Category Archives: International Escapades

iran-yazd-goofing

Yazd Iran Street Scenes

iran-yazd-old-town
Yazd, in South-Central Iran, is an ancient city on the edge of not one, but two deserts. On the roofs of these buildings in the old town you can see bagdirs or windcatchers, natural air-conditioning units. In order to get this great view, we had to climb up on an abandoned mosque…

iran-yazd-goofing
which gave my boys some excellent, if mom-heart-stopping photo-posing opportunities.

iran-yazd-door-knockers
Wandering through the back streets we also came across some doors like this one, with male and female door knockers. The knockers make different sounds allowing home-owners to know whether the person at the door is male or female and then decide whether or not to answer the door – just as you or I might screen our phone calls.

iran-yazd-town-center
It’s hot in Iran in July, particularly in the desert. Most people stay inside during the heat of the day and instead come out to run errands and shop in the late evening – and by late evening I mean after 10pm at night.

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Beirut: planetarium with the Al-Amin Mosque in the background.

The Corniche in Beirut

Beirut

This is Beirut.
Beirut.
Soon after I left Belfast in 1991 I met a guy in a bar. Both avid travelers, we talked about where we wanted to go next.
“Beirut”, I said, “in Belfast I learned that people live lives and the media writes stories mainly to make money. The difference between those realities is fascinating”.
He shook his head, “You’re crazy, lady”.
“Not at all. I’ve done Belfast. I just need to visit Beirut and Belgrade and then I’ll be done. I want to know if we’re all being duped by newspaper headlines”.

Then I fell for him. We got married, had kids, traveled a fair bit but I never got to Beirut – until this year. My friend Karin was there interning with the UNHCR. We chatted, me at my desk in Google Seattle, her in her little hostel room in Beirut.
“Come over. It’s amazing. You’ll love it.”

The local, national and international news were full of reports of the war in Syria. Journalists filed stories about the war and tensions in neighboring countries including Lebanon and Jordan “from Antakya” or “from Beirut”.
“Is it safe?” I asked Karin, the words feeling like something someone else would say even as they came out of my mouth.
“Totally. It’ll be great.”
She had been there almost three months. Convinced that an opportunity like this doesn’t come every day I booked flights.
Days later the papers were full of bombings in Tripoli. Oh well, too late now.

I lined up at passport control at Beirut airport with a hastily completed visa form in hand betting on a lackadaisical border guard. The form was pretty specific: in return for generously providing visas on demand at ports of entry, the Lebanese government asked travelers to provide a local address and phone number. Not an outrageous demand by any stretch, simply complicated by me totally forgetting to ask Karin for her address – and my phone was dead so I couldn’t even call her.

The border guard wasn’t impressed. I was curtly and dismissively escorted into a small room populated by a bunch of equally stern and forbidding-looking (armed) guards. My escort deposited me and disappeared back to his post with no explanation.
Lovely. When in doubt, play the girl card…
“I’m so sorry. I’m such a ditz. My phone is dead…”
The officer in charge looked as me with about as much respect as if I’d crawled out from behind the dingy battered sofa in his drab, industrial, grey office.
“My friend, I’ll be staying with her but I don’t have her address…”
He held an old-style telephone receiver in hand. His stare bellowed “Lady, can’t you see I’m busy? You wait until I’m ready for you!!”.
I persisted in my friendliest voice “I just need to charge up my phone and then I can call my friend…”
Now he really couldn’t believe my impudence. He gestured to a junior guard who beckoned me out the door and pointed out a power socket on the wall – still on the wrong side of the border checkpoint.
I thanked him profusely and rummaged in my bag for socket converters and power cords.

Five minutes later my phone had a smidgen of charge, enough for me to open my email. I had to lean across the barrier marking “no-man’s-airport-land” and Lebanon to connect to the airport free wifi. There was no-one left at the border checkpoints except a couple of bored guards who stared at me as I leaned over the barrier shamelessly, an internet hussy. I smiled back.

Karin’s phone number in hand I marched back into the office waving my visa form out in front of me. The officer was possibly less happy to see me than the first time, now he had to actually deal with me. Thankfully, a couple of quick phone calls later the form was filled out to his satisfaction, my passport stamped and I was on my way – and I knew that Karin hadn’t given up on me and was waiting in arrivals.

corniche-beirut

Later that evening Karin took me on a walk along the Corniche in central Beirut. From her hostel in Ain el Mreisse just below the American University we walked along the water, past the upscale yacht club all the way to Martyr’s Square and then through the eerily remodeled souk area to Place de L’Etoile.

Corniche comes from the french word for ledge, usually used to describe a road on the side of a cliff or a mountain with the ground falling away from the road on one side and rising on the other. The lower part of the Corniche in Beirut, the part that we walked, felt much more like an Esplanade, a broad generous path full of Beirutis enjoying the summer evening.

“Color” is the single word that pops into my mind as I recall that walk. Maybe it was the summer evening sunshine or maybe it was the light reflecting on the Mediterranean. My first impressions of Beirut from that evening are peopled with groups of young men smiling and calling out to us cheerfully as we passed, young families, rambunctious children and girls wearing headscarves in every color but black.

On the streets of Tehran, the sea of black chadors felt to me like a surprise slap in the face. The absence of color hurt my eyes and my heart. Even though I know that Lebanon has a large Christian community, it is a predominantly Muslim country. Subconsciously I arrived in Beirut expecting Tehran. The riot of brightly-colored headscarves with matching shoes and bags or a headscarf complimenting a gaily patterned top made me practically giddy and lifted a weight I hadn’t realized I was carrying. The Corniche that evening was, for me, a rainbow of bright, strong colors and it made me want to laugh out loud.

The Corniche is also the Avenue de Paris and on the Avenue de Paris the true heart of Beirut calls in honking horns, drivers barely observing lane markings and treating traffic signals as nothing more than a suggestion. Vibrancy of an entirely different kind. It was traffic like I’ve never experienced before. It made Hanoi and Beijing with their schools of motorcycles seem positively pedestrian. Traffic in Lima or Rio can be navigated fairly successfully if the driver remembers to look only ahead and move quickly – at least there cars on the left drive left and cars on the right drive right. In Beirut such directional obeisance is noticeably absent. It’s chaotic and raucous but strangely, it works.

corniche-beirut-yachts

At the far end of the Corniche we nodded at security guards and passed into another world. Like a World Showcase in Disney’s Epcot the Zaitunay Bay area is the Middle East re-imagined. It could be Vegas or Sydney or the South of France. The restaurants are modern, the yachts new and extravagant, the ambiance exclusive. To walk into this area on the turn of a corner was bizarre and almost disappointing, “I thought I came to Beirut, where is this place?”. Thankfully the cacophony of car horns was still audible.

We walked through Zaitunay Bay and out the other side where the Corniche is no more and instead we needed to cross a four-lane highway on our way to up Martyr’s Square. For the second time that evening I felt the dissonance of Beirut’s post-war recovery acutely. Where the marina area is ultra-modern, Martyr’s Square is a historical landmark. The Martyr’s statue in the center of the square is bullet-riddled. Beirut yesterday, meet Beirut tomorrow.

beirut-planetarium

The shell of a planetarium stands, like a skeleton on one side of the square all rubble and bare concrete bones. The Mohammad Al-Amin Mosque, domes in glistening blue tile with a gentle twilight glow on the yellowed stones, in the background. Lebanon old and new? I wish I could say. Planetariums obviously, are like orthodontia, nice to have but nowhere near as necessary as a functioning place of worship.

By now I was flagging, feeling my jet-lag in every step. We passed the Roman Baths and I barely noticed (!!). We walked down the new pedestrianized streets toward Place de L’Etoile and the fruity smell of flavored hookah was overpowering and nauseating. My treat for the evening was a silver moon over the brilliant domes of the mosque visible behind St Georges Greek Orthodox Cathedral. OK so the current cathedral building is fairly new but the original church dates from 400 A.D. This, this layering of history and culture, this is the Beirut I’d come to experience and try, meagerly, to understand.

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The Little Syrian Woman in Green

syrian-lady-in-green

This is a crap picture. I wish it were better. I wish I were a better photographer. I wish I’d even stood up when taking the photo. But, even with it’s failings this is a photo I’ll treasure. The best I can do is share with you the story behind the image.

I said that my visit to a refugee camp made me feel like I’d walked through the looking glass. Here were people building homes with nothing, a million miles from a Home Depot and a world away from IKEA or Pottery Barn. Even with that, I know these people came from towns and cities where they had, like anyone else, at some stage in their lives, bought a new sofa from a furniture store or a new fridge from an appliance store. Now here they were making homes from grain bags and wooden poles.

Some of the tents had rugs and plastic flowers. Maybe their homes are close enough to the border that sometimes they steal across and collect things from their houses to make their tents more familiar or more comfortable? I can’t imagine choosing to take risks like that.

Between a row of tents someone had planted flowers and corn. Still trying to picture myself in this situation I found myself drawn to the plants. This I could understand. If I were forced into a similar situation I bet I’d go out of my way to plant something and tend it.

I tried to take some photos of the flowers but my camera was a magnet for the kids. They crowded up to me “saurini, saurini” (“take my photo, take my photo”), too close for me to take their picture and crowding out the plants. The little woman in the photo above came out of her tent and roundly chastised the kids. We shared a universal language of Moms’ eye-roll and laughed. She barely came to my shoulder. Her deeply tanned skin contrasting sharply with my pale freckled self. Comparing smile lines and scant crows feet on our respective faces, I suspect we may be of a similar age. She carried herself confidently, a vibrant personality tangible in her smile and her eyes. She beckoned me over to her tent, the gaggle of kids followed at a distance.

It’s amazing how much we humans can understand each other even without the luxury of language. She invited me for tea but I declined as politely as I could. Then she asked me to take a photo of a family elder. I hunkered down and obliged. When I turned the camera around to show the photo the kids squealed and both herself and the older man nodded approvingly and then she took me completely by surprise. She gestured for me to take her photo. I’ve traveled in enough Islamic countries that I’d assumed she would shy away from the camera. Not wanting to lose the opportunity I swiveled on my heels and snapped. While I adjusted the zoom she flat-out posed. She tilted her chin and barely perceptibly jutted her left hip. I nearly fell over.

I don’t know why I found this woman posing for the camera so arresting. Why wouldn’t she pose? Destitute and a refugee she’s still a person, with dignity, wishes and hopes. Maybe as you read this it will help you think of the people behind the current news headlines as people like you and me.

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At the Syrian Refugee Camps in Bekaa Lebanon

Intellectually you and I both know that there are many thousands of Syrian refugees in Lebanon. Emotionally we each likely empathize with the plight of these people when, say, we hear a moving news story. Practically in our daily lives we are too far removed from this problem to really do anything to help.

I recently spent a morning with a volunteer medical team at a refugee camp in the Bekaa valley in Lebanon. The social, political and economic problems presented by the current refugee crisis in this area are challenging to understand (which I find interesting) but my practical interest in choosing to spend my vacation time visiting this camp was to learn more about how the response to such refugee situations really works. It was a through-the-looking-glass experience where my house-car-work reality was replaced by a world of dirt and dust and tents made from packing bags.

Firstly, let me introduce you to the medical team who kindly shared their home, their meals and their day with me. The six folks I met came from Germany, U.S. and Belgium. One doctor, one physician’s assistant, two nurses and two public health coordination staff. The medical folks volunteer with Medical Teams International for three weeks mostly using their own vacation time or unpaid leave from their regular jobs. The admin folk stay longer and provide necessary coordination between this team and other organizations working in the area, like the UNHCR.

I’ve never heard a group of people talk about intestinal worms or head lice so much – both, apparently, commonly contracted by people working in refugee camps. At least one person in the group had picked up a tummy bug and wasn’t keeping food down, but she still worked a full day.

Accompanied by three local translators the team rolls into a camp in their minivan and has to negotiate with the residents for use of a tent for the morning. Once that’s sorted they quickly set up portable tables and put out plastic storage tubs as their mobile dispensary and then the “clinic” opens. From pregnant mothers to diabetic grandfathers to sick children to people just needing someone to talk to the patients just keep on coming. During my short visit I think practically every person at the camp came by for attention. I found it exhausting just watching.

It was well past lunchtime when the tent owner started to express his displeasure that his home was still occupied. He was pretty agitated. Patients had to be turned away but you could understand his frustration. Even if your home is a makeshift tent, it’s still your home. Walking back to the van the team was still assisting people and medications were handed out even through the van window before we drove away. These are committed volunteers who take their responsibilities in delivering primary medical care very, very seriously.

There are hundreds of camps like the one I visited. They range in size from 10s to 100s of people. THe UNHCR description is “informal tented settlement”. People arrive (from Syria), they negotiate with a farmer to put up a tent on his land. The women may work in the fields. They likely won’t have running water. Newer tents are cloth bags sewn together over tied wooden poles, sticks really. More established residents have plastic sheeting, metal supports and possibly concrete floors. The tents are typically square with room partitions creating spaces for sleeping, eating and food preparation. There is very little food and people have few belongings so no real need for storage spaces. Pit toilets are shared one for every three to five tents. Grey tanks show that water has been delivered – usually by a relief agency. New camps pop up daily and the team coordinators try to keep track of new settlements and do camp assessments at new camps evaluating population, state and need. The team I visited provides care to about 35 camps and tries to visit each camp at least once every two weeks.

There were about 30 kids at the camp I visited. As a stranger, not actively working in the clinic, the kids were fascinated by me. I took pictures and played around with them. They followed me like the Pied Piper. Most were school-age, full of energy with nothing to do and no access to any education or even books to read.

Some of the kids were neatly dressed looking like they’d just showered. One girl looked like her hair hadn’t seen a comb in a month and her clothes were dirty and ragged. Parents and some older kids watched from a distance and then melted away – maybe figuring that I wasn’t a threat. I couldn’t help wondering how I would cope with my kids if I were in this situation. Would my boys be neat like the kid who came to me with a notebook and pen and inhaled the English letters and words that I drew for him? Or practically feral like the little girl who pushed every other kid out of the way whenever I took out my camera?

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At the UNHCR offices in Beirut

There are easily 200 Syrian refugees waiting in the yard opposite the UNHCR offices in Beirut. Maybe 300. Men, women, children, so many children. Old people, young people. Couples, extended family groups. Waiting to register. Waiting to ask about their registration, looking for information.

The space is maybe 80ft by 40ft. A building lot without a building, just a couple of temporary 2-person offices and a construction crew building a platform for another office. The offices are on the north and east sides of the space. The new office will be on the west side. People are waiting under tarp shelters or standing in lines waiting in the central area. There are mostly men in the lines, the women and children wait oh so patiently in the shade. There is not enough shade, not enough plastic lawn chairs, no food and no water.

My friend Karin is doing a survey of pregnant and nursing mothers. She has a translator with her. I’m just tagging along and taking pictures. The kids, like kids everywhere pose, giggle and playact for the camera. It doesn’t take long before people start asking me questions. I feel so useless as I repeatedly hold up my hands helplessly.
One man wants to know if I’m a journalist. Another asks if I can help him reach relatives in the U.S. and Germany. One, speaking English pretty fluently explains that he’s a deserted Syrian Army soldier who just wants to find work – but the Lebanese are no longer respecting his UN registration # as valid ID.

I can feel the frustration sin the people who approach me – the ones that I can understand. The waiting is difficult. It’s very, very hot. It’s noisy and dusty. Those are their wives ineffectually fanning themselves. Those are their children sitting in the dirt.

Karin discovers that none of the women she speaks to know anything about the UNHCR medical services. One woman who is near term doesn’t know where she will have her baby. They all cite cost as an issue for them – UNHCR covers 75% of delivery costs but the family must pay the rest.

There are over 600,000 Syrian refugees in Lebanon, swelling the population of this small country of 4 million. A few blocks from the UNHCR offices there’s a Palestinian refugee camp – complete with a Yassir Arafat mural. Lebanon, already host to over 20,000 Palestinian refugees, is dealing with Syrian refugees streaming across the border daily. Some are Palestinian Syrians, complicating an already complicated situation.

We lunch with Karin’s co-workers, a talented multi-ethnic bunch of healthcare professionals. They discuss Karin’s findings and some of the issues they’re dealing with coordinating with Lebanese hospitals. It’s all medical stuff to me. I’m trying to process what I observed outside and what I’ve learned – am learning – about relief work such as theirs.

Later we tourist, just by walking through different neighborhoods in Beirut. The scars of Lebanon’s recent wars visible everywhere as rubble on the sidewalks, bullet-holes in walls or shot up, bricked up buildings. The military presence reminds me of Belfast: patrolling amoured cars, soldiers in fatigues with loaded guns, fortified entrances to governmental buildings. We pass coils of razor wire on the street.
“What’s that for?” I ask Karin.
“So they can close off the streets”.

We keep walking. Now I notice the razor wire at every major intersection.
We pass through the Hamra neighborhood near the American University of Beirut, past Starbucks and H+M, past cafes and bookstores. The streets are busy with Lebanese going about their daily business. Frequently little kids hold out their hands to us, begging.
“Syrians”, Karin says, “they’re everywhere”.

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The Room Next Door in Beirut

“I need a shower badly” I said to my friend Karin, “but I just want to take a quick photo of your view”.
“My little slice of Beirut, eh?”
We laughed as I stepped back from the balcony into the simple hostel room that has been her home for the past three months. I surveyed the space taking in the high ceilings, bare white walls and flat tiled floor which felt cool to my feet.
“There’s plenty of room for my sleeping mat on the floor, this will do perfectly”.
She hopped up off the bed saying:
“I forgot to say, I realized the room next door is empty – and the windows are never closed – the lady isn’t around today but we can sort it out with her tomorrow…”
She trailed off, grinning, standing in the doorway of the sliding window doors which partitioned the indoor/outdoor space of her hostel room, her arm pointing across the low wall between her balcony and the one next door. My jetlag-addled brain took a minute to catch up. I stuck my head past her arm and saw that the balcony doors next door were also open, the single bed, desk, chair and closet empty of any belongings.
“You’re suggesting I hop over the wall and sleep there? Good plan.” grinning myself now too, “You’re sure I can sort it out with the lady tomorrow?”
“She’s not around very much but when we find her we can get you a key. It’s only for four nights.”
“Worst case I can leave money with you, right? How much are you paying a night anyway?”
“I pay by the month but it’s only $10 a night.”
“Awesome.”

That evening Karin gave me a whirlwind walking tour of central Beirut from the Corniche, past the luxury yachts and expensive restaurants on the marina, to the newly rebuilt and eerily quiet pedestrian streets downtown.

We had dinner with some of her UNHCR friends. Over traditional Lebanese food (Best. Hummus. Ever.) I learned about the challenges and complexities of their work with Syrian refugees in Lebanon.
“It’s interesting work because it’s complex. The Lebanese don’t want any more refugees, healthcare here is expensive and then there’s Hizbollah.”, said Vincent who designs and builds refugee camps.
Our dinnertime conversation ranged over everything from Karin’s research work on c-sections in Syrian refugee population to the public health challenges in these informal tented settlement camps to the practical, political and logistical difficulties of their work.

By 10pm my travel tiredness had caught up with me. We hopped in a servico, a shared taxi, for a cheap ride back to our hostel. Dizzy and barely awake, I clambered over the balcony wall and crashed hard on the bare bed in the room next to Karin’s.

Sometime after 3am I lay awake on my “borrowed” bed. Karin, in her room, soundly asleep and undisturbed by my jet-lagged wakefulness. I grinned to myself and tried to get back to sleep listening to the male voices in prayer-song at a nearby mosque, like a melody above the rhythm of the Beirut traffic.

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Postcard from Gaza III: Reflections

My girlfriend is currently volunteering in Gaza. I asked her to send me the odd email with her observations as a way to share an on-the-ground view of what life is like in this embattled place. She leaves today. In this post she reflects on her experiences in Gaza.

Gaza City

Gaza City (Photo credit: Wikimedia commons)

“Where are you from?” “Am’rika”, I reply. “Welcome, welcome”. Time and time again, the same warm, hospitable message.

My stay in Gaza started at the Hamas border with the surreal witnessing of the Islamic jihad and Mujahideens welcoming a prisoner back home to Gaza after having spent 27 years in an Israeli jail. Men in full balaclavas with Kalashnikovs, shots fired in the air in signs of happiness, family, journalists. We hadn’t asked for such a fervent welcoming committee… 😉

gaza-no-mans-land

No-mans land between Israeli and Palestinian checkpoints at Erez border crossing.

In the countryside, the peace sign is constantly flashed when we drive by. Yet Gaza is anything but peaceful. Torn to its core by continuous wars, the latest in November of 2012, Gaza is a place on edge, where people talk about their frustration with the government as well as with their neighbor Israel.

The ever present dust and destruction permeate my daily life, it exhausts me. Everywhere my eyes track, I see iron rods sticking out of concrete rubble, dirt and garbage everywhere, plastic bags flying, chaos—it’s inescapable, pervasive. Nothing is green. Graffiti cover almost every wall at every corner of the streets –it’s truly an art form intrinsic to Gaza—their unique message a plea for peace and the right to their land. It is exhausting and depressing. To my eyes unused to war the devastation and destruction is so intense, the bombings could have happened yesterday – yet to the ones who know, Gaza is purportedly doing some rebuilding. But many things have sadly just stayed the same here, or even gotten worse, paralyzed by systemic inefficiencies, political rifts and economic blockade.

With its 1.7 million inhabitants (most of them refugees) squeezed in less than 360km2, Gaza is one of the most overcrowded places on earth. Blockaded since 2007 when Hamas was put in power and controlled by the Israeli Defense Forces by air, sea and land, Gazans experience hardships very few can imagine: unable to leave, they remain in an open-air prison that boasts over 34% unemployment and with 80% of the population on some form of aid. Compounding this situation are a fledgling infrastructure, severe electricity shortages, massive water issues, a struggling municipal service and a state of constant economic squeeze – and you may understand a little better why peace is a difficult concept here.

gaza-graffiti

Graffiti (not sure what it means or what the text says).

Yet, against this backdrop of people exhausted to struggle to survive, their resilience and kindness take over. “We are so sorry for what happened in Boston”. How many times did I hear this message…

The cacophony of horns, generators or street vendors selling their goods to the passers-by signal that life still goes on in Gaza. Driving is mayhem, with cars weaving in whichever direction, honking their horn incessantly, asking whether you need a ride. I am the rare foreigner here—most likely the only woman in this sea of humanity who does not wear a veil over my head. Walking in the streets in the old souk, I am undoubtedly noticed; the young men want a picture with me. “Welcome, welcome”. I am their window to the outside.

Every day, I have been touched by their gestures of generosity: the pita baker at the street corner invites me to make pita in his oven, and then gives me bread; my falafel hangout feeds me more falafels than I can digest – and wants to marry me; our staff at the hospital brought plates of fresh humus and olives for breakfast. They have kindly taught me Arabic words, enough that I can get my “café au lait” in the afternoon. I have been served more coffees and teas than I could dream of. At work in the hospital, they have taught me how much they can do with so little. They always readily share everything they have – and with a smile.

gaza-making-pita

Making pita bread in Gaza.

Even if deprived of their dignity, Gazans cannot stop to have hope. It is their only option. And they know it all too well.

Today was my last day at El Shifa hospital – today was a day of optimism. I witnessed two babies being born – two human beings who know nothing about war and conflict. As a new generation is born, each and every one of us, no matter our beliefs, owe it to them to have the the right to a future as bright as ours. It is their right as human beings.

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Postcard from Gaza II: First Pictures

My girlfriend is currently volunteering in Gaza. I asked her to send me the odd email with her observations as a way to share an on-the-ground view of what life is like in this embattled place. This is the first set of photos she’s sent from there.

gaza-crossing-into-gaza

Crossing into Gaza.

gaza-wall-to-jerusalem

The wall walling in the West Bank from Jerusalem.

gaza-street-door

A simple street door in Gaza.

gaza-patient

One of the young patients being attended to by the visiting medical team.

gaza-shwarma-stall

A local food vendor.

All photos by Bob Haynes.

More posts on this volunteer effort are cross-posted here with additional information about the group and their work.

Photo Friday is hosted by DeliciousBaby.

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Postcard from Gaza

My girlfriend is currently volunteering in Gaza. I asked her to send me the odd email with her observations as a way to share an on-the-ground view of what life is like in this embattled place.

gaza-crossing

It took a few minutes of observation in the Al Shefa ED to shred my plans and revisit how I can be of most use here. Aside from teaching by giving a few nursing-focused lectures at the university or at the hospital (for the future, on topics that they can really use), I know that what I can do is learn as much as I can from them and bring back their stories to share — raising more awareness about the Palestinian cause, and as far as health is concerned, knowing a little better what it is that we can share with them given their situation. It serves no purpose to go there and teach them the “American way” — things do not change in a few weeks, and their realities are what they are.

My days are spent in the ED, observing what they do and how they do it. The chaos is incessant, yet the staff seems oblivious and goes about its business; they see close to 700 patients per day there (families not included). While at home we strive for data and make decisions with data, not so much here. How can you when you have so many patients to care for. Care for? Not certain this is the right term. Overcrowding, sorely lacking resources, and a system that has no system.

Drug shortages seem to be an issue, or maybe it is culture? Pain medicine is limited to intramuscular tramadol or Diclofen. Patients just do not get pain relief the way you do in America. You can be in writhing pain, and nurses will be oblivious. I had to beg a few times that a patient seems in true agony before they summoned the doctor to ask for an IM order. Vital signs in the ER are not recorded and seldom taken. Gloves are used as tourniquets, and hardly anything else.

Handwashing is not part of the nursing care. The CT scanner has been broken for 6 months — at Gaza’s main ED (so here, where I am), patients needing a CT scan have to get it at another hospital. I’ve ridden the ambulance through town with the patients– near misses at every corner of the road. Probably the one and only public good I did so far was to convince my ambulance driver to wear his seatbelt ( Inch’Allah he wears it tomorrow…), and I held the hand of a very scared and brave 9 year old badly injured patient.

Otherwise, the falafels are out of this world, and I could eat them every day. The guy making them wants to marry me… of course. So I get them for cheaper. :-) He tries to impress me by dipping his hand in the boiling oil — no pain, no burns. I am impressed! Their sweets are also out of this world, and I make it a habit of trying a few everyday.
There are no tourists here — what a surprise. I walk around the block — most of the time with someone else, but today I did a long walk to the “beach” on my own.

The Gaza people are very welcoming and very kind. Today, several mentioned the Boston marathon bombings and expressed their sorrow to us. What a resilient and truly generous people.
I already feel at home here — I know I will be back.

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The Boat Museum Ayutthaya Thailand

ayutthaya-thailand-wats

Most people visit Ayutthaya Thailand because it was an ancient capital of the Kingdom of Siam. It’s extremely pretty and historically significant enough to credit the UNESCO World Heritage Site honor it earned in 1991.

We went there to kill three days while waiting for our Chinese visas to be processed at the embassy in Bangkok.

By the time we got to Ayutthaya my kids were wat-ed out. In fairness, we were at the end of an eight week tour of South East Asia and they had had their fill of temples and ruins and then some. That said, as any respectable parent knows, expecting two children to sit quietly in a hotel room for three days is asking the impossible so I proposed a walk.
I believe I said: “C’mon, let’s go explore the ruins, it’ll be fun”.
Judging by their reaction, you’d have thought I said: “C’mon, let’s go replace all your fillings”.

I won’t paint a picture of what happened next, you’ve been there, it’s not fun.

An hour later we were inspecting crumbling 16th-century wats, my boys both exercising their rights to practice their world-champion scowling skills. So I took a different tack. Earlier, we’d passed this street sign:

ayutthaya-thailand-boat-museum-sign

“Let’s go check out that Boat Museum”.
The brothers Murphy, possibly figuring that boats had to be at least marginally better than wats, agreed.

I haven’t found a mention of this Boat Museum in any guide book. Finding and visiting it was the very definition of being sidetracked by kids while traveling. The museum takes up most of the floor space of this master carver’s home. The boats themselves are works of art, the dioramas help describe more clearly the different boat types and their uses.

Some examples of the different styles of boats on display at the museum:

ayutthaya-thailand-boat-museum-boats

ayutthaya-thailand-boat-museum-work-boats

As I said, the owner and his wife welcomed us into their home and proudly showed us the boats and boat models in their collection – and then posed for a photo :)

ayutthaya-thailand-boat-museum-owner

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Information on traveling to Thailand with Children.

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