Thursday, February 26
Kranshoek
Beulah is a small, serious-looking woman who is extremely dedicated to her patients, some of whom she's been working with since she began the job a year ago. She makes her rounds daily, Monday through Friday, calling on twenty PlettAid's patients once a week to once a day, depending on the severity of their illness. The services she provides are no so much medical as they are supportive; she checks blood pressure and blood sugar levels, but more I think her dependable presence encourages patients to take their medicine and keep their appointments at the clinic. Her patients' diseases include hypertension, diabetes, paralysis, HIV, tuberculosis (including MDR- multi-drug resistant) and stroke victims.
Most of the patients don't speak English; about 90% of the town uses Afrikaans. I still can't comprehend how there are eleven national languages; most people speak many, but how do you know what to use when you approach a stranger? Conveniently for us, all of the major signs are in English. We don't communicate directly with many of the patients we see, but Beulah does a great job of explaining a patient's medical and personal history as we go.
We've already seen some patients many times. Cornelia is eighty-nine years old, and in very good health, save for an enormous boil on her head. It's been there for three years, and doctors can't fix it, so she needs treatment to prevent infection. We see her quite often, and she's always full of quiet smiles. This morning we washed her hair with special shampoo and clipped hair away from the area.
Sharon is so far the most gripping patient. She's an HIV and MDR TB patient, and she had been in the hospital in a city for four months recieving care. Since she's returned to Kranshoek, however, she's simply refused to take her medication. It's been two weeks, and she's missed her appointments at the clinic and avoided Beulah's visits. When we first met her, I didn't realize how sick she was; she was wearing a down jacket and a fleece blanket covered most of her body. Then I saw her legs -- the quintessential image of severe illness, no thicker than my wrist. I might have guessed she was fifteen; she's twenty-nine. Beulah berated her when she discovered the packets of unopened tablets. It's so frustrating because the medication is free for Sharon - she literally had someone coming to her door to remind her. She stopped taking it because the symptoms of TB had disappeared, but since it's MDR, it's residual and highly-contagious and dangerous; the HIV medicine made her vomit. Now she sits nearly immobile, weak and tired, and her lungs hurt to breathe. When she sneezes, thick blood comes out. Still she neglects her tablets, she sullenly deflects Beulah's questions, not meeting her eyes. She lives with her mother, who was cooperative with Beulah but didn't seem to understand the severity of the situation, laughingly calling Sharon stubborn.
We shadow Beulah all morning, for three weeks. Afternoons alternate between TBB seminars discussing public health and volunteering. In Kranshoek, we're working at the local school to sand and re-varnish old one-room classroom buildings. I'm enjoying getting to know the patients and we'll see how the next two weeks go.
Saturday, February 21
Plettenberg Bay, South Africa
We're staying in Plettenberg Bay, a coastal town on the southern shore of the Indian Ocean (!) It was chosen because of it's safety relative to larger cities, and it's this bizarre mixture of different racial and socio-economic groups. Initially, it comes across as a hugely tourist town, attracting affluent visitors during it's summer months (December and January) and Main Street is full of expensive beachy boutiques. But there's also a predominantly black section of town with wholesale discount stores.
We're staying in a hostel - taking it over, really. The boys and the girls each have their own dorm room, and it's already quite crowded for nine girls to share a single toilet and shower. But there's really nice communal space, with couches, a pool table, and a beautiful balcony that overlooks the ocean, where we eat our meals. It will be a welcome change to trade our savory rice breakfasts for yogurt and muesli and fruit! Best of all, we have access to the small kitchen, and the supermarket in town is well-stocked, so we can cook just about anything we've been craving.
Our curriculum focus here in South Africa will be public health. We'll be working with an NGO called PlettAid, a home-based care service for 250 impoverished patients in the townships surrounding Plettenberg Bay. 40% of the patients (as opposed to 27% in the region) are HIV-positive; many have tuberculosis, disabilities, terminal illnesses. In groups of two, we'll be shadowing a care worker on her daily routine for three weeks. PlettAid has asked us to help by giving an evaluation of their organization's services to the patients we meet. Work will start on Monday; I'm partners with Zach.
So far we've spent our days meeting with PlettAid and visiting various townships. They're not at all what I expected, somehow rather than the quintessential images of poverty I pictured, they seem more spread out, and in between different towns lie beautiful green pastures. Also, it finally occured me why the town scene is particularly striking: not a single building exceeds one story, and telephone wires tower high above. It gives the appearance of being vastly flat and expansive.
It's nice to be so close to the beach -- a ten or fifteen minute walk. It's undoubtedly a gorgeous spot, but there's a lot more to be seen. I suspect our perception of Plett will change a lot as we begin to work with the carers.
Tuesday, February 10
Ban Huay Hee
Each of us lived with a family; mine lived on the outskirts of the village, on a peninsula of land that jutted out into a beautiful expansive valley. It's a little hard to describe the setting; half the time I felt as though I could have been in New England during autumn, half the time it seemed like Arizona's dry red dust landscape. But out house was in the middle of it all, overlooking endless mountainside, and it was spectacular at sunset, not to mention the stars at night.
My host-mother, Jipo, was the teacher at the local school, which goes only as far as elementary level. Beyond that, children have to travel into town, Mae Hong Son, which is about two hours by motorcycle. There were fifteen kids at school, in two classes, and she taught the younger group, about 3-5 years old. Most mornings I would follow my host-mother and her 4-year old daughter, Meji, into school, where I learned the Thai script from bossy but well-intentioned five-year-olds, and perfected my crayon abilities.
my host sister, Meji
As a TBB group, we met in the afternoon for Thai language classes. I have to admit that after a couple of days this seemed unnecessary, given that the locals in Ban Huay Hee spoke their own, unrelated language: Pakanyoh, the language that had followed the Karen people from Burma. The first word to learn is the multi-purpose da-bluu, which is appropriate for hello, thank you, and good-bye -- pretty much the fundamentals in a home-stay situation!
Our curriculum focus was sustainable agriculture. Ban Huay Hee was certainly an agrarian community; nearly all the food consumed there is produced on their own land (picture overgrowth on a mountainside, agroforestry, rather than the quintessential southeast Asian rice paddy fields I was imagining). However, January is the dry season, and there's not much labor to be done. The seasonal farming was in the burning stage, when trees are hacked down and left to dry before being burned to restore nutrients to the ground.
Admirably, the community didn't adopt the industrial farming techniques that were popularized in the Green Revolution, but later proved to be environmentally damaging. They use the same methods they've been practicing for hundreds of years, and by any measure, they're self-sustaining. Seeing what it takes to be sustainable on this level, however, raises questions about how feasible it is to apply sustainable agriculture on a large, world-wide scale. This community devotes so much of its daily life to cultivation and food preparation, not to mention the land needed -- it's hard to imagine being able to feed 6 million people this way.
Food in Ban Huay Hee was, if anything, predictable. It was pretty much a sure bet that any meal, breakfast, lunch, or dinner, would be based on a large bowl of rice. In addition, there would be two or three side dishes that everyone shared, generally vegetables or egg, sometimes with small bits of meat. I was lucky that my host-family ate with me, rather than feed me alone, as other families did. The four of us ate together on the floor, and as I learned early on, you don't help yourself to more than a bite of the communal dishes at a time.
Other highlights of living in Ban Huay Hee -- a day hike to Doi Pui, the highest mountain in the area, where, at the summit, we encountered thirty or forty soldiers of the Thai army, who were in town as security for the queen's tour of duty through Mae Hong Son. They were by far the friendliest bunch of militia I've ever seen; they cheerfully insisted that we all take a group photo. The irony was that with one arm cradling their giant guns, they flashed peace signs at the camera with their other hand.
In the middle of our stay, we had a weekend trip to Mae Hong Son for independent student travel. Zach and I went camping on a nearby river bank, complete with a campfire and a chorus of tree frogs, all night long.
Back in the village, we continued to study agriculture, and went on short trips to the fields to see the various stages in the cycle of burning fields, leaving them fallow, and re-cultivating them. We had a go at chopping trees, the head of the village showed us how to blacksmith machettes, and we worked on media projects.
The farewell celebration was a nice night of singing, thank-you's, and presentations of our media.
with Jipo & Meji
Saturday, January 17
Upland Holistic Development Project
Saturday, January 10
Sun & Surf in Thailand
According to the 2005 version of Lonely Planet, Koh Tao is a gem precisely because locals don’t spend their time catering to tourists, and even electricity hasn’t reached the island. It’s amazing how much a place can change in just four years: now, I’d say 95% of the island’s economy is tourism-based, the place is covered in resorts, restaurants, and adventure sports outfitters. And as for the electricity – it’s everywhere.
The scuba course was four days long, and began with a number of boring instructional videos. The first two days we also did foolish bubble-blowing activities in shallow water. So when it came to day three, I was numbed into expecting very little from diving, and it came as a pleasant surprise when all of a sudden I found myself at the bottom of a beautiful coral reef, freed from gravity’s constraint, and able to navigate a National Geographic setting myself. We made it on four dives, each about forty minutes, to a maximum of fifteen meters. What I never realized about diving is that you have to pretty consciously control your buoyancy – each inhalation and exhalation changes the volume of your lungs, and sends you up or down. After a couple of minutes with the bizarre sensation, you get used to it and buoyancy maneuvering becomes second-nature. It truly was the coolest experience – we got up-close and personal with the most bizarre neon fish, did back-flips on the sandy bottom, and had an underwater dance party. We saw stingrays and barracudas, not to mention sea cucumbers galore.
In transit we spent a night on a larger island, Koh Samui, where I had a pretty striking experience walking back to our hotel through the red light district (safely, with Sandy). Tiny little open-air bars lined the main street, competing music blaring from the speakers, and prostitutes blatantly promoting their bars. Thailand had a large stake in the sex-tourism industry, and though it’s illegal, it’s also largely overlooked. I looked up the issue online, and learned that in Koh Samui, a small little beach town, there are more than 10,000 prostitutes. Having just read a book on modern-day slavery (A Crime So Monstrous, by Benjamin Skinner) the walk through the bar neighborhood was particularly unsettling. I have no idea what proportion of those girls were coerced into their positions, but I also sense that women with economic options choose to go into the business. So far we’ve also seen a couple of lady-men, whose presence is proportionally high in Thailand because it’s culturally acceptable for men to transform themselves into women.
We’ve been pretty cloistered away on a touristy island, so it makes sense that I haven’t seen any indication of the recent political unrest. I wonder how much evidence of it we’ll see later on in the trip, when we go north to study sustainable agriculture in rural homestays.
Thursday, January 1
Final Weeks in Vietnam
After celebrating Christmas with the group in Quy Nhon, I visited Nha Trang on independent student travel with Emily and Renee. We spent a couple of nights in the backpacker’s beach town, in a little hostel just five minutes’ walk from the ocean. Of course, it’d been sunny all month while we were stuck in sweaty Ho Chi Minh City, but once we reached the shore, it clouded over and drizzled. We got a couple of hours of sun in, lying on the beach, enough to redden a bit. Other than that, we enjoyed the little town: we had an amazing Indian meal, homemade ice cream, browsed the book exchange shops, played badminton. It was a fun challenge to make our own hostel reservations, secure bus tickets back to Ho Chi Minh, and be in charge of all our own meals.
We celebrated the New Year at a fancy hotel party where there was a buffet, live music and performance, and a balloon cascade at midnight. New Year’s isn’t a very important holiday in Vietnam, but in Ho Chi Minh City it’s celebrated in certain neighborhoods. The entire hotel district was decked out in more lighting than during Christmas, and one street was even named “Times Square”.
Not long afterwards, we were having our last Vietnamese iced coffees and on our way to the airport to head for Thailand ...
Thursday, December 25
Christmas in 'Nam!
It's been warm and sunny all month, but of course it rained Christmas eve and Christmas day. We had a relaxing day to ourselves on Christmas eve, but had a nice group dinner followed by a round of Christmas carols on the walk home. We made a time in our schedule to honor other faiths, too, on Christmas eve; we broke out Becca's supply of gelt, lit the menorah, and learned how to play dreidel.
Then it was time for the Christmas eve night service at a local church. For years, my parents have literally had to drag me to church, but this time, I decided to go on my own accord. Lily, Renee and I went, and it was quite the experience. From two blocks away, you could see something festive going on (Lily even pointed it out, saying "you guys, I think there's a carnival"). But it wasn't a carnival, it was the church, which had been decorated to the point where it looked as if it should be in Las Vegas. Lights were everywhere, strung from the steeple to surrounding third story windows. Illuminated doves flapped their wings, and massive Jesus figures decorated the outside of the chapel. At the center of it all was a giant Nativity scene, with plastic Mary, Jesus, and Joseph, where people crowded around to pose for photos. All around the church, women hawked balloons and Santa costumes and glow-sticks.
Back at the guesthouse, much of the group gathered around a laptop to watch a Muppet's Christmas carol. At midnight, we broke out milk and cookies for Santa. Those of us who missed the northeast weather made it snow with styofoam packing peanuts from the ceiling fan.
When we woke up the next morning, Christmas, it was still gray and dreary, but we cheerfully piled onto the bus for a short ride to a beach resort where we spent the day. It was a fancy hotel, nestled in a rocky cove right on the ocean. It was festively decorated, but not too tacky, and given the drizzling weather, felt quite cozy inside. We were treated to the most amazing brunch buffet ever -- having had nothing but noodle soup for breakfasts lately, the fresh croissants, waffles, omelet station, etc were absolute heaven. Once we'd gourged ourselves, we exchanged final secret santa gifts; Lily gave me the spiffiest suspenders ever. We lazed around the rest of the day, playing volleyball, pool, and Boggle. We had an amazing meal for dinner, then made our way back home.
It was the most unusual Christmas I've had, but quite nice considering we're all away from home. Merry Christmas, I hope you've all had lovely holidays, and Happy New Year!
Quy Nhon
We took a day trip to visit the My Lai massacre site, a museum commemorating the brutal attack on the Son My village by the US army in '68 in which 504 innocent villagers were murdered. The village itself is no longer much to see, since the US bombed it a year after the fact to hide evidence. The massacre was awful -- in itself it was a catalyst for the anti-war sentiment and protests back home -- but some powerful stories came out of it: one US pilot threatened to shoot his own men in order to save a dozen local people; one soldier shot himself in the foot to avoid carrying out orders.
Another difficult trip was a visit to a local organization that works with children disabled by remnants of Agent Orange. 40 years after the war, there are 4 million people still affected by the chemical that the US sprayed to thin forests and seek out Vietcong troops. These children were severely physically and mentally retarded, with cleft lips and contorted limbs. Their parents were unimagineably patient in caring for them. Sadly, most of those affected by Agent Orange are already impoverished but must face the additional burden of serious incapacitation. This organization has tried to petition the US government to support medical bills, as they do for US veterans ailing from Agent Orange, but to no avail.
We also visited what was essentially a local projects: within the past two years, the government exercised eminent domain and forcibly relocated all the poor residents living on the oceanside (I assume to make way for more profitable hotel industries). The residents we visited seemed fairly content with their new homes, since the government provides them free, temporarily, but since they were fishermen, they’re finding it more difficult to access the ocean.
Quy Nhon is a nice change of pace from Ho Chi Minh City. Outside our guesthouse, if you turn left, you're in the heart of the town, with bustling shops and streetside restaurants and a produce market. If you take a right instead, you're just a block from the ocean, which is quiet and full of fishermen. I'm not sure what the swimming would be like, but it's a great place to run or simply sit on the shore.
Wednesday, December 17
Remnants of the Vietnam War
Saturday, December 13
Environmental Issues in Vietnam: Waste Management
Thursday, December 4
Ho Chi Minh City
Ho Chi Minh is an unbelievably busy city; no matter what time of day, you've got to dodge thousands of motorcycles to cross a street -- and even if it's marked as one way, don't expect it to work that way. Christmast is already everywhere, even in early December; all the shops are heavily adorned with gaudy decorations, and horrible techno versions of Christmas songs blare out of every door. But it's great; I'm glad we'll be spending the holiday somewhere withs lots of Christmas cheer, even if somewhat peculiar.
We're living in a dorm-style guesthouse; the girls in two large rooms, and the boys in doubles. We're working closely with CET, a study abroad program, and their office is fairly near the guesthouse. We've spent the last couple of days at the office, having lectures on Vietnam's history and economy, taking crash courses in Vietnamese (which, believe it or not, seems more difficult than Chinese), and having TBB seminars.
Tomorrow we'll start our work with our local NGO, Enda, Environmental Development Action. Our focus is waste management, and we'll know more about it once we start.
The best part of Ho Chi Minh so far? The iced coffee -- a local favorite, served usually with thick condensed milk. Easily found not only in cafes and restaurants, but also on stools on the sidewalk, it is more abundant even than Starbucks and Dunkin Donuts, a blessing after its scarcity in China.
Monday, December 1
Killing Fields & Genocide Museum
Thursday, November 27
Happy Thanksgiving from Siem Reap
Angkor Wat
Monday, November 24
Arrival in Cambodia
Night on the town
Shaxi Farewell
Afterwards, I unexpectedly spent the whole evening with my host family. Other nights, since we spoke no common language, my parents (both maybe late forties, and quite worn) had left me to go to bed by 6:30. On our last night, though, they pulled me into the communal family living space, where we watched TV and exchanged photos. They also called their nineteen year old daughter, who's away for high school, since the village has no higher ed, to speak to me in English. She conveyed that her parents were unsure of how to communicate with me, but urged me to return to Shaxi.
Wednesday, November 19
Shaxi
Monday, November 17
leaving Kunming
the group at a Buddhist temple
Thursday, November 13
A Weekend of Coersion ...
Back in Kunming later that afternoon, the four of us were walking through Greenlake Park, one of the city's central locations, and a bustling place on a beautiful autumn afternoon. As we passed by a group huddled around a street performer, the woman singing in the center spotted us foreigners, pushed through the crowd, and literally dragged us in. She thrust a microphone in our hands, began playing a traditional Chinese instrument called an erhu, and insisted that we sing every English-language song she knew, from Jingle Bells to Eidelweiss. Unfortunately, none of the TBB singers were in the group. The four of us combined had severely limited musical skills, and despite our protesting, we were coerced into singing song after song for the crowd.
On Sunday, my mother woke me up bright and early, and led me out of the house. I wasn't sure where we were headed, but we picked up Zach and his host-mother on the way, and proceeded to go to the local ballroom dancing club. No, really. Some people go to church on Sunday mornings, apparently my family here goes ballroom dancing. This center was reminiscent of a seventies roller-rink, a giant floor with dark lighting, flashing disco balls, and loud music -- waltz, pop, and techno. I was paired with a fifty-year-old Chinese man with quite the mustache, who was not quite tall enough to spin me, but proceeded to drag me round and round for a number of hours. I should mention that my dancing skills are about on par with my singing ability. Nonetheless, our mothers got great amusement of watching us struggle, and the experience was pretty comical. Unfortunately, since I had no idea what was in store for us that day, I didn't have my camera. But use your wildest imagination -- and that's probably the reality of our experience.
Afterwards, we went to lunch, where we were brought some fruity alcohol drink, which we explained we could not drink. Our mothers scoffed and insisted we could. When we did not, my mother reached into her handbag and pulled out two candies. Zach and I ate what seemed at first to be an innocent chocolate truffle- until we bit in and discovered a liquoer filling: our mothers hooted in laughter -- see, you can have alcohol!
All in all, it was a good and amusing weekend, but one we had little control over. We were coerced off the bus, into a singing performance, onto the dancefloor, and into consuming spiked candies.