Saturday, January 25, 2014

Coming into the World

The Birthing Room

Way back when, I wrote an explanation of the work I do in Cambodia. The big picture. The assignment that I was given by Peace Corps. "As a Community Health Education Volunteer in Cambodia, I have five target areas to focus on: 1) Antenatal Care (ANC) and Delivery; 2) Nutrition; 3) Water, Sanitation & Hygiene (WASH); 4) Sexual and Reproductive Health; and 5) Non-communicable Diseases (NCDs)."

Or at least I thought that I did... now looking back I seem to have missed that and have been trying to describe my work without acknowledge the framework that I operate within... whoops. So now I will. Let's start with 1) ANC and Delivery.

When I first arrived (September 2012) my health center was re-evaluating day-to-day patient flow. A newly built delivery and post-delivery recovery two-room building set just slightly off the side and back in a perpendicular L-shape from the main section was being used, but yes not fully functioning. The wing was funded entirely by the Reproductive and Child Health Alliance (RACHA) and the United States Agency for International Development (USAID). (Unfortunately recently RACHA was audited by USAID and accused of corruption in the higher management...) In October 2012 the midwives began regular use of the wing and since then I have been on hand for 11 births. While many CHE volunteers I talk to steer clear of the birthing room, when I see the midwives (Ee Chhat, Kim Heang, Chantee, or Nu) heading to the wing, I always follow. At first I thought it would be awkward, weird, and/or an invasion of privacy to have me observing the deliveries, but as is common in Cambodia, especially in regards to healthcare, confidentiality and privacy do not exist, at least in the way that I define them.

In 2013 there were a total of 63 deliveries in my health center, 2 delivered at home by traditional midwives (a practice that is highly discouraged in my area as this typical does not denote any level of training), and an unknown (but significant) number of deliveries at the referral hospital in Siem Reap. A lot of the deliveries happen at night or early in the morning when I am not at the health center (there is a 24-hour rotating duty schedule for the staff of which I am not a part...). Over the course of a year and a half, 11 births does not seem like a lot, but they each have been powerful and memorable in their own way.

If you came across a Khmer woman in labor, you may not know it. (This is a gross generalization, but hear me out.) I have missed a fair number of births even while I am at the health center, because I just didn't know they were happening... 10 feet away from me. And no the walls are not soundproof. The Khmer women I have seen give birth, are extremely composed and stoic. When I used to think of birth, I would picture Katherine Higel's character screaming profanities in Knocked Up. (I have never seen a live birth in the States, so I don't know if that is a realistic depiction...) Since being in Cambodia, I associate deliveries with midwives chatting about the changing market prices of fruits, an encouraging (maybe strict or vicious) grandmother/mother/mother-in-law/sister/aunt, and a screaming (maybe, most are pretty quiet too) infant. Maybe a grimace, grunt or one tear from the woman in labor. One time, a woman named Srey Rath asked politely if she could please take a few seconds to rest after her aunt told her to push harder, and then apologized(!). The one time I saw a woman make an unusual scene, (she was getting up, yelling, laying on the floor, crying, and generally being disobedient) Thea produced the largest baby I have seen yet at 3.6kg (7.9lbs) with an elongated head because he had been stuck in the birth canal for a long time. I have seen 2 sets of twins be born, 3 breach (feet first exit - this is not a water slide babies go head first please!) deliveries, 1 with unbelievably excessive bleeding, 1 birth with a husband present in the room (very unusual to have men in the room... little boys is okay... oh and husbands clean up after...) and 2 women in labor for under 30 minutes. I have only been on the verge of fainting once (a breach delivery of twins) and the overwhelming warmth I feel inside watching a being enter the world and take he/r first breath, hiccuping or screaming or silently observing, makes me think that I could be a midwife. Truly a miracle of life.

There is a combined 32 years of birthing experience in my health center between the 4 midwives. I have seen them perform complicated deliveries and deal with post-delivery issues and babies not breathing. Infants are put to the breast within the first hour and skin to skin contact is initiated immediately. I have heard horror stories of energy drinks (think RedBull) being put into IV bags (always on hand) and pumped into the woman in labor at other health centers where PCVs work. I am lucky to be at a health center where there are extremely competent and experienced professionals and where I just worry that nobody watches the newborn swaddled in a sarong on the tabletop post-delivery (typically for no more than a few minutes... I have become the baby-watcher.).

I am not birthing children. I observe. I ask questions. I throw in some education prenatal and postnatal. I talk with the parents about breastfeeding and nutrition. And that is great. The general care is improving. A lot of money is pumped into maternal and newborn health around the world, because who wouldn't want to save the babies and women?? What I see that needs to be addressed is what I scientifically call "Baby Mamas" - the women under 22 years of age giving birth. Normal development for women is said to continue until 22-24 years of age. This means that the pelvis is not ready to accommodate for the head of a normal sized newborn. So while the birthing room is an important piece of the Peace Corps target area of ANC & Delivery (I mean delivery is in the name...) my work remains crucial to the stages before those women arrive- that and baby-watching of course.

My 24th Birthday

So I was a newborn once. I know. Hard to believe that I didn't come out of the womb as the sophisticated Meghan that you all know and love. Jokes. Every year on my birthday (1/20 - this year MLK Jr. Day was the same day) my mom likes to retell the story of my "quick" labor and how I "was born ready." Which sounds a bit ridiculous now that I have seen 30 minute labors... 2 hours is a long one. Anywho, this year I turned 24 or started the 25th year of my life and in Cambodia since people count the day 1 as 1 year old, here I would be 25 (so you were right Mom!) or turning 26 in April since many people count from Khmer New Year... no wonder age is confusing and people born in 1992 and 1993 say they are older than me. I have stopped arguing that point. The hardest part about turning older is... remembering to say the new age. It usually takes me about a month to get it down packed and in a different language (!) gosh life is hard. 

I had the chance to celebrate with some other PCVs with January birthdays and some more friends in Phnom Penh. Plans to go swimming or to the water park were cancelled on account of the cold weather (75 degrees), but I can say that it was quite a better birthday than my last one when I celebrated with amoebic dysentery in the hospital... Let's see what this 25th year of life brings me!

Photos to follow next time I have internet. 


Friday, January 10, 2014

A Look Back. A Look Forward. A Bit Belated.

I made New Years resolutions like the average sucker, but one of those did NOT include being better about blogging about relevant things as they occur. Sorry I am not sorry. Can't snap your fingers at 12:01 AM January 1st and make magic happen. Instead I will try and be better - a more realistic goal I think. So here I am attempting to summarize all that has happened recently. I am backtracking and this is quite belated so apologies for absurd length and for inevitably leaving things out. 

NATION WIDE VACCINATION CAMPAIGN - December 1st - 18th


Back in October, the Ministry of Health announced a nationwide measles-rubella vaccination campaign that would vaccinate 4 million children between the ages of 9 months to 15 years, by the end of 2013. To accomplish this goal, "local staff of the provincial health departments had to vaccinate hundreds to thousands of children per day in each commune." What did this look like on the ground? When I arrived back to site from my parents' visit I was thrust into the middle of this campaign, tagging along with two of my HC staff (Om Phanna and Ee Chaat) for two full days of vaccinations in remote villages across the Pouk operational district. Each of the 23 HC's across the district sent 2 of their staff out each day to that day's designated target commune. Everyone would meet at 7:30am at the district hospital to gather the necessary vaccinations, syringes, syringe disposal boxes, coolers, etc. and they set off on their way. The first day I went, we only ended up vaccinating  96 children and had plenty of time for other things like learning to make oam bok (flattened rice) and go to a local palm reader. 
getting a lesson in the foot pedal to flatten rice

the palm reader told me... married by 27. dead by 74. get livin'!
The following day however we vaccinated 234 kids (whew!). No time for pictures of screaming children held down by willing mothers, aunts, grandmothers, and village health volunteers (VHVs). This campaign went on for 18 days in my district. So was it successful? For all account yes. The last reported case of measles (a serious infectious disease that can cause severe illness and complications like pneumonia and blindness especially in infants and children) was in November of 2011. But Cambodia is not certified by the World Health Organization (WHO) as measles free until the country can prove no more cases in the next 2 years. However, Cambodia is well on its way thanks to this large scale vaccination campaign (modeled after the polio eradication campaign in 1996), initiative to give two doses for every child before 2 years of age, and targeting rural areas. This is a recent article about the campaign's success. 
Something that this widespread public health effort brought up for me was what I see day-in and day-out at the health center and in my community: lack of informed consent and decision-making. Doctors and health professionals are seen as having the knowledge and you do as they say, whether you know why you are prescribed something, what it's side effects could be, what your alternatives are or not. More likely patients are not provided this information and their only power is in the decision to take and when to take the meds or not at all. The focus of this vaccination campaign was not to educate the general public about the horrors of measles or rubella or the benefits of vaccines. It was more of a production line operation. "Right arm. No your other right. Open your mouth. Hold still. Now you are protected." In essence: this is for your own good. I am not saying that this type of campaign should not be done. On the contrary, I am thrilled that Cambodia is taking big steps to improve public health. However, I think this raises questions of patient rights and power to make informed decisions about one's own body and health. Discussions that are rare here in my experience. 

CELEBRATING MY HOLIDAY TRADITIONS... KHMER STYLE. 


I got really into X-mas this year. I celebrated 2 times. Once with my host family and once in Siem Reap with a bunch of volunteers. With all the little munchkins around the house we spent evenings leading up to X-mas day making paper snowflakes and setting up "presents" (empty product boxes tied with ribbon) under a "tree" (a branch pulled off a mango tree in the front yard) and making paper ornaments. On the actual day I was able to skype home to the states and in the afternoon I found eager little kids sitting around our tree excited to open actual presents that I had placed there the night before. X-mas with the host family meant that I got a present from each person I gave a present to - none of them exchanged gifts with each other. 
my presents :)
our tree :)
In Siem Reap, the celebrating was a bit different. The weekend after X-mas was spent eating Western food and chocolate drinks of all kinds, playing group games and doing a hilarious "white elephant" gift exchange (everyone makes a gift, wraps it, puts it in the present pile, everyone picks a number, then goes around picking a gift from the pile and deciding to keep it or steal from a previous picker). I made a candle holder from my old bike parts (which I had to get replaced because of wear and tear the result of 2,206km logged on for 11 months!), and I ended up with a lot of chocolate. Before heading back to site, I strapped on some rollerblades with 2 other PCVs at a skatepark and completely Khmer teenager hangout hotspot. A couple of swollen and bruised sitbones and elbows are still with me weeks later. 
just like the 90's :)
swollen elbows :(
Compared to the way I rang in the New Year last year (with Cori at a monk blessing ceremony and dancing in the streets of Siem Reap) this year was quite calm. My host family went to Siem Reap and left me behind so I spent the evening watching the sunset and darkness roll in while reflecting on 2013 and looking ahead to 2014. I made a wish, lit it with a match and watched the wish float heavenward. It would have been nice to have toasted the new year with a flute of champagne in hand and hearing it clink against another, but there will be such occasions in the future I am sure. I don't really like New Years resolutions as I think that each new day should be a time to improve self and strive toward goals, but I found myself making some anyway. But this time around they have taken a different focus. I wrote weekly and monthly goals relevant to my life in Cambodia: go to the market, do laundry, go for a run, finish a book, etc. Realistic and achievable. Small steps. But all for Cambodia. The year 2014 brings with it my close of service (COS) only a few months off. And with that is a major transition that will call for new resolutions. Before I know it I will be writing entirely different expectations for life post-Peace Corps which is something that 2014 will bring, for better or for worse. Here's to new adventures, smooth transitions and staying in touch throughout it all. Happy 2014.  
sending a wish on the wind.

Sunday, December 22, 2013

The Parent Perspective

This is what my mom had to say about the trip to Cambodia

On November 22, 2013 Charlie and I boarded a United flight from Newark, NJ to eventually arrive (22+ hours later) in Phnom Penh, Cambodia to see Meghan. We had said our goodbyes about a year and a half ago (July 2012) in Washington, D.C. as she embarked on her life changing Peace Corps service as a health care worker. 

On our 2 week visit, Meghan gave us a glimpse into her rich Cambodian life, introducing us to her 2 wonderful host families and extended families in Angtosom and in Sasar Sdam, her neighbors, friends and Peace Corps friends. Charlie and I do not speak Khmer except for the 3 phrases we learned while with Meghan, but through witnessing all of the warm conversations we know that Meghan is loved, cared for, and entrenched in her community at her site and wherever she goes. Everyone we met extended such extraordinary hospitality to us. We had so much fun sitting on the floor in Mai and Pok's home and playing Connect Four with Ny, Nooan, Hong, and Hing and looking at wedding photos of Aleck and his bride. Much is communicated without words, though I would have loved to have understood the fun banter back and forth and the laughter filled conversations between Meghan and her community friends and family. 

This is what Peace Corps is all about - becoming such an integral part of the community that lines are blurred and differences don't matter. Acquisition of language is so important. Meghan has worked extremely hard to become fluent and converses with all in Khmer. She surprises most Cambodians who don't know her with her language facility. 

Meghan planned our entire trip to share with us the big city life of Phnom Penh and the Tuol Sleng Museum, the country village of her wonderful family in Angtosom, the southern regions of Kampot and Kep on the Gulf of Thailand with the crab markets, Siem Reap with the temples of Angkor and our Halo Trust field trip to see land demining in action in the northwestern region of Banteay Meanchey Province,  and her second wonderful host family in a village 30 kilometers outside of Siem Reap. 

Cambodia is a beautiful country with green rice fields lining the roads for miles and big vibrant cities that are growing by leaps and bounds. Our senses were constantly stimulated, from the sounds of traffic, smells of foods being cooked in the markets and different fruits to be savored, to the temples and the Royal Mansion. There was so much to see and experience. Traffic in Phnom Penh is a bit like playing chicken. There are few traffic lights and no street signs, but there is this sense of organized chaos. As a pedestrian Meghan advised us to go with conviction, make no sudden movements, and flow through the motos, cars, vans, buses, tuk-tuks, taxis to cross from one side of the street to the other. Kampot and Kep gave us a bit of a respite from the big city comings and goings of Phnom Penh. We swam in the Kampot River, hiked in Kep National Park, walked Kep Beach, where we dabbled our toes in the Gulf of Thailand. We visited a crab market where women were catching crabs in the rocky shallows with traps. It was really fun to watch Meghan communicating with the women in the market place and the laughter that ensued when Meghan found out that "the crabs just wander right into the traps without bait; they're a bit stupid."

Cambodia's present is vibrant, lively, and filled with hope. While its past history of the Khmer Rouge and its devastating impact on families and an entire generation of educated adults, and the continued political instability and poverty impact the country today, we were and continue to be overwhelmed by the resourcefulness, resilience, and warmth of everyone we met along the way. Thank you for opening up your homes, your hearts, and making us feel so welcome. Cambodia is a special place. Meghan, thank you for giving us a renewed perspective on life and what is truly important. 

Saturday, December 21, 2013

Bundling Up For Winter

Today marks the winter solstice, but winter came early to Cambodia. Six days ago. Last year I could count on one hand the number of times I wore a slept with a blanket and this year I have had to ask my host family to borrow another one and sleep with socks, a hat, and multiple layers more than 5 times already. As I type I am now wrapped up in a blanket huddled under my mosquito net… mid afternoon. So how cold is it really?? Drum roll please……….. 19 degrees! (Celsius that is. So 66.2 degrees Fahrenheit.) I am not complaining, at all. Having different seasons is something that I miss about home and so waking up cold and having the temperature climb 13 degrees before mid day is a change. And a welcomed one at that. It has been a odd cold “dry” season as it is because it has actually been raining. Last week it rained almost every day and there was general worry about the rice would not dry fast enough - the rice is laid out on tarps anywhere available for drying (takes 3-4 days typically). But now the rains have stopped again, at least for the time being. Who knows what surprises the rest of this winter will bring.

My daily schedule, as is everything else here, is very dependent on the weather. As a result the past 2 weeks have been a bit unusual (and that’s not mentioning the nationwide MMR and polio vaccination program and multiple births at the health center that changed things up - I will write more on this later…). However, I did promise a post on my daily schedule although no one day is quite the same as any other. But here is an “average” day in the life of Meghan:

6:00 - 6:30am - wake up and either go for a run (I have been slacking lately) or do laundry or just read my book for an hour while drinking coffee and eating oatmeal in my room or head to the market for breakfast

7:30am - my second alarm goes off which signals that I need to get my butt moving

8:00am - arrive at work which is a 2min. bike ride east of my house past the elementary and high school, bookshop, a few tailors, a moto wash and an assortment of roadside stands

8:00 - 10:30 or 11:00am - @ the health center - depending on the patients at the health center which can vary drastically I do a number of things including: weighing babies and charting growth on charts and talking to mothers about childhood nutrition; shadowing the ANC check-up midwife, watching and assisting (if possible) births; talking about breastfeeding with new mothers; informing about birth planning methods available; and one week helping with diabetes screening.

11:00am - head back home for lunch with the family or by myself 

11:30am - 1:15pm - read or naptime

1:15pm - when my afternoon alarm goes off telling me to get off my butt

2:00pm - I am usually out the door and off to somebody’s house to visit a baby, newborn, new mother, friend, village chief, village health volunteer etc. that is if the health center doesn’t have a meeting which I present an activity at each time and on Wednesdays I have a standing English club and then a girls club meeting back to back.

4:00pm - I head back home and end up stopping and chatting with neighbors for a while.

5:00pm - a little yoga or playing with my host siblings/cousins

5:30 - 6:00pm - dinner sometimes with the family, sometimes by myself.

6:00pm - typical bucket shower time

6:30 - 7:30pm - teaching English or watching cartoons on my computer with the host cousins

7:30 - 8:00pm - get under my mosquito net

8:00 - 9:00pm - watch TV or read

9:00pm ish - bedtime…


Does that sound boring? On paper it doesn’t look like much, but it is hard to have a typical day and to describe "normal" because something will always remind me that I am in Cambodia and that what I am doing is quite unusual. Whether it is a comment on the way to the market “Woah. This is weird. You are a foreigner going to the market. Oh and you are fat.” Or a spontaneous conversation about sperm donation with my neighbor. Or talking about the normalcy of cohabitation pre-marriage in America. The schedule may be similar but the conversations and interactions can deviate drastically. Life is odd. For those who have come to visit me I hope that they get a sense of my life here, but at the same time I know it is a lot to hope for in such a small span of time to condense the past 17 months into a nice box and tie it with a bow. Every day is an adventure for sure.

Monday, December 16, 2013

When Worlds Collide

It has been over a week since my parents landed safely back in the US of A and it has taken me a while to sit down and write about their trip for a number of reason, but first and foremost because I am hard-pressed to believe that it really happened. The 12 days that they were in Cambodia went by like a blur. But it is time. Time for me to type up a post and publish it for others (and myself) to see how much Team Henshall experienced together over here and how real it really was.
was it all just a dream?

I met my parents at the airport with sweaty palms, bear hugs, and a Oreo-box sign (the Phnom Penh airport is really not big enough for me to have needed a sign...). After allowing them to sleep a bit (see photo above), I threw them into the bowels of downtown Phnom Penh which in one word was "overwhelming" and in two "chaotic" with a morning run with Dad and then a visit to the Tuol Sleng Torture Museum (S-21), an infamous reminder of the horrors of the Khmer Rouge.
listening to a tour at S-21

one big family :)
We attempted to digest the tour over lunch at Mama's New York Deli, a hole-in-the-wall eatery run by a no-nonsense Khmer woman who spent 20 years in NYC, before heading south (crammed in a taxi) to my training host family's humble abode in Angtasom, Takeo. Watching my parents interact with my elderly host mother (Ma) and father (Pa), older sister (Bong Srei Mum) and grandmother (yeay) was like witnessing worlds collide. Pa used his limited knowledge of English, French, and Russian to talk to my parents over fresh bananas from the yard and I translated while we got a tour of the house and farm.

We continued further south to Kampot and Kep where we spent a few days swimming, exploring Kep National Park, walking the beach, visiting the crab market, relaxing, and eating heartily.
hiking in Kep National Park 
A brief stop in Phnom Penh where we wandered the Riverfront, explored Olympic Stadium, and enjoyed a delicious Thanksgiving Buffet dinner before heading off again for my home province: Siem Reap.

 

Adventures abounded in Siem Reap! We went on hikes and explored temples, did some fair-trade market wandering, had a mini food tour of the fruits of Cambodia, and saw the Phare Ponleu Selpak circus performance of "Chills."

   
with some of the circus troop performers
Other notably adventures included, most notably: a trip with HALO Trust Cambodia (the organization that my Dad ran a marathon to benefit) to visit two landmine clearance site near the Thai border, running the 18th Angkor Wat International Half Marathon with 6,000 plus other runners (I ran it last year too), and spending time in my host community.
@ a HALO site
 

We pulled up to my front yard in Sasar Sdam in a tuk-tuk and were immediately in the spotlight for the rest of the day. I gave my parents a tour of the market and introduced them to as many people who I engage with on a day-to-day basis: my breakfast lady, my tailor, my co-worker's sister, the head of the market parking area, and anyone else who made a surprised comment about all the barangs roaming the market. I was told on numerous occasion that I looked like the spitting image of my Dad... that is after they confused my parents with my older siblings! They look young, but COME ON! We lunched in the pavilion in my front yard as the honored guests, separate from my host family despite my insistence that we eat all together.
 

mom, mai, me :)
In the afternoon we played board games with my host cousins before visiting my site-mate Emily and taking a tour of the school and health center. My parents got to meet and sit with my best friend/neighbor/aunt-figure/mother-figure Bong Keya and they spoke through me in the most powerful and loving conversation of which I will ever be a part. I watched as differences faded away between one of my co-workers (Om Phanna) and my parents as I translated about him understanding how difficult it is for parents to have their children far away and that they shouldn't worry because I had people here watching over me. Jokes were exchanged at the tailor shop when the matriarch (Ee Roo) commented on how handsome my Dad is and then asked if I could take a Khmer husband. It was a powerful day. Exhausting to translate, but an incredible experience to watch worlds collide and families meet and for us to all come to realize how similar we all are.

@ Independence Monument slurping sugar cane & coconut
Before returning my parents to the airport and seeing them off, I showed them around my favorite spots (public parks) in Phnom Penh treating them to fresh coconuts and sugar cane juice. When we did part at the airport it felt right. We had done so much and I had let them experience my life here in Cambodia. It wasn't perfect, but the ups-and-downs were realities of what life is like for me here. Sometimes the things I had planned didn't end up going as well as I hoped, but that is life. And then there were those times that everything worked out better than I could have planned. I am incredibly blessed to have parents willing and able to fly halfway around the world to see me and to be adventurous enough to try to take in and experience as much as I pushed them to. It was a Thanksgiving that I am sure no of us will soon forget. Thanks for always being there and supporting me, Mom and Dad!
@ the end of a great trip!

Sunday, November 24, 2013

Boats and Planes

There are various forms of transportation in Cambodia. This post will not really go into these at this time, but I promise to do so in the near future. Here I would like to highlight two important events that I have been wrapped up in recently. 

1) Water Festival (Bon Om Touk) happened last weekend. The holiday is based on the history of the Water War when Cambodian troops used rowing boats to defeat their enemy. Every year since the victory, Cambodians have celebrated with a regatta on the Bassac River in Phnom Penh with people coming into the city from all of the provinces near and far. However the boat races have been cancelled for the past 3 years. In 2010 a stampede killed over 300 people and so the following year the government cancelled the celebrations. Last year the King's death triggered a 3 month period of mourning that cancelled the celebrations again and this year because of the heavy flooding and subsequent deaths the government cancelled the races once again in Phnom Penh although the provinces were allowed to continue as planned. That being said, Bon Om Touk lasts for 3 days and this year fell on November 16th, 17th and 18th as a according to the lunar calendar. The festival includes 3 ceremonies: Illuminated Float, Moon Salutation and Ok Ambok. At my site I was able to see modifications of each of these ceremonies. At the local wat on the 2nd night (full moon) my neighbors, cousins, and siblings all headed to the wat with Ambok (flattened rice that looks like Khmer-style cereal and which I have eaten for breakfast most days this past month as it is in season), bananas, and shredded coconut. 
Mai (host mom) preparing the ambok to take to the wat
Ambok with banana, shredded coconut, sugar and a decorative flower :)
cousins and siblings rowing the boat my host grandpa made,
in the pond by the wat (not really a race...)
We went early (9pm) and got to watch fireworks and little boats with candles floating on the pond next to the wat while eating boiled peanuts. We added the ambok, bananas, and coconut to the offerings and listened to the monks' chanted blessings, but did not stay long enough (midnight) to participate in the forcing feeding of the food all mixed together. (Although I love the stuff!.. it was bedtime.) Since the holiday fell on a weekend, my health center decided to move it to include Tuesday as well. Four-day weekend! I spent the extra day visiting with people in my community and planning for... 

2)... MY PARENTS' ARRIVAL! I am so lucky this Thanksgiving to be able to spend it with my parents here in Cambodia - my adopted home. My parents will be touching down in Phnom Penh in less than 3 hours and I will be greeting them at the airport with this: 
it's on the back of an Oreo box :)
The last time I saw them was over 16 months ago outside of a Holiday Inn in Washington DC at Staging. 
what seems like a long time ago...
Needless to say, I am excited to see them and to spend just under 2 weeks showing them around Cambodia and introducing them to my host families and community, food and language, and everything that I can as these two worlds collide. TEAM HENSHALL in CAMBODIA! 

Thursday, November 14, 2013

Plan Your Future

No this post is not about my future plans... that is a topic for a later post, although fellow K6s have been talking about the "countdown" which I am trying to avoid for a number of reasons but mainly because I still have so much that I want to get done in the time that is quickly flying by...

So instead let me tell about the cool opportunities that I have had recently. Back in September, I asked the school director and my tutor if they thought that students knew about the options available to them post-high school and told them about a workshop called "Plan Your Future" (PYF) lead by a team of college students from the Royal University of Phnom Penh (RUPP) who had created what they deemed the Career Advising Service (CAS) Team (they also presented at our Camp GLOW last May). I applied for the team to come do the PYF workshop and it was all set to go for last Saturday. There was a slight hitch in the plans when last week I went to confirm everything with the school director and he told me that I needed to go to Siem Reap and the provincial office of education by myself to get permission for the workshop that was going to be put on in 3 days time. So I dropped everything and biked the 60+km round-trip for a meeting with a very important person and one signature. Needless to say I was nervous and showed up in my most sopheap (appropriate/polite) Khmer-style attire and rehearse what I was going to say over and over again, only to arrive and find a middle-aged man with a sense of humor and bright smile who was more than happy to sign the letter I had brought. Unnecessary worry, sweating the small stuff. And then of course the day of, everything ran smoothly and the students (sixty-two 11th and 12th graders) learned a lot and had fun.

gallery walk of work and college major options based on a career cluster survey
playing the board game "Life" Khmer-style!
The group :)
At my health center the past 2 weeks, Village Health Volunteers (VHVs) have been bringing in people from their respectively villages for diabetes testing. Each VHV and village was assigned a day and I helped the TB specialist, Om Phanna, with interpreting the blood glucose level results on the little machine that the health center was given by the OD. The instructions which were, as a lot of technologies I see in the health centers, in English and thus not helpful to the staff who don't read English besides the pharmaceutical bottles. I hope to do sessions on "Managing Your Diabetes" once the health center identifies those individuals in each village.
Om Phanna testing a patient



















I also helped out last week with check-ups for children sponsored through an INGOs elementary school program with the head midwife (also my site-mate, Emily's host mom) Ee Chaat and my health center director Boo Phally.

 

And the last PYF type experience that I have had recently had to do with my younger host brother's wedding. Aleak and I have the same birthday (January 20th).
Aleak - the groom
I joke with my host mom that we are twins (koan plooah)... but 3 years apart. Last year he got engaged to his girlfriend or sweetheart (songsah) of 2 years, Phallika (I actually didn't know her name until I got the wedding invitation because my host mom and her now mother-in-law didn't know it either!). After consulting the stars (or something like that) the elders in the families decided on 11.11.2013 as an auspicious date for the 2-day wedding festivities to begin. So on Sunday my extended family loaded up the car (after a lot of confusion and indecision may I add) and headed to the bride's house where we would stay for 2 nights. When we arrived at 7:30pm the music was pumping and the wedding tent was already set up and I was already exhausted. We, like a lot of other relatives and wedding party members, staked out areas of the house to sleep on the floor and called it a night... well sort of... the music blasted all night and I got little sleep as the bridesgroomsmen (?) kept turning on the lights and talking every 2 hours or so. When it was time to get up at 4am I was a zombie. The next 3 hours involved a lot of sitting around, waiting, and getting dolled up. Make-up and hair and I looked like a zombie bride.

4am... zombie bride...
The wedding processional began at 7am and lasted 30 minutes. A 50 meter walk to the bride's house with fruit offerings.
Ming Sean (my aunt) and Hing (cousin)

the bride and bridesmaids acceptance the fruit offerings
Then we went to some random house for another extended photo shoot with the wedding party.
the wedding party in someone's garden...
After an extended nap time, we had dinner and then a dance party Khmer-style and I fell asleep to the blaring music for the 2nd night in a row. We got to sleep in to 5:10am the next day before prep began for the greeting of the 360 plus guests who arrived for the luncheon.

Ee Roth (aunt) getting help with her dress from the cousins
Ong (sister) and me
It was a very fun, exhausting, and photo happy 2-days and it was a relief to get home almost 45 hours later and have a long dreamless sleep. Congrats to the bride and groom!

I had a recent request for a post on my daily schedule... although it varies greatly, expect an attempt in the coming weeks. Here's to the future!