Friday, July 30, 2010

Wednesday, July 28, 2010: Cabecitas De Algodon and Wheelchair Basketball


Another Wednesday which means another integrative seminar. Again, things are starting to get repetitive, and problem based learning is getting tedious… a consensus among many of us in the program. However, today was different since we started off with a speaker from Alas, an organization that provides family planning services and education to the people who want it in Guatemala, which is apparently a great area of need. 50% of children here under the age of 5 are chronically malnourished, which stunts growth, including inhibiting growth of the brain. We learned that although people here seem like they’re smaller than the rest of the world, it’s not necessarily genetic, but more of a result of chronic malnutrition…. Pretty surprising.

This afternoon, we took a tour of yet another hogar called Cabecitas de Algodon (or Little Heads of Cotton). It was started by a doctor who is also a preacher… the exactly religion, we’re not sure of, since when we asked, the nurse said “he believes in god.” So, whatever that religion is, he tells people about it all over the world. Then he saw a bunch of homeless dudes, and thought about how many homeless people were in his home country of Guatemala. When he came home, he took in seniors, and thus Cabecitas de Algodon was born. It’s half the size of Casa Maria with 3 times the staff and more money to support them. The place was small, but clean, and the people were so nice. After seeing how much different the conditions were here, it gave me hope that maybe we can change Casa Maria to be equally as comfortable.

There was another game of wheelchair basketball this afternoon, so a bunch of us from the Gero group headed over to support the guys. Guatemala against El Salvador- the Guatemalan guys are stronger and more organized, but the El Salvador team has better aim and thus they were able to get more points. There was another group there too with red shirts on and I didn’t recognize the team, but they played after the game was over just for fun. I haven’t ever seen so many functional, independent people in wheelchairs having so much fun in a single area… anywhere- not just Guatemala. With all of the dreariness of our speakers and the conditions here, it’s nice to see something to positive.

Wednesday, July 28, 2010

Tuesday, July 27, 2010: Fray Rodrigo and a Storm


We got approval to return to the public senior home that I mentioned in an earlier post: Fray Rodrigo De La Cruz. This morning, we were eager to take the hefes (or bosses) up on their offer to observe, and so we went to spend time in the Occupational Therapy Clinic. When the research team and I entered the room, the only OT started to tell us about… I’m not really sure what because I didn’t listen at all! I was distracted because a male resident was sitting right next to us, with his shirt off, and he was hemming the sleeves with an antique sewing machine.

After 5 minutes of ignoring the OT and observing the man, I asked the man what he was doing. He pulled 2 long sleeves out from his pocket and told me he hated the long sleeved shirts they gave him, so he cuts them off and turns his shirts into short-sleeved one. He said he was a tailor by trade and so it was easy for him. I was amazed that they even had a sewing machine, and better yet, let the man just use it at his will without supervision. While I don’t see anything wrong with this since he was perfectly capable of hemming a sleeve, I guess it was odd to see because senior homes in the US seem much more strict about things like that.

Soon after the man left with his new shirt, a group of residents came in for the morning activity of shoe shining. I never thought that this would be so popular but the room got crowded with men who wanted to shine their own shoes.  They all helped each other take off their shoes or shine them if someone couldn’t. I was in awe of everything that happened in the room during this activity… people were showing off their newly shined shoes to us, taking turns helping one another out, engaging in conversation… so many things! What a difference from Casa Maria.

I also met a nice young man who became a good friend. When I say young, I mean under 70. My new buddy is from the same town as my grandma of Quetzaltepece and he is a year or two older than her. It’s such a small town so when he told me the name I was thrilled, then he got excited because I had family from there… we had a connection. He taught me how to make alligator key chains out of beads and string. He lit a candle which I thought was a strange attempt at setting the mood, and then I observed him burning parts of the string and putting the flame out with his fingers… again- probably against the rules in the US assisted livings, but it’s fine here in Guatemala. I learned about his family, I told him about mine, and then I taught him how to say his name with an English accent, which he thought was hilarious.

After this morning, I returned to Spanish class to tell my teacher about everything I saw. She knows both places well and it was hard for me to be neutral on the subject. There’s just so much more to do at Fray Rodrigo that I feel different when I leave the place. If Casa Maria is so boring to me after only spending a couple of hours there, I can’t imagine how the residents must feel. We all need things in our life to look forward to, no matter how simple they are. I’m sure some people at Casa Maria have that, but there’s way more people at Fray Rodrigo that have that. 

Monday, July 26, 2010: Another Day at Casa Maria and Spanish…


The mornings are livelier at Casa Maria. I saw this when I went there for observations with the Practice Group for the first time. I’m not sure if it’s the fact that the people were more awake, or if there was more life in the place because the OT students had things for them to do. The fact is that I haven’t really seen the residents do much of anything other than sit, stare, and chat with each other on occasion. No one engages in “occupations.” Honestly, I stopped looking forward to my visits because the place was so boring and my role is to observe. I already saw the people sitting, so what else was there to do?

So this morning was a welcome change of pace. I watched the residents engage in an exercise class and I was surprised at the people who attended it- not at all the people I expected. Then the OTs had the residents make guacamole together… everyone helped cut tomatoes, onions, squeeze lime, and mash avocados. One woman spread the guacamole on tortilla pieces and everyone wanted to taste it. So many people helped out and the residents loved eating it. I was thrilled to see the residents so eager to participate, yet sad at the same time because it appeared that they craved activities of any kind, there’s just very little in place for them to do.

I switched my Spanish classes back to afternoons so I can go to Casa Maria in the mornings now. When I arrived, I was pleased to see that my teacher also switched so we can keep learning together. I made her come with me and a group of students to a wheelchair basketball game at a local college, which required a 15-minute walk in the rain. We saw Guatemala vs. El Salvador… I’m not sure who won, or even what the rules were, I was too busy examining each player and what their individual abilities were.

It was my Spanish teacher’s first time seeing anything like it, so I was trying to explain some of the logistics of how the guys were able to function. For example, one man had 2 prosthetic arms (the hooks), and no legs, but he was able to push his wheelchair, so I was explaining to my teacher how his arms worked. We practiced Spanish as we discussed what we thought the rules were, asked each other what we thought about it, other sports we like to watch… so many things! It was nice to be able to teach her something too, since it always seems to be me in the student role.

Sunday, July 25, 2010: Chiquimula Markets, Lunch, and My 3rd Home


Anita and I spent the night at my grandpa’s house in Chiquimula- which is so much hotter than Antigua. My grandpa doesn’t have hot water and he says he doesn’t need it. Considering that it’s winter here and Chiquimula was at least 95 degrees, he’s not kidding! My uncle Eric took Anita and I to the markets in town, which is more like a massive outdoor swap meet of vegetables, meats, cowboy hats, shoes… pretty much anything you can think of. After spending an hour in the market maze, we were so overheated and wanted to go home. So Eric took us to the only place in town with air conditioning- the freezer section of the local supermarket. We spent a good 15 minutes looking at the yogurts and butters before heading back out to the street for the walk home.

My grandpa’s house is pretty cool. It’s the first time I’ve been to his property since he built the house and wood workshop. He has a massive garden, with similar crops that we grew in CA: corn, cucumber, lemons, limes, avocado, banana, peppers… he had some extra exotic things to which I still don’t know the names of. His housekeeper, Mila, cooked for us over an open flame outside, grilling phenomenal steaks, roasting peppers and squash, and making us homemade tortillas. We ate so much food at his house, all with fresh ingredients from the market and painstakingly prepared by Mila.

After lunch, we had to head back to Antigua for a dinner meeting to plan our week, so we got back on the road with my cousins. After 3 hours, we made it back in time to meet the new Gerontology Practice supervisor, Sue Copolla (who seems like an amazing OT). She has so many ideas on what we can do with Casa Maria, it’s nice to get a fresh perspective from someone who is ready to jump in and get their hands dirty. Moreover, she’s warm, inviting, and trying to make our lives a bit easier while we’re here… which is so welcome since we’ve all started to get exhausted from our busy schedules. She’s definitely a welcome addition to our team her.

After dinner, I finally got a chance to see my new homestay. I moved in on Friday, but spent under an hour unpacking before I had to head out to Guatemala City for my weekend journey. The new place is cute. I have my own bathroom again, however I don’t have internet, which is sort of sad, but it’s only 3 more weeks. The family is composed of a couple my grandparents’ age, their daughter and her 2 children- one of whom is a 5 year old name Brian- so cute! Oh- and we have a parrot named Polly too. He’s cute, not very talkative, but a bit of a screamer. Nonetheless he’s cute and I’m excited to have more pets around.

Sunday, July 25, 2010: Chiquimula Markets, Lunch, and My 3rd Home


Anita and I spent the night at my grandpa’s house in Chiquimula- which is so much hotter than Antigua. My grandpa doesn’t have hot water and he says he doesn’t need it. Considering that it’s winter here and Chiquimula was at least 95 degrees, he’s not kidding! My uncle Eric took Anita and I to the markets in town, which is more like a massive outdoor swap meet of vegetables, meats, cowboy hats, shoes… pretty much anything you can think of. After spending an hour in the market maze, we were so overheated and wanted to go home. So Eric took us to the only place in town with air conditioning- the freezer section of the local supermarket. We spent a good 15 minutes looking at the yogurts and butters before heading back out to the street for the walk home.

My grandpa’s house is pretty cool. It’s the first time I’ve been to his property since he built the house and wood workshop. He has a massive garden, with similar crops that we grew in CA: corn, cucumber, lemons, limes, avocado, banana, peppers… he had some extra exotic things to which I still don’t know the names of. His housekeeper, Mila, cooked for us over an open flame outside, grilling phenomenal steaks, roasting peppers and squash, and making us homemade tortillas. We ate so much food at his house, all with fresh ingredients from the market and painstakingly prepared by Mila.

After lunch, we had to head back to Antigua for a dinner meeting to plan our week, so we got back on the road with my cousins. After 3 hours, we made it back in time to meet the new Gerontology Practice supervisor, Sue Copolla (who seems like an amazing OT). She has so many ideas on what we can do with Casa Maria, it’s nice to get a fresh perspective from someone who is ready to jump in and get their hands dirty. Moreover, she’s warm, inviting, and trying to make our lives a bit easier while we’re here… which is so welcome since we’ve all started to get exhausted from our busy schedules. She’s definitely a welcome addition to our team her.

After dinner, I finally got a chance to see my new homestay. I moved in on Friday, but spent under an hour unpacking before I had to head out to Guatemala City for my weekend journey. The new place is cute. I have my own bathroom again, however I don’t have internet, which is sort of sad, but it’s only 3 more weeks. The family is composed of a couple my grandparents’ age, their daughter and her 2 children- one of whom is a 5 year old name Brian- so cute! Oh- and we have a parrot named Polly too. He’s cute, not very talkative, but a bit of a screamer. Nonetheless he’s cute and I’m excited to have more pets around.

Sunday, July 25, 2010: Chiquimula Markets, Lunch, and My 3rd Home


Anita and I spent the night at my grandpa’s house in Chiquimula- which is so much hotter than Antigua. My grandpa doesn’t have hot water and he says he doesn’t need it. Considering that it’s winter here and Chiquimula was at least 95 degrees, he’s not kidding! My uncle Eric took Anita and I to the markets in town, which is more like a massive outdoor swap meet of vegetables, meats, cowboy hats, shoes… pretty much anything you can think of. After spending an hour in the market maze, we were so overheated and wanted to go home. So Eric took us to the only place in town with air conditioning- the freezer section of the local supermarket. We spent a good 15 minutes looking at the yogurts and butters before heading back out to the street for the walk home.

My grandpa’s house is pretty cool. It’s the first time I’ve been to his property since he built the house and wood workshop. He has a massive garden, with similar crops that we grew in CA: corn, cucumber, lemons, limes, avocado, banana, peppers… he had some extra exotic things to which I still don’t know the names of. His housekeeper, Mila, cooked for us over an open flame outside, grilling phenomenal steaks, roasting peppers and squash, and making us homemade tortillas. We ate so much food at his house, all with fresh ingredients from the market and painstakingly prepared by Mila.

After lunch, we had to head back to Antigua for a dinner meeting to plan our week, so we got back on the road with my cousins. After 3 hours, we made it back in time to meet the new Gerontology Practice supervisor, Sue Copolla (who seems like an amazing OT). She has so many ideas on what we can do with Casa Maria, it’s nice to get a fresh perspective from someone who is ready to jump in and get their hands dirty. Moreover, she’s warm, inviting, and trying to make our lives a bit easier while we’re here… which is so welcome since we’ve all started to get exhausted from our busy schedules. She’s definitely a welcome addition to our team her.

After dinner, I finally got a chance to see my new homestay. I moved in on Friday, but spent under an hour unpacking before I had to head out to Guatemala City for my weekend journey. The new place is cute. I have my own bathroom again, however I don’t have internet, which is sort of sad, but it’s only 3 more weeks. The family is composed of a couple my grandparents’ age, their daughter and her 2 children- one of whom is a 5 year old name Brian- so cute! Oh- and we have a parrot named Polly too. He’s cute, not very talkative, but a bit of a screamer. Nonetheless he’s cute and I’m excited to have more pets around.

Tuesday, July 27, 2010

Saturday, July 24, 2010: Why We Decided to Be OTs...


We saw my cousin Kikix (Key-kay) today. My friend Anita (or Ann) and I made the 3 hour journey from Antigua to Esquipulas, by way of Guatemala City and Chiquimula to visit him and see what we could do. Anita is also a student in my program and she had done some work with people who have spinal injuries-- I needed all the help I could get. Kikix broke his neck at the C5 level in January, and he’s been receiving therapy at home for the past 6 months. I’d had a few conversations with him on the phone and he said he really wanted to be able to use his computer again because he makes a living by buying and selling items on the internet. So I promised him we’d find a way to make it happen before we left.

When we arrived at his house, we checked out all of the therapeutic devices Kikix had there. He told us whenever he went to a clinic for therapy, his family would take pictures of all of the equipment he used, and then they’d fabricate their own version of it at home. He had that arc thing with the rings on it that works on upper extremity range of motion, sensory devices for sensing hot and cold and textures, pulley systems to help him work out his arms, hand cycles, a verticalizer table… he had more equipment in his home than some clinics have- and so much of it was made from pictures!

Anita and I examined his abilities, and looked for ways that we could assist him. His strongest muscles were his biceps which allowed him to bend his elbow and rotate his forearm, however he had little strength in his wrists (but there’s some coming back which is amazing!) and he could not move his fingers. So our plan was to make a splint that kept his wrist straight, with a device near his palm that could act as a finger for typing. I promised him he’d be able to use his computer before we left, so we couldn’t let him down!!! After several experiments, Anita and I were able to make such a device out of a thin slat of wood, duct tape, and some Velcro the family ran out and found. We taped a pencil with the eraser side down to tap the keyboard, and viola!- Kikix had a new assistive device!

So here’s the cool part- when we put the splint on Kikix, he checked his email for the first time in 6 months, he played us some tunes from his computer, and checked facebook all on his own! He surprised Anita and I when he asked for his cell phone that has a touch screen- after a few attempts, he was able to work it… again for the first time since his accident 6 months ago. It was an amazing moment! Anita and I almost cried and Kikix was excited. He understood the concept and kept thinking of ideas of what he could do with the splint. It opened a new world of possibilities for him, which was more than we expected to give him.

I’m still in shock by what we were able to accomplish in such a short amount of time, with so little. As Occupational Therapists, we focus so much on activities of daily living, and these things are so common, that it’s easy to forget how important they are to people. To many, it may not seem like being able to use a computer keyboard could change a person’s life, but if you could see Kikix’s look on his face (which I have a video of) you’d realize just how important it was to him. It gave him a piece of his life back- the first of many pieces that he’s just beginning to rebuild. More than anything, it gave him hope and understanding that life can go on and still be just as fulfilling… with or without a disability.

Monday, July 26, 2010

Friday, July 23, 2010: Notes, More Notes, and A Few Other Things


I spent my hour between breakfast and lecture this morning searching for a Laundromat that would wash my hiking shoes for me along with some clothes. I tried a place to wash my clothes last week, but the load came back a bluish color, so today, I wanted to switch. A woman at the new place was so nice and she seemed unusually happy to clean my shoes. In total I paid about $4 for a load of clean stuff and sparkling clean shoes.

I then headed to Rainbow Café, a cute little hipster café for tourists here with free wifi. Our component group (Gero Research) met to go over our meeting with Ana Lydia (the owner of Casa Maria) yesterday. It was interesting to see the different perspectives we each had on her explanations for recently asking residents to leave, or the way that she judged people as having more money by the car their family came to visit them in. She also seemed skeptical of everyone as she insinuated that many more people were able to pay her than were actually letting on.

Ana Lydia’s comments reminded me about Common Hope’s ideas about how giving things away leads to people devaluing the services that are offered to them. It’s not that people necessarily don’t want to pay Casa Maria, but if they can get away with it, then it’s convenient to have one less major expense to take care of. Maybe this isn’t the case, but that’s my take on what’s going on at this place. Particularly here, where people work so hard for what seems to be very little money, they can use all the money they have access to.

We spent the afternoon explaining what we learned from Ana Lydia to our Gerontology Practice group, the OT’s that perform services at Casa Maria. We’ve all been getting attached to the residents there, so it’s alarming when they suddenly disappear with no explanation. I wonder if the residents are told where their friends went… That’s another question for the residents on Monday! Where did your buddy go? 

Thursday, July 22, 2010: A Sick Day and An Interview


I slept in this morning… all morning until noon. It was so nice. I called in sick to Spanish class since my stomach has hurt all week and I couldn’t take it anymore. I needed a morning to recuperate and just let my body concentrate on whatever it was mad at. It worked! And by the afternoon, I was ready for the second half of the day.

We took the bus to Casa Maria (aka CM) to interview Ana Lydia, the owner of the joint. She was warm, welcoming, and a little cynical. She’s recently starting laying down the law, asking families to show her the money, or take their loved one home. It’s refreshing to see her start doing this, because I was getting worried. There are so many mouths to feed at CM, and not enough money to do it. Workers aren’t getting paid and many have started quitting, so something just had to give.

I can’t say whether Ana Lydia’s tactics are right, ethical, appropriate… It’s simply her decision and she’s doing what’s best for the people in her home that she’s agreed to take care of. I don’t blame her for asking people to leave, particularly when their families are able to take care of them. At this point, even if they ignored the person all day, it would not be entirely different from CM as long as they met their basic needs. 

Wednesday, July 21, 2010

Wednesday, July 21, 2010: Integrative Seminar, Dr. Kasnitz, and Another Hogar

Wednesdays have become quite busy for us here at the field school. We attended our 3rd Integrative Seminar where we followed up on a case study that we read last week, and we had some chances to offer our feedback based on the research we've been doing. The cases are based on actual experiences by our faculty, and this particular one was about a malnourished infant who ended up dying due to the lack of resources here in Guatemala. It's a depressing reality here and all too common. 50% of infants suffer from malnutrition here, a pretty appalling statistic.


Another alarming- yesterday I learned that cervical cancer is the leading killer of women here above anything else in Guatemala. This is one of the most treatable of all cancers but many women don't know they have it until it's too late. Part of the reason it's so deadly is that not many women get annual checkups and many husbands don't feel it's appropriate for their wives to let doctors examine them. Additionally, this is a highly machismo society where men have other women on the side, and cervical cancer is most commonly caused by an STD. Catholicism has a huge influence over the beliefs of this society as well, and  contraceptive use is not looked upon favorably. We talked about "structural violence" today in our seminar, which is this idea that certain parts of your society, culture, religion, etc., can do more harm than good in a person's life. It's and interesting concept when you think about it, and there seems to be some structural violence here in Guatemala.


So now on to my favorite part of the day: my walk home with Dr. Devva Kasnitz, our Disabilities Studies professor here, and one of my new favorite people in this world! It's hard to know what to say about her because she's brilliant, warm, enthusiastic, hilarious, talkative, loves to dance, and she happens to have Cerebral Palsy. I mention this last thing only because she's sort of what we're studying here in Guatemala... this idea that just because someone appears one way on the surface, we can't exclude them because everyone has something to offer. On the outside, she has her own way of walking and some people might not completely understand her when she talks, but she's so intelligent and when she leads a lecture, she's so engaging!


She has a more raw perspective on disability and encourages us to learn all of the bad terms in spanish so we know what people really think about it. It's cool because we spend so much time being politically correct and tiptoeing around things. But then she presents us with this crazy idea that when we learn what people really think about people living with disabilities, and what the people living with the disabilities really think about themselves (good, bad, and sometimes ugly labels they give themselves)... only then can we really get a sense of what society thinks and expects of people. It's an honest, yet radical perspective... We've all been asking our spanish teachers for slurs in the language so Devva can compile a list for all of us. None of the spanish teachers, who are ambassadors of their language, want to give us the dirty names, because what would all of us, who are advocates for people here, think about them?


Now onto the "Hogar". An "Hogar" is another name for a Home... we called senior homes here Hogars for short. Today we went to Hogar Fray Rodruigo De La Cruz, the only public home for seniors in all of Guatemala... and it happens to be in the center of Antigua. First, I have to say, wow! The place has almost 2x as many people as Casa Maria and they are so much better taken care of. There's OT, PT, Nurses, social workers, cooks, janitors, and so many other people. I think I've seen maybe 5 staff members at Casa Maria, and usually I only see the janitor who helps the residents there. At Fray Rodruigo, there's artwork made by the residents, a chapel for mass, everyone gets their own clothes, an actual cafeteria, therapy rooms, a functioning fountain... The home is located in an old lavish hotel that is huge and ornate, and just amazingly beautiful!


So a few thoughts- I guess I'm a little disappointed because I can see what the possibilities are here in Guatemala, with some resources, but mainly with a lot of creativity. I also have some mixed feelings on things as far as ethics. Fray Rodruigo limits the number of people who allowed to live there in order to provide adequate and ethical care to everyone who lives there. However, the owner of Casa Maria allows most people in regardless of whether there is space, beds, or money to provide for them. So yes, some of these people may be saved from the streets, but is this at the expense of all the people in the home? Is it ethical to accept people that you can't reasonably provide for?

Tuesday, July 20, 2010

Tuesday July 20, 2010: Spanish and Common Hope Tour



I attended Spanish class this morning a few minutes late since my legs are not moving as fast on these uneven streets as they’re still very sore. My teacher was happy to see me, though I felt bad that I had not finished my homework of 15 sentences in past tense since all I can do at the moment is sleep to recover from the volcano trek.

We talked about my weekend, her weekend, and the war in the past. I could tell she was hesitant to offer information on the history of Guatemala, and she waited to see what I’d been taught before telling me if it was correct or if she saw things differently. For the most part, we tended to agree on things related to the US involvement in a sort of bad way. She told me her father had two friends who disappeared during the war and she thinks it’s related to their vocal disdain for the government in the 1980’s.  She thinks their dead, but nobody really knows where many of the people went.

I asked her why she thought the war and massacres occurred and she said a lot of it has to do with the government wanting land from the indigenous people that they did not want to give up. She mentioned one town in Coban, where the government wanted to build a dam to provide electricity but a pueblo of Mayans was located there. The government asked them to relocate, but they refused so they pushed all the men, women, and children into their buildings and set them on fire, killing everyone. Pretty crazy stuff, particularly when you find out who taught this government how to accomplish these things.

My day did get less depressing in the afternoon during a tour of Common Hope, in nearby San Pedro. Also called Las Familias de Esperanza, this is the NGO that helped our field school get it’s feet on the ground. We spent an hour or so in a classroom viewing a presentation by Tiffany Boggis, an OT professor at Pacific University in Oregon. She told us about her work in Nicaragua, establishing a field school for students attending her university, and the details of what they’ve accomplished in a couple of 2 week stays. Her focus on the well-elderly population is similar to our research, but she’s been able to get community organizations in Nicaragua to facilitate and continue much of her work throughout the year. This is something we need to do for Casa Maria.

After Tiffany’s presentation, we took a tour of Common Hope which was started in the 1980’s/ and restarted in the 1990’s by a couple from Minnesota who wanted to help kids attend school. The idea of this is that if kids here can graduate high school, they can go on to get better jobs, take care of their families, and they’re more likely to become decision makers in their communities, continuing the cycle of education. Common Hope focuses on education, health, and housing because all are necessary to attend school successfully.

A few really cool things about this place: each child who becomes affiliated with Common Hope gets healthcare through their private clinic along with everyone who lives with that child, all educational related materials are provided, and families donate time to accumulate volunteer hours that can purchase them a “mobile house” (100 to 450 hrs) and/ or stove (10 hrs). The stove can also be prescribed by a doctor for a person who gets frequent respiratory infections. The woman and children here get sick a lot from smoke inhalation from cooking over an open flame indoors, hence the prescribed stove which has a vent.  A “mobile house” is sort of a prefab, one or two room house with cement blocks for floors, all of which can be picked up and moved if the family needs to relocate. The reason for this is that many families are squatters here, so sometimes they need to leave, so this is a solution to letting them keep their homes at the same time.

One of Common Hope’s most interesting philosophies though, is in not giving anything away for free. Here in Guatemala, there are so many people that are extremely poor so there’s a tendency to want to just give people what they need. This gets dangerous though because it creates dependency and complacency. Even the poorest of people are asked to pay a “symbolic fee” for healthcare and other services because it creates a sense of value. When people pay for things, even if it’s very little, they hold it in higher regard and they’re more likely to follow through with the requirements set forth. The people also put in “sweat equity” to earn houses and stoves that they can keep. They help the organization run, which in turn provides services to them and their community. It’s more of a partnership that really seems to work. 

Monday, July 19, 2010

Monday, July 19, 2010: Common Hope and A Lady from Nicaragua


Josie picked me up this morning for my first trip to Common Hope. We’re taking a tour tomorrow but I had to see a doctor there today to check my toes. We took a chicken bus which just crams everyone into them sort of like chickens in those trucks. The clinic was in a beautiful compound and staffed by volunteer doctors from the states as well as local doctors. I saw Dr. Ali (or future Dr. Ali) who attends a med school in WA state. I told him about my daring trek up Acatenango and he told me that 2 of his friends did the same hike, and were as traumatized as I am by the experience.

After examining my toes. Dr. Ali said that I’ll get to keep them… Great news! However the nails may fall off at some point but should grow back. So much for cute pedicures! I’m thankful for the reassurance that my toes are safe for now and I don’t appear to have any sort of infection. He told me that when nails get soggy they break easier and it sounds like my toes got really soggy. That is an understatement!

I skipped Spanish to go to the doctor, and then spent much of the afternoon sleeping as I’m still exhausted from the hike. My legs are still not functioning and laying down is the most comfortable position for now.

We met with Tiffany Boggis this afternoon, an OT professor at Pacific University who is trying to start a field school like ours in Nicaragua. She’s interested in the Well-Elderly population (senior citizens who are considered healthy) and what they do with their time in Nicaragua. She said most people there are highly interested and involved in politics and read the newspapers often. The literacy rates are high, despite Nicaragua being one of the poorest countries in the Americas, second only to Haiti. We’ll meet with her tomorrow as well, and I hope to learn more about this Nicaragua school that sounds amazing!

Also, Josie informed my that I’ll be moving again on Friday to a new homestay so I don’t have to share a room when I’m paying to have my own. I’m excited because I feel like I haven’t connected much with this family so on to the next! The people in Guatemala are all so nice, so I’m excited to meet more of them!

Sunday, July 18: Trouble with stairs and a family visit


I woke up this morning in so much pain. My room is on the second floor and there’s a small step up to the bathroom here. I could barely lift my leg to climb the stair and walking down the stairs was excruciating. My two big toenails have yellow stuff coming out of them, which doesn’t sit well in my mind, so I called our coordinator Josie who is making an appointment at the Common Hope Medical Clinic on Monday so I can have them looked at.

Last night, I spent some time with Devva, a professor from Berkley who was robbed in the market earlier Saturday. She showed me her purse which had a small cut in the side which the thief made while she was shopping and then just reached in and stole her wallet and camera. The markets are crowded here, and she thought someone was a little too close behind her, but she didn’t realize her stuff was gone until the thief was long gone. It’s a frightening reminder to all of us that as safe as Antigua seems, we need to be vigilant about keeping an eye on our surroundings. Erika and I spent the evening with Devva as she called all her credit card companies to cancel them, and we brought her dinner from Pollo Campero. She’s such a sweet woman, it’s so sad to see her go through such a terrible ordeal.

As for today, my grandpa’s cousin Noelia came to visit me with her brother and his wife. They treated me and my friend Jackie to lunch at Las Palmas restaurant, and then took us to a huge coffee farm, Finca Filidelfia, for mochaccinos and a short walk. Noelia had planned to come a day earlier but I scheduled my hike before I knew she was coming, so I had told her I had some school commitments. Because of this, Jackie and I were in a lot of pain from our hike yesterday, but we were reluctant to share our tale. Nonetheless, every step of our walk was full of effort and we kept smiling at each other to keep our secret.

After our tour of Antigua, I came home and Skype’d Brian, showing him my new toenails, a told him about my journey for the day. I miss him so much, particularly now when I’m so achy from the trek. I can use a good adjustment. I have however, figured out the if I walk sideways up the stairs to my room, it doesn’t hurt as bad since I’m using different muscles. I may look a little weird, but it works for now.

Sat, July 17: A 12 Hour Walk in the Park


So I climbed a volcano today… It was sort of on accident and sort of on purpose, however I definitely climbed it. It’s name is Acatenango (Ah-Kah-Ten-Ain-Go) and you can see the giant peak from anywhere here in Antigua. Four of the girls here said they were going on a hike and it sounded like fun, so I decided to join them… This was my first mistake. We went with 10 people and a guide from OX Tours, and we left at 4:30 am this morning. On the way, we stopped to pick up two tourist police officers to protect us from banditos. This should have been my first clue to turn around and sleep a little more.

I don’t know about you guys, but when I hear the words “6 hour hike to the summit for tourists” I tend to think “gingerly stroll through a wilderness park with views from the top of the hill.” This was my second mistake. It was more like a 6 hour vertical climb to the top of a giant mountain. At our pre-game rendezvous, our tour guide told us when we reached halfway to the summit, she’s start handing out aspirin to combat altitude sickness. This was my clue to run home. Nonetheless, I continued by joining the rest of the group in the van for our journey up the mountain.

Our hike started at 2500 feet (I think). We had a few sections to go through: farm country (aka walking for 1.5 hours at a 60 degree incline through an irrigation ditch that was the consistency of coffee grounds), then the cloud forest for 2  hours, then a pine forest for 1.5 hours, volcanic soil for 1.5 hours to the first summit, then another 30 min to the second higher summit at 14,000 feet, followed by 3 hours running downhill through a river bed carved by rain into the volcano. What was I thinking???

I was good for the first 15 minutes, then I was the first to ask to stop. Our guide instead insisted that I walk next to her at the front of the group while she encouraged me… for another few hours. I trudged along, begging to stop every 5 minutes or so, and I let someone who offered to carry my pack have it for most of the hike. About an hour in, a local farmer’s dog, Coyote, joined us for the rest of our journey and made our hike to the summit seem easy. Then I wore my poncho for the first time in Guatemala when it started to pour 3 hours into our hike up. We made it to the first summit drenched, delirious from altitude sickness, and cold from the wind at the top. We were in the original crater of the volcano among the clouds and could not see a thing so our guide advised us that the second peak was not much higher and looked the same, only colder and with even less visibility. So we voted unanimously to descend in the pouring rain.

It “only” took us 3 hours to get down the mountain, half on our bums in the mud, and through a new trail carved by a river, which was filling with rain as we walked through it. We encountered a group of 6 men with shotguns and hound-dogs, and I immediately asked if they were “banditos.” They laughed and said they were hunting rabbits… a group of Guatemalan Elmer Fudds- kind of silly. We continued our descent, covered in mud, shoes full of water, and our toes banging against the front of our shoes since the incline was steep. We made it down, into our van for an hour-long journey back to Antigua. The ride back was incredibly quiet, which I presume was the result of shock from what we’d all just been through.

I thought my toe nails were strong, but my two big toe nails are now cracked in half and full of volcanic mud… I discovered this when I arrived home and took off my unrecognizable shoes. I’m sore, tired, can’t walk and pretty sure I got a work out in that is good for the next 3 to 6 months. I’m headed to the clinic at our NGO partner, Common Hope on Monday to ensure I don’t get gangrene from whatever is embedded under my toenails. I’m not sure why it didn’t occur to me that “6 hours up” really did mean “6 hours up.” I learned my lesson, but I’m glad I pushed myself and made it to the top.

Friday, July 16 2010: Field Notes and Hermano Pedro


We spent the morning today organizing, reviewing and analyzing our notes on what we’ve observed at Casa Maria. It’s a difficult process because we go through each observation, line by line, trying to figure out what we’re really observing and if we’re missing anything. It was our first day doing this so it was like pulling teeth for our Gero Research group as none of us has had experience doing this type of research. Watching people is easy, but narrowing down what you’re actually looking at and looking for is much harder than you think.

After lunch, everyone in our Gerontology group (11 of us plus 2 professors) took a tour of Hermano Pedro here in Antigua. This is a renowned hospital for the poor in Guatemala that is know for giving amazing care to people of all ages and a major place for medical missionaries. The absolute highlight of the tour occurred at the beginning when the guide was giving us an overview of how the hospital works. A man with Down’s Syndrome approached our group and walked to me, opened his arms wide and gave me the warmest hug. He did the same to my friend Amanda, then walked away without saying a word. I like him so much!!!

Hermano Pedro Hospital works with people on a sliding scale and accepts donations for care if people can give them. We encountered patients with no last name, who had been dropped at the doorstep of the hospital and no known origin. The senior center was cute, and seemed to be a better environment then Casa Maria, but with far fewer patients. The room with the kids was shocking as they were all laying in rooms of cribs that looked like metal cages, many of them too long for their beds, and some were contorted in all sorts of ways to fit in them. It was sad to see, but this place is supposed to offer some of the best care in the country… shocking.

After getting over the “cages”, Hermano Pedro seemed to be a good place with a school for the children, carrying staff and volunteers, and a lot of resources that were mainly the result of donations. At this point, I’m not sure what to think about anything here that one would consider unacceptable or neglectful in the U.S. Things here are different and much of what we see here is simply more visible and extreme than in our country. However, I think we probably have just as many people who are poor, hungry, neglected, or underserved. We all just tend to look past it or push it to a different neighborhood. Here though, it’s all out in the open, and there’s a greater disparity between the poor and middle class, so it’s much more obvious.

Thursday, July 15 2010: Spanish and Casa Maria


Nothing really exciting happened today. Spanish in the am, lunch, then an afternoon at Casa Maria, followed by a meeting with our research team. I’m not as crazy about our meals here as Marie was a much better cook than Thelma… shhh! Dinner was cool though since she made us quesadillas with all sorts of toppings to stuff into them. It was by far our best meal here at the new place but not as good as our old home. I really miss those people!

Casa Maria was pretty interesting and we’re learning more about the people there and what they’re like. Armando, a student from the Med Anthropology group has been coming with us to help translate what some of the people are saying. He’s really an asset though since he’s the only male we’ve ever brought along. There’s some things that men only say to other men, and he’s getting a lot of the inside scoop from the residents there. He’s also helpful in keeping the people who a little to touchy feely away from us girls… if you get the hint.

Tonight I came home and had an interesting conversation with my cousin who broke his neck in January. First, I found out the he speaks English really well, which was a bit of a surprise after our few conversations in Spanish. He sounds like a cool guy and I’m not sure he completely understands that his life can be just as fulfilling even if it is different. I spoke with one professor, Devva, who is in charge of our disability studies group and she recommended that he come to Antigua to meet with a group called Transitiones. They are run by and fully employ people who have a disability here in Guatemala. Their specialty is customizing wheelchairs for people who need them. I think Quique could benefit from some peer support, so I’m hoping he’ll be able to meet these men who are living normal lives, and see the possibilities.

Wednesday, July 14, 2010: Integrative Seminars and Lunch with an Author


We had our second try today at PBL’s (Problem Based Learning) with Gelya as the facilitator of my group. I’m a bit traumatized from the experience so I won’t say much, but it’s a lot of effort. We’re working on asking questions about what is going on in a particular case study, and we go through things line by line, for 3 pages of the story, asking 10 questions about each sentence from the story. It’s painstaking and so hard to do. The point is to not assume anything and figure out what we want to know more about before we move on to the next line of the story, which usually has answers to some of our questions. Still, we persist in this format…

We had visitors for lunch, one of our coordinators who lived in this house last year, and a man who is the author of the Lonely Planet in Germany. It was interesting to see the dynamics of this lunch. We had three large trays of Spanish style ravioli, garlic bread, salad, two kinds of juice… it was more food than we’ve been served for lunch and Erica and I knew something was up. Our house mom told us at lunch that the she was the only family recommended by this gentleman in the book, then she went on to say that other families only served their students bread and water for all their meals and they turned off the hot water when the students used too much. Where am I? None of our students have had experiences like this with their families! Everyone is really happy and when something is not right, our school moves us immediately. So Thelma’s account of this was interesting to say the least.

On the same note, I had a conversation with the amazing Josie today and she was appalled that Thelma asked me to share a room when the other man arrives. She’s going to work on moving me to another location before that happens. I have 2 weeks and then will be in another new home.

Tuesday, July 13, 2010: Same Routine Plus an Interesting Dinner


Spanish in the am, then Casa Maria, discussion of our notes, and then home for dinner. My new host mom, Thelma served an interesting meal of pork, or chicken… Erika and I are still debating what it was. During the dinner, she asked us how we liked her family and if we thought she was as good of a cook as Marie. I said no… then I said something in Spanish to the effect of “she is nicer than you” which I didn’t mean to say but it’s a different language and I’m still learning.

Anyway, during dinner, Thelma told us that she “forgot” that she promised my room to a guy from Canada over a month ago, so maybe I could move in with Erika in 2 weeks… but still pay the same rate. She made a good case for her at least so I said I would think about it. I’m not really fond of moving downstairs though since everyone in the family shares the same bathroom, and I only share the upstairs room with one student. Also, if I’m paying for my own room, I want my own room. This is a job for Josie our coordinator… I have a feeling I’ll be moving again soon.

Monday, July 12, 2010

A Few More Days...

So here's a brief list of the activities that occurred over the last few days:
- My grandpa picked me up Sat.
- Toured Guatemala City
- Spent the night with some family
- Watched the World Cup
- Came back to Antigua Sunday night
- Moved to a new house Sunday night
- New Spanish teacher Monday morning
- Visit to Casa Maria again on Monday PM
- Helped sweep river of water out of new house Monday PM


It's an understatement to say that they keep us occupied here! We wake up at 6 am, eat breakfast at 7 am, do something for the program until noon, lunch at 1pm, meet again somewhere by 2pm, come home by 6pm, dinner at 7pm, talk for an hour or write notes, shower, sleep... Repeat until you're exhausted. I'm learning a lot, but I'm so sleepy.


My new home is super cute, aside from the river of water that came in our front door this evening when the street turned into a river from all the rain... which I had to run 6 blocks in to get home then could not for the life of me find my keys so I got so soaked. The fact that water could actually get in our door is a surprise in itself at the entryway has a 7 inch high step over to get in. That means the water had to rise from street level to the sidewalk (6 inches) then to the door level (7 inches) so over a foot in total. It took 6 of us in a line with brooms and one person with a bucket to get the water back outside where it belongs. Afterwards I was instructed to promptly wash my feet with soap and water by our house mom as the water can sometimes carry parasites that crawl into your feet and then through your body... so gross!


Thankfully, my new room is on the second floor, so I'm hoping that I'll be dry for time being. My biggest delight here is the internet!!! We have internet!!! It's so exciting! Also, the cutest little boy lives here... He's 17 mos old and his name is Angel. He's very interested in me and Erika and he always seems to be peeking from around the corner. Definitely one of my favorites parts of Guatemala so far.


The weekend with my grandpa was nice as well. We stayed with some family in Guatemala City. He showed me pictures of his home in Chiquimula and talked about his best friend Chester all the time (a puppy he has had for a year now). He brought a table he made in his shop and showed me how he constructed it. Then on Sunday, my grandpa's older sister, Tia Tita, came by and she watched the World Cup with us and had a couple of beers (she's 88). We talked with family, ate more amazing food, and generally just spent time getting to know each other again.

Day 6: Casa Maria, Lecture, and Dinner


We visited Casa Maria today, a home for los ancianos (seniors) which my OT program did some fundraising for. After meeting at our professors’ homestay, we walked to the bus stop and took a famous chicken bus to the pueblo of San Felipe. There we walked up a hill to the senior home I’ve heard so much about.

I’m not sure how much I can say about Casa Maria since it’s part of our research and many of the details are confidential in relation to specific people in the home. However, what I can tell you is that it was shocking to me. There are 65 people who live in the home, and in one room there was 7 beds crammed together with less than a foot to pass through them, not enough for a walker, wheel chair, or even a person. People were in wheel chairs whose seats were worn out and replaced by plastic lawn chairs, only without the legs. Some people were tied to poles with scarves to restrain them from I’m not sure what. I’m still reeling from the things I saw, and this is considered one of the better places to be.

Nonetheless, the people I talked to were nice and seemed to be at least somewhat content. They said the food was good, and I could tell by the smell of their lunch being prepared in the kitchen that they weren’t just saying that to be nice. Many of the people are excited that we’re there and some remember the group from last year. As overwhelming as things are, I’m hopeful that we can make a difference in the lives of these people. The question is where to start.

After Casa Maria, we had lunch, a lecture at Hotel Candelaria on research methods, and then dinner with Jorge and Marie. Marie told us she wakes up everyday at 5am or sometimes 3 am to iron, do laundry, clean, and cook. I’ve said this many times, but she is an amazing cook and an even better mother and wife. When Jorge gets home, she sets his dinner on the table, and just looks at him with big eyes… you can tell they really love each other. To Erica and me, it seems like Marie does everything and it’s scary how well she does it. We reminded her eldest son tonight that he’s very lucky, and we told Jorge that we’ll refer to him from now on as “Marie’s Husband.” However, Jorge is a great father as well. He told us how he never goes out because he wants to set a good example for his kids. He’d rather spend time with them and teach them how to be happy in life instead of doing things for himself. As old-school and traditional as this seems, something is working for them because they’re kids are amazingly well mannered and they’re obvious love and respect for one another is enviable.

Friday, July 9, 2010

Day 5- July 8: Market, Movies, Spanish, and Goodbyes

This morning started off with an amazing breakfast from Marie, followed by a trip to the famous Antigua Mercado that happens 3 days per week. I walked alone for the first time in this town and I felt surprisingly comfortable, particularly since I don’t ever walk alone in the States. I found a gorgeous handmade shoulder bag with embroidered flowers and a matching woven wallet which I purchased for a total of 100 Quetzals (about $12 US).

After my morning walk, I headed to my professor’s homestay which is literally located inside of a carwash. You have to walk through the main gate of the carwash (which is where they actually hose down the cars) and through a little hobbit type door which opens into a beautiful courtyard with doors to rooms surrounding it. Once inside, it’s easy to forget that you’re in a carwash because the home is so beautiful.

Today, we continued our look into the history of Guatemala by watching the film “Voices from the Mountain.” It retold the story of the civil war, US involvement, and then it went over the aftermath. Essentially, when the Peace Accords were signed, the indigenous population (the largest percentage of indigenous people in the Americas) was promised that labor and land rights would be improved for them. However, nothing seems to have changed. Most of the population lives on less than $2 per day, many less than $1. We were told the average weekly salary for a farm worker (the predominant industry for the Mayans) is $7 per week, however the bus fare in 50 cents each way. Does that make any sense? Why even work? And who made up these bus prices when people make so little?

I used my 4 hour Spanish lesson to explore this more with my professor Sylvia, a woman my age who lives in a nearby pueblo. She told me the men in her town are boot makers and the women pick coffee for additional income. Men make Q25 per pair of boots, and can make up to 12 pairs per week (2 pr per day, 6 day workweek), which is Q300/wk, or about $35. Women who pick coffee are given a row of trees to harvest, and they pick the red coffee beans each day from their row during the month. They’re paid Q25 per 100lbs, and Sylvia said the average income at the end of the month is about Q1200, or $150 for the month, however this is with the help of either the woman’s children or a friend who then gets a portion of the money. Work at the coffee plantation is seasonal and at most generates income only 6 months of the year, the rest of which the women spend at home, taking care of the household. It seems like a lot of work for not a lot of payoff.

After Spanish, my housemate Erika and I, arrived home for dinner and a fiesta. Brittney and Fiona, two girls in our homestay are headed home to San Diego tomorrow, so Marie painted a sign for them made a beautiful meal of empanadas, black beans, pink and blue champagne, a cake, and chocolate covered strawberries. To both my and Erika’s surprise, Marie also made us a sign and decorated a second cake for us, since we’ll be moving on Sunday. At dinner, Jorge said a lot of nice things to all of us in Spanish, and then had each of the children thank us for spending time with them. This family is so amazingly caring and genuine, and I can’t believe I have to say goodbye to them after only a week. 

Day 4 PM- Hot Showers and Other Things


I just figured out the trick to taking a hot shower here! On the shuttle to the hotel this morning, all 10 of us in the car were talking about how we turn the knob this way and that to get the water to stay warm for at least enough time to rinse the soap off. I guess I’m not the only one! There’s these wires connected to the showerheads and when you turn the water on too much, it’s cold. But if you don’t turn it enough, it just trickles and doesn’t do much of anything for you. I turned mine a full turn, then back halfway, then back to the full turn point. Hot water! Then it’s boiling hot, so I had to turn it down- freezing, hot, warm, cold…. It’s a process. I was able to keep at it for a good 5 minutes though, enough for a quick shower, but it’s definitely a success!

I feel like as frustrating as these experiences are to the other students in our group, this is why I came here- to appreciate these sorts of things. Simple as they may be, they are luxuries that we take for granted. When I came here, Brian (mi prometido, or fiancé) reminded me not to sweat the small stuff. I remind myself of this daily and instead try to embrace these things because there’s so much that I can learn from them. If hot water is a rarity in a wealthy town like Antigua, I wonder what it’s like in the poorer towns. From the background we’ve been given, I’m sure a hot shower is the last thing on peoples’ needs list.

Just when I figured out how to work the shower, my housemate Erica and I found out that we will be moving to another host family. The place we’re staying at now is 9 blocks from the rest of our class, and on the other side of town. Since we’re in different sections of the field school, and thus have different schedules, it’s not ideal for us to live so far from the rest of the students because we have to walk alone often.

Though I understand and am sort of relieved to be closer to the other students as well as the center of town, I’m also sad because Jorge and Marie are such amazing people. Jorge is a Chiropractor just like Brian, and Marie is a nurse (or enfermerda) just like my mother in law. Marie makes the most amazing and beautiful food for every meal, fresh made juices (we’ve had pineapple, lime, and tamarind so far), and a small dessert (tonight was chocolate cake with icing) which rivals my grandmother’s cooking. We laugh with them every night and talk about holistic medicine, cultural traditions here, and just life in general. They appreciate my humor and malo espanol (bad Spanish), and I’m amazed by their genuineness and  caring. I’m going to miss themL

Day 4- Problem Based Learning and Research Groups


We spent the morning (la manana) again at the beautiful Hotel Candelaria, where we got more in depth into our mission here. Initially, we spent an hour in our individual teams (mine is Gero Research) where we discussed our goals for the coming weeks. Then we dispersed into Problem Based Learning Groups which consisted of people from the different teams along with a facilitator, mine being the brilliant director of our program, Gelya Frank (an Anthropologist from USC).

In short, problem based learning is a meeting of the minds from different professions. We read about a problem then talk about it, adding our own viewpoints based on experiences in our professions and personal lives. Students and professors alike here are all brilliant and view things through a different lens. We’re idealistic, realistic, and true to our professions, but nonetheless we all have a common goal of doing our best to contribute a solution to the issue at hand.

Gelya, though brilliant as she is, is careful to allow us to cultivate our own thoughts. While she has so much to teach us, she chooses to challenge us instead by having us dig deep within our minds to find the answer, instead of just giving it to us. As much as you want to be intimidated by her presence, it’s hard to feel anything but comfortable because she’s just that sort of welcoming and encouraging spirit. With all the talented people here though, I often find myself wondering how much I can really offer. I know there’s a reason I’m here, I just have to find my place.

Wednesday, July 7, 2010

Day 3


The Elizabeth Bell Tour of Antigua followed by 4 hours of conversational Spanish. We started at the Central Square of Antigua and walked through ruins, the Jade factory, and Hotel Santo Domingo. I had no idea that the history of the Guatemalan culture was so intricate, and intertwined with so many others.

The civil war seems to have just ended and after 16 years of restructuring this new sort of democracy, there’s so much work to be done. Essentially, the Mayans who are 60% of the population came into power and started to built self-supporting systems that competed with exports of the US. In the 1970’s the US is said to have assisted in creating a coupe that overthrew the government here, supporting the minority population in getting power over the country. They trained them in genocide techniques and then supported the mass genocide of thousands of Mayans for nearly 30 years. In 1996, the war ended and the country is struggling to begin anew.

This history brings things into perspective when we think about what’s going on here…. The lack of policies to support people and their needs, the corruption, and the need for more than is possible to bring about in just 16 years. We’re looking at a new country with so many possibilities yet so much to put in place that takes time, but most of all takes a trust that the government is looking out for the people’s well-being. But after all that has happened here, how can you trust a government, or even a world that has turned it’s back on you and tried to get rid of you?

Day 2




So this is actually day numero uno of the field school. We had orientation at the beautiful Hotel Calendaria, with grand views of the 3 volcanoes surrounding the city. We spent time going over our mission, which is simply to understand how environments and support systems impact the lives of the people they’re intended to help. Our NAPA-OT Group (or Grupo NAPA in Spanish) is sectioned off into the following 5 categories: Medical Anthropology, Disability Studies, Pediatrics, Gerontology Research, and Gerontology Practice. I am participating in Gerontology Research which is sort of intertwined with Gerontology Practice.

Essentially, we want to see what we can do to help the people of Guatemala. However, this is more complex than it sounds. When you just go into a country and start helping people who are sort of invisible (here our focus is people who are disabled) it can give the government “permission” to keep ignoring them since someone else is taking care of the issue. We’re working with non-governmental organizations, which are non-profit companies that receive money from other sources and help locals. We’re also working with grassroots organizations that were started by people here in the country and are less bureaucratic, or with a flatter hierarchy of people. Each organization has it’s benefits and downfalls so we want to see if we can assist them in creating places that help people in a way that does not increase reliance on them.

I also had my first day of one-on-one Spanish instruction at Tecun Uman Spanish School. I sat in a restaurant with my professora Sylvia, a girl around my age, and we talked for 4 hours in espanol. We discussed the mission of our group and she told me a story that illustrates our mission:

Sylvia said that when she was a little girl, there was no such thing as senior care homes. Families here take care of each other and they’re very tight knit. However, there were some elders who didn’t have children and needed care so a local Friar opened a free senior home. He took in the elders and cared for them. However some ninos malos (bad children) started to bring their parents to the Friar’s home because they didn’t want to take care of them anymore. The Friar would not accept them so the parents ended up back at their child’s house but they did nothing there.

After many instances of ninos malos trying to drop their parents off, for-profit senior homes started to open to fill the demand. Sylvia says there’s a few in Antigua, but it’s a new concept and only for those people who can afford it. By the look on her face, you could tell it just didn’t sit right with her. The opening of the senior care homes caused a break in the traditional family values here in Guatemala. It created a normalcy or permissiveness for people to stop taking care of their parents. However, in a place such as this where people spend their lives working for little money and few social supports, what are the seniors supposed to do with themselves when their kids decide to break tradition and drop them off in a home?

In my homestay, I see reminders of my past. Marie prepares lunch for her husband Jorge and serves him everyday, just as my grandma did for my grandpa. Women take care, and take pride, in caring for the household. This is what they’re brought up to do and it seems to be a major part of their identity. For men, their work ethic is obvious and appears to be a central part of their identity. In other words, these occupations are essential to the identities of the people who live here. Breaking tradition and placing them in homes disrupts these occupations and that can’t be good. Imagine being 75 and having to find new hobbies, pastimes, and essentially a new way of life instead of living with your kids, playing with grandchildren, and doing all the things you thought you’d be doing. What does that do to people? I guess we’ll see.

Day 1- July 4




We arrived to a welcome committee outside the airport. Literally hundreds of people looking for their loved ones… whole families awaiting a person’s return. I was like a deer in headlights, searching from inside the doors for an orange sign that said “Grupo NAPA.” After spotting him, I made my way to the curb where I met 5 other people just as wide-eyed as I was.

After driving through the craziest, most beautiful lush green mountains, we arrived in the town of Antigua. We knew we were in our new home when the streets turned to bumpy cobblestones and became too narrow for even one car. The driver dropped each student off at his or her homes one by one and handed us each a map with a highlighted portion showing where our new home was. I’m here, but even with the map, I’m really not sure where I am.

I am staying in the home of Jorge and Maria, a cute middle-aged couple with two sons and a daughter, all 10 to 14 years old. They speak only Spanish, but we’re already learning a lot about each other.  There are two girls also staying here from San Diego. It’s been 2 weeks since they arrived and they seem so comfortable, traveling the country and studying Spanish. Another girl from my program is scheduled to arrive tonight. I’m thrilled to meet her.

My room has beautiful tile floors, a full size bed, and a desk to read at. The bathroom is just as cute with a tile bathtub and sink. Hot water is questionable but I’m sure I’ll figure that part out. Orientation is early tomorrow and Maria is making us breakfast before we head out. The two girls say she is an amazing cook. I can’t wait!!!

Sunday, July 4, 2010

Off to Guatmala



They say a picture is worth a thousand words. I don't know if you can tell, but I'm going to miss Brian so much! Today is the 6 year anniversary of when we first met. I can't believe I'm leaving! I haven't been homesick in a long time, but I think I'm finally there. Knowing that I have a lot that I'm going to miss makes me realize that I'm definitely home.