Friday, December 24, 2010

Christmas morning!

A little Christmas morning hello from Dharamsala!
Well it's a cold but sunny morning here in the Tibetan community of Dharamsala, up in the Himalaya mountains!  I've always wanted to visit this place, and it is proving to be a very restful, peaceful break from the chaotic busy-ness of other Indian cities.  This morning, mom and I woke up to a beautiful view of the valley below.  Later on we're going to spend the day walking around the temple complex where the Dalai Lama resides and then have a nice Tibetan christmas dinner!
So, we're doing well here, and i'm making the most of my last week in India.  I hope you're all surrounded by loved ones and lots of good food!  I wish I could be there to give you all a big warm hug!
Merry Christmas, dear ones!
love, Laura
PS. here are some more pics below!
yes it is!

Monkey temple, Hampi


the Sikh "Golden Temple" in Amritsar


Dharamsala



Sending love 'round the world to you!!!


Tuesday, December 14, 2010

A month gone by!

I"m sure people have given up checking my blog, with so much time gone by and no news!  Apologies - life has been full and busy, and internet connections have been slow, which perhaps is a reasonable formula for me being so out of touch!  Anyway, a quick update - After leaving Mae Tao clinic, I visited Tat and Sert, two Karen friends in Doi Inthanon National Park.  It was great to see them again after five years away, and their English had improved a lot over that time, so it was a bit like meeting old friends for the first time!  They hosted me so generously, fed me and took me hiking, and gave me a peaceful hut by a stream under the stars in which to rest and think.  Then, pendulum swinging madly to the opposite extreme, I headed to Chiang Mai for Loy Gratong festival - a celebration of light where flying lanterns are released into the sky and floating lanterns into the river. It is a magical festival - utter chaos on the ground, with fireworks and drunkenness and music and crowds taking over the streets, but then you look up and thousands of paper lanterns are rising gracefully towards the stars over the city, carrying the hopes and fears and prayers of how many strangers...  It was lovely.  Next, I made my way up to Muvikhi, the small Karen village where I lived and studied 5 years ago.  It was quite emotionally intense returning there, as my last stay was both a difficult and life-changing period of my life.  But people seemed really happy to see me, and pleased at the few remaining phrases of Karen that emerged somehow from the recesses of my brain.  I was surprised at how little things had changed there, considering how much has happened in my life over these years.  It was heartwarming to see all of the familiar faces, meet some new ones, and to taste again the integrity of that community, and the humanness of that quality and pace of life.
I"ve posted some pictures on picassa, which can be veiwed at:
http://picasaweb.google.com/lh/sredir?uname=100753240463516732655&target=ALBUM&id=5550420483100487057&authkey=Gv1sRgCPvE3sz0j-qILg&feat=email

And now, I find myself with my adventurous mother in India!  The first two weeks here, we stayed at an ashram in Kerala, living by a strict daily schedule of yoga, meditation, sanskrit chanting, vegetarian meals, and "karma yoga", better known as "chores".  It was a really interesting experience, living there with about 300 other people, from all over the world, and all walks of life.  Some of the elements - such as the chanting - were uncomfortable for me initially, but I tried to approach these things openly and with humility and a sense of humor... and it turned out to be a great experience and a good glimpse into ashram life.
We are currently soaking in some sun on a beautiful laid back beach in Goa, before heading inland to Hampi for a few days (a UNESCO heritage site that is said to be pretty breathtaking), and then we're heading north to Amritsar and Dharamasala for the remaining almost two weeks before I fly home to Canada.  Mom and I are proving to be good travel buddies, and I am continuously surprised and amused by our disorganized, relaxed, wandering way of traveling, and how it has seemed to work for us so far!  We've met wonderful people, seen some beautiful landscapes, braved chaotic train stations and busy cities, made a spectacle of ourselves and been laughed at by locals, and even ate mayonaise from a food stall without getting sick - those Hindu gods must also be amused, and endeared by us.
I've also posted some photos of our time in India so far, at:
http://picasaweb.google.com/lh/sredir?uname=100753240463516732655&target=ALBUM&id=5550432833120975121&authkey=Gv1sRgCK2lmMDY_oPiqQE&feat=email

Writing this, I"m aware that these words and images are just the "bare bones" of my experience here.  I"m not sure how to fill in the important parts - how my heart has been touched by people and places, how my senses have been assaulted and astounded by the smells, tastes, colors and textures, the questions I"ve been asking of myself and of life, the many lessons I"m learning... all of the little births and deaths and transformations going on inside me and around me.  I hope we get to share those parts too - over tea or dinner, or on a walk sometime.  And, as always, I'd love to hear from you...
with love, Laura

Sunday, November 14, 2010

A full last week in Mae Sot

Well, I gather that the situation along the Burmese border following the elections has made international news.  The morning of November 8th, fighting broke out in Myawaddy between the SPDC (military government) and on faction of the Karen army who had been previously allied with the SPDC.  The fallout was that many civilians were caught in the crossfire, and over 15 000 - 20 000 fled across the Moei river into Mae Sot. 
The refugees were temporarily held at an army base near the Mae Tao Clinic, and many international and Thai NGOs stepped in to provide the basics - shelter, water, sanitation, food.  At the Mae Tao clinic, we were all waiting for an influx of people seeking care, but it remained strangely quiet there.  Myself and a few others went to the temporary camp, to see if there were ways we could assist.  When we asked what was most needed, the reply was "organization".  Though it was quite impressive, the response that occured within 24 hours of the refugees arriving, there was also quite a lack of obvious coordination - latrines hadn't been set up and people were having to use the bushes, the fair distribution of food and water was a challenge, and it was clear that major public health concerns like dehydration and heat-illness could evolve quickly with so many people in such a confined space.  For better or worse, after two days, the Thai government exerted some strong diplomatic pressure, and the fighting settled down in Myawaddy, and people were forced to return home.  I have heard that the fighting continues along the border, with many people still seeking refuge in Thailand and that many people have returned to Myawaddy to find that their homes have been burned, and their families separated. So, it seems that the post-election unrest is far from over.
From a personal point of view, it was quite frustrating to be able to offer so little help to the situation.  Without language, many foreigners found themselves quite useless, though some began fundraising efforts.  It seemed that there were resources available, and people willing to help in any way they could, but the lack of organization in an emergency situation was the limiting factor.  I have a new appreciation for the field of disaster management!  It was also eye-opening to be at the temporary camp and to see children playing, and people smiling and chatting with oneanother - none of the mass hysteria that I would expect from people fleeing a war zone.  The calmness was unsettling and made me wonder what many Burmese peoples lives must be like that this appeared to be an almost "normal" state of affairs.

Mae Sot and the Mae Tao clinic are back to their regular states - though with quite a bit of excitement and attention to Aung San Suu Kyi's release yesterday!  News is pending...
There have been some difficult goodbyes at the clinic, and a raucous goodbye party that Ale and organized as a thank you to the Inpatient Department.  I'm feeling a lot, though I can't see clearly enough through the jumble of emotions to articulate them.  I am looking forward to a change of scenery, and some time to reflect and slow down with myself.  Tomorrow morning I hop on a bus to the Chiang Mai area, where I will have two weeks to visit some friends, and return to Muvikhi, the Karen village where I lived five years ago!
The journey continues...

Sunday, November 7, 2010

Election Day in Burma

Election day in Mae Sot seems pretty quiet.  This morning I biked to the border (about 5km away from town), which has been officially closed for months leading up to this election.  There was slightly more police presence there, a few more foreign journalists, but all in all a normal day - the market carrying on, people walking along the Thai side of the river, Burmese people washing clothes and doing daily chores along the other.  I walked past a news crew from Al Jeezera who were filming the short clip linked below.  Most people I"ve asked about the election are fairly sceptical that any real change will result.  People joke grimly that the military leaders are simply changing into government uniforms and will carry on with the status quo.  The election is already being called a "sham" by many external sources, and with the biggest pro-democracy opposition party boycotting the election, and international monitoring agencies denied access to the process, it's easy to understand why there is such scepticism.

Short clip from Al Jeezera, shot in Mae Sot this morning:
http://english.aljazeera.net/video/asia-pacific/2010/11/201011620521237982.html
And a good article on the election:
http://english.aljazeera.net/news/asia-pacific/2010/11/20101170373336867.html

For me, it's a lazy Sunday as I gear up for my last week at the clinic.  People ask how I'm feeling about leaving Mae Sot and, having known all along that I'm only here for 6 weeks, I feel ready.  That said, I know I could work here for much longer, and delve into issues and relationships and learning that I've not been able to access as a transient volunteer.  With so many international volunteers coming and going from this place, I've heard that it takes a minimum of 6 months before people really start to trust you and speak honestly with you about the situation here.  I've had a glimpse, and have learned a lot, but I know I've only touched the surface.
Yesterday, two friends and I visited "Mae La" refugee camp, which is home to 55 000 refugees.  Most have travelled illegally from Burma in order to escape violence and displacement, and have settled in this camp where they receive basic food rations and have access to health and education services, which are provided by international NGOs.  I was told that about half of the people there have official refugee status, granted by the UN, which allows them to apply for resettlement in "third countries" such as Canada or the US.  When I asked about those without refugee status, I was told that the UN has temporarily stopped issuing status cards, because every time they do, there is an influx of new refugees across the border - so the problem is not being solved.  Though the refugee camps are supposed to be temporary, many people have lived there for 15 years or more.  The camp certainly had a permanent feel.  I was reminded of other hill tribe villages I've visited - bamboo homes on stilts, an endless network of dirt paths, animals, small gardens, children playing.  One major difference though is that here, people are not permitted to leave the camp, or to work for money (though many do illegally), under threat of deportation.
The three of us western women were taken around the camp by a friendly Karen man, who put aside whatever else he had planned for the day, to talk to us about life in the camp.  We visited the school, had some food with one family, and met a bunch of the youth having a fundraiser for their class, complete with food, carnival games and a band playing rock music.  It was quite a day.
The "cool season" has started, and with the change in weather, many people including me have picked up head colds.  But, if this is the only microbe I've picked up during my time here, I consider myself lucky!  I hope you're all well and happy.
With love, Laura
Mae La Refugee camp


Friday, October 29, 2010

Photos of Mae Tao

Me and Tender!
Reproductive Health Inpatient Department
Labour and Delivery
The crew in the In-Patient Department

Here are a few glimpses of the clinic!  I've put more photos on an album which can be viewed at:
http://picasaweb.google.com/lh/sredir?uname=100753240463516732655&target=ALBUM&id=5533677052082055473&authkey=Gv1sRgCK3zwM_rlpTbWw&feat=email

Hope you enjoy!  love, Laura

Our common beginnings

I can't believe that I"ve been here four weeks already!  It feels like both a blink of an eye, but also a lifetime of experiences in such a short time.
For the past week and a half, I've been working in the reproductive health department, seeing new moms and babies, and getting to do some deliveries myself!  Apparently, there are ten deliveries in the average day!  I quickly attached myself to one of the senior midwives named "Tender" who has delivered over 2000 babies in her time at the clinic.  She is quite a force to be reckoned with, and has such a wonderful way with pregnant women.  For instance, during the most intense moments of labour, she sings the clearest note that  focusses the woman's energies perfectly in a way I can't express.  I've also seen her perform a "nipple massage" in order to strengthen uterine contractions!  The birthing conditions are very basic - no pain medications, no sheets on the bed, but a decently sterile environment, and midwives whose good judgement comes from much experience.  This has really served to normalize the birth process for me, and I now have an even deeper appreciation for the wisdom and power of the female body!  At the same time, I am also realizing the huge importance of good basic reproductive care - family planning services and safe birthing environments.  Aside from the many women who make it to the clinic, there are also many who don't.  Maternal mortality is significant in Burma, and it is still all too common to see babies with tetanus from umbilical cords cut with unclean knives, or women suffering the complications of failed self-abortions (abortion is illegal in bothThailand and Burma).
How many different realities exist in this world!!!
My Dad asked me, the other day, whether all of these intense experiences are impacting my mental health, and said that he hoped I wasn't becomming too emotionally burdened by it all.  There certainly are many intense moments in these days, but to be honest, the effect is actually the opposite.  The stark reality of death amidst life and birth... even senseless, preventable, unjust deaths, are a normal part of life here.  I"m not saying that this is the way it should be, or that the injustice should be accepted, but that death and illness are part of life - no less so in the West, though its faces look different, and we may prolong or hide this inevitability more successfully.
I"m looking forward to my last two weeks here, whatever they may bring!  I'm learning not to underestimate the life that can be lived in two weeks!  Thanks to all of you who have been sending me love via phone or email - I really appreciate it.  I'll try to write again this weekend, and post some pictures of Mae Sot and the clinic.
Much love,
Laura

Sunday, October 17, 2010

A Medic's Story

"The greatest journey that one can make in their life is the journey from the head to the heart"

Burma has been under military rule since 1962, when a military coup overthrew the civilian government.  The current military government has been in power since 1988, disregarding the results of a democratic election that would have put the National League for Democracy in power.  The party's leader, Aung San Suu Kyi has been under house arrest for nearly two decades, and remains an important icon for the pro-democracy movement in Burma.  For the rural people of Burma, this military rule has meant decades of abject poverty, violence and displacement.  Sacking of villages by the military and other guerilla groups is widespread, as well as forced labour and sexual violence towards women.  Many rural Burmese, as well as members of other ethnic minority groups (such as the Karen) have joined armed resistance groups, and thousands have fled across the border into Thailand.
Sitting around a table in the inpatient ward last week, nearing the end of the day, Jonny Soe, a young Karen medic in his early twenties began to tell me pieces of his story...  Jonny fled Burma nearly a decade ago, and lived in a refugee camp on the border for four years before coming to live at the Mae Tao Clinic and training as a medic.  He, like the dozens of other medics and health workers at the clinic, lives far away from his home and family, a refugee from his own country.  The medics are given a place to live at the clinic, but as non-citizens, they are unable to travel or to work for income.  They are given 1000 Bhat a month for food and other necessities (about $30), and spend their time working, learning english and computer skills and, for many, applying for refugee status to countries like the United States or Canada.  Many hope to eventually return to their home communities in Burma.
Jonny tells me how many of the medics struggle with depression, facing daily encounters with their people's suffering.  He tells me how hard it is for him to see young people die, hard to face a very ill man who is afraid of leaving his wife and young baby without support, hard to see people arrive with nothing but their clothes, and be unable to give them even a blanket, let alone definitive medical care.
I cannot believe the lives that these medics live, cannot fathom what they have lived through already, what they face every day, and what keeps them going.  I ask Jonny what he does when he feels sad and he says that he "just forgets".  
At the same time, it is remarkable the generosity and comraderie that exists within this ragtag community of medics.  The other day a young woman was admitted in a coma.  She had soiled herself, but had no other clothes to be changed into, so one of the female medics bought her an extra pair out of her own pocket.


I often find myself totally unprepared for the barrage of emotions that accompany this work.  As the intellectual statistics of war, displacement, illness, poverty begin to take shape in the form of faces, individual lives and stories, I feel a strange mix of layered emotions - numb, then sick, then angry.  Odd, the places my emotions occupy when I am afraid to feel them.  For a few moments, I glimpsed myself through  Jonny's eyes, my unfathomable freedom and privilege - material, geographic and political.  This is a confusing and uncomfortable space to be in, but it would not be honest not to feel these things, not to ask these questions.  What is my relationship to this suffering, these lives?  And, a line from a book I am reading (the Lizard Cage) that embedded itself in my mind, "how can a well-fed man relpy honestly to another man's hunger?"

Thursday, October 14, 2010

and some photos: my home, the clinic, and Sukothai




Week two in Mae Sot

It seems like a lifetime has gone by since my last post!  Life in Mae Sot has settled into a nice routine, full of interesting encounters with local people, challenging and rewarding work at the clinic, and a good group of fellow foreigners who remind me how wonderful it is to speak in my mothertounge and be understood!
A day in the life goes something like this: wake up under my mosquito net to the sounds of roosters, traffic, and neighbors, bathe, find some food for breakfast (theres a little burmese noodle shop just outside my home), and get on my bike to head to the clinic.  On the road, I pick up Alex, my fellow medical student and best friend here,and together we ride past fruit stands, stray dogs, trucks, and rice fields about 5km to the Mae Tao Clinic.  The clinic is always bustling, and after drinking a coffee with Alex at a little stall on site, we head to our department to see patients.  Ive been working in the adult inpatient department these first two weeks, seeing various patients who are sick enough to stay in the clinic. Most are Burmese, either from across the border, or illegal immigrants to Thailand.  Free health care is provided to Thai citizens, but as illegal migrants, these people have no access to other services. Its been an incredibly steep learning curve - figuring out what diseases are common here, what labs and medicines are available, how to chart - not to mention the cross-cultural learning!  Most of the medics Ive been working with are Karen refugees, trained by the clinic in their "community health worker" training project, and they are both useful translators, as well as excellent clinicians.  Ive been amazed by their clinical skills and judgement... I guess thats what happens when one has to rely solely on their own two hands and their mind for diagnosis.  For the first time in my training, I find myself using my basic clinical skills and observation - skills that have been made nearly obsolete by medical technology in the West.  It is challenging me to think critically and thoroughly, to use testing judiciously, and to be firm in my decisions.  I work as a team with the medics, problem solving, learning and teaching in turn.  As the days go on, Im beginning to feel more comfortable and more useful. 
My heart has been doing some learning and growing as well at the clinic... seeing diseases of poverty, and conditions that would have been nipped in the bud months or years before in any Western country.  There are many things that we cant work up to diagnose, let alone treat.  So, patients languish with family members sitting beside them on the hard plywood beds, people eating, conversing, laughing, babies breastfeeding as people heal or pass away.  The great chaotic, senseless, beautiful dance of birth, life and death is all happening here, between these concrete walls.
Im happy here, learning and feeling and reflecting on the things I witness, both difficult and beautiful.  Its a gentle life too, and Im revelling in being just a small, curious human with much to learn - listening to the rain, taking in the smells, the stories of this place.
thinking of you all, with love, Laura

Sunday, October 3, 2010

Welcome to Mae Sot!

After a long busride (on a double-decker no less!) from Bangkok through rural thailand, and over a jungle-covered mountain range, through two police checkpoints, it was with some surprise that I rolled into Mae Sot yesterday evening - surprise that the long journey had gone so smoothly and that I was finally here!  The adventure, however, was just beginning!  Mae Sot is a bustling border town, made up of 98% Burmese people, with a good splash of foreign NGO volunteers.  Accordingly, after my shmancy iced coffee this morning (in a cafe that no local could afford, though it only cost me $1.30), I took a walk through the market, overflowing with tropical fruits and vegetables, clothing, buckets of toads, eels, and turtles, and any other local delicacy you could want.  Apparently, there is also a thriving blackmarket in gems, drugs, and guns that come over from Burma, though there were obviously no sign of these.  I bought some custard apples and was told that I'm beautiful. Though everyone is very polite and keeps their hands and coments to themselves, I'm remembering what it's like to be a spectacle - an amusing, awkward, clearly monied foreigner who probably looks quite sweaty and lost at the best of times.  I'm okay with being looked at and whispered about - I just wish I could communicate with people and break that very present invisible wall.  Smiling is a start, I guess.

I checked in to a guest house, and made quick friends with one of the Burmese guys working there, Than.  He seemed a bit hesitant to register me for more than two nights, which confused me, until he pulled me aside this morning and drew me a pencil-sketch map, with the name of a shop and the man I was supposed to find there to ask about a cheaper "homestay".  Than was quite adamant that I keep this plan from the Thai owners of the guest house, who would fire him for losing their business.  So, today, I showed up at the appointed time and place and, sure enough, met "Bobo" who drew me another map.  Down a back alley, past some street dogs, I asked an old woman, and was led to a very humble home behind a temple.  The woman there showed me the room I am to rent, and meanwhile chattered at me in Burmese, assuring me that she would teach me the language while I'm living with her.  So, I've found my new home!  Though it's markedly less fancy than the guest house, it's $3 a night (as opposed to $10) and it will be a pleasure and a privilege to share space with a Burmese family and learn from them.  It's amazing, the network that exists here, and I feel that there are many invisible hands and eyes, looking out for me already.  It's quite comforting.  I guess anyone who comes to contribute to the work being done around here for Burmese Human Rights is quickly considered a friend and ally.

Speaking of which, I've been doing some reading about the political situation in Burma and the terrible oppression (economic, political, physical) that has been going on for the last three or four decades.  It's really shocking and disturbing - not least the lack of international awareness and action on the issue.  I"ll post some articles at the end here, for anyone who is interested.

Tomorrow, I'll make my way to the clinic!  I'm really excited to be here.  A few people asked me, before I left, why I was coming to Thailand, and I didn't have a great answer.  But I can say now that this feels like where I'm supposed to be at the moment - and that's a good feeling!  More to follow...

Love to you all, and hope all's well.

http://www.nytimes.com/info/myanmar/
http://www.nytimes.com/2010/03/30/world/asia/30myanmar.html
http://www.nytimes.com/2010/05/02/world/asia/02myanmar.html
http://www.nytimes.com/2010/08/14/world/asia/14myanmar.html

Wednesday, September 29, 2010

The adventure begins... or continues!

Well, somehow, amazingly, probably through the sheer force of chaos, things seem to have come together in time for my departure to Bangkok tonight!  This morning, I submitted my CaRMS applications for family medicine residency next year (location to be determined), said goodbyes to relatives and friends, and even made it out for a run in the beautiful Edmonton rivervalley.  The colors are incredible right now, leaves fallen and falling all around, and the smells... I breathed in as deeply as I could, trying to take in as much of this beauty as possible, so that maybe some will come with me on my travels around the world.
It's times like this that I wonder why I'm leaving the places and people that I love and the relationships that ground me, and planting myself in yet another foreign context.  I've come up with no answers yet, but there's some whisperings of adventure, growth, exploration.  It's like that fish, being pulled out of water, that suddenly realizes "holy moly, I'm a fish!  and that's water!" - sometimes it's when I'm most out of my element, that I find the most clarity.
So, I"m off!  Love to you all.

Thursday, September 16, 2010

Laughing is a good way to begin!

I"m really not sure which picture is funnier...

 Well my friends, this is my first-ever venture into the blog world!  As someone who is stubbornly stuck in the pre-cell phone, pre-facebook era, this should prove an interesting and, hopefully, entertaining endeavor.  Luddite-Laura enters the 21st century...
Mostly, I hope that this blog can help us keep in touch while I'm galavanting in far off places.  And, you all know how I dislike being at the center of attention, so don't make me a spectacle - keep the stories coming from your end too!  I'll be checking my email pretty regularly.

So, for all of you who have been asking, here are my whereabouts:
September 29: flying to Thailand!
October 4-Nov 14th: Mae Tao Clinic, Burmese/Thai border (http://maetaoclinic.org)
Nov 14-28: Travelling in the Chiang Mai area, returning to Muvikhi, the little Karen village where I lived five years ago...
Dec 1-Jan 1st: Travelling in India with MOM!!! We'll be yoga-ing, oogling, salivating, exploring and for sure giggling!

As for these two photos - confused?  which one is more confusing?  Yes, I am getting married to the lovely and wonderful Ben Laurie (June 2011), No, I won't be wearing a train.  No, I haven't grown a moustache.

How's that for a first post?
xoxoo