Saturday, February 28, 2009
Elaine
Hlah Tay
Thursday, February 19, 2009
Dr. David

Uncle Sam
“Don't take my picture. Don't say where I take you. Don't call me my name, call me 'Uncle Sam,' I have enough problems before with foreigners.” Uncle Sam began his life when he was born in Rangoon in 1951. That was before the junta. His mother was a midwife and his father was a health assistant for the government. Even though they were Shan, they had little to fear from the government because of their jobs, and because things weren't so bad then.
When he finished high school and had to choose a career, Uncle Sam chose jade trading. Moving gem stones out of Burma was a popular business. His dad gave him some start-up funds, which Sam quickly ran through. The trade wasn't as easy as he thought, so rather than face his father with the bad news, Sam went to work construction in Bangkok for three years.
His father wasn't an idiot. He entreated Sam repeatedly to come home and try something else. “You don't have a head for business Sam. My friend will set you up with a job in the hospital mixing drugs.”
Sam took the job. Although he wasn't impressed with the pay he found he liked being in Health. Eventually he became a health administrator for the government as his father had been.
As such he was assigned to government convoys sent to the Shan countryside, forcing development projects along the way. Much of what employees like himself told the Shan about the projects and the benefits was just propaganda. They never got much.
Shan nationalism was growing then. The people weren't happy, not with the government, not with the union, not with the starvation. Kun Se's rebel Maung Tai army was getting stronger, really at its peak back then. They had real weaponry, real training, tens of thousands of volunteers. And of course, such a charismatic leader. Uncle Sam began to help them secretly. As a government employee, the son of a government employee, from Rangoon, he was above suspicion. He wasn't counted among the Shan, even while he stole medicine from the government and gave it away.
Things were going fine and he wasn't particularly worried about being found out, until Kun Se surrendered to the Burmese in 1996 and went into house arrest in Rangoon. The Maung Tai army broke into pieces, and in the crumbling Uncle Sam was ratted out. “Betrayed me!” he says. He fled to Thailand. When he arrived there he found a reunion of rebels.
A little disoriented, he served briefly in what was left of the rebel army. By 1997 he knew soldiering wasn't for him any more than gem trading. He learned of the medic training centre in Thailand, further south along the border. The Shan sent him there, where he trained for two years to become something of a rough and ready doctor.
He was good at that. And ambitious with it. Before too long he brought his skills to camps of displaced Shan scattered along the northern Thai-Burma border, where the Shan were pushed by a furious Burmese army. Those refugees are still there. Uncle Sam still sends them medicine. Today he lives permanently in Thailand, fat and loquacious. Canadians bought him a migrant worker ID, and as long as he has that he can stay. He is happy in his young career. He takes Shan teenagers and makes field medics of them. He butts heads with rebel commanders who stew along the border in new villages of displaced ethnic minorities. Butts heads with well-meaning foreign doctors who come to help him train. Can't ever go back. He betrayed the Burmese government, and then was betrayed himself, so he cannot go back and keep his life.
Kang Hseng

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Wednesday, February 18, 2009
Shan Tattoos
Most of the Shan men have blue-black
tattoos on their arms; tattoos of writing in Shan; one line of writing with other lines of writing branching off like domino chicken foot. Many of them have explained these tattoos to us. They are a magic charm that will protect them from violence; knives and bullets. They admit the charms won't really make them invincible, but they make them a little braver when they need it. They get them up अत the monastery when they're teenagers. The women and the other ethnicities don't have tattoo charms.

Shan AIDS
Bay Da said in 2007 he saw about 10 HIV positive patients. That he generally sees “a lot,” and they are typically male, under 40, and soldiers. I don't know why he said “2007” instead of “2008,” unless he hasn't counted up the 2008 cases yet. The first AIDS patient I saw was on February 11. She was, well she still is at the moment, a 52-year-old woman who had been in the week before (although this one looks so shrunken that I find it hard to believe it's the patient they're referring to) with an infected tooth socket. This patient is very wasted, certainly under 100 lbs and probably around 75 lbs, black lips surrounded by sores. Her daughter is with her, a healthy-looking, distressed woman, also a young man and a bunch of same-aged kids who may just be in for the show. The daughter is so upset that she won't let me take pictures, Khang Seng is busy putting her IV in and he looks up to tell me to stop. So I'll wait until the family leaves the In-Patient ward for awhile, if they do at all.
The photo is necessary Why is the photo necessary? Because she's part of her people's genocide। Burma has enough money to have kept her safe and well if it wanted to. Her death is a victory for them.
Word is, the woman will die within days without medicine, which can only serve to hold her on a little longer, slow the deterioration. That much is probably obvious to anyone. Amy says that her daughter said that this woman's husband died a few years ago. “Of the same thing Mom has now.”
The next day she's still alive. She has tuberculosis and pneumonia, and what all the medics call “CD4,” which is code for HIV. I ask Homm Noon if people here understand the phrase “HIV.” She says they do. I ask her if they've told the woman's daughter she has HIV. She says no. I ask her if it will embarrass the woman's daughter if they say “HIV.” She says like she always does when I wish she'd be precise. “Yeah sure.”
“But they must guess that she has AIDS.”
“No I don't think they guess it.”
“Why did they bring her in?”
“Some abdominal pain.
The air around her bed smells dangerously rotten। A terrible smell around her, but it's not that she's soiled herself. I don't know what can take the nasty smell of death off her body. It's not the same as feces or vomit. It's unnatural decomposition. Like something breathing of a dead body. Anyway. The next morning I come in to take her picture if I can. She's awake. She nods when I show her my camera, and she pushes down the comforter and lifts up her blouse so I can see her emaciation.
Bay Da
Shan State Army 1

Election
February 10
The election the SPDC has scheduled for spring 2010 hangs over this town like a doomsday. What is the SPDC's plan, because surely they have one. They know right now what the outcome will be, if only we did. I can guess. So can the townspeople. Homm wants to have a baby, but she and her husband are waiting until the 2010 election is in the past, just in case it brings war to Loi Kaw Wan, they'll have one less life to protect if they wait to have the baby.
We're working to save money to buy Homm a Burmese passport. It will cost about $1,000. It's $1,000 if she mails her ID card into the government and they mail the passport back, about $650 if she travel to Rangoon and applies in person, plus $350 in bribes to get there safely. I don't want her to go to Rangoon. She lives here under an assumed name, but it's still risky to travel. What if there are spies who know her? What if it's enough to be Shan to get into trouble on the route she takes? We have to get her that passport before the election, just in case.
Maybe anticipating the fallout of the election is the reason the Commander wants the hospital expansion to be so big. A lot of new people may be moving to Loi Kaw Wan. Maybe it's for them that he wants it big, but maybe he wants MMC to pay for an operations office for his army. We don't know and I'd have to visit with him every day for months before he'd tell me, and we only get one invitation a year to visit him.
The commander of 30 Mountains
Sunday, February 15, 2009
In Burma: Vice Principal Hsur
A secret refugee tow
n, inside Burma. This is what Hsur said:
Hsur is the vice principal of the school in this refugee town in Burma. His English name is "James Fu," given to him when he was a student. Fu is his original surname, but that was destroyed a long time ago.
He's another refugee from deeper inside Shan state. A wiry, small-set guy who looks taller than his five and a half feet. He was born in Yunnan, in China. To all their misfortune his family decided to immigrate to Burma when he was a child. Hsur still speaks perfect Mandarin, using it with the odd Kumintang descendent.
His father died he was 17, so Hsur joined the Shan State Army. Once he became a soldier for these rebels his family destroyed his identification and pretended he was dead, to save
themselves and him from the government wrath they would suffer if it was discovered he was a rebel. For 10 years Hsur was a soldier in the forest.
There was never enough food to fill him. From his looks there wasn't enough food to grow on. He looks like his body never met its potential. As a soldier it was always sleeping in the forest, hiking steep mountains with cheap Chinese army boots that fall apart in three weeks. Suffering in the rains from mosquitoes and malaria and mud. Always creeping after the Burmese army. He is dried sinew, not a 32-year-old man.
He's against using child warriors. He's fought against the Burmese' child soldiers, 15-year-olds. He feels guilty about that. Children don't know right from wrong. Adults do, and if an adult is given an order that is illegal, or wrong, they would know it, they can refuse. Children don't know. They just become killing machines that nobody wants to attack.
He's been in this town for five years, working as this and that, now the vice principal, teaching classes and doing everything else. He's still an SSA soldier, waiting in reserve should they call him back to the forest.
When he gets a chance, he's eager to talk about intelligent things. About politics and language and how much money a person needs. About the similarities between Shan and Laos and Thai, about the Commander. Tells about the rebel Wa Army along the Burma-Yunnan border. "Go there," he says. "Go to the Wa Army near Yunnan. Yeah, they will talk to you."
He's friendly, and willing to work and talk, but he's sad. In a sad state. There is no wife, no family, not even his own grass hut. Just a bed in the office. He's in Shan country, but he's not a Shan. Everyone here dreams of their homeland, but his is one altogether different. Even when he laughs he looks alone.
Drive back to Aizawl
January 26


Today was the eight-hour drive back to the capital of Mizoram. The road just went around and around...and around. The curves and bumps would never, we were exhausted and the drivers floored it. All drivers in Mizoram floor it, and that's not a generalization. They also like to pass, and since the entire road is a curve, on a cliff, that's dangerous driving.
At 3:00 we stopped at a roadside orphanage that takes in the abandoned from all over Mizoram, and even a few states nearby. The place was hopping by the time we arrived, with children running around outside and doctors running around inside. This is a terrible orphanage, the worst I've ever seen. But the staff try.
The entire place smelled of urine, the children were filthy, and disabled and retarded people abandoned by their families hobbled among the crowd of orphaned children. Inside one big room near the entrance was a child, maybe 12-years-old, laying on the floor and propped up on its elbows, with its crippled legs twisted uselessly behind. I couldn't tell if it's a boy or a girl, and didn't find out later that it is a little girl. The name is Rua, her hair is cropped short.
Rua was excited to see us and tried to pull herself closer when we walked in. Her arms seem strong enough but she doesn't have any means of getting around beyond the distance she can drag herself. She is just left to lay on the concrete floor in that room with splinters of wood to play with. She can't talk either, all she can say is "bee," and the meaning changes with how loudly and excitedly she can utter her word.
It seems terribly lonely in there for her, in that dirty concrete room. I knelt down and began taking pictures of her face to turn the camera around and show her the photo, which she loved.
"Bee? Bee! Bee!" I couldn't take enough to satisfy her. Finally I had to leave to photograph the doctors and other orphans, but I felt terribly leaving her alone in that dog kennel, still wanting company and unable to follow. "Bee? Bee?" I went back in again and again.
There are others there as tragic as Rua, and others who are smart and healthy, eager to practice their English, and just as tragic for being thrown into the mix.
The youngest is a preciously stunned four year old in a crinoline dress. The oldest is in her 80s. the old ones are the retarded ones. Too ill and embarrassing for their families to keep. One old woman, barely four feet tall, wanders around with a doll strapped to her back the way women strap babies on. A man with Downs Syndrome groans and points to a rotten black tooth at passers by.
Since there were too many volunteers to work the clinic, I got to photograph the entire time. It didn't take long for the abled children to get the nerve to ask for a picture, and of course to immediately go nuts to see how it turned out. Kids are always beautiful , but I felt sorrier than usual for these ones. They're so poor, and with only three staff members surely they really only have each other. They were dirty but obviously dressed in their best for our visit, with all the little girls' short hair pinned away from their faces.
Those who could speak English did, even if only to tell their name in a complete sentence. Those who couldn't strained to show how excited they were. They crowded in, led me around, sat me down and petted my hair and arms. Then they noticed my white skin against theirs and hurried off to find the darkest-skinned man there, and held our arms together in comparison. They unbraided and rebraided my yellow hair, thanked me, hugged me, lined up to give me five and get their picture taken all over again. It was terrible, because we had to leave them.
When the doctors were finished checking everyone, the staff begged us to stay for supper. Dr. Myron refused repeatedly, and told us it was wrong to stay because we were in a hurry and the children needed the food that would be served to us. He was right on both counts, but once we saw the banquet they prepared we all knew it would have been another tragedy for that place if we turned our backs on them without eating.
They didn't eat. The children were sent away and the staff watched us. What a spread. They gave us food we hadn't seen since we left Canada, and much too much to feed the 11 of us. Apples, pineapples, pudding, fried chicken, sliced bread, cheese, nuts, chocolate bars—they had everything, for us. It was a terrible meal, knowing how much anticipation had gone into it, and how much they should eat it instead and how much it would hurt them if that happened.
Two ancient women had their beds behind the table. As we ate they petted our shoulders and motioned to their mouths for us to share with them. At the end we had cleaned our plates but the food left on the platters barely looked touched. We gave the orphanage some money, and the clothes we could spare. The pastor who runs the place told us about his ambitions to add a chapel, which is the last thing the orphans need. We drove away in the dark.
Indian Honey
Mizoram is where I tasted the best honey I ever tasted. Even now I'm eating it. I'm eating it right now. That's why I decided to write about Mizoram honey, because it tastes so good. An ode. It deserves an ode. Oh Albertan honey is good, yeah, but it's honey-flavoured (I thought) and I can take that flavour or leave it. But in Mizoram, the honey is dark, like dark ale, or maple syrup, which is what it tastes like. Maple syrup, honey mixed and sweeter still, with a but of fruitiness.
For the first time in my life I'm happy to eat honey by the spoonful. Now our big rum bottle full of dark Mizoram honey is almost gone. We had to lay the bottle on its side to get the last drops out of it. It's so sad, knowing it will soon be gone forever.
Chester the beekeeper from Bluffton bought a bottle of Thai honey off the back of the motorbike lady store, but he knew instantly it was imitation honey. Crap. Cheap crap. You can't fool us. Crap concoction made from fruit juice and syrupy sugar water.
It's important you know about this fake honey, because it's beginning to appear on the store shelves at home. It may cost a lot less, and say on the bottle it's a product of Canada, but it's just cheap fake honey from China. Don't save money that way. I love China and I love honey (now) so I'm not going to disrespect either by buying that fake stuff at home.
January 23, Zakawthar on the India-Burma border
January 23
Our first day working the Zakawthar clinic. Why is that important? Because Zakawthar is separated from Burma by a narrow river. In fact the town is contiguous with the Burmese one on the other side, and the locals cross back and forth all day without getting hassled. We can't go though, whities restricted.
Half the patients crossed the border into India to get treatment from the foreign doctors. As we began there was already a 15-year-old girl lying on a bed suffering a major anxiety attack. A few minutes after Dr. Myron began treating her the entire clinic could hear her hyperventilating until she passed out and they carried upstairs to rest in the doctor's bedroom.
The people coming in from Burma truly are in much worse shape even than the Burmese Chin who have migrated to India and live here full-time. two women came in with great big goiters, there was a man with a bandage over his deformed face who had been mauled by a bear years ago and couldn't afford to have reconstructive surgery in Rangoon. So, his face healed askew and he's been walking around ever since with a bandage taped over the part that won't heal at all. Also a little girl pale with malaria,and all kinds of undernourishment and infections.
Everything they have is something they just can't afford to avoid or fix. Simple things that we all get, but that we never see bet out of control.
The worst thing by far was the birth. In the morning a young man and his pregnant wife came in. Dr. Lopita wasn't sure if anything was wrong and hoped it was just a bladder infection. Later, we were called to their house on the hill because the girl had gone into labour. She was lying on a blanket on the floor, well attended by midwives while the anxious father (who could easily be under 20) waited in the other room. Lopita thought the midwives were doing an excellent job so we left them to it.
About an hour later they called us back because the baby had been born. We came in congratulating the mother, but there was a bad air in the room. The mother was resting, wrapped up on the floor, and the midwife sat on the bed. We couldn't see or hear the baby, it was bundled up completely in the midwife's arms.
She called us over and unwrapped the child to show us. When I saw it I thought it was already dead. it was born at least two months premature, and it was the size of a skinny little guinea pig. It's skin was grey, it's eyes were shut and its mouth was dry and open. I thought I was looking at a dead body.
Outside the room Lopita said she couldn't tell if it was alive or dead, but the midwife assured her it was breathing, a little. Dr. William, the Burmese Chin physician we're working with at the clinic, brought a steroid injection to force the baby's lungs open. When he stuck the baby's thigh, it flinched, just a little, giving us hope it might survive the night. But Lopita said there was no hope it would last longer than that, and maybe William only gave the injection to make us feel better. It did indeed die in the night.
Inefficiency 1
January 22
Inefficiency driven by ignorance is driving Dr. Lopita mad. She came up from dinner to the room this evening hopping to tell me something Deryl said that made Lopita blush. Lopita got an 8-year-old patient today who may have a congenital heart defect. She wanted to know how the organization could raise money for the girl should she need an operation. The girl had been told before she could only have the operation overseas, which Lopita said was wrong—complicated surgery can be performed in India. Actually, India is a hub for Westerners coming for affordable quality surgery. We can send the kid to Calcutta for this. Deryl had no idea this could be done in India.
There are many things people on this trip are doing that are a waste of time and money, and which seem born of a stubborn ignorance in our group. They treat this place as if it's the ass-end of the earth, which from our perspective it is but from the locals' it's the other way around. If you look at it one way it's primitive as hell and half the people live in bamboo-wall houses. But look at it from another angle and we would see everyone has a TV, a camera phone, a fridge, an email address. While we eat they take pictures of us on their phones. They're not the end of the earth, just the other side.
Champai, Mizoram, India
January 18
I love Champai, in fact I think I love Mizoram. The town is much like Aizawl, just smaller, a little more primitive, but everybody still owns a cellphone, moped, TV (even if their house is made of bamboo), so not so primitive. It's another city on top of a low, misty mountain.Since the area generally doesn't allow tourists, the tourist lodge can get away with smelling of cabbage, vermin infestation, dried food splattered on the walls, and no heating. But it's ok, because we're in Champai.

January 21
Another day running mobile clinics into the surrounding villages. It was a long drive to this one—nearly two hours. I opted for a break from the Canadians and ride in with the interpreters. There are three of them that have been working with our team, as well as the driver who sometimes interprets, and a mysterious middle-aged man who neither speaks nor drives. He may be ballast. The driver, Dina, is an overweight, baked-looking man of 27. The other three are flirty guys each around 20, full of piss and excited to have the blonde white girl in the car.
"We all like you very much," 'My Boy' told me when I hopped in. I'm not going to say I don't like being flirted with, so there.
Here's some info on the Mizo and Chin cultures: they smoke like chimneys, appear surgically attached to their cellphones, know the lyrics to altogether too many pop songs, and should really lay off chewing the betelnut because it's ruining their teeth.
Finally in Aizawl city, Mizoram state, NE India

The city is unbelievable. It's in India, but everyone on the street looks east Asian. They're Mizo and Chin people. Westerners don't come here. It's not easy to get here by any means, and we have to register with the police. I don't know what most Westerners would do here even if they did know the place exists, which we don't.
The entire city is built on top of a group of green-topped mountains. The buildings that can't fit on the very top trickle down the sides. No road lies on a flat plane, or even in a straight line for more than a block, every alley way is a staircase. How long it must take to learn your way around. Why build on top, and not in the valley like every other mountain town?
It's cool and the air is clear here, cool tropical bamboo forests as far as I can see. People dress like east Asians—well and in western clothes. The water (for the Ritz anyway) is trucked up the mountain every day.
Tomorrow we set out for an eight-hour drive to Champai, a town about an hour from the Burma border. It's an eight-hour drive because the roads wind around the mountains so severely. If we had a helicopter it would take two hours to get to Champai, so let's brace ourselves.
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