Tuesday, September 8, 2015

Impossible Beauty Welcome to the Dark Side


I recently accepted my dream job. Set in beautiful Cartagena Colombia, a block from the beach, a city full of salsa dancing and Latin men. I have a flexible schedule with the ability to spend 25% of my time volunteering for my favorite NGO that provides free surgeries for children with facial deformities around the word. My bosses are laid back and give me the autonomy and resources I need to make things happen. There’s just one little catch. I work in an industry that I once considered “the dark side of medicine.” I’m a cosmetic surgery nurse practitioner.

Yep, I’m “one of those girls”.  Before taking this job, I would stare at women with perfect breasts, tiny wastes and bubbly butts and think,  “damn she looks better than me. Whatever...I’m sure it’s fake. “ Without even realizing it, I objectified women’s bodies as a way to boost my own self-confidence.

Somehow knowing a woman had cosmetic surgery gave me license to discredit their beauty. My friends and I would make a game of it. We’d see gorgeous girls and ask each other, “fake or real”? How is it that objectifying other women makes us feel superior? Does going under the knife somehow diminish your authentic femininity?

We live in a society that values physical beauty but discourage us from talking about our insecurities. We are supposed to look amazing but never reveal how we do it. If it isn’t through diet and exercise or you aren’t born with it, you cheated. It’s an impossible contradiction. Pick up any women’s magazine. I guarantee you the cover will have some article about how to lose belly fat and next to it another article stressing the importance of self acceptance and the path to a better self image. What’s a girl to believe? Does working at your appearance make you a weaker woman?

Do we truly expect women to look naturally gorgeous without putting any obvious effort into it? Yes we do! It’s another headline you’ll see everywhere, ‘Look effortlessly beautiful in 10 steps!’ Ha! Make-up ads flaunt “invisible coverage”, undergarments boast they’ll squeeze you into a 6 without anyone knowing you’re really a size 10!

With such impossible messages it’s no wonder women are ashamed to admit they’ve had or are considering cosmetic surgery. I’ve been given a rare chance to learn about this “dirty little industry” from the inside out and guess what? The secrets I’ve uncovered made this feminist a cosmetic surgery advocate.


It’s time to come out of the closet girls. Let it all out on the table (excuse the surgical pun). You and I both want to be beautiful. We are both likely to spend thousands of dollars a year on anti-wrinkle creams, cellulite treatments, the perfect cover up or lotions guaranteed to erase your love handles. Let’s take down our pony tails and admit it, we all want to look good! We all want to feel beautiful! We are as real as they come. We are women, we have insecurities, we want to look our best and enjoy our bodies as much as possible. AND THAT’S OK!




Saturday, June 13, 2015

The Happy Nun

It was scorching hot as I explored the beautiful ruins of Ankor Wat. I began the day at the ungodly hour of 4:30 a.m. to watch sunrise and now at 11 am I was turning into a tired 'hangry' grump. I was starting to feel the toll of 2 ½ weeks in South East Asia. Lack of sleep, excessive sun exposure, no breakfast and a parade of tuk-tuk’s fly past with happy couples cuddled up in the back was the perfect recipe for self-pity.


Originally I’d planned to be in Cambodia 4 days earlier. The intent was to join up with good family friends and tour around with them for 3 days. Yet due to a passport fiasco I missed my original flight and incidentally missed my friends' visit to Cambodia completely. Hence, here I was paying guides to take my selfies and eating alone at diners. 

Traveling alone begs those around you to ask that super annoying question all single girls in their 30’s get ‘how come you’re not married? No babies?’Arghhhh! "Nope not yet (fake laugh), unlucky in love I suppose. Table for one please?"  Incidentally this was the same question I was asked by the man who stole my i-phone in Thailand, a few days before. The nerve!

Although I am certain I love my life and I know it's ok to be alone I started to hear those familiar voices in my head. You know, the ones that warn you that if you keep this up you’ll be an old maid and die a sad lonely death surrounded by cats?

Per the usual when these voices creep in, I wrote the one girl who always makes me feel better, my sister Bria. As always her response was like liquid sunshine on my soul. “I have a feeling that something wonderful or revealing will happen in Cambodia- something you wouldn't have experienced had you gone with friends as planned. Something you'll be grateful for."

Bria was right, she’s always right about these things. So there I was wandering through the eighth wonder of the world, fully believing that any moment something amazing would happen. Little did I know my magic moment was just around the bend. As I stumbled through one of the temple alcoves I came face to face with the kindest eyes I’ve ever seen. There, cross-legged on a pile of stones sat The Happy Nun.




She motioned to me to come closer. As I did I noticed in front of her sat a small basket filled with florescent yellow and orange thread. She beamed at me with her toothless grin and motioned for me to squat down near her. Overcome by her palpable joy I did as asked. I followed her instructions as if a little girl again at my grandma’s feet.

Gently she cradled my wrist in her frail hands and tied three threads around it. As she did this she blew on my head and mumbled in Cambodian what I assumed to be a prayer. Then she looked me in the eyes and said, “Now you be lucky.  You blessed”.

I couldn’t wipe the smile from my face. She was so kind and so beautiful. Not of course in the classic sense by any means. She was missing all her teeth, her hair was shaved to a short silvery stubble and her bony body was shrouded in oversized clothes. Yet her soul shone so brightly her light was impossible to miss.



Feeling “lucky” and “blessed” I returned to the hotel for a much-needed nap. There I came across a flustered American frantically turning over couch cushions in the lobby. He’d lost his i-phone. Knowing all to well the pain of a lost i-phone I decided to help him look. After a fruitless search we got to talking and he recommended a little restaurant near the hotel called, Genevieve's.  Really?! Strange coincidence in Cambodia! Yet, there is some French influence here so maybe that’s the connection?



I decided at the very least I had to pass by and take a picture of the sign. I mean who doesn’t like the see their name in marquis? But once arrived the menu looked promising and a sweet waitress seated me at the “table for one” near the back. While deciding what to order I noticed the menu contained its namesake’s biography.

It turns out Genevieve was a 6th grade Australian teacher. She was known for always seeing the best in her students and pushing them to excel beyond their expectations. She was beloved by her graduates and stayed in contact with them several years into their careers. Genevieve died of cancer in November of 2009. In an attempt to amend his grief her widow, Richard, traveled to Cambodia. 

As fate would have it, his travels introduced him to a Cambodian woman in need of work. Together they opened Genevieve’s. The vision was to create jobs for anyone who needed one regardless of experience level. The staff shares in restaurant profits, as does the community. 10% of all proceeds are donated to sustainable efforts to improve the lives of Cambodians in Siem Reap. What an incredible way to honor the life of such a vibrant woman.



As if the day didn’t hold enough magic, hanging directly above my table was a poster-sized photo of the very nun I met among the temple ruins that morning. There she was smiling down at me with that same toothless grin and basket of thread. The tears started streaming. I knew in that moment, I was exactly where I should be. I am already living my magic moment.




My life didn’t exactly turn out the way I thought it would when I was thirteen.  I have far less to show for my 35 years than most American girls. I don’t own a car, a house, a couch, or thanks to a Thai fire dancer even a cell phone. Yet I DO have absolute confidence I’m living out the life I’m born to live. I have a peace that reaches to my core and a lightness about me that I'd never trade for conventional success. The cost of saying “yes” often means living in limbo longer than you think you can stand, yet as I learned in Siem Reap…just when you think you can’t take it anymore, wait. Because that’s when the magic happens.

Tuesday, June 9, 2015

Faces of Cambodia

It’s said that traveling opens your eyes and in turn your mind. I'm currently in Phnom Phen Camobodia and today, my mind and my heart were forever touched with stories I will never forget. 

The very year I came into this world marked the end of the horrific genocide in Cambodia. An atrocity I never even knew existed. How is it possible that with all my years of private school education, a bachelor’s degree, a graduate and post-graduate degree I’d never even heard of the Cambodian genocide until this trip? Is it my lack of interest in foreign politics, a failure of the U.S. education system, or the byproduct of ethnocentrism and political complacency?

Whatever the cause, I sit here today, stunned, ashamed and horrified at what happened to the Cambodian people less than 40 years ago. In an attempt to rectify my ignorance and perhaps process some of my experience I’d like to tell the stories of four Cambodians I met today. 

Meet Ritz. Yep, you got it, just like the crackers, or for those of you high rollers, Ritz as in Carlton. He is a 46 years old tour guide at the Royal Palace in Phnom Penh. I bumped into into Ritz during my clumsy attempt to make sense of the palace on my own. Ritz was a fantastic guide who expertly shared his vast knowledge of Cambodian history and culture. In so doing he told me about his own heartbreaking experience under the hands of the Khmer Regime.
Ritz telling me his story

At age 7 the Khmer Region murdered his father for being too educated. His mother was torn from her family and forced to do “women’s work” in a labor camp. His three brothers and sisters, left without caretakers and too young to fend for themselves, died of starvation. Ritz on the other hand learned to survive by fishing and eating grubs and insects. Some nights he supplemented by stealing bread from his neighbors. He quickly learned to eat quietly because he would be shot if they discovered him.

He was ordered to spend up to 16 hours a day turning cow dung into fertilizer with the other children his age. Though his mother was in the same labor camp they weren’t allowed to see each other. He described himself as “a prisoner without a cell in my own land.” If he ever left his camp he’d be executed. One night Ritz wandered out of camp and lost his way back. He feared for his life as waited for nightfall. “But I am lucky, I saw a group of laborers from my camp walking home and I followed behind them.”

On January 6, 1979 he awoke to an abandoned camp. All the Pol Pot soldiers fled in fear of the Vietnamese. His mother, who’d secretly been following his movements, ran to find him and together they escaped into the jungle to meet the Vietnamese military. He counted himself as “lucky” once again. “The Vietnamese didn’t kill us. They wanted to gain our favor so they brought us back to Phnom Penh.” 

I’m amazed at the ease with which Ritz told me his story. He just smiled as he answered my embarrassingly ignorant questions about the war. A story, indirectly I as an American, took part in and yet knew nothing about. Despite all the suffering and death he witnessed, not to mention the starvation of his brothers and sisters and the murder of his father he still somehow considers himself “very lucky”. Ritz is resilience incarnate. 

Next I’d like you to meet Bou Meng. I met Bou while visiting the Khmer Rouge Genocide Museum. He is one of only two living survivors of the most barbaric prison known as S-21, under Pol Pot's reign. Out of the 16,000 people who were mercilessly tortured and brutally dehumanized at S-21 only 14 lived to tell their story.


He and his 28 year-old wife were arrested from their village and brought to the prison on the same day. Bou Meng attributes his survival to his ability to paint. His wife was murdered in the killing fields, but he was kept alive to paint pictures of Pol Pot.

The prison, formerly an elementary school housed it's captors in the old classrooms. The first floor had tiny cell blocks for political prisoners or those who despite pledging allegiance to the Khmer Rouge, Pol Pot imprisoned for suspected treason. The next two floors held bodies chained and shackled by their feet and legs four rows deep. All light was blocked out of the tiny classrooms and they were forced to relieve themselves in eroding metal boxes. Bou Meng was kept in a tiny cell, nearly naked, shackled to the cement floor.

Prisoners were fed once a day about 3 spoonful’s of rice water. It was so little one prisoner said he only needed to defecate once in 3 months. Those prisoners who escaped death from starvation and illness were subject to barbaric torturing. Once Pol Pot got the information he needed all were "reassigned" to be murdered in the killing fields. Here the were neatly lined up, shackled together in a row overlooking their soon to be mass grave and bludgeoned to death in order to save bullets.
 
Schoolyard turned horrific prison camp
Box for relieving bowels
As I walked amongst the walls that witnessed the incomprehensible suffering of so many souls, my entire spirit ached. It was as if I could feel the weight of their souls pressing down on me. You can still see bloodstains on the tile floors and handprints on the ceilings. I stared into the eyes of hundreds of portraits taken of men, women and children on the day of their capture. I forced myself to look at the pictures of  emaciated bodies chained to metal mattresses and others of babies being thrown in the air as their captors used them for target practice
 
Portraits of the prisoners displayed in the class rooms they were held
The atrocities housed within the schoolyard gates are more than a soul can bear.  Outside there is an old swing set which was transformed into three gallows where prisoners suffocated as they were lowered face first into vats of excrement. Every room is covered with countless post-mortem photos of torture victims, the details of which I can’t bear to record. The last classroom contains hundreds of human skulls found surrounding the prison walls. When I thought my heart couldn’t stand to see more my gaze fell onto a glass trunk. I could hardly breath when I realized it was filled to the brim with the femurs of murdered infants.
 
Bou Meng's tiny cell
I also met Chum Mey inside the memorial gates. He is one of the 2 living survivors of S-21. Chum was selling his memoir and raising money for victims of the war. As I shyly approached he welcomed me with a beaming smile and began speaking to me in Cambodian. He motioned to his right side and a translator explained Chum lost his part of his vision and hearing when the guards poured battery acid on his face. He showed me his toenails all of which looked gnarled and green. Each one was pulled from its base in order to get a forced confession. He asked me if I’d pose for a photo with him. I was astounded by the irony that such a great man would want a photo with me. My entire body went weak as I walked away, never have I been in the presence of such a soul.


Next I met my guide around the memorial. She is a beautiful Cambodian woman whose name I won’t disgrace by trying to spell. She was 17 years old when the Khmer Regime murdered her parents. She was separated from her siblings and forced to work up to 22 hours a day in the farms. She described being so hungry at night her stomach pains kept her awake. While telling her story she rolled up her pant leg and revealed a nasty scar twisting around her leg. Here she explained, she was beaten with a rod for collapsing under exhaustion in the fields.

In the 1980's she worked up the courage to visit the area her parents were killed. There she came face to face with the man who murdered them. She asked if he'd show her their grave. He told her he'd do it for $200 USD. Can you imagine? The man who murdered her parents now wanted to make a profit off taking their daughter on a 'tour of their graves'. Her brother was so desperate to find closure he decided to pay the man. I have no words for this level of depravity. 


I cannot possibly pretend that I’m adept at drawing a picture of the horror I witnessed. Nor can I  begin to do justice in the telling the stories of these four beautiful souls. I’ve never in my life been so humbled, so horrified, so ashamed and so inspired by humanity in the same moment. It is my hope that as you read this you too can help their stories live on. How can we learn from the sins of our past if we don’t admit we have any?


The leaders of this genocide were every bit as human as we are. We too are capable of such extreme evil and such extreme tenacity. Our spirits equally house the same capacity for astounding resilience and compassion as they do for profound evil. The suffering and pain of my sisters is equally mine to bear. The lessons I learned today and the souls of those who suffered so greatly will forever be etched on my heart, and for this, I am thankful and like so many of them I too consider myself "lucky". 

Tuesday, May 5, 2015

Going to Bed Hungry

This weekend, four friends and I, took an 11 hour train ride to Dibrugarh district in the north eastern most corner of Assam. The mission? Nutrition outreach camp. Loaded down with formula, multi-vitamins and essential medications we climbed aboard a 3 tier sleeper car for our weekend adventure.
Our Team! Showing off bottles of coconut oil we gave away as fat supplements

We headed to Chabua Tea Estate, said to be the first tea estate in all of India. We arrived to a little col-du-sac of European style bungalows nestled within dense tea gardens. The hospital, a well maintained structure left over from the British rule, was about a 6 min walk through the tea plantation.
Tea Laborers headed to work



Tea gardens are mostly employed by seasonal workers, often transplants from other parts of Assam looking for a way to earn wages. Laborers spend long hours bent over in the intense Indian sun, hand cutting the leaves of acres and acres of tea plants. Hazards of the job include dehydration, poisonous snakes and at times even leopards.
Tea Laborers


Laborers and their families generally live in tiny mud thatched houses provided by the estate. Wages for working 7 days a week 10 hrs a day are approximately 1,000 RPS a month or $16 US dollars. Pregnant mothers are exposed to pesticides and are often malnourished themselves. These conditions predispose them to having babies with birth defects among which are cleft lips and cleft palates.
Cleft Lip baby, moderately malnourished with chicken pox
Child of the Tea Gardens fresh from a bath

Children of the laborers are at extremely high risk for malnutrition. For starters, their parent’s meager income is often insufficient to provide them with the adequate food. Tea workers on average have about a fourth grade education and are often unaware of basic childhood nutrition needs. In addition, children with clefts have a much harder time breast feeding and drinking from a bottle. Many require spoon-fed formula, which as you can imagine takes time and patience. Unfortunately with both parents working, this tedious feeding process is left up to an elderly grandparent or an older sibling who might only be 6 or 7 years old himself. All these factors make it extremely challenging for children on tea plantations to get the calories they need to thrive.


Screening patients in the hospital lobby


This little one has finally gained enough weight for surgery! She'll be getting her lip operated on soon. She had a horrible case of scabies. 


We had a total of 15 families from the area show up for our nutrition camp. Some traveled hours by bus to reach us. Despite our fatigue after the long journey we quickly got to work weighing and measuring the children. The World Health Organization (WHO) has created a method of identifying children at the greatest risk of dying from malnutrition by plotting them on a curve based on their measurements. According to WHO, children whose height plots at a -3 are severely "stunted", meaning they have been malnourished for such a long time their body is no longer growing.  Children whose weight plots a -3 for are considered medically “wasted” which means they have a very high risk of dying from starvation.
Alice at work getting the essential measurements. 


Of the 15 patients we saw this weekend 50% were plotted as -3! This means half of the patients we saw were either so chronically malnourished their bodies refused to  grow or they were so thin they had a 60% risk of dying from starvation.  Several of the families told me their children go to bed hungry at night because they don’t have enough food in the house. Desperate mothers admitted to diluting formula with 3 to 4 times as much water as they should be just so they have something to offer their crying babies.
Onima giving medication and nutrition teaching to a family


One mother brought us her 4-month-old baby who weighed 1.7 kg, that’s about 3.7 lbs! The poor baby was literally a skeleton. The baby had a cleft lip and a cleft palate making it impossible for her to breastfeed. The family was too poor to buy formula so they were spoon feeding her a diluted rice paste donated to them by a government health center. The baby looked as if she was in agony. Every rib was visible and her skin was literally hanging off her like a baggy pair of pants. After talking with the family they told us two previous children in the family had died, one at 3 months of age and another at birth. I knew that if we didn’t intervene quickly this baby would also die. We pleaded with the family to take the baby straight to the hospital for admission and emergency care. When children are this malnourished they require very careful re-feeding so the body does not go into shock from the sudden calories. This process needs intensive monitoring by a physician.
Severely malnourished 4 month old baby weighing only 1.7 kg

The following afternoon we visited tea labor family’s home. Their baby Sudhir is an 8 month old boy with both a cleft lip and a cleft palate, who is severely malnourished. Sudhir’s parents, both day laborers, collectively earn less than $2 a day. This income has to feed and clothe, Sudhir, his two brothers and his grandparents.
Sudhir and his mother welcoming us into their home

Sudhir’s mother was hesitant to show us her humble house. She told us she was embarrassed by the conditions in which she and her family lived. After some convincing she led us to a modest mud hut composed of two sleeping rooms, a larger room for cooking and a small side room holding a few modest possessions and family puja. The house was tidy and neat and the mud floor was surprisingly clean. They’d recently burned it to prevent dust from coming up. The entire family sleeps on two beds. They cook from a small hole in the ground and the smoke fills the tiny house as they do. You can imagine how this might lead to respiratory infections among other illnesses as the children, play, sleep, eat and gather in such a small space without a chimney.
Main sleeping room (2 beds for 6 people)

Kitchen with cooking fire

I spent the train ride home reflecting on the past 2 days. We saw so much suffering in such a short time. I thought about lives of those precious children and what kind of future they’d have. It’s hard to keep from feeling overwhelmed by it all. The problem of food insecurity is so vast here it seems insurmountable. India has the most severely malnourished children in the world accounting for 34% of the global total. It doesn’t matter how well you teach families and how many vitamins you offer, without food the children are still going to starve. It’s heartbreaking that we live in a world where despite both parents laboring 10 hours a day for 7 days a week under the hot sun they can’t even afford to feed their starving families.
Sudhir and his family posing for us in front of their home

Tea Garden Child after a bath in the garden

Curious neighbors wondering what all the fuss is about

Bath time!

Nutrition patient with a cleft palate and suspected Downs Syndrome


Mother of a 5 year old girl who is severely malnourished 

Example of Tea Laborer's House

Beautiful neighbor poses for a photo

But quickly laughs and covers her face

Child helping his dad cut bamboo with a machete

Grandma wants to see what's going on

Curious neighbors


We are going back to Chabua Tea Estate Hospital next month to check on our little group of patients. I can only hope our meager drop in the bucket is enough to make a small difference in the lives of these precious little ones.
5 year old girl who is severely malnourished. She needs to gain weight before she can have her cleft palate surgery
If you have a heart to donate to this cause I'll use whatever money you send to buy medications and nutrient dense foods for these little children. All donations are tax deductible. To donate click this link