Tuesday, March 30, 2010

Your message gets lost when there's too much information

There's an old saying in the news business: Less is more.

The point is that, often, being succinct communicates the message much more effectively than excessive verbiage. Flowery speech can sound impressive, but usually it just sounds pretentious. Give 'em the facts, get straight to the point, and let them decide.

This principle even can apply to personal communication as well. Including too much information can ruin the effect of your intended speech, and hopelessly garble your message.

"I love you" is probably the most beautiful thing to say in any language. Still sweet, but a little less impressive, is the declaration, "I love you more than anyone." But your point is lost forever if you go on from there: "I love you more than my ex-girlfriend, and more than my co-worker Sally. Oh, and you remember Laura from the party last month? I love you more than her. And I love you heaps more than the barista at Starbuck's. She means nothing to me." By this point, the chances are good that the speaker has dimmed the flames of passion for a good many days to come, if not for all time.

This is a lesson teachers should heed as well. No one could ever fault someone for saying "I decided to become a teacher because I love children." Expect pushback should you ever say, "I decided to become a teacher because I love 12-year-olds."

Because sometimes, you know, it's just a good idea to leave well enough alone.


Copyright © 2010 by David Learn. Used with permission.


Wednesday, March 17, 2010

My friend the jackal

Job's wife gets one line in the book, and we all roast her for that.

"Are you still holding onto your integrity?" she asks him, as he sits in the ruins of his life, scraping the sores that ooze all over his body, with a shard of broken pottery. The poor man is numb with grief over the deaths of his ten children as she confronts him, mad with her own grief and loss. "Curse God and die!"

Meanwhile Job's friends browbeat him for 36 chapters, telling him that he's only getting what he deserves. Job's wife merely wanted his suffering to end. These vultures won't be happy until he's really suffered, and yet we calmly discuss them as merely errant in their thinking.


Copyright © 2018 by David Learn. Used with permission.




Sunday, March 07, 2010

Tears deferred still come due

It wasn't until I held the baby that I cried.

I had been at the Centre Hospitaliere du Sacre Coeur in Port-au-Prince since about nine o'clock that morning. Lord knows, there had been plenty of reasons to cry before then. The parking lot of the medical center, after all, was a tent city of sorts, providing shelter to some 56 people who had suffered some form of injury following Haiti's disastrous earthquake on Jan. 12.

For starters, there was Joshua. It's hard to tell how old he is, but his future looks like it will be a bleak one. He suffers from club feet and cerebral palsy, two conditions that are difficult anywhere, but especially in the poorest country in the Western hemisphere.

Sitting with Joshua, it's hard to feel down. He can't speak any language that I know, but he smiles constantly and he loves to smack his eager hands onto yours. You can turn it into a game, where he tries to smack your hand before you can move it away, and he cracks up when he misses. Or you can let him get into an easy rhythm, clap-clap-clap, and he finds it hysterical you do something unexpected and suddenly change the rules.

The head nurse at the clinic told me that Joshua's mom wants him back because his condition makes him useful as a beggar. A brutal story if true, but that didn't make me cry.

Then there's Katura. She's a vivacious little girl; in the United States she would be attending kindergarten and mastering the fundamentals of reading and writing. Instead, because she lost her right leg above the knee in the earthquake, she's sleeping in a tent in the parking lot of a hospital, and getting around in a bright red wheelchair.

The skin has mostly closed up over her wound, and when the medical crews change the dressing on her wounds, it's a perfunctory thing. It doesn't ooze and it doesn't seem to hurt her at all. God willing, she'll be outfitted with a prosthetic device and can begin the task of learning to walk all over again.

She has a long road ahead of her, but I didn't cry when I played with her.

Or there was Karl. He's a little bit older than Ketura, probably somewhere between the ages of my two older daughters. When I met him on Thursday, he was quiet, but not with the quiet of deep thought. He was overwhelmed by all that had happened, from the devastation to his country down to the fracture in his left patella that had left him in a wheelchair.

I did everything I could to get a smile out of Karl, but nothing worked.

Still, when I had wheeled him to the door outside the X-ray room and asked him if he wanted me to stay with him, he said yes. So I sat there, and told him jokes, and showed him a picture of my infant daughter, and when they had finished the X-ray imaging, I wheeled him back to the parking lot where he and the other patients have been living.

I felt deeply for him, and wished I could bridge the gulf between us to bring him comfort and assurance, but still I didn't cry.

There are others there, with stories too horrible to think about. There is a woman with a pressure wound so bad that you can put your entire hand into her side; there are adults and children alike with braces screwed into their legs to immobilize the pieces of shattered bone, but I expected horrible injuries when I came to Haiti, so while I ache for them, I didn't cry.

But then there were the babies. Twins, they were born last August and came to the hospital some time with a minor injury that has since healed. They have no home to go to, their mother has no way of providing for them, and so they have been allowed to stay in a tent out of compassion and a sense of human decency.

Their lives are so innocent, their needs so simple, and their promise is unbridled.

I picked one of them up, and I held her in arms that have missed another baby for the past four days.

And then I cried.


Copyright © 2010 by David Learn. Used with permission.


Saturday, March 06, 2010

After the quake: pressure wounds and delayed treatment

The doctors told me the woman had been trapped under the rubble of her house for days.

When an earthquake shook Haiti to its foundations on Jan. 12, she was one of the lucky ones. Unlike an estimated 200,000 people killed in the earthquake, she survived. And unlike other adults and several children staying at the clinic with her, the debris that fell on her didn't break her bones or require doctors to amputate her limbs.

But she was trapped and unable to move until rescuers freed her.

The human body, with its grand design of skeleton and muscle, is meant to be a poem of smooth motion. But when it is held still for days on end, as this woman's body was, the rhythm of the poetry is ruined. The concrete pressed down on her leg, and cut off the flow of blood.

When there is no relief from the tremendous pressure, the skin breaks down and splits open; and as the pressure continues, additional tissue dies.

"For some people, the pressure wound has gone so deep that it's gone all the way to the bone," said Krista Duval, a doctor of osteopathic medicine from Ohio University in Athens, Ohio. "These people will have very serious scars for the rest of their lives."

Krista was one of 18 people on a medical team that left from Quisqueya Crisis Relief Center on Thursday to run a medical clinic at at the Centre Hospitaliere du Sacré Coeur, in downtown Port-au-Prince. The medical team treated some 100 people who came to the clinic that day, as well as another 56 who have been living in tents in the parking lot of the medical center.

While several of those patients are receiving physical therapy and followup treatment to amputations that were needed after Haiti's horrific Jan. 12 quake, many others are receiving treatment for other injuries serious in their own right, such as the pressure wounds suffered by this woman.

Treatment takes time and patience. Gauze dressings must be changed at least daily, and a steady regimen of antibiotics contains the threat posed by infection.

Time, patience, and medical personnel. Most visiting medical crews leave Haiti after a week or two, and unfortunately, Haiti still lacks the infrastructure to provide the long-term medical care these patients need.

When the earthquake struck on Jan. 12, it destroyed more than an ability to provide immediate care for the victims of the quake. It also brought crashing to the ground the country's ability to provide long-term care in the weeks and months that are still to follow.

That was particularly in evidence on Friday. The medical center we visited is an 18-bed private hospital located a short distance from the wreckage of the National Cathedral. The building, although it survived the earthquake and the many aftershocks that have followed, is badly damaged.  The hospital is still standing, and doctors and nurses working with teams from the Quisqueya Crisis Relief Center have been able to use its equipment, but until repairs can be made, the hospital is effectively closed.

And hospitals and medical care remain in great need. On the day I joined the medical team, there were some 100 patients who came to the clinic. That number has dropped from the  average of 300 that visited the clinic when it first opened, but it remains high.

In the parking lot of the medical center stand a dozen tents, housing 56 men, women and children suffering from injuries suffered in the quake, or caring for those who had.

"Every day we discharge a few and admit one or two," said Beth Milbourne, 30, a registered nurse at Greenville Memorial Hospital in South Carolina who quit her job in the United States and moved to Haiti three weeks  ago. She has been going to the clinic at the medical center every day since.

One of the patients admitted Friday was an elderly man who required an operation because of an obstructed urinary tract. Dave Drozek, a general surgeon from Ohio University who performed the surgery, spoke to me a moment about the operation as orderlies lowered the patient onto a makeshift cot under a tent in the parking lot.

"We're transitioning to more regular day-to-day needs," Dave said of the work he'd been doing that week at the clinic.

But, as he also noted, many of those needs have been delayed because of the pressing nature of the trauma inflicted by the quake.


 Copyright © 2010 by David Learn. Used with permission.



Monday, March 01, 2010

On the eve of going to Haiti: Letter to myself, age 22

Dear 22-year-old self,e

In a sense, this may be one of the most pointless things I have ever written, since it comes 17 years and some months too late to make a difference in the trip you are about to take to Haiti, but foolish or not, I am writing it.

I know that you're still upstairs, somewhere, wearing clothes that haven't fit me in years and that were never exactly fashionable in the first place, so I write this in the hope that it will do some good, somehow. Often the value is not in the hearing, but in the saying.

Right now, you're pretty excited about the trip you'll be taking in two days. This is something you've been looking forward to since January 1991. You remember that, right? That was when you took a short-term missions trip to LaGonave with STEM Ministries, while everyone else in the college fellowship headed to Urbana, Ill., for the big missions conference.

You didn't say much at the time to the others on your team, but the experience was one that you found to be deeply meaningful. There was that moment in LaSource where you realized that Pentecostalism wasn't what you had thought it was; and then there was that boy, Samuel, whose stomach was distended, whose hair was going red from malnutrition, and who you learned hadn't eaten a decent meal in weeks.

So, as I say, you're keen to be headed back to Haiti, to work with STEM. You're an idealist at heart, and since the Peace Corps called to say they were ready to assign you in Africa, and then called back 15 minutes later to say, "Never mind, we just realized you're an evangelical Christian," you've been looking forward to the door that it appears God has opened for you. No Fortune 500 job for you, you are going to make a difference!

Oh, Dave, you're such an idiot. You really have no idea what's going to happen, do you? Over the next two years, everything is going to hit the fan. Everything.

For starters, you're going to see need - real need. Not like the men at the homeless shelter you volunteered at one night your freshman year, who had a place to stay and food to eat because the United States has the wealth to feed its indigents when we want to.

No, we're talking the sort of need that comes when you have 8 million people in a nation where $3 is a decent day's wages and most people are unemployed. It's the sort of need where children sleep on the concrete driveway of the Jamaican restaurant on Route de Delmas. It's the sort of need where 14-year-olds are so underfed that they look like they might be 8.

It's a need that will slap you in the face every time you step out the door and interact with the people. The beggars in particular will overwhelm you. Some will be adults and some will be children; some will be sincere and some will merely be con men preying on you.

There will be no escaping that need. It will greet you when you wake up in the morning, it will haunt you when you get something to eat, and it will steal its way into your dreams. No matter how many times you discuss it with others, no matter how often you pray about it, and no matter how you try to rationalize your way around it, you will never make peace with it. Never.

One by one, your illusions are going to fail. Right now you have some pretty naive ideas about Christians, about Christianity, and about missionaries. You understand Christianity as forgiveness of sins, Christians as American-style conservatives, and missionaries as bastions of indomitable faith in God.

Over the next two years, you're going to realize the inadequacy of evangelicalism to deal with the problem of suffering and need; you're going to begin appreciating just how radically liberal Jesus was in his social attitudes, and you're going to discover that missionaries are just as human as the people in your church back home. Many missionaries whom you meet will disappoint you, just as you will disappoint them.

Incidentally, God is going to die while you're in Haiti. It'll be a combination of things that will finally do the old bugger in, but one day the light will fail and you will start crawling around on all fours in the dark to find the body. Eventually you will, and you'll wonder how you ever thought such a sad and miserable thing was worthy of worship.

Which is not to say it'll be all bad in Haiti, because it won't be. It'll be two of the hardest years of your life, but even though it sets you on a path that ultimately destroys the evangelical brand of faith that took you there, you will treasure your time in Haiti for the rest of your life.

You're going to meet some tremendous people and have some tremendous experiences that will still shape you years later. There'll be the Haitian church services you attend, particularly the ones with Herve; there will be the time you realize that while it hurts to turn away 200 hungry children, at least you were able to help feed 300 others; and there will be friendships with people like Elizabeth Gerritesen, Brian VanWyhe and Dan Kramer; with Tammy Lynn Johnston; with Rick Root; and with the Murphys and the Herseys.

(There is a funny story about how you meet the Murphys. I wonder sometimes if Lonnie remembers it, or what her kindergartners called you.)

The reception you get when you return Stateside will be underwhelming. I hate to say this, but your own pastor is going to dismiss what you did as "not missions work." and from time to time, the lack of interest other people have in your experiences there will lead you to question whether you really accomplished anything. Sometimes the loudest voice there will be the one in your head.

Ignore the gainsayers. The difference you make to the people you meet will be real and lasting, especially when you become a teacher. A Jewish tradition holds that to teach a child is to be as a parent to her. In less than a year of teaching, you will have 40 children who will never forget you, nor the lessons you teach them.

It's going to come to an end far too soon for you, and when it does, it won't end nicely. I haven't liked that ending for 15 years now, and frankly, I think it's time for the curtain to rise on a second act.

Now 39,

Dave Learn



Copyright © 2010 by David Learn. Used with permission.