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).