Archive Page 77

Dismissed and moving on

Six months after my ankle operation I made my last visit to the orthopedic surgeon. It took me two hours in traffic to arrive at his office. I had an Xray done, waited a bit and then saw him for about 5 minutes. He wiggled my ankle, said ‘congratulations’ and then I was done. For this I sat 2 hours in traffic and the doctor billed 350 dollars. This is what is wrong with the American Healthcare system. If I had been responsible for the whole amount rather than my 15 dollar co-pay, I would have forgone this useless visit.

And so I am now dismissed from his care. I am 75 percent there, he said, with the remaining recovery requiring another 6 months; one year in total, was what I was told when I signed up for the ankle fusion. It’s pretty good right now so another 25% seems like a bonus. If you saw me walking you wouldn’t have guessed I had an operation 6 months ago. It was a good decision.

I am back at work, managing the in-between-trips period to take care of wrapping up the last trip and preparing for the next. The travel is not letting up although I am not complaining – these are interesting assignments that let me be creative and make new connections: another trip with wheelchair service providers, this time to Mongolia, and an effort to get our colleagues in the Democratic Republic of Congo to become a learning organization. Some of this is chartered and some of it unchartered territory – a perfect combination. I have never been to either one of these places and I am looking forward to them. Axel does not and I don’t blame him – it’s a choice between sitting at a desk in Medford and exploring the world for me; for him it is me at home or being by himself. It is an uneven arrangement and will stay that way for a while.

Longevity

Every year around May 15 I put one year of writing to bed and start a new document, called blog_May 2014-2015. This is a bit like December 31, a time of looking back and reflection. I do re-read some of last year’s writing.

Sita, Jim and Faro are over for our belated annual Easter Party. This is the first time in 30 years that we don’t have a hunt with people combing our land for small brown bags with their name on it and Easter candy inside. My travel schedule got in the way and now the Easter candy is gone. So we have to think of something else. We had some ideas but I was am still in recovery from a long and intense trip and low on energy. We will think about it over the next year, some sort of treasure hunt – holding on to the hunt part but not the part of the bad quality candy.

This morning I followed Faro to the beach. It is one of his favorite places when he comes to see us. He is like an ant, circling back and forth, stopping from time to time to pick up a rock. Having only two hands is a dilemma. You can see his little brain work hard when he spots an interesting stone among the thousands available to him. Both his hands are full, so one has to let go of its stone in order to make place for the new one. He could go on for hours like that. This is indeed the perfect young explorer’s beach. His beachcombing (for rocks only, seaweed and sea gulls are briefly observed but of less interest at the moment) is interrupted by his parents’ ritual trip to the Atomic Café in Beverly for their daily latte. Faro has accepted this as part of life – going to get papa’s latte – he comments matter of factly, as if he was the indulgent parent.

He is now wearing his mom’s sneakers, the first real sneakers I bought when she was 2 years old and getting used to living in Brooklyn. I remember buying the tiny blue sneakers at Zayre’s, a chain that no longer exists. I don’t think they cost more than 5 dollars and here they are, still serviceable after 30 years. Now that is quality. He also wears the Abdou Diouf tee-shirt that Sita received in Senegal after the longtime president Senghor made way for his successor Abdou Diouf in 1981. The tee-shirt no longer has its vivid Senegalese colors and the photo is a bit greyed out but the material is in good shape after all these years.

Change for a change

For three days I attended a workshop on theories of change. It is nice to be facilitated for once, rather than facilitating. At the end of the first day the facilitator, who had created a series of exercises to encourage divergence, was settled with the task, her design, her choice, to turn all the input into a first draft our a ‘theory of change’ for the big project that has taken me to the four corners of the world – spreading the management, leadership and governance gospel. I was glad that I didn’t have any homework for the evening, the more so because I felt rather lousy.

On Wednesday evening I managed to pull myself out of my lethargy and take the Metro to see my friends Tisna and Fred who live in a lovely old house not far from Dupont Circle. The walk from the Metro station to their house, only 3 blocks, was painless but exhausting. It is good to know that I can walk without pain in my ankle these days; the exhaustion came from being sick or floored by the pollen, I think. Maybe it is also because I have not walked this distance in more than a year.

We caught up on our lives, kids and touched retirement briefly. I wish I could say, like others of my age cohort, that there is an end in sight to fulltime work but so far it is unclear.

The Theory of Change workshop ended on Friday on a high note. I returned home with some clarity about things I can and want to do to carry the results of our reflections forward.

I landed in Boston, picked Axel up at North Station and joined Tessa and Steve at a concert of Zoe Lewis at Club Passim. We met up with friends and other groupies of the virtuoso trip of Zoe, Mark and Ben who delighted us with their music, high energy and great stories. I have heard the stories many times before but I never tire of them.

Hard landing

I hardly had time to get back on my feet. Monday saw me work half the day to take care of unexpected and urgent business. It was supposed to be a vacation day as I stand to lose many days by June 30 if I don’t use them. I am trying to do this since April but have not been very successful.

We drove back from Western Massachusetts later Monday after a lovely lunch with Sita and Jim. We drove home in two cars, picking up one that Sita had used. Making the trip back home from Western Massachusetts is no fun on your own, except when you have a good book to listen to. Axel did but I did not. Our ride home was badly timed. Axel took a better route, while I ended up in the worst traffic jam only 20 miles from home which took me one hour and a half to complete. I tried to not let it affect my mood.

On Tuesday we had planned to work in the garden, trimming bushes and planting seeds. But the long list of ‘to dos’ and the relentless stream of emails that demanded instant responses kept me inside. Worse, they produced so much tension, all in my shoulders, that I called up my masseuse, for an immediate and long appointment. She kneaded the knots out of my upper back and got me to breathe freely again.

Back at home we had our first (of many) asparagus meals: eggs, ham, potatoes and asparagus dribbled with butter – a near daily treat for about one month.

I joined Axel in his weekly meditation class in Gloucester. It seemed like a good idea to focus a bit on stilling the mind after all the franticness. It helped and eased the way into a good night sleep before going on another trip that got inserted at the last minute.

I am now in Washington for a couple of days. Here as in Massachusetts there is much pollen in the air and it interfered with my smooth adjustment to East Coast time. Axel is struggling with an inner ear infection and bad allergies and I just plain got sick from whatever. I hope it is the 24 hour kind of malaise and that by the time I get back to Manchester, all will be well.

Across the river and home

We got out of the mud and the next day the facilitators moved expertly to the other side of the proverbial river which we hope to cross in this first workshop. We ended before the appointed time, a good thing, as the closing speeches, the group photo and all the other things that need to be done before you can leave took longer than I had expected.

At 5:30 PM I left with my colleagues for Abidjan. Getting to Abidjan is not that difficult, but once there, dropping each one of us off took a long time. I was finally deposited at my hotel at 8 PM.

I stayed this time at a sister hotel of the Accor group, the Ibis, having vowed never to return to the Novotel. I could see the consequences of a targeted marketing campaign – the hotel was hip and clearly aimed at attracting youngsters who could afford to spend over 100 dollars for a night at a hotel. The colors were bright, orange and red, the furniture French or Italian modern, sleek lines. The average age was about 15 years younger than at the Novotel and there were few potbellied business men. The staff was young and responsive. The internet worked.

I had hoped to relax a bit before my flight back as I was exhausted from my four intense assignments. But that was not to happen. I received an email with the good news that a proposal process I was co-leading back in October and on which I had all bit given up, kicked back into gear. It was good news but bad timing as such things often are.

The flights back were full, as usual. I was able to sleep a bit on the first leg to France. The Paris Boston leg was an early flight which is done in a small-bodied plane, three seats on each side as the bulk of passengers to America appear to arrive later in the day when jumbos are called in. The smaller planes take longer but I was able to pass the time quite easily by watching 8 episodes in a row of Madmen season 6.

Whereas it was windy and cold (10C) in France, it was full summer in Boston. I could stick with my West Africa clothes. We drove to Western Mass where everyone had assembled to celebrate Mother’s Day. It couldn’t have been a nicer homecoming.

Mud

Just as I was wondering whether this would be a trip where I would not encounter the usual ‘getting stuck in the mud,’ experience. Everything, in spite of constant adjustments and adaptations to a different context than the one for which the leadership program was designed, had gone well.

But then we did get stuck in the mud last night; at the same place where people usually get stuck in the mud: articulating a specific measurable result to which the district and regional teams will be (and are willing to be) held accountable 6 to 8 months hence and the notion of an indicator – the two often confused.

The problem usually is that even the facilitators don’t master the material well and the experts in monitoring and evaluation have a tendency to complicate things. In addition, the process of starting at the end is entirely new – the habit is to set a broad goal and then make a list of activities, state what these activities will accomplish (usually based more on opinions or past practice than on evidence and science). This is the plan. It is submitted and then people go back to work.

In our approach it is an iterative process with changes happening each time people learn something more, about their assumptions, about their baseline, about cause-effect relationships. In the usual planning cycles there is no time for this and so we end up with plans that tend to be the same from year to year with very little learning. We hope to change this but change is hard.

Some of the facilitators are getting it and they are my allies. Others are still in the mud. It was warm and sticky as we tried to wade to the other side of the proverbial river; the electricity went out multiple times; we had already worked for 12 hours non-stop and there were many of us with lots of opinions. Fingers crossed as we enter the last day.

Experimental

With about 50 people squeezed into our awkward space, we launched yesterday the usual way – a speech, settling in and questions about ‘the modalities,’ which means ‘how much money are you going to give us for being here and having you train us.’ Over the weekend I read an article about the origins of per diem and payments to the so-called beneficiaries of development projects; if only people had known how this practice would transform ‘opportunity’ into ‘entitlement.’

There are less than a handful of women in the group; and those who are there are there because in our invitations to the districts we insisted they bring teams of 4, 2 men and 2 women. The women tend to be lower in the hierarchy and thus either not available at the management level or not considered for such plum opportunities away from their posts.

My courageous trainees did fabulous, all of them better than yesterday. I know they studied and worked hard to master the material, never mind the facilitation techniques. All of them are introducing methods that are entirely new to the participants. This makes me wonder, once again, what happens in all the other trainings that are taking place all over Africa and which have created such an anti-training sentiment. If after 30 years of doing experimental training based on andragogy, this is still new, I think ‘anti-training’ is entirely justified. The training is not producing its results because it is poorly designed and executed.

The session that made people wonder most, rolling their eyes and remaining firmly implanted in their comfort zones was the one about personal mission and vision. Only a few men and most of the women picked up on it. They participated so enthusiastically that I suspect this is the first time they were taken seriously about something that matters and that isn’t ‘professional.’

The days are long, 14 hours at least for the facilitators. Towards the end of the day the exhausted room’s aircos were not able to manage the body heat of 50 people and sweat dribbled down my face. Yet my training team hung in there and so I did too.

My colleague Rose and I enjoyed our third mango (and beer) party, which has now become a ritual. We relax and talk until it is time for me to prepare the facilitator supports for the next day.

Commitment

We spent all of yesterday with the core team of facilitators – reviewing the program in the morning and then practice sessions followed by feedback in the afternoon. The enthusiasm is quite amazing. It is not often that I work with government officials who arrive early and stay late, making 12 hour days. They are taking on sessions and teaching about concepts that they are still discovering themselves. They will be just a step or so ahead of the participants. One of the two regional directors whose districts will be in the program has entirely cleared his agenda. Both he and another high level official from the central government are fully present all the time.

The room setup is far from ideal. The room is filled to capacity with a huge oval made from gleaming tables that are immovable. The chairs are bulky and there are not enough for the number of participants we expect so we have to put regular chairs in the narrow strip that runs along the center of the oval. The floor is covered with extension cords holding other extension cords holding other extension cord and on and on. I suspect all of this goes into one socket.

Along both sides of the room are theatre chairs, bolted to the floor which, in their up position, leaves some space to pass from back to front, but when filled will not. There are few wall surfaces we can hang things on, even if we remove the giant pictures which reveal scary electrical outlets and dust from centuries. There are many large shiny and tasseled curtains in front of the windows and doors. It is not the most difficult place I have done workshops in but it will be a challenge.

Today will be yet another trust fall although less scary than the previous ones during this trip. Now I know the facilitators and that they are fully engaged. They want to succeed as much as I want them to, maybe even more. This has become their program and they have made promises to the big bosses and so, as one participant said, nous n’avons pas droit d’erreur. For me that is a bit stark, as mistakes are bound to happen, but, globalement, as people love to say here, we are on the right path and there will be results if we continue this way. Of that I am sure.

Customer service

What started as a rather stiff meeting, following all the usual protocol, a near tangible fear to move off the beaten path, made place for a room full of energetic people wanting to show how much they want things to change. This is the predicament here. As one of the participants told me over lunch, we are so used to certain ways, and it is so difficult to break out of it, even if we want to. Indeed, I see this over and over. There is a lot of fear to challenge prevailing norms in the here and now but when we talk about a then or there, everyone is brave.

The intent of our ‘alignment’ meeting today was to create a buzz and get the support of the superiors of what will happen in the two regions where we are launching our leadership program. In a way it was also a test run for the newly formed ministry facilitators. I believe we accomplished everything and may be even more. The facilitators did a dynamite job, pretty much running the show with me doing only the shared vision as I knew that one was a bit too far out of the ordinary.

And then we set of for the interior, a 100 or so kilometers north east of the capital, to the town of Adzope which I can only remember because it sounds like a sleep medicine or an antidepressant.
We are lodged in a small country hotel which, to my surprise, claimed to have wifi (pronounced wee-fee in French), but of course not now. Luckily my dangle works well.

Everyone in the hotel is watching either a Brazilian or a Lebanese soap opera; the Lebanese with many tears coming out of very well made up eyes (no smudges) and the Brazilian seems to be about triangle relationships – all dubbed in French.

The waitress in the hotel made no move towards us when we sat down in the restaurant and kept watching the TV. We asked if we could eat there. She shook her head in the affirmative but didn’t get up. I asked if she was one in charge of the restaurant and she nodded yes again, without letting her eyes wander from the TV. I asked what was for dinner and she listed a few things. My colleague asked for a menu; reluctantly she got up and fetched a one page menu. I asked what was actually available: fish and chicken, peas and potatoes. She sat down again.

My colleague had brought two very large and ripe mangoes. We asked the listless restaurant (manager? Waitress? Cook?) to bring us a plate and a knife. Maybe she was relieved that we simply ate our own mango meal and didn’t ask her to do anything that would take her away from the TV. We decided to stick with our mangoes and consider that our meal. I asked her whether we could have mangoes for breakfast (we are in full mango season and they are everywhere) and she said no, we couldn’t have mangoes for breakfast, resuming her watch. The concept of customer service has not arrived here.

Bored

The weekend was boring, except for a brief interlude on Sunday with a colleague from the Johns Hopkins project who rescued me from the hotel and took me to a nice sandwich place in another part of town.

I swam a little in the pool, read a little, and caught some typos in the documents we need for our work for next week. I also sent the wrong document to my colleague and kicked myself a few times for that after she spent much time on her Saturday off fixing what had already been fixed in another version. I caught up on emails and complied with requests from HR to prepare our annual performance reviews.

I now have a little gadget that plugs into my computer and allows me access the internet wherever I am. It has been a godsend and for the first time in two weeks I can count on being connected. But really, how much time cans I sit in front of a computer, connected or not.

Watching TV has not added to my enjoyment as all channels show the same misery. And so I read (about the 1918 Influenza), do jigsaw puzzles on my iPad and read parts of the New York Times I usually don’t have time for; all this interrupted by meals. It’s very much like a long plane ride.

But tomorrow things will pick up and next week will, no doubt, race by as we go from one event to another requiring much coaching and encouraging of my brand-new team here. They will have to sail onwards on their own after I leave next Saturday.

I checked out the conference room we will occupy tomorrow. The gentleman who showed me the room, and helped me re-arrange the furniture, told me when we were done that he wasn’t sure this would actually be the room we would use. Hmmm. When I tried to get back to my hotel room the elevator refused to take me up and I needed a new room key.

In short, the only thing going for the Novotel is its buffet breakfast. I imagine that once business picks up here (I heard today there are plans to renovate this part of town) they either have to bring in a new management team, drop a few stars or wither away. I am not coming back, not even for the breakfast.


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