Monday, May 25, 2015

My Stunning Mystery Companion

I know that you don't want me to be
Out here forever on this road
Or live among the boxes
Where all our past lives have been stowed
Maybe you're thinking of our place
With a garden by the sea
Where we could slow down
And you could put a little more work in on me

What with all my expectations long abandoned
My solitary nature notwithstanding
You're the one who pulled me
Out of that crash landing
My stunning mystery companion



Three days and a wake up is what we used to say in the Army. It means 3 sunrises, 3 sunsets and a rooster crow and I’m home. Yes I know the last post was about exactly the same thing but that was a too quick trip home for vacation. I’ve been back a little over a month working on transferring some of the program assets to the government of Liberia. I’m done. Time for a final post. This time it’s homecoming. Home to Piper. Home to Haley. Home to Jessie – my stunning mystery companion. To be honest, taking a break from surgery and jumping into this had all the elements of a potential midlife crisis – uncertainty, unplanned, unexpected. Instead, it was life affirming, wholly absorbing and crazy interesting. And there was a safety net. Jess. I knew she was ever there – no crash landing.

I’ve told you about this place and this disease but not enough about the people I worked with. There was a core group I spent most of my time with on this project and another core group who staffed our clinic in Monrovia. To a person they represent everything one could hope for in colleagues – a great sense of humor, a tireless work ethic, ridiculous competency, selflessness and impenetrable accents at times. More on the last one in a second. We were truly a polyglot tribe. From our Liberian colleagues with their special brand of Libglish and phrasing from the 18th century, to our Antipodean colleagues with their awesome slang, to our South Africans with their very special brand of English that I just could not understand at times, we cobbled together a common tongue and understanding.

Let me tell you a little bit about the ones I was with almost hourly. Forgive me if some of these comments may have a bit of an inside joke flavor to them. I spent the most time with Brian and Nick. I’ve mentioned Brian before. He served as the program manager and hails from NZ. The success of the Aspen portion of the program is due in large part to Brian. His steady hand, fairness and attention to detail kept it all happening. His tales of Antarctica (Brian is a retired NZ Air Force General and perhaps the world’s most experienced Antarctic helicopter pilot) kept me riveted during countless dinner discussions. His theories of everything from change to Brontosauri were entertaining as well.

Nick or Saint Nick as we called him is from of all places Boston. Boston, England. He served as our logistics manager and made sure the program lacked for nothing but on the rare occasion when it did he could invent anything out of nothing. Of course he was also great at finding things that “fell off the back of the truck”. He will be transitioning to come work with Aspen on a different project as we build a clinic in Freetown Sierra Leone. Unflappable is the best word I can use to describe Nick.

Mike and Muhammad were PAE counterparts for Brian and me. Muhammad while originally from Pakistan has spent years working on USAID development projects across Africa. Mike is from DC by way of LA (lower Alabama) and ran the whole show with aplomb and a focused calm that taught me a lot. Together the two of them kept the program running on all cylinders even when everyone else had run out of gas.

Russ our deputy program manager is a former Australian military officer who now lives in Tasmania. He will likely be the one to turn out the lights on Aspen’s part of the program sometime in the early fall. Katie was our training lead and singlehandedly was responsible for crafting our curricula out of the best WHO and MSF had to offer and delivering it to nine remote sites in a very compressed few weeks. Not a single ETU would have opened up had it not been for her making sure everyone was trained and trained properly. She was also the one to somehow find a blowup Santa and park him in the dining area when most of us didn’t even realize it was Christmas day.

Finally let me tell you a little bit about Kebeh our Liberian admin assistant. She worked directly for Brian but made sure all of us thrived in our new environment. Everyone got paid even though Liberian banks can be challenging to say the least. Everyone got in and out of the country without hassles. Everyone had all the licenses they needed. And, everyone who had a birthday while we were here got a cake courtesy of Kebeh.  There are dozens of others I worked with some of whom I’ve mentioned in other posts. These are the folks though that greeted me on day one and are still here as I exit six months later.

With a mixture of fondness, nostalgia and good riddance I left the Congo Town compound yesterday. While beachside and comfortable enough it just wasn’t home of course. The waves were a constant source of torture to look at but I loved hearing them. The concertina wire that surrounded us gave everything that Martha Stewart minimum-security warm and fuzzy. The food was always plentiful and safe and occasionally inspired-especially the curries-but I cannot wait for a piece of monchong, fresh asparagus and a trip to yogurt mama.

My colleagues at the Aspen clinic deserve a shout out as well. Remember the clinic is a totally separate effort from this Ebola program but it was a place we congregated on an almost daily basis whether to get medications, bring colleagues who were ill or injured, or just sit in air conditioning. Doctor Leon took care of us all myself included. The clinic continues to grow and now that Liberia is Ebola free people and businesses are coming back en masse. We’ve decided to bring an airplane to Monrovia to fill a market gap in aeromedical evacuation, cargo and passengers. My clinic and Aspen colleagues in DC have worked so unbelievably hard to bring this to fruition. Airplane deals are complicated enough but when you factor in three continents, multiple stakeholders, three sets of lawyers and West Africa things get really sporty.

I had a great time. I think I helped some. I learned tons. Jess and I celebrate our 20th wedding anniversary late next month. She’s the only reason I was able to experience any of this and any help I was able to offer the program is because she made it so. The final stanza of Jackson Browne’s Stunning Mystery Companion speaks of a partner sticking it out for 10 years and no more, but then taking another 10 years just to be sure. Ten and ten is twenty. Can I get another twenty more? I’ll see you Wednesday.

Maybe you were joking when you said
You'd take me for ten years and no more
Maybe you've had the best of me
But you could take another ten years and be sure

What with all my expectations long abandoned
And a life that just gets more and more demanding
There's no doubt that you're the reason I'm still standing
        My stunning mystery companion



Congo Town compound

Congo Town sunrise
Note: Words by Jackson Browne

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