Archive for the 'On the road' Category



It’s about time

We are entering day 4 of the 5 day global meeting of my pharmaceutical management colleagues. The format of spending much time in small group work is new to many – the energy is high, mine and theirs. We are tackling challenges as they temporarily block us from our vision but mostly the path is clear. I am having great fun, trying out new things, improvising, and reconfirming that this is the work I love to do.

In the meantime the coaching work is continuing. This morning I got up at 3:30 to follow a teleclass that is done from the west coast, afternoon time. It was about coaching people on the issue of time. Time is coming up a lot in the meeting and so it was, indeed, perfect timing.

I am trying to practice my coaching skills, becoming more and more aware of my errors: asking closed questions, suggesting solutions. This awareness has taken the sting out of making mistakes – something I have struggled with for a long time.

Today’s meeting is all about planning, the logic and use of planning, the review of planning processes. I have, over the years, sat in countless meetings with staff trying to figure out how to do this right. I have yet to see a group that does it well. When I put my coaching hat on I can see why planning is so difficult; when I take it off and have, myself, to comply with someone’s planning process I get caught up in the negative energy that so often accompanies the annual planning ritual. It’s the difference between ‘have to’ and ‘want to.’

I am trying to rope people in to perform on our end of meeting celebration. There are some surprises in people stepping forward with a poem, a monologue or a song, and much reluctance among most others. I am coaxing a few groups, like the Afghans and the Ethiopians, to participate in the talent show. I am not sure I am going to be successful. Our early morning yoga group is going to put up a demo which we learned, called the flow of life.

Nearing showtime

About 24 hours after I pulled the door shut in Manchester I landed in Entebbe with 8 colleagues who had flown in from DC and joined me in Amsterdam. One of them is Ugandan, living in DC. You could tell he was from here by looking at the amount of baggage he carried – loads of gifts (or may be orders) for the family. He didn’t join us in the bus that took us on the 1 hour ride to Kampala. I imagine it was a happy reunion even though it was the middle of the night.

The Serena Hotel is, I am told, the best in Uganda. I certainly felt like I was gently placed in the lap of luxury, worth the long plane ride. Every room has a balcony and all the amenities you can imagine, even an electronic scale to register my pre-conference weight to be checked again next Friday.

When I stepped out on the balcony to take in the cool Kampala night air a drama was staged at the entrance of a neighboring hotel. Well-dressed men in suits who had had too much to drink stumbled out of the main entrance with a few women in tight clothes who were fending them off with high-pitched voices. I couldn’t tell whether I was watching a playful end of a party or the abuse of women that would require an intervention. But then they moved en masse out of sight and things calmed down, at least that is what I hoped, especially for the women.

With all that excitement and being beyond tired, it was not until 1:30 in the morning that I closed my eyes – such a shame to fall asleep in such a beautiful place.

Today we dotted the ‘I’s and crossed the ‘t’s by checking out the rooms, the supplies, and the set-up. The conference rooms are in a separate building that is clearly a desired place for weddings. I saw at least three brides and grooms, well-heeled members of the wedding parties and countless cute little girls dressed up in starched white frou-frou dresses. The main hall was turned into a shiny and glimmering backdrop for one of these weddings – an extravaganza that would have won out in a competition with Afghan wedding halls.

For lunch we walked over to the local shopping center, risking life and limb crossing various roads teeming with motorcycles and fast moving traffic. I felt like an old lady as I hobbled across the uneven ground and should have worn my orthopedic boot.

The mall, like all malls around the world, had a food court. It is a little different from our food courts: the moment you walk in employees of a row of fast food places welcome you, smiling and menu in hand. They seat you, put place mats on the table and provide you with all their menus. We had a choice of Indian, Chinese and Korean. The Persian place had moved or gone out of business.

After you select from one of the menus and place your order you wait for the food to be brought to your table. Only after you have eaten do you pay the bill. It’s ‘medium food’ – faster than slow food and slower than fast food.

After lunch we met with the public address system manager of the hotel who sketched out the PA arrangements on a flip chart. Then it was tea time. We had tea in the bar while it rained outside and Uganda and Angola battled each other for a place on the Africa soccer cup tournament list. Uganda apparently won by a hair. People were happy, all except the Angolans.

This afternoon I welcomed our Afghan colleagues who arrived from Dubai. They are all former colleagues of mine. I stumbled over my Dari, having forgotten the most common words. It is such a shame, considering where I was on my learning curve, just where it starts to even out and you can actually say something sensible. Maybe they’ll help me regain some of my vocabulary.

Showtime starts tomorrow at 6 PM, a little less than 24 hours away. I am about 90% prepared – missing the energy that comes from being with all the participants for the final 10%.

Getting better

On Wednesday Axel and I drove in two cars to Mass General Hospital, doubling our parking garage fee but we had to go our separate ways afterwards. I went for a consultation with the thyroid surgeon. We have gotten into the habit of going to doctors’ appointments together – four ears are better than two and we return better informed. If I forget to ask a question Axel will ask it and vice versa. The thyroid doctor in Gloucester had suggested that taking the darn thing out was a good thing. But this doctor admitted surgery would be premature. I was relieved. The idea of having my throat cut was not very appealing. We can wait until the thyroid has become a nuisance. So we are back to one imminent surgery and that is the ankle.

And now I am at Logan airport, only my second trip this year, to take off for Amsterdam and then Kigali and then Entebbe, and then by bus to Kampala. I will arrive at the hotel in Kampala, if everything goes according to plan, about 24 hours from now.

In the meantime I practiced my coaching skills on a colleague in Rwanda. I don’t think I did very well, asking too many closed questions, providing advice, making suggestions. This coaching business is so challenging because of the habits I have formed over decades. At least I am aware of the mistakes I make, always a good first step towards learning a new skill. My client may not have noticed my mistakes but I am a critical observer.

Axel is doing the same – observing himself, noticing old patterns, reactions. It is funny how this coaching business has changed us. We are trying out new scripts with each other, tumbling back occasionally into old patterns, but aware this time.

Slacktime

The launch of the new Johns Hopkins project, last minute planning meetings for two upcoming events, the delivery of goods promised in January, all this is behind me now. The minutes, hours and days flew by as I checked off my long to do list: I presented, delivered, facilitated, negotiated, wrote, reviewed, counseled and coached. Although there is more, starting on Sunday afternoon, we are taking a little break first.

Axel followed a different drummer these last few days: he got himself a senior Metro pass and then spent most of his time taking in art in Washington’s extraordinary Smithsonian complex, accompanied by his longtime and now retired friend Larry; a perfect set up.

We’d meet at the end of the day when my duties for the day were done, deadlines met; on Thursday at a wonderful tapas bar where we splurged, ordering food and wine without looking at the prices. The final bill was rather steep – but Axel is saving us money with his senior pass and I get some money to live and work away from home during this trip.
On Friday we checked out of the hotel early, took the metro to our office, dropped our bags off and had two breakfasts at a local chain for the price of one at the hotel. I can also watch the pennies!

At 4 PM Axel joined me again and we headed out to a car rental place to pick up our compact car. We had reserved the weekend to spend with friends in Charlottesville. They used to live in Manchester. We carpooled Sita and their daughter to school for several years and became good friends. After the school phase was over they moved south and we drifted apart, with occasional visits and facebook holding us together. It was enough so to allow us to pick up the thread of our conversations without any difficulty. There is much to talk about: we have both become grandparents in the intervening years.

DC

We left Wednesday morning for Washington DC. Two events with a weekend in between triggered this mini vacation for Axel. He cashed in his points from American Express and got himself a free ride on my flights. We are staying at the Monaco hotel on the edge of Dc’s Chinatown. It is the old post office, refurbished in the style of grand old travel – when travel was painless and only for the happy few.

This was the same hotel I arrived at exactly three years ago, flying in from Kabul to present at the end of project conference of the LMS project I had served on for 5 years (plus all the four previous projects, each lasting 5 years).
One of our project’s invitees was the man who later became the DG for human resources in the Afghan ministry of public health. We went out to the suburbs to an Afghan wedding hall and had a great Afghan meal.

Along the way from Kabul to DC a virus settled into my inner ear. At the start of the conference I began to have this spinning sensation. I do like such spinning just a little bit (I used to love midways) but not the severe vertigo that quickly developed. I spent much of the morning lying on the ground with the world spinning around me. I did eventually do my presentation, sitting with my back against the wall and holding on for dear life. And then I spent the next 6 hours in the GWU hospital emergency room. The next day I flew back to Kabul.

And now I am back here with all these memories and my hubby. I have my feet firmly planted on the ground, in spite of the bad ankle. We had dinner with friends, interrupted for me by my weekly one and a half coaching telephone class – only 17 more to go. We had to let several metro trains go by so I could finish the call on my cellphone.

Today we are launching the Johns Hopkins project we are a partner on, the project that took me to Zanzibar and Ivory Coast earlier this year.

Sleepless in DC

Sita and I left on an early flight to DC to work together at a conference. It is the culminating event, a Share Fair, of the Global Health Knowledge Collaborative, and the Knowledge for Health (K4H) end of project taking stock. I am the MC and Sita is doing the graphic facilitation. We have worked together like this in Burkina, in Afghanistan, at Harvard and now here. Every time we do this we think we could be a family business.

The high of working together on something important and worthwhile was shattered by the Boston Marathon bombs. We were blissfully aware of the tragedy until we received messages that Tessa and Steve were safe. “Safe? What safe?” we wondered. Thanks to smartphones we found out what had happened. Here too things were put on high alert: sirens in the distance and worries about targets over here. Two bombs could mean more bombs – since no one knew who, why. Rumors of a complete downtown Boston shut down, the airport…we could have been stuck there.

We tried to forget and got busy with work, ironing out some last minute glitches which required a long walk to find a Staples (too long a walk that produced more ankle ouch), and then settled down in a tapas bar, waiting for Sita’s co-facilitator Alicia who had missed her early morning flight from a southern city.
And now I cannot sleep as the horror of today plays like a tape in my wide awake head…thinking of the bystanders who stood in the wrong place at the wrong time, the runners who had worked months on getting ready, some also at the wrong place at the wrong time.

M called on Skype from Kabul – to make sure we were OK. Imagine that, living in Kabul and worrying about us. “Your people are not used to that,” she said, “it’s harder.” It’s hard on all of us, knowing that everything can suddenly come to a full stop, just like that. One afternoon you decide to go watch the marathon finish, and then bang! For the rest of us life goes on. I have to get back to bed, there’s work to be done in the morning.

Raining training

Although domestic travel hardly counts, I am on the road again, a little further south, in Washington DC. It is supposed to be spring here but today was cold and I was glad I wore my Ethiopian leather jacket, good for cold weather on the high plateau, Kabul, Massachusetts and now also DC.

I am being trained with a dozen other colleagues in the art of leading a proposal process. Since I have returned from Afghanistan I was twice put in this role – without the training – and both times the request for proposals was aborted for various reasons. Now that I am learning how I should be playing this role I am glad that happened – I would have gone about my task all the wrong way.

Later this week, on Friday, back in Cambridge, I will be in another training, this time on public speaking, delivered by a firm that does this for a living. A previous training in DC got rave reviews so I signed up. It does require some homework that has to be squished in sometime between now and Friday 9 AM. I am looking forward to the weekend, for some temporary relief – our annual Easter ritual, memories of Beirut, meeting Axel, getting married, Sita on her way, and countless new springs and new beginnings since then – a most memorable time of each year.

Sights

2013-03-27 20.27.03

2013-03-27 20.29.08

???????????????????????????????Our second visit for the day was the local International Planned Parenthood Federation affiliate, AIBEF. I visited AIBEF exactly 20 years ago when it was not in a good place because of poor governance. The current AIBEF is blossoming, having realized a vision that was expressed all these years ago: aside from the usual family planning services, there are HIV/AIDS services (diagnosis and treatment plus outreach to young and old), there are pediatric services, ultrasound, and even a maternity plus training rooms and lodging. There is of course a new vision that includes an operating theatre.

We were warmly received and given a tour and loaded with brochures and T-shirts at the end. From the logistics managers we received the same orange/white T-shirt he wore. It had a message on the back that no one should be dying of an abortion gone wrong. Abortion is still illegal here except under a few tightly worded exceptions, but even then it requires multiple doctors to agree. It is still the doctor who decides, although the doctors are no longer male.

When asked whether there had been progress, everyone agreed they had come a long way. That long way was hardly interrupted by ‘la crise,’ as the time of warring presidents is commonly referred to. AIBEF came out OK, partially because of heroic behavior of its leadership and may be also because of its location and local support. I learned that the MSH office here was less fortunate and was reduced to its walls with everything stolen or broken. That, I believe, has nothing to do with politics but everything with unbridled rage, let loose by power plays of well-dressed gentlemen who claim to not be in control (or is it not like that?).

In the evening our host took us to a small maquis (inexpensive local no-frill restaurant) at the edge of the Laguna that separated us from the skyscrapers of Abidjan. To get to the maquis we first traversed the empty section of town where the embassies and big people had returned from a busy day at work for a quiet evening. Then we entered a vibrant quarter which consisted of bars, maquis and hair salons, with music everywhere. Here everyone was wide awake and ready for a busy night. We parked on an unpaved and potholed road, put a man in charge of the surveillance of our car and walked over to a place that we would never had suspected was a waterfront restaurant.

Although the Laguna is polluted, the smell I had expected, if it was there at all, wafted away on an outgoing wind which kept us cool and the mosquitoes away. We had carpe braisee, a local specialty with vinegary onions and pepper and some wicked hot sauces, french fries and aloko (fried plantain, a specialty in this part of Africa), while sipping a Flag beer. Across the Laguna we could see the traffic jam of cars trying to get home, as late at 8:30 PM it was one solid line of yellow car lights. Traffic here, as in nearly all capitals of developing countries, is intense as the middle classes are growing and buying cars; a sign of prosperity, that is creating new problems screaming for solutions.

Humdidee

It is very hot and humid and tonight at 6 PM humidity became 100% and the skies emptied over Abidjan. And then it went and soon the humidity was back where it was before. K, a colleague from Johns Hopkins and I had dinner served on the little front porch that belongs to her room (my front porch is the swimming pool). We chose not to eat in the dining room. A combination of bug repellent, mildew, perfumed room freshener and cigaret smoke would certainly have interfered with what was otherwise a nice meal.

We accomplished what we came here to do. We are laying the rails in front of the moving train and so far we appear to be on track, with enthusiastic counterparts, Johns Hopkins colleagues who are running an impressive program. Their office is festooned with HIV/AIDS awareness posters, pamphlets of every size and color for every possible target group. They employ some very good artists. A storyteller from South Africa came up to Ivory Coast to help them write stories for comic books. I started reading about Marcelline and Jojo and couldn’t put it away, wanting to know what happens next, and next. It’s a good story with great illustrations – so much more effective than direct exhortations. We each received two comic books cadeau – if I didn’t know about HIV and AIDS, these books would wake me up.

The office is small and so much of the work is done through local organizations, some small, some big. We will visit two organizations tomorrow, just to get a sense of the range of partners the project is working with.

We had the morning off while our counterparts were taking care of their affairs. I took advantage of the free time to visit with a former chief of an important coordinating body who had been part of a leadership program we ran here in 2006. Later in the day I also contacted a young colleague who I mentored as she gained confidence in facilitating leadership development. In the years since we were together she has actually consulted on leadership outside the country and taught her older male colleagues about leadership. This is so neat and proves again (I know this already) that people will rise to a challenge that is thrown in their lap. I have more stories like this and they make me intensely happy.

I am beginning to suspect that the ankle operation made no difference. Part of me keeps hoping, but so far the reality is that the talus bone still catches on the tibia bone or vice versa, despite the scraping that the doctor did on March 5. Someone asked me what next? And I realized I didn’t want to think about it too much as all three options are unpleasant prospects: fusion, ankle replacement or not being able to walk without pain.

The other side

West Africa smells different than East Africa. You can tell as soon as you emerge from the plane. They say that smells are powerful triggers for memories, and indeed, memories of Senegal presented themselves immediately upon entering Ivory Coast. The last time I was here was 7 years ago, and the first time was exactly 20 years ago. It is a different place now, with its combative ex-president awaiting trial in The Hague, and the winning president trying to figure out how to deal with high unemployment and restless followers of the former president. The Ivoirians have suffered much since my last visit but now the country is busy trying to regain its former status as the bedrock of economic and political stability in West Africa.

Although it was Saturday noon time when I arrived, there was a lot of traffic and it took forever to reach the little inn where I am put up. I killed the time by bombarding my driver Aristide with thousands of questions.

My new lodging for the week is a small inn tucked behind a main drag in the part of Abidjan that is called II Plateau. It has an eclectic collection of rooms, each with a different theme. I am trying to sort out the theme of my moss green and pink pastel room – it looks like a guestroom where all the picture discards went: frilly oval pictures of flowers, sad little children and some gold painted wooden flourishes nailed willy-nilly to the wall. The floor consists of white and black tiles, straight from a Vermeer picture, partially obscured by an olive drab (gray?) rag carpet reminiscent of the 70s, and a fleur de lis area rug leading into the bright blue bathroom.

I look out on a small pool with an eclectic assortment of sitting places, tiled, painted, metal, wood and plastic. I went for a swim before my siesta. As I was swimming in the little pool, dodging downy feathers from the birds hanging out above me, I realized that I could have arrived a day later and done my swimming in the Indian Ocean. What was I thinking, rushing off the island so fast?

On the other hand, the place does tend to invite to relax, and the prospect of having an entire Sunday to myself is appealing. It won’t be all relaxation though as work in Cambridge goes on and my corporate responsibilities don’t stop when I travel. I have a shopping list of tasks by my side that already counts 7 things that need my attention tomorrow, some of them rather large tasks.

My solitary dining experience was enhanced by memorizing the scene for my blog: enormous blue and red velvet-covered banquettes made for giants, set uncomfortably far from the table as if only fat-bellied people ate there. Red and gold frilly chairs and doilied low tables were set up in a space that was already full enough. Enormous cognac glasses on stilts with tea lights provided a soothing contrast to the bright and cold spiral everlast lights or the collection of colored lights hiding in every nook and cranny. For awhile I was mesmerized by a spotlight directed to a large print of the girl with the pearl earring, the colors changing along the rainbow, from yellow, to purple to blue, then red and green, casting a large oval colored ring on the picture.

Dinner was pricey, my ballon de vin rouge rounding it off to something with many zeros. I am not sure this is going to be my prefered place for dinner although the crabe farcie and the French french fries were great, so was the juicy papaya at the end. Unfortunately I am too early for mangoes.


January 2026
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