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Indulgence

My three travel companions took a water taxi from the Dubai Marina all the way to the Dubai Creek, with a stop at the Atlantis Hotel at the top end of the Jumeira Palm. It took an hour and a half – twice as long as a traffic-jammed taxi.

The Atlantis hotel looks like a Disney land hotel from the outside and inside you might as well be in Florida too. The stop was unplanned, due to motor failure. I warned Axel to beware of a motor-less boat drifting off to the Iranian coast.

The crew of the little boat that looks like a pod from the Body Snatchers, consisted of toothless Indonesians. They managed to avoid the Iranian coast and delivered everyone safely at the Gold Souk water taxi stop.

I missed the boat ride because of an MRI of my right knee, to determine whether a cortisone shot will do or I need an arthroscopic intervention.

While everyone my companions were still on the high seas someplace between Dubai and Iran, I went apartment hunting, walking in the hot midday sun from apartment complex to apartment complex until I found Mr. Shah from Mumbai who promised us a studio for a reasonable amount of money for our remaining 10 days. We will move to his apartment hotel on Wednesday morning.

In the afternoon Axel had his appointment with the anesthesiologist and other hospital staff to prepare for tomorrow’s surgery. We were warned that it is quite common here for surgeons to order an overnight stay at the hospital. I will go through a similar routine tomorrow afternoon.

On our way back from the hospital we stopped at the Dubai Mall to get me a new bathing suit. The one I had brought from Afghanistan had been blown away from our 33rd floor balcony where it was drying after a swim on the day of my arrival. When you live in a forest of skyscrapers there are canon winds that can be quite powerful.

We couldn’t resist the chocolate confections at one of the many coffee & pastry places at the mall (one that even took pride in training the next generation in indulgences) but instantly regretted our indulgence, that cost as much as dinner for two last night, after we had licked our plates clean.

A day before sick leave

As medical tourists we are exquisitely taken care of by Caroline and her colleague Asia from SOS International. We are one of their projects for this and next week but you’d think we are their only project. They schedule our appointments, tell us about the procedures, what to expect, not to do.

For years I have carried the SOS International card with me and MSH paid its fees. I never had to use it. Now I am learning what they are really about, service, awesome service.

Today was the one day this week that we did not have any medical appointments and so we set out to explore more of the city and its thin history.

We took the spotless metro into town enjoying the high ride across what is called refrigerator alley – the Sheik Zayed multi-laned highway that goes from Dubai to Abu Dhabi and that is lined with the weirdest looking skyscrapers.

We picked up the Red Bus at one of the shopping centers that make you think you are in New York and descended at the restored Maktoub palace at the edge of the Creek.

The before and after pictures reminded me of the Murad Khani restorations in Kabul – here someone also saw beauty in what was utterly decayed. The spectacularly restored palace with its summer and winter rooms, its wind towers for natural airco was filled with pictures of the olden days.

Old is not very old here – going back at most two generations. In fact, some pictures were from the 70s when I was in Yemen. The Dubai from then was very much like North Yemen in the 70s. The transformation that happened here is phenomenal (whether you approve or disapprove) and it left me wondering, what happened here and what did not happen in Yemen?

We are starting to ask taxi drivers that question. The answers are very consistent: leadership, or maybe more specifically, enlightened leadership; leadership without greed or coming from a small ego, insecurity, a bully complex or what not. It appears to be leadership from someone with wealth, status and the weight of a power dynasty behind him; no need for games.

I noticed that females were entirely missing from the pictures – except for the room that was called ‘socio-cultural.’ It contained young girls dressed up to the nines after the celebration of their graduation from Quran school. All the others contained only pictures of the ruling elite, from young eager boys handling their falcons to old wizened rulers with their hands on their djambiyas, the crooked dagger that they carry right below their bellies, just as in Yemen.

Axel and I went apartment hunting. The day after his operation, and the day before mine, our current apartment lease ends and we need a new place to stay. We walked round Bur Dubai looking for short stay apartment rentals. Young Philippina or Pakistani clerks, eager to sign us on, showed us around.

We are staying in tonight, having food brought up (Peking Duck, seafood noodles), and watch a movie that Tessa sent along with Anne and Chuck in a care package. But when Anne and I came back up from the apartment complex’ sauna and jacuzzi we went straight to bed. Only the men watched the film. Today was vacation. Tomorrow we are on sick leave.

Medical journeys

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Last night we had a late and outrageously expensive dinner (mostly because of the wheat- and grape-based beverages but also because the restaurant’s location) at the Dubai Mall overlooking the famous dancing fountains. The mall closed at midnight and was still full of small children who appeared more awake than we were.

This morning was my day of medical tourism. We took a taxi to a part of Dubai that is called Dubai Health Care City. The place is chock-a-bloc hospitals, specialized clinics, group practices and pharmacies. My appointment was in building 55, which made me wonder whether there were at least 54 other buildings.

I was swiftly diagnosed by Dr. Ali, a young surgeon from Pakistan (I think) who trained in Toronto and at Brigham and Women’s in Boston. He has scheduled me for carpal tunnel surgery on the 11th. He also ordered an X-Ray (done) and an MRI (Monday) to find out what is wrong with my painful knee. If there is something to be fixed in the knee he will do it right after the carpal tunnel surgery on Thursday. And so, this medical visit to Dubai is as much mine as it is Axel’s.

My new orthopod works in a medical group practice that made me reflect on care in Afghanistan. This place has everything Afghanistan doesn’t have: for starters, a large number of well educated nurses. All of them have been trained by the government of The Philippines, after which they left for greener pastures. The education of nurses has thus become a significant subsidy by the Philippine government to the UAE. It really should be the other way around.

And then of course there is the infrastructure of this place – uninterrupted water, electricity, salaries paid on time, internet at lightspeed, integrated machines that check your temperature, blood pressure and god knows what else with one push of a button. All the while I am thinking, why? Is this only about money or is there something else?

After our doctor’s visit we played tourists. We took a bus tour, a dhow trip along the creek and then a meal at one of my favorite restaurants with its cantilevered deck overlooking the Creek.

Returning at our apartment complex I marveled how we could just walk in from the street. No sandbags, no razor wire, no sign that says ‘No Guns,’ no metal detector. Things used to be like that in most places of the world – now this may be the only place left where the assumption of innocence and goodwill is assumed and trusted.

Fantasyland

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I am back in fantasy land. After a very fast and smooth exit from Afghanistan and similarly fast and smooth entry into the UAE (even though ‘the systems were down’), I found Axel in shorts and T-shirt waiting for me at the foot of the Dubai Marina Heights Tower. We are lodged at the 33rd floor in a ‘vacation-rental-by-owner’ apartment, together with our friends Chuck and Anne.

The apartment complex is surrounded by others, each with their own peculiar architectural markings, a spa and sport complex at the 5th floor, inside, and two pools (wading and lap) on the outside. I felt very exposed in my very decent black bathing suit that was quite a contrast to the barely clad young women sunning themselves in on lounges.

Across the marina is a half-completed skyscraper that looks like the crooked house of the crooked woman on crooked lane. We are deeply into fantasy land, or, as someone explained it, architectural practicum 101.

We were invited to join our friends at a birthday party for Chuck’s sister in law who lives here with her husband/his brother at the top of the rotating Hyatt Regency. In about one hour our views had circled the city and we were back where we started except for our full, very full, bellies. I usually don’t go for seconds but the buffet was too elaborate to limit to a single visit.

Everyone is taking a nap now, recovering from lunch. It is dark and Dubai and Sharjah are flickering near and far. When the temperature falls below 25 everyone comes out and celebrates the good life. I suspect that it is here that the taste for money, a lot of money, is acquired because there is much to spend it on and there is never enough. I wonder how much of the real estate we are seeing is owned by Afghan warlords and poppy growers, and how much of that are my tax dollars at work.

Between two worlds

I wrote my entry for today in the plane, high above Iran, going from one world to another. I had much time to read.

After some 300 pages in Obama’s Wars the president still hasn’t made the speech to the American people about the troop commitment to Afghanistan of about a year ago. He is still meeting for hours, and watching military powerpoints. It is fascinating, though utterly confusing, to read about the discussions in the American military-political stratosphere, high above the clouds for someone who is living far below the clouds, with everything above my head opaque.

Over the last year we have been summoned more than once to the embassy compound to hear then this then that strategy, with all the new vocabulary that goes with it. It was always communicated to us, by civilians. With Woodward’s revelations about the skirmishes between the military brass and the Obama entourage I realize that the opaqueness was effective – little did we know.

One sign that the consensus was fragile at best were the frequent changes of what was important. Were we trying to eliminate the Al Qaeda leadership? Defeating or disturbing the Taliban? Which Taliban? There was COIN (Counter Insurgency) combined or not with nation building (no-nos for Obama because it can’t be done anytime fast), then Quick Impact, to be realized according to a sequence of commands: clear, hold, build, transfer.’ I think there was a fifth command but we didn’t have time to learn the words by heart. All I remember was that our part in this strategy concerned the building and transferring.

Sometime in March and April we were all ordered to look at some 80 districts along the ‘ring around Afghanistan’ in an attempt to promote the free movements of goods and help the economy by liberating and securing the districts along this road.

For us that meant assisting the district health officers wherever they existed to better manage health care delivery so that the population would notice that the government cared – a tall order that turned out to be misguided since the government is not only perceived to be corrupt, large parts of it are.

In the end we never got the exact numbers of where to put our efforts and now the districts are out of focus again and many so unsafe we couldn’t even go there if we wanted. Still, a district health assessment, considered urgent some 9 months ago, is close to being commissioned. We are always a running a little behind what Washington orders.

With each new strategy or tactic new words were introduced which made everyone scurry back to their computers to make new powerpoints and present the reality, perceived or for real, using the new words and trying to make them real, precise and practical using new diagrams and new flow charts. Luckily reality is entirely malleable and luckily we have powerpoint and armies of translators (many of them doctors who make better salaries that way) to come up with the right Dari and Pashto words.

Loose ends

The tying up of loose ends today got pushed to the back of the stove as new urgencies showed up on the front. In a truly collaborative and collegial effort we responded to one of our stakeholders’ rather complex request and produced desired plans and then discussed them. It took most of the day and past daylight. I was proud of the team effort.

I cleaned up my office, turned off the lights and left a Ugandan proverb on my desk about vision, for when I return.

I sorted out our pick-up tomorrow morning early to make sure all for four adults and one kid plus various suitcases will fit. Back home I handed out Eid gifts to our guesthouse staff, passed all untouched food to the guards who are having a banquet tonight, finished the mango ice cream myself and now it is time to pack and turning in early. The alarm is set for 4 AM, wheels up scheduled for 7:45. Dubai and my honey, here I come.

Home alone

Axel’s has left for Dubai and his doctor’s appointment. When else did we have to travel that far to see a doctor?

I had my longest day ever, with too many meetings and too many hours in traffic. For desserts a cocktail party at the Dutch embassy where I saw new and old friends, including the head of the police training team, a founding father of the Dutch Afghanistan Committee, a friend of my friend Miho all the while enjoying the luxury of a few glasses of South African wine.

It is amazing how bad the image is of the Americans in the conversations with my compatriots. There is hardly a positive word uttered (arrogant, unilateral). I take it with a grain of salt, as Dutch people tend consider themselves better than the Americans and most anybody else in the world but still, being a half American, it hurts a little bit and I wonder, does it have to be this way? Can this stereotype not be changed?

And now I am watching the depressing news coming through from the US about the elections. There are no surprises. Still, no matter the outcome, the US election process is a few hairs better than the one over here where the losers are bad losers and take to the streets protesting the the process that did not elect them. At least our president is graceful about the new reality.

Parallel universe

This morning at about 7:20 AM my colleague Dr. H and I walked into a parallel universe – the universe of ISAF, just east of the Kabul airport. It had been hard to get instructions on how to get there because the military either don’t leave the base or they don’t drive through Kabul, or both. As a result, they couldn’t explain how to get there. I was told to ‘take highway 7 east and then go to Abbey gate.’ No ordinary Kabuli would know where that is as no one uses these terms. It is military-map-speak. There was also no Dari speaker anywhere near to explain to the driver where the hell the place was. But we found it.

The entrance to the base is a process, not a door or gate. We worked our way along meter-high blast walls that looked they could withstand an earthquake, wires and endless check posts, eyes cans, whole body scans and long lines of Afghan workers showing up for duty. Along the way I spotted a truck from Feenstra Vleesgroep BV from Dokkum (Friesland) – what was it doing there and how had it gotten there?

On the narrow path, paved with large chunks of stone (no high heels allowed), we encountered men wrapped up in so much gear that they looked and walked like zombies. I think they could easily walk through active warzones with all that protection and come out unscathed.

Once we passed all the checks, following the young female German lieutenant, she pointed us to an old Volkswagen truck. She apologized. The back was filled with old newspapers and the front was full of gear. She had to climb in through the passenger side because, as she had already said, it was old, from the time the Germans had populated this base by themselves.

We drove over beautifully paved roads with white stripes in the middle, like one would in Europe, and everywhere signs of the Germans. On the other side of the wires and walls we saw orchards and maize fields and Afghans living in mud brick houses; no asphalt roads with white stripes on that side; no roads at all. I wondered what it would be like to live so close to America (or
Germany) and yet have no access.

The base, which houses all the operational units (the planning people are closer to town) is home to several thousand people, a veritable city on the edge of Kabul. Many people never find out about Afghanistan, or even Kabul. It is self contained. There is the Marouf store and gemstone center – a glassy storefront that would be right at home in a tourist center. We learned there was a Thai restaurant (a three-course meal for 17.50 Euro, with tropical drinks without alcohol), a bazaar, a Moneygram store and a travel service and streets with exotic names, and then the barracks. And everywhere, as far as they eye could see containers and generators.

People were lounging outside in the sun, most in uniform, sitting at picnic tables in front of their two-story barracks. I got to check out the bathroom in the French hospital, now taken over by the Americans which was obvious because of the Haloween display, a hunched over person in camouflage with hospital gloves and a facemask.

The conference was interesting mostly because we were the only people who are actually living in Afghanistan, the other universe that most attendants don’t know. The presentation was well received though with few questions. I imagined that our picture of life outside the wire will take some digesting.

Of the 100 or so people in the room only 6 or 7 were civilians, including us. There were probably about 10 women. I still have a hard time looking at women who wear camouflage jackets and holsters and guns – call me old fashioned but to me fighting wars is something that men do. I did notice one woman sitting in a back row thumbing through a stack of family pictures as if they were baseball cards – I noticed the wistful expression on her face. It confirmed to me that women have no business here.

I learned today that each country has its own formulation of what camouflage looks like. The US, the Croates, the New Zealanders and the Afghans have pixalated camouflage clothes (some with large and some with small pixels); the French, Brits and Australians have organic blobs, like amoebes, splashed on their jackets. The colors are grey, tan, and dark green in various combinations. Only the Afghan military has the color of bright green, the happy color of new life, in their camouflage. I liked that. But they also have the accented red of the Afghan flag which contrasts with the bright green – it’s a Christmas contrast but also the juxtaposition of life and death in this bloody place.

The organizer liked the distinction we made between needs and wants (the army wants everything and has the resources to satisfy them) and the notion of creating feedback loops between the various actors. This included of course a feedback loop with the foreign and national armies, hence our presence.

By way of thank you for our efforts we received a medal and an engraved pen and pencil set. I imagine my great grand children looking at the medal (‘Outstanding Health Support in Difficult Places’) and making up stories about what great grandma did to get it and missing the real reason (a powerpoint!).

We left just when the smells of fried chicken and the fumes of frying fat from the adjacent cafeteria became unbearable. I stuffed myself with Dunkin Donuts type (giant) croissants and brownies to make up for the missed lunch.

On the way back we were escorted by two Croates. During the ten minute ride we discussed the origin of the necktie (cravat, from Croate) and what it had been like to live in Yugoslavia when it exploded. They are in Afghanistan to repay their debt to the international community and my Afghan colleague Dr. H. thanked them.

Even though it was my day off the workday wasn’t over. We rushed back to the ministry and met with the minister to present the areas where we can’t move without her support. She re-iterated the priorities of the ministry for the next five years which match our organization’s strengths quite nicely.

From there I barely made it in time to my Dari class. I finished the Iranian story about the lady of the thousand stories and then we talked using all the new words I had learned.

As if the day wasn’t long enough, in the evening we rallied to Restore Sanity. The Kabul rally didn’t quite match the Washington rally but it is the thought that counts. It was also nice to feel part of something big. Some twenty of us Dems Abroad came together in the basement bar of a Chinese restaurant. By night the streets of Kabul are too cold and too dangerous for such a show of support for our embattled president. Blindfolded we pinned American teabags on pictures of the Tea Party leadership. I won a bag of pork rinds, contraband in this place.

Bloody mess and eraser cheese

Janneke had the top of her middle toe sliced by the not so very experienced pedicurist at the spa. Luckily it was after the massage so she was very relaxed and had at least had one good experience. But I think it was the last pedicure we will have there. I had been a little concerned about the razor gizmo that was used to remove calluses – luckily I had the more experienced member of the staff and emerged intact.

It was messy because the blood kept squirting out and the stupefied girl was clueless as how to stop it. Everyone got involved and soon there were wads of bloody cotton balls, gauze and what not; until Lisa came upstairs and took over. We drove off to the clinic where she got a proper bandage and a tetanus shot. All is well again.

I left her with Lisa at the clinic and had a drawn out lunch with our boss from Headquarters who is visiting us for a week. We had our lunch at the Galleria so that he could squeeze in some quality shopping time while we waited for the car to come and get us.

Back home I used up all our fresh milk to try to make mozzarella. It was like one of these fairy tales where something good gets exchanged for something less good all the way to nothing. Out of one gallon of the most delicious creamy milk I created a piece of cheese that had the size and taste of an eraser.

M. showed up for another knitting lesson. The 2 meter long scarf for her boyfriend was completed and I helped her put on the final touches and got her started on a matching hat. The wool is so authentic that it is a little scratchy but we hope that the Woolite will help soften it a bit and take the sheep smell out.

And now it is time to finish my preparations for the military conference tomorrow. I still don’t know where I am supposed to show up. The lieutenant commander wrote me, in answer to my query, “Ma’am, unfortunately I do not have a map that would point you into the right direction [he will ask someone else].We will be prepared to meet you at the gate at 07:30.” I am halfway through Obama’s Wars and so was not too surprised about this answer. I guess we will ask around when we get closer to the base, to find out at which of the many gates the gentleman will be waiting for us.

Stories

My colleague S’s little girl is very sick. She is only five years old but suffering from something no doctor in Afghanistan or Peshawar has been able to diagnose. The family has made several trips with the little girl to Peshawar, delivered blood to a Karachi laboratory. Still, the girl cries at night from pain and has large welts, bumps and bruises on her legs no one can explain.

He was going to deliver a presentation at a quarterly conference of military doctors on Saturday but today he realized that his priorities are rearranged. Family always comes first – as it should be. He was away from the office trying to get a visa to fly with the little patient to Islamabad, to a hospital that is among the best in the region. Something needs to be done; the family has not slept in days.

And so I get to go to the military-medics conference on Saturday to replace him. Our powerpoint story needed to be sent in today. When you work with the military everything needs to be checked and thus submitted in time. In some ways it is a good thing as all is now fixed – hard for me who always wants to make endless changes until the bitter end. Not possible now.

Today was my weekly SOLA class. I shared my hour with the coordinator of the Afghan Women Writers Project who explained the girls how they could become part of this very exciting project. We listened to one of the girls who has already published on the AWWP site as she read to us her essay to get into colleague in the US. I used a series of questions to guide the response of her classmates about powerful images, feelings and the message she tried to convey.

The essay triggered several stories, most very disturbing: the young girl, mother of a small boy, who had sneaked out to attend high school, 10th grade, and was beheaded by her husband upon return from school; her mother was too. The sin: wanting to be educated. She was the classmate of one of my students who will bring her photo next class.

Or the 13-year old married off to a 45-year old poppy grower as his 3rd wife, a relative of Sofia. “Even though she was younger than most of her step-children, she seemed to agree with her life, accepting it as her destiny and a practice of her culture,” wrote Sofia. “She did not protest – it was expected, something to be endured.”

And then there was the young girl in Kandahar killed by a passing motorbike rider, right in front of Sofia’s eyes. She described her reactions as “my […] senses had stopped working for a while and I could do nothing except like a statue staring [at] her.”

I watch the faces of the girls as each one tells her story. They could all easily become one of these stories themselves, and they know it. I am glad that they are just as outraged as I am. One could expect them to be rather inured to such horrors that surround them.

After just a few classes it is clear that I never have to worry about not having enough material for my conversation class. We just started to talk about the rule of law versus moneyed power when our time was up. We are now having a waiting list of conversation topics: will educating the young girls and women make any difference if the men are not educated? How can the rule of law be enforced when the enforcers themselves are wealthy and powerful? Does God pick your husband?
Since we are leaving for Dubai next week the girls will have several weeks off. Their homework is to interview a woman they admire and then report on the interview in class four weeks from now.


March 2026
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