Thursday, January 12, 2017

Insomnia

After publishing my previous post, closing my computer, and falling into bed, I woke up in the middle of the night with some additional thoughts.

My service cannot be described simply as a 2-year stint.

I often get asked the question, “How was your trip?” 

And I have NO idea how to respond, because this "trip" was an indescribable journey and provided me with perspective that continues to change through the lens of my current experience.  All in all, my service still continues to affect me because my life has become integrally tied to the lives of the people I lived among.  They continue to be a fundamental part of my life – through constant facebook messages and whatsapp calls, often more frequent than my own parents’ messages!

It can be difficult deciding where to draw the line with whom to help out back in Tanzania.  A few months ago, I sent an amount equivalent to less than a month’s rent to help a dear friend finish school.  And I wasn’t sure I did the right thing.  Peace Corps and most development organizations prohibit volunteers from giving free handouts.  In the long run, yes, this kind of aid is unsustainable and doesn’t do a lick to promote development.  Regardless, almost all volunteers give these kind of handouts at some point because we aren’t stoic warriors of peace – we are emotional, compassionate human beings with a strong desire to make an impact.

Similarly, while in the midst of a challenging unit studying kidney function in medical school, I saw the clinical correlates in my Tanzanian community.  Two of my dearest friends had a father and a husband, respectively, battling end stage renal disease.  On a visit to the dialysis clinic here at the University of Michigan – a tertiary care center – I saw how treatment of this disease is incredibly painful and difficult even in a heavily-resourced, state-of-the-art facility.  How are my friends coping in Tanzania, where access to healthcare is a different story altogether?  One of my friends requested materials that are readily accessible here – a catheter insertion set, an extension, an adapter – that would greatly improve his father’s quality of life.  How can I get them to him?  How can I do so in a sustainable manner?  Conversely, how can I stoop so low to move such a life-threatening matter to the back burner as my life here takes over?


These are a few examples of the battles I face as a place my service in the context of my current experience.  I will continue to think about these questions as my life continues to intertwine and cross paths with my sisters and brothers across the Atlantic.

Wednesday, January 11, 2017

1492

This week marks six months – six months! – since I left the steep, winding red road, the humble homes scattered among waxy green banana fields, and the rushing streams of Uswaa, Tanzania.  Six months since my best friends lovingly wrapped my belongings into a suitcase, and closed the door of my home behind me for the final time.  Six months since we sat in the fading glow of the African sunset, waiting on the step for rickety school truck to pull up – our beloved driver, again, was late because he was selling chickens to the villagers – and begin the dreaded journey to Kilimanjaro International Airport.

Six months have passed since this day, and they have not been my most gracious days.  Still, those six months have been spent with the uncommon luxuries of doing laundry by machine, pizza at my beck and call, and seeing my family whenever I please.  Former volunteers speak of the challenges of readjustment after service.  What they don’t tell you is that Columbus discovered the New World in 1492, but rediscovering America is a mission for each returning American to do alone.  My readjustment process, save for two-and-a-half strangely quiet weeks spent at home, has been spent exclusively in medical school.  School began for me before I could properly unpack my bag, and on most days leaves me without time to process and reflect the readjustment process.  In a rare hour of assembling my thoughts, here is a collection of the 10 things that I miss most, and how rediscovering them in America could transform all of our lives in baby steps:


1.     Incessant knocking
A photo a friend shared yesterday - arriving home
from a day of teaching to a balcony full of girls waiting
for 
me at home.  What's to be done with them?
PC: Mary Gillis
·      The first three months in my village were strangely lonely for me -  while I worked to find my niche in the community.  Then, once Uswaa Village and my school realized I was willing to do anything I was qualified or preposterously unqualified for, there was a constant flood of humans knocking on my door.  My assignment in Peace Corps was to teach science subjects.  What did I spend most of my time teaching?  Football, netball, and morning yoga.  Computers, music, and art.  Energizers and silly songs.  Choir!  A village drama group.  Malaria, HIV, and first aid.  My living room became a place where painting, drawing, and dancing would take place on one side, and an impromptu meeting with a youth leader on the other.  I learned to always have a thermos full of the sweet, spiced milk chai that Tanzanians loved so much, and plates of sliced fruit and corn to pop for visitors who might drop by.
·      Some days, when I had 5 am visitors, I cursed them under my breath.  Let me elaborate.  In the U.S., when a visitor rings the doorbell, he might wait a minute before ringing it again, then take his leave.  In Tanzania, doorbells do not exist, and neither do the rules.  Visitors will come at all hours of the day, only knocking and calling louder if you don’t immediately answer.
So what do I miss about incessant knocking?  I miss knowing my neighbors.  Last week, I arrived home on a blustery, frozen evening, to remember that I had left my keys inside that morning.  My roommates weren’t home, nor were a few friends that I had in the area.  In our community here – clean, white condominiums skirting an impeccably-manicured, under-utilized courtyard – I couldn’t just knock on a random door and expect to be shown inside.

It occurred to me that I don’t know even know half of my neighbors, and I’d hardly feel comfortable knocking on their doors.  Something to think about, reflect on, and make conscious changes about.

2.     Sunday afternoons
·      In Uswaa, there is no day like Sunday.  Morning services start in the morning at the various churches – and the villagers trickle into the pews for the next two hours or so.  Clapping, song, and dance are heard from all sides of the mountain, while goats, chickens, and other goods donated to the weekly auction join in the celebration.  In the afternoon, when services conclude, women in their parrot-hued dresses, men in their shiny, bright dress shirts, and children who seem to have already lost their shoes head back for the most awaited time of the week – Sunday afternoon.
·      Sunday afternoon, for me, often meant that a village family would slaughter their fattest chicken because I was coming for lunch after church.  It meant receiving armloads of bananas, passion fruits, avocados, and greens on my path through the village.  It meant feeling in the truest sense what it means to “love your neighbor.”

If only, if only, a small part of these glorious Sunday afternoons could make its way back into our lives.

3.     “Manka”
·      “Manka,” is a fond nickname in Kichagga (the tribal language of the proud Wachagga people of Kilimanjaro) for the second-born girl in a family.  The second-born girl is particularly beloved in Chagga culture because she’s a little bit sweet, and a little bit sassy.  I had many, many nicknames throughout my Peace Corps service (not all of them favorable), but Manka was my favorite.  My closest friends in Tanzania called me “zaidi ya familia” – more than family.  During my two years in Uswaa, I felt not only accepted, but truly loved by these people.

Is it possible to feel such a deep sense of contentment within my community here?  Maybe with much-needed changes in the structure of our society.

4.     Evening hymns
·      Without a doubt, the family that I was closest to during my service was that of Rev. Okuli Nkya (who we fondly call Baba Ivan), his wife Aneth (Mama Ivan), and their innocent-looking but mischievious tykes, Ivan, Ester, and Dorcas.  The very first thing I did upon arriving to Uroki on September 19, 2014, was pray with Pastor Okuli, and it was the last thing I did upon leaving on July 7, 2016.  In between were so many beautiful memories of prayer services, choir events, and diocese events where he introduced me as his first daughter.  However, my favorite experiences were the time taken each night to sing simple hymns and worship together.  This family had a multitude of challenges, but never failed to end each day with praise and thanksgiving.

I often think that if every family ended their day in a similar way, fewer families in the world would be broken, and fewer people alienated from modern society.

5.     Chai, chai, chai
·      In Tanzania, chai is not so much a beverage as an institution.  Impossible is not a word that I like to use, but I truly believe it is impossible to find a Tanzanian who does not pause his or her routine mid-morning for a hot cup of chai and andazi (fried dough).  At my school, chai and porridge time was a staple of each school day – as was beginning the period after chai 45 minutes behind schedule.  As much as I insisted on gulping my chai to start my class on time (my students were assigned one push-up at the door for every minute they were late to class following chai), I did see the worth in these daily siestas.  In Tanzania, relationships are more important than the sum of efficiency, work ethic, and industry combined.  While progress is slow, discussions are paramount.  While solutions are difficult to come to, consensus is always the goal.

In our precision-oriented, goal-focused American world, it wouldn’t hurt every once in a while to truly listen to the ideas of one another and to come to consensus on something.  In short, chai is everything!

6.     “Alipo Bwana, yote yanawezekana”
·      This is a Swahili hymn that translates to, “Where God is, everything is possible.”  While I served as a schoolteacher during my service, I constantly found teachers in the most unlikely places – my beloved “Babu” on his deathbed, a girl younger than me with a baby on her breast, and a chatty mama on the long walk to the market.  My students taught me SO many practical skills – how to scrub the dirt out of my socks, the life-changing power of fried green bananas, and the hippest Swahili slang. A majority of my students had overcome far greater challenges in their few years on Earth than myself.  The most important lesson they taught me was placing one’s trust in God.  One particular girl, Jenipher, comes to mind when I think of this.  She came from an extremely loving family, but faced challenges too vast to get into here.  Still, much like the biblical Job, her faith never wavered.  I could see this in her fervent prayers, and in the passion in her voice when she poured her heart into a hymn.

True trust in God, or in any higher power that one might believe in, is something that I rarely see demonstrated in my American life.  I believe that a return of this unwavering trust could truly transform society.

7.     Running hugs
·      Whenever I arrived home, whether from a week-long trip to a training, or from a 4-minute run to the nearby shop, my little friends – Ester and Dorcas – came running from wherever they were to greet me with long-lasting hugs.  After all, “safari ni safari” (a trip is a trip), and coming home is a wonderful feeling.  In Tanzania, it is impossible to come home to a dark or empty house – home is the center of society.  It is where life happens – even weddings can happen completely inside a home!


Another running hug from my mini-me!
PC: Rob Neda


Here, where coming back to the condo means coming back to leaky faucets and stopped-up drains rather than the people one comes home to, a daily reminder to reverse this thinking is welcome.

8.     “Utundu”
·      This is not a world with a simple translation (Swahili is such an expressive and emotional language that translation is HARD!).  Google translate came up with precocity, and that will work for now.   Being baby-faced, young to boot, petite, and a woman put me at a disadvantage for gaining respect throughout my service.  However, a little bit of utundu was how I worked my magic.  During the second year of my service, I finally became tired of being muted by men.  I began to assert myself, and this is the day when change happened.  I started a vital dialogue about the need for a girls’ bathroom at our school and about the realities of dealing with menstruation when bathroom breaks were prohibited by a grown man wielding a tree branch.  I began educating my community about the dangers of their rampant antibiotic use.  I began to be respected in the village for my knowledge of treatment of simple ailments.  And, most importantly, I demonstrated to my girls that a good woman can have a voice and still be respected in society.

This courage to defy the status quo is something I wish that each and every one of us has the opportunity to do in our lives.

9.     Waiting for the daladala
·      Transportation was another challenge of my service, and the best option was often taking the daladala.  The daladala, a minibus outfitted to cram about 25 people in it, including a risky driver and a shady “konda” (conductor), is a surprisingly efficient mode of transit in East Africa.  In Uswaa, daladalas were available every Tuesday and Saturday – market days.  Waiting for the daladala could be an ordeal of 45 seconds or 2 hours – it was either luck of the draw or a statistics game too complicated for me to decode.  I often started hiking, and got lucky if a passing bus (or truck of bananas) had an extra seat (or space above the bananas).  And, I’d find that the mamas who had told me to wait patiently with them rather than beginning the walk, were usually on the same bus.

Often, good things come to those who wait.  We often feel that opportunities that pass us by are the end of a road.  May we all have the grace to patiently waitThe next daladala, the next big break, could be rolling down the hill as we speak.

10.  I have no idea what’s going on, but I’ll go with it

·      I saved this as the last one, because luckily, it’s still true currently.  During my service, I perfected the art of accepting strange situations.  Funerals spent wrapped head-to-toe in swaths of fabric under the blazing sun.  Accepting that a child urinating on me on the daladala was truly a “blessing.”  Realizing that I was often the gossip of the entire village.  Agreeing to teach seminars in Swahili, and subsequently making one-letter grammar errors causing widespread eruptions of laughter.  My two years of service was an experiment in my flexibility and adaptability.  It made most days exceedingly awkward, but I learned the most from always saying, “Yes!” and expanding my skill set each day.  Many days, I fell flat on my face with apparent failure.  (One day, I literally slipped flat on my butt in the mud in the middle of an inter-school netball and football tournament, in which most of the village had turned out to watch.)  Still, I grew as a teacher, a mentor, and a human being from being unafraid to try new things.

Medical school is no different - I have no idea how to assimilate the sea of facts in my head and become something that resembles a physician.  Still, the only thing I can do is to go with it, knowing that I'll ease in with time.


Each day is a new chapter.  I wish that all of us would have the courage to trust ourselves, to place our feet, and to jump into the great unknown.