Wednesday, January 30, 2008
Tuesday, January 29, 2008
Tuesday
We finished our tour of two district hospitals and returned to Pakse. As a treat, I stopped by an Indian restaurant and got take-away. Now I'm feeling very energized by finishing a dinner of chicken tikka masala and paneer korma. And still more savory dishes for tomorrow.
In Salavan, there aren't many restaurants and not much variety. Most people don't eat out for dinner - they might grab a bowl of noodle soup for lunch, or pick up a few servings of something exotic for dinner. Many restaurants have grilled food, to eat as snacks while drinking beer. And there are a few riverside restaurants where you have a nice view while eating grilled fish. Well, it's not so bad - especially when compared to going out to the more remote districts where it's forest animal soup, sticky rice, and the chances of getting fresh vegetables are nil.
So I enjoy having Indian food when I can - too bad it's a two hour drive for take out, and there's no delivery service!
The picture above has nothing to do with Indian food or anything. They are not even Indian elephants. On Monday, we stopped at Pa Suan resort, which is a wonderful restful place outside of Bachineng town. About ten years ago, a Thai man leased the land and developed in a very sustainable way - no trees were cut down to build the small cabins that blend into the foliage. A few years ago, he developed cerebral malaria and went blind - but continued with his dream. Although there are busloads of Thai tourists who visit the site, the staff, who are all ethnic minorities, are tour guides and know a lot about preserving culture and the environment.
The elephants aren't exactly green - they're the dorkiest thing in the area.
And this is a view of the river. The banks are made of hexagonal basalt crystals.
Monday, January 28, 2008
thoughts on training
When thinking about development, a lot of people emphasize training. But even more important is this kind of follow-up activity. First, it allows contact between the students and trainers, so if they are having difficulties, the trainers can help them work on solutions on site. Second, It also helps the trainers to see the situation at the district hospital and understand the difficulties so that they can design better training in the future.
The advantage of having district staff train at the province is that they get wider experience because there are more patients and they can exchange ideas with more staff. The down side is that when they return to their hospitals, it's sometimes difficult for them to make changes on their own. We also support trainings at the district level so that the rest of the staff can understand what new skills are available. Any training strategy has to include a combination of on and off-site training, establishing key people at each site, regular monitoring and follow-up, and a strong sense of participation of all the stakeholders.
Sunday, January 27, 2008
Book #6
Ponderings on the world
It's a very strange perspective, to be on this side of the world.
Saturday, January 26, 2008
Pictures for Thursday Thirteen
Book #5: Was by Geoff Ryman
Like The Kings Last Song, the book goes back and forth between times, following the lives of Dorothy Gael, an orphan sent to live with her Aunty Em, Jonathan, a gay man with AIDS trying to find Oz, a Frank Baum who was a substitute teacher who stimulated his students to think of another life outside the confines of Kansas, Bill who meets an old crazy woman in a mental hospital and changes his life.
At the end of the book, Ryman writes about his sources and how they fit into the story.
I fell in love with realism because it deflates the myths, the unexamined ideas of fantasy. It confronts them with forgotten facts. It uses past truth - history.
I love fantasy because it reminds us how far short our lives fall from their full potential. Fantasy reminds us how wonderful the world is. In fantasy, we can imagine a better life, a better future. In fantasy, we can free ourselves from history and outworn realism.
Oz is, after all, only a place with flowers and birds and rivers and hills. Everything is alive there, as it is here if we care to see it. Tomorrow, we could all decide to live in a place not much different from Oz. We don't. We continue to make the world an ugly, evenmurderous place, for reasons we do not understand.
Those reasons like in both fantasy and history. Where we are gripped by history - our own personal history, our country's history. Where we are deluded by fantasy - our own fantasy, our country's fantasy. It is necessary to distinguish between history and fantasy wherever possible.
And then use them against each other.
Book #4: Pattern Recognition by William Gibson
Anyway, the book is about Cayce, a woman who is a high-end marketing consult, who because of a phobia, knows what logos will take off. She also is one of a growing movement of people obsessed by "The Footage," a series of internet movies that appear randomly on the web. She is hired to find out who "The Maker" is - but she's conflicted by the idea. Although she wants to know, she doesn't know or trust the motives of those she's working with.
Meeting the Maker is the strongest part of the book. Those scenes are full of a 'sense of wonder,' what science fiction tries to create in its pages. There's a funny bit about creating internet personas, but also a chilling big when one of Cayce's offhand forum posts sets the stage for trouble.
Tying things up in the last quarter of the book are very weak, and a last 'talking heads' segment is a big infodump.
Friday, January 25, 2008
Friday
In 2000, my strangest drive along this road was as someone was driving us back to Pakse. As it started to get dark, the truck broke down. At that time, no one lived along this stretch of road. As the sky darkened and the driver crouched down on top of the engine, pulling out the carburator and blowing through the intake value to dislodge dirt, I wondered if we would have to sleep there during the night. Fortunately, whatever was wrong with the carburator got fixed and we continued to Pakse. In the glow of the city lights, I laughed about the experience - but at the time, I felt very spooked.
A belated Thursday Thirteen
Thirteen things I can see from where I'm sitting There are pictures that go along with this, but I got halfway through and my finger slipped. Huh. Stay tuned. I'll upload when I can get to a fast internet place. 2. My small shrine with a marble image of Quan Am, the Vietnamese name for the Boddhisattva of compassion, sitting on a blooming lotus flower. I bought this image, along with the marble incense burner next to her (a frog on top of a stylized lilly pad), the last time I was in Hanoi. Every day, before going to work, I meditate on compassion, dedicating my energy to the people I work with, and those we try to help. 3. On the wall, a cross bow and quiver of arrows. The owner of the house had pointed them on when I arrived, telling me how the ethnic minority people hunt for small animals in the forest. While I don't like the idea of weapons, they are beautifully crafted, so I've left them hanging. 4. A handwoven piece of cloth, which the Dept of Health gave me for Lao New Year. It's made of cotton and woven on a backstrap loom, with small beads of shells woven into the pattern. 5. A lot of books. I'm enjoy reading and I brought a lot of books with me when I set up this house in southern Laos. There are a lot of other things I do, though, such as work in the evenings and weekends and go to ceremonies and weddings. 6. Phou Ta-Khae, the mountain that fills the window at the back of my house. 7. The tops of the heads of people riding their motorcycles on the other side of the fence. 8. The trees in my yard. My landlord takes great pride in the garden. The area around my house is green and restful. 9. The basket containing chia ana-mai, clean paper, which is what people use on the tables instead of paper napkins. This bamboo basket is made with the cover on the bottom, so when you're hands are greasy with grilled chicken or tacky because of sticy rice, you can rest the heel of your hand on the basket and pull the paper up with one hand. In the developed world, we call this kind of tissue, "toilet paper." When I returned to the US in 1990, I brought back several paper holders and used TP instead of napkings in my house - some of my American friends got grossed out. I still wonder why - it is clean paper! 10. Basket holding my pens. I bought this basket at a stall in Bachieng District. The basketry in southern Laos is so incredible - people can do amazing things with bamboo or rattan which grows abundantly in the forest. 11. My cell phone - the simpliest type. Which right now, shows no signal. That's common here - on Saturdays, there's no electricity water for most of the day when they work on the electrical grid. While it can be inconvenient, especially if I sleep in, I also think it's all right - it reminds us that we didn't use to have all these conveniences. When I lived in a northern province, we only had electricity for four hours/ night and we had to carry our water into the office from the well because there was no municipal water system. 12. The walls of my house, which are made of woven bamboo. 13. My laptop! It goes everywhere with me! |
The purpose of the meme is to get to know everyone who participates a little bit better every Thursday. Visiting fellow Thirteeners is encouraged! If you participate, leave the link to your Thirteen in others' comments. It’s easy, and fun! Trackbacks, pings, comment links accepted!
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Thursday, January 24, 2008
Child mortality in Burma
Make my day award
I send it on to the following bloggers and their journals:
A roll in the Universe. I've met Keera at Blog 365 and she's been blogging since 2002. She has a bunch of cute memes on her blog, including this post.
Deep End of the Gene Pool writes about international and social posts. She has a post on the Peace Art Project in Cambodia, where guns are turned into art. I first went to Cambodia in 1994, and was profoundly moved by being in the country where many of the refugees and my friends came from. But it was very dangerous - people died and were injured in land mine injuries plus everyone had a gun. It was common to see people carrying AK-47's in the street and the worse part of that was if the person was drug. I've been going to Cambodia for meetings and visits about every year since then and have been impressed at how the country is changing. I'm glad to see a post on one of those positive changes.
Tuesday, January 22, 2008
Progress on Wat Meaung Wat update
Before going to work this morning, I realized that I haven't taken a picture of the progress at the temple for a while. I think the work has been going on for about a year now - they raise money from donations and the occasional festival and then there's a growth spurt. But the roof is on and they've taken the boards protecting the main Buddha image away so that people can make offerings. Still a lot of work left to go, including the sculpting of the columns and the stairway and painting various scenes from Buddhist stories on the walls.
The old traditional roofs were made of ceramic or wooden tiles; this roof is made from red plastic roofing sheets. The roofing supports are made of iron, and the sheets are hung rather than nailed to the supports. Lao temples are very ornate with several roofs like Wat Meaung Wa. This building is called the Bodt, which is the home of the Buddha images. The building to the left is the community hall where people offer food to the monks and eat breakfast and lunch together with them. The building in the back used to made of old teak wood but was replaced around 2000 (termites) - the older monks live there and it houses the libraries and classrooms for the young monks. There are also two dormitories for the young monks on the temple grounds.
Book #3: Mortals by Norman Rush
The 'action' in the middle of the book moves it along well enough, and while there are some crazy scenes, it weakens the plot. Jay becomes more of himself - neurotic and paranoid - which threatens both his safety and sanity. He says that he knows he shouldn't do something - and goes ahead and does it. Maybe that's how "Mortals" is different from other spy books, where the agent stuffs his true feelings and gets on with his work. Jay is a bumbling agent, who discovers that he's disgusted with the work he's asked to do.
The book is also about redemption, though the last section doesn't quite fit with the picture of Jay that evolves during the book.
Rush's writing is inspired in many places. He captures the contradictions of being an expat in a foreign place, of being in a country but separate from the culture. Some of it is just too long, and I gloss over many of the sections of tormented internal ramblings.
Monday, January 21, 2008
Book #2: A Girl's Guide to Hunting and Fishing by Melissa Bank
My book list
Anyway, since I'm always trying to read at least one hundred books per year, I'm giving it a shot as part of the The TBR Challenge
January:
So far, this month, I've read two books on my list. In addition, I listened to the audio-book of The Life of Pi by Yann Martel.
My list of twelve books is:
1. The White Castle by Orhan Pamuk
2. The Pakistani Bride by Bapsi Sidhwa
3. Bird by Bird by Anne Lamott
5. Carnival by Elizabeth Bear
6. The Vision of Emma Blau by Ursula Hegi
8. The Biographer's Moustache by Kingsley Amis
9. Brasyl by Ian MacDonald
10. The War of the Nerves by Ben Sheppard
11. Baghdad Burning II by Riverbend
12. A Door into Ocean by Joan Slonczewski
Alternative Books:
1. In the Spirit of Crazy Horse by Peter Matthiessen
3. Shriek: an Afterword by Jeff Vandermeer
4. Ammonite by Nicola Griffith
5. The King of Torts by John Grisham
6. Dark Sun by Richard Rhodes
7. Gate of the Sun by Elias Khoury
8. Black Lamb and Grey Falcon by Rebecca West
9. The Terrorist by John Updike
10. Farthing by Jo Walton
11. Wandering through Vietnamese Culture by Huu Ngoc
12. Espresso Tales by Alexander McCall Smith
I'm going to see if I can keep pulling this entry through the months as I read the books.
Book #1: The Life of Pi
Sunday, January 20, 2008
Uh, well a Lao Airways helicopter landed behind my house today, generating a cloud of dust which looked like some kind of computer generated imagery of the base of a nuclear bomb induced mushroom cloud. After running around to close my windows, I wondered who would come in on a helicopter, then turned my attention to coffee, breakfast and preparing to come to the office. Helicopters don't create much mystery - except for the kids who, once the blades stopped turning, stood around in the hot sun noting the details of the craft in hushed whispered while trying to move closer.
Strain my brain some more. Oh, the primaries in the US just have me shaking my head (I originally had written, "just have me shaking their heads." Yeah, I'd like to shake their heads) Just after the NH primary, all the reporters were going on about how there's no one candidate standing out, etc. etc. so it's an atypical primary season. Sigh. Maybe we just are exposed to too much media - everything has to be decided quickly, or maybe the news outlets are generating this frenzy to increase the number of viewers - but it's still early in the season and ten months from the elections. It makes my head ache.
And I'm half-way through Mortals by Norman Rush. I'm enjoying the combination of action and the obsessive thoughts of his main character.
So that's my day. I'm taking the overnight bus to Vientiane this afternoon and back in Pakse by Weds for a meeting. That's my life.
Saturday, January 19, 2008
The Story of Toby the Tokay
But! The following day, he vanished. I looked around for any holes that he could have wiggled out of, couldn't find any. Later that night, he was back again.
Now does that sound like he's found a door into an alternate universe or what?
I discovered that there could be another answer when a mouse ran out from behind the rack where I keep the coffee cups. Toby changes into a mouse to go traveling, or when he gets bored.
Friday, January 18, 2008
It's nice to feel well again. My staff have all recovered from their illnesses yesterday - sufficiently so they could attend a wedding party at lunch time. I decided to pass on it, just handing over an envelop with lucky money inside. The above picture (which won't upload right now) is of the front of the hospital from the front of our office, which is up on the second floor of the hospital.
My boss sent me a link to pictures of the "Death Highway" in Boliva, which got me thinking of my trip to Ecuador in 1974. I'm lazy to copy and paste so here's the link to my post in my LJ.
Whoops! It's Friday and I forgot Thirteen Thursday. Will correct that in the next post.
Thursday, January 17, 2008
Thursday medical report
I still think that the fermented fish we ate on Monday was the cause of all ills. The alternative is that they caught a virus from me - after all we were in the car together for nine hours. But I prefer to think it was the pa daek.
Wednesday, January 16, 2008
Road to Recovery - my amazing thing of the day
I guess the amazing thing of the day was just how much I like my job and would rather work than take a sick day!
Tuesday, January 15, 2008
Monday, January 14, 2008
Sunday, January 13, 2008
Dynamics of Cats has the Space Pick of the Best for the week - Carnival of Space #36
There's been all sorts of strange astronomy news this week, some of which was announced at the American Astronomical Society meeting this past week. In about 20 - 40 million years a giant gas cloud will crash into our galaxy. And the risk of an asteroid vs. Mars collision is dropped to nearly zero. Black holes are in the news: Middleweight Black Holes roam the Galaxy Undetected. No, while this article may sound like a tabloid headline, it comes from New Scientist reporting of the AAS meeting. And they may be an amazing number of planet in the universe if the news in the article Wherever a Planet can form, it will That's good news for science fiction writers! And the article, Biggest Black Hole in the Universe Discovered just about makes my head explode - is 3.5 million LY away, is part of a binary with a smaller black hole and has a mass equivalent to 18 billion times of our sun (the smaller black hole has a mass of only 100 million suns). And the strange heat in a distant planet may be due to a collision between it and another planet.
Back to Earth, and things I can wrap my mind around. Other Things Amanzi hosted last week's Online Ground Rounds. He's a doc in South Africa and has beautiful pictures of wildlife to go along with the introductions to the various blogs highlighted this week. The picture of the lionesses drinking at a pond is really beautiful.
This week's Grand Rounds is hosted by Path Talk. Yes, us medical types like to talk about pathology - but also in this week's line up are the usual blogs about medical articles of interest, medicine from medical staff point of view as well as the perceptions of the people receiving care.
Saturday, January 12, 2008
Amazing thing for Saturday
Of course I had great plans for getting out of the house early, going for a bike ride, cleaning, shopping, reading, doing some school assignments (I'm in a distance learning public health program). Stayed up too late last night, woke up at 9:30 am and dawdled. Read some more of Mortals but haven't gotten out of the house yet. Though I did get grossed out by the carelessness of kittens so spent a few hours cleaning.
My landlady's daughter in law came over. I don't know her real name but everyone knows her as Mae Waew or "Waew's Mother." My landlady's other daughter, Keo, who went to the US as a refugee now works in a casino in Atlanta City (I don't know her job position and have never asked) either comes over here or sends money with other relatives every year. Mae Waew just told me that she had come in person during the time that I was in Xieng Khouang. But she thought of me and had brought a Christmas gift - a one cup coffee maker in a bright red.
I'm still smiling.
Friday, January 11, 2008
Amazing things for the day - Thursday and Friday
Thursday's thing
I spend all my time in the provinces and when I come to Vientiane, it's for meetings. I don't often get a chance to look up from what I'm doing to meet up with friends. So on Thursday, I walked to a restaurant for lunch. I ran into my boss who told me that a friend of ours was at that restaurant. Along the way, I met up with another friend who had, I thought, left Laos for good - and now he's back. In front of the restaurant, I bumped into another friend and we were joined by a third. By the time I got into the restaurant, the person I wanted to meet was gone but I was happy to have met the other folks.
So today's amazing thing was:
I had to get some information about inclusive education and called someone I had never met. We talked about her program and how my project could help kids with disabilities get into the schools supported by her project. Then we talked about general things. At the end of an hour, we finally hung up and I felt happy to have made a new contact - and a new friend.
Thursday, January 10, 2008
Thursday Thirteen
Thirteen Cats 1. Cicero was the first cat I ever had when I was a kid, a black tom cat. He was an outdoor cat, who couldn't stand to be inside. We tried taking him to the vet for shots and he ran away. We lived about 20 miles from the vet's office so thought we'd never see him again. Six months later, he returned. That was about 1965. 2. Cluster and her sister, 3. Nebula were two tortoise shell cats. We learned our lesson with Cicero. These were indoor cats. 4. Irving was a gray cat. We thought she was a neutered male and thought that she was a banker's gray so that's how she got the name Irving for Irving Trust. Well, we couldn't trust Irving. One night he was acting funny and the next morning she had kittens. Around 1968, she took off to bestow kittens on another family I guess. Maybe she thought we'd neuter her. 5. Woody was the first cat I had as an adult (1972). I carried her in a suitcase on my bicycle while she yowled all the way. She was a nice gray tiger cat. 6. Peggy was a Siamese cat, whom I adopted in 1973 as a humanitarian, or rather felinitarian gesture. She had been in an accident in which she lost a hind leg. Her owners wouldn't take her back. 7. Saita was my first Seattle cat, after fast forwarding a few years. In between cats, I got divorced, moved to New York City, hitchhiked around the country and finally, in 1978, decided to live in Seattle. One day I was walking around Green Lake and a nice looking young man with soulful eyes convinced me to take this kitten. When I left Seattle for another long trip, not sure if I would return, a friend took care of her - and wouldn't give her back. 8. Hatty - in 1983, some friends who had moved into a loft together had cat wars. She had two big cats and he had Hatty. Hatty became absolutely catatonic and refused to eat or come out from a hole in the wall. By that time, I had moved into a house which I shared with a friend so I took her on. She remained neurotic - she didn't like to be outside so she would climb up on the roof and yowl for hours until I got back home. Equally embarrassing was that she would get on the fire escape of the apartment building next to our house and yowl into people's windows. Fortunately, I worked night shift so I didn't have to meet people's eyes. When I went to work in Thailand, I had a traumatic experience trying to find a home for her; it eventually worked out all right though. 9. Unnamed Cat in my Office who had three kittens under my desk and then they all disappeared one night. When I worked in a refugee camp in Thailand, I was amazed to open my office one morning and find a cat family there. While the refugees were not allowed to have pets, many managed to find cats or bring them from other camps. The mother cat was quite aggressive and when she felt my office wasn't secure enough, she dragged the kittens across the outpatient department and into our field coordinator's office. The following morning, she would not let her get into her office. Pretty wild! 10. Som - again more fast forwarding. I left Thailand in 1990 and returned to school. After graduation, I worked in rural community health centers in Arizona and California. Finally, when I returned to Asia in 1996 and got my own house in 1997, I could have a cat again. I inherited Som (which means Orange in Thai language) from a friend. Unfortunately, in the upcountry site where I was working, there were too many rats and people bought rat poison to take care of the problem. Som caught a rat which had been poisoned and then he died. I almost didn't want to have cats again. 12. Neung, Song, Sam- Then someone gave me these three black and white kittens. The names mean One, Two and Three since I couldn't think of what to name them. Sam eventually ran off, and other people in the neighborhood absorbed the others. I was doing a lot of traveling at the time so the cats found families to adopt. 13. Shadow was a tortoiseshell cat. My landlady in Vientiane decided that I needed to have a cat so she brought Shadow to me from a Buddhist temple. Often people will leave kittens and puppies at the temples because there is always surplus food and a lot of mice and rats. She was my constant companion for five years and a very Buddhist cat. When people in the neighborhood had ceremonies where the monks came to the house to chant, she would sit in the back of the room, listening. She had many litters of kittens who found homes around the country until two years ago, when she was run over. I still have three cats from her last two litters. So that's my contribution on a Friday. But since I still have work to do tomorrow, I'll consider this a Thursday and date it so. |
The purpose of the meme is to get to know everyone who participates a little bit better every Thursday. Visiting fellow Thirteeners is encouraged! If you participate, leave the link to your Thirteen in others' comments. It’s easy, and fun! Trackbacks, pings, comment links accepted!
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Resorting to cat pictures
My kittens are really scaredy cats. They tend to run into the pots and pan cabinet whenever I even look in their direction. I guess since I'm so tall, it's scary for them. On the other hand, they seem to be able to dissemble this mountain into parts - the parts that feed them are fine. Maybe my fingers look like cat legs.
The black one has decided that the safest place in the house is the basket of my bicycle. I should take him for a ride.
Wednesday, January 09, 2008
Stone Jars
I think I've been here thousands of times, but somehow I never get tired of visiting the Plain of Jars.
The first day I arrived in Phonsavanh in 1996, I suggested to the staff who had been working in the project, that we go out there. The expatriate who was working there at the time rolled his eyes. "You'll get tired of it soon enough," he said. "I'll take you but you have to promise that you'll bring guests out there when they want to go." I agreed.
That day was freezing cold with a wind that spun around the jars isolated on the wide hills. Since it was in November (and the dry season), the grass was already dead and dry, and looked as gray as the sky. We ran around the hills and the jars. I felt exhilarated to be out there, in the wind and weather. I think the staff were grumbling but if they were, their words dissipated in the wind.
Since then, I've brought guests out there, including people who live in the province and had never been there. And I often go by myself, on days like this, when the light of the setting sun sets the landscape on fire.
So who made these jars, and how did they get there? There isn't a lot of information - there are about fifteen jar sites around the province. At some of the sites, there are remains suggesting that the jars were funerary urns. This site, also called Ban Ang (Basin village) is the largest site that has been excavated since it was close to Phonsavanh - which also meant that it was easy to be vandalized. And it was also a main battlefield during the 'Vietnam War.' There are big bomb craters scattered among the jars, the aftermath of 2000 lb. bombs.
Some links:
Wikipedia Article
Article from the American Air Force Association
Historical article which also talks about the effects of the bombing both on the jars sites and around Xieng Khouang
Article from the Telegraph
Unesco article. A few years ago, they contracted the Mines Advisory Group to clear the main foot paths of UXO.
Tuesday, January 08, 2008
Books
The Girls Guide to Hunting and Fishing by Melissa Banks. Some reviews I read had classified this book as chick-lit. If that's what it is, it's a cut above the rest. It's a series of short stories dealing with Jane (and she seems to be a plain Jane at that), who watches her brother with his new girlfriend - then she enters her own series of love dramas. There are touching moments with her family and the regrouping that takes place at the Jersey Shore.
I also just finished listening to Contact by Carl Sagan. The first 3/4 of the book was incredible. Since he was a scientist, he wrote about the minute details in the life of a radio astronomer. This would seem to be a boring job, except one day an unexpected signal is picked up the radio telescope - and changes the course of the world. Towards the end of the book, there's some fuzzy religion wrapped up with the aliens. It's a fun book to read - I enjoyed Sagan's superlatives about the universe.
I'm now reading Mortals by Norman Rush. It has an interesting plot - tangled American lives in Botswana though it is full of densely carved characterizations and relationships. It reminds a lot of Dom Delillo but more plot driven.