Same as Before and Just as Hot

This Week's Star at Mercy

Mark Joseph Harry Low

 

Mark is a true Mercy Hospital person as he was born at the hospital some forty years ago, when (I think) Sister Sheila Walsh was the CEO here, and his family lived just around the corner on Duke St. He did move to the East Coast for a while, as he had to live with his grandparent in Annandale and went to Buxton Community High School.    His grandfather and father were Hindu Pandits, but he didn't follow in their footsteps.  However, as he said his grandfather said, "The Lord is One."

He started his Mercy Career as a Maintenance volunteer for 6 months and then in 2006 began is present position as  a Ward Attendant.   His job takes him all over the hospital - delivering oxygen or a patient or waste.   This allows him to serve as a greeter to staff and visitors alike.  I would think it was unusual if you came to Mercy and he was working that you didn't see him and get a friendly hello.

He says the best part about working at Mercy is his job description ..... a little of everything and everywhere.   "So Mark, you like your job?" "No Rev, I love it."   He has little routine and is constantly learning new things.  In fact, he has been going back to school for several years trying to upgrade his education and is now in the pre-CXC programme at a local Adult Education School four nights a week.   As he says, "I am slow academically, but that doesn't stop me."

When asked about what would he tell my vast readership about Guyana, he sounded just like a travel brochure outlining all the interesting sites here, the Amazon Jungle, Kaieteur.  I think he named something interesting in all ten regions.

Asked about his piece of wisdom for my readers: "If you want something, then go after it. You just can't sit down.   It is not easy.  You need to believe in yourself.  You need to have the mind to do it and with prayer."

So in 2014 what will you be doing, Mark?   "So many plans.  And with God's grace I'll pass Maths and English CXC's.  I would love to be a Nurse Aid"  And of course at Mercy Hospital!

I Should Listen to Myself

Whenever I evaluate what I am doing here, I am content to say my goals are small: I come and work really hard for 12 weeks with my 20 or so students.   I do this because it is way too frustrating to do anything larger societally.  Clear focus; no problem .....


I don't know what happens to me.  It started innocently enough in July. My friend, Bhiro Harry asked, "John, would you help us edit Guyana's new Mental Health Action Plan?"  Sure; sounds easy; how much trouble and stress could an editor get into?


When I finally got a copy of the detailed Action Plan, I think there were almost an many blank pages  "To Be Completed", as there were pages with content.  And then it went downhill...  Bhiro would rather see 20 psychotic patients off their meds than read one paragraph; and the other collaborator, Jorge, is a Cuban psychiatrist whose English, while much better than my Spanish, does make me look like a grammarian.   I had asked for some financial data and other statistics and Guyana's "just now's"... permeated the correspondence.   A week or so before I left Canada, I rewrote the places where we needed actual data, using realism.



So in place of "the budget for 2015 will be so many dollars", I wrote, "The actual budget contribution of the government will be determined after the legislative passage of specific lines of action."  

Anyhow, there was the  roll-out of the plan on Friday (while the actual plan is still being printed);   there were the press and tv ..... a set of powerpoint slides, a few discreet questions -- and it was mercifully over.

Dr Bhiro Harry sharing the overview of the "Shaping Guyana
Mental Health Through 2020.
[R] Minister of Health Bheri Ramsaran
providing strong support
for the  New Plan

 

Before that we -- the unholy trinity of Bhiro, Jorge and me -- were invited to talk about the Mental Health Plan at the UN Headquarters.  I was going there to just look cute and give some moral support. Well, the head of the staff there got up to introduce us and proudly announced that it was her great pleasure to have us talk about Balancing our Work and Home Lives.   I started to slouch down in my chair .....  It reminded me of once presenting to a nurses' group in Toronto on "Developing Organ Donor Protocols" and as I was sitting to be introduced, someone handed me the programme where it was clearly displayed that I would be talking about the "Spiritual Needs of the Elderly".  And there was no place to run .....  So:  "The spiritual needs of the elderly in their distilled form parallel the development of donor organ transplant procedures ....."



I am so full of BS!  I had no trouble addressing their topics, but first I had to point out the obvious:  "Here you have three professionals volunteering on a late Friday afternoon to do this session.  I really think you should distrust anything we may say about balancing your lives."  In the end, I had fun; and they want us back for an advanced session.   I suggested they schedule it for December, as I leave in late November .....



And then today at 6:00am there was to be another march for Suicide Awareness -- and Breast Cancer?  The march was to end at the Fair site, the plaza of the Revolution with the famous Cuffy statue of 1783.   There at     9 am, I was to man a booth that dealt with "Counseling Adolescents" -- another surprise.



When I got here maybe forty police officers were there listening to Bhiro.    And as I was dropping my backpack, I hear, "Now Rev John will share his thoughts on mental illness and policing."   (I swear I am not making this stuff up.)   So I talked about resisting the urge to settle a mental illness standoff with violence.   They needed to be in touch with their fears and prejudices about the mentally ill, and very few ever resort to violence against others, and a few other gems .....

Dr Tony, a new Cuban, psychologist got put to work
early with the police attendees.
[R] I started with "Counseling Adolescents"
and then scratched out Adolescents... and finally ended
up with my last sign, so Bhiro came over! 

And in the spirit of "I bet you can't eat just one".   I will be helping another person Tabitha Mallampati conduct a full review of the Nursing School at Mercy -- right after I design it.   Sylvia invited me as consultant to the Family Life Commission of the RC Diocese here in Guyana... and I somehow left there with my used-to-be friend Sylvia, saying that I would lead a small workshop for all the leaders of the local GT congregational groups on desensitizing the stigma of Mental Illness.

It is a good thing Dennis LeBlanc is coming, I think he is an expert in that area!   He might not be too willing after he sees all the changes that have been happening to his new bedroom.  Below is this morning's picture.-

Sylvia and I did move the table.  Now there is an  avant guard
open concept bedroom complete with invisible furniture. 

Old Friends and A Swim

It has not been all work.  I have invited several old friends out for a meal and a few beers to catch up on their lives.  

 David Yahn was the Chairman of the Board at St Joseph Mercy Hospital.   And in our usual tradition we solved the world's and our own problems over a few beers.    David's family have a long history here in the life of Guyana and some great stories.  His dad grew up right around the corner from Forbes Burnham, a former President of Guyana.






Then, I caught up with Raymond Jagessar.  Ray is a Chemistry Professor at University Guyana who specializes in the medicinal qualities of many Amazon Jungle plants.  He did his Ph.D in the States but came back to help out his country.  AND he is a Lutheran from Skeldon and that is how I first got to know him.   We met at our usual hangout outside the university and he had a couple of Maltas - and I had -hmmm - what was it - oh yes, a few beers.    Raymond is still single, so any eligible women out there, write me and I'll give you his contact information.



I still have to catch up with a few more old friends like the Scarboro Sisters  Donna and Bev. Also, and my fault,  I didn't remember to take a picture of Shawn Rampersaud when we went out.  Shawn was a previous Treasurer here at Mercy for many years.   In many ways, he is still supporting Mercy as he works with Demerara Tobacco Company.   

Swim at the Grand Coastal
This is really about an old friend too, but Ian MacKay wasn't here this time. He is back in Canada recovering from a total hip replacement.  Tony Carr and I first met him here many years ago as he has been the consultant for the renovation of the hotel.  So I ride on his coattails and go for a swim and a few beers and dinner without getting a room.    This Eid holiday, Sylvia and I spent a very cool afternoon poolside.  Thanks, Ian.

Thanks for reading this week and to all my Canadian friends and family -- and all those Americans who wish they were Canadian:

                  HAPPY THANKSGIVING!

Justice, Confidentiality and an "Iota" of Just[ice] is not Enough

Tony and I have two hours on Tuesday when we aren’t doing pbl.  This Tuesday, Tony gave out our exam! … And I gave them Pineapple Turnovers – or Pine Tarts. [And Tony can’t figure out why they like me better.]   There are now 10 students from the original 13; I say that I have a surprise for them…  I randomly hand out 5 "pines" and then return to begin my comments on Justice…  I don’t get very far before the student grumbling is too much to ignore… none who had the pine tarts were complaining.   [And maybe that is the essence of human justice – those “with stuff” think that it is fine; those “without stuff” are quick to claim violations of fairness.]  

I ask them why they are upset…. “Not Fair”, they cry…  “What isn’t fair?  Can’t I do what I want with my money?”   [Liberty ah yes,  best argued by those who have the “stuff”.]  

“How could I make it more fair?…   Maybe you should get a pine because you deserve it?”… 

So I gave out a short test and whoever gets the right answer gets the tarts.  …..  Only four right answers.  I retrieved the five pines from the first group [Actually, there were threats of violence to my person as I took back the tarts as none of the original recipients got the answer] and gave them to the four correct answers – one got two.  They did not like Merit any better… as it, too, was quite random… "What about attendance?"  “I have the highest class average.”    So bemoaned the pine-less students.

“How could I make it more fair?”… 

“I really need a pine, Rev. John.”  “Me too!” went the chorus.  “Great, and how do we determine need?”  There are two really thin students … so I gathered up the five from the merit-ers and split the tarts 3 and 2 between them.  A Need-based system was not to their liking either.   “I am hungrier than they are.”  Okay.  “So who is going to eat their pine right now and who will save it for later?”   Five said that they would eat it now… So the pines moved to the five hungry.   And the refrain was similar… “They just had lunch; they are hogs, not hungry.”

“How could I make it more fair?”… 

“Look at me.  I am fit and eat only what I should.”   Okay… “So we shall exclude those who abuse food.”  So I picked out 4 of the class who are on the heavy side… and the two thin ones… and one is diabetic…  and two can’t stay awake in class- so obviously are abusing something. So the five pines moved to the most virtuous. “Hey it is not my fault I am diabetic.”  “It is not my fault I fall asleep; I have to travel an hour to get here and that is after I look after my chores.”  “And Miss Good person never does her own homework, she copies mine.”  [All is fair in love, war and pines.  So much for Personal Responsibility.] 

“How could I make it more fair?”… 

“We are all your students… You must treat us equally.”   Okay.  “As you have all five pines, are you willing to share with your batchmate equals?”   She was not obviously thrilled with this solution … and in the resiliency of the human spirit announced, “Well, if I keep two; you can split the other three in thirds and everyone can have an equal share.”  [If you have the “stuff” Equality means something different than if you don’t.]

I got through the major concepts of justice including Retribution and Utilitarianism.   I ended with, of course, giving them all a pine tart.  And then the diabetic and a few of the others said that they didn’t like or couldn’t have a pine tart and what was I going to substitute…   [Yes, I know that a pine is not the healthiest, but it is hard to see a carrot as a reward for anything.]

Next, I had them pair up and gave them one extra pine tart between them.  They had to decide whom they would give it to …and a justice reason… Now the chorus was “Rev John, it is unfair for you to make us work so hard for one pine!”   In the end, 4 pines were given on the basis of perceived need.- beggar on street, housekeeper, porter, and Dr. Tony… and one on a sameness principle… school secretary.

All in all, a good hour… and like most students before them, they will remember the “pines” and have no recall of the why, just that they were good.  Plus, I gave Sister Catherine my tart, as she was one of those fired last week.

Confidentiality – Yes and No

It will come as no surprise to anyone who knows me that Neurology is not one of my strong suits… and when I do try I usually mess it up.   Naturally, it can happen the other way round, too.  Tony took on Ethics this week…   As you remember, we had a student who had to leave because she was diagnosed with active TB.  Tony and I have tried to support her get good care and fairly soon.   A doctor at Mercy agreed to see her and CEO Helen agreed that the hospital would pick up her bills here… Students don’t usually get assisted till they are in second year…  Anyhow, on examination, she was found to be pregnant as well.   This was a surprise!   She was distraught as she was on a pill and already had a child … and … and…  Well, on Wednesday evening Tony and I made a visit to her home with her mom and siblings and daughter; and she was coping better. 

The day before, when the doc had told her she was pregnant, the doctor got her permission to tell Tony and me about her pregnancy.   On Thursday this student came to our class to say hello and... good bye to her batchmates.    Now Tony jumped on the chance to demonstrate his ethical prowess with a great example of how Dr. Devi had gotten the student’s permission to share the fact that she not only had TB, but was pregnant.    Now this would have been an excellent example of how to maintain confidentiality in real life –except for the fact that she had not told her batchmates that she was pregnant .......    In true Doctor form, he quickly indicated that while she hadn’t told them, she really wanted to share it… and “many things are true” again…  [And nerves are those thingys that make you nervous.]    Her batchmates did support her and encouraged her to return to nursing next year…

Some Things of Note

• ·         Reformation Sunday

 

This was the Premier Performance by the Calvary Lutheran Church Melody Makers.

The King of Glory - Reformation Crowd? Chris Klafs is in there somewhere.

Tony chaired a distinguished panel:  Pastor Young, Chris Clafs – the Florida Synod representative to Guyana, Errol Ramdhany, a local scholar and myself.  We waxed on [and waxed off] wisely beneath the shade of a Silk Cotton Tree to an audience of all ages about how the Reformation has impacted the present.   One thing which I didn’t share at the time was that with all the freedom of information that the Reformation brought, most of what I said came from a Unitarian Universalist source – a sermon that Anne delivered to a UU Congregation in Canada.  This must fit under the rubric of “priesthood of all”!

• ·         “The Little Apple of Death” 

Also beneath the Silk Cotton Tree [there are no Jumbies in this one, I think], there was a beautiful and bright red tomato-ish fruit… Very lovely and just at a height where even the smallest child can appreciate it.   However… Mancinella, as it is known in Florida, contain strong toxins in all its parts. It will secrete a white milky substance during rainfall.  Allegedly, standing beneath the tree during rain may cause blistering of the skin from mere contact with this liquid.  Burning the tree may cause blindness if the smoke reaches the eyes.  The fruit can also be fatal if eaten. Many trees carry a warning sign, while others are marked with a red "X" on the trunk to indicate danger.  [http://en.wikipedia.org/wiki/Manchineel]    This is not exactly what you’d like your kids to be playing with most days!

·         A Friendly Canadian and Barely Clothed Women

Our newly found friend, Ian MacKay, a consultant who is down here to help upgrade a local hotel and restaurant, Grand Costal, invited us and any stragglers over for a swim and to be his guests for dinner.  So we invited Sylvia, a Scarboro volunteer.  She walked over to the internet-deprived Mercy Volunteers and got them to come as well.   

We had a wonderful time and will return this Friday with our First Year Class for their outing with snacks.   If I get this out after we have swum, [or swimmed, swummed, had swum, went swimming or…] I’ll add the pics to the blog’s top slideshow.   And don’t worry, I won’t get too excited with all those beautiful young women; I’ll fantasize about their grandmothers!

Of note also was that we picked up another Consultant, who had previously been in Iraq for several years and had just been in Guyana for a few weeks.   When we asked him what he thought of Guyana, he said, “I think that I may return to Iraq as it is better there.”    He didn’t seem to be kidding… Ugh!    Update:  He has chosen to work in Afghanistan..   [Are you kidding me?  Double Ugh.]

• ·         Diwali

Friday was the Hindu festival of lights. Diwali means a row or cluster of lights which symbolizes Light over Darkness, Knowledge over Ignorance, Good over Evil and Love over Hate.  How can you be against that, eh?

Diwali falls on the lunar month of Kartik meaning the month of October or November on the darkest night of the Hindu lunar year.   This is an occasion for the young and the old, men and women, rich and poor - for everyone irrespective of their religious and economic background who seeks light, knowledge and love.    The festival is celebrated throughout the world to ward off the darkness and welcome the light into our lives.  As William Shakespeare said,  “See ye that light yonder?  So shines a good deed in a naughty world”.  This festival is also celebrated as the beginning of New Year, and the blessings of Lakshmi, the celestial consort of Lord Vishnu, are invoked with prayers.   Lakshmi is a wonderful manifestation of the Brahman as she is considered the intermediary for beauty and wealth!  Nice combination, sort of a Virgin Mary, Martha Stewart and Beyoncé. 

• ·         Free Ice Cream Equals No Canadian VISA

After Tony and I made our home visit to our student, we had to stop at Taju’s for dinner and a few beers [for John] and ice cream, as we were made Honorary Life Members of the Free Ice Cream Club.   While I was there I remembered to ask Taju for a price on 20 gallons of ice cream that the School of Nursing is responsible for providing to the Mercy Hospital Christmas Party.   I thought that I could get a good discount.  He said, “No charge.” As it was his alma mater, he would donate it.  His only question was whether they wanted it in gallon jugs or individual cups.  You would think that makes him a good guy?

The next day he was denied a Canadian Visa to attend a week-long ice-cream marketing course at the University of Guelph because he was at risk of remaining illegally in Canada.   God save me from those faceless bureaucrats who are keeping Canada safe from hard-working entrepreneurs.    There is really no appeal, as the course starts at the beginning of December.  

I have been proud to be an immigrant to Canada as I have always thought it to be a kinder and more welcoming nation than so many others.   Today it is not true.   While I was firing off letters in my “Righteous Anger” phase, Taju wrote back, “Oh Reverend John don't be upset; for every disappointment there's an iota of blessing hidden somewhere.”

 Thanks for reading and may your blessings not be hidden.   John