Archive Page 86

A hundred in between

uncle_charles_104We spent the weekend admiring our grandson in Western Massaachusetts. He is obsessed with the moon and is lucky he can see the moon just about every night. But shiny bright round things are also included in the broad definition of what constitutes moon. he can hardly babble about anything else.

His English vocabulary is expanding fast and I can sometimes understand him, not quite as good as his parents but nearly recognizable. His Dutch vocabulary is following at a slower pace but his mom is helping to reinforce the new words. It is terminally cute when he says with a straight face that a plane overhead is a ‘vliegtuig’ and his cup with milky tea a ‘kopje thee.’

On Sunday we all piled in one car and drove the two and a half hours to Fairhaven on the South Shore to congratulate Axel’s uncle Charles (his mom’s youngest brother) with his birthday. Youngest brother sounds a bit funny for someone who has turned 104. He is the only survivor of that generation.

Faro’s entrance in the parlor of the old peoples’ home where Uncle Charles’ party was held was no less than spectacular and brought down the average age in the room by a few decades. Everyone’s face lit up. And Faro, being the sunny child he is, obliged.

There was live piano music of old tunes people could sing along with, there was cake and coffee and pie. And then there was Uncle Charles with a golden crown that had a piece of paper pasted onto it with the number 104. A local newspaper photographer snapped pictures of four generations and busily wrote down family relationships to understand who was who and get the captions right.

Tessa drove down from Dorchester, a mere 45 minutes away, and joined in the fun, with the extra benefit of having some time with her nephew. When we parted it was dark and rainy. The two and a half hour back was a little much for all of us but especially for young Faro who could only be distracted so much with songs and looking for the moon (too cloudy).

We spent another night in Easthampton and then I drove home to start cleaning my desk to allow for a stress-free recovery, while Axel and Sita had a business call in a nearby town. Axel bused in at the end of the day.

I picked him up at the Boston bus station for a dinner party at a colleague’s house in Cambridge to welcome colleagues from Kinshasa and Pretoria. It made for one very long but very productive day and a wonderful weekend.

Invaders

A fungus infection on my left foot is jeopardizing my ankle operation. The to-be-operated-limb has to be without any blemishes, punctures, infections and what not. The nostrils also have to be free of staph bacteria. Infection control in hospitals is a big deal. Stories about flesh eating and uncontrollable bacteria that roam around hospitals are also real and very scary. Occasionally one makes it into the news and everyone talks about it. I don’t want to hear anything about these things, not in general and especially not now.

My pre-op nostril swab proved positive but not with the resisting kind. An antibiotic cream should have killed the invader by now. The nurse told me that many people walk around with these bacteria in their noses, sometimes for years, until a hospital admittance procedure finds them and roots them out.

Several visits to three different nurse practitioners and finally the doctor himself let to an aggressive campaign to get rid of this fungus that’s been living on the bottom of my left foot for months now. I am taking antifungal pills to combat the affliction from the inside and a cream from the outside. The program seems to be working and I cross my fingers that the remaining 4 days will do the trick so I can show an unblemished left foot to the surgeon on Wednesday.

Plan B, if I get rejected for surgery, is not very appealing – requiring a postponement of surgery to deep into spring because my travel agenda is full until mid-March with trips to Afghanistan, Uganda and Malawi. Postponement will complicate my life big time. Shoo fungus shoo!

Getting ready

The blurry week is over, finishing with my pre-op visit to New England Baptist Hospital, located in an elevated part of Boston we never knew about. The views are magnificent if you are lucky to be on a top floor near a window.

It was the most thorough pre-op examination I have ever had, including nose swabs that detected unwanted bacteria – part of an aggressive infection control campaign I have not seen in other hospitals. “We were the first to do this in Boston and our infection rate has gone way down ever since,” said the nurse proudly. I like that; hospital infections scare me.

Our stay in 167 Water Street B&B was part of a barter arrangement for Axel’s graphic design services. It included a three course meal at David’s and, after a good night sleep, a full breakfast with the other B&B guests, visitors from Vermont.

A glorious long weekend allowed for some yard clean up – putting the asparagus bed to bed, pruning the raspberries and removing the frozen tomato and basic plants. But the kale, pak choi and chard are still going strong.

I finished the upholstery project and my recliner chair is now ready for my post-operative period. I am checking things off my to-do list that require two legs. recliner as new

I also handed in all my course requirements for my coaching certification – awaiting word for my final exam in the next few weeks that will, if passed, earn me the title of certified professional coach. The real coaching work of co-workers will start soon after. It’s been a very demanding and fulfilling journey that I started a little less than a year ago. At the time I was not sure I would be able to manage the 225 hours in training.

Blur

Faro_PAK_oiltruckAfter landing at Logan, and completing my Pakistan trip, I have been busy. First there were Sita, Jim and Faro, surprising us wit heir presence for a night. What better homecoming than that! I got to hang out with Faro for a couple of hours, and distribute gifts: for Faro the Pakistani oil tanker truck and pointy Aladdin slippers and for Sita a block printed table cloth. I tumbled into bed around 9 PM (6 AM Pakistan time) and sunk into a deep and dreamless sleep.

No one but me understood why I got up at 4:30AM and drove to work, to hand in my reports and then meet Axel later in the day to close on a home equity loan that will help us pay for a oil-to-gas conversion that will hopefully pay for itself in the end.

Then off to an MSH event at the Institute for Contemporary Art to take advantage of the nearby American Public Health Association Annual meeting and showcase our organization. Axel and I took advantage of this event and Sita’s job in Boston to celebrate her 33rd birthday that we all missed, including Sita herself, on assignment in Edmonton. Tessa had reserved us a table in a nearby restaurant. Dinner started at 9 PM, another late night. Axel drove me home while I slept in the car and transitioned barely conscious to my bed around midnight. A late night well worth it. I have come to love those family dinners where I can be generous from my unused food allowances from the trip.

Wednesday was another blurry day with required attendances in and out of the office: meetings, phone calls and a mid afternoon pre-op education session at the doctor’s office that was utterly wasteful of my time. The long wait in a depressing waiting room full of morbidly obese men put me back on the road in a bad mood, exactly at the hight of the rush hour. By the time I came home I had logged more than three hours on the road, coming and going.

The plan had been for Axel to drive us both back to Cambridge to celebrate the presence of a former colleague from Japan who was attending the public health meeting. This time our good judgment prevailed – we sent our regrets, put on our Jammie’s and settled down in front of the TV. I drifted away before the movie was over and went to bed at a decent hour.

And now I am in DC for all day meetings which will mean another late night what with my plane landing in Boston at bedtime tonight. Tomorrow more pre-op stuff requiring another trip into Boston at rush hour to make sure I am fit for surgery. Only then, it seems, can I finally land for a restful weekend that includes a stay at our friends’ B&B in Newburyport. Hallelujah!

Retched

I am using my stops in Amsterdam to see a new crop of small children born to my nieces and nephews over the last year. This time the stop was in Amsterdam where a mini reunion was organized for me: one 5 month old, one 22 months old and my brother and his wife, grandparents to two in the meantime. Thanks to Skype and Facetime we were able to loop family from Easthampton and Brussels into the noisy event.

Relying entirely on the strength of my horse pills I participated a little too enthusiastically in the food fest that was based on my recommendations and would have been hard to resist – an odd combination of coffee, homemade cheesecake, raisin bread with old cheese and raw haring. Something I came to regret a bit, many hours later.

I returned home in the weekend traffic, worsened by large hail chunks, winds that shook my little Fiat and raindrops that splashed with such force on my tinny roof and windshield that I could not hear myself think.

And now I am preparing for the homestretch. I have to repack to fit in the gifts of books and Saint Nicholaas candy and the licorice that has to come home. For that I have plenty of time as I am three hours ahead of this time zone and woke up at 5 AM. May be the early wake up was triggered by worrisome GI activity. The horse pills I took the last 2 days were leftovers from Axel’s trip to Nigeria and expired about half a year ago. Will I finally find out how serious you have to take the expiration dates on medicines?

This makes me think how odd it is that at an airport like Amsterdam (or any busy airport for that matter) I have never seen anyone retching over a trash can or simply on the floor. You’d think that the odds are significant that some of these millions of people have consumed contaminated food or water in the last 24 hours and a certain percentage must be in the early stages of pregnancy, and some fall in both categories. I wonder whether ground and airline staff have been trained in how to handle these unpleasant aspects of travel?

Westwards

Having stopped the explosive activity in my GI tract with horse pills, I was able to travel in peace from Karachi to Dubai to Amsterdam where I took my allowable rest stop.

I left Sheraton land for the airport earlier than the bell captain suggested, not wanting to add stress to my exit from Pakistan. I learned soon enough there was another reason to leave speedily: the young chief of one of the more active Al Qaida parties was mowed down by a drone in the northern region of Waziristan. This news was conveyed to me through a whole bank of newspapers neatly displayed in the airport lounge where I wiled away these extra hours before boarding time.

The lounge was the only one that ordinary mortals could join temporarily for small change, rather than requiring high bank or miles account balances. I was a cheap client, drinking only tea and coca cola.

The trip to Dubai was smooth and short, the trip to Amsterdam long and bumpy and the long walk between terminal 3 and 1 in Dubai endless and painful. Both flights had all seats filled, may be not surprising for a weekend flight.

In Amsterdam I arrived before 7 AM and, reluctant to call my hosts on a Sunday morning before 7 AM, I placed myself across from the opaque arrival doors at an airport café and watch family and friends cheer and cry as long or short lost relatives and friends appeared from behind the doors. At that hour of the day all the long haul flights come in from Asia, Africa and Latin America. It is wonderful to watch this reunion business. A large red machine next to the door allows one to print welcome home banners for a price, adding to the festivities.

I arrived in Holland in weather than can be seen or inferred from the Dutch masters, heavy and fast moving clouds, rain and a stiff wind. For the Dutch no reason to stay indoors–the large lake across S’s house was full of windsurfers racing at tremendous speeds across the lake. It is one way of making lemonade out of lemons – at least for a certain subset of the Dutch population.

The power of pan

One evening we ate in the Pakistani restaurant, one of about 4 choices we have to eat in the hotel. The Pakistani restaurant is the most lusciously decorated, not surprisingly. There is an open kitchen, probably not the usual thing for a fancy restaurant but to give foreigners a glimpse of what happens in the kitchen. You can peek at how naan is made for example.

The waiters are dressed with turbans and embroidered jackets. We are whisked to our seats as if we are royalty. We are both small eaters and ordered two dishes which came with twice as many accompanying dishes, including achar (lime and mango steen pickle, raita and plum chutney, plus shrimp chips and nuts).

After dinner we received a bracelet made from jasmine blossoms and rose petals strung on a metal band by the pan man. Pan is an after dinner concoction that you find all over South Asia. It consists of a leave rolled around various spices, supposedly as a digestive. I have eaten pan in Bangladesh and India and Nepal, so why not try the Pakistani variety.

My travel mate removed the mouthful of leaf and spices as soon as we were out of view but I bravely or stupidly chewed and swallowed everything, an act I came to regret. I have good reason to believe that this led to a serious 36 hour (maybe more) GI breakdown. For 24 hours I didn’t eat as my body expelled everything that went in. I had no appetite and lost my energy quickly. Our Pakistani colleague immediately went out and bought me Oral Rehydration Solution which is the only thing I took in, to replenish the lost electrolytes.

Despite my reduced energy, which put me a bit on the sidelines, we completed the workshop. Our participants were happy and appreciative, some because it was the best orientation they could have wanted as a new employee and others because they now have allies around specific topics or understand better some of the technical aspects of the organization’s work.

Our Pakistani colleague left first, returning to Islamabad a few hours after the completion of our work. The two of us remaining checked out the Lebanese restaurant for our last dinner. It is run by a real Lebanese cook. I spoke with him in a mixture of Lebanese and Dari but he understood me. He left 40 years ago when he saw the writing on the wall in his homeland. He appears to have done well, with his larger than life picture on the advertisements for the Sheraton’s cuisine. We must have disappointed him, ordering only 3 mezzeh dishes and not even finishing them. I am still pecking at food like a sparrow. We had the leftovers doggie-backed for my lunch today. If I had been in better shape I would have missed the Lebanese wine.

My Johns Hopkins colleague left in the middle of the night for Baltimore and now I am the only one left, tying up loose ends and reviewing the contents of my mailbox until my long transit begins in about 2 hours.

Daily hotel life

I am travelling with a shopper. That has altered my behavior. I have tagged along and as a result contributed more to the Pakistani economy than if I had travelled alone. I thought I already had everything but according to the salesmen I need Kashmiri jackets, shawls, SWAT valley stoles, leather goods, fur coats and more.

Every day we eat wonderful food, accompanied by a salty lassi. My favorite lunchtime meal has been Peshawar mutton, spicy but not too. Fresh lime soda has become our cocktail of choice, best thing when there is no cold beer or a glass of wine to be had. We debrief and then go to the lobby pit and have our lime soda. For dinner we can choose from various Asian restaurants in a neighboring hotel, or here from Lebanese, Italian, Pakistani cuisines, or an ‘arab mezzeh’ served on a plate made for oysters.

At night, when not working on other jobs that 9-hour-behind-Cambrdige has on its to-do list (they start the day when I try to bring it to closure) I watch a Saudi TV channel which runs the Comedy Channel 24 hours a day. So I get to see Steven Colbert, Tina Fey or Jay Leno interrupted periodically by Saudi advertisements for perfume, life insurance, deodorant and chocolate.

And when I do neither I work on an embroidery project. One of the housekeeping ladies inquired about my embroidery style which is quite simple (cross stitching) compared to what Afghan and Pakistani women produce. I asked her to show me her embroidery, which she did the next day: a tiny pink dress (she is about 4 ft. in length) and a wrap – fine cotton with very fine embroidery, the kind I imagine only a machine can do. But it was hers.

And then of course, because I admired it, she offered the outfit to me. I quickly wrapped it back in its paper and pointed out we weren’t quite the same size. I was relieved that she got that and carried the package back to her home. After that, my project looked like kid’s work.

Work and play

We finished the first part of the workshop with the local reproductive health society named after a famous British RH advocate from the last century. If you pronounce her name fast enough it sounds like marry-stop. This gets confusing to Pakistanis who know some English. The Urdu name of the clinics has been adapted to talk about the good life rather than stopping marriage.

Monday and Tuesday we covered topics related to organizational management and leadership. We discussed things like mission, vision, values, strategies, systems and knowledge management. The organization scored high, which didn’t surprise us, after having met many members of the top leadership team and read its identity material.

Although originally planned more as a demo than as a real self-assessment, the participants became more than a bit engaged in determining where they were, as an organization, in each of 25 different areas we looked at. People discovered that some were more in the know than others, not surprisingly for a fast growing organization that is practically doubling in size, with much of the expansion far away from headquarters.

Although participation dwindled a bit between Monday morning and Tuesday afternoon, the group retained a hard core of people who followed the process through, from beginning to end. They identified a few topics for immediate attention and placed the others on the back burner.

We said goodbye to some who had other priorities or less to do with the topic of the next three days, social and behavior change communication. I was in the lead facilitator role until now and will play a supporting role for the rest of the week. The days seem to go faster and faster and the end of our trip is appearing on the horizon.

After everyone was gone L and I crossed the road to check out the other hotel, one of only three fancy business hotels in Karachi (Sheraton, Marriott and Pearl Continental). The latter (PC) is the one we had originally booked until we found out we’d be sitting an entire week in a windowless room. The Sheraton across the street could do better within the price range. We have indeed a wonderful room, with big windows letting in light and plenty of space to move around and the most attentive and well trained staff to provide anything we want.

The PC hotel is a little stiffer than hours but they had a small private outdoor area where we enjoyed a simple Lebanese meal. Across from us a gay couple displayed their affection rather openly which both surprised us and made us worry for their wellbeing. Being gay in this country is something to keep very private.

Back in the Sheraton we sat down in what looks a bit like a central holding pen – it is the place to watch and be watched. On Saturday night I marveled at the stream of celebrants for this and that wedding, as they made their way through the security checkpoint and metal detectors.

The place is open 24/7. Here we sit to have coffee, check our mail for free when the (paid for) room internet doesn’t work and where we drink our fresh lime and soda and try out a new flavor of the pricey but very yummy Movenpick ice-cream. It is also a place where people come to smoke the shi-sha or cigarettes, both of which fill our lungs with very fragrant and breathtaking second-hand smoke.

If you really want a drink here, that is, a real drink, you have to go to the cigar bar at the top floor – lots of gentlemen disappear there for after they return from their work day. It’s probably the only way to retain the business of businessmen who expect their drink at the cocktail hour. We haven’t ventured out into the place, the cigar part discouraging us.

At one point we naively thought that the green bottles we could see through the glass door of the Mamma Mia Restaurant, and the wine and champagne glasses hanging from a rack above the bar, meant a glass of red wine could be had there. As it turned out, the bottles were empty and the glasses for decoration only. So we sat down at the red and white checkered table and drank dark red pomegranate juice out of wineglasses. We were only a few of a handful of diners – most preferring the sub-continental food in the main restaurant. We gave the waiters something to do and they rewarded us with free ice cream – for which we rewarded them in turn with an outrageous tip.

Sunday outing

On Sunday we visited a lovely old palace which is now used as a museum, bought by the municipality and brought back from the brink of decrepitude, the Mohatta Palace Museum. The special exhibit was ‘Labyrinth of Reflections,’ displaying the art of Rashid Rana in the period from 1992-2012. It was a productive period for him with very significant developments. My favorites were an elegant life size carpet that, on closer scrutiny was made up of thousands of tiny photographs of gore and blood; another, a full wall sized bookcase full of old tomes. At closer scrutiny this too was something else, made up from tiny images of modern day Pakistanis – many of his works portraying the sharp contrasts that make up modern Pakistan.

Afterwards we drove eastwards out of town towards the famous Sunday Bazar. We drove along gridlines with ever fewer houses on them, the city making way for the dessert – the infrastructure in place but few people with the money to buy the expensive land. The people who could may have moved their money to Dubai or other safer havens. A large development project stood sadly by itself, promising a Dubai like skyline but the image a mirage as the work had stopped.

At the Sunday Bazar you can find anything second hand (and some new). There are toys, housewares, shoes, clothing, bedding and stuff that has, I imagine, has fallen off military trucks, especially in Afghanistan. Many of the decorative textiles I recognized from the kind that I bought on Chicken Street for four times the price. So this is where the Afghans get their stuff!

My colleague found an old quilt, probably from the period between the world wars, in pristine condition. We wondered how it had gotten there – probably packed up as part of the closing down of grandma or grandpa’s house, somewhere in the US – stuck between clothes and bedding in a container shipped to Pakistan. We haggled with eager salesmen about Kashmiri shawls and rugs. I gave in too quickly, knowing only Kabul and Dubai prices.

We completed this third and probably last escapade with a return to the mall as we managed to want lunch in the dead period between brunch and high tea. We knew the food court to always be open. We lined up with lots of other cars to enter the parking garage. The place was filled with families. On Sundays the mall organizes family events, characterized by much franticness and loud thumping music.

I noticed that Burger King was the most popular place, even more popular than McDonalds at the other end of the fast food line up. This time we tried out Turkish fast food. We had lahmacun, shish tavuk, chicken kofta and ayran (somewhat like lassi). It was quite tasty. We sat amidst hundreds of families, no one paying us any attention, even though I believe we were the only ones visibly not from around here. I marveled at the freedom, especially of women – it is a bit like Dubai, anything goes: tee shirts, jeans, fully veiled black clad-women, unveiled women in long flowery shalwar kameezes and men in all sorts of outfits. No one blinked an eye – everyone living and letting live. I can now see why Afghan women who lived in Pakistan have a hard time adjusting to the restrictions in their homeland.

Our host saw to it that we left with good impressions of Karachi and Pakistanis. He succeeded so well that we requested a bumper sticker ‘I Love Pakistan.’ Of course then we thought where we’d put it back home. Once I started to think about it, the sticker wasn’t really what I wanted. What we did want was an experience with ordinary Pakistanis. And that’s exactly what we got.


April 2026
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