Epiblog

Hello and welcome to my blog. It is a blog about an Air Force Physician that was reluctantly deployed to Kabul, Afghanistan for 6 months.

I have to admit, I did not exactly volunteer for the deployment, and I was a little anxious about how it would all turn out. I ended up making the best of it, and surprisingly, I actually had a pleasant, life changing, experience.

I decided to keep the blog up and running because I kept on hearing, "Why is it that you only hear the bad news coming from Iraq and Afghanistan." I figured that I was helping spread a positive message about what we are doing over. Even more important, I wanted to continue to spread the word about the plight of the Afghan people, 99.9% of which are the most incredibly friendly people that you will ever meet. The title picture is a great example of that. I have never encountered such genuinely warm and friendly people. It was so strange to see so many people with so little material objects, yet at the same time, filled with so much of the joy that comes with close family ties, abundant friends, and a close knit community. We could definetly learn a lot from them.

You may notice, as you read the blog in its entirety, my arc. I shift from focusing on myself and my personal comforts, to shifting my focus on the Afghan cause. It is very easy to get distracted by the hustle of daily life and the comforts that the U.S. provides. It is really a challenge to awake from that coma and to start to care and think about the welfare of other people unrelated to you. I think it really took me about 4 or 5 months before I really opened my eyes and became personally affected by what I was experiencing. I hope I was able to recreate it.

I have tried to keep the blog squeaky clean so as to not offend anyone (or get me in trouble-I am still in the military). Even though I am a political junky with very strong personal opinions I have been steadfast in keeping this site free of any politics. I was called to do a job and I tried to do it to the best of my ability regardless of my political stance.

I recreated the blog to read more like a book, or should I say blook (get used to the corniness it only gets worse from here) just to make it an easier read. I have removed some names and pictures just to keep it more anonymous. I hope that it helps in making it less about me and more about the cause.

Lastly, in the spirit of the blog, I decided to include the Chipin Widget that I used to raise money for Nazia. If I get any additional money I will send the funds to The Women of Hope Project and someone over in Kabul will discretely give it to her (unless I hear otherwise). You can also contribute directly to the Women of Hope Project website. They are a wonderful cause. If you enjoy this blog then feel free to contribute. I am sure that once you read her story you will be very moved.

So kick back. Get ready to hopefully laugh and definitely cry.
If you like what you read then post a comment. I will be continuously editing this site in an attempt to improve it. Who knows maybe one day it will become a book!

Enjoy. Thanks for reading.

-Shazdoc

Today Show Clip

Chipin Widget

Friday, May 30, 2008

The Macarena

Today I am very excited because I had a great idea. I was thinking about the large number of hits that my blog has been getting over the past few days (over 100 to date!!!) and I thought that it would be a great idea to start a children's clothing drive (emphasis on warm weather cloths since it will be getting very cold over here very soon). We could even expand it to include toiletries and toys. I have been told that families over here share a single tooth brush per household. I do not know about you, but if I had to share a tooth brush with my brothers growing up I might not have ever brushed my teeth.

There are a number of opportunities for me to distribute the contributions that I receive, although I have not yet worked out any of the details. As I previously mentioned, I will be participating in CMAs (Community Medical Assistance) projects. We also will have our clinic which has a peds department. There is also something called Operation Not Forgotten which is a collection drive for children done by Camp Phoenix. I believe they go out to rural towns to distribute their donations. Believe it or not, there is also the Pul-e-Charkhi prison that is just down the street. I learned from an article that I read that children have to stay with their mothers when they get imprisoned because they have no where else to go. It is really sad. I encourage you to read the article online. I posted some pics from the article.


The article is titled: AFGHANISTAN: Children share deprivations of imprisoned mothers. Cut and past this title into google. It should be the first or second result to pop up. For some reason I tried to include the link and it would not work. It is from irinnews.org

I do have to mention that the success of my site also brings with it somewhat of a bittersweet feeling. I am concerned that the more people that visit my site then more people that will send us care packages which is not my intention. As I mentioned in my 1st posting, I earn decent income and we are very well taken care of over here at Camp Phoenix. There are some soldiers in Afghanistan that are on a 15 month "camping trip." They eat MREs (meals ready to eat) for every meal, they basically live in small Afghan villages, literally "embedded" with their Afghan counterparts, without any access to internet or phones. I included a number of soldier support links where you can send care packages at the bottom of my blog. Here is my recommendation, find out which ones live on a small FOB (a FOB is a Forward Operating Base). Those are usually the ones with the fewest amenities. Also, bases in Afghanistan that are in the southern region are usually a more hazardous place to live. They get more rocket and motor attacks then in the northern regions. This is a generalization of course. We have our own share of dangers in Kabul such suicide bombers and VBIEDs (vehicle borne IEDs) .

For those of you that still want to send us stuff we would love to receive it. I just wanted to set the record straight so I could have a clear conscious.

Last night I did my boxing class. I dragged my friend along- we call him "Puffy." We call him that because his last name is Combs. Parents, ask your kids for further explanation. I did not warn him how rigorous the class was going to be. I got a good laugh watching him struggle to do some of the ab exercises. The best was watching him bob and weave. He made the instructor crack up. The instructor said that it looked like he was doing the Macarena.

We should be getting actual boxing equipment in soon, like punching bags and gloves. I still need to order tape and a mouth guard online. I am not sure how far I will go with this. I may need to stop once the sparing starts. I do not want to get hurt. After boxing they had salsa dancing. I usually go just to watch them dance. Tonight they have Karaoke over at the Coffee Bean (yes, we have a coffee shop on our FOB, you see what I mean about all of our amenities). I am trying to get my team to participate. Maybe in the future I can learn how to post short video clips. It should give everyone a good laugh watching us try to sing.

Today we worked on the clinic layout. We have a copy of the floor plan on the computer and we were mixing and matching who should go into which room. I have been calling the new clinic a clinic but that really is not accurate, it is more like a small hospital. It has just about every subspeciality, including neurosurgery. One of the first things we will need to do before the clinic opens is give the doctors training on all of the new equipment. Most of the equipment is state of the art, and therefore, very foreign to them. I have started to contact some U.S. doctors in the area in an attempt to get them to provide some teaching for things like the optometry equipment. So far everyone has been really nice and has enthusiastically agreed to help out.

I am posting our address in case you would like to participate in my drive. Don't forget, you can send children's cloths, toys, toiletries, and anything else you think would be helpful. Used clothing is encouraged. Don't go spending a lot of money. Just send me the old stuff that you already have and want to get rid of. You know all of that stuff that it is just collecting dust in your garage or attic.

Thanks again for visiting. Now don't just log off- post a comment!! I would love to hear what you think. : )

Pesky Flys

Good afternoon. Or for most of you I should say, good middle of the night. Everyone that reads this is probably fast asleep right now. That actually works to my advantage because usually the first and second drafts that I write have the most spelling and grammatical errors. By the time people are actually awake to read them they have been proof read a few times. By that time I have changed all of my macaranas to macarenas. I am sure plenty of errors still slip through the cracks.

I am beginning to learn a lot more about the world of blogging. My knowledge has been growing by leaps and bounds. My first accomplishment was to install a site counter. For those of you that do not know, it involves cutting and pasting HTML. I really know nothing about HTML but I do know how to cut and paste. Here is a good tip you can take with you- holding down the Ctrl and C key at the same time is a short cut to copy and holding down Ctrl and V key is a short cut to paste. The second slightly challenging thing I did is I created a photo album as you can see on the right column. I plan to add pictures daily so be sure to check it regularly. I plan on taking pictures of all of the major Phoenix events. For instance, there is a body building competition taking place in early Nov. That should be interesting. I also will try and showcase all of the various activities around Phoenix even though I do not participate in them, like Cigar Night which takes place 3 times a week (they actually give away free cigars!).

I anticipate that there will be many people logging on searching for info on Kabul and Camp Phoenix since they will be deploying here in the near future (like I did at Fort Riley). Hopefully, I can give them a taste of what it is like over here and somewhat put their mind at ease. I have a really funny thought, we could take it even further if we wanted to and we could really simulate what it is like over here. First, after blindfolding a person, you can burn a bunch of tires near them to recreate the smell. I have been told that tires are part of the ingredient that they use to make bricks and that is why they are always burning them. Next, you will need to add the occasional low flying airplane, a lot of dust and dirt in the air, and pesky flys buzzing in your face (but only when you are in your office typing on the computer). You also will need to add the sound of Muslim prayer in the distance 5 times a day along with Revele and Taps played over the loud speaker every morning at 06:00am and 21:00. If you recreate all of these sounds and smells then it will prepare you for Camp Phoenix. Maybe I should contact Fort Riley and let them know.

I think that the idea of a locations having unique scents and sounds is very interesting. If you can think of any other place that has an undeniable and distinctive ambiance then write them in the comment section. It would be fun to read them all.

Today I also came across a site called milblogs. It is a site that lists all of the military blogs listed on military.com. I registered mine. Here is a link, I hope it works:

http://www.milblogging.com/

It is fun but kind but overwhelming to see all of the different blogs that are out there. I think that I am going to favorite a few of them and read them on a regular basis. I should probably mention the blog that actually introduced me to and got me interested in blogging which was A*W*A*C. by Capt Traversa. He was also deployed to Camp Phoenix and he had a great way of describing his experience in a fun and entertaining way. Here is the web link:

http://traversa.typepad.com/

Surfing all of the blogs also inspired me to create a goal for myself. I would like to try and get 50,000 hits on my site and win the Air Force Milblogs Blog of the Year Award. Hey, if you are going to try for something you may as well go big. I think I can do it. After all, I have 6 months and plenty of time on my hands. Here is the award that I would like to win.
I hope you all got inspired by yesterdays blog. I expect to get a lot of children's cloth very soon in the mail. When I get a good amount I will deliver them and take plenty of pictures.

Thanks for reading.

Thursday, May 29, 2008

Forgotten Heros

There is a marine phrase that is commonly used, "Semper gumby." It basically means that you need to remain flexible because plans change. I was told by many people prior to deploying to Afghanistan that I needed to "remain flexible." I did not know quite what they meant but I am quickly learning. My job over here may be changing soon. I will keep you posted.

For some reason the new information that I recently learned got me thinking of the day that I was first told that I was going to be deployed. You have to understand the context, normally the Air Force deploys its people for 4 month missions and they are usually sent to relatively safe locations, especially if you are a doctor. It was the middle of the day and I was in the thick of a busy patient schedule. Both of my bosses came to my office looking very solemn. You could tell that they had something significant to tell me. In those 5 seconds before they said anything I thought to myself, "OK, what can it be?...did someone die?..No that can't be it....Noooooo, they are going to deploy me!!" During the short conversation I was told that I was going to Kabul, Afghanistan for an yet to be determined time period. I later learned that I would be filling an army deployment spot and that the entire deployment was going to last 8.5 months. Talk about a surprise.

I was told on a Friday afternoon that I needed to be at Fort Riley, Kansas for training on Sunday!! Fortunately, I was able to get my report date extended by a week. I tell you what, I have never wanted time to slow down like I did that week before my deployment. It was truly a wonderful week. Every second I spent with my wife and kids was invaluable. I could remember being at the park with my family and just wanting time to stop. They always say you should live for the day and I really was. When I get back home I would definitely like to recreate that week indefinitely.

I have to say, I do have a bit of guilt about having left my family. My children were 4 month-old and 3 years-old when I left and I feel guilty about having my wife carry the load. Before I left I taught my wife all of the little jobs around the house that only I knew how to do. I showed her how to change the air filters in the AC, how to shut off the main gas and water, where the circuit breaker was, how to work the automatic sprinklers, and a bunch of other things. I was a little worried that now that she knew how to do everything that I would become irrelevant when I came back home. I even found someone to take care of our dog, good 'ole Huckleberry. My wife said that it would be too much for her to handle so I found an incredible coworker that was able to adopt Huck and she eventually found him a really good home. While I was at Fort Riley I even had a home alarm installed.

I am looking forward to tomorrow morning because I will be seeing my family via my web cam. I recommend bringing a web cam if any of you reading this are scheduled to deploy to Camp Phoenix. The internet costs $35.00 a month but it is worth every penny. I deployed with the Navy to Iraq in 2003 and it took 2 months just receive a letter. Now you can talk and see each other in real time. It is absolutely amazing.

I have to mention before I get off of the subject that wives are truly the forgotten heroes of this whole Iraq/Afghanistan campaign. We get all of the attention and concern and wives are left to carry on a very hard and lonely job back home with very little appreciation. The next time you see a spouse of a deployed soldier be sure to thank her for her sacrifice as well.

Thanks for reading.

Wednesday, May 28, 2008

Power Point

We had a very interesting time today giving the power point presentation that was both in English and Dari to our Afghan physician counterparts. LtCol Johnson did a very good job with the help of our interpreter. Maybe I could enlighten you on some of the interesting challenges we face in opening up a medical clinic in Afghanistan. Men and women can not wait in the same waiting room so we have to create different waiting areas (I do not endorse the customs I just follow them). It is important to take into consideration the religious customs when creating a clinic, for instance, the urinals should not face towards mecca. It is also very important that the Afghans have a way to wash a body right after someone dies, I am not sure why. Never the less, we need to construct a body washing area in the new clinic. There needs to be a place to pray in the new clinic so a prayer room needs to be constructed. It is traditional to sacrifice a goat at the opening ceremony to bless the facility (we are still working out those details). Some other interesting Afghan customs is that it is common for a man to kiss another man on the cheek as a form of greeting and hold hands. It is also customary to enjoy a nice cup of chai and talk about each others family prior to discussing business.

We had a lot of cultural awareness training at Fort Riley, they called it "Leader Meets." We actually had actors that dressed and acted as if they did not know any English and it took place in a traditional Afghan surrounding. We were presented with challenging scenarios that we had to work through all with the help of an interpreter. Let me share just a few cultural taboos with you. You should never sit with your legs crossed where the bottom of your feet are showing, this is considered rude. You should never place your hat on the ground (I am not sure why) but it is common for Afghans to kiss their hat after it falls on the ground. You should not give the A-OK sign because it is considered offensive.

Everyone seemed to be pleased with our layout of the floor plan so we do not need to make any major changes. Our next step is to start training the staff of how to use the new equipment. We also will be giving lectures on mass casualty and emergency procedures, and infection control. I am looking forward to it.

I learned yesterday the origin of the word blog. I believe that it comes from the combination of the words web and log. I found that to be interesting.

Thanks for reading.

Tuesday, May 27, 2008

Just Looking

Good evening. Last night I watched a band play in the DFAC (that is another name for the chow hall which is another name for the place where we eat). You just have to smile at how the military likes to rename everything. For instance, the Navy calls a bathroom the head and the army calls it a latrine. Anyways, the band that played was really good. I would upload a picture but my camera's battery just died on me. It always amazes me the number of activities Camp Phoenix has to offer- weight lifting competitions, salsa lessons, women's basket ball, dominoes tournaments, guitar lessons, etc. I do not think I have ever mentioned but they even have a mini college on the base. They offer $1,000 to anyone that is intereted in teaching a class. You can fight in a war during the day and attend college classes at night. Talk about multi-tasking.

Angela and LtCol Johnson went to the National Military Hospital (NMH) today. The NMH is a newly refurbished old soviet built hospital. They said that the hospital is a very modern facility with state of the art equipment (courtesy of Uncle Sam, of course). Apparently, they say that you are allowed to smoke in the rooms. LtCol Johnson relayed a funny story about a patient that was complaining about his care to them while he was talking on a phone and smoking a cigarette.

LtCol Peters and I just worked on our power points that we will be giving the doctors at the new clinic. Believe it or not, one of our talks is just on the importance of hand washing.

Tomorrow is our one day off. It is nice because we get to wear our PT (our exercise) uniforms all day long. Of course we still have to have our 9mm and ammo on us at all times. It is funny how you can get used to always carrying a weapon around. There should also be a Bizarre tomorrow (in case you do not remember, that is where the locals sell a bunch of local souvenirs). I will be sure to take some pictures and upload them onto my site. They sell just about any recent movie for $1-2 dollars. The only problem is the movie is a CD of some guy sitting in a movie theater with his video camera filming the movie. You sometimes see the heads of people in the front of the theater. The box and the cover look very official but when you play the movie it just is unwatchable. They also sell just about any kind of watch and sun glasses you kind find. Of course there are plenty of Afghan rugs. The rugs can run pretty expensive.

As you walk down the isle of shops on either side of you have fairly aggressive vendors all vying to get you to buy their stuff. They all say, "Come here...just looking.....just looking." They think that they are outsmarting you by doing a preemptive strike on what you are about to say because you sound pretty silly when you respond "just looking" to their "just looking." Children with a bunch of bracelets, postcards, and stacks of Afghani currency come up to you. I bought some money and I have been sending it to some people that have sent me letters. Let me know if you want me to send you something from over here.

One of my "Angles" sent me a really good CD that I am listening to right now. It is not one that I would normally buy because it is country/blues but I am really liking it. The artist is Grey De Lisle and the album is titled Iron Flowers. Here is a link to her web site:

http://www.greydelisle.com/albumFlowers.html

OK, before I sign off I have to describe my room's pet peeves. Now, don't mistaken this for complaining because, like I have said before, I probably have just about as nice of accommodations as you can have in Afghanistan. There are some people who have to sleep under a tent under the stars in their sleeping bags. I only mention them because they have become so annoying that they have become comical. My mattress is just a little larger then a normal twin mattress so my fitted sheet is always half way down my mattress when I wake up. The walls of my room are deceivingly thin. I am not kidding when I say that I live in a shed- it is exactly like a backyard shed. I literally hear every detail of the person next to me from the velcro of his uniform to the creeks in his bed. Talk about bed creaking, if you just think about moving the bed frame sends out a long and loud creek that continues after you stopped moving. The AC/heater only works through the use of a remote controller that chirps really loud. The battery on the remote is low so it will chirp loud when you press the button but not change the temperature. Throughout the night I am constantly pressing the temperature change button trying to change the temperature without any success. So every night my neighbors get to enjoy their own personal remote control chirp and bed squeak symphony.

Thanks for reading.

Monday, May 26, 2008

The Gordian Knot

“There are two kinds of people, those who finish what they start and so on.” --Robert Byrne

I discovered a great new website today called Quotationspage.com. I provided a link. They have a word of the day and a quote of the day section. I included today's word of the day because I thought it was so interesting: http://www.quotationspage.com/

Gordian knot (noun) [GOR-dee-ahn not]
1. an exceptionally complicated problem: "It took him years to solve the architectural Gordian knot, but finally, plans for an unprecedented high-rise stretched out before him."
2. the intricate knot tied by King Gordius of Phrygia to a pole near the temple of Zeus in Gordium and cut by Alexander the Great with his sword after hearing an oracle promise that whoever could undo it would be the next ruler of Asia; the knot cut by Alexander the Great at the temple of Zeus.

Some would say that the task of rebuilding of Afghanistan is a gordian knot. Go ahead and use the word with your friends. Be sure to act suprised when they do not now what it means.

Today we had a Bazaar (yes, I am actually spelling it correctly today). I took a ton of pics and created a photo book. I was not just looking today, I actually bought a dress for my daughter. Take a look.

The asking price was $60.00 and I got him down to $25.00. It is all hand made. I do not feel guilty negotiating because they actually expect it. The dress has bells and other metallic trinkets that make noise when it moves. I know my daughter will love it. I would say that she could wear it for Halloween but I think that my wife already has a costume picked out. I believe that she will be a cat this year.

I also uploaded some pics of the National Military Hospital (NMH) and my birthday in case you were interested.

I received a package today with 4 discs filled with PC games. I shared it with my office mates. I also received a very nice supportive email from a spouse whose husband who just deployed to Afghanistan. Keep them coming.

Thanks for reading.

Sunday, May 25, 2008

FOB Snobs

"Doubt 'til thou canst doubt no more...doubt is thought and thought is life. Systems which end doubt are devices for drugging thought."

-Albert Guerardd

Today we attempted to go to the old clinic to discuss some issues with the staff but we were unexpectedly sidetracked by security issues. We ended up spending the day over at Camp Eggers. Camp Eggers is another base in downtown Kabul. I was able to catch up with the people that I trained with at Fort Riley. When we first flew into Kabul the entire team stayed at Camp Phoenix for about 3 weeks and then the majority of the group broke off and went to Eggers because they were ready to start working and our clinic was not going to open for a few months.

There is a very interesting phenomenon in Afghanistan. People that visit from other FOBs (forward operating bases) always seem to point out only the good things about their FOBs and they always like to pick out things that they do not like about your FOB. They are like FOB snobs. Someone will visit and say, "Oh, my FOB has trees. I don't like Camp Phoenix because it is too dusty and there are no trees." Never mind the fact that they get rocketed on a regular basis and that you sleep in a tent, you still prefer your FOB because it has trees? I am exaggerating but you get the point. I think when people are forced into a bad situation you tend to point out all of the positives things to make yourself feel better about your situation. The weird thing is that you find yourself getting defensive over your FOB and you find yourself competing over who has the better FOB. It is all kind of silly. So the point of all of this is that the people over at Eggers do not want to leave Eggers and the people over at Phoenix do not want to leave Phoenix. We both think that our places are better then the other. Unfortunately, there is always talk of moving us to be with the rest of the team but we fortunatley have been able to stay put.

Another form of FOB snobbery is the whole going outside of the wire thing. Going outside of the wire is leaving the base. Some people do not have to leave the base because they have a job does not require it. Even so, there is still a subtle snobbery about this. There is even a name for people who do not leave the base, they are called Fobbits. The majority of the time you do not have a choice whether or not you go outside of the wire since it is dictated by your job. One last form of snobbery that I noticed recently is poker playing snobbery. It is starting to get so bad that I decided not to play last week. Here is an example, if you beat someone that has a strait on the flop when you get your straight on the river, they get mad at you because you got lucky with your river card and they deserve to win becasue they were dealt their good hand. Sorry for those of you that did not understand that. Start paying attention to the different forms of snobbery that is out there. It is really funny when you discover it.

It was nice to catch up with my friend Puffy. We became pretty good friends over at Fort Riley. He is a really good guy. In the morning we hung out in the Eggers coffee shop. Puffy told us about all of the new things that he bought from the bazaar. He bought 2 metal giraffes, a wooden box, marble tea set, and a burka. He told me that he ran out of money when he was trying to buy the marble tea set so he had to resort to bartering. He ended up trading a pair of tennis shoes for the tea set. He still does not know how he plans to get everything back home.

Here is Puffy with some of his proud purchases.



By the way, did you realize that I have had over 500 hits to this site? I heard somewhere that the average blog was read by only one other person. Not bad.

Thanks for reading.

Saturday, May 24, 2008

Warehouse

"I'm going to memorize your name and throw my head away."
-Oscar Levant(1906 - 1972)

This is just a random quote that made me laugh a lot. I didn't get it at first. I figure it has to probably be just about the worst insult that you could tell a person.
Today we went back to the new clinic. We have 3 weeks until it opens and we are still rearranging the room locations. Today, believe it or not, one of the issues was that women and men cannot share the same exam rooms. We knew that there had to be separate waiting areas but we did not know about exam rooms. That is an easy fix. A lot still needs to happen from a construction standpoint but I think that it should all come together on time. I am curious how receptive the Afghans will be to the committees I plan on starting. I could potentially start about 10 but I think I am going to limit it to credentialing, infection control, and emergency management.

After we left the clinic we headed over to the French compound called Warehouse. We went with the Wolf Pack which is a group of Army folks that have been nice enough to work us into their convoys. They have big guns on their vehicle and we don't. They were having a going away for one of their guys. I am not sure why the French call their compound Warehouse. Here is the sign when you first enter the compound.

The sign says, "Switch Off Your Jams." No, they are not talking about music. Jammers are electronic devices that jam IEDs (improvised explosive devices). They interfere with radio signals and that is why you have to turn them off.
I was impressed with the French base. They really know how to go to war. They have a number of nice restaurants. Take a look at this one. It looks like a regular restaurant that you would find in the states. War fighting by day, fine dinning by night.

Before we started to eat we had to exchange our money into Euros. I somewhat confused the guy at the exchange counter because I wanted to convert $18.00 and he was only used to $10.00 and $20.00 bills. He said that $10.00 should be enough for lunch. I went to the counter to order my meal and they had a bunch of photos where you could point to what you wanted to eat. I pointed to a sub sandwich and he said that they only serve this for breakfast. I then started pointing to just about every picture on the wall, even the weird long hot dog looking think that was split at each end in three different directions. every time I pointed to a picture he shook his head indicating that I did not have enough money for the meal. Meanwhile, the line was getting longer and the people were growing more impatient. I ended up borrowing 2 Euros and eventually got the pork medallions with mushroom and onions . It was qui a bon gout (delicious).
A few other observations from the French compound. They had a mini Eiffel Tower about the size of a light post. They have a club/bar and they are allowed to drink alcohol. They also wear really big, floppy, berets. I do have to mention, just about every French soldier that I have met has been really friendly. I have even made a couple friends over here at Camp Phoenix.
Lastly, my wife wrote to me earlier and told me that they had to evacuate our home over in southern California. She and the kids are staying with my brother's house in L.A.. She said that the flames are very near my daughters preschool. Hopefully they can get the fire under control. I am going to try and call them tonight.

Thanks for reading.

Friday, May 23, 2008

Live Life Like a Dog

Yesterday we had a “Coms Blackout” so I was not able to post a blog. A Coms Blackout is when they shut down all of the phones and the internet. They do this whenever a service member dies in Afghanistan. The purpose is so the military can personally inform the family instead if the family receiving the news in an email or a phone call. So for future references, if I do not write a post for a day it is probably because of the blackout. If I go two days without a post then we may have a problem. Please pray for the service member’s family who soon be receiving some very sad news.

I have a good friend from medical school that just so happens to be an excellent General Surgeon in the Air Force. He sent me a great email today. I distilled it down to its key message. It is about a boy and his dying dog and why dogs live such short lives.

"People are born so that they can learn how to live a good life -- like loving everybody all the time and being nice, right?" The six-year-old continued, "Well, dogs already know how to do that, so they don't have to stay as long."

Live simply.
Love generously.
Care deeply.
Speak kindly.


What a great message.

My wife and children are staying at my brother’s house. I believe the fires are under control in the immediate area where I live. I will keep you posted.

Today was not a very exciting day. We did a little vehicle maintenance. As you may know, our team is composed of relatively high ranking members so we unfortunately are left to do all of the less-then-glamorous tasks. I am posting a picture of the highest paid and best trained car washer in all of Afghanistan. A Lieutenant Colonel in the Air Force with 20 years of practicing medicine under his belt and he is power washing a HUMVEE in Kabul, Afghanistan. It just goes to show what a great team I have.

Another good friend of mine sent me a care package today. Her name is Dani and her husband’s name is Mark they both live in California but they are currently in New York on vacation. She sent me a ton of candy, poker chips, a statue of liberty hat, and silly string. I hopefully will not be disarming any trip wires any time soon so the silly string should only be for fun.

I actually met Dani when I was in Iraq in 2003. She was an embedded reporter and she did a number of articles on our unit. I had a front page article in the Ventura County Times. My wife told me great story about when she was bought 10 copies of the paper as a souvenir. A young boy that was selling the paper asked her inquisitively why she was buying so many. She proudly pointed to the picture on the front page and replied, “Becasue this is my husband!” Ahhh, my 15 minutes of fame was so sweet.

Dani ended up coming home from Iraq early and she was able to contact my wife. They struck up a great friendship that continues today. Not only is Dani a great writer but she is also an accomplished painter and just an all around great person.

I provided a link to her an article she wrote summarizing her experience during the deployment.

http://www.danidodge.com/journalism/vc/iraq/firstperson1.html

Thanks for reading.

Thursday, May 22, 2008

Day At The Museum

"Cabbage: A familiar kitchen-garden vegetable about as large and wise as a man's head."

-Ambrose Bierce, The Devil's Dictionary US author & satirist (1842 - 1914)

Today we actually had a very full day. In the morning we visited our new clinic and had a long but productive meeting with key staff. We asked a ton of basic logistical questions and got some very interesting answers. For instance, when we asked about how they did their medical records they said that that used to keep a "family book." The book served two purposes, one was to show who was eligible for care at the clinic through a photo that is displayed on the cover and the other was to document their care. They would bring the book in with them whenever they were seen for an appointment. The other interesting thing we learned is the way they pay out disability (remember this is primarily a police clinic). In the military when someone performs 20 years of active duty service the VA reviews their medical record and determines the percentage of disability that the service member should receive. The way the ANP physicians do it is they basically pay them cash on the spot when the injury occurs. They have a really big book that lists all of the different disabilities and how much the patient should be compensated.

We brought along an Army dentist with us and he spent some time with his Afghan counterpart. I also helped unload some of the new equipment like exercise bikes and exam tables.

After the clinic visit we hooked back up with the Wolf Pack (our Army friends who we hitch a ride with whenever we go out because they have really big guns on their turrets). They invited us to another one of their going away lunches. It took place a restaurant called "The Turkish House." It is located within the compound of the Ministry of Defense (MOD). The MOD is the Afghan equivalent of the Pentagon. The Wolf Pack mentors the senior leadership of the Afghan National Army (ANA) over there.


We had an incredible lunch. The Turkish House was really nice. There was a well known Afghan drummer and guitarist playing music. We sat around a huge table and ate kabobs, flat bread, rice, soup and eggplant. It was delicious. The occasion we were celebrating was the end of a deployment for one of the Army guys. He is a National Guard member who works as a music teacher in his civilian job. He was deployed to Kabul to help "mentor" the MOD's music band. I tell you what, there used to be a time when certain jobs were unofficially nondeployable but when they start deploying music teachers to war zones then all bets are officially off.

The person having the going away was also a liaison for the interpreters. I wanted to mention an interesting interpreter observation. A good number of the interpreters out here are actually doctors. The reason they are doctors is because doctors earn only $50.00 per month seeing patients verses $700.00 as interpreters. You really cannot blame them for what they do. I would probably be doing the same thing. The sad thing is that just about every one of them that you talk to is also trying to get a visa to go to the U.S.. The reason why it is sad is because these people are the brains of Afghanistan and we need them to stay and help rebuild their country.

I had a very poignant conversation with our interpreter when I was driving our HUMVEE back home from the clinic. We all communicate within the HUMVEE through the use of headsets that make you feel like you are in a cockpit of an airplane. During our long drive home I asked our interpreter what it was like when the Taliban took over their country and I got wonderful 20 minute first hand account of those terrible 2 years as we drove through the heart of Kabul. I felt like he was a narrator guiding me through a real life museum. Just imagine a mob of crazy fanatical people taking over your community and no one there to help out. People were scared to drive around town because the Taliban would take their cars away. They would cut off people's hands and hang them from light posts all for minor infractions. Women could not work, could not go to school, could not be in public without a man. I could not imagine what it was like. I asked him a question of whether life had improved since the Americans arrived (knowing the obvious answer, but I was curious as to how he would respond). He answered, almost yelling, a resounding, "Yes! It is much better!!" That simple affirmation was all I needed to reassure me that this crazy 6 month adventure was worthwhile. I know that I am participating in a worthy cause and I am proud to be a part of it. We are making important and lasting impacts on these people's lives and it is definitely worth my sacrifice.

Thanks for reading.

Wednesday, May 21, 2008

Sleeping With The Fishes

"To be positive: To be mistaken at the top of one's voice."
-Ambrose Bierce, The Devil's Dictionary US author & satrist (1842-1914)

Good afternoon. LtCol Peters and a few of my office mates returned from the new clinic this afternoon. LtCol Peters took what I think is my favorite picture of this entire trip. They were leaving from the clinic when this child on this donkey passed them by. Look closely and you can see that he is saluting the convoy.


I got a really great package and a ton of letters from an 8th grade class in Gaffney, South Carolina. I thought I would share of few snippets from some of the letters. I found them to be funny.

Hey. what have you been doing? Me, nothing much. I wish I could be home sleeping. This morning my teacher fell out of her chair. She said it was gracefully. I am bored. Life is crazy I can only imagine what it is like over there.

I have got horrible grades in Ms. Ivy's class. I am trying to get better grades. I do not know what my parents will do if I make an F.

Hello, I am going to church camp this weekend with my church. Also, my friend Josh has this piece of smarties paper and there is gum on it. He was sticking it on other people and it was really funny. Have you heard of the game Halo? I can play one of the theme songs on guitar.

Hi you long distance pal. I have a beef with you. You see this is the second letter and I still have not gotten a reply. That is something I do not understand. I am writing to know how it is in Kabul because nothing special is going on over here in Gaffney.

I better write to her before her beef with me gets any worse.

Yesterday while I was at the MOD a high ranking ANA General approached me and asked if I could help with a medical problem that one of his family members was having. I gladly agreed and asked him to meet me at the Camp Phoenix medical clinic. It was kind of funny because I had this sureal Sopranos moment while I was gathering her history. I thought to myself, I better not make an mistakes or else I will be sleeping with the fishes. I am obviously just kidding but it is true Tony Soprano was running through my mind.

I just read this from a fellow blogger at http://docinthebox.blogspot.com/ The History channel is doing a special on military blogging. You might want to check it out.

BAND OF BLOGGERS on the History Channel on Friday, 11/9, at 8 PM ET/5 PM PT; with an encore presentation on Monday, 11/12 at 6 PM ET/3 PM PT. Check out this very special hour and support our troops! You won't be sorry.

"Explore the impact of blogging as a new medium for immediate and raw information. In the midst of modern day combat examine the unfiltered and raw evolution of military blogs and bloggers. Listen as soldiers who during their recent Iraq deployments reflect on the important connection they had with their blogging and how the band of military bloggers has revolutionized the way we understand combat. Experience firsthand, unfiltered accounts of the pain, the hardship, and even the simple beauty found in Iraq; stories that often go unseen in the media's coverage of the war."

Tuesday, May 20, 2008

Climbing The Ghar

"Today is your day! Your mountain is waiting. So. . . get on your way. "

-Dr. Seuss US author & illustrator (1904 - 1991)

I went to the post office last night after dinner and, I am not kidding, I had about 30 different care packages waiting for me. It was very overwhelming. The people over at the post office usually want you to open your packages before you leave to make sure that no contraband is being shipped to you. This time when I asked if I should open them up the person jokingly said, "No, just take them... just go!" I smiled and laughed. The last thing he wanted was to wait for me while I opened up all 30 of my boxes. I had to make 2 trips back to the office with the help of a dolly. Boxes were falling everywhere because the cement is full of pot holes. Random people were grabbing boxes as they fell helping me out. It was a funny site. Here is a pic. You really cannot appreciate the number because there is a whole back row that you are not seeing.

The majority of the boxes were toys and medicine that was sent for children from the Zonta Club of Marathon. I need to google them to find out who they are and them send them a really big thank you note. I also got a few care packages from very wonderful soldier support people back home. We got sent a a ton of games- scrabble, chess, dominoes, different magazines (about 30), and way too much candy and snacks. If we were to eat all of the candy that people sent us we would not be able to fit into our uniforms. Everyone, thank you all very much for everything. I have a Community Medical Assistance (CMA) coming up and I plan to distribute all of the toys, medicine, and some of the candy to the local underprivileged children. I will be sure to take plenty of pictures.

I also received another package of letters from the Middle School in South Carolina. I tried to load a web cam thank you video with a bunch of Q&As but the file was too big and it took too long to upload. Let me work out the kinks. I promise to have the video technology perfected sometime in the near future. Stay tuned. I also bought all of the students nice presents at the bazaar today. I will not say what I got them since I know some of them read this blog. It should take about 2 weeks for the gifts to arrive so be on the look out.

Today we climbed "The Ghar." The Ghar is a 1,500-foot rocky mountain that sits on the compound of the Kabul Military Training Center. It was really fun. The last 20 feet are the scariest. There is a very narrow part that you have to climb to reach the top. I just tried to not look down while I did it. The view at the top was spectacular. I took a ton of photos and loaded them onto a picture book on the right column. I encourage you to take a look. After we finished with the Ghar we visited an old Soviet military junk yard. We saw a bunch of old tanks and other vehicles. It was very interesting.



Thanks for reading. Take care.

Visit To Orphanage

"If my hands are fully occupied in holding on to something, I can neither give nor receive."
-
Dorothee Solle

This morning we convoyed over to the new clinic. Things are starting to kick into high gear. We are getting close to the big grand opening. Half of the the morning was spent moving stuff into exam rooms and the other half was spent meeting with the key staff. I have a new found appreciation for the weight of an autoclave. We are trying hard to encourage the new staff to take ownership of their clinic. We want them to start moving into their offices and to start rearranging the stuff the way they want it.

After we got back to Phoenix I went out again and went on a Humanitarian Assistance (HA) mission. We visited the Allahoddin orphanage. Before I describe the orphanage experience I have to mention the trip there. We road with a bunch of Army guys from Alpha Company. I was in the vehicle that they affectionately named, "The Beast." The entire way there they blared a loud and annoying siren. Normally when we convoy somewhere we somewhat blend into the traffic and, for the most, pass by unnoticed. This time everyone made a point of starring at us. There was this weird moment when we were stopped in a crowded market place. There I was wearing my big ski goggles and kevlar helmet peering out of this small, thick, bullet proof window from this heavily armored HUMVEE with a loud and annoying siren blaring. You could just tell that the people that were looking back at me had this strange expression like I was something very foreign to them. I felt like I was a space alien flying in in my little space craft looking out of my window starring at all of the humans. The humans were looking back at me with a strange expression because they had never seen a green alien with a third eye in the middle of his forehead. This was really the first time I felt this way mainly because we were drawing so much attention to our convoy. I am not criticizing the siren, it was actually very effective in moving traffic away, I just have not had that particular experience yet.

The first thing I saw when I pulled into the orphanage was the well that the U.S. installed during one of their previous HA visits. We actually have done a lot for this particular orphanage on previous missions such as painting the exterior of the building and rewiring the building for electricity. When we got there we unloaded all of our supplies. We brought with us a 5-ton truck full of toys, cloths, and blankets. All of the children came out of their dorms and lined up patently in 5 rows. I opened up a bag of jolly ranchers and handed one out to each of the children one by one. We were both studying each others face. We couldn't communicate very well but we were able to exchange smiles and laughs.

I was fascinated because they all had similar skin lesions. A lot of them had very large scars over their faces and really chapped cheeks. I brought over the interpreter who is, of course, also a physician. I asked him about the skin lesions and he said that it was the after effects of having once had Leishmaniasis a disease that is transmitted by sand fleas. Leishmaniasis is something that is extremely rare in the U.S.. As a matter of fact, I have only read about it in books and here 25% of the children at this orphanage have been afflicted with it. The interpreter also said that the abrasions over their cheeks were due to dry skin. I asked him if it was eczema and he said, no, just dry skin. We need to work on getting them some moisturizers.

Take a look at this little girl. No matter how hard I tried I could not get her to smile.

Doesn't it just break your heart. I posted a bunch of pics. There were so many incredible cute kids. I wanted to bring them all home with me. It is so much harder when you have kids yourself. I saw so many little girls that are my daughter's age. The cutest thing was watching them carry the blankets, jackets, and toys back to their rooms. They were so overloaded that they could hardly carry it all.

Today was probably one of my best days in Afghanistan. The quote up top is so true. I am going to try and do more community service when I get home. It truly brings a fulfillment that is unmatched by anything money can buy.

Thanks for reading.

Monday, May 19, 2008

Rambo

"Speak the truth, but leave immediately after."
-
Slovenian Proverb

I have been working on my blog a lot lately. I have decided I need an editor. It is so funny because I will write something that, at the time I am writing it sounds funny and clever, then when I read the same thing one week later I will say to myself, what was I thinking that sounds really stupid. Anyways, I think my new tag line should now read- New from Shazdoc Inc., 6 Months In Kabul Version 2.0- now with 50% less misspellings and grammatical errors. You see, I am going to read that line one week from now and think that it is really stupid. Oh well.

I also would like to thank the creator of the blog A*W*A*C*, Capt Traverso, for mentioning my blog on his site. He is responsible for a lot of the traffic on my site. If you are ever cruising the blogasphere pull over check out his site, here it is:

http://traversa.typepad.com/

Today I thought that it would be a great to get a picture with Rambo. For those of you that do not know, Rambo is somewhat of a legend in these parts. I really can not do him justice in explaining his contributions to Camp Phoenix. I will refer you to the USA Today Article that I have linked. I first heard about him over at Fort Riley. It was during my anxious phase of the predeployment period. When I was inquiring about the security over at Camp Phoenix someone told me, don't worry there is a local Afghan named Rambo. He stands at the gate and makes sure that no one bad gets it. At the time I thought to myself, are they kidding? How is one guy going to protect the whole camp. We even had an ongoing joke whenever I mentioned any security concerns, Maj Martinez would say in a loud tone, "Don't worry, Rambo will protect us."

http://www.usatoday.com/news/world/2007-03-08-rambo_N.htm

Rambo's wife and one of his children were killed when a rocket that was shot by a Taliban member hit his home. He was a truck driver and security guard for a transportation company that existed on the land that the U.S. bought to build Camp Phoenix in 2003. He has been here ever since. The incident that made him famous was back on 1/16/07. A suicide bomber driving a Vehicle Borne Improvised Explosive Device (VBIED) had entered the gate of Camp Phoenix and he opened the driver's side door and pulled him out of the car before he could detonate his explosives. Rambo was even mentioned by President Bush in a national speech.

Here is the familiar salute that everyone receives when they return from a convoy and reenter the base. Thanks for reading.

Sunday, May 18, 2008

Happiness

"Money never made a man happy yet, nor will it. There is nothing in its nature to produce happiness. The more a man has, the more he wants. Instead of its filling a vacuum, it makes one. If it satisfies one want, it doubles and trebles that want another way. That was a true proverb of the wise man, rely upon it; 'Better is little with the fear of the Lord, than great treasure, and trouble therewith.'"

-Benjamin FranklinUS author, diplomat, inventor, physicist, politician, & printer (1706 - 1790)

"Happiness is as a butterfly which, when pursued, is always beyond our grasp, but which if you will sit down quietly, may alight upon you."
-Nathaniel HawthorneUS author (1804 - 1864)


Today we took a different route to get to the clinic and I drove the lead vehicle. This past week I have really had a chance to see a lot more of Kabul and I am sort of feeling guilty because I had developed my impression of Kabul based solely on the not-so-nice parts that I have been seeing. Just like any city it has it's good and its bad, unfortunately, it has just taken longer for me to see the nicer parts. There was actually a moment today when I was driving home and I said to myself, "I could live here, this place is not so bad."

Driving around the streets of Kabul you get this sense that the city is so full of life. There is always a ton of people walking around. There are little makeshift shops everywhere. People are on the sides of the streets pushing carts selling bananas, pomegranates, french fries, etc. Children are everywhere. Where I grew up in Southern California you needed a car to get anywhere because everything was so far and spread out. People went about their lives in their own little world. I am not exaggerating when I say this, where I grew up in Woodland Hills, California, I could not have even been able to identify my neighbors if I passed them in the supermarket and I lived there for 8 years!

Over over here in Kabul people are out and about. There is a real sense of a community. I have spoken with a number of interpreters and they have all told me the same thing that their families are not spread out all over town. They all live together in large compounds with all of their extended families around them. In Kabul they may not have a Starbucks on ever corner and they may not all live in a big homes with a green lawns but they have something more important, such as close knit families, friends, religion, and community. These are all things that money and prosperity can not bring.

I found this great article on the topic. I highly recommend reading it. It also allowed me to figure out why I liked blogging so much- it is because of the "flow" it creates. Read it and you will understand.

http://www.yesmagazine.org/article.asp?id=866

When we arrived at the new clinic there was this awkward but funny moment when I said hello to the person in charge. I knew that he always likes to kiss on both cheeks whenever we meet and I was prepared for this greeting. This time I made him laugh because I think made to loud of a kiss sound. I think I got it down now. You just have to touch cheeks and not really kiss. They don't teach you this stuff over at Fort Riley. Today he also called me the "quick doctor." He said that he can always understand what LtCol Johnson is saying when he speaks but he can never understand anything that I say because I talk too fast. I just assumed that the interpreter would translate everything that I said and that why I have been talking so fast.

About 15 of the key staff showed up and it was a very interesting experience. Talk about herding cats. I basically went from room to room with the blueprint of the clinic in hand telling, or I should say recommending, which office was going to be theirs. It was a funny kind of experience that only someone that has grown up in an Italian household can appreciate. When Italians communicate they do so in a somewhat loud and animated manner, hand gestures and all. To the casual observer it would appear that a normal conversation is a heated argument. When I was growing up I can recall having to warn my friends that would come over for dinner so that they wouldn't think that we were arguing at the dinner table because it was our normal way of speaking. Afghans are very similar. I would stop in front of a room and say something like, "this is where Anaesthesia is going to be." The Anaesthesiologist would pause, look at the room, then look at the clinic commander and the interpreter, and then they would proceed to discuss it's size and location back and forth for 4-5 minutes. I am sure that it would be no different opening a new clinic in the states. As a matter of fact, I'm sure that it would have been much worse.

After about 10 minutes of discussing the room the Anaesthesiologist turned to me and asked, through the use of the interpreter, the location of the mechanical ventilator. I kindly reminded him that it is supposed to be an outpatient clinic. He somewhat persisted so I asked him what he is using now at his current clinic. He told me that he is using a small ventilator. I told him that he should bring it over to the new clinic and continue to use it. He thought about it for a second and then he shook his head and smiled with satisfaction. LtCol Johnson patted me on the back for that one and told me I did a good job.


After the clinic visit we visited our friends at Camp Eggers and had a productive meeting. Tonight I will need to go to bed early because we will be doing CMAs for the next 2 days. It should be an interesting experience. I will be sure to take plenty of pictures.

Thanks for reading.

Saturday, May 17, 2008

CMA

"Your manuscript is both good and original, but the part that is good is not original and the part that is original is not good."
-
Samuel Johnson, (attributed)English author, critic, & lexicographer (1709 - 1784)




Today we did a CMA (Community Medical Assistance) project in a remote village in southern Kabul. It was a great opportunity to give out a bunch of the donations that we received. A ton of 6 M.I.K. 2.0 readers have sent me medical supplies, toys, candies, and school supplies. I loaded a picture book on the right hand column where you can view a lot more of the pics from today. I encourage everyone to continue sending me stuff. I will personally hand deliver them and always include pics. These 2 children below were some of the ones that benefited from your kindness.

Seeing patients today was definitely a challenge. I heard an appropriate analogy yesterday that is very applicable to today's situation, it was like drinking water from a fire hose. It felt like the entire village came out to see us. I believe we saw about 3,000 patients. We expect to see the same number tomorrow. The CMA was actually suppose to be an Afghan National Army CMA. They were supposed to be running the show and we were suppose to just help out where ever we were needed.

There were 4 tents, 2 for women and children and 2 for men. I worked in one of the women and children tents. There is a real delicate balance that you have to strike when seeing patients in these kind of conditions. We were seeing patients in a dirt floor tent, with no labs, no x-ray, and a limited supply of meds. There is not much that you can accomplish unfortunately. There is a mantra in medicine which is first do no harm. You really need to understand your limitations and not try and overstep your bounds. For instance, just about every older adult had blood pressure that was through the roof (yes this is an official medical term). You will not be helping them if you just give them just 3 days worth of blood pressure medicine because hypertension is a disease that needs to be managed over time. It would be harmful to give someone medicine to abruptly lower their blood pressure just to have it rise again 3 days later when they run out.

Unfortunately, a lot of what we saw today were chronic medical conditions that really needed to be managed in a clinic with regular close follow-up care over many months. My goal was to alert them of the problem and to encourage them to seek proper medical care.The only problem is when I suggested this their answer was always that they had no money and therefore did not have access to care.

I saw some children that I would have referred to an ER right away if I were in the states, but instead, they were left to walk back to their home barefoot. For instance, there were a couple of children with serious heart problems, probably ventral septal defects, this boy pictured below was one of them. He was as cute as could be. He had the classic "machinery mumur" on exam. I am going to try and make an effort to see if I can get in contact with a charitable organization to see what we can do to help him. He really needs to be seen by a peds cardiolothoracic surgeon. If anyone out there can help, ie., if you have any contacts, please let me know. You would be saving a life.

I saw a number of cases that I have never seen before. I saw a bad case of spina bifida. I also saw a young child that had the after effects of infantile polio. Obviously, there was not a lot we could do for them but we still tried our best to show our care and compassion. When we could we referred them to a local hospital out in town.

Another interesting thing I encountered was attempting to interview and examine a patient in a burka. There is a strict custom that dictates that all women wear a burka or atleast cover their head when they reach puberty. How strict this is followed depends on where you live. Usually the further you get from the city the more strict they are. It was strange peering outside the gate and just seeing the sea of burkas. I can specifically recall this one patient that the Afghan interpreter saw. She was being seen for arm pain, knee pain, and stomach pain. The interpreter said to me, you see, this is osteoarthritis, it is because she weighs too much. I looked at the patient who was completely covered with only her eyes showing and I thought to myself, "how can you tell?" But again, we were not there to cure any diseases we were mainly handing out over-the-counter medications along with antibiotics and it was not meant to be a comprehensive exam.
I expect more of the same tomorrow. Again, I wanted to thank everyone that has sent in meds, candy, and supplies especially the Zonta Club of Marathon (Marathon is a city in Florida). They must have sent about 20 boxes full of stuff. Some of the boxes cost $30.00 just for shipping.

Take care and thanks for reading.

Friday, May 16, 2008

Day 2 of the CMA and Happy Halloween!

"One of the first duties of the physician is to educate the masses not to take medicine."
-Sir William Osler, Aphorisms from his Bedside Teachings (1961) p. 105British (Canadian-born) physician (1849 - 1919)


If yesterday was like drinking water from a fire hose then today was like drinking water from a fire hose that was connected to the Hoover Dam. I think everyone we saw yesterday told all of their family and friends to come today to be seen. It was like nothing I had ever seen. Around noon, after a very tiresome morning, I turned to the interpreter and asked how many more patients needed to be seen. The interpreter replied causally, "About 500." I smiled and shook my head. The people that we were seeing were the poorest of the poor. It did not matter if they were sick or not, they were going to be seen by a doctor because this was their one and only chance.

I actually treated some sick people today. One child was having a respiratory illness along with an asthma attack so we treated her with an inhaler, antibiotics, and prednisone. Another child had an abscess that needed to be lanced and drained. An older lady came in crying saying that she was very weak because she had not eaten for 5 days. I gave her IV fluids and one of our MREs. I saw more cases of Leishmaniasis. This one girl had it over a large portion of her cheek. I provided her with a referral to be seen at a specialty Leishmaniasis clinic. Usually if you give them a U.S. referral slip they are able to be seen because if they don't then we will stop donating supplies to the hospital.

I am going to reiterate the challenge of examining someone in a burka again. A very common complaint among middle aged women was pain- back pain, leg pain, neck pain. Initially, I would respectfully ask if I could interview them with the burka over their head. They would occasionally decline or act very uncomfortable at which point I would insist that they keep it on (they are always fully clothed underneath). I then would ask if I could examine the area that hurt. They would of course decline. So I literally had no idea what they looked like and, more importantly, what their area of pain looked like. Also, most people did not know their age either so I did not even know how old they were. For the most part, I gave them Motrin then recommended that they be seen at a local clinic for further care. What else could I do?

It was heart breaking examining some of the children. The huts that that they live in do not even have running water and they rarely bathe. I can recall this one child that was having leg pain. When I examined the leg he was bare feet and his legs were caked in dirt. It was very sad. I started to see a number of the children with similar problems- back and leg pain. I asked the interpreter, "Are these children pulling my leg? Why do they all have the same problem." He said, "Yes, they all just want some medicine."

A mother brought in her 7 year-old child who she said wet his bed every night. I asked if he had stomach pains, fever, pain with urination, etc. I did an exam and it was normal. I then proceeded to counsel her on limiting fluid intake and along with other conservative treatment measures. After I was done her story changed, the boy was having fever, pain with urination, and abdominal pain. Again, I just smiled and shook my head. I did not have any labs to help me out. I treated him as if he had a urinary tract infection and then I referred them to a local clinic for follow-up care.
Another problem I had was I wanted to hand out out a bunch of the toys and candy that was donated from people back home. It was very tricky because there were literally thousands of people waiting in line so, for one thing, I did not have enough for everyone and, second, if I were to start handing them out it would have created a riot. I waited until the very end right before we left to hand them out. It still created a mini riot but it quickly abated after all of the children with toys ran away. I learned a lesson that day, I will only give away donations to much smaller groups next time.

I almost forgot that it was Halloween. There is a comedian performing in the gym. It has been a long 2 days and I am feeling under the weather so I am going to go to bed early.



Happy Halloween and thanks for reading.

Thursday, May 15, 2008

Zonta

"I believe in getting into hot water; it keeps you clean."
-G. K. ChestertonEnglish author & mystery novelist (1874 - 1936)

Tonight I thought that I would highlight an organization that has sent me so many toys and supplies, the Zonta Club of Marathon Florida. I did a little research and I learned a little bit about them. I copied this from Wikipedia.

"Zonta International is a global organization of executives and professionals working together to advance the status of women worldwide through service and advocacy. The first Zonta Club was founded in Buffalo, New York in 1919. Currently, Zonta International is headquartered in Chicago, Illinois. The organization has over 30,000 members in 67 countries.
Zonta is well-known for its Amelia Earhart fellowship program, founded in 1938 in honor of Amelia Earhart, who was a member of Zonta Clubs in Boston and New York. The fellowship provides funds for women to study aerospace science or engineering at the post-graduate level. The organization also awards the Jane M. Klausman Women in Business scholarships to students entering the third or fourth year of a business-related undergraduate degree program, and the Young Women in Public Affairs Awards, which recognize pre-college women aged 16 to 20 and encourages their public service."

I have to mention something a little funny and I hope that they do not get offended. I have to post a picture of one of the stuffed animals that was sent by them.
Let's just say that this little guy will be coming home with me. There will be no international incidents started on my watch. My daughter will be very happy to get this new stuffed animal.

We will be doing a Humanitarian Assistance mission for a local school later this week and it will be a great opportunity for me to deliver a lot of the school supplies that I have received. Someone from Waynesboro Virginia sent me $50.00 worth of school supplies.

Tonight I received pictures of my children in their Halloween costumes. They looked adorable. As I mentioned previously, my daughter was dressed up like a a cat. My son and my wife had a shared costume which was themed after one of the episodes of The Office. I will spare you the details.

Lastly, I wanted to reiterate the purpose and goal of my blog. I have been getting a lot of mixed feedback lately. I think because it is starting to grow a little too big. Originally, it was intended to document my experience during this deployment and it was meant mainly for my family and friends at home to read. It has since evolved from being mainly about me to more about the good that is happening in Afghanistan and also about our supporters back in the U.S.. I want to be able to highlight all of the positive things that are taking place over here. My pool playing and the kiwis that I ate for breakfast just did not seem as intersting and as important as compared to the things that the military is doing over here and what the people back in the states are doing for us over here.
Before this deployment I had no idea that there were so many wonderful and caring people that have done so much for our troops. A group of ladies knitted over 500 hats, socks, and scarfs for the Afghan orphans. When I saw that huge box full of hand made winter cloths, I just shook my head with disbelief and amazement. The amount of work that must have gone into producing all of that cloths was just amazing. Similarly, there is a Soldier's Angle that I have been in contact with for a couple of weeks through email that started asking schools in her state to write letters to deployed soldiers. Through her effort she has received something like 50,000 letters. Just today she wrote me to tell me that there was another big box full of letters on her door step.
Similarly, there are thousands upon thousands of servicemen and women that are over here making a huge sacrifice by being away from their families and loved ones for upwards of 15 months, risking their lives on a daily basis, sometimes just to deliver toys and blankets to children in orphanages. This is important stuff and I want both of their stories to be heard.
I will not hesitate to edit and/or remove anything from my site that does not does not fit this mission. I want people back home and the soldiers deployed overseas to be proud of my site. No one should be allowed to complain that the media focuses only negative news from Iraq and Afghanistan if they themselves have not made an effort to be part of the solution. If I ever stop being part of the solution then you have my guarantee that this site will be discontinued. So please continue to give me feedback.
So thanks for putting up with my amateur writing and my corny jokes. Hopefully I can continue this blog and we can continue to spread the positive message. Thanks for reading.
Right after I wrote that last sentence taps came on on the loud speaker as it does ever night at 22:00 (10:00pm). It is obviously a very sad melody because it is played at every military funeral. Although, for me it is very soothing and comforting whenever I hear it every night before I go to bed.
I posted a link to a site with a .wav recording. Take a listen.

Tuesday, May 13, 2008

Afghanistan Community Service Idol

"I believe in courtesy, in kindness, in generosity, in good cheer, in friendship and in honest competition. I believe there is something doing somewhere, for every man ready to do it. I believe I'm ready, RIGHT NOW."
-
Elbert HubbardUS author (1856 - 1915)

"In accordance with our principles of free enterprise and healthy competition, I'm going to ask you two to fight to the death for it."
-Monty Python

Thinking about all of the wonderful things that people back home have been doing for people in Afghanistan and the troops that are deployed overseas has given me a great idea (I know, I am so modest). I thought that it would be kind of fun to host an American Idol type competition where I showcased various community service projects that people have done or plan to do, specifically projects that support our troops and/or people of Afghanistan. This will also be a great opportunity for me to install the voting box that I have been dying to use. The winner of the contest will get a framed certificate signed by me along with and a very special place on my blog. The competition will take place on Nov 30th. Please email me with any entries you may have. Don’t worry, it is ok if you submit yourself.

Some ideas that you may want to consider is starting a 5K race and donating the proceeds to a local Afghan charity. Organizing a cookie drive for troops deployed downrange. Starting a children’s cold weather cloth drive through your church. The possibilities are endless. Be creative and more importantly make sure that you have fun doing it. Just for the record, I am not exempt from this competition by any means even though I am putting it on. I am working on an awesome community service project that will benefit local Afghan children. It will be hopefully be something that will be able to sustain itself after I leave here. I am going to have to keep you in suspense for a while until I get the details worked out. I am still in discussion with KBR, the Base mayor and some other folks out in town. I will keep you posted.

So without further adu, let’s start our first… (Dramatic pause)…..Afghan Community Service Idol….. (Cue the music).

Our first contestant is named Pink Country Girl (yes that is the name she provided on her email). She is a cousin of an Army Combat Medic stationed at COP near FOB Rustamiyah in Baghdad. She is currently sponsoring 2 soldiers through Soldier’s Angels. She has taken it upon herself to start a community service project where she asks businesses to donate medicines which she then sends to deployed soldiers in Iraq and Afghanistan. I have been the lucky recipient of one of her many packages and I have distributed them during the CMA that I participated in. The medicines that she sent were all high quality over the counter pharmaceuticals made by Perrigo Co.. They were donated by local Future Farmers of America alums. Additionally, the youth group that she is a part of is currently sponsoring 12 soldiers deployed overseas. Her quote is, “May the Lord bless and keep you for all that you are doing for the troops and the Iraqi people.” I am waiting for her permission to post her picture.

Lastly, I also have to mention, what is just as important as doing these community service projects is advertising and promoting them. I will be starting to write articles in an official air force capacity very soon. I think the first article that I will submit for publication will be on the HA school mission that I will be participating in later this week. Whenever an article gets published I will link it to the right hand column the right hand side so it can be showcased.

So do not forget to send in your submissions. I look forward to reading them.

Thanks for reading.

Monday, May 12, 2008

VFW

"We find no real satisfaction or happiness in life without obstacles to conquer and goals to achieve. "
-
Maxwell Maltz, Communication Bulletin for Managers & Supervisors, June 2004

The highlight of my day was getting to eat local Afghan food. I am keeping my fingers crossed that I will not get sick. I ate a kabob sandwich. It came wrapped in newspaper. The meat was spicy and delicious. The best part was the bread, otherwise known as naan. Naan is a very important part of Afghan meals. You see people carrying it in the streets and it being sold in shops throughout Kabul. It is absolutely delicious.

In today's post I thought that I would discuss what my community service project is in an attempt to encourage more people to submit theirs. A few days ago I thought to myself what a waste it was that we throw away so many plastic bottles and aluminum cans at Camp Phoenix. Most people over here drink about 5 bottles of water a day. I drink about 3 cans of soda. It all really adds up. Not to mention pollution is a really big problem in Kabul. I heard someone say, you can almost taste the air. As I have previously stated, instead of complaining about problems it is more productive to be part of the solution. So yesterday I was searching the internet trying and find a place that recycles aluminum cans and plastic bottles in Kabul. I had this idea that we could recycle the cans and plastic bottles then we could donate the profits to a local charity. While I was searching the web I came across this article.

http://www.defendamerica.mil/articles/sep2007/a092607ls1.html

Bagram Airfield is another FOB in Afghanistan. Coincidentally, they recently instituted a recycling program. According to the article they were burning 35,000 plastic water bottles and 2,000 cans a day! This program not only recycles the bottles and cans which helps in reducing air pollution but, additionally, it also creates local jobs that help the economy. As an added bonus the government saves money because of the reduced trash load that the civilian contractor has to process. It is a win-win-win situation.

I contacted the person in charge of the program late last night. We must have sent 5 emails back and forth to each other in a 5 minute period. It turns out that the contractor that picks up the recyclables at Bagram is based out of Kabul. After I got back from our clinic visit today I visited a number of different offices proposing the idea. Everyone I spoke to was very positive. We will see how it goes. I do not want to be overly optimistic but I think that it may have a chance of being implemented. We will have to see. I will keep you posted.

This is an example of how you do not necessarily have to have a completed project to be considered for the Afghanistan Community Service Idol. You just have to have an idea that you are developing. Another important point that I have to mention is that my idea probably would have never have gotten off the ground if it was not for the Defend America news article. Just as important as doing the task is also advertising that you are doing it to raise awareness for your cause.

I am going to add a column to the right hand side of my blog that will be a link to all of the various articles on what 6 M.I.K. readers are doing. There may not be any right now but I am pretty confident that by the end of the month there will be a couple.

Also, just for fun, I will test out the voting box on the ACSI blog. Go ahead and give it try a try. I cast my vote already.

The next contestant to ACSI is a Veteran of Foreign Wars program called Operation Uplink. Operation Uplink is an innovative program launched in 1996 that provides free pre-paid phone cards to active duty military personnel and hospitalized veterans. Through the generous support of VFW and the Ladies Auxiliary VFW Posts and members, and caring citizens, VFW Operation Uplink has been able to distribute millions of prepaid phone cards. My entire team has been fortunate recipients of their 90 minute phone cards cards. One of the most important parts of my day is when I phone my family in the morning. It is the fuel that drives my engine during the day. You can not put a price on the gift that Operation Uplink provides. They are doing a great service on a very large scale. Here is a link to their website.



There is a VFW post very close to my home. I will have to visit them when I get back home and say thank you in person. I also hear that they serve cheap beer which will be an added bonus.
Thanks for reading.

Sunday, May 11, 2008

Soldiers' Angels

“I am not young enough to know everything.”
-Oscar Wilde Irish dramatist, novelist, & poet (1854 - 1900)

Today I received another care package from my favorite group of students over in Gaffney, South Carolina. They sent a bunch of great letters along with toiletries and even a Frogger PC game. I think I have enough toiletries to last me a whole year. I also received more packages from Zonta Club of Marathon- a lot of school supplies and candies for children. I tell you what, the Zonta Club of Marathon has really done a tremendous job sending me a lot of high quality school supplies, candies, and stuffed animals. Today I gave out one of their boxes. As I previously mentioned, from now on I will only hand out gifts to people on an individual basis. I am going to avoid the crowds and the chaos that it brings. It is so difficult because there is such a huge need but I guess we can only do so much.

Someone also sent me a PC game of Mahoung. I have never played it but I am looking forward to learning. I am getting behind on my thank you letters. Maybe I will work on them tonight.

It looks like we will be moving soon. Of course, I will not go into any of the when and where details yet for security reasons. I am feeling a little sad tonight because there is a lot that I will miss about this place. It has become my home. I have gotten to know a lot of people and I have developed somewhat of a routine. I will be able to forward any mail that is being sent to the Phoenix address so it will not be a problem if something is in the mail. I will give you all an updated mailing address when I get there. There is internet connectivity so I should still be able to continue my blog when I get there.

Someone from the Wolf Pack made this amazing 15 minute movie of the CMA that we did last week. It is a combination of short videos and photos set to music. I believed he used Microsoft Movie Maker to make it. It is really well done. I am trying to upload it to my blog but I think that it will be too big and will take too long to view. It is currently at 14%. I am going to let it upload all night. I would be more then happy to burn it to a CD and send it to any 6 M.I.K. readers for free if you would like to view a copy. Consider it my gift just for reading my blog : ). I will also be sending copies to people that have donated stuff for the CMA. Get your Kleenex ready because it is a real tear-jerker!

The next Afghan Community Service contestant that I wanted to feature on the ACSI blog is Soldiers' Angels. It is really hard for me to list all of the wonderful things that they have done for me and my team. I have received numerous care packages and letters expressing support and appreciation from people back home because of them. The amount of things that they have sent us is just too much to list. From the shampoo that I use to wash my hair in the morning to the underwear I am wearing. Sorry, was that too much information. Just last week I got an email from them asking if I wanted to participate in their new EPal program. I now regularly communicate with email supporters back in the states.

I copied this summary directly from their website.

“Soldiers' Angels is a volunteer based, 501(c)(3) non-profit organization founded by Patti Patton-Bader, mother of Sgt. Brandon Varn, who recently returned home from a years deployment to Iraq. Soldiers' Angels is a national organization with members in all fifty states and Puerto Rico, and several friendly countries who support our brave men and women in uniform as they carry out their mission. Soldiers' Angels was incorporated in the state of Nevada in June of 2003. Soldiers' Angels mission is to provide aide and comfort to the men and women of the United States Army, Marines, Navy, Air Force and the Coast Guard and their amazing families. The slogan describes the motivation behind Soldiers' Angels. By working together and sharing a common vision of service, the volunteers of Soldiers' Angels send care to deployed soldiers and their loved ones at home.

To date our volunteers have sent tens of thousands of care packages and hundreds of thousands of letters to our deployed heroes; we have helped those who have been wounded with our First Response Packs directly at the Combat and Support Hospitals (CASH) and at the major hospital in Germany, as well as providing care and comfort to those who are now in our military hospitals here at home; we have provided aid to military families in need; we have provided flights to soldiers on leave or in emergency situations and to their families to be with their loved ones upon return from Iraq and Afghanistan; we have provided level III KEVLAR Armor blankets to provide our heroes with some protection in their vehicles when it was needed; we help to honor the families whose loved ones have paid the ultimate price for our freedom and safety. This and much, much more has been accomplished by the many volunteers of this organization with the assistance of our generous supporters on behalf of the grateful citizens of the United States of America.”From its very inception, the focus of Soldiers' Angels has been: “Helping to bring home healthy soldiers.”

Here is their website:

http://soldiersangels.org/



Thanks for reading.

Saturday, May 10, 2008

Have a Rainbow of a Day

"Change is the process by which the future invades our lives."
-
Alvin Toffler

Today during our convoy we actually saw a man pulling a decorated camel on the side of the busy surface streets. Whenever you drive the streets of Kabul just about every corner has a site that causes you to shake your head in surprise. Whether it is 5 kids hanging their legs out of a open car trunk of a moving car, or people piled on top of a roof of a bus because it is too full, to a beggar literally sitting in the middle of a busy street in the same location everyday, to freshly skinned goats with abnormally large dariers hanging from ropes outside of shops, to jingle trucks that are stacked amazingly high with almost anything you can imagine, to an old guy riding a bike with the fur of 10 freshly skinned goats hanging from the back. There is always one surprise after another.

Another interesting thing that you see when you drive are these huge really nice buildings that are wedding halls. One of them is ironically called the Kabul Paris Wedding Hall. Speaking of wedding halls, I thought that it would be interesting if I discussed how men and women get engaged in Afghanistan. For one thing, there is no such thing as dating. Usually when men are in their mid 20s the first thing they must do is save up for the wedding ceremony. Wedding are a really big deal over here. A lot of people are invited (like 2,000) and a lot of money is spent (I have heard one interpreter tell me that he spent $17,000). Considering the average salary is $100.00 a month, that is a lot of money. When a man likes another women the usual protocol is to approach your parents and let them know that you have an interest in someone and would like their approval. The man's parents then approach the women's parents to seek their approval. If both parents are in favor of the marriage then you have a match. I know it does not sound very fair for the women but her parents obviously look out for their daughter and, for the most part, want her to be matched up appropriately with someone that is worthy of their daughter (or at least I hope they do). What is also interesting is how low the divorce rate is. At least according to the interpreter, divorce is very rare over here.

I will list some other random interesting info that I learned from my interpreter today. The emergency phone number is not 9-1-1 it is 1-0-0. I pointed to a building that on the outset appeared somewhat run down, I asked the interpreter if it was considered a nice place to live. He informed me that wealthy Afghans live in these high rise condos and that they are actually very expensive. The main reason is because they are a lot safer then ground level homes. He said that people do not go out at night because of the crime.

For some reason I was also surprised to learn that they have a a fire department, weekly trash pickup, cable TV with 40 channels, banks (they do not use ATMs or credit cards). He said that they have a few ATMs in Kabul but they are not commonly used by Afghans.

Today we made a lot of progress at the new clinic. We basically had the entire staff over and they were all working diligently moving furniture and setting up their offices. There was a moment today when I was standing on the second floor in the midst of all of the commotion and noise of people moving furniture all around me. I just had to stop and smile with satisfaction. I thought to myself, "Ahhh, the sweet sound of progress being made." You can just tell that the staff are all excited and motivated to start working in their new clinic. This will be a huge improvement for them and they should be proud at how far they have come.

When I got back today I had 2 large packages waiting for me. Someone from Plano, Texas sent 75 knitted caps in all different colors and patterns. Can you believe it?!? She did not include a letter so I do not know if it was done by one person or a team of people. Let's stop and think about it. It probably takes 1 week to knit a single cap. Did it take her a year and a half to knit all of the caps? Just thinking about the time and effort that went into them is just amazing. When I put one of the caps on I noticed that there were also little notes inside many of them. Here is what some of them said:

Each stitch a prayer for your safe keeping.

May your guardian angle be at your side.

Each stitch binds us together with love.

The shipping alone cost over $25.00. How do you thank someone for a gift like this?

We also received a very nice Thank You card with a 75 minute phone card in it from someone in Euclid, Ohio. She had a great quote, I hope she does not mind if I print it, "Have a rainbow of a day." I think that it is physically impossible to say that phrase out loud without having a smile come to your face. I liked it so much that I made it the title of today's post.

So, try it out, tell someone tomorrow to have a rainbow of a day tomorrow. See if it brings a smile to their face. I bet it will.

Thanks for reading.

Bread House

"When you have only two pennies left in the world, buy a loaf of bread with one, and a lily with the other."


Today we intended on going to the clinic but we had to postpone our trip because there was a student protest taking place nearby. When we went to meet the Wolf Pack we decided to stop over at the Bread House to buy some naan. As I previsouly mentioned, naan is an important part of every Afghan meal. One of my officemates described it as tasting like pizza dough. I uploaded a video up top of them making it. Here is what their shop looks like:


Here is the inside of the shop:

One person hands the dough to another person who spreads it out on a long board. He then places the long board within a fire pit that is dug beneath the ground. When inside the hole the board is slapped against the wall and it gets cooked. After it is ready someone else hangs it up against the wall. Watching them is like watching a well oiled machine at work. All of their movements seem automatic. For $1.00 we bought about 5 huge pieces of naan. Here is Bruce with his naan.


Parked nearby was a jingle truck. I have mentioned these briefly in past posts. This was the first time I was actually have been able to get up close and take a picture of one. Take a look:



You see these trucks everywhere. I am not sure why they add all of the eleborate decoration but it looks really neat.

The next person that I would like to feature on ACSI is an EPal of mine. I will call her by her email name which is proud guard wife. She started a letter writing capanign after she read an "Angle Alert" about a chaplain who wrote about how over 1,100 Army and National Guard soldiers' morale was really low. She wanted to write all 1,100 of them but she knew that it would be too much work for one person. She then reached out to principals in North Carolina and then took it to the other 49 states emailing and/or faxing every states superintendent or comissioner of education. Only 6 states have participated so far and she plans to reach out again to the local and state level. She says that she simply wrote the request and that they were the ones that made it successful. To date she has received box after box of mail along with care packages. I belive she said she has received 50,000 letters to date. She also received a yo-yo for someone's uncle who is "....somewhere out there." It came with a note that said, "Will you please see that he gets it." She is working on delivering all of the letters. She says that she is currently "taking a big breath as we get ready to wrap up this phase of it." All of her efforts are done with her own funds. To complicate matters someone just stole her purse last weekend along with over $100.00 that was suppose to go towards her soldiers' support project. She is even trying to write to all 1,100 Army and National Guard Soldiers in Iraq. She tells me that she is about a third of the way through.

Thanks for reading.

Friday, May 9, 2008

Pure Ghee

“Don’t rush to act on great ideas. Great ideas are like colds; it takes a few days before you realize you have a bad one.”

-Shazdoc, physician, Afghan mentor, amateur blogger

I have to apologize in advance for the quality of my blog. My writing staff is currently on strike. Regarding my quote, the Afghan Community Service Idol idea no longer sounds like a very good idea anymore. I am just going to rename it Shazdoc Spotlight on U.S. /Afghan Community Service Projects and continue to feature projects every so often . I have had other stinker ideas recently as well. I had a "great idea" to sponsor an Afghan family during Christmas realizing shortly after that they do not celebrate it of course. I asked the interpreter today if they celebrate anything similar in December and he said that there is a “Big Eid” that takes place during the first week. So if I find the right family I may set up a Big Eid Drive for an Afghan family.

Yesterday I added a few new features to my site. One is a depot for all of my Afghan videos since I now know how to load them. Today I included a short clip of the orphanage visit. I will try and get more footage. It will be a multimedia Kabul blogsperience. Just be happy that I lack the ability to upload smell because I would not hesitate to upload the scent of burning tires just to make it more realistic. I also added a Shazdoc news article site. So far nothing has been published but I have a few things in the works so standby.

I saw a billboard today that made me laugh. Here it is:


Apparently Ghee is a vegetable substitute for animal lard. It is used in place of animal lard which is essentially pig fat and Muslims are prevented from consuming any pork. The words, perfect taste and perfect flavor, just seem ironic when you consider that they are describing vegetable lard. To me Ghee almost sounds like a bad word. I picture someone saying, “I think we are in some deep ghee!”

Today we met at the old clinic and had a very productive meeting. We were treated to Kabobs at lunch. It was a very special occasion for them. They mainly eat rice for lunch so eating Kabobs is a really big deal. Here is a picture:

We each had our own big plate. Of course, it came with naan. We also learned how to correctly say, “How are you,” which is, “Chetor asti.” Not to be mistaken for, “Shetor asti” which means, “You are a big camel.”

Coming home we had to take a big time detour because they were flying in some of the dead and injured from yesterday's bombing. It is all very sad to think about. I hear a lot of children were killed and injured. The violence just does not make any sense to me. I hear that Hamid Karzi has declared 3 days of national morning. I am not sure how this will effect our travel. We will have to see.

Check out the orphanage and the bread house video if you have not already see them. I should be adding more in the coming days. Thanks for reading.

Thursday, May 8, 2008

Pol-e Charki School Visit

“Never raise your hand to your children; it leaves your midsection unprotected.”
-
Robert Orben

I just got back from a Humanitarian Assistance (HA) mission. We went to a school located in Pol-e Charki. All I have to say is that it was absolute pandemonium. It was definitely an experience that I will never forget. We pulled up to the school with 9 vehicles. One of them was a flat bed truck with 14 “inserts” on them. Inserts are large 5 foot x 5 foot cardboard boxes. The boxes were loaded with brand new cloths, shoes, and school supplies. I have to emphasize that although it was chaotic it was not angry chaos, rather, it was more like excited chaos. I would compare it to teenie boppers at a High School Musical concert kind of crazy. The children were all very nice and fun they were just all very excited to see us. When we got there we unloaded the flatbed truck and spread out into different parts of the school. I was assigned to the “primary school” which is grades 1st-5th which had about 1,300 students.


As you can see from some of the pictures in the photo book on the right column the school is not exactly in the best shape. I included a picture of the bathroom not to be disgusting but rather to highlight how primitive it really is. The bathroom is essentially a small hole in the ground. There is no running water or toilet paper and the waste is never removed. The class rooms were just as bad. They were basically empty rooms with old broken desks inside. Children were crowded inside sitting on the ground.

When we arrived it was orderly for about 20 minutes. All of the students were all well behaved staying in their classrooms. After we started handing out the shoes is when it started to get a little crazy. There was no way to make sure that every child got a pair of shoes. There were just too many kids. We made sure to reward a class that was really well behaved. We were able to give shoes to at least one entire classroom.


There were kids everywhere. I was surrounded by a large groups. They would ask me for my pen, my notebook, my watch. I kept saying “Estad sho” which is Dari for “stop.” I would also say “burro” which means “go.” Like I said, it was all done with a smile. I would smile and say “burro” and they would smile back and say “burro” right back. The teachers were just resigned to the chaos.

I felt really sorry for this little girl. She really needs a bath and some new cloths.


In all of the melee one of the kids split open his upper lip. I was able to suture it back together. I had very limited supplies so I was not even able to numb him up. I was so shocked at how stoic he was. The cut was located over a very sensitive area and he hardly flinched.

I am in the process of writing an article for the base paper. Today I felt like a real reporter. I had my pen and pad out and I was interviewed a teacher and some students. When (I should probably say if) it gets published I will make it available on my site. I am also going to try and upload some of the videos from today.

Thanks for reading.

Wednesday, May 7, 2008

Eat a Toad

"Eat a live toad the first thing in the morning and nothing worse will happen to you the rest of the day."
-Unknown

That has to officially be my favorite quote yet. Can someone send me some toads? I would like for that to be the worst thing that happens to me while I am here.

Yesterday someone mentioned that they were having trouble viewing the school album. I hope I fixed the problem. Let me know if you are still having problems. Those kids were something else.

Today was our "down day." We are not officially allowed to call it a day off because we are supposed to be on 24 hours a day, 7 days a week. I cleaned my rifle in the morning and I also got rid of a lot of unnecessary things in my room to get ready for the big move.

We had a ceremony for a fallen soldier today. It was the third that I have attended since I have been here. Please keep him in your thoughts and prayers tonight.

I will cut it short today since there is not much going on. We have a busy week ahead of us. It should be very interesting.
Thanks for reading.

Tuesday, May 6, 2008

4,297

Today we woke up to some more sad news that resulted in a "Coms blackout." 6 more soldiers died in Afghanistan. All I know is what I have read in the news.
http://www.cnn.com/2007/WORLD/asiapcf/11/10/afghanistan.nato.clashes/index.html

These 6 people are not just numbers. They are actual people with friends and families that were waiting for them to come home. Most of them were very young. I attached a link to a website that the Washington Post maintains. It has most of the pictures and very brief description of all of the people in the military that have died both in Afghanistan and Iraq. On this Veteran's Day weekend it is a good way pay tribute to them by reading some of their stories.
http://projects.washingtonpost.com/fallen/afghanistan/

I came across this condolence letter when I was reading a Guest Book of a fallen soldier. It just broke my heart.

http://legacy.com/WashingtonPost/GB/GuestBookView.aspx?PersonID=94265440

To the Family and Friends of this Soldier: I will stand in grief with this soldier's family to honor him. For every fallen HERO there is a bright star that shines in the evening sky to remind us of the cherished gift we were given – even if for too short a time.

My heart breaks again as I sign yet another guest book of another courageous young soldier who gave their life so selflessly. I wish I never found myself in a position to have to sign another guestbook for the rest of my life, but I promised Brent that neither he nor any like him would be forgotten and so I will continue until the day there is no longer the need.

We lost our son SFC Brent A. Adams on 12/1/05 and it seems like yesterday. I wish so badly there were things I could say to you right now to make the pain you are feeling go away, but I know first hand there simply are no words that will bring you the comfort and peace your heart aches for. Just know that you are not alone. My heart, thoughts, and prayers are with you all as you go through this tragedy moment by moment and as you mourn this loss.

We don't know each other, will probably never meet, but will forever be united in the loss of our Heroes. We have, unfortunately joined a group none of us wanted to join, an ever-growing group of families in this situation. May God grant you peace and strength to get through this and be able once again to smile at a memory rather than have only the tears that flow so easily now. To be so proud of your loved one and so saddened at the same time is a mix of emotions very difficult to deal with as our hearts both burst with pride and pain together.

I am sorry that I never knew your soldier personally. While they can never be replaced, neither will they ever be forgotten. You must trust that sometime, someday the loving memories you have will help to sustain you and help you go on. This courageous soldier will forever be your Angel watching over you all for the rest of your lives. It's what brings me some measure of peace and comfort and I hope it will you as well.

To his family and friends in pain, I offer this comfort: When you find yourself in that dark sorrowful place, think not only of how you will miss him, but instead recall the years, days, hours and minutes gifted to you by his presence. The one thing that cannot be taken from you is your wonderful memories that now will mean more than ever. If you ever want to talk, I'm only an e:mail away and would love for you to tell me more about your Hero.

God Bless this soldier and family who gave all and God Bless legacy.com for setting up this site where families can so quickly share their condolences and prayers with others like themselves.Proud Parents of SFC Brent A. Adams, KIA, 12/1/05, Ramadi, IraqPam and Bill Adams, Lancaster, PA"


"The least of learning is done in the classrooms."
-Thomas MertonUS religious author, clergyman, & Trappist monk (1915 - 1968)

My internet subscription ran out today and I am reluctant to renew it since I will be moving soon. Because of this I had to spend some time in the computer lab to do my blog. I have not been there for a while. When you are in there you can not help but to be nosey. One person was on an internet phone very upset and loud talking about how his wife is going to leave him. A bunch of other people are on webcams. The computer I am using is greasy and disgusting.

Today I gave my lecture on mass casualty to the staff of the new clinic. It took a while to figure out where to give it. We just ended up picking a wall a set up a bunch of chairs. We had a pretty good turnout. All of the people there seemed to all be listening attentively. I tried to make it a little interactive. It went pretty well.



I get a bunch of mail from people who got my name though soldier support sites like Soldier's Angles. Today I got a couple of letters from some of them and I though I would share a couple of them with you. One nice lady from Lockport, N.Y. always sends me a typed letter and includes a medical related article that she cuts out from newspaper.

I also received another letter from a young girl from Indianapolis, I.N. I am assuming that she is about 13 years-old from her letter. I thought that it would be fun if I answered one of her questions on my blog.

She asks, "Why do the women wear all of those cloths?"

I am assuming that she is referring to the burqa. I found a really good explanation from Wikepedia that I copied verbatim.

"A burqa (also transliterated burkha, burka or burqua) is an enveloping outer garment worn by women in some Islamic traditions for the purpose of cloaking the entire body. It is worn over the usual daily clothing (often a long dress or a shalwar kameez) and removed when the woman returns to the sanctuary of the household.

Many Muslims believe that the Islamic holy book, the
Qur'an, and the collected traditions of the life of Muhammed, or hadith, require both men and women to dress and behave modestly in public. However, this requirement, called hijab, has been interpreted in many different ways by Islamic scholars (ulema) and Muslim communities; the burqa is not specifically mentioned in the Quran.

The full Afghan chadri covers the wearer's entire face except for a small region about the eyes, which is covered by a concealing net or grille. Pakistani and Indian burqas may expose the face or eyes. The garment is usually sewn from light materials, and requires many meters of material. Blue is a favourite colour for chadris. The cap from which the material hangs may be decorated with embroidery.

The chadri was created by one of Afghanistan's rulers trying to stop anyone from seeing his wives' faces. He came up with the chadri, which became a sign of an upper class citizen; however, as times changed, the new government decided that chadris weren't modern enough and banned them. The upper class people then gave them to their servants. The chadris in those days were made out of silk and the mesh at the front was lace.

Before the Taliban took power in Afghanistan, the chadri was infrequently worn in cities. While they were in power, the Taliban treatment of women required the wearing of a chadri in public. Officially, it is not required under the present Afghan regime, but local warlords still enforce it in southern Afghanistan. Due to political instability in these areas, women who might not otherwise be inclined to wear the chadri must do so as matter of personal safety."

That last line is key. I do not think that it would be very safe for women to go out in public without atleast a headscarf. It would not be appropriate for me to criticize or debate this topic since I am a guest in their country and I also represent the military so I will leave that for another place and time. Never the less, I still find Afghanistan's culture and customs to be very interesting.

Thanks for reading.

Monday, May 5, 2008

Gross Anatomy

"Et tu, Brute!"
-William Shakespeare, "Julius Caesar", Act 3 scene 1Greatest English dramatist & poet (1564 - 1616)


"The billeting office will require you vacate this room by 30 November."
-Camp Phoenix Billeting Manager

I am being thrown out of my own home. Good 'ole Camp Phoenix is kicking me out of my room. They want me to move into a B-hut. It is just as well, I was leaving them anyways. I am moving on to a bigger and better FOB.

Today's lectures went very well. One of the lectures was a continuation of my mascal lecture from yeaterday and then I touched on some physical exam topics. They really liked the scenerio where a soldier had a rocket granade embedded in his leg. It actually came from a real life incident. It is a tricky scenerio because if you try and remove the granade it might blow up. "How would you catagorize him?," I asked. "Immediate, Delayed, Minimal or Expectant." Bascially I was asking what order you treat this patient if you had a number of patients that also needed life saving care. Unfortunately for the soldier in my example leg amputation might have been a real possibility.

I planned to show some physical exam videos and I needed a sleeve to hold my CD. I thought that my choice of sleeve cover was kind of ironic.


They are both kind of related. They both deal with physical anatomy. One just goes into a little more gross anatomy. Emphasis on the gross.

After the lectures we then started to discuss equipment training. I set up 3 stations- an EKG machine station, otoscope/ophthalmoscope/blood pressure/temperature station, and fetal doptone station. All of the equipment was new to them. It was all fancy equipment that even I do not have in the states. I asked the ENT doctor if he wanted to discuss how to use the otoscope (the hand tool that allows you to see the eardrum). He declined indicated that he wanted me to show how to use it. After I showed everyone how to use it the ENT doctor wanted to look in my ears. He just about penetrated my brain with how far he inserted the ear speculum. Then they all took turns looking into each others ears. I tried to tell them that they should change out the speculums. I think it got lost in translation so I just let them do their thing.

All in all I think that it went very well. I heard a funny quote not too long ago that aptly describes how progress is made in Afghanistan, "How do you eat an elephant? One bite at a time."

Thanks for reading.

Sunday, May 4, 2008

The Smog of War

"Thank God men cannot as yet fly and lay waste the sky as well as the earth!"
-
Henry David ThoreauUS Transcendentalist author (1817 - 1862)

The air in Kabul was so thick with pollution this morning that you needed to use a fork and a knife just breath it. The air had the appearance of dirty fog. The problem with the air in Kabul stems from the fact that the city is surrounded by large mountains so the pollution is essentially trapped inside and can not easily ventilate itself. There are also a number of other causes which exacerbate the pollution, such as, cars that burn diesel fuel, people burning wood in furnaces to heat their homes, and, worst of all, everywhere you look they are burning tires.

Driving in Kabul is definitely an experience, especially when you are driving a Humvee. I loaded a few videos onto the shazdoc video site. The best way I could describe it is it is like you are driving an ambulance with blaring sirens. You have to be somewhat aggressive but at the same time very safe.
Today we did more equipment moving. Most of the doctors arrived wearing very nice cloths like leather jackets and turtle neck sweaters. I do not think that they came expecting to lift boxes and move furniture. I tried to lead by example. I grabbed a heavy box and I said, "Come on, grab a box. Lets put them in your room."
When I got back I had 2 big boxes waiting for me. I told the person working in the post office not to be surprised if he starts to getting packages addressed to 6 M.I.K.. He looked at me a little funny and jokingly asked to see my ID.

One of the packages I got was a box full of children's socks from someone in Waynesboro, Virginia. The second box was filled with towels and watches from someone from Newbury Park, California. People always ask me if I need anything and 9 times out of 10 I say, "No thanks, I am doing just fine. We are very well taken care of over here." Well when I got asked this question recently I answered truthfully saying that I really needed a new towel and a really cheap watch if one was lying around. Because of this request I got sent 20 watches (if you look closely you can see the price tag of $250.00) and 20 towels. What can I say. That is Soldiers Angles for you. When you ask for something they really deliver. I gave out the watches to all of my office mates and they were all very appreciative.


I have not mentioned it for a while but I am still more then happy to distribute any donations that you send me. I prefer that you send me stuff for Afghan children. Whatever you send I will try and personally hand them out and take pictures. Don't worry about how my address is changing. The post office here will easily forward anything you send to my new address.

Thanks for reading.

Saturday, May 3, 2008

Hard Work

"Plans are only good intentions unless they immediately degenerate into hard work."
-Peter DruckerAmerican (Austrian-born) management writer (1909 - 2005)

video

I have to say that today the Air Force got their money's worth out of me. I officially worked my butt off and I am now very tired. Let me show you some of my handy work. It is hard to appreciate but everything you see had to be unpacked, put together, moved, etc. and this is just one of the many rooms.

We had some fun with some of the kids around the clinic. I was able to hand out some of our donated supplies. They really appreciated it.

For lunch we gave our interpreters some money and they went out and bought us some naan and lamb kabobs. It was really good.

Seeing all of the kids at the clinic inspired me to open up all of the boxes of donated goods that I have received and create a bunch of little care packages to give out tomorrow to kids. The bags are a mixture of notebooks, pens, markers, candy (a lot of candy), cloths- hats, gloves, and socks. I was able to make about 20 bags. Each bag is enough for an entire family with 3-4 children. My goal, and I am not sure whether or not I can do it, is to deliver them to families that my interpreter refers to as nomads. They officially are the poorest of the poor. The basically are homeless. They live in makeshift tents in empty dirt lots. It will not be safe enough for me to deliver the supplies but my interpreter said that he would be happy to deliver them for me. I will have him take my camera. Here I am putting the bags together.

Thanks for reading.

Friday, May 2, 2008

Kochis HA Drop

"Make your life a mission - not an intermission."
-
Arnold Glasgow

Today we accomplished a lot. I will only comment on part of the day because I don't want to discuss ongoing projects for security reasons. I asked the interpreters to hand out the gifts that people sent from back home. I did not go with them for security reasons. The interpreters were able to film the whole thing so fortunately I was able to view it.

I have been hesitant to incorporate donations from home with the previous Humanitarian Assistance (HA) mission's donations because I did not want them to get lost in the shuffle. I consider this to be the first official Shazdoc HA drop. All of the donations came exclusively from readers of this site. The supplies were delivered to a group of people called Kochis (pronounced coochies). They are tribal nomads.

Take a look at the background. You can see the tents that they live in. They all live very hard lives. It gets really cold at night and I am sure that those flimsy tents do not provide a lot of warmth. I am sure that they do not get a lot of food and have a way to bathe either.

I gave out a ton of school supplies, toys, candy, and cloths- socks, hats, scarfs. The video that the interpreters filmed is 8 minutes long and would take too long to upload to my site. I would be more then happy to send it to anyone who would like to have a copy. You just need Quicktime loaded onto your computer to view it. It is an .mov file.

The other really neat thing that happened when I got back is I got a package from Q100, a radio station in Atlanta. They did a letter drive for deployed troops. They were able to gather 500,000 letters. I received a big stack of them and I am going to work on getting them out to people. I am not sure if you can appreciate it from the picture, but I probably received 1000 letters from school children. Wow. I will have to add this one to the Shazdoc Spotlight on Afghanistan Community Service website.

Keep the donations coming. I want Shazdoc HA drop #2 to be bigger and better than #1.

Thanks for reading.

Thursday, May 1, 2008

Living the Dream

"Change is the constant, the signal for rebirth, the egg of the phoenix."
-Christina Baldwin


Today we moved into our new home over at Camp Eggers. It is kind of a sad day for us because our team is somewhat breaking up. Doc Peters is staying back over at Camp Phoenix for now because of some medical issues. We linked up with our teammates that we trained with over at Fort Riley. We are somewhat spread out throughout the base. All and all, I have to say that it is a much better move in the long run because it cuts down our commute which ultimately makes it safer. The base is nicer then Camp Phoenix in many ways. It has a lot more trees and I think a lot more social activities.

The base is in somewhat of an interesting arrangement. The military basically bought up an entire neighborhood of nice homes and walled it off and turned it into a base. Where there were swimming pools and yards they stacked connex boxes and made offices and sleeping quarters. Connex boxes are large metal containers that you load stuff into. There is not a lot of free space so finding your way around is interesting. You have to walk through all kinds of passage ways. I actually have to walk though a bathroom everyday to get to my new office. I had to navigate through this dark and narrow passage way just to get to the office to type this post.



The chow hall is not as good as Phoenix. Most importantly, it just does not have the homey feeling that Camp Phoenix had. I am sure that it will come with time.

I am currently staying in temporary housing. Here is a picture of where I am living. Lots of bunk beds. Yep mom, I am living the dream! I am actually kidding. The accommodations are again very nice compared to other FOBs around Afghanistan. Most other service members in Afghanistan are living in tents and B-huts. I am very fortunate to be in a hardened structure. I am on a waiting list for more permanent housing.

We had a short birthday party for one of our teammates tonight. Afterwards we all went and ate dinner together. It was very nice.

Camp Eggers had their big bazaar today. I am getting the Fetish Bear charm that was sent to me yesterday made into a necklace otherwise I will lose the little thing. Here is a picture of the bizaar.

Tonight Bill O'Riley will be speaking in a place called the Clam Shell. I have made a point to keep this blog apolitical and I plan to keep it that way. All I have to say is that I appreciate him making the effort to visit us over here in Kabul. I will let you know how it goes.
Thanks for reading.