Posts Tagged 'Holland'



No bite: public versus private health up close

As we were settling down in our seats at gate E5 at Schiphol yesterday, an elderly Indian couple sat down in back of me. As soon as the woman sat down she started coughing, a rough deep cough not like one that comes with a cold. “TB,” flashed through my mind, not that I know what a TB cough sounds like, but my mind had put India and coughing together.

The woman occupying the seat next to her asked to be reseated and indicated her concern about having a serious cougher in a plane that would be circulating air for the next 7 hours. Other people in the neighborhood agreed with nodding heads. A purser was dispatched and he asked the woman how she was feeling. Fine, she indicated, and her husband confirmed. The purser asked her to put her hand in front of her mouth as she coughed. The couple agreed.

But no one sitting around the couple felt comforted by this attempt at containment.  The head flight attendant was called in. She listened patiently to the complaints, walked up to the couple and said in the sweetest voice, “I hear you are not feeling well.” This was of course instantly denied.

A woman next to me, who was studying Stata, a statistical software package used among others by epidemiologists told me the woman should be taken off the plane as she was a public health risk. And just as she was saying this I was reading the chapter about American public health systems losing their bite sometime in the second half of the 1900s in Laurie Garrett’s book ‘Betrayal of Trust.’

In the end the Indian woman was given a painter’s mask and told to keep it on during the entire trip (she didn’t really) and the crisis was, at least for the duration of the trip, averted. I saw the ‘no bite’ approach of public health in America, demonstrated right before my eyes, along with the terrible dilemma of public versus personal health.

Up north again

Although I slept about half the flight time from Johannesburg to Amsterdam, that still left about five hours of not sleeping in a completely full plane. Knowing that I was not continuing to Boston, another 7 plus hours, helped to see me through the waking hours. I don’t do this enough, this breaking of the trip in Amsterdam – something I am entitled to as per our travel policy. On my way out, breaking the trip in Europe means leaving home a day earlier, and so I don’t. But now the break was very welcome.

I stayed at my adopted Dutch home, near the airport which has a lot to look forward to: a friendship that dates back to the 60s, a long walk with one or two dogs, unlimited great coffee from a machine that never tires of making good coffee, freshly laid eggs and always a good glass wine.

We went to the shopping street of my childhood, a melancholy experience filled with memories of riding there on my bike, or going shopping for the Saturday meal with my father. He would go to the ‘traiteur’ and stocked up on French cheeses and French bread, good wines. He would not think about buying staples, that was my mom’s job. Our French Saturday meals were more memorable than all the other weekly ones my working mom or the help prepared. He would also take us on Sundays to museums around Holland, also memorable, while my mother rested from doing three jobs at once. Life’s not fair for working moms.

I stocked up on Dutch goodies (cheese and licorice) and helped S. pick out a baby shower gift for Sita and Jim in a wonderful toy store that reminded me of Newburyport’s Dragon’s Nest, a place where Tessa lost her ‘lapje,’ a tiny dirty and smelly strip of a crib sheet that served as her safety blankie. The drama ended with picking the piece of cloth out of the garbage can of the toy store a few tense hours later.

After our shopping we went to see S’s 94 year old mom who still lives by herself in the house I remember from the 60s, entirely unchanged. We sat in the kitchen with its (old Dutch) tiled kitchen table and the antlers from various members of the deer family hanging on the old wood paneling. We drank tea and ate thin slivers of New York cheese cake while talking about ‘koetjes and kalfjes’ (cows and calves). I would like to be as sharp when I am 94. Nearly a decade ago we had hosted her and her late husband at Lobster Cove and ate, of course, lobster, an experience she remembered fondly. She asked about Axel’s lobster traps, and she asked about the girls who she first met when they were the same age I was when I first met her all these years ago.

The rest of my time was a blur as my tiredness was setting in. I remember the meal, the first glass of wonderful wine, but hardly the second. I woke up in the middle of the night, wondering where I was, where the doors I was seeing led to, entirely disoriented. Maybe that is not so surprisingly after sleeping in so many different rooms for the last 6 weeks.

And now I am home again, and re-acquaint with my hubby, sitting by the fire because it is still winter in the northern hemisphere, even though high temperatures, in the US and in Holland, fooled everyone, including the flowering trees.

Tubes and bands

On my way from Kenya I made a brief stop in Amsterdam. My friend A got up at some ungodly hour to pick me up underneath the large Panasonic screen outside Schiphol’s arrival hall.

Sitting in her living room with its enormous ceiling to (nearly) floor windows, looking out on the Amstel River, we caught up on at least a year of developments.

On the final leg home I finished reading Margaret Heffernan’s latest book Willful Blindness, a book that left me with some belated New Year’s resolutions. To me its message was about speaking out when not speaking out looks like the best strategy to preserve some illusion or another.

Boston was sunny and warm when I landed. But as soon as I arrived home temperatures plummeted and winds howled around the cove and the house. After an early dinner made up of leftovers that I recognized from before I left on my trip, we watched the Bridesmaids, a chick flick that I had seen on the plane to Tokyo and didn’t mind seeing again. I managed to stay awake just until the end of the movie.

A walk on the beach with Tessa and her dogs told me, once again, that I shouldn’t be walking on uneven surfaces. I know that but I don’t want to know it because walking is about the only exercise I can do right now, what with the persistent right shoulder and left ankle problems. The icepacks are used a lot in our house these days and everywhere dangle yellow and red rubber bands and tubes from the physical therapist.

Squeezes and delights

We left Borne after a tumultuous breakfast, it was another birthday in the Vriesendorp/Borne household, with all the kids and a few hangers-on and us. We barely squeezed around the table, sang happy birthday (again) and feasted on all the delights of a Dutch breakfast.

We drove to Hengelo to visit our friends from long ago whose son will have an Indian wedding in July. He is marrying into a wealthy Indian family and the wedding place will take placce in a fancy resort in Kerala. We will be invited, and, we were told, there will be an elephant, a request from the groom’s father. We don’t quite understand how the elephant will not upset the neatly manicured gazons of the resort but I am told it is a (very) resourceful family.

We squeezed in one more visit to our niece’s new yuppie flat in Amsterdam. It had large windows on two parallel streets and a roof terrace. Sita and Tessa now have 3 nieces and one nephew in Amsterdam (seems to me to scream out for a visit in this direction).

We finally reached our destination, Aalsmeer, for our last night in Holland. We feasted once more on treasured things such as a walk in the dark (with the dog), the company of good friends and a great meal accompanied by good wine. And we are still not done with our vacation!

We are off in a few hours for the long ride to Delhi and hope that this time our arrival will be less hassled. Someone will be waiting for us, we are told, with a sign and take care of things. We paid a lot of money for that. Unfortunately it got lost in transition and, although no longer in my account, seems not to have arrived in the travel agency’s account. Hopefully we can sort this out before we board the plane. After that we plan to sit back and relax.

Celebrations

There was much reminiscing, as some 80 people celebrated my brother’s 60th birthday – some roasts, some toasts, a simple meal in a converted barn somewhere deep in a rural part of eastern Holland. There were siblings we see frequently, those we do not, old classmates, husbands of study friends, cousins and relatives by marriage.

When you live in Afghanistan it is difficult to pick up the thread of where we left of 40, 30, 20 or 10 years ago. I can see people think (and sometimes they even say it), ‘why would a sane person move voluntarily to Afghanistan?’ Others ask, ‘Do you like it there?’ All of the questions are hard to answer, including the one, ‘How much longer?’

Many of the people present at the birthday lunch are either already retired or getting close to being retired. And here we were, not knowing quite what will happen after September 30, 2011. Will there be a job? And if, so, where? Sometimes I was plain jealous of people who know what’s ahead.

We spent a delightful after-party time, first in the barn after the clean up, sitting around a big wood stove, and then later at home, sitting around the big kitchen table, eating snack bar food, blending in with the hustle and bustle of a house full of kids, my nieces and nephews and their significant others, chewing over the day, how wonderful it was and how regretful we didn’t get to talk at length with everyone.

Our time in Holland is nearing its end. Tomorrow we will first celebrate another birthday in this household, then squeeze everything we acquired into our new neon-green suitcase and head out west, in the direction of our next destination, Aalsmeer, then Schiphol and then Delhi.

Through wind and sleet

Axel is discovering the picturesque small towns that can be found all over Holland. There is a certain formula to them that is pleasing and timeless and totally right. Today we went to Oldenzaal, just a few kilometers from the German border. We stopped at the tourist office to get a map of walks and the places to have coffee and apple pie before, during or after the walks.

But when we emerged from the tourist office, ready for a walk it was sleeting and we gave up the idea. Axel parked himself in a coffee shop named after either the goat or the goat herder in Ethiopia who discovered coffee. The shop owner was surprised we knew the story behind the name Kaldi. He was even more surprised that Kaldi coffee houses exist in Ethiopia, clearly not aware that such names need to be copywrighted. I suspect Kaldi/Oldenzaal came after Kaldi/Addis Abeba.

While Axel was enjoying the aromas and taste of the Kaldi coffee I spent hours in a nearby store that caters to knitters, quilters, embroiderers and such. I was in seventh heaven and heaped all sorts of stuff I wanted to buy on an empty counter, joined Axel for a coffee and then took him back to help me choose and keep costs somewhat down.

We had a lovely lunch of pea soup and salmon/shrimp, escaping from the nasty weather, and visited one of the musea in town, an old house, well preserved and donated by the last living relative to the historical society of the town. We glimpsed into 17th century Holland, its treasures of beautiful handicrafts alongside machines of brutal torture (and justice).

Back home we had some quiet time, talked with Tessa before the nieces and nephews and friends descended on us. They served us herring and eel while they cooked a great dinner, then washed up, and let me get on with my (new) knitting. Others took care of the final touches to the 60th birthday lunch tomorrow. There is the kind of excitement that comes with the night before Christmas. All is well and quiet now, even the weather calmed down a bit.

Kabul in our cells

We drove into Germany, to Essen’s Folkwang Museum to see an exhibit about Paris reinventing itself in the late 1800s as seen through the eyes of impressionists and early photographers. It is then I realized that we have Kabul in deep in our cells.

There was so much that reminded me of Kabul, a city in transition, trying to modernize itself, just like Paris of the 1880s. That city that was a construction site for decades; Kabul has been for a decade now and more to come. There are wide avenues now that used to be potholed streets, sidewalks where none existed, trees and rose bushes where there used to be mud and garbage.

The Paris of 1860 went through a similar transformation. There were the photos of demolition works, the new sidewalks and sewers installed that allowed people to stroll in the rain, the planted trees but also the traffic chaos in Pisarros’s streetscenes, carts and other traffic going in every direction from every side of the street, not unlike Kabul now.

There were scenes of women, covered from head to toe, with glimpses of lace-edged pantaloons that are no different from those worn by Afghan women today. A picture of the 1878 World Fair showed a pavilion with dark skinned turbaned men – Arabs, Turks or Persians, exotic and mysterious men from our part of the world.

Renoir’s famous Bal au Moulin de la Galette reminded me of Shindagha at midnight, along Dubai’s Creek, where families hang out (no dancing, no hugging in public and no alcohol) but otherwise a similar atmosphere of joyful social gathering.

I took in the Impressionist street scenes in Paris of fruit and vegetable sellers, not that different from Kabul, except that the sellers are male rather than female, but everything is just as colorful. I looked for a long time at Signac’s painting of modernity: smoke stacks bellowing God-knows-what into the atmosphere, polluting the city air – that too is very familiar to us.

And when we got to the section about the Paris Commune the parallels between the old Paris and the world we live in became even more pronounced. We saw pictures of a burned out City Hall – it could have been Darulaman palace; the barricades with the sandbags, the artillery, the cardboard coffins with the dead. In the midst of Paris’ transition, all was not well and something was brewing and about to boil over.

Throughout this extraordinary exhibit we could see the tensions between those who wanted Paris to grow up and become a sleek modern city (Baron de Haussman) and those who wanted things to stay the way they were or even pull France back into something long gone. It is a familiar tension that we see and feel everyday in Kabul.

The audio tour provided some context and snippets of writings that illustrated how the birth of the new Paris was not an easy one: the artists who scorned Engineer Eiffel with his silly tower, the upsets about the tearing down of tenements lining narrow alleyways where fresh air never entered, in the name of public health (where did all these people go we wondered?). The new spaces allowed breathing room for new and old architectural treasures and the majestic avenues lined with stately mansard-roofed apartment buildings. That is old Paris for us now, but once it was newfangled and modern.

Today, on our first (non travel) day of vacation we did not manage to shake Kabul out of our system. Maybe tomorrow? Maybe never?

Better than plan

On our first day in Holland we drank too much coffee, bought licorice, and then got lost trying to get into Amsterdam for our breakfast date. This was undoubtedly a Hertz revenge plot because we had declined to rent the expensive GPS along with the car. We could buy the darn thing for the same amount of money we reasoned until we got lost.

Eventually we were guided by cell phone to our Amsterdam breakfast destination and filled ourselves up with eggs, Dutch bread and a variety of pork products.

We dropped our host off at a workshop in Huizen and then headed further East to help Axel discover Holland off the beaten path. We drove to the lovely but very cold town on the Ijssel river (Deventer) which is famous for its ‘koek’ (a sort of spiced dense cake) then drove to my country doctor brother Willem’s house near the German border, with a bag full of koek.

The cold in Holland is very different from the cold in Kabul – more biting, more unpleasant, even though the khak and teel (dirt and diesel) smells are missing. The weather, other than being cold, was sunny and clear and the fields and streams still showed signs of the harsh winter weather that covered Western Europe during the Christmas holiday.

Before dinner Willem took us to a local shopping mall that would compete favorably with American shopping malls. We brought electric blankets for our Afghan bed, lots of DVDs and the GPS unit that we had needed so badly earlier today. If t does as the package promised, we won’t ever have to rent a GPS.

We bought paper napkins at IKEA for which we had to walk the entire length of the IKEA seduction trail. This had Axel breaking out into a sweat and salivating alternatively.

For our pre-dinner aperitif we were treated to haring and beer – two extraordinary treats for us, while for dinner we had pheasant – one of those gifts that country doctors get during the holiday season.

That was as much as we could handle on this very, very long day that started eons ago in Delhi infamous Transit Space. Having arrived on time and as planned (with our luggage in tact) and having completed our first day program I am left with this wonderful light vacation feeling now, mixed in with the sleepiness that comes from traveling on a night flight across several time zones. It is nice to be at one of my multiple homes.

Boar

We are shivering again. For a brief moment there was sun and the fantasy of sitting outside; now we are back inside. Aside from experiencing a winter weather pattern we are also following the ash cloud that is back over Europe and has already closed one airport in Southern Germany.

Sita called because it was mother’s day. She had made it back just in time from Spain before the airspace was closed. Axel is hoping that the ash cloud reaches Frankfurt as he is not yet ready to go back. Our stress levels are back in the normal range. You don’t know this until it subsides. But then Axel read one of the ANSO reports that tell us in automatic emails about bad things happening in Afghanistan. II could feel my stress level shoot up immediately again. I didn’t want to hear anything from ANSO; it is never really good news.

We slept late, had another breakfast with too many difficult choices about what to eat and then walked through the university campus to a ‘lust and pleasure park.’ It was designed for some lordship about 300 years ago following a design from a famous Versailles garden architect. The lanes form a star pattern with each quadrant containing more lanes in geometrical patterns. The place has been fixed up after decades of neglect. Now, in the center, where all the lanes come together, a surprise awaits the wanderer: a shiny black cube provides four gleaming surfaces that reflect the trees. Inside the cube is shaped like a grotto where you can order a macchiato.

For lunch we drove to Charles who knows everything about micro credit in developing countries. Last time we met was in the KLM plane to Accra (and back again), some years ago. We finally made it to his lovely house near Breda, with both an inside and outside to die for. He sent us back to Tilburg with a couple of pounds of wild boar that he shot himself. Along the way we bought 4 kilos of freshly picked white asparagus, some to eat today and some to take back to Kabul, if the ash cloud will let us go. And if this was not enough he added some bottles of a local brew with high alcohol content.

We ate the wild boar; we ate the asparagus; and once more we are full. As it is our last evening in Western Europe (we think), we are taking advantage of the fast internet connection to download movies and take care of other business that is tedious with our slow internet connection in Kabul.

Watery

We left the island before anyone in our hotel was up. With only a handful of people who boarded the ferry at 7 AM on a Saturday, we had the huge boat mostly to ourselves. We settled down in the stern , watching the islands fade into the mist behind a curtain of rain as we ate our breakfast.

I was surprised to see sailboats at the early hour of 7 AM on a cold and rainy day until I was told that they sail until the tide has gone out and the boat gets stuck on a sandbank where it stays until the tide comes in again.

After one and a half hour on the water we picked up our car and drove through the polders that used to be the Zuiderzee until the water was pumped out and land remained. This turned some islands into dry lands; their populations emigrated en masse to try their (fishing) luck in Canada or elsewhere in the New World, as farming wasn’t quite their thing.

We arrived early in another watery part of Holland and waited in a small cafe until it was time to board the boat that took two extended families for a long ride across lakes and through small channels. It was the pre-wedding celebration of my nephew and his Scottish bride to accommodate the many aunts and uncles and their children/grandchildren, a group that would have overwhelmed the small family of the bride when the actual wedding takes place 2 weeks from now. It was a wonderful, noisy and joyous affair that made up for the dismal weather.

Word has come from Kabul that the two Afghans who were supposed to present at a conference in Washington in 10 days will probably not get their visas (in time or at all). The fact that my boss manages 88 million dollars that come from the US doesn’t seem to sway the Department of Homeland Security to give him a visa to visit our country. The upshot of this is that I might be travelling to the US next week for a very quick round trip, less than 4 days, to present in their stead. But for now I am trying to remain in vacation mode and not think about the implications of this.


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