Wednesday, March 23, 2011

Our big, small world ...

With this picture, I'd like to share the story of our introduction to this nice young man pictured with Pat, and of a moment which I had the most amazing sense that all of the experiences and relationships of my life led me to being exactly in the right place and moment in time.

First, some background. My mother in law, Bernice Lalley, gave me a St. Christopher medal for our trip. Now I wasn't raised Catholic, and attended the uber-Lutheran St. Olaf College, so medals aren't part of my religious upbringing. But Bernice is probably the most devout person I know, so when she gives me a medal which she has had blessed for a safe journey, I don't question it. And along the way, we have had some unusually close calls (ie earthquake, cyclone) and I have just rubbed my medal and we've made it through.

So a week ago, we were standing at the dala dala station trying to catch a bus home at the busiest time, and having no luck at all. People just pushed right past us, and we were getting close to dark, and we have been told not to take the dala dalas after dark for safety reasons. So Pat says "you'd better start rubbing your St. Christopher", which I had already been doing, and this nice young man leans over and asks where we are trying to go; we said "Ngaramtoni", and he says "I'm going to Ngaramtoni, just wait here with me and I'll get you on". So a few minutes later he guided us onto a bus, and as we took off he turned around and said "My name is Emmanuel, I am a social worker in hospice and palliative care, where are you from?" Both Pat and I were amazed, and told him we had been trying for two weeks to find a hospice program in Arusha to visit, and couldn't believe our good fortune in meeting him. He invited us to visit his program, which is through the Lutheran Hospital in Arusha. We had already visited both branches of the Lutheran Hospital through our visits with kids at the orphanages and schools. Emmanuel suggested we call on Dr. Mark Jacobson, the director of the hospital in Arusha, to get permission to spend time with the hospice team.

We had heard of Dr. Jacobson through the international health volunteering conference we attended in September; he has been quite remarkable in building health infrastructure in Tanzania, so we looked forward to meeting him. But it wasn't until I was seated outside his office that the thought occurred to me that he might have gone to St. Olaf, or be related to Jeanie Jacobson, who graduated in nursing with me in 1976. So after we chatted a while, I asked him if he went to St. Olaf, and he said "No, but two of my sisters did" and sure enough, one of them was Jeanie. Mark and Jeanie were from Stillwater, so they knew my old roommate Sal Schuneman, so for a few minutes it seemed like a very small world indeed.

Dr. Jacobson suggested we contact another hospice/palliative care doc in Arusha, Dr. Kristopher Hartwig, who had tea with us later that day. And yes, he went to St. Olaf too.

So we spent a wonderful day with the hospice/palliative care team which Pat will say more about, and one of the nurses - Paulina - has been to the US visiting hospice programs with my friend Jeanie Jacobson Morrison, who is now a hospice nurse herself. Paulina is so much like I remember Jeanie - warm, engaging, always welcoming and supportive - that I spent the day remembering my time at St. Olaf and feeling grateful for the years I spent there.

So, I am a St. Christopher medal-carrying Lutheran married to a Catholic who now has great respect for the Lutheran College he's been making fun of all these years, as the Lutherans have been a great support to Tanzania.

Hakuna Matata!

Our last day at Lasting Bless School ...

This is a picture of Naomi and Herman and their son Blessing, in front of their home and school, Lasting Bless. Naomi and Herman are struggling to keep this school open, as the 44 children who attend are from very poor families and only a handful have parents who can make occasional tuition payments. There is no support from their government. It is an eye opening experience to come from a country which provides free public education to all of its children and knowing after our brief time in Tanzania that education is essential to allow a safe and healthy life for these kids.

In any developing nation there are opportunities for exploitation of well meaning donors, but we have been so fortunate to encounter good and honest people like Naomi and Herman here. They have a vision to help their community through education and access to health care for these vulnerable children, and they are doing their very best to provide it. We are hoping to continue our friendship with them and to hopefully provide opportunities for support from our corner of the world. Junior (Said, pictured earlier) has certainly benefited from the loving care and support at Lasting Bless, and we know that other children will as well.

Lasting Bless School in Arusha ...

Monday, March 21, 2011

Rewards and blessings

As our 3 weeks of volunteering in Arusha, Tanzania come to an end we are reminded of how many rewards and blessings we have received. We were able to visit orphanages and daycares and saw children who had a variety of respiratory, intestinal, skin, and eye problems mainly caused by their living conditions. We learned about common African diseases - HIV, malaria- and treated some acute problems with medications that we purchased. You can buy whatever you want from pharmacies here if Africa without a Rx and they do have a good variety of meds to choose from ( meds are much cheaper here than in US). None of our work would have been possible without the help of Jessica Paul from Tanzania Volunteer Experience. She is a bright, beautiful, caring, confident, and wonderful person and arranged our visits and did our translation with kids and parents. We both felt that she will be find herself in a significant leadership position in Africa in the future with her law background and work ethic.

Both Deb and I came away with many wonderful impressions of Africa, especially it's children. They are a most vulnerable population with no guarantee for education, health and decent living conditions as they grow up. But we experienced every day the smiles and greetings of beautiful kids as we walked the streets to our placements. We even had one boy see us from way down the path as he was walking with his Mom to school. He flashed us a big grin and literally sprinted to hug us each day when we saw each other on our walk.

We also wanted to follow up on the little guy with HIV, Said. Deb was able to accompany him to his follow up visit to the hospital and he is now being cared for by a Pediatrician who specializes in HIV and community health. He was anemic but his other blood counts were stable. He is on meds for his anemia, recent infections, and preventive meds for his HIV. The reward and blessing is that he is happy and healthier now.

A healthier little boy ...

Safari with our English friends

Imagine riding through some of the most beautiful landscape in the world, standing and looking out the pop-up roof of a land cruiser, tent camping with the sounds of the wildebeest migrating less than 100 yards away, eating delicious food served on Masai colored table clothes, enjoying beautiful weather, and traveling with a very fun group who taught us how to pronounce G"eye"raffe, and Zebra like Debra, and seeing magnificent animals up close and in their natural environment....that is what our Safari experience was like. We visited Lake Manyara, Ngorongoro Crater, and the Serengeti all within 3-5 hours of Arusha where we have been volunteering. We saw lions, leopards, cheetahs, rthinos, hippos, zebras, water buffalo, wart hogs, hyenas, impalas, gazelles, elephants, giraffes and many different species of birds. We both felt that this was a very special place with its natural beauty, animals co-existing side by side, humans observing but not disturbing their environment, and a true jewel of Africa. We have included some pictures of the trip. Our companions were co-volunteers from England - Phil, Lillie, Becka and Mike as well as Chewie our guide and Kinili our fabulous cook.

Cheetah on the prowl

The lion king ...

Beautiful Ngorogoro Crater

Rainbow over the Serengeti ...

Female lion up close ...

"Debra" the Zebra

Elephants on parade