Rocket waits at home with Alex.

Sunday, April 8, 2012

My Dedication

When I first came to tanzania in 2008 I was a different person and my world was a different place. I was married to a marvelous women. It was more then married, we actually felt star crossed. I mean we met hitchhiking in Vermont, I was 20, she was 18. And it really was a done deal at " hi where are you going?".
We were sure we were the luckiest people we knew but being human we didn't jump up and down and shout it to the world everyday. In addition to a life together,we made 2 trips to NW Tanzania, educated ourselves to what world poverty is, educated others, saved a life or two and planned to keep coming back because...well because we could. It really is that simple. Maybe it was a payback for our good fortune but really? what are you suppose to do here? We are here to make things better for ourselves and others . In that order, I assume.....
Anyway in Oct 2010 the bottom dropped out, the wheels fell off, the dream ended. Barbara died from untreatable triple negative breast cancer just 9 months after diagnosis and I found myself kicked out of the luckiest people in the world club. Traumatized, trunkated and eviscerated, for the first time in my life I felt old and very mortal.
I received lots of help and support but the best words that clicked with me where what my friend Jerry Doherty just sort of spontaneously blurted out in mid paragraph one day: " hey we are all just renters here man".
It has not slipped by me that it is 9 months since Barabara died and that it was 9 months between her diagnosis and her death. There is symmetry in life ....and death. Will I close the loop? Pick up my guts? Pack them back in, heal my wounds,stand up and walk, and be left with my scars? This is my story.
I dedicate this journey of healing to Barbara. The journey will not just be the next 3 months in NW Tanzania, it will be the rest of my life. How long is that? Who knows? Some times measurement of time is meaningless. Maybe I will take it in 9 month segments. After all we are just renters here.

Friday, April 6, 2012

Diving In....in slow motion or, karibu Tanzania

Sometimes when people come back from assignments over seas or deployments to different cultures they reenter slowly and with support and guidance. What is sometimes called re-immersion therapy. Maybe to prevent or treat post traumatic culture shock. I am initiating a new preemptive treatment called
PRE -IMMERSION culture shock therapy. Its really quite simple. Go to the country your are about to be immersed in and just sit there. Don't do anything, just be with the new culture and its people. Forget your schedule, your appointments, your expectations. Just be there,in the now, in the moment. If its really a different place( like Tanzania) you will stand out and people , being universally inquisitive by nature, will be drawn to you. I did my first session in Dar esa Salaam( like Jerusalam) airport the other day on my way to Mwanza. My flight was repeatedly delayed and I spent 11 hrs just sitting in the departure terminal.We were never told why; its all part of the therapy. It's not a comfortable place, its noisy, hot and stinky and and there is no first class lounge or club and that is all part of the unproven therapeutic effect. People stare a little, little kids stare a lot and come up to you and sat" mzugu" Later on, around 10pm when all the other flights had left and there were only passingers on my flight left and the lights kept going off and on, we all bonded no matter what our race and culture and entered sort of a survivor mode. By this time the only lights working in the terminal were those soft yellow sodium lamps they use in the parking lots in places like Newark Airport. It created sort of a surreal sepia environment. When I am in that light for a while something happens to me and I enter sort of a slow motion world, as if I was traveling in hyperspace and time itself actually slows down ( try to figure that one out). Again, this is all part of the therapy. I, for one, was convinced we were never going to get out of there that night. I wasn't alone and as the minutes and hrs ticked by and the sepia sunk in we started little conversations and became a survivor tribe....an airport survivor tribe.
We finally took off into the African night in a twin engine propeller plane for a 2 hrs flight thru thunder storms, fear and doubt to Mwanza. When we landed we felt like we had survived together, no matter what your backround, race, creed, color or culture. After a total of 13 hours of "therapy" the last thing on my mind as I picked up my bags in Mwanza was culture shock. I, along with my new tribe, were aware of only the strong desires to get off our butts, get horizontal and fall asleep. See, I knew this would work......its all part of the the therapy.
Karibu (welcome to) Tanzania.


Wednesday, July 28, 2010

Project Tanzania

Dear Colleague: June, 2010

Since I have returned from my year off I have remained in contact, on weekly basis, with Biharamulo Hospital, the hospital I worked at for 3 months in Tanzania. It's a poor, needy place where adults, children and babies die everyday and night... many of them from lack of simple preventative health care. Recently, my former boss, mentor and Chairman of Thoracic Surgery at Maine Medical Center went there at my urging. He came back speechless. He's been around the world, but admitted that Biharamulo Hospital is one of the most needy places he's seen yet.

I plan to return there in late 2011. In the meantime I have been busy with my brother and a friend in Vermont with an assistance program we call "Project Tanzania". Our primary project involves sending a 40 ft. shipping container to Biharamulo Hospital. We have collected hospital and medical equipment from Rutland Hospital in Vermont and from Maine Medical Center and Partnership for World Health here in Portland. It's a big deal; 35 hospital beds and mattresses, wheelchairs, walkers and crutches and about 50 giant tupperware crates full of medical supplies. We have, for the most part, steered away from electronic equipment because electricity is on only about 1/2 of the time and no one can fix electronic equipment after it breaks. Picture this: Biharamulo Hospital has no washing machine that works. Remember this is a 120-bed hospital in the jungle in Africa, where diarrhea is common, with lots of laundry, all of which is washed by hand!

Now for the hard part. The cost of ocean and land transportation for the 40 ft. shipping container to Biharamulo is about $10,000. The trip will take about 3 months. We need your contribution to make Project Tanzania a success. Remember, success cannot be achieved by simply saying you care.

You can make a tax-deductible contribution to The Sandy Christman Foundation, which is the funding vehicle for Project Tanzania in two ways:

1) Go to our website www.sandychristman.org and hit the Donate with Amazon icon or...

2) Send your tax deductible check to:

The Sandy Christman Foundation

PO Box 10405

Portland, ME 04104

If you want to know more about Biharamulo go to our blog: www.barbaraandlarry.blogspot.com.

Thanks in advance for helping us with this valuable project. As the people in Biharamulo say in Swahili "twaweza"

( we can make it happen).

Sincerely, Larry Adrian PS To see more pictures go to BLOG ARCHIVE
to read posts go to 2008,2009
HELP WITH PROJECT TANZANIA!: PLEASE CONTRIBUTE TO PROJECT TANZANIA BY GOING TO
www.sandychristmanfoundation.org and donating at the yahoo donation site. Thanks, Larry and Barbra

Sunday, May 16, 2010

Biharamulo Hospital Pediatric Ward


THE OUTREACH CLINIC


THE FUTURE

STREET SCENE AT NOON


THIS IS KWASHIOKOR

THE BURN UNIT
TO SEE MORE ,SEE POSTS FROM AUG 2008

Friday, June 5, 2009

Humans Don't Belong Here




April 2009: At EBC
Taking It Out of Ya.
The mountain is trying to kill me. I mean it; seriously, the mountain is trying to kill me. It’s not Chomolungma, the mother goddess of earth, or some evil mountain spirit. It’s simply that this high altitude environment and my wimpy human physiology don’t mix.
We have arrived at Everest Base Camp after 12 days of trekking up hill. Here, in the Himalayas, at the end of the Khumbu Valley, is the world’s biggest dead end. When you finally get here you are surrounded by 270 degrees of 6000-foot vertical walls. Above those walls are the biggest mountains in the world. Five weeks ago we where in the remote southwest corner of Tanzania. In Africa it seems everything that is alive is trying to kill you. From viri to alligators the competition among the living is fierce. Compared to Africa there a few living things here that have you in their sights. Oh sure, there are bacteria and virus here, but they can’t be doing well either - no living thing does well here. No, compared to Africa, it’s what’s NOT here that will kill you. And what’s not here is oxygen. Between the lack of oxygen and the vertical world of rock and ice I’m dying. The higher you go, the steeper it gets and the less oxygen there is. So, like I said, the mountain is trying to kill me.
From the time you arrive and settle down into a life any where above 17,000 ft you are a dead man walking. You struggle and suffer and you literally suck wind. But eventually you learn to adapt. You feel pretty good as you figure out how to do the simple things all over again. Things like putting your boots on or brushing your teeth. You reconfigure these simple activities of daily living. They take on a new significance, as if they were a really important part of your day. So, putting your shoes and socks on, that could take 5 mins. Brushing your teeth; well just go slow. Its something that if a normal person, that is someone from sea level, were watching they might wonder “…oh yeah, must be brain damage” And at this altitude, they might be right.
Even if you think you’re getting better, getting your adapting, and acclimating down, you're not. Little by little, hour-by-hour, day-by-day, it’s taking it out of you. Life is being sucked out of your body by that big mother mountain that you’re planning to climb. So, like a guy on death row……your time is going to come. That doesn’t mean you have to die. You can get a pardon. But it does mean your time is limited. Closing time is coming for you and what’s left of your slowly atrophying body. And like the song says, “you don’t have to go home but you can’t stay here”

Humans just don’t belong here. The highest permanent settlement or city in the world is Wenzhuan, China at 16,700 ft (5100 M) I’m not sure what they do there in Wenzchuan but I know they do it very slowly. At extremely high altitude oxygen levels in your arterial blood drop faster then today’s stock prices. A scientific study done here on Mt Everest in 2007 showed Pao2 ( arterial blood oxygen level) of 20 mm hg in climbers who summited. That’s one-fifth the level of oxygen in your blood at sea level!! Bring someone up here directly from sea level, like in a jet….. they’ll be dead in 6 minutes. That’s not dead on arrival but they shouldn’t have bought a round trip ticket.
More evidence, I cut my hand 4 days ago on my crampons preparing to go up the Khumbu Ice Fall. I had 3 nice clean slices on my fingers. Sort of embarrassing but it stopped bleeding after a while. No big deal. But since then nothing has happened. No healing, no nothing. Now I have 3 open wounds on my hands that have just sat there for 4 days and done nothing. At this altitude cells don’t work, wounds don’t heal and your body is just slowly decomposing. Like I said, the mountain is trying to kill me