Life Down the Rutted Red Road

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  • Food Lines

     

    During the wet season, all the roads to this region are impassable due to the rains. When the supplies that were brought in by truck during the dry season are finished, the only way for fresh supplies to come in is by air. With close to 100,000 refugees in the area dependent on monthly rations, this adds up to a lot of food.

    So, for several months children’s shouts of joy rise from throughout the camp as the back of a low flying cargo plane opens and white or orange sacks of food fall through the air. The children climb onto roofs and termite mounds and up trees – anywhere that gives them a better view – and often they count down the four or five drops each plane makes before it heads back to the capital. And maybe these drops start to erase for them the memories of the fear that came when planes would circle their homes and the bombs would fall. Now it is life, not death coming from the back of a plane. They shout with joy and then get back to playing in the dirt.

    From the fifteenth of each month their parents, or maybe the aunt or grandmother they have been sent to stay with, will join in long lines outside towering tarp warehouses, waiting to receive these rations from the sky. Every month their wallet sized ration cards are punched, and they are given sorghum, which is then taken to small diesel fed taahuunas to be ground into flour, and they may also receive oil or beans or lentils. If they want to eat something else, they can try and sell their rations to buy something from the market or they are reliant on what food they grow on the swamp come sun-baked plains that surround them. But there may not be much of this left after the harsh climate, natural pests and other people have taken what they have laboured to grow – for after all it is not their land.

    Maybe that is why the adults do not shout for joy when they see the food fall from the sky, or when they hoist another 50kg bag of sorghum up onto their heads. They are grateful – this food keeps their children out of the severely malnourished category. It is one of the reasons that many walked for days to reach this place. But each time their card is punched it is a reminder of the label that brings them shame and grief: refugee.  In this place they are people holding their hands out for assistance, unable to provide enough for their families. Even more, here they are people removed from their land. It is not just the fruit trees and the peaks and valleys and slightly cooler temperatures of their home land that they long for – though they do often speak of these – but the grief is being removed from the land of their ancestors, the place where they know who they are and where they belong. Here they fight to hold onto who they are through songs and dances that go on into the nights and their rituals of coffee, new babies and harvest. But as they live here on dust plains they fear that their children, who are forgetting the fear of planes, will also forget their identity as the people of jebel, of the mountains.

    And so, each month as they walk away from the line of people with food that will last, if they stretch it just right, until the next food line, maybe they stoop just a little bit lower.


    Although all my neighbours are refugees, I am here by choice. When the food rations were late this last month, as maybe potholes or breakdowns or red tape caused the trucks to be delayed on the now-open roads, I did not go hungry as some of my neighbours did. I could go to the market and buy more food. If this place gets too much for me or I just get tired of not having indoor plumbing, I can hop on a plane and leave. I am not dependent on the whims of international politics or the generosity of nations who to many of my neighbours are simply a name they cannot read under the ‘Donated By’ stamp on their sacks of food.

    Yet the other day I stood in a line holding out my hands, waiting to receive. I, too, am in need. On my right and left were women whose backs are probably sore from carrying their rations home this week (though considering the loads they normally carry possibly not) and whose fingers are so calloused they can pick up burning coals. And yet we stood together in our need. We held our hands out to receive a little bit of bread. A ritual started to remember a people who suffered in a country not their own. A ceremony deepened when someone broke bread and shared it among his friends, knowing it would be his body that would be broken for their sake the next day. A reminder, refugee or not, that without food there is no life, and yet to truly live we do not just need this bit of bread in our hands, this sack of sorghum on our heads, we need something more.

    We stood not just as recipients of a well-dressed donor in an air-conditioned office writing a cheque for those people in a far-away land who are dirty and needy and broken. We stood as recipients of the King who became a refugee and a citizen of an oppressed people. The king who suffered so that our identity is not just refugee or foreign khawaja but children of the king who belong at a table in a land that will be ours. There we will sit at the table together and share the bread and we will know unfettered joy.

    Until then, I will keep holding out my hands, waiting to receive what I need, and having received I will turn and sit once more amongst these people who, yes, for now are refugees, but who are also so much more than that.

    February 5, 2018

  • Harvest

    It is harvest time. The paths are once again widening as the ground nuts that were planted all around them are pulled up, the children eagerly cracking open the brown shells to snack on the white flesh (and sometimes just getting impatient and eating the brown shells as well). The white and red sorghum heads wave heavy in the air and most days someone comes to the gate and asks if we want to buy a pumpkin. Cucumbers are sold four for 5 cents in the market and drum beats pulsate through the dusk as people celebrate the new moon of harvest.

    And each week at the front of church a pile is made of produce that people have harvested from their gardens.

    This past Sunday when the sermon was much shorter and the announcements longer than usual I gradually realised something different must be going on. (The problem with only understanding maybe fifty percent of what is being said is that there is a tendency to be a bit slow on the uptake.) After church everyone filed out like usual, and then they went to one of the houses on the compound and started bringing out vegetables and placing them in a row beside the church.

    As I looked, I realised they had gathered together every item of food that is grown here. There was a red bouquet of sorghum heads, the main stable which is ground into flour and then cooked in a variety of ways, along with some yellow heads of maize and some millet. The millet is mainly grown to be a hedge around gardens but some people do harvest whatever the birds have not already eaten. There were the vegetables: tomatoes, eggplants, cucumber, okra, the marrow like umyong, red beans and pumpkin. Other than the cucumber which they often eat like an apple or cut up in pieces and serve with some salt, everything else they cook. That we make salad is not quite normal. There were the cash crops of ground nuts and sesame, which I am very grateful for as they are my main form of snacks and they are a key way for people to get some cash. For sweetness there was a long stick of sugarcane and a bundle of the red kerikede hibiscus flowers that is used to make tea and the only fruit that is grown here, watermelon. The watermelon they had probably weighed more the one-year olds who were making faces at me from the safety of their mother’s arms.

    Once all the produce was in a row suitable enough to placate the grandmothers who hovered and the church leaders, a person was assigned to each one. Standing in a line they first held up their item of food and waved it around while they sang. And then the pastor took the items one by one, sang a refrain that included the name of the item, and then handed it back. The children squealed as water and then sand was thrown into the air, some flicking onto their skin.

    And then it was done. Food offered up with thankfulness, blessing sought. Time to enjoy a feast.

    We sat down in groups, from the young children to the elders of the church. A large silver tray was placed in the middle of each group containing a plate of pumpkin sauce and one of beans with kisra (a thin wrap-like stable made from fermented sorghum) nestled around it. Breaking off pieces of kisra we dipped them into the sauce with our right hands and ate. Sharing the fellowship of the offering together.


    The harvest service was also combined with remembrance of Martin Luther and the start of the Reformation in a German town some 500 years ago. It seemed rather surreal sitting in our grass and tarp roofed church listening to this story. Ten minutes earlier the church had been sweating and pulsating with song and the high-pitched undulating calls of the women, as the congregation, even the grandmothers, danced, hiking their toobs back into place as they bobbed up and down to the rhythm pounded out on the stretched-skin drums, with their movements directed by marching whistles and augmented by tin-oil-containers-turned-shakers. And then they sat and listened to the story of some white man in a country they have never seen and possibly never heard of, who wrote something in a language that they do not know, who argued with staid men in fancy cloaks who worshipped in grand cathedrals. And I do not think he had drums in his church service.

    And yet, though these worlds are so far removed from each other, it was through the convictions and actions of this man and others like him, that the women now sitting next to me swathed in their colourful toobs and feeding their babies are able to listen to the Word, read in Arabic, English and Otoro (one of their tribal languages). They hear about a nation, maybe even older than theirs, that was told to offer to YHWH the firstborn and the firstfruits. And they dance with joy because they know that even if the harvest is not as plentiful as they want, even if the war continues and they have to stay in this refugee settlement, even if some nights their bellies go hungry, the firstborn has been offered up and accepted for them and they have been invited to the one feast that really counts. 

    On that day we will join the firstborn at the feasting table and hands that are black and white and scarred through the middle will dip into the plate together.

    The harvest will truly have come.

    (And there will be no germs.)

     

    October 26, 2017

  • Jebena

    Jebena is the name of a little silver pot with a spout that goes up at 45 degree angle.

    I am sure there are proper ones made out of silver but the ones they use here are made out of some semi-metal substance that appears spray painted silver. But high or low quality it is what must be used to pour coffee into the little black and white china cups that are placed on a round silver tray and shared among the guests. And its name is taken and used for the whole process.

    Come to Jebena

    And the women come. Clapping their hands at the entrance to the compound they wait to be invited in. Their long colourful gauzy tuups flutter in the wind and the babies wiggle in their arms. Hands reach to pat shoulders and then grasp hands in welcome. Voices overlap one another in enthusiastic greetings.

    Even if they just live on the other side of the tarp fence and shared charcoal in the morning or wandered through on multiple occasions to find their children or as it is the shortest route to the water hole. This is different.

    This is the time for Jebena.

    The rough wooden frames strung with ropes that serve as beds are brought out, draped in a sheet and offered to the women to sit on. The babies get passed around and cooed at to see who can get the best smile.

    The stove has been fanned until the charcoals are glowing. The coffee beans clatter as they are poured onto a small frypan and stirred around until they turn from white-grey to a dark brown.

    A glowing charcoal is removed from the stove and placed in a small brazier with some cinnamon or other bark, blowing fragrance over the women and helping keep the flies away.

    And then one of the women will take the mortar and pestle. And first some dried ginger and then some cardamom seeds, and then the roasted coffee beans are crushed to powder. But, this is not just utilitarian pounding. The pestle bangs against the side and the base, becoming a beat that calls the hands of the others to join in the rhythm and then someone will start a song. And they will continue weaving their melodies until they have a smooth powder – or someone has an interesting story to tell.

    Welcome to Jebena.

    Water is boiled with cloves and the ground coffee and spices added in forming a thick dark liquid. The dark liquid is transferred into the jebena. Sugar is spooned into the tiny cups, taking up nearly half the volume and then the coffee poured through a strainer with more spices until the liquid grazes the brim of the cup.

    Cups are passed around and emptied amidst chatter and laughter and the crunching on roasted ground nuts. As the cups are emptied they are refilled. Once there are only the dregs left in the pot more water is added and then cups filled up again. This is the time to relax, to tell stories, to laugh, to be.

    This is Jebena.

    These women are refugees. Bombs falling from airplanes and fleeing homes and living in a land not their own: that is part of their stories. But this holding of a fragile cup, the shushing of the babies, this roasting and pounding of beans, the laughter over a story being told, this pouring of steaming liquid over crushed spices and herbs, the blending of voices in song, and the sweetness of (a lot of) sugar: they have also made this their lives.

    This little cup of Jebena.

    “Come for Jebena” they call to me. Ah, let me drape my tuup and I will come.

    Not for the coffee, though I will drink it, but because I too need this Jebena. I need to learn to savour the process and not just the outcome. To receive and not just to give. To value ritual, instead of just efficiency. To delight in being with others and not just in being useful. To learn to love and to live life even in the midst of hard. And to be filled again with wonder that the One who has invited me to the feast at the end of it all has also invited me to join in the preparation.

    Ginger. Cardamom. Sugar. Laughter. Singing. Neighbours. Coffee. Being. Love.

    Jebena.

    August 9, 2017

  • White Tarps in the Wilderness

    What is that? I saw a flash of white amongst the burnt ground, brown scrub, and occasional green bush as we bounced along the red dirt road. More squares of white appeared and I realised they were the UNHCR issued white tarpaulins. We must have reached one of the many refugee camps now spread out over northern Uganda, seeking to provide for the 700,000 South Sudanese who have come over the border in the last year seeking refuge.

    As we went past, I saw a sprawl of mud houses with grass or tarp roofs, with the occasional collections of metal shacks and stalls selling produce. Youths lounged outside these on their motorbikes while children weaved through them chasing bike tires with sticks. We passed water points with lines of plastic yellow jerrycans snaking out around them, waiting for the child in front to finishing pumping the spigot or for the water delivery truck to come. As the afternoon progressed, I saw older children in school uniforms walking steadily along the dirt paths joining the huts, many knowing they would have to wake up tomorrow early to make the two and half hour walk again to school. There were some adults using hoes to break up the ground, hoping to cultivate something to supplement the flour, oil and beans they are issued with, but around many of the huts it was just barren ground. The rains are late this year. Soon this land will be desert, my host commented.

    ——–

    In another desert, the relentless sun of the Sinai Peninsula bet down on the people as they shuffled forward, the occasional breeze only lifting more dust into their faces. It was forty-five days since they had escaped from their homes of suffering. But the initial jubilation and relief had been chased away by the rumbling of their bellies. Maybe they should have stayed with the hardship they knew rather than watch their children get weaker and weaker in this vast and dreadful desert. Why was Yahweh leading them into such a hard place? How could they think to worship him under these conditions?

    And then, one morning there were thin white flakes like frost on the ground around their tents. What is that? The report passed from family to family: it is bread for us to eat and we are to gather just what we need to eat for today. The next day they went out and there it was again.  Day after day in the foreboding wilderness, they went out and there was the white stuff, and they gathered and they ate.

    ———

    I do not like to be dependent. I would much prefer to think that I can handle what gets thrown at me. That I can solve the problems. That I do not need to bother anyone else. Sure, I can profess that I depend on God for everything, but I would much prefer for that to stay in the realm of theory rather than experiential reality.

    I would not choose to live in a wilderness. I prefer comfort, temperatures where I am not covered in sweat all the time, water trickling amidst lush green bush, fertile land that I know will be able to feed my family.

    The reality of dependence though affronts me in the camp. People standing in queues for hours to receive their rations for the month. Mothers with their babies strapped to their backs and their children hiding behind them, turning up with just what they could carry on the five day walk to safety.  My university-educated colleague sitting outside his rough mud and stick house, shameful that he has nothing to offer me in hospitality other than a cup of water.

    But, I cannot help but be grateful for this wilderness. If this land had not been harsh, it would have been already intensely cultivated by the industrious locals. Yet because it was so barren, it has provided a place for my friends to find refuge.

    We are praying hard said one of the men as we stood waiting for the vehicle to take me away from the refugee camp.

    White tarps flap in the wind. Banners of dependence. Banners of mercy and provision.

    Though I am leaving this patch of wilderness, I am reminded that I too need these.

     

     

    May 1, 2017

  • Hobbit Tales

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    I am sitting on the dirt bench inside my friend’s hobbit house, after leaving the place I have called home these last four years. I am munching on some roasted ground nuts (well, hobbits do like to eat), reflecting on the last four months, the last four years.

    And I feel like I imagine those hobbits felt who had just returned to the Shire from their adventures: struggling to reconcile all that has just happened, with the life they had had before, with the lives that continue on around them.  How do the clash of swords and a trek through unforgiving wastelands mesh with the lowing of a cow and the chatter of the neighbour about the weather? How does a shy, bookish girl end up living in a war zone, learning to distinguish the sounds of different types of artillery, instead of just reading about them in her books?

    On my journey in the far land I have helped set up a hospital. I have watched hundreds of babies be born. I have closed the eyes of more children than I want to count. I have learned, to some degree, how to eat with my hand without the sauce reaching to my elbow and my fingers being an absolute sticky mess. I have heard many rumours that maybe this is the time the battle will come and have listened to staff recount the nights they spent hiding in the bush.

    And now, at least for a time, I have left that far place. I have returned to a place of peace and shopping for groceries and talking about what we are going to eat for dinner.

    And we returned hobbits, have not only come back with maybe another inch or two of height or a tiredness around our eyes, but we have come with stories to tell.

    We will tell of our enemies. For them it was of the Uruk-hai and Orcs, beasts with grotesque features and fearsome weapons. But, I cannot point at anyone and say, “There is my enemy”. I have delivered the babies of those on that side. I have cared for their children with malaria on the other side.  I can understand to some extent why each side fights. Neither are my enemy. Yet I have seen my enemies. Fear has caused people to run from one place to another, as their crops rot in the ground and the possessions they cannot carry are looted and their little ones cry out in hunger and sickness. Hatred has blinded eyes so they no longer see a person, but a tribe, a grievance, a means of revenge, a means of power. And the Ruler of Darkness cheers as he watches those who claim the name of his enemy destroy one another.

    But, the stories we will tell are not just the stories of our enemies. We also have journeyed alongside and come to know a king. A king who is now crowned and sitting in majesty upon his throne. One day, just as the dwarves, the elves, the hobbits and men all gathered together before the king; one day the Kakwa, the Dinka, the Nuer, the Nuban, the Kawaja, they will gather before the throne and they will bow down – together – in worship of the King.

    But that day is not yet.

    Until that day, I am a returned hobbit: no longer unaware of the forces of evil, but also able to recount the power of the King.

    And, I will wait for what adventure will happen next.

    November 18, 2016

  • And the fireflies danced in the darkness

    I was called over to hospital at 0430 the other morning. It is never a good thing if they are calling me at that time.

    It was for a premature baby, a two day old boy that had been born elsewhere and then brought to us at a few hours of age. We had followed our normal protocols and commenced him on our full treatment. Yet, by the time I arrived in the early hours of that morning, his colour was grey and he was not moving.  The nurse who called me had been trying to resuscitate him. We tried again together, in the view of the child with sickle cell on oxygen, and the mother of our other premature baby who was nearly ready for discharge after five weeks with us and the grandmother watching over the unconscious six year old with cerebral malaria. We tried for several minutes, but there was no heartbeat and no breathing.

    Huwo kalaas. He is finished, we explained to the family. Our treatment had not been enough and there was nothing more we could do.

    We removed the medical paraphernalia and wrapped up the baby. The ward settled back down to get some rest and I headed back to my house.

    And, as I walked the well-worn path the fireflies danced around me in the grass, winking light into the darkness.

    ———–

    I have been reading through the book of Exodus. It is a book about God who sees the suffering of his people. Oh God, see these people around me and their suffering. About God who acted mightily to rescue his people.  Oh that you would use your power to restore this situation and rescue your people. About the God who revealed himself to his people. I do want to know you more. The God who called Moses to enter the thick darkness to meet with him. Ah what? Darkness!

    Darkness is the hours listening to the gunshots wondering if death is going to come for someone tonight.  Darkness is watching the child’s laboured breathing and not knowing if she will make it through the night.  Darkness is listening to the creak of the bush and the rustle of leaves, knowing there is danger out there but being unable to see it. Darkness is not knowing if we will be forced to leave this week or if there is a future for us in this place.  Darkness is when the torch has broken and the moon is hiding and we cannot find the path.

    Yet, sometimes we are called to enter into the darkness. And, it is in the midst of darkness that we see the flash of the firefly.

    ————-

    This place reminds me of the many things I cannot do. Despite my best efforts, I cannot keep track of every little detail of patient care and make sure nothing slips through the gaps. I cannot make a baby breathe. I cannot bring back to life those who have passed. I cannot listen to every story of suffering. I cannot chase away all the fear. I cannot stop the fighting. I cannot bring peace.

    But, I am not meant to be enough. I am not meant to be the sun that shines in the day.

    But maybe, as we wait for the dawn, I can join the dance of the fireflies in the darkness.img_1695a

    October 11, 2016

  • On red first aid kits and living in a bubble

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    The other day the hospital received a kindly give us request for some supplies. Some people were going to be travelling to the border. Due to who was travelling and where they were travelling, there was a reasonable likelihood of casualties.

    Kindly give us. Hmm. For the sake of diplomacy (and I suppose the lives of the people) we should give something.

    Gauze? Nope, we have only got a few packets, and that needs to be rationed for our C-sections. Morphine? It is not available in the country, as far as I am aware. Fluids? Okay, maybe we can spare a box. And, I suppose, I better throw in some IV lines and tape for securing as well. What else? First Aid Kits!

    Ok, I know that first aid kits are not what are normally stocked in a hospital. But sitting in the back of our blue metal shipping container (which is our dumping ground for all the things people have generously donated to us but for which I have not yet had the time to stare at with squinted eyes and a head at just the right angle until I can work out what use I could possibly have for them) is some boxes of first aid kits. Perfect!

    I pulled them out. The cardboard boxes were a little termite eaten, but the shiny red kits themselves were still safely ensconced in their protective plastic wrapping.

    On peaking inside I was pleasantly surprised. They were pretty decent kits. They had bandages, scissors, gauze, bandaids and even some antiseptic wipes. Definitely fancier do-dads than anything you can get around here. I could not even find any obvious expiry dates. (Because, you know, expired things are very dangerous).

    And, so we answered the request with a couple of boxes of first aid kits, along with the IV fluids and a couple of doses of pain medicine.

    The likelihood of a first aid kit that you normally have in your car in case your kid falls over and scratches his knee actually being much use for bullet wounds is not particularly high. There are also bad roads, limited supplies in the government hospital, which is the official trauma centre, and the pharmacies are now shut or out of stock. So, if someone gets badly injured their chances are not particularly good.

    But, at least the vehicles will have first aid kits.

    Sometimes I feel like one of those shiny red first aid kits. I am donated from the West, with fancier do-dads than anything around here and not obviously expired on the outside (though I currently do not have much of a mirror to tell otherwise). But, in reality, how useful am I when the country is falling to pieces, when hospitals have no staff or equipment, when people are starving because they are hiding in the bush and there is no food in the market because it is too dangerous to bring in supplies.

    But does it matter how useful I am? Is it simply more important that I am present?

    Yet, there are varying degrees of being present. For the first month after fighting broke out I did not leave the compound that contains my house and hospital, and since then I have only left a couple of times. So though I have heard some of the rumours that are swirling around, the main things I hear are the sounds of the insects and the chickens and the children playing. Although the food is a bit plainer I have never gone hungry. Although I see the fear in the huddled staff conversations and in the patients begging for early discharge so they can escape somewhere, I have felt safe. And, in the evening after work, I can download a book and get lost in someone else’s adventure.

    I live in a bubble. A red first aid kit with a plastic bag covering it bubble. Does that count as being with?

    Yet, it is because of this bubble that I am able to continue serving. Because I have known security, I can listen to staff member’s fears and worries without being overwhelmed by them. Because I am able to eat and sleep in my own bed, rather than the bush, I have the energy to deal with the demands each day. Because I can still know the joy of curling up with a book, the despair and darkness does not consume my soul.

    Is this bubble what I dreamed of when I thought of incarnational mission? No. Is being a first aid kit how I envisioned changing the world, or at least my little corner of it? Surely, I could be upgraded to a decent trauma kit. But, is this bubble a gift from the Father? Most definitely! Is this opportunity to serve in his strength and grace a privilege and joy? Yep.

    So here’s to being a red first aid kit and life in a bubble.

     

    September 1, 2016

  • Butterflies and Bullets

    IMG_1501 rI read an article a few weeks ago celebrating that New Zealand had been named the 4th safest country in the world. Not really surprising in my biased view. However, the article also listed the 5 most dangerous countries. South Sudan came in at number two, surrounded by Syria, Iraq, Afghanistan and Somalia. Surely not this country where I wake up in the morning to the sound of the chickens scratching in the dirt, the children singing in the distance and the neighbours calling out greetings as they walk to their plots of land. Surely not in this place where I walk into town, stopping a dozen times to shake hands with the kids who run out to greet me, where I haggle about the price of cloth I want to buy and laugh at the marriage proposals and greet some ex-patient whom I cannot remember but who knows my name. This place, my home: more dangerous than Afghanistan and Iraq and Somalia? Countries that are synonymous in my mind with security escorts and bombs and terror and anarchy and fear.  Surely not!

    Ok, so we have not been able to travel by road recently to Uganda due to bandits along the road. And a good proportion of our staff members have lost a family member in fighting over the last couple of years. And a teammate has not been able go to his farm 30 miles down the road due to insecurity there. And we did receive patients that had fled into the bush from fighting 50 miles away in the other direction.

    But still –worse than Iraq?

    But, then it was the 5th independence day of South Sudan. And troops in Juba started fighting each other. Again. And a small skirmish became hundreds of people dead. And staff members on leave in Juba were ringing us telling about being unable to get food or water while the bullets and bigger killing instruments flew around them.

    And though the bullets arching through Juba’s skies did not reach the 100 miles to here, the fear has. The paths have become full with people walking with their possessions bundled into plastic basins on their heads. Heading to the bush. Heading to the village. Heading to Uganda. Searching for safety, for where the fear will not hold them.

    Hate has broken out as well. Fighting elsewhere has provided the excuse to take out that neighbour from that tribe, who did such and such last year. Or at least to keep the shop shut so that that tribe cannot buy any food and hunger will bite even harder than before.

    And the despair starts reaching in, even to those who do not flee. What hope is there for this country? Will this baby taking their first gasp in my hands today ever get to live in a place where they know peace? Or will they too grow up knowing what it means to run to the bush as the rumours fly and people with guns loot and the rumble in the distance could be a bomb instead of thunder.

    Yet, as I sit and ponder, butterflies dance in the breeze as my passionfruit ripens on the vine to the sound of children playing in the dirt. Is this just a mirage?

    How do I describe this country of my heart? What reality, the butterflies or the bullets, do I let be my story?  Or is reality not one or the other, but both. The intricate pattern of a butterfly wing can exist in the midst of brokenness.  Fear can empty a town and yet there is one who says “Do not fear”. There is evil, and oh such evil, but there is still an 810 gram baby blinking out from under the blankets in our ward.

    And the darkness will not triumph in the end.

    July 20, 2016

  • Shukran

    IMG_3488As I did my usual morning visual scan of the paediatric ward a tall woman draped in a purple gauzy shawl called out to me “Shukran. Shukran. Thank you. Thank you.”

    I recognised her from the previous day. They must have graduated up from a mattress on the floor in the procedure-come-overflow room to the ward.

    But, other than the change of location, at a quick glance I could not work out why she was thanking me. Her two year old son appeared to still be unconscious and he still had oxygen on at the highest level, a nasogastric tube and intravenous fluids. That is the extent of our interventions and if a child has all three of these it generally indicates that he should be in an ICU, if we had one. Here though he was one of 23 patients (and 30 other patient relatives) cared for by two nurses overnight.

    I tried to explain to the mother that her son was still very sick. But she still thanked me. “He breathes. He is not hot. He is not seizing”.  True.

    I had heard the wails in the early hours of the morning from my bed. As I had listened I thought that it was most likely him who had passed. He had presented 48 hours earlier with cerebral malaria. Despite having completed three doses of our strongest anti-malarial he had still seized the day before for over an hour, as his mother wailed on the floor. When the seizure finally finished he was choking and gasping for breath, because of the water they had been pouring into his mouth when I was not watching. Throughout the day his lungs sounded terrible and he still did not regain consciousness. His grandfather and then his grandmother spent the day holding him in their arms as they tried to balance on the mattress on the floor. I had spent quite a bit of time with him over the day trying to think if there was anything else we could do. And there was not.

    So, I had thought the wails were for him. But, they were for another child, another child for whom the malaria had been too strong for their body. Why was he still alive this morning and not the other six children who had died from malaria during his admission?

    And, I do not know. He had definitely been sick enough to die. We did not do anything different from our normal. This has been a very bad malaria season and having to wrap up yet another body has at times felt like the pervasive theme.

    But his mother reminded me of the need for gratitude. In the midst of the wails at night, the daily struggle to find enough mattresses and beds for sick kids, the worry that we will run out of anti-malarials, the tired and stretched staff, the frustration with the things that we cannot do; will I choose to be grateful?

    Yes, there is so much pain and brokenness. Yes, there is a long way to go in recovery. But, he breathes.

    May 26, 2016

  • Let protocol be observed

    On Saturday I attended the graduation ceremony for the local health training institute. I was cordially invited by one of the graduating midwives who now works for us. I knew I should attend to support the institution and the graduates, though my enthusiasm for attending was dimmed a little by seeing that a whole series of speeches were listed to occur from 10am to 1pm.  And having a little experience of events like this and African time, I anticipated that the event could use up most of my day off. However, my strong sense of responsibility and a small amount of cultural curiosity resulted in my sitting, the only white face in probably 400 people: gowned graduates, current students in their blue uniforms, proud family members and the important ‘big’ people on the plush couches facing us up the front.

    I had arrived on time, knowing the likelihood of it actually starting as scheduled was rather slim, but I did not want to arrive after the big people and create any more of a spectacle than my white skin would already create. I need not have worried. No one else was there, other than some current students who were still washing the dust off the chairs. I did not just want to stand there and watch them work, so I asked if I could join in. They did look at me a bit strange, but I was given a cloth and was allowed to do the last couple of chairs. The girls did speak to me afterwards so I must not have completely upset the order of things.

    After the chairs were clean I was escorted to an area of chairs labelled for NGOs. I sat and waited for someone else to turn up so I was not the only one sitting down in a sea of chairs, while the security guards, with their guns clutched in front of them, looked on. Other guests did slowly dribble in, and, finally, an hour after it was due to start, the sound of the local marching band could be heard. The band came into view with their brass instruments, blue uniforms with gold embroidery and tassles; followed by the important guests, graduates and current students.

    Being a high context culture, the bigger something is, the more formal it is. And graduating is a big thing. So, there was present the newly elected governor sitting in the robes given for a doctorate. Next to him was the newly appointed minister of health also in graduating robes, the deputy mayor, another minister, the principal of the institution and a few other important people.

    After the singing of the school song by a select choir (during which I was glad that I do not have perfect pitch), the speeches began. Now, it is my understanding, that in beginning a speech, you must acknowledge all of the important people. Individually. For every speech. There were quite a few important people. There were quite a few speeches. I was practising my attentive face.

    However, after a couple of speeches that followed this protocol, some of the students put on an item. And all they had to say was, “Let protocol be observed” and then they could just go on with whatever they were doing. Without having to mention every important person by name! And this happened several times.

    I was excited. Not only might there be a hope that the programme would finish before the middle of the afternoon, but I had learned some magic words. Words that can be said that allow you to show proper respect, while allowing you to just get on with what you need to do.

    The speeches continued and the certificates were handed out. Family members and friends ran screaming to their graduating ones and draped tinsel and embroidered sheets around their necks. Huge smiles with glistening white teeth were flashed before cameras.

    My smile was also on my face. The ceremony finished at 1. The speeches were actually not that boring. I got to see some happy graduates. I was given free bottles of Sprite and water.

    And I learnt that there are some magic words that enable you to skip the boring bits.

    Now if only I could learn those magic words at hospital and in relationships.

    Though, I have a sneaking suspicion, that sometimes you just have to do the hard boring work.

     

    March 10, 2016

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