Saturday, September 29, 2018

More of the Usual and Mostly Nothing Significant

Timehri Maha Kali Shakti Devi Temple story will continue next week.

Out and About...

I met with Suzanne French who is on the board of the new NGO Corporation in Guyana that will fund psychiatry efforts here.  Rev. Dr. Peter Kuhnert is the prime mover of this NGO which will go by the catchy abbreviation of  "IftDofPaMHRI".   Suzanne is an energetic young (to me) woman who is eager to get going on raising funds to improve psychiatric care in Guyana.   Another woman from the past, Sandra LaRose, who was a small group tutor with the PBL course, is also a board member.

I was there a little early at our meeting place "Petit Fours". After spending 7 years in an Acadian Village, I knew I was looking for little ovens ..... But they have a really big oven and some nice little pastries.  They also had wifi.  I asked for the password and the woman at the counter told me "sweetthing".. made sense.  I went back to my table and it didn't work so after three more tries she had pity on me and entered it "sweetthang".  Give me a Break! Made no sense, but it worked... Another Guyanese spelling.

Amerindian Indigenous Peoples' Month

September has been called Amerindian Month for years; now even Guyana enters the politically correct world and now celebrates Indigenous Peoples' Month ..... The same people - different name.   I do support having people define themselves, but it seems that, as in many other countries, the name change doesn't improve their lives.    The British gave indigenous groups "special protection" under the law and that was continued after independence.   Yet whenever it is convenient for all the previous and present governments to limit those protections ..... they lose them without much legal recourse for the "specially protected".     But they do get a month in the calendar. 

In a very intentional way, many groups and the government ministries that deal with indigenous issues try to address the stereotypes that dominate mainstream Guyana culture.  They share the oral wisdom and stories in events throughout the country.   I do feel it is important to have the nursing students -- some of whom have indigenous blood, but have been raised in the city or on the coast -- to gain a stronger appreciation of Guyana's original peoples.  This year we took in the morning event at the Umana Yana.



This young woman is from the Arawak peoples. She told a traditional story of a young ten year old boy.  (Who would have been turning 11 at the end of her long story!)  It was a story of the importance of fathers in their families' lives.  And, of course, there was a wicked stepmother, and the boy proves to be a hero. He slays not one but two Forest Demons because his father taught him how to shoot his bow and arrow.

Two students from Indigenous Studies at University of Guyana
played and sung this.
It wasn't as good as last year -- there was no free lunch this time -- but I did buy some necklaces that were made by the WaiWai in the very south of Guyana for our granddaughters.  Sorry, Evan and Aidan!
   
The trip fit in well as we had been discussing the "strangeness" of people from different cultures.  There is so much that does not get spoken about but include expectations and rules, like facing the door in an elevator!  I had put this  drawing on FB and I'll share it again as it certainly reflects my experience in Guyana.  (And oh yeah: when I went to Seminary in Illinois, I soon realized that saying "Sh*t", "Fu*k" and all similarities were not acceptable no matter how bad your golf shot was!)

The top ones are easy to see because people talk about them.
The others are hard to see because people do not talk about them.

Thanks from the Nursing Students


I should have posted this earlier.  Here are their happy faces after receiving your gifts of tablets.  These are an invaluable tool to do their studying and research online.  It is a big gift for them ..... for some it is the biggest gift they have ever received.  So far the tablets are holding up in the heat and the humidity at least as well as in other years.   And as students do all over the world, now they complain that I give them too much research!

My Roommate  Dr. Oble Francisco Alfonso Gonzalez

Maylene, the beautiful woman on the
left is his "girlfriend", an Opthamologist.
Obel is a seasoned pediatrician who studied and worked in Cuba for years and then went to Africa for 4 years.   He arrived in Guyana without a job and finally got one here at Mercy about a year ago.   He kind of looks tough, but he is actually very quiet, gentle and kind.  He says "Sorry" often enough to be a Canadian!  I really like him, and mercifully his English is way better than my Spanish ,,... although the other night, he wanted me to get him a hamburger -- or that is what my ear heard.   "Hey, sure; we can go to Big Daddy's down the street.  They have fries too and of course, beer. "  No, I want a "han-book-er.".   He knew that I had a famous pediatrician, Dr. Emilee Flynn, visiting me, so he wanted to know if she would recommend a newer version of a Pediatric Handbook that he had from 1986!

But that is not my best human being Canadian Obel story -- which will come after this introduction to my famous niece Emilee.


Emilee Flynn 

Emilee had visited me on her first trip to Guyana a few years ago to help with teaching health care professionals how to manage high risk newborns when you have no technology.   This is her third trip with her group... And she took off an evening to have dinner with me!

I first had her work to pay for her dinner.  She had to help me with Basketball practice with the girls at St Ann's.   I will show you the video from a week ago with the older girls...   John Wooden couldn't have done better .....




However, this week I was back to chaos and self-doubt.  The little girls came late and the bigger girls came ..... and luckily Emilee arrived soon after that.   But I need to work with the little weenies separately, without distraction. They just had to do what the older ones were doing; and, the older ones wanted no part of them.  I was unable to convince the little girls that they would learn more with drills designed for their skill and age.    I was told that they could play basketball as well as the older girls -- and then they would go on to demonstrate that they couldn't! There was  no changing them.  They joined in with the older girls and we both ignored them when we didn't step on one of them.
Emilee took some videos of this practice, but she wants to see if she can sell it to Funniest Home Videos before giving it to me.

Emilee right before she showed the girls
her astonishing reverse, 360  dunk...
and with her shades and sandals on.
We survived the practice and headed to dinner at New Thriving Chinese.  Wow, ever since they opened their fancy place in Providence, the prices have gone way up! I guess they have to pay for it.  We sat outside on the roof with a nice breeze and no mosquitoes... and (this is for Emilee's mother, Monica) right across from Holy Family Catholic Church.   Emilee told me lots of good stories about my sister that I hope I can remember if I have to make speech at her 50th wedding anniversary.   A great visit was made even better:  Emilee paid for dinner -- and even without that, she is an amazing person.  Thanks for the visit!









And back to my favourite story about Saint Obel.

I had left to go to St Ann's and basketball about 3:00 and I made sure to lock the door as Obel always does.   He came "home" about 4:00 to find he had left his flat keys inside.   He did not want to really bother me because I told him that I had an important family member for dinner.   So he sat outside for the 4 hours till I returned from dinner.  Walking in I saw him sitting under the flat, he was smiling and waving.    When I heard his story, I could hardly believe it!  I said to him, "You can't be a real doctor; you aren't nearly arrogant enough." 

Boy, did I feel bad -- but not as bad as I felt a few minutes later.  I took my sweaty basketball shirt out of my backpack and I had put my phone there too.     And there were two texts from ..... Take a guess!   And two missed phone calls from the same person!   I don't think that the smart phone is smart enough for me!   And yes, I know:  I will buy him and Maylene dinner.   See, he is really gentle, and a secret Canadian .....

Enough.  Some people quit when they have completed their thoughts... I quit when I think it is long enough.

John








Saturday, September 22, 2018

Can Worshipping Really be an Adventure Too?


And now for something never attempted in this blog... an interesting story:

Last Sunday, I took up an invitation from Vikram, one of my old students and a present tutor in the current PBL course, to see the collection of Hindu Deities that he has in his home.   I had seen them on FB and was intrigued, so I had asked him to take me to his home.     He arranged for us to meet as he came off night shift at Mercy and we would be on our way.  When I asked where we were going, he was secretive and coy, “You will see when we get there.”   We took a minibus to the bus park and started to head south, though he lives eastward, on the coast.     We had to sit in the very rear and for a tallish guy this is the roller coaster seat ..… every bump in the road is a jarring jolt and the accompanying bump launches you from your seat and into the roof!  

After an hour or more we were turning on the Timehri Road to the airport ..… and, a first for me ..... the bus went right into the village and not the airport.   The road was now a rural, dirt one.   We stopped and Vik gestured me to get out; we were there.  At first I did not see anything, but as we walked I saw a path.

Since I have such a keen grasp of the obvious, I figured it was not his home.  Vik told me that he wanted to show me “everything”.    (Well, now I was sure I wouldn’t be back by lunch.)   The grounds are quite large and there are many areas for all the different functions of the temple.  Here is the old/first altar area and building, which is now used for something else which my mind only held briefly. 


This was the temple which he first came to about three years ago; it saved his life in a very difficult time for him.   It is known in Guyana as the Timehri Temple; its more official name is “The Timehri Maha Kali Shakti Devi Temple”.  As you can see from the Welcoming sign, it is quite eclectic and welcoming.


Soon after we arrived we went to the large house where his grandfather lives, and it seemed many others lived there too.  

Here is a picture of Vik in his nursing outfit and his grandfather, not in his priestly robes.

I learned that Parsram Samaroo is Vik’s adopted grandfather. They first met on August 21st 2016, the day Vik and his mother first went there.  From this first day, says Vik, "the deities started to manifest through my body" and Parsram treated Vik like a grandson from then on.  Parsram is the founder of the temple, which he started about 50 years ago.

Vik soon “abandoned” me as he was helping to prepare for the worship at 10:30; it was now 8:30.   I sat down on a veranda with a man and two of his sons.   He had arrived earlier because he wanted to be healed from wounds he suffered from falling off his motorcycle.   There were quite extensive, and they weren’t healing.   He and his sons were quite clear that the reason was witchcraft (or evil obeah).    Winston, the father, was a quite devout Roman Catholic who attended mass regularly and knew "every priest in Guyana".   He was comfortable seeking healing here and felt no tension between faiths.    We will return for his healing ceremony.

    
I had to admit that if I had just fallen and those were my wounds weeks later,
I’d start thinking about witchcraft, too.

I have also mentioned the Guyanese tolerance of another’s religion (if not race or politics); I was not surprised by Winston’s perceived lack of doctrinal conflict.   Almost every Guyanese person, educated or not, who has an illness that lasts more than a short time, has their favorite “bush medicine” treatments.   Yes, Guyana is modern in so many ways, but there are spirits everywhere – good and evil

https://www.guyanaguardian.com/after-killing-over-a-dozen-people-guyanese-are-afraid-of-this-tree/


In the past, I have shared the link above with my students before our annual National Psychiatric Hospital trip, as the tree is on the way, and we usually stop there -- and most will not even get out of the bus!  Dr. Tony got out and touched the tree once -- and he has never been seen in Guyana again!

(I think that Tony’s resemblance to Narain, Parmeshi’s brother, is purely coincidental .....)

After chatting with Winston, I was told there was a breakfast prepared for me.  They have a partially vegetarian lifestyle that I found interesting.  They fast from meats on Friday, Saturday and Sunday, but on the other days there are no food restrictions.  So I was offered a nice tomato-cucumber sandwich and slices of fresh avocado.    I was sorry that I had had a big plate of rice and beans before I left Mercy.   Because, as everywhere, the expression, “I really don’t want anything; I had breakfast earlier,” means nothing!

The pictures below are from the second meal we had before we left and right after all the members of the congregation had received a bag of fruits and sweets at the end of the worship.   I think these were the offerings presented to the deities during the service.  I was well fed.

The pictures below are from the main altar in the temple, both Christian and Islamic.   Certainly the Christian Deity was worshiped in the service and traditional hymns were sung, such as, “What a friend we have in Jesus”.  There was also at least one specific acknowledgement of Islam and Allah.   


When I asked Vic’s Grandfather he said, “Of course, we worship all the deities of the world here; how could we not?  They too are manifestations of our one God.”   This synchronicity, as in the Jungian meaning of things not connected by event but by meaning, was present throughout the Temple in the different rooms and in the rituals.   I admire the attempt and am left a little overwhelmed with the actual practice.
There was also the symbol of
the Lutheran Church in Guyana

Later, I saw Vik again and he was in his service robes.  When I asked him his role in the service, he was elusive and kept saying,  You will see.”   His outfit marked him as a devotee practitioner who had gone through many trials and tests.   It didn’t seem that there was a name for this position, but it was obviously important to Vik and the community.  


I am not sure whether it was because I was identified with Vik, but everyone was friendly and willing to answer any of my many, many questions.   (I really had never had an experience like this.   My previous Hindu services were not as immersive and visceral.)  There was no one who told me not to do anything or go anywhere.   I was quite amazed by the lack of suspicion, when obviously I am not Guyanese or a Hindu and clearly a first-timer.   I can only imagine what the response would be from one of our Canadian Churches of first time non-white foreigner wandering around one of our churches.   This openness and apparent transparency (though not transparency of meaning) continued throughout my entire experience as you shall see.

  
   I was given the best seat in the house in the centre front row.  I was once asked to move by Vik’s grandfather to where the musicians were.  This wasn’t because I didn't belong there -- but he wanted me to move to a spot which had a bench to put my water bottle and camera.   I kept thinking there would be a rule about pictures in the temple, during service or healing rituals.  But for me, at least,  there was never a moment when I or my camera were frowned upon.  If anything, I was the one who was uncomfortable with my camera!


Leader Parsram Samaroo is given much respect as he is the founder and also a community leader and healer.   People told me how important he was in their lives and/or the lives of their families.   Many of the worshippers asked for his blessing, with incense and the same supplicant ritual as offered to the deities.  He remains a truly humble man.  Parsram exuded what I think Virginia Satir, a renowned family therapist, called all great therapists, a “non-anxious presence”.  His presence invited people to come and talk to him and be safe.

As the service started, I could see that Vik was the leader (he had the microphone!) and his grandfather was seated quietly off to the side.   And then, he started to chant.   I didn’t even know he could sing.   As it turned out he has been preparing himself to be a priest and is one of two who are next in importance to the high priest.  Vik tested my disbelief in that all his chanting in Hindi was new to him after he first came: both the chanting and the words.   (And I have trouble with 20 student names!)  A video of him chanting is linked below.  Some who have heard me read know my voice gets louder, stronger and deeper when I read in public – sort of a wrath of God.  The change in Vik’s voice was even more remarkable.


The service itself seemed to consist of hymns and prayers to the major deities in the temple.  Each deity would be addressed with food and flower offerings and dancing.   Vik put me in the front row and not on the main altar part as there was going to be exuberant dancing.    (I told him that I was not worried unless I had to do any dancing – exuberant or not.)  Each of the deities was worshiped with incense and humble supplication while the chanting was going on.    There were sections dedicated to Jesus and  Allah.  This eclecticism wasn’t limited to non-Hindu faith groups; it also embraces the traditional Hindu Gods who aren’t specifically acknowledged during worship.


Vik’s personal deity is Parmeshri who was the first deity to appear to Vik in a dream; it was she who set him on his path to health and priesthood.  I asked about all her arms.  Vik responded that her first manifestation was at a time of terrible conflict and she needed those arms to defend her people.  It was a female who fought and defended them!

Parmeshri is a manifestation of Kali and the people identify her with the Great Goddess, one of whose many habitations is on the snowy peak of the same name which stands out prominently in the range of mountains separating Kullu from Chamba District. Her home is visible for many kilometres and the Gujjars, the nomadic herdsmen of the hills, give adoration to her when they bring their herds  to the higher slopes for the summer grazing.  Looking towards the peak, the nomads bow several times and then immolate a goat in her honour.

Before the service began, there were many worshipers who offered prayers, with incense and flowers, before many deities.    I was impressed with the commitment and reverence that was shown by all the worshipers; it wasn’t self-conscious or showy, just simple and devout.



Others who were sitting in the front prepared the flowers and food offerings that would be placed at the deities' feet.     After the chanting and prayers and offerings, the music would start and some in the congregation would get up and dance in front of the statue of a deity.  Vik told me that each Deity has their own particular form of dance, but to my untrained eye, they all looked the same  -- though the dancers each had their own style.

      








This woman is Vik’s mother who came with him and is now part of the community.  In the left picture, she is greeting her son as a healer.  At right, she is hold the offering of food and flowers during the chanting, prayers and singing.

This woman was the most and energetic dancer. 
I asked Vik later if she was the "designated dancer".  He shook his head.




I should have videoed more, but I forgot to bring a second battery
 as I was originally expecting to be back before lunch.



Each of the dancers received attention from a woman who sprinkled them
with what I imagine was a holy water mixed with herbs.  
I am guessing it was a blessing and protection in ecstasy.

The whole service was carried out in a solemn and respectful way.   All the dancers were welcomed and supported to come forward.  And when the music stopped, so did the dancers -- almost all the time; some took a moment to compose themselves.



The service was over and almost everyone was staying; I thought they were just eating their fruit and sweets.  But I was wrong. They were waiting for the healing part of the worship to begin.

And you will have to wait, as well, for Part Two.   

Thanks Vik for introducing me (and now my readers) to many new experiences in this land of Guyana.

Saturday, September 15, 2018

The Reasons Why I am Here



Student Nurses at Mercy Hospital








When classes started a week ago Monday I was almost settled except for the internet -- now it has worked for soooo long, I have forgotten the hassles!    I do like going to the student’s opening service every morning despite the fact that I can’t sing and have no rhythm and the theological expressions in the singing are not exactly mine.    I am comforted by the familiarity and enthusiasm of the students.   And by their third year even the Hindu and Muslim students are singing “I am under the Rock.”   Of course, it is not a conversion; just a participation in the lives of people to whom they have grown close.


I took the mandatory prison shots and added them to my screen saver.    Even before two weeks, I think I know them all most of the time.  I also gave my “older” self three weeks instead of two to get to know them all before I have to buy pizza!     The trouble here in Guyana is that everyone has varying names for different occasions, so Jaishree might be Davie, a Ronda may be be Kayla King, Ron could be Linden, Hamosady is Sarafina… And Chukwubuike is from Africa and that is his only name; however, his last name is Okorie, so Okorie he is.  On the first day, I am convinced they are so much alike that I will never sort them all out… but now I know and see how different they are.   I do so enjoy being part of their lives.

Problem Based Teacher

Not only is Problem Based Learning very different than anything they have ever done before… They are all sure that they have never had a teacher like me!   I give them an “ice-breaker” exercise the first day...  Easy.  They write down two of their secret weapons that are going to make them a great batchmate and nurse … so there are very interesting responses, such as that one is a professional cake maker and another can teach everyone how to breathe and relax, another is a good fisherperson… And the second question is “What are you most afraid as you start this nursing course.     And most put "failing" ..… even after I told them no one has ever failed my course ..… and none of them have ever failed a course!   Several of them were most afraid of have to talk out loud in class ("I'll die if I have to do that ..…") and in my comforting way I told one of them, “Well, I guess you are going to die.”

Our course leader this year has been tutoring with me  for many years.   Last year we co-led the course and this year she has taken over most of the coordinating tasks and arranging for small group tutors.     She has done a better job than I did as she knows more about who is around and when they are free.  She has also done something that I hadn’t.  Our pages start in the afternoon with the groups developing their research questions and then, the next time we meet is on a different morning.  Previously we had tutors who volunteered for one day.  So in the group they facilitated in the morning, the questions were developed by one tutor, and in the afternoon the questions would be addressed by a different tutor.  Somehow Candy has convinced volunteers to do a whole page, Say Monday afternoon and then Wednesday Morning.   Amazing! 




 Here are the tutors and students working in small groups 
 [Candy, Roberta, Vic and John]

Early on I have them do what has become a “Labba Hunt”. It originally [1980’s] started out as an Assisted Death "trigger sheet" to get at how each person felt ..…  Now it is Guyanese:

Imagine the classic Guyanese holiday:  A couple in the deep hinterlands – labba hunting.   While she is out on the river fishing – no labba yet – the man is attacked by a jaguar.   When the woman hears his cries for help, she comes back to find him lying there in a pool of blood.  His flesh has been torn away; he is in unbearable pain.  Both of them know that he is going to die.  There is no way to save his life.  He begs for her to shoot him, saying “Please hurry up and kill me.”   He can’t even turn the hunting rifle on himself.    His suffering is intolerable…

The question is “Would you shoot him?” The worksheet teases out understanding, approval, and doing the same or not.   Of course, I try and slide in a few ethics concepts.  This year after they completed the sheet themselves, I divided them up into debating teams of “Yes, I’d do the same.” Or “No, I wouldn’t do the same.”   It was almost evenly divided… each team selected a debater and ..... It was a lively affair, just short of a riot!   Three or four times during the class  the teacher or students next door pounded on the divider to tell us they were taking an exam.  I yelled back "So are we!"


The Second Reason I have Returned


The whole Psychiatry Residency Programme: l-r. Jackie, 
Veneda [guest pregnant appearance - due in a couple of weeks]
Stephon ,Colleen and Elizabeth.  (They are smiling because 
my class with them was over!)


This is the group gathered for ward rounds last Friday.
They are medical students gathered from different medical schools in Guyana. On the right are Colleen, Zenia  (a psychiatrist from Cuba) and  Elizabeth.

I find it a real honor to be assisting with a desperately need programme in Guyana.  As you may remember, a few years ago Guyana was Number One in the world with the highest rate of suicide deaths.  The Department of Psychiatry had been one of the leaders in tackling this problem

Of course, I am not alone in knowing very little about psychiatry.  I am also honored to work with other Canadians who know more and who have appointments from McMaster University in Ontario:  Tony Carr (yes the same old curmudgeon of PBL fame), Shrenik Parekh and Sujay Patel (psychiatrists). As well, there is Peter Kuhnert, a Family Doc, specializing in Psychiatry, who has just set up a non-profit corporation in Guyana to assist with raising funds to improve the state of both Psychiatry and Mental Health here.   I will let Peter give you the proper details for where to send your leftover thousands!

All of these docs have come to Guyana many times to teach and almost all have regular Skype teaching sessions throughout the year.  I don't really Skype yet, as I first have to master my #$%^*@ smart phone.

The residents themselves are a joy to be with as they are  inquisitive, dedicated to patients and learning, in the midst of what I perceive to be chaos and very few resources within the hospital or the community.   


Last and probably least (because they are all 
really small) - "my" girls at St. Ann's

St Ann's Girls Home is in the process of modernizing and improving how the home is run.    I just began an exercise and basketball clinic supposedly for the little girls and one for the bigger girls.   I am no stranger to coaching basketball though I have to remember way way back.   And I haven't coached girls since I was a Senior in High School!   Well, I had brought some basketballs (with your money)  and laid out a schedule of exercises and drills for both groups.   I started with two little ones  -- who I felt confident I could take on, one on one ..... 


 This was actually the most control I had in the whole 90 minutes.   If you think these two are cute ..... Wrong!  I could not convince them to share the balls when others showed up.  So the would start to cry if one of the bigger girls also had a difficult time with sharing.  These two cute little saints would just run away and hide with "their" balls.    I think that I may be getting too old ..... It was clearly the worst practice I have ever run in all my decades of coaching sports.   But as my old soccer co-coach Malcolm Paterson would remind me  "We lost 18 to 0 -- it can only get better".....   So I will be back next week with new energy and approaches and more balls .....though I may not let these two little angels on the court.



 I have written enough for anyone to read, so I am stopping, though there was a lot more I could tell .....  Thanks for reading.
                                           John


A Small Funny Aside

The University of Guyana is doing some great stuff and in their recent newsletter listed their top 25 accomplishments.    I just got a kick out of #4 .…. It is both funny and significant.   Dr. Ivelaw Lloyd Griffith has done an amazing job leading the Renaissance of UG.

1Secured the reaccreditation of the School of Medicine.
2Made the George Walcott Lecture Theatre (GWLT) and the Small Lecture Theatre (SLT) fully air-conditioned, and installed new bathrooms in GWLT.
3Boosted the Wi-Fi access at Turkeyen, Tain, and Dennis Irvine Hall, put new PA systems in lecture halls, fixed furniture and put fans in classrooms.
4Stopped wild horses, cows, and most dogs from roaming campus.
 (n.b,  The wild horses were only a problem in English Classes.)