Saturday, January 16, 2016

Living with Uncertainty


Christmas church, Antje (roommate), me, Bea
(the doctor in the video I mention)
Dear friends, 

I write this blog as a love letter to my family, and to rural Bangladeshis.  It is about how I learned to deal with uncertainty differently with my family over the last couple of years, and how I may also have learned something along those lines from Bangladeshis over even more years.

During a visit to LAMB years ago, my sisters commented on how relaxed people seemed as we walked in villages nearby LAMB. I remember somehow being defensive about how ‘bad things really were’ by talking about the things we couldn’t see, such as kids not going to school or ‘missing women’ who had died from childbirth complications, possibly after young adolescent marriages (which is still all too true, as in a recent 25 minute news report filmed in our part of Bangladesh called “Too Young to be Married,” which includes a LAMB doctor commenting on obstetric fistulae, seen at https://www.youtube.com/watch?v=yPp-p2RI_jo).  

But the ‘relaxation’ was not just fatalism (as I had understood it earlier in my Bangladesh time).  Now I think it reflects what IS a more relaxed attitude toward potential crisis, or uncertainty. I am reading one book for school that says crisis-oriented people will always be looking to prevent or reduce repercussions from future crises through good planning, thinking ‘What if something bad happens?'  Non-crisis oriented people think ‘bad things don’t usually happen,’ so they respond to problems as they arise according to possibilities that present themselves.  One is future oriented, one is now:  which one sounds more relaxed?  I think I have moved away from ‘that is just wrong, not to plan or solve problems!’ to more of a ‘well, there are advantages to being more relaxed’ but to approach problem-solving by starting from where people are.

I am still a bit more crisis > non-crisis (?because I am a medical doctor).  This past week I was moderately frantic when giving a training workshop: ‘We don’t have this or that material or equipment!’  I was truly thankful for how my Bangladeshi co-facilitator Gita replied two or three times with “No problem!” and a smile while she bustled around adapting to the situation as it was.  I think the complementary orientation was what made us a good team. I loved working with Gita, and the whole trainee group who had also responded with smiles despite technical difficulties.  The trainee group is pictured above (Gita with her back to you, blue outfit) when they were doing a role play about how women in a village group could work to stop an early marriage--just to show you how our work at LAMB is working toward stopping the situation in the video above.

I thought I had developed a hard-won peace in the face of uncertainty and ambiguity, partly from living in Bangladesh, and also from dealing with the details of Mom and Dad’s illnesses.  But this past week, with my Dad hospitalized in the States, I found myself, at a distance, almost as frustrated and frantic over things I was worried would get overlooked, or changed without adequate consideration of various details.  I realized my peace was actually pretty fragile.

This week I read (and contributed to) hundreds of texts going around amongst siblings and relatives (also about my godfather, Mom’s older brother and a stalwart man of God; had been trying to lend an ear and some advice to dealing with his bone mets and advanced cancer). Dealing with uncertainty together with my family is a precious experience, a thing of beauty, because of the bedrock family strength we were raised in and lean on.  We all shared (in texts and emails) various levels of distress over what we can and can’t do in helping as care-givers and companions for Dad (and my godfather), while at the same time reassuring each other and being upbeat with him (I think).

In another book I am reading, it describes where some of our family strength comes from. It says missionaries from a farm/rural background are especially effective “when ministering in rural ministry areas. My hunch is that farmers understand community and can live with uncertainty. They realize that they cannot control rainfall, the first frost or when baby [calves] will be born. They work hard and are highly motivated, but they have learned to “go with the flow.” … They’ve learned to work together and stay in close contact with the ever-unfolding situation around them and to be innovative when the unexpected happens.”

So thanks to my siblings for dealing calmly with ‘the ever-unfolding situation’ of Dad’s health and wellbeing, and to Bangladeshis for tolerating uncertainty, and teaching me to do the same.   Again I quote Psalm 91 (can't get away from this amazing reminder of security in God):


Psa 91:2  I will say of the LORD, "He is my refuge and my fortress, my God, in whom I trust."

Community midwives and I in a newly-functional government safe delivery clinic.  Another way LAMB works to reduce the consequences of early marriage and pregnancy complications:  providing skilled delivery care close to home (who can recognize complications and refer if needed, but do normal deliveries themselves).

Tuesday, November 3, 2015

Refuge Under His Wings

Hello, 

A friend sent me a reflection on Psalm 91 about refuge under God's 'wings' [from pestilence, among other things].  He was responding to my previous post about the pests in my house when I got back to LAMB.  I am a little called out, being reminded of how truly minor are the issues of pests, compared to other struggles. (By the way, I have now decided it probably isn't a mouse, but some other creature in my bookshelf, but haven't unpacked the shelves to find out yet--I just listen to it chewing on my books every night as I fall asleep.) 

Honestly what I thought about more when I read Ps 91, was how I feel protective about Bengali Christian brothers and sisters.  While it is good to provide some shelter as young believers grow in spiritual maturity and professional capacity,  really, it is God who shelters, not (potentially paternalistic) me.  

We struggle as foreigners here to really allow a 'Bengali' way to emerge for character and processes of this organization, which has had strong 'Western' influence.  Somehow we hope for a 'Third' way, embracing some Western best practices as well as Bengali ways.  But really we need to better explore God's way--and how that is best expressed here.  Please pray as our mixed national/foreign management team works through the struggles with that (though we have nonChristian staff, the management team is all Christian). 

Yesterday's management/policy meeting was a good example;  we were discussing a child and vulnerable adult protection policy.  It includes provision against employment of children <18 .="" nbsp="">One contentious issue is how to address the common practice of having a 'kajer meye' or 'working girl.' (not what you think!)  Many Bangladeshis have a young girl, often 8 -11 yrs. old when first brought into the home, who is something like a 'maid of all work.'  Sometimes they will help with child care, basic cooking tasks, washing clothes, etc., paid in kind with food, clothing, and shelter.  They are also just present in the homestead when everyone else is away to discourage bandits from coming in and stealing clothes or household goods (as happened to my household cook who didn't have a 'kajer meye' at the time).  

LAMB wants to state in its policy the reason for discouraging such a practice: so those girls can go to school and have better future prospects.  But Bangladeshis counter that the practice is actually similar to a vulnerable child protection system.  The girls are often daughters of poorer relatives who would not be going to school if in their own family home, and would likely not be getting much food or clothes or protection anyway (can be at risk for abuse from uncles, as extended families usually live in one household).  So if LAMB prevents our staff from 'employing' and caring for kajer meye, who are also just poor girls from the neighborhood, we are potentially increasing their vulnerability.  How to make sense of similar goals (a better future for the girls) but different methods to achieve the goals?? 

And on the home in American front: Dad and some family lit a candle for Mom in an All Soul's remembrance mass in Minster Nov. 2 night.  Today (Nov. 3) Dad has chemo again, after a short break.  Please pray he tolerates it well, and his lungs stay in good shape.  So many at LAMB have been telling me how much they have prayed for Mom and Dad and our family over the last couple of years, and I know not just at LAMB, so thank you...

Shelter under God's wings of refuge protects us from so much more than pests!   We trust in God's faithfulness as he "is with us in trouble" (v. 15) even as we dwell "in the shelter of the Most High."Amen and amen.


Psalm 91
Whoever dwells in the shelter of the Most High
    will rest in the shadow of the Almighty.
2 I will say of the Lord, “He is my refuge and my fortress,
    my God, in whom I trust.”
Surely he will save you
    from the fowler’s snare
    and from the deadly pestilence.
He will cover you with his feathers,
    and under his wings you will find refuge;
    his faithfulness will be your shield and rampart.
You will not fear the terror of night,
    nor the arrow that flies by day,
nor the pestilence that stalks in the darkness,
    nor the plague that destroys at midday.
A thousand may fall at your side,
    ten thousand at your right hand,
    but it will not come near you.
You will only observe with your eyes
    and see the punishment of the wicked.
If you say, “The Lord is my refuge,”
    and you make the Most High your dwelling,
10 no harm will overtake you,
    no disaster will come near your tent.
11 For he will command his angels concerning you
    to guard you in all your ways;
12 they will lift you up in their hands,
    so that you will not strike your foot against a stone.
13 You will tread on the lion and the cobra;
    you will trample the great lion and the serpent.
14 “Because he loves me,” says the Lord, “I will rescue him;
    I will protect him, for he acknowledges my name.
15 He will call on me, and I will answer him;
    I will be with him in trouble,
    I will deliver him and honor him.
16 With long life I will satisfy him

    and show him my salvation.”