene of a city hewn into the mountaints, like Petra in Jordan. I took a picture and noticed people looking at me in shock. I quickly understood why. I had taken a picture of Israel and that was forbidden. Uniformed men took me away and into a small room. I did not even have time to tell Axel and whoever I was with on the other side. After waiting some time another uniformed man came by and took my camera and tossed it into a small side room that was half filled with digital cameras. I pleaded to keep mine and he smiled and walked away.

I waited for a long time and then looked out the door and found myself in something that looked like the covered entrance of some public transport building. I was still waiting for a nice uniformed man to give me my camera back and lead me back to where I had been before I was apprehended but no one came. Around me there were scenes full of religious overtones, sometimes recognizable, as the three wise kings (but it was spring), Greek orthodox priests in purple robes, clusters of people singing or chanting. I followed some and found myself in a busy city with traffic rushing by and lots of people. I realized that I had to figure out a way to get help and out of this place but I could not read the language, had no money and did not really know where I was. I started to flag down a taxi, figuring I would get myself to the Dutch Embassy but people looked at me in ways that made me realize that the flagging down I was doing was not allright. I was looking for a taxi stand but could only find long lines of people waiting for buses. I started to get hungry, tired and discouraged. It is about that time that a phone or alarm in the room below or next to us, in real life, started to ring. Imagine that, at 6:15 AM on a Sunday morning. But I was happy to wake up to a gorgeous Sunday morning in quiet North Truro, still in posession of my camera (I bet they erased the pictures I took) and knowing my way back.

I ended up in Truro via Laconia (NH) and Centerville (MA). In the morning Bill and I flew, using VORs, from Beverly Airport via Portsmouth to Laconia where we landed on the shores of a still frozen Lake Winnipesauke. From Laconia we flew back through a haze, to Beverly via Concord and Lawrence. I focused on radio contact with various airspaces, keeping the plane level, at the right altitude and on the right course. Bill took responsibility for punching in frequencies and following us closely using various navigational aids. I get a bit lazy with him around because he does things that I ought to be doing, but it is good for me to focus on a few things well and get my confidence back. I executed two perfect landings.

Axel came to pick me up and we drove to Centerville on the Cape to pick up my recent E-bay purchase, an Alden ocean shell. With the boat on the roof we drove another hour further up the Cape to see Alison in N. Truro. She took us into Provincetown where we had a wonderful dinner and then showed us around some of the spots she blogged about on Caringbridge last summer while regaling us with stories about the new and colorful cast of characters that has entered her life. Axel and I, like two elderly folks, were ready to go to bed when Alison was just waking up, but she drove us back to her home anyway, she is such a good host. And now, with everyone still asleep in the house, it is me with two animals, Abby the frisky and wide-awake corgi and Elan, the older and wiser but territorial cat.

Twists and turns

I woke up from dreams about vacation spots and navigating them in a wheelchair, quite well I remember. There was also something about an ancient expresso machine that had Axel’s name on it and intercontinental flights; none of it makes sense anymore, now in broad daylight.

There is much to do this Saturday morning. I am flying at 9:30 with Bill to Laconia and still need to do my preparations for that flight and call the briefer about weather and other things I need to know along the route. Then I have to get everything ready to pick up my new E-bay acquisition, the Alden shell whose owner requires cash and a ride to the Cape. We have decided to continue, after picking up the boat, to see Alison who lives further up the Cape in Truro during weekends. Armed with his allergy medicine, Axel thought it would be a nice outing, a mini vacation of sorts and Alison extended the hoped-for invitation.

Yesterday was a very productive work-day-at-home. I got many items off my to-do list and feel less anxious about the very full and short week that starts on Monday. I also went to see Ruth again after a two months hiatus. The scary flight out of Kabul and other stresses led me to make an appointment with her. I biked over to Beverly Farms since Axel had the car to go to PT and besides, it was a glorious day. I left the house early and took a little break at West Beach in Beverly Farms. I sat on a bench looking out over the ocean, smelling the fishy seaweed that was drying in the sun and that transported me back to Holland, eating haring in the port of Scheveningen. A young woman and her mother were playing on the beach with a three year old (grand)child. The kid has no idea how lucky he is.

Ruth and I explored the tangled up post-crash relationships and how they mingle with work and produce a constant stream of stressful events. We didn’t get to the EMDR until the session was nearly over; just explaining everything took most of an hour. The brief EMDR session that followed produced some images about hands, apart, together, and a fear about losing my compassion. There is more work to do and we will pick it up again when I come back from Ethiopia and Holland.

Back home there was more work to do and more accomplishments that made it OK to sit out in the sun with Andrew, Axel, Gregor and later Jim as we all called it a (work)day. We had a mountain of interesting cheeses in front of us, a cooler full of smililarly interesting beers left over form our party last Sunday and I let go of all restraints. I had two beers (for the first time since July) and too much cheese. I paid a price for that when finally Andrew, Axel and I sat down for a meal and I was both too sleepy and too full to participate much. I managed to stay alert enough to watch Andrews slides from Madagascar from which he just returned. Familiar pictures of a place I once thought Axel and I would live for a while, five years ago. It is funny how life goes. If that had come to materialize I would not have taken up flying, and I would not be writing this blog right now.


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