Friday, April 10, 2009

Important and Insignificant


A person who viewed himself as insignificant would not spend time away from his family and go to work in a developing country. Significance is a major motivator of this activity but does that make one who engages important?
A large humanitarian organization visited recently. Included in the delegation were two representatives from the United States House and the president of the organization. The stated goal was to encourage the development of global health champions within Congress. I was given a heads up that they would sit down with me for an hour or two to talk with me and other physicians on site. My sense of importance swelled. The next day I was told that the delegation would not have time to meet with me.
My elevated self-importance was transformed to lowly insignificance.
Paschal or Chesterton or both observed the dialectic of human existence that man was supremely important yet wholly insignificant. It seems that we in the developed world have a healthy sense of importance that actually magnifies when we leave our comfortable environment to spend some time in a developing country. Just how insignificant do the people here feel? Is it a factor in the apparent facile acceptance of death? No human can live unaware completely of their importance nor of their insignificance. We important people of the West however could use some reminders of our insignificance. Likewise the people of the Rest could use reminders of their importance. I believe the humanitarian organization got it mostly right and I am grateful for the reminder.

Thursday, April 2, 2009

Be Sensitive and Make It Interesting


Can you blog with others in mind? It seems a mostly self-conscious act. But there are bits of patronizing opinion that might hurt others.These thoughts coupled with trying to keep it interesting(again with others in mind ie you the reader)has paralyzed my hunt and peck keyboarding for a few weeks.

I find life most rewarding when change is happening. Wouldn't everyone want a system to change that suffers from high child and maternal mortality? As an outsider in this setting, I cannot lead progressive change because it risks dependency and unsustainability. I am hoping change can be catalyzed. Because that is the role that I believe is most appropriate. Ideally the process won't require the continuous presence of the catalyst to perpetuate. This I don't know...

Most exciting for me is the recent decision by the director of the hospital to move the casualty department into the department of surgery. He has created an Accident and Emergency Committee chaired by an orthopedic surgeon(mentioned in a previous post)to lead the transformation of casualty to an A& E department. So Presbyterian of me to get all excited about a committee being formed.

Tropical diseases and abject poverty provide great fodder for interesting stories. What makes it interesting? Certainly a good storyteller helps. I don't have any stories today.