Archive for the ‘family’ Category

Necrology

Wednesday, December 12th, 2007

In the british tradition one must not speak ill of the dead. One line of thinking is fear that the dead may come back to defend their honour. Another is respect for those not present to defend themselves.

In other traditions one must take care to speak the truth of the dead, to satisfy them that they have been well-understood and that they have left their own mark.

Mark has been conscientious in his account.

Margrit

End of life issues.

Monday, December 10th, 2007

Mark is in Holland for his annual visit. Saturday he visited his mother. She had been in an assisted-living facility where she needed just a little more care than they could offer. They took away her call button because she used it too much, so when she had a heart attack they didn’t find her until it was almost too late. That was last year; she wasn’t expected to make it then, so Mark flew to Holland to see her in the hospital. She did make it though, and was discharged to a sort of intermediate holding-pen until she could be placed in an extended-care facility.

So, this Saturday Margrit was still in the intermediate facility, no place in an extended-care facility that could meet her needs having been found in the intervening year. She was oriented, clearly not demented but not particularly alert either, speaking only when spoken to. Mark thought it was the effect of all the medication she is on to relieve the pain in her leg. Strokes have paralyzed her on one side. She wears diapers not because she’s incontinent but because there aren’t enough staff to transfer her to the toilet regularly, and she’s heavy enough and paralyzed enough that transfers are difficult. When Mark was there, staff got her out of bed at noon and transferred her to her wheelchair. She has pressure sores from inadequate movement and cushioning. (After the pressure sores developed they ordered her a fancy air mattress that inflates in different spots every ten seconds, but once pressure sores have developed they never really heal. They also ordered her a special foam cushion for her wheelchair but it hasn’t arrived yet.) She eats mush and breathes supplementary oxygen.

Sunday night Mark got a call that she was having more trouble breathing so the facility was “pulling the plug” (? she wasn’t on life support to begin with) and putting her on increased morphine and that the family should gather round. Mark rushed over to discover that his mother was still getting oxygen and that she didn’t have the famous morphine drip, just that her oral morphine prescription had been increased. On the other hand all her other medications have apparently been discontinued, meaning that she was much more alert than Mark has seen her in years. We aren’t quite sure what to think. If the problem is heart failure leading to her lungs filling up with fluid (we don’t know that, there was no doctor at the facility to talk to when Mark was there) then presumably they are withdrawing heart stimulants and her lungs will fill up quickly today.

Or not. This is the third time Mark has been called to a final bedside vigil. The difference this time is that the other two times she went to the hospital. This time she refused to go.

I don’t want to spend the last years of my life oriented but too drugged to have a conversation, continent but shitting my diapers because there’s nobody to help me to the can, my heart problems treated with medication but allowed to develop pressure sores. I just don’t.

Margrit doesn’t either. She doesn’t seem bitter, fortunately.

(I asked Mark to steal the medication in her room while he’s there but he says there isn’t any. They say ODing on blood pressure medication will do it, which shouldn’t be too hard to come by when I need it.)

In the meantime, Mark has gone back to Rotterdam to collect his stuff so he can spend the next few days with his mother and family.

This is so hard.

Amendment: Since speaking with Mark again I have updated the second paragraph to reflect that Margrit does have her own, fitted wheelchair and that once she developed pressure sores she got a really cool air mattress. Also the fourth to add that Margrit was the one to say she didn’t want to go to the hospital this time.

Sidr / Onward (pictures)

Friday, December 7th, 2007

These are the pictures Patrick took on the tour into the countryside he mentioned in the last letter I posted here.

*** *** ***
Dear Family and Friends,

A few pictures from a quick trip through some of the Sidr-affected areas. Not much to say. None of these are untypical. If you see a picture of a damaged school, multiply this by thousands. Houses flattened — multiply by tens of thousands. The boat in the forest was a considerable distance from the sea. There were clothes high in the trees, illustrating why some people survived by hanging on in the tops of trees. Whole business strips destroyed, washed into ponds and canals. I enjoyed seeing the man taking tea and waiting for normalcy to return to the bits of his home he had managed to retrieve to build a perimeter to live in. Beli’s sister and family have been patching their house back together. They will be able to make major repairs using some contributions we brought from family. There is a picture of Beli in the gate of an ancient and beautiful mosque — built in a day, according to legend. A mammoth tree fell across a wall of the mosque, but no damage at all to the mosque itself.

Good and bad developments. The good: The school-based teacher development strategy I have been proposing and promoting has taken hold with the bureaucracy and we are moving ahead with implementation. The bad: They want to do it right away and I more or less have to be involved, meaning that the two-month winter holiday I have been looking forward to has been reduced to one month.

The ‘cold’ season is kicking in with fresh vegetables being hawked on every street and market. It’s a good season for eating. Beli has started two hours a day with a tutor and is reading everything in sight. People are starting to think about their new clothes for the upcoming Eid and life is feeling festive. Even as two former prime ministers are in jail and at least a third of the last parliament is either in jail or facing prosecution.

Affectionately,
P.

Sidr / Onward

Friday, November 23rd, 2007

Another letter from my father in Bangladesh.

*** *** ***
Dear Family and Friends,

Happy Thanksgiving! Apologies to those who feel the reference is out of date (Canadians) or a cute local reference (most of the rest of the world).

Vivian has asked me to send out an announcement that I am fine following Sidr, the recent Bangladesh cyclone. I live in a concrete and steel building in the capital city, well out of the path of major destruction. I was wakened by the clattering and roar of the wind and stepped out on the balcony for a couple of minutes. Then stepped back inside to wait for the light to fail. In the morning the ladies were out sweeping the street as they do every morning. There was just more to sweep. We got electricity back a day and a half later.

Last weekend I did get out of the city on school visits and saw about of a third of the rice crop lying down from the storm. This was in areas not badly affected. Poor people will be paying more for rice and eating less. As a rich person, by local standards, I have a 50-kilo bag of rice in my larder. (Is it appropriate to be thankful for being rich rather than poor when living in one of the world’s poorest countries?)

The papers are full of human-interest stories and statistics. All are horrific. I think nearly everyone in North America has heard that there are ten thousand dead, despite what is generally accepted as good planning, storm shelters, and warning systems. Some communities have been totally wiped out. In others, most families have lost members — often those responsible for feeding the family. Eight thousand schools have been flattened. Houses were damaged or destroyed. Broken fishing boats lie on their sides in the forests. Most shrimp operations are devastated, leaving their owners in terrible debt.

Many relief organizations are helping out but the scale of the disaster is difficult to deal with. Potable water is often not available in areas of high salinity. Rice dropped from helicopters can’t be cooked because there are no working stoves. But there are also stories of people starting to rebuild. And, like in New Orleans, there will be more than one industry doing well with new construction. Today, on the front page of the newspaper I read, was an ad announcing a donation of 1 taka (not very much) for the relief of Sidr victims with every bag of cement sold, but nothing about a discount.

As I was leaving the bank this afternoon, a group of college students came up and told me that they were collecting money for Sidr victims. I could tell them, “So am I.” Several of my family members, on hearing that one of Beli’s sisters had lost a side of her house and all of her fruit trees, pledged contributions. The husband is a good and thoughtful man and a tailor, whose customers will not have money for tailoring for some time to come. We’ll be taking our contribution to them tomorrow in Jessore (for those of you with maps) so they can start to make urgent repairs.

Saturday we are planning to return to Dhaka through the Khulna, Bagerhat, Pirojpur, Jahlkhati, and Barisal (for those of you with really detailed maps). These are some of the hardest-hit districts. I don’t know what I’m expecting to see. It should provide context for what we’ve been reading about and seeing on television.

*** *** ***
Vivian said I should send some disaster pictures. See attached photos of Patrick Just After The Fall
Patrick Just After the Fall

… and One Day Later.
Patrick One Day Later

It was about 6:30 a.m. and I was entering the final third of my stately 7-kilometre jog around the Dhanmondi Lakes. Suddenly a toe caught a ravenous slab and hurled me onto the concrete path. Just as suddenly, I was surrounded by a crowd of middle-income Bangladeshis, whose doctors have told them to walk every day to treat their diabetes and high blood pressure. (I have never seen a foreigner out there, though I’ve heard there is one.) I was helped to a bench, offered handkerchiefs, and provided with advice. One offended onlooker announced to the others in Bangla that Bura (the old man) shouldn’t be running. I was slowly becoming the victim of a campaign to get me to the emergency department of a brand-new hospital nearby when a wonderful man identified himself to the crowd as a doctor (he may have been one), examined me, announced that despite all the blood it was only abrasion, and helped me into a rickshaw. I was pretty spectacular for several days, but this is now history.

The second day after the accident my driver told my national counterpart, with whom I spend hours each day, that I had been injured. Muhammad Ali looked in horror at the bandages and contusions and asked me why I hadn’t told him.

I’ll try to have some pictures of how the real disaster is recovering in a few days.

Affectionately,

P.

Addendum: I am travelling along a somewhat bumpy road southeast of Khulna. I can’t see the screen because of the sun.

I feel odd about being a disaster tourist, but I’m sticking with Ogden Nash’s advice that not doing things you could have done is worse than doing things you shouldn’t have done. Onward.

This is beautiful country and it is clear that nature has the upper hand here, and will cover up the losses.

Right now we are about to stop and see an ancient mosque, rising in the jungle.

More later.

Notes from Bangladesh, September 22 2007

Monday, September 24th, 2007

My father is working in Bangladesh these days. This is his latest letter, published with permission.

*** *** ***
Dear family and friends,

I’ve been back in Bangladesh for about a month after three months away. Vivian and I had a busy summer. Happy times in Ottawa with Alison, M., Bertha, Matthew, Vivian’s mother, and friends… and a contracted version of the annual birthday barbeque. Short visits to Cortland – including the Port Watson Street Canada/USA Birthday Party. Two weeks in Vancouver and environs, welcoming Daphne (newest granddaughter). And two weeks in England visiting with friends, Vivian’s relations, and Danjuma and hiking in the Lake District. Busy, and rewarding.

My plan on returning to Bangladesh has been to spend as much time as possible in schools – assessing what government can do to support teachers’ professional development at the school level; and finding out what teachers and well-functioning schools can do to support their colleagues. This is paying off. The primary system has been in decline for the past several years, but now we are finding pockets of locally initiated innovation and collaboration (through necessity). Documenting this supports our bottom up approach in opposition to the top-down bureaucracy.

The attached photograph is from one of the school visits. The little girl was sitting inside the classroom door when we were ushered in for a ‘cultural event.’ She was so small, I thought she might be being baby-sat. Our first entertainment was an older girl who accompanied herself on the harmonium singing classical Bengali songs. Competent and affecting. Then the little girl took her place in the front of the classroom and waited for her music. She danced for a full ten minutes with sensitivity, variety of movement, and extraordinary skill. She never slipped from her program, as far as I could tell. She stopped when the music stopped and received her applause without changing her expression. She accepted the praise of the women in our group apparently without needing it. A tiny, confident, and accomplished artist.

girl in schoo uniform in front of blackboard

We are now in the holy month of Ramadan. Ramadan is all about fasting, and fasting is all about food. From sunup to sundown observant Muslims neither eat nor drink (even water). But there is makeup time throughout the night. The fast is broken around six p.m. with ‘iftar.’ I think iftar is supposed to be a light meal, but from what I see on the street the public face is about frying things in oil… mainly meat and vegetables. The iftar Beli [cook-housekeeper] serves is quite different. Tonight it was haleem, a mixture of pulses that she stewed in a beef curry. We topped it with cucumber shreds, ginger, green chilis, onions, tomatoes, and chopped coriander.

As iftar finishes, the faithful are called to pray. The men walk in hordes to the mosque wearing long white robes and prayer caps. Women stay at home. (Beli prays on a prayer rug in her room.) Following prayers, serious eating can begin… but last night we both agreed we don’t need a second evening meal. Beli was hungry a good part of yesterday because she had not had enough appetite to stuff herself when ‘suhoori’ came around. Suhoori is the last meal of the night, prepared from three-thirty onwards and eaten shortly after four (followed by prayers and then serious napping). We have our own rituals for Suhoori. Mullahs shout out the wake-up call from the microphone tower at 3:30 a.m. Beli has an arrangement with the guards to phone her and report the mullahs’ announcement. My task is to listen for the guard’s call and wake up Beli. Beli shouts that she needs ten more minutes’ sleep. I go to my computer and think charitable thoughts. By shortly after four, Beli has assembled suhoori, which she eats while I watch. Eating done, she prays and then goes back to bed. I may work for a while, then go out for a run. With everyone napping, the streets are quiet and the park is nearly empty. Beli gets up around seven to make my breakfast. Life is good!

This morning, there were Rapid Action Battalion police sitting around the entrance to the park on the embankment at the end of the lake and in inflatable boats on the water. This might have something to do with fundamentalist rallies yesterday… over a cartoon published in a satirical magazine. Maybe the police thought the crowds would try to drown the cartoonist.

The entrance to the park is the centre for another kind of action. A couple of weeks ago at around 5:30 in the morning I shuffled my way past a collection of young ladies trolling for rides home to finish off their night’s work. As I moved past them, the whole group rose like a flock of swallows and ran along beside me, touching my arms and shoulders and giggling in their saris. I picked up my pace and quickly outdistanced them. I am sure they would have done better with better shoes. Still, it was nice to see entrepreneurship combined with healthy living at this time of the day.

Affectionately, P.

laundry / absence

Sunday, December 10th, 2006

I did our laundry this weekend, as I always do. It’s a reassuring ritual, my little demonstration that I can look after myself and care for another. I washed the clothes, the soiled rags and the bedlinens. I folded them all. I put the bedlinens away in the cupboard. I hung up my suits and pants and tucked my underclothes into their drawer. I folded Mark’s t-shirts and paired his socks and left them on the counter for him to put away, as I always do.

But Mark won’t be putting them away. Yesterday morning he got a call that it was time to gather at his mother’s bedside and he left for Holland last night. I haven’t had any news; she may be gone already, or she may pull through yet again. Realising that Mark won’t be here to put his things away is what made me realise that Mark is gone and that I am alone. And I think, someone will be putting away Margrit’s things and thinking the same thing. If not today, then some day not too distant.