Another Goal.

Earlier I mentioned that I have a goal of visiting all 7 continents. I also have a similar goal of visiting all 50 states.  This week, I was in New Orleans for a scientific conference, and in checking off Louisiana, I now have 10 states to go: Mississippi, Alabama, West Virginia, Delaware, North Dakota, South Dakota, Minnesota (if you don't count flight layovers), Washington, Oregon, and Hawaii.

Some may be harder than others. Who goes to Delaware just to go to Delaware? I very well may, at some point.


(P.S. - On Tuesday in New Orleans, it was 76 degrees. On Wednesday I got drenched wandering through the French Quarter in some kind of winter tropical storm. On Thursday it snowed. Hard. Weird. I still walked to get beignets and hot chocolate. It was worth the wet hair and the frozen pants.)

Bangladesh, Part II.

"Prominent among the curses of civilization is the map that folds up 'convenient for the pocket'. There are men who can do almost everything except shut a map." - James M. Barrie

In my family, we divide humanity into two categories: Map people and everyone else. We are map people.

Family vacations generally involved poring over the Rand McNally (before, during, and after). One year, my mom's prized Christmas gift was an atlas. We also had a big world map on our wall for a while, and would often just sit and look at it. At places we'd been, at places in the news, at places we wanted to visit.

In that spirit, for those of you unfamiliar with south Asia, this is where I currently am:

Image from: worldatlas.com

For all of my love of maps, though, I have a pretty lousy innate sense of direction. When home, I always keep a map in my car for the times I invariably get lost. I so far refuse to make the switch to GPS (which I think is mostly pride, and I'm not sure my passengers always appreciate that: "What do you mean you can't find out where we are? You just look at the map...")

Thus, I have struggled to orient myself here in Dhaka. I don't have to drive myself anywhere, so I don't really have to know where I am. And, really who can focus on navigating when traffic looks like this (which is actually not bad):

Or this:

I can now navigate within a certain distance of my hotel, though, and am starting to recognize landmarks on the way to and from work, but I have pulled up a city map online several times to figure out where I am and where I go, because it makes me feel less unsettled when I can put it all in context.

Navigating by landmarks alone can be dangerous, of course. In Atlanta, for example, you should know never to give directions by telling someone to turn after the Waffle House, as they are likely pass at least five on the way. In Boston, that would be Dunkin Donuts. In Dhaka it is the Bata brand shoe store (we did go to one the other day... how's that for local sightseeing?)


(For you fellow map people, a favorite blog: Strange Maps)

Bangladesh, Part I.

“The first condition of understanding a foreign country is to smell it.”

- Rudyard Kipling

As soon as we stepped outside of the airport in Dhaka, my coworker Saumil, who lived in India as a child and has been back several times visiting family, stopped and then said to me, "Do you smell that? Now I know I'm in south Asia."

There are many smells here. Some good, like the smell of curry and other spices. Some not so good, like the smell of burning garbage or traffic fumes (so much traffic! at all hours!).

There are days I have curry for breakfast, lunch, and dinner, so if I come back smelling a little differently, you'll know why. Either that or smelling like my hotel room does after the nightly mosquito spraying (which I guess is better than getting dengue, although on the days I'm actually in the room during the spraying I'm not so sure).

Perspective.

I work in public health, not medicine. I've had people ask me why I didn't just go to medical school. Because they're different things, I usually respond. I didn't want to study medicine, I wanted to study public health.

We focus on health at the population level, not on treating individuals. By learning which factors affect different diseases in populations and then how we might be able to modify them, the goal of public health is to prevent those diseases (or complications) from occurring. In many ways the goal of both medicine and public health is the same -- reducing illness and suffering -- but the approach is different.

This can be frustrating at times. On the one hand, it can be hard to see the impact of public health. When a doctor treats a sick patient and they get better, that may be obvious. But it's not always so easy to show that someone didn't get sick in the first place because of what you do. On the other hand, because I'm not a physician dealing directly with patients, I don't always have the opportunity to personalize it.

Today was one of those opportunities. We went to the clinic at the field site here (a very poor urban area on the outskirts of a poor urban Dhaka), and did rounds first with the doctor, before meetings. We stopped for a bit at one patient... a 13-year-old boy with a recurrent case of active TB, and now likely with a secondary case of pneumonia. By all rights, he should be hospitalized, but was refusing. Thus, they were making due at the clinic, with a daily injection of IV antibiotics. The clinic is not designed to be the area TB testing or treatment center, but the alternative was he would stay home and die.

Injecting antibiotics can be painful, though he was sitting there patiently. He has come back for six days now, but was very, very thin, and clearly still struggling to breathe. I am not sure how many times he will be back.

I'm not usually one to get outwardly emotional, but watching this was sobering. Childhood pneumonia is what I have been spending a large part of my work on lately, and what I am researching more here. Pneumonia is the leading cause of death worldwide in children under 5, and although I know the statistics, a small boy today helped give me some extra perspective.

The fifth continent.

I have a goal of visiting all seven continents. Arriving in Bangladesh this week, I have now marked off Asia as my fifth. Two more to go: Australia and Antarctica. Not bad, considering I didn't even get a passport until I was 22!

On the road again...

Said effort (see below) will have to wait. Over the last two months of 2008, I will be in the ATL for a total sum of about 2.5 weeks. I enjoy traveling, though this may be a little much all at once. The homebody in me likes a little downtime between adventures.

On the other hand, you may actually see some regular blog updates, now that I will have things to show for my time. Destinations should include: Washington DC, Bangladesh, Hong Kong, New Orleans, and... Mesa, AZ. Updates to follow.

Edited to add:
I believe this is the most well-medicated international trip I've ever been on (and this is just the pills... not the ointments, creams, bandages, and rehydration salts). CDC is nothing if not thorough.

Which is fairer, flower or leaf?

(A little Robert Frost aside there, this time of year makes me nostalgic for New England).

While living in Boston, apple picking became an annual fall tradition. I missed last year, but got back on track the other weekend during the annual apple festival in Ellijay, in north Georgia (though Southern apple picking is far too hot!). So far, products from the weekend spoils have included: apple pie, apple butter, apple dumplings, apple crisp, apple sauce, apple bread... (And I still have some apples to use up!).


Some observations:

1. I love autumn. It is by far my favorite season. Leaf over flower, for sure.

2. I need to explore my current home more. During the years in Boston, I was all over New England. Cities, small towns, cemeteries, parks, forests, neighborhoods. Massachusetts, New Hampshire, Vermont, Maine, Rhode Island, Connecticut, New York... I'm starting to realize how little I have explored since I moved to Georgia.

I've been thinking a lot about this lack lately. I may be here in Atlanta for 8 more months, or I may be here for years. Neither is a very good excuse for it. To quote another favorite author:


"At least in geographical terms, the frontiers have been explored and crossed. It is probably time we settled down. It is probably time we looked around us instead of looking ahead."

And later,


"Neither the country nor the society we built out of it can be healthy until we stop raiding and running, and learn to be quiet part of the time, and acquire the sense not of ownership but of belonging."

I definitely don't belong to Georgia yet. But, I should make more of an effort.