Archive Page 256

Promise

The reflection of the sun in the Putnam windows caught me straight in the eye. Before it woke me up it mingled with a theme in my dream that was about doing several things concurrently. Holding the sun in my eye and continuing the dream turned out to be too much. Wanting to, but not able to do several things at the same time is probably an accurate description of my state of mind as it relates to my workload. I have to be creative, and ask for help, in order to manage. I tell Axel to do this, so why not apply it to myself.

Yesterday I took over the facilitation of the virtual leadership course from Morsi. He has been facilitating the course for three weeks non stop and was rather tired. Taking over meant that I had to review all that had happened in the last three weeks, where each team (of 11) is, checking correspondence, their progress on tasks, etc. The module I am leading will continue till the 28th of March, when I will already be on my way to Kabul. That too I have to sort out.

There are two other virtual events that are happening or in preparation that ask for my full attention plus a whole host of non virtual stuff that require writing, thinking, designing, telephoning, etc. At times I feel like I am skating on the edge of panic. The feeling was intense enough yesterday that I decided to reserve all of Tuesday for another day of working at home. I get more done that way, being able to have long stretches of time during which I can work without interruption, something that is impossible when I go in to my office. Working from home also saves me two hours of commuting time for more productive use. Why not work from home all the time? Some of the work is being in meetings and I do love working with my colleagues and hearing the stories of people coming or going. I missed that part of my work from July till November and it is one of the reasons I do not want to be a consultant.

Yesterday afternoon Axel and I went for a walk around the loop again, hoping that it would get Axel’s muscles out of their knots. He continues to be in pain and we keep trying to figure out what happened that caused all this. Today he will see his physical therapist again and we hope the visit will bring some relief.

After our walk, in between snow and sleet an hour of mild spring weather seduced me into the garden where I started to clean out the winter debris. There are tiny green sprouts poking out of the ground everywhere; the onions are already half a foot high and one tiny Swiss Chard plant has survived the winter. If last year the garden was abundant, this year it is going to be magnificent. After I had removed the debris I stood for awhile, leaning on the rake, surveying my handiwork and contemplating this little patch so full of promise. I know this, but have to re-discover it again and again, that gardening – or any physical activity for that matter – is a good way to subdue waves of panic and neuter the stress that comes with it.

Udder Clutter

I woke up in time to write but stayed in bed until there was no more time. With this I squandered the chance to write in great detail about my dreams that included a trip with Joellen to somewhere that took forever to get started and some brilliant thoughts about my work. These have gone back to the place where all the other brilliant thoughts live, in complete obscurity and irretrievable.

I biked to Quaker meeting and counted the empty beer cans along the way. If I were to pick up all the empties, in each direction, it could buy me one gallon of orange juice each month; there is money lying on the street! It makes you wonder what happens at night on these stretches of road.

Our youngest Quaker attender was 2 weeks old, little Gemma Louise. She handled the one hour silence like a pro. I suppose that after 9 months of silence in utero, this one hour is not much of a challenge.

While riding my bike I thought much about cleaning and clearing out clutter, an ancient spring ritual that is badly needed in our house. Back home I added deed to word and started un-cluttering a very small space. It quickly became a silver cleaning chore and took much longer than intended. In the end, I realized I was just moving clutter from one place of the house to another. There is a system dynamic at work that is stronger than my or Axel’s will; it is much like putting a policeman in one neighborhood to discourage criminal activity and the crime simply moves to the next neighborhood.

I did throw out some little things without asking permission. No one will notice the missing pieces of glass, rock, sand dollars and other neat stuff that, I know, will automatically slip back into our house as soon as someone comes back from the beach.

Yesterday we went to the Flower Show in Boston to see Woody’s exhibit and cheer him on to great sales. Those have mostly been absent. He tries to sell 400 dollar plus planters and basins, wedged in between 10 dollar Christmas ornaments, an all purpose gardening tool and tubes of udder balm sold as miracle hand cream by a woman and her, now free from eczema, boy. You get a squirt if you want one. While massaging it into our hands we discovered the saleslady is also a nurse at UMass Memorial Hospital in Worcester, which led to a long conversation.

We wandered through the main horticultural displays where Axel’s father used to show his talents and wares some 30 years ago. The experience of walking on concrete for several hours reminded us of our ill-advised trip to IKEA several months ago. We can still not do this very well and we arrived home limping (me) and Axel in great (back and hip) pain. We cooked ourselves a light dinner and ate it in front of the TV. It seemed fitting to watch Moore’s documentary about the US health care system (Sicko) to forget our pains by immersing ourselves into the bad (health) luck of others. The operative phrase is ‘so you think you are covered?’  I learned about all this in my early years in the US when I delved into the world of insurance and discovered nothing but scams.  We made it about halfway through the movie when we called it a day and got our tired and sore bodies into bed.

No joke

I woke up to grey skies and rain. Axel woke up to a terrible pain in his back which required emergency massage. I settled him among pillows with a hot pad and made breakfast. It seemed like a good day for breakfast in bed; no appointments, no need to be anywhere for anyone except ourselves. While Axel’s back was calming down under the heatpad I made French toast from Italian bread, the kind that ends up like custard in between crusts of cinnamon toast. While we were eating the rain turned into snow and everything is turning white. Now there really is no point in getting up. I reserved a plane for 12:30 but I think I will let it go. There is more tea to drink, a newspaper to read and a book to finish.

Yesterday was another intense and long workday, and the juggling continues. A somewhat edgy three-party phone call with partners who we also compete with at times ended up producing strong feelings that drain people but also spur them into action; more or different than expected. This is why rational planning often underestimates time – we simply leave out such scenarios, and yet they happen all the time. I ended up spending half the day on something for which I had budgeted only an hour or so.

It was good that the St. Johns called in the middle of the afternoon to tell us that they were going into Cambridge to a comedy show; would we want to join them. Such prods from outside are good and put an end to the possibility of contemplating work beyond five o’clock. We bought the tickets, drove into town, had a bowl of Chinese noodles and sat down in the tiny third-floor comedy club, and laughed, which is what we paid for. I had not realized there were so many styles of stand-up comedy. I could not understand everything, sometimes because of accents and language and sometimes because I am a little dense or could not imagine that jokes could be made about such things. For example I did not get the KKK jokes from the black comedian and this was, how embarrassing, publicly acknowledged. Katy-Blair offered my Dutchness as an excuse which then led to more jokes. It was a tiny place and I was sitting at 2 feet from the host so every facial expression is picked up and potential material for more jokes. At least I was not asked to get on stage, that would be have been the ultimate embarrassment.

Back home we tumbled into bed, tired from the long day. And then, suddenly, out of nowhere, I relived the last few seconds before the crash; the plane veering off to the right and out of control, the trees rushing up to meet us and the sense that this was it, game over!

It took awhile to shed the image and let it go, partially because I wanted to understand why it suddenly appeared. It is true that on the 14th of the month the crash does tend to come back to the center of my attention, depite the work and other distractions. Also, Axel and I talked about his EMDR sessions with Ruth. They don’t talk all that much about the crash but yesterday they did.

What was left after the crash image disappeared was the realization, and surprise, that I think nothing of getting on a plane again.

Weighty

The fourteenth of every month still sets it apart from the others as we count backwards to July 14, 2007. We are now in month 8 post-crash and the experience is slowly splitting into three parts: the nightmare of the crash itself; the immediate response from family, friends and colleagues, combined with the effect of painkillers that make those early two months seem rather nice and then the slow up and down trajectory of healing, first in body, then in mind. We are still in part three and may continue to be for awhile.

Are we alright and our old selves again? Yes and no. Axel still walks with a slight stoop and is often in pain especially after a long walk, like the one we took yesterday. His hand is inflamed and, as he says, his head is still not quite right. Yesterday, for example, he discovered that he cannot read the newspaper and listen to the radio at the same time, something he did effortlessly 9 months ago. But from the outside he looks and acts like the old Axel and we could fool ourselves.

As for me, no one can tell from the outside that anything happened to me. The scars are hidden behind clothes and the neuropathy cannot be deduced form my gait; I sometimes forget about all this as scars and senseless toes have become so much part of my daily physical experience. But the sadness remains and has never quite gone away; sadness about things going wrong one day and tentacles that reach out from that time into the present, never quite relinquishing their grip. It is like a heavy weight on my shoulders that I can’t seem to take off and put down. That is my stoop, not visible like Axel’s but there nevertheless. We don’t talk about it all that much during the week. But last night, while Sita and Jim were out, we talked about the continuing aftermath and the lives that have been affected and the whole gamut of feelings that goes along with the pain, the regrets, and the gratitude.

It has become some sort of a ritual that each time the14th comes around I read through all the previous entries on this milestone day. I have tagged these entries and I can select them as a set. In re-reading the entries I hopscotch through our recovery and the jumps of the early months. With the focus on recovery and our loving community of care-givers, the agony of pain and sleepless nights, and the interminable wait for all of us to get back to normal is not as visible (anymore?). The written story is far from complete, whole chunks are missing, but they come back into view when I read about what happened on the 14th of every month since July.

It is Friday now and I turn my attention to the things I cannot do in the office because of multiple and constant interruptions. It is to be a day of long stretches of concentrated attention to reading, thinking, designing and writing. I have a vision for the end of the day, and that is checking off items from my to-do list and, with a sense of great satisfaction, closing my computer at cocktail time!

 

Juggle

I woke up from a long night full of dreams about juggling. This is not surprising since I am juggling what feels like a 1000 balls at work. In November I could not have done this, holding this much stuff in my RAM (random access memory) but things are better now and there is more space available although I am bumping up against my limits. Axel, on the other hand is still experiencing the after effects of his concussion: he is forgetful, easily distracted and has other symptoms that require specialist attention. He will soon see a head injury specialist at Spaulding Rehab Hospital. The doctor is Chinese and does acupuncture as well, so we are hopeful.

I just got off the phone with William in Ghana who reported to me about the second leadership workshop that the team we created in Ghana for this purpose has successfully led. He was enthusiastic and reported that all participants returned with reports of progress and that a healthy competition is fueling the commitment of participants to do even better next time. It warmed my heart to hear that teams had gone out in their districts to consult with groups they otherwise would not have. They collected data about the true state of affairs (rather than assuming they know) and engaged their peers who stayed at home. The coaching visits were critical and made people realize that this program and the commitments they made are for real and they will be held accountable for producing the results they said they would. It was a great start of my day!

Yesterday was another intense and long day with new tasks coming over the transom as soon as an old one was completed. I drove home exhausted. When I turned into Masconomo Street I saw people walking and enjoying the extended daylight hours. At home, Axel suggested we go for a walk as well and celebrate daylight savings time.

Going for such a ‘constitutional’ was one of those intentions from last fall when we could only contemplate a walk around the Masconomo/Proctor Street loop but not actually do it; now we can and have been able to for some time now. But the pace of our life has picked up; we need to be more intentional about this walk, otherwise it will never happen.

It felt good to get the stiffness out of our limbs. We both tend to get very stiff when we sit in one position for some time. Axel was stiff from sitting at his desk the whole afternoon and I was stiff from sitting in the car for an hour.

While Axel cooked I read him the latest entries from Mike Morris’ sixcense blog (see blog roll on the side) about the elections. We prefer to listen to Mike on stage but reading his entries as an aperitif for dinner is pretty darn good! Sita and Axel then settled down for a movie but I had nothing left and went to bed around 9 PM.

Stories

With the new daylight savings time I am waking up again in the middle of the night it seems. It is pitch dark and cold; another one of these ‘having to bite through’ periods; this time not because of bodily pain or anything like that, but a simple ‘because I don’t like it.’

Having learned to bite through (not really bad stuff) as a child is part of my cultural heritage. It is woven into the protestant work ethic of the Dutch which taught me that life should not be lived in pursuit of fun. The childhood variant is ‘homework first, play later.’ I was lucky in that the homework was always a cinch and play, with the many children on our street, was fun and outside the door, not requiring parental drop off or pick up.

I woke up with fragments of a dream. I quickly scribbled these on a piece of paper before I took my shower so I would not forget. I do this with my eyes closed. Sometimes, when I get out of the shower and have my glasses on I cannot decipher what I wrote. But this time I could: looking at street scenes of one culture while sitting inside and with people from another. We were watching a slide show. I had intended to hook up my iPod to the slide show and have some of my favorite music, but someone else had already done that. He had selected other music, not what I would have chosen, but it matched so well that we kept it on and I put my iPod away. I remember saying to the people watching that these street scenes were not all that different from those in their country. I also remember expecting protest (‘No, everything is very different from us!”)

I think the dream was triggered by an email from a colleague who said the (African) country he lived in was unique. I wrote back, ‘of course it is, every country is unique!’ The dream is not about surface but about what is underneath. As a psychologist I am intensely interested in people’s life stories and hear how their current ‘being in the world’ was shaped. Much like my growing up in a Dutch protestant family shaped me. This is also why I have to understand my dreams; that comes from the thread of Enlightenment that is also woven into Dutch Protestant culture.

Another trigger for the dream might have been the lunch we had at MSH with the Minister of Health from Guyana. I was already impressed by him when he remembered Cabul who was a volunteer in Guyana several years ago. While we were eating he told us one story after another. There is much writing in the leadership literature about story telling as an important tool for leaders. This gentleman was a master of the trade. He has also been minister of health longer than most any of the many MSH has been dealing with over the years. Storytelling is a craft of the long haul I think and he proved it. It combines seeing patterns and then collecting moments in life that illustrate those patterns.

Later in the afternoon the story of the day that is only now revealed to me through my dream continued. I was asked by our young (20s/30s) staff to help them hone their facilitation skills. Two of them practiced a short session on the rest of us which we then critiqued and I got to tell stories. I loved it. They kept thanking me profusely at the end for my time; what they didn’t know is that such sessions are the highlight of my day. I think I am a mentor/teacher at heart. My one piece of advice to them was to get a sturdy backpack, an imaginary one, and keep tossing stories inside it, much like the minister has done. These stories can be pulled out any time to illustrate a concept, a theory, or a belief. I have some well-worn stories in my backpack. They are like the old blankies, teddy bears or dolls from our childhood, and comfort us as much as they enlighten others.

Axel dropped the boys off at his old school (UNH) where they teamed up with a third friend who is now studying there and who, according to Axel, had already become an American in speech and outer appearance. He had lunch in the school cafeteria and told them stories about the student protest he was heavily involved in nearly 40 years ago.

In the evening Axel went to a career fair at Mass. College of Art and he was welcomed back in the crowd like a long lost son. He made some good connections and returned back in high spirits. It was a community that he temporarily lost because of the accident and one that he discovered was more important to him than he had realized. Stories and communities, these are also two big elements of our recovery.

Forgiveness

It is better to ask for forgiveness than permission. We went flying and decided not to tell the parentals until afterwards. It was the first time since July that I took non-pilots up. I stayed in familiar airspace. We flew over Essex County and ‘visited’ Manchester, circling a few times over the house, then Gloucester, Annisquam, Ipswich, Plum Island, Newburypovieg34dsm.jpgrt, Essex and then back to Beverly airport. It was a glorious winter day, clear as far as the eye could see with great views of Boston. Yesterday’s storms had blown all the wind out of the area, although there was some unsettled air, causing a little turbulence. The boys took many pictures and videos of take-off and landing.

They took turns sitting in front and holding the controls. There was a lot of going up and down, leaning left and right, not all that much fun for the one sitting in back but exciting nevertheless. They discovered that it takes very little movement to change the altitude and attitude of the plane.

Back home Pieter and Huib continued their frustrating search for cheap lodging in New York (it is Spring Break!) and networked their way into the Dutch Harvard Med School community in the hope of attending a class or, at a minimum, getting a tour of this hallowed place. For me it was a workday with a flying break: finishing reports, updating my address book and putting all my receipts in order. It was also time to catch up on emails and the business that went on while I was away. Later this week I will focus on the next assignment: Afghanistan (Kabul) in just over two weeks.

Axel went to see his physiatrist who interpreted his latest MRI. As it turns out one vertebra, L5, has not healed yet, which explains the pains he is still having in his lower back and possibly the funny click that you can hear when he makes a particular movement. It was a little bit discouraging to get this news, now nearly 8 months after the accident, but he took it in stride. His physical therapy is continuing once a week and his therapist is working on the right things, according to the new doctor. The next doctor’s appointment is for the hand, still swollen, which needs some professional attention.

After a dinner of roasted chicken and winter vegetables the young people went out bowling while we old folks watched part of a movie until it was bedtime; an early bedtime, for it was a school night again.

Records are for breaking

All you have to say to two 22-year old boys is that a girl currently holds the record. They want to break it, record.jpgno matter what. And so, yesterday, on that blustery Sunday, with winds up to 40 knots and the temperature below 40 degree Fahrenheit, Pieter and Huib donned their bathing suits (why they brought these in their luggage is beond me) and immersed themselves in the frigid waters of Lobster Cove. Axel went out, dressed in a warm coat, to document the event. Documentation is important. You have to have proof. Here is is.

The previous record holder was my niece Willemijn who immersed herself in early May many years ago. This was never documented since she did not set out to create a new record. Our own first immersion is usually not until sometime in June and even that I find too early and much too cold.

It is fun to take the boys places and try to imagine the experience through their eyes. The things we take for granted, find normal, are not for a visitor. I am familiar with this feeling as it happens each time I leave the country.

I biked to Quaker meeting, heading into the fierce wind on my way to Beverly Farms. It was hard work but felt great after a Sunday morning breakfast with too many calories. On my way back it was smooth sailing with the wind pushing me home. I think I may have fallen asleep in Meeting, the hour went very fast and I enjoyed the quietness after having to be ‘on’ and constantly anticipating about what next for the last two weeks.

We took the boys to a performance of Chorus North Shore for its annual spring concert. This time it was ‘An American Quilt’ with some locally produced music. The piece de resistance for me was Bernstein’s Chichester Psalms which I found very moving. The children’s choir was an essential part of that rendering. Later Pieter and Huib (and everyone else) got to sing along with “This Little Light of Mine,’ and ‘America the Beautiful’ which must be an odd hymn for them. This would-be American national anthem is so very different from our Dutch (real) national anthem in which we sing lovingly of serving our Spanish King. After the performance we headed over to our favorite coffee place for a cup for tea/coffee in the Atomic Cafe.

The boys also got the American Sunday afternoon grocery shopping experience; this too is full immersion, followed in the evening by a very unamerican fajitas dinner. We watched in amazement the enormous quantities of food that these rather skinny kids take in (must be the bicycling!).

Back home the swimming challenge was unwittingly created by mentioning Willemijn’s feat some years ago. And while Axel was documenting the event I called Tessa in the hope to get her out of her funk, or at least for some temporary relief. They had just gotten another 2 foot snow dumped and the winter appears without end. No wonder she is thinking about finishing her studies in California! When everyone was back inside Ankie called from France and between Axel and me kept her on the phone for over an hour. This is a normal length conversation; there is always so much to talk about, even though she faithfully follows my journal. She knows much more about my life than I about hers, which is why we need at least an hour.

At the end of our very late dinner I was ready to go to bed. Sita was working against a deadline (still up at 3 AM I noticed), Jim was jamming with a friend in a music studio in Danvers and Axel and the boys sat down to watch ‘If,’ a movie Axel last watched in the late sixties. He remembered it as significant but now realized that may have had something to do with his not so mental clarity at the time (remember, the sixties!).

Breaking Through

I am still on Tanzanian time and thus wake up early. The weather is bad; again, no flying today.

Yesterday I was supposed to have flown to Concord and Laconia with my flying buddy Bill but the weather was too bad; three weather systems are colliding over New England. Instead I met with the other three co-owners of my plane and we discussed upcoming repair needs and how we are going to pay for them.

Late in the afternoon I picked up my nephew Pieter with his friend Huib, both medical students in Leuven (Belgium), who had bussed in from New York for Spring Break. In a pouring rain we drove straight to the Shriner’s Hall in Wilmington to watch a Roller Derby. In my 26 years in the USA I had not seen such an event in real life. It is very American and seemed like the appropriate way to celebrate International Women’s Day. After all, the sport is about assertive women racing on wheels to break through logjams and get ahead. I loved the way all the women, as well as the referees, some of which were male and one a canine, used the concept of a uniform loosely: there was lots of room for individual expression and creativity around the theme of sexy shorts and net stockings. What better way to way to celebrate women’s liberation and empowerment!

Sita and Jim’s friend Fred is dating one of the stars (‘Maura Buse’) from the Boston Massacre,derbiequeen1.jpg the team that won from Maine’s Port Authority team and the more fearsome Bronx Gridlocks (dressed in cute yellow and black/white checkered outfits). Pieter and Huib got their picture taken with another one of the stars (‘Clare D. Way’) after the prizes were awarded.

I had always assumed that Roller Derbies were somewhat gothic and dark, with people full of tattoos, wearing leather, spikes and black or fluorescent hair. The name of the Boston team suggested so much. How wrong I was. It was a joyful, noisy and irreverent family event. The sport itself suggested strong women hitting each other off the track, brute force with a sexy feminine veneer (‘this is a contact sport’). Again I was wrong, although there was a lot of jostling, pushing and shoving and some bad falls, all followed by the most amazing recoveries. Axel and I shuddered at the sight of some of those falls.

The sport requires finesse, good balance, strategy and endurance. It was fascinating and exciting. We watched three ‘bouts’ of half an hour each. The Boston team won each hands down. Basically there are two teams of five women who circle around on old fashioned four-wheel roller skates, at high speed on a concrete floor in a rink marked by pink fluorescent tape. Two of them are ‘jammers,’ one from each team. Their helmets are marked with a star. They have to brake through a wall of four fast skating opponents, in which they are helped by four of their own team members. There are as many referees as there are skaters because there is an elaborate set of rules and everything moves very fast. The referees communicate with hand signals to the public and to a whole battalion of people, most sitting on the side of the rink in front of laptops and a gigantic scoring board, and some inside the rink writing check marks after people’s names with blue markers on a small white board that sits on an easel. There are also people with clipboards, some sort of way station between rink and laptops, maybe. One of them, to my great surprise, was a colleague from MSH who left in the great clean up back in May (Alex).

Home again

You need to be away from home from time to time to appreciate what you have. I am lucky in that my frequent departures automatically produce frequent homecomings. These are the best moments of all. No matter how often I have done this, I never tire of this final part of my journey: first the landing and the joy of touchdown, then the phone call to Axel while taxiing to our gate; the impatience of going through the immigration line, the seemingly endless wait for my suitcase and then the last obstacle of the agricultural inspection (coming from Amsterdam I always carry food: cheese, sometimes herring and licorice). And then comes the best part of it all: going through the opaque doors of the customs area and stepping out into the arrival hall while scanning the waiting crowd for that one particular face that is so very (VERY) dear to me.

My arrival this time did not quite follow the script. For one, my suitcase came out in the first batch and so I walked out into the arrival hall much earlier than Axel had expected. He was not watching and we missed each other. I walked over to the side, a bit disappointed and puzzled and left several messages on his cell phone. I finally decided to sit on a bench and read my book while waiting for him. When I picked a bench, just a few feet away, I noticed the back of a familiar head of curls – he had been sitting there all along. The reunion was sweet and all was quickly forgiven and forgotten.

I received an update on Axel’s recovery and learned he is adding two new specialists to his care team: he is seeing a physiatrist (fizz-ee-a-trist) by the name of Sara Lee. She is not a cupcake. She is a physician specializing in physical medicine and rehabilitation. Physiatrists focus on restoring function to people after the orthopedes and neurologists have done their work of diagnosing and putting the pieces back together. He is also going to see a hand doctor, which is different from a peripheral neurologist, to give advice on how his left hand can regain its full functionality. It is much better than before, but his hand is swollen as a result of, what we assume, not the right kinds of exercises. We are getting in really specialist territory now.

Sita is rapidly filling up her dance card with trips to London, Dallas, Sharm El Sheikh, New York and Bangkok. So Sita and I will be flitting in and out of the country for the next few months (my trips will take me to Afghanistan and Ethiopia) while our men will stay put, keeping the home fires burning.

The latest update on Tessa and Steve is that they hate living in London (Ont.). The poor things have several more months of winter, cold and snow and this doesn’t help. The contrast between the lively student scene in Amherst and the industrial city of London and living surrounded by agribusiness soy fields is becoming increasingly untenable to them. Tessa has one more year to go and is beginning to wonder whether her sanity can handle this. We old people know of course that one year is nothing; but when you are 22 one year is about 5% of your life and that is a long time.


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