Moving Still

 

An exciting week of office work led up to this year’s Maghe Sakranti, which always seems to coincide with some travel experience, astrological event or, in this case, Aidan’s 8th birthday, IMG_3858which, if you think about it, is the same thing.

The main topic of my conversation with Aidan and Pascal since I arrived two weeks ago has been black forest cake. Birthday cake came in vogue in Nepal about five or six years ago – as far as I can tell, it was discovered on TV, and has been translated in to an epic mashup of east-west-birthday-wedding-puja sort of candle-lighting experience that is not to be missed. Anyway, after a hectic week of office meetings and shopping for light fixtures, I caught the last bus up to Kaskikot on Thursday to head home for Maghe Sakranti with birthday cake for Aidan.

Because of Maghe Sakranti, the bus was packed with people heading home to Kaskikot. “Kaskikot packed” means that there is no standing room left inside the bus, and additionally, the people with poor tactical skills who’ve sat in aisle seats have someone’s butt in their ribs or armpit or smushed directly onto their faces. Most definitely, all people with seats are holding either a random package, bag of tomatoes, or someone else’s child on their lap.

As a master bus-rider, I possess a hierarchical mental catalogue of exactly which nooks and crannies make for a tolerable ride relative to a shifting set of variables. I approach “Kaskikot packed” with the focus of a honing pigeon.

IMG_4380It is immediately obvious that today is a top-of-the-bus day. Air is high on my list of prioritized variables, and all of the strategically located nooks and crannies inside the bus are taken or have been invaded by the limbs and odd angles of people who are technically not using these spaces. It’s a total free-for-all. For some reason, Nepalis have an awe-inspiring tolerance for this kind of physical disarray; I on the other hand, while happy to fit myself in to a pretty small nook, need it to be evenly balanced on all sides and protected from random entry, no matter how small my zone is.

Never fear, this is situation is accounted for. I hand Aidan’s cake to the Ticket Bro – all the guys who collect money on buses are Bros of the first degree, with wiry bodies and saggy pants – and clamber up a metal frame to the roof of the bus. The Ticket Bro, who knows me well (ok, I stick out, and besides I’ve provided many unreasonable entertainment opportunities for the general bus-riding public), hands Aidan’s black forest cake up to the top of the bus. I wedge it in flat between a box of beer bottles and a floppy sack of mystery items that’s soft enough to sit on. Soon I too am wedged in evenly on all sides by other passengers, which is exactly the way I want to be. I bend my knees protectively over the cake and we lurch away. The climb to Kaskikot isn’t a long distance in miles, but it’s all up, one switchback whipping around to the next.

The air begins to rush past and in settles a familiar, soothing reeling. The bus is climbing and honking, people are sticking out every which way, we are ducking the occasional branch – FWAP! – as the trees whoosh by. A wave of exhilarating calm envelops me, soft and malleable.

There have been three accidents on this bus route since in the thirteen years I have been riding it. Each time there is a bus accident, everyone including me swears off this road, these good-for-nothing-regulations, these drivers. The police crack down on the rules; buses are improved and added to reduce passenger load. The new bus I am on today looks like a greyhound, with upholstered reclining seats. But inevitably, the people turn this bus in to a wild beast. It’s inertia.

IMG_8687It just can’t be avoided.

Which, in a way that’s hard to explain, is why it’s so calming. Like in many poor countries, there is no illusory order here: everything is paint splatter all the time, and nobody’s pretending it’s something different. Everyone is hanging on to the spinning planet with one finger, and it is still working, at least until it’s not. Over time you realize that you too are paint splatter. You might think you aren’t now. But when order falls away, all of us are wilderness.

After the tragedies that have happened on this road, I know I shouldn’t admit it’s thrilling to catch the bus just in time, climb up to the roof, and duck branches while people talk on their phones and sway side to side eating peanuts like we are on Amtrak. But it isn’t a thrill because it’s dangerous (for the record, in purely statistical terms, driving on the beltway is just as dangerous)… it’s a thrill because it doesn’t feel dangerous. It makes sense. Because we are all flying through the trees together; because chaos and order have switched places, and everything fits despite the appearance of anarchy, and we are not dead yet.

In the mean time, some racing tiger inside of me catches the trees dashing by. I can feel the grumbling pavement even from up on the roof of the bus, and the Ticket Bro heedlessly climbs up and down the side of the bus like a chimpanzee while it is whirling around a corner. The valley below us recedes, and that wild thing in me, with a racing companion to match its speed, is still.

I’ve found this pocket of tranquility in other fast places.  When I catch a seat on the back of a motorbike and take off, zipping up my jacket. When I’m flying down a path in the trees with a sickle and rope in my hand, my flip flops smacking tap-tap-tap-tap on the rocks. Occasionally I have whirled into this thing when jumping on to the subway in New York, snagging a tread of some larger tapestry in the crush of a ten-million-person city with a trillion little shards of disorder that still fit in to something bigger.

In the subway, this is a private knowing. But on this bus, the miracle is out in the open for everyone to see: unruly, electric, FWAP! It’s still working.

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As we climb the lone road up through Sarangkot and closer to Kaski, people filter out at their homes, lugging their bags and boxes and children. The Ticket Bro clambers up and tosses bags off the top of the bus, and our resting props are gradually removed. My stop is the last stop. Soon all the other passengers decide to move down inside the bus, but because I am a honing pigeon I know that none of my approved nooks inside are available yet, and I stay on top of the bus, alone with Aidan’s black forest cake. I lie down so I don’t have to worry about oncoming branches, and crowd myself in with boxes and sacks to block the breeze, and float up the road on my back, watching the night sky roll by. My thoughts spiral in and out, moving still.

Of course, I can’t see where we’re going from this position. No problem. This road only leads to one place.

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Memorable Trips

 

It has been six months since our post-earthquake housing projects in Archalbot and Bharte. We’re launching dental programs in or near these areas in 2016, so today Aamod needed to visit the Lamjung District government offices in Beshishar to get signatures that are required complete agreements in our new sites.  Yes, this sort of thing must be done in person in Nepal, not by fax or email or any other method, so Aamod has to travel 3 hours from Pokhara to Besishahar to get the signatures.  We decided that Dilmaya and I would accompany him to Lamjung and get out a few kilometers before Besishahar to visit The Bamboo Village in Archalbot. We wanted to see how everyone was were doing, and we also had to decide what to do about the earth bag house that didn’t get finished over the summer.

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Three good looking people suffed in to two front seats in a van to Lamung

We decided to go with local transportation.

There is a fuel shortage right now due to strikes along the Indian border, so prices for gas have skyrocketed, and most regular people are getting their cooking fuel on the black market. Transport has compensated by raising prices, by running fewer buses and taxis, and, obviously, by stuffing even more people in to the same number of car seats.

I took tons of photos last summer when Archalbot was building, so today we brought prints to give back people. I highly recommend this practice – it’s always much appreciated because until cell phones, most people had very few photos of themselves. Even now, sorting photos is always An Event. Older people will people examine each thing in the photo in great detail – the buffalo, the way their sari is tussled, the water pot in the background – and will ask questions like, “Only one of my sons is in this photo. Where is the other one?”

The first house we arrived at belongs to one of the last houses we helped with.  Last June there were about ten people with a few babies living in the tiny house hidden behind the clothes line.  Now they are still living in their new house and it looks great.

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While we were talking with this family, people from Archalbot started to notice us and come shouting excitedly down the road.  Remember Uttam’s sister in law, and the day she and her husband left to go cut bamboo after much cajoling?  She came bouncing down the hill shouting out to Dilmaya and me.

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The next house we came to was Uttam’s family – I admit this house is tied with the Golden Cottage for my favorite of all 150+ houses we helped with after the earthquake. I was thrilled to discover that, while living in the shelter they built last summer, Uttam and his brothers rebuilt houses on their own land. Just four days before we arrived, they had relocated the tin roof we provided on to their new stone house, which has yet to be completed and plastered. What a fantastic example of everyone pitching in the thing they have, and of the dignified resiliency that is so characteristic of Nepali people.

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July 2015

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June 2015

 

 

 

 

 

 

 

Uttam's family recently moved their shelter tin on to this new permanent house.

Jan 2016 – Uttam’s family recently moved their shelter tin on to this new permanent house.

Uttam’s older brother had also rebuilt his house – so the whole complex has moved back on to the family’s land in six months time. I was really pleased to see that the older brother’s new house is made from plastered bamboo chim – the same building style we pressed people to use when we provided roofs for the original shelters. This house is actually cheaper and far more earthquake resistant than a heavy stone house (you can see Uttam’s stone house in the background).

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We spent a lot of time giving people photos of themselves. This activity produced too many great moments to choose from!

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Overall, the houses that we helped people build in Archalbot look good. In a few cases, people are living in them full-time. In many, they are sleeping in their bamboo shelters while cooking and storing belongings in their damaged houses. In a few, the shelters remain but aren’t being used, either because the family has relocated altogether or just decided not to actually stay in it. Kripa’s family used their tin to rebuild the buffalo shelter where we glamped.

Glamping, June 2015

Buffalo & Goat Hotel, Jan 2016

 

 

 

 

 

 

 

 

The earthbag house is an interesting story. Our role here was as facilitator – my friend Robin had training and materials to build one earthbag home, and we provided a connection with a community that needed a house. I documented this process last summer right up to the point we had to put the building on hold for the monsoon, with promises to return this winter.

Well here we are this winter. The family with the half-earthbag, half-bamboo house has built a pretty impressive collection of houses out of it and they are living there full time.

There are many things I have to say about the earthbag house, so I’ll write about that separately. One of the things we had to figure out on this visit was whether or not we had enough manpower in Archalbot to call Robin back with tools and supplies to finish the house….and the answer was no. So this earthbag/bamboo house will stay as it is, which is a bit frustrating, but that’s that.

After tea and snacks back at our HQ in Kripa’s house, Dilmaya and I left Archalbot and walked back down to Bote Orar. We crossed the bridge that has replaced the one with a loose cable that held us up in the muddy road with a ton of corrugated tin for an hour and a half last summer. We got ourselves some knockoff Redbull in homage to the gallons of knockoff Redbull that kept us going during those hot months.

Aamod came reeling down the road from Besishahar and we clambored in to another crowded, swervy van. As the day became later we and switched to a bus in Dhumre, we settled in for the last two hours of our journey.

Yes, this is where it happens.  The inevitable road travel story.

As it turned out, somewhere up the road people were striking because an accident had struck someone in the road yesterday. There was a blockade that went for miles.

When we reached the blockade it was already dark out.  Our choices were to either wait it out until some undetermined time in the bus, or to start walking.  So we got out of the bus and set out past the endless line of stopped vehicles, some with people in them waiting for the 100% unpredictable hour or day that the blockade would be opened. The highway wound its way alternately through small towns and the middle of nowhere. We were still over an hour’s car ride from Pokhara.

There were still motorbikes coming by, so we made a plan to divide up.  Dilmaya and I hopped on the back of the first bike that could fit both of us, and rode it up to the mouth of the traffic jam. We waited there until Aamod caught up behind us half an hour later on another bike, and then we walked the last half mile or so to where people where crowded around the usual tires and logs blocking the road.  Behind the blockage was a group of women was sitting in on the pavement, not talking much. Some were fiddling on their phones. It occurred to me that they had probably just lost a family member or close community member on this stretch of road just 24 hours earlier – a strange contrast to the miles and miles of hassle that stretched out from either side of their circle.

Now we started past cars lined up in the opposite direction. Just to be clear: we were not a walkable distance from home.  Even by Nepali standards.

All of a sudden a jeep began rolling out past the innermost barriers of the blockade, headed in the direction we needed to go.  I turned around and saw it was an ambulance.

We sprung in to action. Aamod stopped the jeep and spoke with the driver who, understandably, told us that he could not let us hitch a ride in an ambulance. Aamod got on the phone with his brother in law, who is a doctor, and I stalled by keeping one arm in the rolled down window of the ambulance and talking to the drivers in Nepali.

“Sir, what ever shall we do? It’s quite cold out. We can’t possibly sleep here in the road.”

“I don’t know what to tell you- I’m not allowed to take people in an ambulance.”

“I see I see, but this is an unusual circumstance….” Etc.

I keep at this until Aamod has his brother in law on the phone, which he hands to the ambulance driver. Who then opens the back of the ambulance – and in we go.

And thus our day ends with us bouncing along in the back of this ambulance back to Pokhara. At one point, we drive through a checkpoint, and I lie down with my arm over my face, feeling slightly guilty, while Dilmaya sits next to me looking concerned and wearing a surgical mask that she has with her for general dusty road travel purposes. We roll through the checkpoint.

“Can I get up now?”

“Lie down! Not yet.”

It’s 9pm when we get to Pokhara; the ambulance driver amicably drops me off within walking distance from our office.

As Dilmaya, who was my partner in crime for the entire two-month adventure of our post-earthquake housing extravaganza, said: “Laura miss, our road trips are always very memorable.”

Oh, and one other thing – remember how the point of this trip was that Aamod was going to get papers signed by the district officials in Besishahar?

Yeah, well, there was some kind of meeting today and all the government employees were out of the office. So we have to go back to Besishahar for the signatures again.

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The early morning road from Pokhara to Besishahar

 

Puranchaur Clinic

 

Today I made my first visit to our clinic in Puranchaur, which launched a year ago in winter 2015. We rode motorbikes – I hopped on one with our program director Aamod, and I stuck my friend Freeman on the back of the other bike with our field officer Gaurab. Freeman lived in rural Afghanistan for two years and his training involved things like “how to drive through a blockade,” so I figured it would be okay.

FYI, re: riding on the back of a motorbike:

  1. Paved road –> plus side: fast / minus side: scary
  2. Rutted dirt road –> plus side: good workout, bracing / minus side: rather sore bum, dust
  3. Previously paved road that has deteriorated and broken up in to a patchy mess with some dirt packed around in it –> plus side: there’s a road, so you’re not walking / minus side: everything else

IMG_6319The way to Puranchaur comes in at a solid #3 for a vigorous 64 minute joy ride.

Fortunately, we were greeted at Puranchaur by the sight of a very well-built Health Post. All of our clinics are in buildings provided by the community, and where possible it is ideal if the building can be in or next to the existing government Health Post. But Health Posts aren’t usually this nice.

It was immediately clear that we’ve received good local support at this stage of the game in Puranchaur. There was a lively crowd of patients waiting on the balcony, and this clinic is run by one of our more experienced technicians, Megnath.

See for yourself:

We went through our supervision checklist, which includes a rigorous infection control protocol that I wrote myself by talking with dentists and rural trainers, then making modifications based on my own knowledge of the environment, because I realized that none of the existing guidelines were really adapted for these conditions. Amazingly, the only existing protocols I could get my hands on were for dental hospitals with electricity and technology – think, UV disinfection – or, alternatively, unwritten procedures used in temporary dental camps, which presume very high patient volume and the lack of any stable infrastructure. Can you believe that I could not locate a single infection control protocol designed for a permanent rural dental clinic in Nepal? 80% of Nepal’s population and nearly all the government Health Posts operate in rural conditions!

Which is why now I know more than I ever planned to about gloving and re-gloving, positioning of safety boxes, and timing of Virex disinfection, among other topics.

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Our rewarding visit to Puranchaur has me thinking more and more about the larger idea of our project. It’s great when we’re able to establish these services and it sure is gratifying to come all the way here, after hours and hours of sitting at a desk, meetings on Skype, researching oral health data, giving talks and raising money, and see patients coming in to a clinic in Puranchaur on a Wednesday afternoon. It’s also awesome to me that none of these people associate their clinic with me or my slideshows or any kind of charity, which is not what these services are intended to be. All that is good stuff.

On a bad day it seems like it just isn’t enough. There are so many problems here. A toothache is definitely one of the worst things in the world if it is in your mouth…but it’s not as bad as child trafficking. These clinics don’t solve problems of violence or lack of basic security or opportunity. Sometimes it seems like a lot of effort to still end up in a world that has those problems anyway.

But one thing I think we’re isolating bit by bit has to do with recouping lost opportunities for self-determination. Something our little project does increasingly well that I don’t see very often in this sector is to understand and respect the present capacities of individual people and the communities where we work on all levels. That means letting go of the UV disinfection, but it also means having a proper replacement and monitoring it. It means making services accessible, but then holding people accountable for accessing them by choice, rather than spoon feeding and disempowering everyone for our own gratification. It means that explaining to an old lady that she will not be blind if we pull her tooth out, and making the service psychologically available, is just as important as having a dental clinic that’s physically available.

This is hard to do. It requires an unreasonable amount of patience and the willingness to constantly sort out where to impose control and where to throw everything you think is correct out the window. Inevitably, there are moments where it seems like you’re dong everything wrong and it’s all for nothing.  At some level, I think it only works if you find people as interesting and challenging and curious as the problem you are trying to address.

That’s what has me wondering what we’re really getting at here. I’ve always felt like, even with the visible services this dental project provides, for me as a person, it’s an exercise in something else I haven’t understood yet. Maybe this is just a story I tell myself after a good day, but we would live in and more dignified and peaceful world if we cared as much about actual people as we do about ideas of people.

Today, one old lady with a toothache spent a good bit of time explaining how she’d treated it by putting tobacco in there.  The tobacco helped. Megnath couldn’t extract her tooth because she had complicating heart issues that require referral to a hospital – but he had a nice long conversation with her about the tobacco, anyway.

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The Walk Home

 

There’s nothing like my first visit to Kaskikot after having recently arrived in Nepal. Granted, sometimes there’s a year in between visits, and in this case I was here just last summer after a long winter stay. But still – today did not disappoint.

I woke up to the charming experience of Pascal throwing his arm on my head. Let’s face it: this room where Didi and Bhinaju live is too small for all of us now, but we are persevering while the house is being built. It is the nights when I share a bed with Aidan and Pascal that I question my judgment in teaching them taekwondo while they are awake.

While Didi made tea, we all lay in bed debating whose fault it was that we’d all spent the night practicing kickball rather than sleeping. Then we documented our morning in selfies.

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Late morning, I met up with some of our graduated Gaky’s Light Fellows for lunch. It was so great to see everyone and hear what they are doing. Sandip is marketing for an online news outlet. Ramesh is deciding where to apply for his bachelor’s in journalism. Nirajan is in Kathmandu, working for Teach for Nepal, and Nischal is entering his second year of bachelor’s. Umesh and Narayan have a solid paid gig singing traditional music each night, and Narayan has his own radio show. Bhagwan is a residential supervisor in a school hostel. When Puja and Asmita finally got there a few hours late, we all made plans to go boating later this week.

Next was getting up to Kaski. With the fuel shortages, this is more challenging than it’s been, as the bus is running infrequently. Not to worry!  I caught the back of a motorcycle ride and then secured a taxi to the bottom of “the jungle path” that climbs straight up from the valley to the house. Forget the bus, man.

So first of all, at the beginning of this path you have to cross over the Gandaki river, which is usually dry at this time of year, but swells in the summer and fall. We used to wade through it, but a few years back it got this nice concrete bridge. So I’m crossing the bridge, and…it just stops in midair. The last half of the bridge is suddenly no longer there.

It takes me a few minutes to negotiate the drop over the ledge of the bridge with a torn ACL in my right knee that won’t let me jump down on to the rocky bed five or six feet below. I make my way over, progress to the bank a short way away, and there at the bottom of the path up to Kaskikot is this leathery guy resting next to a bundle of wood. He looks kind of resigned. I chat with him for a minute and then he asks for help lifting the bundle of wood.

“My son is really strong, he can carry this kind of load,” the man says woefully. “It’s just pretty heavy.”

Nevertheless, the bundle must be lifted, so we give it a try- fortunately I am more qualified than your average random American to hoist a bundle of wood on to someone’s back so it can be slung from their head and carried across a dry riverbed – but it is too heavy, he can’t get upright under the weight. He sets it back down, resumes his seat in the road, and looks resigned again.

“What’s with this bridge?” I ask. “Half of the bridge is missing.”

“I know!” He says. “The other night, I drank up a full belly and came here and fell right off of it.” He points to his forehead and says, “I got a bit of a bump right here.”

IMG_6126“I hear you,” I reply. “I’m not even drunk, and I nearly fell off the bridge too.”

“Just went right over,” he recalls.

“Should we try this bundle of wood again?” I ask.

“Ok, but you have to come around the front and give me a hand.”

I heave the wood on to his back again and this time give him a hand to brace against as a counter balance, and he stands up.

“Thanks, bye,” he says, as if it makes sense that I appeared for this interaction.  Off he goes.

Partway up the jungle path I run in to two kids coming down.  They stop me.

“Where are you from?” they ask me in English.

“America. Where are you from?”

“Puranchaur,” the little boy answers.

“Oh, I’m going to Puranchaur on Tuesday,” I say. It’s one of the villages where we launched last year. I ask what grades they are in: four and eight. “So,” I say to the fourth grader, “do you brush your teeth at school?”

“Yep,” he answers.

“Huh. For about a year, right?”

“A little less than a year,” he says.

“Cool,” I answer, and down the path they go.

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Finally I come out the top of the jungle path and emerge at the water tap in Kaskikot.

“LAURIEEEE!” the ladies cry. “Here you are, just in time for wood cutting to start tomorrow! Last year you came to cut wood, and this year you’re here to cut wood!”

YES. This is the gold medal of the Welcome Olympics. And yes, when I go to cut wood, I understand that it is a memorable experience for all of us.

On my way to the house, a few other people – completely independently – express their approval that I have arrived just in time for wood chopping. I am winning at Nepal.

At last, I drop over the spine of the ridge and there is home. Baby O’Neil is tethered outside, her wet nose pointed quizzically my way; she has grown some brown fur.  The hillside is dotted with jubilant yellow mustard flowers.  There is the familiar line of the Annapurnas rising in to the dusky sky, distant and close. No matter the path that brings me to this piece of land, it always appears the same way, luminous and inevitable.

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