Sunday, February 26, 2012

Sunday Morning Hair Issues

William and Hannah usually wake up and come into our bed by 6.30am. This morning, most unusually, they decided to play. They walked into our room at 7am proudly wanting to show us Hannah’s new haircut.

Hair and Church Parties (1 of 4)

I couldn’t talk to Will for an hour.

Hair and Church Parties (4 of 4) 

Even after an attempt at tidying it up, it’s pretty bad. I suppose it will only take a whole year to grow. And some day soon I might be able to look at Hannah without thinking, “Oh. My. Goodness.” The timing is not helpful. We pick up my mum, sister and nephew from the airport tomorrow morning.  They’ll have a shock!

Hair and Church Parties (2 of 4)

After church this morning we farewelled Professor Iraka (pictured above with many of us, he’s the one with distinguished white hair). The professor has been the grandfather for our church service for several years, but is now retiring from his work as a paediatrician at the hospital and returning to his family in Uganda. He lives a few doors down from us so we’ll miss him from a few of our communities – church, hospital and home. He is a great example.

Hair and Church Parties (3 of 4)

At the farewell party one of the guys in our congregation came up to me (pictured on the right). He said I taught him in grade 5 in Gahini 9 years ago! Amazing. I’ll have to look at the old photos and try to pick him out.

Meanwhile, I’ll try not to look longingly at the photos of Hannah with hair.

Monday, February 20, 2012

Reflections on Charles Ringma’s “Finding Naasicaa” #1 “The World Without and Within”

 

I’ve always enjoyed and been stimulated by Charles Ringma’s perspective on Christian life and ministry, ever since first met him at Manila Theological Seminary on a short term mission trip back in 1995. He’s written a number of great Bible study guides themed around the reflections of such great modern Christian thinkers as Dietrich Boenhoeffer and Henri Nouwen.

Partly as a way of journaling my thoughts as we enter our second year in Rwanda (especially given I somewhat lack people I can debrief to at the moment) and partly for any of you who may be interested, I decided I’d use some of his reflections in “Finding Naasicaa”, a book of letters to his teenage granddaughter, as a jumping off point for my own thoughts. I’d recommend the book if you haven’t read it; but it’s not really necessary to following this post as I’ll try to include an indicative quote before transitioning into my own reflections. I may make this into a series depending on how it goes; we’ll see.

Letter 2: The World Without and Within

“The world, and here I mean both the natural and social world…, is not simply a world that lies outside of us. Of course it is out there, but it is also within us in the sense that we are shaped by its institutions and values through the process of socialization.”

One part of coming to a new country and culture is that you enter a new world.

The natural world is different: Rwanda is milder (15-25 degrees year-round), higher (1750m above sea-level – enough to make you breathless walking at first) and far more densely populated than Australia.

The social world is more different: people speak Kinyarwanda, and sometimes French, with English a third choice; they mostly live in villages and small towns and subsistence farming is still common, they have a close personal knowledge of the depths of human depravity from the Genocide 18 years ago. Older people can remember when there were no cars, no roads, no white people, no schools; only small communities of farmers connected by footpaths, a king and a language.

But, profoundly for me, as I meet these different natural and social worlds, my inner world is being changed too. The challenge of the Rwanda’s thin air has made me take up running regularly for the first time. Rwandans’ approach to life makes me reassess what I once believed was obvious. Their resilience and adaptability in the face of such extreme change has changed how i think about humanity and ‘progress’. Their desire for relationship, both with each other and with God, has penetrated my introversion, at the same time as the wearinesses of cultural adjustment and constant teaching has strengthened it.

As I have begun to be socialized by Rwanda, my inner world has changed irreparably.

 

”I see the world of nature as a most wonderful gift from the Creator. It is a gift that sustains us and the billions of others who inhabit this planet.”

Rwanda is still an agricultural society. The rhythms of life, the food in the market, the difficulties of our house workers and their families, the number of patients in the hospital ward and their ability to pay for treatment; all are still largely based around the seasons for planting and harvesting (two “wet” and two “dry”). Rwanda is like a huge market garden. The hills are covered with a patchwork of small farms, all tended by hand, by people whose very survival depends on this work. There is no unemployment benefits, little social security and few safety nets: the world of nature directly sustains these people.

Now of course, in Australia people are just as dependent on the world of nature; it’s just the connections are not as obvious. In Australia, I saw nature as something to be experienced in bushwalks, beach trips and camping holidays; a source of spiritual refreshment and a mark of the Creator. In Rwanda our absolute need for rain, which no-one save God can bring, is much clearer. This week the rains arrived after two bone dry months; suddenly everyone is digging in their gardens. God’s gift is not merely a pretty clue to his existence, it’s also our very lifeblood.

Along with that, generally I see a much more sustainable lifestyle all around me. Rwanda has banned plastic bags because they are an eyesore, a huge waste of a non-renewable resource and there are good alternatives (paper and hessian). The roadsides and lawns are immaculate, and sometimes you come across little flower beds interspersed within the crops. The country is far less reliant on imported goods and petroleum than is Australia. True, people are poorer and live harder, generally shorter lives: but their natural world seems to be more seen as a gift, and less as an exploitable resource (although this may be changing as development grows apace).

 

“The social world often appears as a rock solid given. The language we speak, the way we structure family, the institutions we create, the way we produce things and do business and the political realities that govern our world all seem so permanent…In fact the opposite is the case.”

I can’t think of a better way to appreciate this truth than to immerse oneself in a radically different culture for a time. Ringma goes on to make the point that because change is so rapid, uncertainty is the inevitable result.

In a very real way, I’ve experienced this uncertainty standing at the end of a bed, while seeing patients in the medical ward at the hospital here. I have sixteen years of medical training and experience in an Australian context, and I’m sued in this context to recognising the pattern and knowing what to do next. In Rwanda, I am never certain, which is very tiring, especially as these consequential decisions must still be made. The patterns of disease are different, the ways of confirming my thoughts are less, and then the management of the patient is enormously influenced by their social and financial circumstances, the availability or non-availability of various treatments, and the cost-benefit for this particular individual and their family. Don’t even get me started on cultural beliefs about health…

The only certainty is uncertainty.

 

“Contemporary Western values promote individualism, consumerism and self-preoccupation. We are taught to struggle by ourselves when the very nature of social life has to do with community and participation. ”

Maybe my very approach to life in Rwanda in this blog reflects my individualism and self-preoccupation. Maybe I should be writing about how the community of the hospital has changed since I arrived, how I have contributed to its function and dysfunction. Maybe my whole reference frame is wrong.

What is certain is that, under stress, I revert to type. The number of days I have returned from the hospital and sought solace, not in my God or a debrief with my wife, but in TV, games and food, is innumerable. Often I am tired, sometimes I am overwrought, often I am just following my learned (mis)behaviours. But rarely does it help.

Of course, a challenge with moving to a strange and novel country is that there is no belonging to a community when one arrives. This takes time to establish, and much more time to be fruitful. I am challenged to persist in seeking genuine community and disavowing my individualist and self-preoccupied self.

 

“We cannot only think critically about our world; we also need to get our hands dirty. In other words, our critique and concern must lead to costly engagement.”

“Not only is this easier said than done, but we are no longer so sure in what direction we need to work for change.”

These two quotes sum up for me the challenges facing us as a family in Rwanda at the moment. We need to continue to find new ways to engage in costly discipleship in the world around us; at the same time, often we have no idea where to start, which idea to pursue, or whether the time is right. The desire to engage on any number of worthwhile projects is ever-present; the question is which of these represent God’s will for us, the best stewardship of our time and resources, and how much cost we should bear (personally, financially, time-wise and as a family) to bring them to completion. We need God’s wisdom and His guidance more than ever at this time.

I’d like to finish with a final quote from Ringma. More as a self-reminder than anything else:

“The inner world requires a lot of care. It cannot be neglected. We cannot focus only on outward activity and forget about our inner person. We cannot be concerned only about building our cities and our economy [or our mission work!] and leave the heart unattended. If we do so, we will not only become lopsided, but we will begin to suffer.”

 

I’m off to bed as the mosquitoes are biting.

Saturday, February 11, 2012

Hannah “Dressed”

 

Hannah decided today to dress herself.

After stripping down to nude, she put on her favourite skirt, the pink frilly one.

Next she found the sticky tape. A good big messy tangle, applied to the middle of her chest.

Finally she found some wrapping paper, applied it to the sticky tape, and voila!

We have a fashion designer, age 23 months!

Hannah Dressed (1 of 1)

Tuesday, January 31, 2012

Flooded with work opportunities

 

It never rains but it pours.

After one year of teaching, suddenly in the space of one week, many new ventures and possibilities have opened up.

These include:

  • A letter from the Minister of Health requesting my presence in Ruhengeri (4hours away) for the whole of next week to be part of a team to finalise Clinical Management Protocols for all hospitals in Rwanda
  • A request for an arrangement for me to go to Kigali each month to train postgraduates and senior doctors in colonoscopy
  • A senior postgraduate (soon to be Consultant) has transferred from Kigali to Butare in order to learn Gastroenterology and Hepatology from me
  • Requests from the Dean that I become involved in training and research in Gastroenterology, as well as from several undergraduates and postgraduates approaching me with research proposals, and new options for funding became clear
  • A large amount of interest has been expressed from all over the country in forming a Rwandan Endoscopy Society, which I have been working towards for some months
  • Enthusiastic support from many undergraduates and postgraduates students, including suggestions of more teaching sessions, a journal club, and institution of a new case conference where they can present patients with difficult problems from the wards

There’s probably more, but with such a flood of options, I’m at a bit of a loss to remember them all. Please pray for wisdom for me as I try to work out what opportunities need to be seized now, and how best to divide my time and energy between them.

Sunday, January 29, 2012

National University of Rwanda Graduation Ceremony

 

One of my first tasks as a Senior Lecturer in the Faculty of Medicine was to attend the graduation of our students and postgraduates who finished their medical training last year. It is a major event for the country, with about 3500 students graduating from NUR, and thus last Friday the roads to NUR were packed (we walked there from the hospital!). There was a real sense of occasion with everyone in suits and academic gowns with silly hats and many thousands of people thronging the streets.

Graduation 2012 (4 of 16)

Graduation 2012 (5 of 16)

As a (newly appointed) member of Faculty, I got to wear my own silly hat, hang out in the Cloisters pre-ceremony and then be part of the grand entrance procession, complete with marching brass band:

Graduation 2012 (15 of 16)

Graduation 2012 (6 of 16)

Graduation 2012 (7 of 16)

The guests of honour were the Secretary General of the Commonwealth, the former Head of the East African Community, and the Rwandan Minister of Education.

Graduation 2012 (8 of 16)

With such a distinguished guest list, the paparazzi were out in force, and were especially keen to get my photo*:

Graduation 2012 (10 of 16)

* possible slight exaggeration

At the end of the six hour ceremony, which included the National Anthem, speeches, Intore dancers and a full roll call of the 3500 graduands, the new doctors assembled to say their Hippocratic oath, with the doctors present serving as witnesses:

Graduation 2012 (12 of 16)

Graduation 2012 (13 of 16)

Graduation 2012 (14 of 16)

It was a really exciting day to be part of, and great to see so many students who I have taught over the last 12 months cerebrating their success and taking the next step in their careers.

 

I’ll leave you with a few shots of our munchkins, fence climbing, painting and modelling the latest in wearable avocado tree fashion:

Graduation 2012 (16 of 16)

Graduation 2012 (3 of 16)

Graduation 2012 (2 of 16)

Graduation 2012 (1 of 16)

Wednesday, January 11, 2012

William Starts School

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On Monday William and his best friend had their first day at the local Ecole Internationale des Parent de Butare (French International School). He was primed and excited. But the actual day was pretty hard for him.

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My friend and I, with some of our kids, spent the rest of the morning in quite a different context. We visited the Iwacu centre for street kids, run by an English man.

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My friend, who worked for years with street kids (as did her husband), said you could really tell the boys were fresh off the streets. They were very excited when David walked through the gate, greeting him with a hug and big smiles, and then greeted us very politely. Hannah got cuddles, we played hangman, and the boys told us a bit about themselves. They LOVED their drumming lesson from the local university’s head of drumming, and I was very impressed at their skill! They were just kids. Who have it tough. The centre does a fantastic job of trying to meet their needs.

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Tim and I were rather impressed in the afternoon when William walked in with this butterfly he had made for us, all of his own creation!

I spent the evening reflecting on William and school, trying to work out what to do. Tim told me to stop whining and be proactive – good advice. So on Tuesday morning I made a big batch of playdough. Then I wrote a guide for ways to use playdough in the classroom. a friend translated it into Kinyarwanda and when French speaking friends came for running club that night they translated it into French too. Hopefully having something fun and familiar to do will help the boys to settle in faster...

Friday, January 6, 2012

A mending day to end my holidays

 

I’m back to work at the hospital on Monday. And after two weeks off, I’m feeling much more relaxed and grateful for the opportunity to be working here. To be honest, by the end of last year, I was feeling more and more tired and like I deserved special treatment because of the work I was doing. Now that I’m better rested I’ve got things back into some perspective: it’s my privilege to be here, to do the work and teaching that I love. It’s great to be called somewhere by God and to be able to put the skills he’s given my to use.

Inevitably there’s a bunch of little jobs around the house that need doing over the holidays. And equally inevitably, I don’t get around to most of them until the holiday is almost over. We’ve got leaking taps, towel rails lying on the bathroom floor, and a non-functional washing machine because of an electrical fault. Those were all relatively easily fixed: even the washing machine, which miraculously decided to start working again of its own accord three months after it last worked, and in spite of all my attempts to open and clean it, reseat electronics and so forth.

But the job that I’ve been thinking about most was the annoying fact that our computer and anything connected to it (iPod, speakers, Kindles etc) gives any barefoot person who touches it a nasty shock. I thought initially it was an electrical fault, but on testing, it seemed to be a problem caused by our voltage regulator, which all electronics here have to be connected to in order to avoid damage. It lacked an earth pin, which meant everything connected to it could not be earthed and any small ground leak from the computer built up on the case. It’s very painful and annoying and potentially quite dangerous for the children.

So here’s the solution I sorted out, running a piece of house wiring cable from the PC case:

Mending (3 of 3)

across the room to the (filed down) steel cap on an old water pipe in the corner of our room, just opposite the meter box on the external wall:

Mending (2 of 3)

Now effectively I’ve wired my own earth from the computer (and anything else connected on that side of the voltage regulator) to the house earth. It’s working a treat, which means no more taking my foot off the floor as I connect the camera to post these photos!

In other news, Will starts school on Monday (at age 3 1/2, in French at a local school where Catherine will also be helping with curriculum development for the teachers), and we’ve just got back from 5 days at Kumbya. We spent the first two (wet) days camping, and then moved into a cabin for the last 3 nights. We also had a New Year’s Eve bonfire! Here’s a pic of the kids “playing with fire” at our campsite.

Mending (1 of 3)

Happy New year and blessings from all of us,

Tim