Frontline

I'm frontline. Yes, it can be a precarious place to be, but along with
the unknown comes the privilege of seeing an elder see his face for
the first time in his life, of smelling the aroma of mint in the
Tanzanian fields not far from the Masai who wrap their naked bodies in
chiffon as they jump a story into the air decorated with knives used
to conquer lions in the plains. In the plains, you will see few trees,
land that is nothing more than a foot path, a well that isn't well and
a thirsty people wondering how to meet tomorrow. Being front line is
my life's privilege and I want to make space for you if you care to
join me. In remote Zambia, I pass my time in deep reflection. I try
to find reason in the unreasonable, miracles in misery and love in
hate. It isn't easy, but you can offer me an encouraing word or a good
idea, a blessing or solace just by holding my hand. Come with me and
let me show you something beautiful.

I’m Not Enough Word to Say Thank You

To Saul

Dear Saul,

Can you do a mitzvah for an orphan boy I’m looking after? He is only 13 years old and has a severe case of allergic conjunctivitis. It has become so advanced that without proper medication he will go blind. He is now on steroids and antibiotics, but the doctor suggests he get an anti-allergic preparation which can only be found in Lusaka. We need a preparation called: SPERSALLEG. It contains Antazoline HCl 0.05%, tetrahydrozoline HCl 0.04%. If you can get me 10 bottles of it and post it to me, I would be so very, very grateful. I’ll reimburse you when I see you next.

Cary

 

To Cary

Dear Dr. Cary,

DONE DONE DONE  BY TOMORROW 10 O'CLOCK.

NO NEED TO REIMBURSE ME.

PLEASE SEND ME A FORWARDING ADDRESS.

HOW DO I SEND IT??? BY FEDEX?

Saul

 

To Saul

The medicine arrived and Chata was successfully treated. Chata says these words of gratitude to Saul:

Hi, Saul,

I appreciate the medicine you buy me. I’m so thank you. My eyes is very fine because you are buying the medicine. And you helped me. Before my eyes were going blind. And you, you buy me the medicine. I so thank you. God Bless you. I’m not enough word to say thank you. Good bye and God bless you. May the grace of God be with you in all your work.

 

Thank you,

Chata

 

To Chata

Dear Chata

Thank you for your letter. It is very important for me and others to be able to help with the medicine for your eyes. Maybe that is not so easy for you to understand, but if you can try, you will see that if you had gone blind because we had not helped, then many of us will have stayed very blind in our minds and maybe never have seen the light.

 

May you too be blessed

 

Saul

 

                                 

Today

In May, an elder came into clinic holding a newborn. She asked that baby be given up for adoption. “The mother died at childbirth and there is no living family member left.”  The child had been fed goats milk for the past week from a sympathetic neighbor. Anne, Agnes and I went to the elder’s house to see for ourselves and make an assessment. A few kilometers down the road was the elder’s house. Around wasn’t strewn very much; sparse and spacious were all there was, but there were many children and there was a man with 7 of them. “Whose child is this,” we asked? He said it was his child. I looked at the elder and she looked at me. We understood. We didn’t need to tell and he didn’t need to know. She wasn’t kidnapping the baby, but assuring a better life for her. The seven already on the plate were neglected and without a mother they didn’t stand a chance.
 
The man is a baby making machine, the key to it anyway. Without him there would be no babies; the master key without the mind to settle down and leave the lock fastened. Instead, the door is perpetually open for him to walk in any time and do his business. The residue from whatever he does is another child and they looked nothing more than residues uneducated, hungry with Spartan rags hanging from skinny appendages. The newborn didn’t have a chance with him, but he wasn’t going to let it go. It was for him, not a baby to love, but a potential worker of the fields that bore nothing more than dust. So, we put our heads together and decided to provide lactogen for this child to stand a chance.
 
They say you never know what lies in a child’s destiny. Who knows, an Einstein could be from this remnant and so much she will offer the world.  There wasn’t much thanks, much appreciation or even the awareness that something kind had been done. It was more of an expectation for Whitie to come to the rescue and take care of the poor. So, the support didn’t touch anyone much there.  Somehow, the saving of this life didn’t touch me either. I didn’t see any educational value to the donation, any development of body, mind or soul. It seemed like an obligation more than the saving of a life.  How calloused I’ve become when confronted with the sheer realities of an endless dying dungeon of ignorance and indifference. Is it poverty that cultivates this or infancy that stunts the human mind to thinking, preparing and planning for the future?
 
Now is October. Sally, the head nurse at the clinic, meets me without much of a greeting. I’ve been away for four months and it seemed appropriate to say something other than “You owe us more lactogen.” I was handed bills for three hundred dollars for lactogen purchased retail from wherever was convenient. It could have been purchased in bulk, at wholesale prices, but Mizungo was paying so what difference did price make anyway? The baby had about 5 and a 1/2 months of lactogen and I felt it was enough. Usually without a donor, the villagers introduce solid food to infants at 4 months. Porridge and groundnuts adequately nourish children here when mom’s die at childhood. Sally says “You committed to 6 months. You are breaking your commitment. If the child dies you will have it on your hands.” Yes, I will have it on my hands. Next time, I’ll keep them folded.
 
I wonder why Sally’s hands never found their way to her pockets.
 

Bonnie and Clyde

Bonnie is pregnant. She has HIV. I know she knows it because I took
her to be tested. I coached and coaxed her like I suppose a football
player coaches and coaxes his team. Bonnie didn’t have electricity or
any future when I met her. She was a seamstress without a seam. Then I
got her a motor for her sewing machine and her business was booming,
possibilities were rife. I loaned her money and capitalized on her
enthusiasm to do good, to make money for her family and secure her
children’s education. It was a done deal, a safe and secure
investment of community funds. Her will and drive were palpable and
infected her husband who ran with the baton. His ideas for their
future were many and grandiose. I pared down and ground the edges a
bit, let up a bit on the accelerator and applied some gentle braking
action, which at the time seemed a bit defeatist, but now, in
retrospect, I’m happy I did because the loss is only moderate.

Shortly after receiving the loan, they bolted from the bank and to
date haven’t paid a penny. I can handle the loss of the money, but
what of the trust. Both fine and upstanding citizens in the community,
they have turned into criminals. How and why I ask myself; how have
such people fallen from the way? I’m deaf, dumb and numb now. I find
it hard to trust others.

Bonnie is pregnant. She fails to feed her other three children, she is
told her virus is “active,” and that she now needs full treatment, but
because of the infant below the bosoms, she cannot take the cocktail.
How will she pay for this little incoming bambino? The loan is lost,
gone somewhere to nowhere, the business is bust and hubby’s grandiose
ideas are still grand. I asked her why she did it. Why she got
pregnant. She gave a coy little girlie glance down there, not really
knowing why she let it happen. “It’s a gift from God,” she says. Does
the hunger that will come from this pregnancy qualify as a gift from
God?

Darkness

Darkness


Standing in front of a human being shedding a single tear that barely
has the strength to roll down is numbing. The sensation of
helplessness is not compatible with our human genetics and the stun of
the assault is overwhelming me. A blind woman didn’t see the blackness
of her house, the collapsing roof and the emptiness of a kitchen that
looks more like a mortuary. I did.

“What did you have for lunch today,” I asked the woman’s orphaned
grandchild. “Nothing.” “What did you have for breakfast today,” I
continued. “Nothing”. “What about dinner. What did you have for dinner
yesterday?” “Nothing”. “When did you last eat?” “Yesterday morning.”
Grandma could see nothing, but she could feel. She could feel like a
loser, an incompetent upstanding figure of her once-upon-a-time family
that is no more. She was left by every other member near or far,
husband, sons and daughters, sisters and brothers. She is now on her
own and the legal guardian of her last grandson who is overly exposed
when it is known that he was given no food for nearly two days. It
wasn’t particularly remarkable or unusual. It is just one of those
things, the way it is. When a good deed doer from the church spares
some change they eat. When they don’t they don’t. Sunday service
usually brings the most of those nice people. The tear in grandma’s
eye was like a dagger digging deep and twisting at the same time.
Immediately, anger and rage welled up within. I thought of all the
spoiled and ungrateful children I know who know, but don’t care about
what’s happening across the street to their neighbor.

I inappropriately took a picture of that tear. It wasn’t appropriate,
but she couldn’t see the flash or the darkness in her dungeon of a hut
in daylight. I needed to have the Kodak moment to believe it was real.
And in this way, I can look at it again and feel the same helplessness
that might piss me off again to force me to find some solution for it.

I embarrassingly ask myself what is so terrible with hunger? It is a
sensation like any other sensation: fear, exhaustion, joy. Do I need
to get all dramatic and bent out of shape when I encounter someone on
the side of the road who hasn’t eaten for two days?
Let me show you the tear for you to answer this question…

Michael

Michael

I’ve seen a lot in this world from the richest to the poorest. Sometimes, I find it fascinating, sometimes I find is demoralizing. Sometimes I’m catapulted into action and other times I’m left devastated on the side of a road watching pick up trucks roll by and wishing one would hit me. The world is a complicated playground. Some play well and others strike out. Some win and some lose. And in the end, we pack up and bring nothing with us to wherever. I guess we’ll all find out when we go there.

I braced myself coming to Africa putting a pretty picked fence around myself and posting “No AIDS Allowed,” without having ever mentioned this in the bylaws. Investing in the dying makes little sense developmental or financially. I chose to stick to the living and make a go at least “saving” them. Often times, relief workers focus on those in dire need. Well, what happens with the rest? They slip deep into dire when put into second place. So, I chose to look after the living and triaged those with AIDS to the other caregivers.

The scheme worked until today. Burying myself behind my picket fence wasn’t realistic standing before the children with HIV/AIDS today. I found that I wasn’t the only one with the same idea. No one wanted the burden of looking after these children. Mothers and fathers were dead and sisters and brothers married with their own families and problems. Adding to them wasn’t welcome. So, grandmothers were the dumping ground for these unwanted little ones. I say dumping grounds because the grannies have no resources including their own physical strength to make anything more than a dump to welcome the wee ones. But they take them in because they do.

Today, Michael, all of about 9, looked pitiful. He was covered with fungus, embedded with worms and with a lifeless little soul just trying to get by. He worked the field with his grandmother who was all that without the fungus. Back at their hut, I found the same pitiful pity. Uncleaned bedding doused with the stench of urine, filth peel-able and ripe with disease and broken souls too shattered to repair.

I should have a box of soap in the van. Why didn’t I think of loading up with detergent, corn meal and some source of protein? Where was anything useful when you need them? Unprepared, I found a pair of shoes and a sweatshirt for him. He felt shy to have something more than he had. He was fine with nothing and nothing was fine with him. I had some pieces of dehydrated soy that I gave to his grandmother and she was happy. I wasn’t. Dumping and moving on isn’t sustainable. It fails to meet the criteria, but it does give something for a moment: hope.

What is the solution? I’m unprepared and unable to make my way through this quagmire. If I take him, what will I do with him? If I don’t take him, what will I do with myself decades later? I’ve already made mistakes and I don’t want to make more. Do I put him in a boarding school taking him from his grandmother, his only living blood line left? What do I do? I don’t know what to do? But I know what I did. I drove away and now obsess.