Noble

Laura and I love living in Honduras; we couldn’t be happier. Still, the differences between us and Hondurans, culturally, linguistically, and even physically, are sometimes highlighted. They are mostly simple things to note and they don’t present challenges, but sometimes they can remind you that you are the odd person out in this society. The sense of time and efficiency in systems often sets me reeling, and sometimes railing, as no one ever meets my standard for punctuality. Similarly, my sense of personal space and privacy is frequently undermined as others barge in on my protected territories. High school and grade school students who we pass everyday huddled in groups of five to ten try out their limited English on us. They always wait until we pass when we’ll hear the brave one among them voice a “Gud Mowning.” We’ll turn and smile and respond, “Good Morning, How are you?” They all giggle and a few others will join in with more comically enunciated good mornings. This will continue back and forth four or five times dispersed with the adolescent giggles. It’s a recognition of our differences under a certain amount of insecurity, but also a transcendence that the differences are not insurmountable. There are so many other things that betray our difference. We dress different, eat different, stand and walk different. The cadence of our speech, the way we act and react, and the way we think all define us as the ones who come from some other world. We change as we live among the differences, sometimes adapting to new ways and sometimes not, but we will always be recognized as outside looking in.

MAHEC brigade members at the bilingual school
MAHEC brigade members at the bilingual school

I was observing the medical service team MAHEC (Mountain Area Health Education Center, Asheville, North Carolina) a few weeks ago as they arrived in our little town of Camasca. They came as a twenty-three person team, working hard, visiting distant smaller communities every day, offering health care, delivering workshops in adolescent wellness at the High School, and sharing with the younger children at our bilingual school. Such a strong presence in such a small community like Camasca is hard to miss. Because Laura and I were particularly busy during the time they were here, we didn’t so much involve ourselves with their activities as watched them from a distance. I noticed them perhaps as a Honduran would. I saw them walking down the street from our street-side porch, dressed in their blue scrubs, walking very fast and purposely, presenting a different aura than I was accustomed to seeing on the street. They visited our porch most mornings as they could share our WiFi, check email, and post pictures on Facebook. I chuckled to myself to think of them as a herd of cattle of an unknown species that had wandered into our meadow. Still they were all well welcomed, honored by a sense of gratitude by their hosts. This, however, seemed somehow more than simply the thankfulness for their service. There was something noble about their presence that I could not define. I found myself thinking about this, trying to figure out exactly what it was, while they were here among us.

At the Camasca Health Center
At the Camasca Health Center

On one of their days, they were visiting a small community called San Juan de Dios.  The mayor of our town, Julio, had lent a few of his pick-up trucks to the brigade, and on this particular day, he himself had driven them to the clinic site. Laura and I weren’t with them, but it happened we were in the same area visiting families benefiting from our nutrition program, MANI. Driving on the main rock/dirt road, we saw a man in a dress shirt, cell phone to his ear, and shovel in his hand. As we approached him, we recognized him. It was Julio, the mayor. We stopped and talked. He was filling in the ruts on the road, channeled out by the hard driving rains. He was doing this in preparation for the return trip with the brigade members who would ride in the bed of his truck. It was a humble gesture of gratitude, commendable in and of itself, but again I felt there was something more profound in that visage. Again, I felt there was something of great value in these acts, in this interchange. It was elusive, but again the word “noble” came to my mind.

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Laura and I were present at MAHEC’s going away celebration. There was cultural music and dance, a festive spirit. There were speeches in gratitude of MAHEC’s generosity and service. Then our mayor, Julio, got up to offer his words. He recalled some of the time he had spent with the MAHEC team while they were visiting the outlining communities and offering medical care. He began to recount a particular house visit and became emotionally choked up. They visited an older couple, very poor and very frail. They were most certainly coming to the end of life’s journey. There was nothing that the team could do for this couple, medically, but they shared their time with them, sat with them in their house by their bedside. It was this that moved Julio to tears, and he noted that next year when MAHEC would return, this old couple would likely not be with them. But for Julio this visit was of exceptional, incalculable, ineffable value.

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Listening to Julio, I then knew what it was that I had been struggling to understand and define while MAHEC was visiting Camasca. Indeed, it was their presence that was noble. At first glance, this group of medical missioners from the US presented as so foreign. And so they are. But we can all get beyond that in deference to the reason they had come. In the second instance then, we can give them credit and gratitude, for the great and generous service that they offer. This, perhaps, would be enough. Yet Julio was moved by something else at a moment when no service was even possible. This is a moment when differences are neither noted nor have any meaning. This is a moment in which service —  who is the giver and who is required to be grateful —  is also of no import. This is a moment when all judgment is discarded, and what remains is the value of human caring. This is noble.

Witness

Writers are dependent on muses who are often fickle and unreliable. Sometimes, after a medical mission trip, I suffer through the anxiety of not finding inspiration. On other occasions, I simply find myself too busy to dedicate the time to writing up an article. Both problems haunted me after the Brown/Wingate medical mission trip that recently took place in Guachipilincito. August presents as one of those months were the stars align in such a peculiar manner that everyone wants to be in Honduras. Another brigade followed on the heels of Brown/Wingate. The funder for our very extensive and ambitious nutrition program, Mathile Institute with its representative, Greg Rheinhart and his wife Becky, came to the Frontera to visit the families and children benefiting from the program. We are investing in a major expansion of our education program among area schools. And finally, the Board members of our organization came to Honduras for a meeting. With all of this happening at the same time, Laura and I were caught up in the whirlwind.

Dr. Emily Harrison and Moises Vallecillo, Brigade Coordinator
Dr. Emily Harrison and Moises Vallecillo, Brigade Coordinator

Meanwhile, I was feeling great anxiety over not publishing a blog on Brown/Wingate. Additionally, one brigade participant, David, a talented pre-med student, had extended his stay in Guachipilincito to complete additional service among the community. Laura and I had no time to look in on him, or to wish him happy birthday as it had passed during his time there. But this Wednesday, we were transporting yet another brigade from the Frontera back to the airport in Tegucigalpa. We stopped in Concepcion to pick David up along the way to bring him back to the airport as well. He had been in Guachipilincito over a month so we figured he had a lot of luggage. Our brigade coordinator, Moises, and I jumped from the bus figuring we would need to assist him with his baggage. What an amazing site! David walked towards us, a light backpack strapped to his back and a water bottle and hat in his hand. He looked as if he were going to the corner store, rather than taking an intercontinental journey. The sight of him froze me in my tracks, and I knew there was something of tremendous value in this visage upon which I would need to reflect.
“Take nothing for your journey, no staff, nor bag, nor bread, nor money; and do not have two tunics. And whatever house you enter, stay there, and from there depart. (Luke 9.1)” Fear not, I do not intend to preach, at least not in any religious sense, though I used to do that for a living. I might have just as easily said, “I have always depended on the kindness of strangers (Scarlett O’Hara in Gone With the Wind).” David’s confidence, his willingness to shed the false security of things for a conviction in the goodness of relationship, is a witness of which I and the world have great need. Here I am running around for the past three weeks, investing in the complexities of negotiations and intense communications, carrying a ton of baggage both literally and figuratively, and this young man walks lightly and lithely among the humble people of Guachipilincito. Whose journey has more meaning? Who has touched upon the beauty of humanity? Who has witnessed the miracle of compassion and generosity?

Patient Consultation at Guachipilincito
Patient Consultation at Guachipilincito

 David symbolizes the greatness of many of our brigade experience, and most especially that of Brown/Wingate. Our brigade groups arrive with loads of supplies at the Tegucigalpa airport, bins of medicines and supplies that make their way through customs and are packed into transport vehicles to journey into isolated territories where the people are resourced challenge. The groups have paid extra to move these items and it has cost them time and energy for planning and execution. We place great value on the things we tote, while we essentially ignore those who do the toting. But when these groups leave, they are unburdened, having used up or gifted the supplies. They are depleted, or seemingly so. Yet, I would contend that they are the ones who have been enriched as much if not more so than the ones who have benefitted from their service and generosity.

Nutrition Committee Meeting
Nutrition Committee Meeting

Brown/Wingate saw hundreds of patients, gave away hundreds of dollars of medications, trekked across step winding paths to visit the elderly and infirmed confined to their distant homes, fulfilling their well-planned mission of compassionate service. They unburdened themselves with the absolute joy realized in generosity. Giving presents as an exercise in addition and subtraction; something taken away from one to the corresponding gain of another. In fact it is an exercise in multiplication where value expands exponentially. I wonder sometimes who benefits more from generous compassion, the one receiving or the one giving? Then again, even that is my need to judge and quantify as if even compassion becomes a measured competition. Perhaps it is only the matter of walking joyfully unburdened.

In the Pharmacy
In the Pharmacy

Thank you David and thank you Brown/Wingate. Thank you Guachipilincito. All of you have given witness of the beauty of humanity. How enriched we are when we realize how little we need.

Elevations

Most of my life I’ve kind of hung around at the same altitude, give or take about 1000 feet. I suspect that is mostly the case for anyone living in the US. Our elevations don’t vary tremendously from day to day or hour to hour. That is not the case here in Honduras where everywhere you look there is the remnant of another volcano standing in your path. Almost every Saturday morning I wake up at 1624 feet in Concepción. I get on a packed bus with thirty some other people, at least as many backpacks, and sometimes a chicken or two and begin to climb. About one hour and forty-five minutes later, having traveled along 34 miles of road a total distance of 22 miles, I find myself in La Esperanza at 5577 feet. It’s colder and clearer, the air much thinner, and the whole world seems changed. On Monday morning, I do the reverse, shedding layers of clothing on the way down. Everything changes in the rapidity of ascents and descents.

At San Marcos Clinic
At San Marcos Clinic

Rapid changes in elevation is what best seems to describe Maine-Dartmouth’s experience on their recent medical brigade to Colomoncagua, Intibucá. It’s safe to say they started out at or about sea level in Maine. Because of the irregularity of flights from Maine to Boston to Tegucigalpa, their odyssey lasted almost two full days, and, by the time they caught up to us in La Esperanza, they were exhausted. Flying in and out of the heavens, they were diverted from their final destination in Tegucigalpa to return to almost sea level at San Pedro Sula. Back in the air quickly thank God, they arrived at Tegucigalpa, 3248 feet, where Shoulder to Shoulder was waiting for them. Up and down a few dozen times more in an escort van, they finally got to the highest city in Honduras, La Esperanza at 5577 feet. Oddly, the weather they experienced, the damp and penetrating cold, might have reminded them of the late April weather of Maine that they had just left behind. There only for one night, their elevation changed drastically again, falling about four-thousand feet to arrive in Concepción. After a brief bathroom break and tour of our main clinic in Concepción, they winded back up another mountain pass to finally settle in Colomoncagua at 2576 feet. Talk about a roller coaster.

Older Man's Consult
Older Man’s Consult

Laura and I usually spend a good deal of time with brigades on their way in and their way out. We hear about their expectations on going in and share in their reflections as they leave. We might get a half day with them at their work site, but we’re busy taking pictures and they’re busy seeing patients. We did see Maine-Dartmouth on their way in. But we wouldn’t be available on their way out as we were already committed to important meetings. Because we would miss them on their way out, we decided to spend the weekend with them in Colomoncagua. We were so pleased that we got such a close up view of their rich experience.

Happy Kid
Happy Kid

The varied elevations, their varied experiences, and their varied characters and personalities weaved and waved in and out of their time together. But without diversity, harmony cannot be achieved. José was born and raised in El Salvador, a literal rock’s toss away from where we were, but Barbara had never been on a medical mission trip and spoke no Spanish. But their voices blended in a theme of service and compassion. We witnessed them working among the simple townspeople at the San Marcos clinic. They had come from so far away, had traversed high peaks and low valleys, and yet they all seemed as if they belonged. Laura and I felt privileged to be part of this concerto of care.

Under The Fall
Under The Fall

The next day was yet an entirely different experience.   It was Sunday, it was May Day, it was Nancy’s birthday, and it was certainly time for fun. After a great breakfast and a visit to the local market where hand crafted leather belts, woven shoulder bags, and other local goods were purchased, we headed out to see the beauty pristinely hidden within nature. The waterfall dominates the natural amphitheater where the stone walls rise majestically above us. One further elevation to consider and explore. I watched them all under the curtain of the water’s fall. They surrendered to the experience of the moment, defined and enhanced by it, elevated to great heights and plunged to great depths. It is all so very enriching.

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