At the Base of a Tree

 

The cicadas came when I was five
behind the school yard.
I put my finger on one
and then I picked it up
it was like a fig, dark and rough.

At five cicadas were interesting, like figs.

Now I am much bigger
friendly, the little goat nuzzles my shoulder with his warm snout
soft, we are alive, together easily.
And then I press my eyes shut
as I capture the insect that has invaded this carpet, which is mine
because I own it.

Sometimes I wonder how I can find my way back
from the pliant kid to the figs to the cicadas, captivated
with all their legs, their slick ribbed shells, all their songs enchanting
the school yard
all chirping and chirping tickling my ears until my ears overflowed with music
amid the crunching leaves and delicate wings
a symphony, a society, a universe blossom
after seventeen years of silence.

Sometimes I wonder
what we are afraid of
why we crush things, bugs and leaves and oceans and people
when I was five, I used
just one tiny finger
to say hello.

*

 

The Idea of the Mountain

 

I started searching for Mt. Everest abstractly.  It wasn’t exactly about the mountain; it was about the idea of the mountain.  With my college books lying next to the bottom bunk, I would retreat in to stories about mountaineering and daydream about exploration. I collected pieces of Asian culture without dwelling on their origins or innate meanings.  These articles and wanderings were satellites of the idea of the mountain, which I assigned to Mt. Everest, and the idea of the mountain was in Nepal, and therefore going to Nepal became inevitable.  But I didn’t even really aim at Mt. Everest. I just got out of bed and aimed at Nepal.

This is how, on a hazy August morning in 2001, I found myself in Kathmandu with a group of foreigners, looking for things to do.  For two weeks we had been traveling to different parts of the country learning about medicinal plants. This was long before I would develop a focused interest in natural medicine, so that detail was just a bonus. Actually, the trip was the result of me Googling “Go to Nepal, August 9 – 22,” which was when I had a window available to travel after the competitive summer rowing season.  But I had not accounted for the little-known and unlikely fact of summer. The monsoon fog, as it does, had blanketed the sky for two weeks, perpetually pressing heat and moisture against our bodies and blotting out the entire horizon.  Now we had a few days to entertain ourselves at the end of the trip.

“I want to see mountains,” I suggested.  We were really so close.

The travel agent brought my new friends and me tea and told us we had options.  Theoretically, the options involved flights.  However, the airplanes might or might not end up taking off, the travel agent cautioned, what with the blanket of clouds obscuring the whole atmosphere.  My friends and I tried to sort out the weather, and things.

There was a tower in Nagarkot, said the travel agent.  A lookout tower.  I inspected my guide book, and my guide book said I could bike to the lookout tower in Nagarkot.

“I’m going to bike to the lookout tower in Nagarkot,” I announced.

At the suggestion of the travel agent, my friends and I refined the plan further.  We would first bike to the old city of Bhaktapur about an hour away, and from there, I would continue biking up to the lookout tower in Nagarkot.  This plan made sense to me because a) it was in my guidebook and b) the travel agent was able to rent us some bikes.  Nepal-bikes, if you will.  They had wheels and gears and hand-brakes and they were heavy as hell.

We woke early the next morning and set off for Bhaktapur.  As I clicked along the road, I felt a swell of freedom.  It reminded me of the first solo drive I had made, to the ice rink, after obtaining my drivers license.  The past two weeks had had various ups and downs and dramas and mishaps, but the main thing was that I’d been packed in with a group of other foreigners and we’d been on a schedule and somebody else was in charge.  Suddenly here I was on two wheels being powered by my own legs, on a road that led to the idea of the mountain.

If you ever get to visit Nepal, you must visit Bhaktapur.  Its name means “the place of devotees.”  The area is located on a historic trade route between India and Tibet, and is jammed full of gorgeous architecture, art and cultural life dating back to the 1400s. Wonderfully preserved temples and stupas surround a tidy public square, whose graceful wooden carvings curl up like a garden that sweeps the gaze from one frozen deity to the next.  It is a place that makes you want to bow your head for a moment to whatever all this is…not because it’s religious exactly, but because it feels bigger than you. Because it is old, and earnest, and fully itself.

We took photos.

My friends left.

I clicked over to a small shop, parked my bike, and met a woman and her daughter.  Something had caught my eye…a sheaf of heavy lavender silk.  I asked to hold it, and it slid cool over my hands, a whisper of winter hiding under the heavy roof of summer.  I turned it over and moved it from one arm to the other.  The mother and daughter draped it over my shoulders and wrapped it around and around my waist to show how it would be worn.  I asked the price.

The material was intended to be made in to a sari, which, needless to say, was something I would never put on.  I set it down, and picked it up.  Eventually, I reached for my guidebook, checked the route, and left without the lavender silk.  Now I was fully alone.  I rode down a long hill and pedaled laboriously up another.  As the heavy biked clicked toward Nagarkot, Bhaktapur began to disappear behind me.

I stopped the bike.  I turned around and biked all the way back to Bhaktapur and bought the lavender silk from the mother and daughter.  I folded it carefully in to my backpack and set off again for Nagarkot.

Beginning early in the day, we had not been particularly focused on the schedule.  It was now about 2:00.  And something else I ought to mention is that only about ten weeks prior, on June 1, 2001, nearly the entire royal family of Nepal had been massacred by the crown prince, and a stunned hush lay over everything.  A Maoist insurgency that had started in 1996 was also gathering force.  It would crescendo around 2004 and topple the monarchy in 2006.  But in August of 2001, while I was biking alone from Bhaktapur to Nagarkot at 2:03pm, everything was humid, and pregnant, and subdued.  It is only now, looking back fifteen years later, that I feel the uncertainty of that stillness, stretching out across the emerald for miles and miles around me on my tiny bike.

As the afternoon progressed, the pavement ended and the switchbacks started.  The heavy-as-hell bike was now clicking over the back of a dragon, lumpy and steep, the first of what would be many, many, many Nepal Road Experiences (NREs) in my future.  With increasing frequency, I had to dismount completely and haul the heavy bike uphill with my arms.  In addition to unfortunate lack of planning around time, I had only two granola bars for food.  I might have bought some snacks in Bhaktapur, but now I was in the middle of nowhere.  This was also before cell phones, and in fact and even land lines in 2001 were commodities mainly rented by the minute at shops or small businesses, most of which were in cities.  So, to recap, I was in a completely foreign country on a rural road with a guidebook and a heavy bike and no food during an insurgency, a few weeks after a royal massacre, in a place I knew nothing about except for stories of Mt. Everest written by North Americans and Europeans.

“Tower,” I thought contentedly, and clicked over another crater in the road.

I look back now and the little part of me that the world has worn down scolds her for this.  For the presumptuousness and irresponsibleness.  But even now, most of me is still enchanted by the idea of the mountain.  That is who she is, even all alone on a road.  She doesn’t realize she’s going to write this story later, and she is not performing.  She is biking on a road because she is on it and there is a lookout tower at the other end.  Hopefully.

As dusk began to fall, I checked my guidebook more frequently.  It did seem mildly alarming that I had no idea how far I was from civilization.  What to do?  Well there was, after all, only one road, so if I had taken a wrong turn I had inevitably biked to a different district altogether, which was a problem far outside the reaches of my ability to solve by worrying.  No use mulling over that.  Soon buildings started appearing at the roadside and it looked like, possibly, I was somewhere.  Just as darkness was confirming its authority over my climb, I came upon – true story – The Hotel at the End of the Universe.

However, the Hotel at the End of the Universe was not near the lookout tower, and my guide book said there was a hotel near the lookout tower.  So, and don’t ever ask me to explain this, I biked past the Hotel at the End of the Universe in to full-fledged night.  Uphill.

It was after 9pm when I found it.  In rural Nepal in 2001, 9pm is the middle of the night.  I walked in to the hotel that my guidebook had suggested, sweating and with every muscle in my body limp.  Two young men emerged behind the hotel counter and they assigned me a room.  The kitchen was closed for the night and it was too late to make dinner.  Oh well.  I had some of a granola bar.

“Please wake me at 5am so I can go to the lookout tower,” I said.

“If the weather is good, we’ll wake you, miss,” the hotel guys said.  “But it’s usually cloudy.”

Nope.  “I want to go either way.  Will you make sure to wake me at 5am?”  (Besides, maybe it wouldn’t be cloudy.)

“Of course, miss,” the hotel guys said.

I woke up at 5:15am.  No hotel guys.

I jumped out of bed, paid for my room, and got back on the heavy-as-hell bike.  I followed the directions in the guide book, and just as the sun was creeping over the horizon, I came upon…THE TOWER.

LOOK AT THIS TOWER.

Yes, this is a lookout tower made of sticks.

Which only strikes me as incredible now, much later, on behalf of the little part of me has been chastened and worn down.  At the time, I thought, quite happily, “This is a lookout tower.”

I climbed up the lookout tower, which was advertised in the guide book to offer a panoramic view of the Himalayas surrounding the Kathmandu valley, sweeping giants, famous the world over, visible from THIS STICK TOWER that I am climbing.  The top of the structure was rickety, like a platform treehouse.  I stand up.

There are clouds as far as I can see.  Not a mountain to be seen anywhere.  Silence for miles and miles and miles.  I sit down on the tree-house platform.  I am here.  I float out over the clouds, newly lit by morning, silky and cool, endless.  I take a photo.  For a few minutes, these are my clouds.

“This is going to be a good story,” it occurs to me vaguely.

Then some Nepalese tourists turn up, and they take my photo.  It will be a prized possession.  But soon the platform is crowded, and the floating is over.

Now all I have to next do is get back to Kathmandu.

I climb down the tree-house-lookout-at-clouds-tower.

We are going downhill.  I run my finger down a page where my guide book says that up ahead I can either take a normal road, or another road that is a bit less organized but somewhat shorter and “good fun.”  And so help me God, nobody will ever no why, but I decide it is a good idea to take the Good Fun Road.

The Good Fun Road is the dragon’s back I climbed up, now with measles and more speed.  So basically, I can barely ride on it at all.  Every time I try to get the heavy bike going, a terrifying hole in the dirt screeches in front of my tire and I have to slam on the hand breaks and I nearly topple over.  I end up walking my bike for most of the Good Fun Road.  “This is good fun,” I think, “and I should write my own guide book.”

I eat the last remaining bite of granola bar.

After what seems like forever, I come to the valley floor.  It is hot again and I am drenched in sweat. As I bike through the valley in what I certainly do hope is the direction towards the tourist area of Kathmandu where my friends are waiting, I pass a school and the Headmaster flags me down.

I end up spending about an hour at the random school in the Kathmandu valley.  I play with the kids and talk with the Headmaster.  I am oblivious at the time to the certainty that the Headmaster is hoping to make a connection and cultivate me as a patron, and this works to my advantage because I am not resistant or cynical.  I am playing with kids at a school in Nepal because it is on the road associated with the idea of the mountain.

For many hours afterwards, I am not one hundred percent sure that I am on the correct route back, although I do know that I’m overall aiming at Kathmandu.  Gradually, around 4pm, the streets start to narrow into corridors, clustering together in the traditional Newar style of Kathmandu, and then, miraculously, like an actual fuck-all miracle, I recognize where I am, back in the middle of Thamel. Vendors are selling tiger balm in the streets, tourists with dreadlocks and tie-dye are browsing knockoff North Face gear.  My friends are near here somewhere.  We have a hotel we are staying in.  I bike to it.  It is 5pm.  I’ve been gone for about 36 hours.

I unpack the lavender silk.  Sixteen years later, it is still carefully stored in wait of a special occasion.

“How was the tower?” everyone asks.

“Cloudy,” I answer. “There were a lot of clouds.”

Outside, night is falling fast.

“So when is dinner?”

*

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The Other Skies

 

The first thing I have to do is convince Aamaa to wear one of her new kurta salwaars. She has spent 60 years wearing a more dignified sari and she’s shy to dress like a girl. I insist she will be a lot more comfortable on our 24 hour journey with trousers on.

Bhinaju and our cousin Laxu come to the airport with us. As we stand outside the door to the airport, again there seems to be a strange inversion of everything. We say goodbye and move in to the 24-hour netherworld of air travel, but the moment when I detach like a raft in to the sea, alone and timeless until landing back in the rest of my life, never comes. Instead, all my focus is on Aamaa while we pass through various inexplicable passages and security checks, making goodbye phone calls along the way.

We end up seated with Chandrakala, a charming woman probably in her mid-forties leaving Nepal for the first time to go be a maid in Greece. I explain everything from the seatbelt to how to order drinks and use the bathroom. I set up their personal TVs with films for them to watch. They both look disapprovingly at the glass of wine I ask for, so I make a point of asking each of them repeatedly if they would like some wine during the flight. Aamaa has a million questions. Is it night or day? Can I put my passport away yet? Are mom and dad awake now? I don’t know. I’m used to not thinking about any of these things.

We spend the flight talking with Chandrakala didi and when we get off the plane in Doha in the middle of the night, the three of us stick together. The Doha airport will be the first thing we encounter that is a developed country version of the comparable thing in Nepal; Tribhuvan International Airport in Kathmandu only supplemented its two small departure terminals a few years ago and the waiting area is decorated with rows of cheap, attached metal chairs that can be dragged about in units of three. The Doha airport is a dazzling maze of high ceilings, moving walkways, shiny things, monitors, duty free shops where beautiful women are illuminated by fluorescent lights, and of course, the enormous random nauseous teddy bear that is taking up space at the center because space needs to be taken up. It occurs to me how strange it is that in modern times, the first thing an immigrant from a developing country will see in a wealthy country is an airport, which is one of the weirdest environments modernity has to offer.  For example, Aamaa couldn’t even think of a question about the following dinosaur under a passageway in the airport:

I lead Aamaa and Chandrakala didi to the sleeping room and we all try unsuccessfully to doze off. Aamaa and I both end up stretched out on the floor instead of the awkward lounge chairs, and I appreciate how we must look, sprawled out on the ground in a room full of disciplined travelers using the chairs.

We go to the bathroom and use an automatic hand dryer.

By now we are all aware that we’re going to have to abandon Chandrakala didi to the Doha airport when our flight leaves for New York. I take us out to the nauseous teddy bear where a bank of monitors will show Chandrakala’s departure gate when the time gets closer, and explain to her three or four times how she’ll navigate the list of English symbols. Chandrakala didi is literate but uncomfortable with English, and if you don’t know what a gate is or how an airport works, reading the monitors is just one obstacle (how do you even know you’re supposed to read a monitor?). There are many Nepalis working in the Doha airport and we chat some of them.  Chandrakala didi will be able to ask someone if she needs help, but it still feels wrong to leave her alone in the glowing Doha airport with its mysterious halls and signs and statues. Eventually we have to say goodbye, and she sits outside our gate watching us go.

Every time Aamaa and I have to pass through a checkpoint or security screen, the international airport staff first assume that we aren’t traveling together, and then want to know what in the world is going on. Aamaa has all the looks of a first-time traveler from a traditional part of Nepal, and in addition to the fact that I have all the looks of a private-school educated white suburban yuppie from Connecticut, I tower over Aamaa by about eight inches.  Since she doesn’t speak English, I usually have to translate instructions.  After figuring out that we go together, most people assume I am her daughter in law, which would explain how I know Nepali and why I’m the one shepherding her on an overseas journey. “This is my daughter!” Aamaa giggles as she corrects enthralled security guards and airline attendants. We make our way from counter to counter and checkpoint to checkpoint, crossing the globe in a little bubble of delight that we make no sense.

Finally we board our fourteen-hour flight to JFK. We get incredibly lucky with an empty middle seat on a mostly full flight, so we’re able to take turns properly sleeping. I was worried about how Aamaa would handle strange food made by unknown people, but she mostly exclaimed over amount of it, approaching each tray with curiosity and then asking me if I wanted to eat her pats of butter because she was full from the continuous flow of food.

“That goes on the roti Aamaa, you don’t eat it by itself. It’s like ghee.”

And then the next tray would come and she’d ask me if I wanted the butter again.

We peered out the window at the rolling white puffs lolling off to infinity and Aamaa asked if the clouds were the ground or the sky.

“The sky,” I said.

“Does this plane also go to the other skies?” Aamaa asks, long after we’ve lost track of night and day.

“Other skies?”

“They say there is this sky, and then a sky above this, and then a sky below this one,” Aamaa says. “I don’t really know much about it. But I was wondering if this plane goes to the other skies.”

I gaze at her.

“I don’t really know,” I say. “I don’t know much about it either.”

Many trays and questions and naps and pats of butter later, we break through this sky and New York comes in to view. Aamaa reaches behind her for my hand as she stares out the window, and with a dramatic rumble, the plane sets us down on the ground.

*

Animal Yoga

As the summer comes to an end, I want to share a special part of my spiritual practice with all of you out there – millions, even billions of you – in search of inner peace and the wisdom of the zodiac or whichever comes first.

Just before I left for this summer in Nepal, I was at an end of season party with my soccer team in West Hartford and we got to talking about a new fad in Connecticut: goat yoga. This is a thing where you do yoga while baby goats run about jumping up on your back and snuggling your bum.

RIGHT????

That very weekend my friend Sam was planning to attend goat yoga, but I couldn’t go because, alas, I was headed instead to Nepal. But then, on the plane to Nepal, I got to thinking. Nepal lacks numerous amenities such as proper butter, a fully functional government, rural dental care, and Pandora. But goats are not a problem. So then I got to thinking more, and I what I thought was, let’s be open minded and work from a strengths perspective.

This proved to be fairly straightforward.  I started with a beginner practice:

Adorable Bunny Yoga.

The fan response was prompt:

 

I proceeded without hesitation.  I am a very focused person when I need to be.

Baby Chick yoga

 

French Bulldog At Sunset

 

Pairs Kitten Yoga

 

The Rooster

(this posture, which is excellent for improving the flexibility of the tongue to reach the tip of the nose, was immediately preceded by me trying to catch the rooster)

Preparation for Rooster Pose

 

A Herd Of Sheep Crossing a Road in Upper Mustang Yoga

Also, meditations on being very very still:

Farm Pose After Dental Camp

Pondering the impossible:

How is there a Dalmation in Nepal Pose

Ironic Yoga, very powerful in the Year of the Carrot:

I tire of you appropriating us in to your yoga names just because you’re humans withering stare dog

 

And finally,

Goat Yoga

Goats Doing People Yoga

                  

 

 

 

 

 

 

 

 

 

 

NAMASTE, HUMANS!!!

Another Room in Heaven

For someone who has spent 15 years in Nepal, I’ve travelled very little in the country, choosing instead to burrow further and further in to a single community, a single home, a place where now twelve year olds have always thought of me as a part of their world. It was only a few years ago that I suddenly thought: I’d like to explore. I’ve started stetting aside a few days every few years to go climb out on a spine of rock some place, in some location that percolates on a back burner in my mind until it bubbles over and asserts itself: this is the time, go here.  Then life adapts around it.

The Way to Muktinath

One way to travel is to go to see things that are new and unfamiliar and exciting or challenging – like that time I went to Murad Khane in Afghanistan, or when I floated in the Dead Sea, or the month I spent in New Orleans doing oral histories for StoryCorps after Hurricane Katrina.  But this is something else, a magnetic pull to a place that is already inside me, a dot on a primal map created a long time ago.  In 2013, Prem and I went to Mardi Himal by a little-traveled route comprised largely of goat trails snaking along a blade of snowy ridge that rims a basin of Annapurna giants. It was winter, everything wide and blinding, the sunrise spilling pomegranates and mandarins and pineapple juice all over the jaws of the cold earth. When I got there, it made sense.

Now it is summer. Muktinath sits north of Pokhara between Lower and Upper Mustang, a stone’s throw from the Tibetan border, and houses a famous complex of Buddhist and Hindu temples. For some time now I’ve been pulled north, toward the areas of Nepal influenced by Tibetan culture, and also where the landscape climbs up and stays high, where the trees fall away and leave a desert mountainscape that stretches off to the Tibetan plateau, a mystery, an uncrossable border. In the winter even local residents often come down from Mustang to the valley to escape the unforgiving snow and cold.

Prem Bhinaju and I met a bus by a curb in Lakeside early on Friday morning. It was headed to Jomsom, which is only a 15 minute flight from Pokhara, but unlike crystalline winter, the summer is dense and foggy and flights have not come or gone from Jomsom in a week. That leaves us with what should be a ten hour bus ride. You know where this is going.

There’s the obligatory 2.5 hour delay when a bearing that has to do with steering left needs fixing, and magically, the Bagloon Highway produces an auto shop strewn with hulking shells of buses and tractors and cars and unidentifiable transport components, so we pull over to fix the bearing. We set off again around noon under ten-ton heat, but I am relieved to be on the move with my day pack and with Prem, my most familiar travel companion. The road winds upward and the Kali Gandaki River drops below us, black and rumbling with coal-colored silt that will settle by the time the torrent gets to in Pokhara, where it is called the Seti Gandaki, or White River. The road becomes a road story that I can’t tell because my mom reads this blog, but even passengers local to Jomsom are praying and squeezing their eyes shut while we loll side to side on a road that, from afar, looks like a child dragged a pencil across triangles of high mountain forest and then got distracted with a sandwich. In the end, aside from knuckles white from clinging to the seat in front of me as if that can save me from a long descent in to the Kali Gandaki – one of the deepest gorges in the world – I come out fine. Prem and I arrive in Jomsom at 7:30pm.

I know I’m in Nepal, but Jomsom looks like a ski town and I have to keep reminding myself that this is Mustang. We clomp along a stone-laid main street with quaint local shops and hills rising up behind them. In the U.S. we’d call the hills mountains, but in Nepal, the mountains are the sheared white rocks twice as tall that are currently lost in monsoon cotton one row further back on the horizon.  It is hard to believe anything could tower over the already looming hills – I remember thinking the same thing at Ground Zero, knowing that Lower Manhattan’s massive skyscrapers had been dwarfed by the Twin Towers.  It is impossible to imagine land up in the middle of the sky, but I know Diligiri is there, behind the clouds, a thousand stories high.  We settle in at a hotel.  Local plum wine.

Our walk to Muktinath starts the next morning and takes two days, one long day up and one long day back. We walk along the Kali Gandaki in a landscape created contradictorily by the upward smashing of tectonic plates and the downward gouging of receding glaciers. The result is a desolate, heaving geometry, eons of history piled atop one another and laid bare straight from river to the sky. Dwellings impossibly carved out by people who once migrated southward from Tibet are clustered in the sweeping rock face, and the occasional modern village is a patch of irrigated greenery in a borderless expanse of brown. This should be the province of giants, but we are just tiny people, our feet sliding over bazillions of even tinier rocks, where fossils casually present themselves because nobody has owned them yet. They were once underwater and they have been here forever and ever and ever.

The climb starts. No houses, no villages, no ancient dwellings for hours. Prem Bhinaju finds a fossilized creature with gold flecks in it. Uncharacteristically , I haven’t exercised in weeks and my legs feel like playdough, but it’s cool. I have an actual fossil in my pocket.

We arrive in Muktinath around five, eat something, and rest for a while. Then, because tomorrow will be a long day and we’ll be pressed for time, we go out to explore the area around the outside of temple complex.  That will leave us time to go to the temple itself in the morning.  I leave most of my things behind except for my SLR camera and rain jacket. Now that it’s evening a slight mist is drifting downwards, uncommitted to getting us fully wet. Dusk turns dreamlike and enchanted.

Prem says we’ll walk up to the place where the path to Thorong-La pass starts. We would need a whole extra day to get to the 5,416m pass, but there is time, at least, to lay eyes on its direction. We circle the wall of the temple complex, and two nuns are just leaving, one wearing hot pink sneakers. I ask if the nuns if they were born here in Muktinath and they say yes, and even though that is a completely unremarkable fact, to me it seems incredible because I am so far away from the world I know. They bustle off to the nunnery.

We climb quietly past parts of the complex wall that have cracked and broken in the earthquake two years ago, and emerge in a widening field that slopes upward and disappears in to a fog. “The way to Thorong-La,” Prem says. He says we are at 2800m. I say, obviously, we should walk up another 200m, so even though evening is turning denser, up we go in to the haze.

Some ways ahead, a walking bridge is slung across the gorge to our left and we climb until we reach the concrete block anchoring the bridge to the ground on our side of the river. Without any comment, Prem sits and I follow, and then I lie back and stare in to the unremitting white sky. No variations in density or color, no dragons or bears or wizard faces, just an endless, depthless white.   Further up the green rocky slope, on the other side of the embankment of fog, is the path to Thorong-La; below us is everything we’ve come from.

Quiet.  I am filled with a profound gratitude for Prem’s company, his silence, the easy way we can walk up to this concrete block and sit on it at dusk and do nothing at all.

After fifteen minutes, I decide to cross the bridge, for much the same reason we walked up 200 meters. We’re on one side of a bridge, so it should be crossed.  The first step out over the edge ofthe gorge sends a thrill through my nerves, and then out I plod out over the wires, which undulate a little with my steps, until I am standing directly over the water gushing down from the high mountains.  A thunderous cloud of sound rises up through my bones and engulfs my senses; I can barely hear my own breath. It feels like the river is running right through me, and when I shout or chant the water picks up the sound and rumbles away with it taking my voice down down down down to all the places we were.

The instant I step back on to the concrete block the mountain silence envelopes me again; magically, the roar of all that water is audible only between the walls of the gorge. Prem takes a turn on the suspension bridge, and then we head back down the green slope and circle around the other side of the giant temple complex.  Night is creeping in slowly, as if stalling a little to give us just enough time to see one more wonderful thing.

We come to an area of the hill I have been viewing from below in the mist: rows and rows and rows and rows of prayer flags strung behind small white structures scattered high up on a hill. I studied Tibetan Buddhist funerary rituals for a course I took this year, and throughout the evening, my sights have been trained here. When we passed the nun in the hot pink shoes, I pointed this way and asked if it was okay to pay a visit. She said yes. Prem and I make our way over the hill toward the fluttering prayer flags.  He walks down toward the road, and with barely a word, I go up.

I’m expecting to see signs of sky burial, but I realize quickly that this is a land burial site. Everything feels unified and still, but also light and high. There are small cairns everywhere, placed for passed spirits to find refuge to heaven, and as I walk between the grave sites, it suddenly occurs to me to ask Prem, still at an audible distance, if he thinks I could build a cairn. Why not, he says, and sits down on a rock facing out over the endless prehistoric topography while I climb higher up and find a patch of ground abutting the faded squares of color calling tut-tut-tut as the wind tugs them from their strings.

Prem never asks why. He just waits.  And when I have built it, a stack of stones among all the stones and fossils, another room in heaven, and when I have sat over it and cried for some minutes, I walk down the hill and we leave.

Night falls at last.

 

*

 

Fleeced and Ready

 

So we’re in the final countdown before 20 of our field staff and 12 dentists, public health specialists, and students arrive here on Monday night.  As I’ve previously explained, we are trying very hard to steel ourselves against the persistent unraveling of planning that seems to occur despite all efforts to the contrary in this neck of the woods.

This steeling involves checking and rechecking that hundreds of people will show up in rural locations for dental screenings, and that our own field staff will make it here by Monday night (our best hope that everyone will be on img_0886time for the start of training on Tuesday morning…very crafty).  We’ve combed through a detailed inventory of supplies – mind you, none of us are dentists, yet we are in charge of the 2% Chlorhexidine solution – and we still have to shop for 50 teaspoons (don’t ask, this is my life, it’s real).  We found a training hall and a bus for forty people, and there are currently no political strikes or holidays scheduled.  I reviewed the whole thing with Dr. Sokal on skype and drew a layout of our workflow complete with the number of chairs and tables we need.  We booked nine people on one flight from Kathmandu to Pokhara, and hopefully, the flight will not be cancelled.

So this week it snowed in Connecticut, and with the bad weather, Dr. Discepolo, a pediatric dentist coming from UConn, missed her flight.  Because even Connecticut starts going haywire when Nepal gets involved.  Fortunately, Dr. Discepolo was scheduled to come in a day early, and will be here Monday instead, so we are ALL SET.

Today while Aamod and Gaurab were in Puranchaur meeting with people in the local health ministry about the upcoming project, and visiting primary schools (again) to make sure they’ll be sending mother/child pairs for screening, Muna and I were at the office fielding other essentials.  Among which was printing jackets for everybody, which we need by tomorrow night.  But after the Nepal Health Research Council and the 10-tab spreadsheet of budgets and reservations?  Jackets – no sweat!

We’d picked out a few samples on friday, and Muna called the printing press this morning to ask if we could send photos to inquire which jackets could be silkscreened.  The printer told us he had to physically see them.  So we went to the shop to get the jackets, and while Muna took a taxi to the printer to show them a puffy vest and a fleece, I commandeered basically everyone in the store to help me take 40 more puffy vests out of little stuffing bags so I could check off sizes on a spreadsheet.  Then we finished that and I tried on option two, the fleece number, so I’d know what sizes of those we’d need if the vests didn’t work.

Muna texted: “They said they can’t print on either type.  I am coming back.”

We put everything away again.

Muna returned.  “They told me, even if someone says they can print on this vest or this fleece, don’t let them.  It will be ruined.”  Ok then.  Back to the drawing board.  We tooled around looking for something else that could be printed on.

The store owner came in.  “I can bring this vest to my Son-in-Law,” he announced. “He has a factory, and I’m sure he can print this.”

“But the other printer said–”

“My  Son-in-Law can do it,” the owner declared.  “Even if we have to stay up all night, we will print your jackets by tomorrow evening.”

We considered.  It was decided that I would go with the store owner to visit the son-in-law’s factory to review the case.  But only after lunch.  The store owner had not eaten since early in the day.

Muna returned to the office to call all 20 of our field staff, again, to remind them when and where to appear tomorrow night, and I took my computer next door to the jacket shop to work on a Welcome Packet during lunch.  (I say it’s Welcome Packet, but in point of fact, I think I just need the list of 40 participants and the screening layout and the schedule where I can see it at all times.  It’s for me, forty times.)  After lunch, the store owner pulled up in a car and took me to his son in law’s factory.  We presented the vest option and the fleece option.  The vest proved unprintable, but the fleece was a definite.  Definitely a definite doable printing job.  I poked my head in to the “factory,” which was, in top Nepali style, basically a living room.

“I will take you to the printing shop to arrange the logos on the computer,” said the Son-in-Law. “We have to wait for my colleague to go ahead on his bicycle.”  Courteously, we waited for the colleague to get a ways ahead on the bicycle, and then we caught up on a motorbike.

We entered the printing shop and presented a sketch of the layout to be arranged for the jacket.

“Yes, I have this pattern,” said the printer.   He pulled up our jacket on his computer.  “This, right?”

Me: “…?”

“The young woman was in here earlier,” he explained.

I texted Muna.  “I’m back at the same printer you took the sample to this morning.”

Muna: “WHAT?  They said they couldn’t do it.”

Me: “…? …I know, right?”

It takes about an hour an a half to arrange the logos, mainly because one of our visiting dentists teaches for a Cambodian University, and their logo has Khmer lettering that won’t come out right.  The printer guy painstakingly recreates each picture of the Khmer lettering in the logo for the Cambodian University.  He arranges all the pieces of the printing for our jacket and prints it out on laminate.  The son in law comes back and gets me and the laminate on his bike.  He deposits me on the main road so I can take a bus back to the store to get the rest of the jackets out while he prints a sample at the “factory.” I seriously have no idea how this day would have turned out if not for the shop owner and his son-in-law, who basically saved our butts.

It’s now 4pm.  I take out my spreadsheet again.  The entire staff of the store that Muna and I entered at 11:30am today begins taking out fleece jackets from various unpredictable locations.  Fleece jackets appear from every heap and rack of mountain-wear, and they are sorted in to piles while I read from my spreadsheet, again.  Everyone is concerned that the men are not to wear hot pink fleece jackets, and this must be accounted for.  The floor is is covered in fleece jackets.

img_1046

I leave for an hour and a half to go do an interview with a local paper, and come back at 8pm.  The son in law has brought a sample jacket with him.  The only problem with it is that the whole thing is too high, and the hood falls over the printing.  Also, while putting the print on, they accidentally melted off one of the drawstrings at the hood and pressed it in to the shoulder of the jacket.  This too must be corrected.  They promise not to melt any parts of any of the other 39 jackets, which I send off in 4 oversize plastic bags.

At 8:45pm I head home for dinner.  Among the things I did not do as planned today: write a training schedule; print referral tickets; send an abstract to UCSF.

Why are you so late? Bhinaju asks.

*

img_1047

 

 

 

 

Hopeful in Sarangkot

 

Yesterday we met with the Sarangkot Health Post Chairman and a committee of local leaders.  Our goal is to advocate for Sarangkot to invest government funding in their dental clinic, our longest-running one.  This is part of a larger strategy of bringing rural dentistry into Nepal’s nation-wide Health Post network, which we’re only really beginning to dive in to deeply now that we’ve sorted out the clinic model itself.

A normal meeting in Nepal will begin, at best, 30 to 60 minutes after the stated starting time.  In villages, it is not unusual for this to be doubled: our Oral Health Coordinator trainings, which involve teachers from all over the village, frequently start at least two hours late.  It’s just a given, and if you’re Nepali you are pretty down with the long waiting period prior to your carefully planned program.  If you’re me, you basically never get used to the feeling of dread that nobody has shown up, all is lost, nobody cares about anything, and you were way overly optimistic to be in this line of work anyway.  Inevitably, just when you’ve chewed your nails down as far as they will go, people show up and casually take their seats.

Amazingly, however, when the four of us arrived at the Sarangkot Health Post on two motorbikes at 1:25pm for a 1:30pm meeting, about 10 local leaders were seated and waiting patiently for us in the chairman’s office.  I think I’ve seen that happen…maybe never.

It’s important to know that Nepal has not held elections at the local level since the early 2000’s. Instead of an elected local government, most villages have a handful of people – probably 95% men – who are socially (or self) appointed to make decisions, plus a village chairman and a Health Post chairman, who are both appointed by the district government.  These village Committees have power over spending but have no direct obligation to represent the needs or desires of local residents.  For us, that means convincing a committee of influential people and two all-powerful officials that the dental clinic is not only worthwhile, but should be a spending priority. If there’s a code to crack on getting village residents to apply pressure, we haven’t found it yet.

20160714_152552

Our meeting with Sarangkot went amazingly.  Aamod and I had invited the Health Post chairman for coffee a few days earlier and he received us with some expected concerns and doubts, but with an open mind.  A few days later, we found the committee gathered in his office to be genuinely interested in talking with us and quick to acknowledge that, notwithstanding the flush torrent of external funds in to Nepal, any new health service for rural people is not truly stable unless it can be incorporated in to the government health care system.  Our proposal was that we would invest $1000 in new supplies and training for the Sarangkot clinic, upgrading it to our current infection control standards, if the government agreed to pay the salaries of the technician and assistant.

They said yes.

Not to the amount we’d hoped for – $1000 per year – but to a lesser amount that is reasonable (our original hope was a serious long shot, given that the district and central levels do not recognize oral health as a funding priority, and they finance village budgets).  After a lot of discussion, we came to a decision that was duly recorded in the meeting minute book and signed by everyone present.  This involves a commitment for the local Committee to include oral health in their requested budget for the next fiscal year starting in July 2017 (which gets submitted in November), and for the intervening year between this July and next, to submit a proposal to the municipality for an emergency amount that will help bridge the gap.  They are also preparing to move the dental clinic in to another room that is bigger, cleaner and more secure.

There are still many unknowns – meeting minutes definitely aren’t action, and they definitely aren’t funding.  Some critical steps are up to people higher up, where we are also moving in to advocacy.  It will be important for us to monitor and collaborate in this process, following up on the agreed timeline, offering support to Sarangkot’s funding proposals.  There are lots of places where things could fall through.  BUT, we got through an important step one more successfully than any of us expected, which is that everyone appears to have agreed it’s worth trying.

In the short term, the new room is to be ready in two weeks.  We supplied paint and set some other requirements: secure doors and windows, removal of storage that is not related to the dental clinic.  After that, we will provide various supplies and training in stages, at pace with the progress of Sarangkot’s investment in the people.

Good start.  Now, on to Bharat Pokhari!

*

IMG_7579

Dipendra and a vigilant mom at the Sarangkot Clinic in 2016.

Sindure Signs

 

Sindure village is one of the old feudal capitals of Nepal, where a king once ruled over Lamjung district before unification in the mid 1700s. The drive from Pokhara takes about 6-7 hours…the last three are very bouncy.

IMG_3007Our day began in a downpour at 6:30am, with the usual wakeup activity: loading a dental chair on to the top of a Landcruiser. We packed in various boxes of medicines, adjustable stools, plastic goggles, and this fancy Hello Kitty timer. Because Virex disinfecting soak is 20 minutes, exactly, and one must have a proper timer.

Also, we had an extra passenger and her little boy who were headed home to their village. They set up in the front seat, and the little boy kept arranging himself with his knees splayed out and the bottoms of his feet together, so Neha quickly named him Laughing Buddha. Mean time, we squashed ourselves in the back of the cruiser and set off in the rain, picking up our senior technician Megnath on the way. And then we were off to our first ever clinic opening in the district of Lamjung.

IMG_2923

We settled in and the cruiser bounced joyously along. It was strange to be headed off to Lamjung again, where we spent many long hot days after the earthquake at this time last year. I was apprehensive about how our clinic setup would go, if the whether would clear, if the road would be passable, if a lot of things. And it was Sunday the 26th, exactly one year after my beloved friend Mary passed away on another rainy and pregnant day last summer. I stared out at the passing rain and fog, thinking about each moment I’d spent on this morning last June, checking my phone for updates from the other side of the world, stunned and devastated by a sudden change of events.

Then again, the bracing car ride left minimal opportunity for rumination. A few hours in, we stopped for tea, and shortly afterwards, Laughing Buddha barfed all over Gaurab in the front seat.

Well, the best part is yet to come.

We arrived at the Health Post in Sindure at 2pm to find that, while work had been done on the clinic room, such as making sure it had a roof over the entryway, the room itself was filthy. To give you a frame of reference, here are pictures from main room of the Health Post, which sees patients regularly to distribute medicine and make referrals. Unlike our dental clinic, the Health Post is not performing surgical-type procedures—nevertheless, setting up a dental clinic with rigorous infection control is, well, basically up to us.

IMG_3231 IMG_3233

 

 

 

 

 

 

 

Still, there’s a reason we rely on rooms provided by the community instead of building ourselves new facilities. I’ve seen how that can be the difference between imposing new resources haphazardly, and mobilizing existing capacities to raise things to the next level first.  Then it’s a good time to push the boundary, which in this case as in many others, has not yet been approached. After all, with some sweeping and a few buckets of water and phenol, our dreary clinic room started looking a lot better.  There’s no water source at this Health Post, so Dilmaya, Neha, and the Health Post Assistant good-naturedly hauled buckets of water from a “nearby” house at least a quarter mile away.

A few hours of washing, drying, and setup, and things are improving already. This room will need a nice bright coat of paint on its stained walls – we provide the paint, the team does the labor – but for now, here is JOHC Technician Jagat Dura in his new office!  And we’re not even at the best part yet.


IMG_2994IMG_3001

 

 

 

 

 

 

During our pre-opening day, a veteran technician and our medical field officer go over everything from top to bottom with the new technician (who’s already had weeks of training before this) and clinic assistant.  It was awesome watching Megnath Adhikari, who started with us in 2013 and now runs the Puranchaur clinic, reviewing with the new clinic team everything from how to put the top on the autoclave to how to fill out the patient forms to when to change their gloves. Our infection control protocol, when followed, is stricter than that observed by many field teams and local hospitals. The new teams always look so new and wide-eyed that it throws me off every time. To be fair, imagine if you took a few weeks of training in dental medicine, and then, say, your congressman came in and asked you to pull their tooth out?!  But then, as the months go by, inevitably these green clinical teams turn in to people like Megnath, who started out with sagging jeans and a quizzical look, too. This growth in skill and confidence, which I’ve witnessed over and over, is one of the coolest things about this program. It inspires me to believe that this is a system that could be deployed widely by the government with the right investment in training and resources.

IMG_2986

Senior technician Megnath Adhikari reviewing use of the autoclave with the Sindure team

In the evening we stayed at the home of our technician, Jagat. His mother cooked heaps of food and poured us one cup of local moonshine after the next. I was so tired I kept falling asleep and had to get out of bed for each succeeding round of dinner.  And still…the best part is yet to come.

Sindure is a predominantly Gurung area with different traditions of respect than many of the other areas where we’ve worked. The local President had spent the evening with us, and after everyone was overfed, it was time to sit around and sing for a while. I’m not a very good traditional Nepali folk singer, but I’m a decent self-taught drummer and chime-player. So, having secured an empty plastic bottle and a set of tin cups, I am confident saying my role in this process was solid, although you can’t hear it in this video cause I was filming.

The next morning dawned in a downpour, which cleared as we made our way to the clinic for opening day. The clouds nestled down in to the hills like cotton and we climbed up over them. Sindure was too beautiful to leave out a scenic photo.

IMG_3067

In an opening ceremony, we were each given gifts, and I received the finest one, a magnificent Gurung-style ornament made by our technician’s grandmother. These shiny dangles are made from cracker and candy wrappers! I love this thing.

IMG_8768

The door to the clinic was officially opened by the Singing President, who had apparently recovered from last night’s revelry and lay down honorably as the first patient.  Jagat performed his inaugural checkup, supervisor standing by, with a crowd peering in the door and looking very enthusiastic about this whole thing.  Who knew dentistry could be this entertaining?!  And we’re still not at the best part yet.

IMG_3107

IMG_3117

 

 

 

 

 

 

 

Now then…nothing like showing off your new filling!

IMG_3220

 

It is currently the busy rice planting season, which is about the worst time of year to open a dental clinic because everybody is in their fields. Nevertheless, we had a pretty solid attendance from a fleet of Female Community Health Volunteers (official women’s health workers trained by the government) and some other folks here and there.

We plucked various people off the road, such as one man walking by on his way to plant rice. All in all, the new clinic was inaugurated with about 25 patients, with Megnath carefully supervising the new team, and seeing that was especially gratifying.

As our day was coming to an end, I happened to look up at the sky. And for only the second time in my life – the first time being on the sacred day thirteen after Mary passed away – I saw the following sight:

IMG_3194

Look! I cried, look! Everyone turned their faces up and let out a collective breath of delight. I ran over to a clear patch of ground to try to get a picture, but my camera was having trouble focusing while pointed directly in to the sun.

“It looks just like a roti!” exclaimed the man who had stopped by on his way to plant rice.

Now then, my mind chirped, this must happen a lot. Weather patterns are repetitive; I mean, I know where to find all the rainbows in Kaskikot, and in what sort of light. It’s so predictable that I’ve usually climbed a hill and pointed my camera already by the time a rainbow is emerging. Still, I consigned, how lucky for me to receive this lovely gift today in a brand new place.

“Do you see this kind of rainbow often?” I casually asked the man who had stopped by on his way to plant rice. To confirm my suspicions.

“I see rainbows all the time,” he said, “bent sideways like this. But I’ve never seen this kind of round rainbow in my life!”

I clicked and clicked in to the sun, and the shutter went off only one time. Almost immediately, the clouds moved back in and the wonderful roti faded away.

Later that night, after a long, bouncy and exhausting ride home, back in bed in Pokhara, I lay in the dark and pulled the photo up on my phone. I turned it this way and that, looking for something. I kept thinking of Mary saying trying to show me the big hand in the sky, and how I couldn’t find a thing until much later. I zoomed the photo in and out and scoured for clues. Then, tired and lonely for her, I held the phone back and sighed. And there, right where I couldn’t miss it, was a perfect Buddha, the sun shining from its heart.

Once I saw it, I couldn’t not see it.

 

 

 

 

 

 

 

As a little extra flourish, an unmistakable smiley face, etched off to the right hand side, grinned at me as if to say: how obvious do you want me to get, you little shit? I clicked my phone off and fell asleep with it lying near me on the bed.

Welcome to Sindure, world.

*

A Life of Love

A Life of Love

The Video Nepal’s Been Waiting For

 

In thirteen years, I have spent at least one of every season here.  I’ve cut rice and planted millet.  I’ve harvested wood.  I’ve cut wheat, and planted corn and churned milk the old fashioned way.  I’ve chased the chicken around and painted the house for Dashain.  Most of these things I’ve done multiple times, and believe me, I received plenty of impassioned feedback as I tried them out.  These are all activities people in rural Nepal learn from toddlerhood.  Seeing a grown woman who can’t flip a pan of rice grain properly is basically impossible not to comment on.

Dec. '03

I’ve pretty much learned a lot of these things because I absolutely insisted on doing them terribly while I figured them out.  In some cases, I’ve really earned my stripes.  In others, let’s just say that people have become happy with the American version of, for example, collecting water.

But there’s one season I’ve purposefully avoided, and it’s the rice planting one.  Even tasks I don’t much enjoy, such as those involving fertilizer (i.e. buffalo poop), are things I have determined to throw myself in to.  It’s like how, when I used to take winter diving lessons, we had a “fun day” where we got to use all of the diving platforms at Montgomery Aquatic Center, and that meant that, for fun, I had to make myself jump off the petrifying 10-meter platform that was level with the third-floor spectator section.  I absolutely hated fun day.  But it never remotely crossed my mind that, if the 10 meter platform was available, I wouldn’t jump off it.

This brings us to the topic of the hot, buggy, wet rice planting season.  I think you get my point.  I stayed in the U.S.  No fun day.

It’s not like this was very clever and nobody noticed.  Every year I am asked when I will come to plant rice.  People will list all of my accomplishments to date, and exclaim as to how I have never participated in this one activity that is so central to the culture and basic survival of Nepal.

Ok, so here it is.  I determined to jump off the 10-meter platform this summer.  Partially because as you get taller, it doesn’t look as high.  I over came my distaste for the idea of the monsoon last summer, and this summer, I appreciate the torrential rain tremendously.

So last weekend I joined Saano Didi’s family in their rice paddies.  Govinda’s daughter Sulojana came with me.  And the amazing thing about waiting 13 years to do this: not one person cried out at how terrible I was at planting rice.

IMG_0801

“You have to teach her, sikaunu parchha, you have to teach her,” all the ladies cooed.

Silky mud, bright clothes, plants in your hands.

“Laura, you’ll be back in November, right?” Neru asked.

“Yep.”

“Because that’s when we can eat this rice.  Make sure you’re back.”