jeudi 29 octobre 2020

UNITED STATES OF AMERICA OF IMAGINATION AND THE UNITED STATES OF AMERICA OF REALITY... HARSH, VIOLENT, RACIST, BORDERING ON FASCISM BUT ALSO INNOVATIVE AND HOSPITABLE AND OPTIMISTIC

 I had the chance to visit Delta Orinoco in Venezuela on two different occasions. It takes a very long boat ride to get there, gliding past the palafitos of Warao Indians, with a chance to see the pink river dolphins.

Once you arrive at this distant outpost of Venezuelan Guiana, one is surprised to see so many nationalities etched into the faces of the inhabitants. Guyana (the former British Territory) is not that far away (by water). The only hostelry was owned a mixed race family, as every one seemed to be. The shopkeeper was a Guyanese Indian Venezuelan. I ate at the home of a lady with very distinct indigenous features who went by the name of HanumanSingh, a typical name from India (via Guyana obviously)

(this photo was taken by. a young doctor from Holguin, Cuba part of the 20 strong Medical Mission in this village)

I realized that your national identity or your separateness has little meaning in the Delta Orinoco. You cannot survive here without helping each other. TO FEEL THAT YOU ARE NOT A STRANGERS, YOU HAVE TO STOP LOOKING AT OTHERS AS STRANGERS.


In the United States, Black Bodies are seen as Criminal, Brown Bodies are seen as Illegal and of course Homosexuality seen as Immoral
But within the lifetime of most of us, USA will stop being a white majority country but the dying embers of white supremacists aided and abetted by the elected officials (Miami is rightfully called a Banana Republic), would like you to believe that this country belongs to their exclusive clubs and with Police Brutality not known elsewhere in the civilized world.
Nowadays it is impossible to tell from the surname how long the person is connected to the land now called United States of America. 
One good example is my friend Bernal Baca, an activist whose family claims to have been descended from Alvar Nunez Cabeza de  Vaca who arrived in the New world in 1527.
Only four of the original party—Álvar Núñez Cabeza de VacaAlonso del Castillo MaldonadoAndrés Dorantes de Carranza, and Dorantes' enslaved Moor Estevanico—survived the next eight years, during which they wandered through what is now the Southwestern United States and northern Mexico. They eventually encountered Spanish slave-catchers in Sinaloa in 1536, and with them, the four men finally reached Mexico City.
Interesting to note that a black man was the first african to visit these United states in the years of 1530s, long before Puritans and the ancestors of the current white supremacists arrived at these shores.

So when i saw a short video which featured an AMERICAN film makers and activist. Valerie Kaur, unless she told you that her SIKH grandfather had arrived in San Francisco in 1913 from British India, you would think of her as a typical American in anguish at the current state of affairs in the USA. Her grandfather was already in the USA when the current President's mother was in a village in Scotland. 
All Americans, regardless of colour should look into the near ancestral origins and would be surprised to see that they are not truly NATIVES of USA.. that honour goes to another group..

This pandemic has arrived at a time when all of us whether we live in the Americas or Europe or Africa or Asia- Pacific can begin to see each other not as the OUTSIDER or the OTHER but as someone that is part of YOU.

in a 1915 poem, the sentiments are clear but why we are still embroiled in this one hundred and five years later ? 

I believe in the purpose of everything living,
That taking is but the forerunner of giving;
That strangers are friends that we some day may meet,
And not all the bitter can equal the sweet;
That creeds are but colors, and no man has said
That God loves the yellow rose more than the red.

Valerie Kaur has degrees from Yale, Harvard and Stanford, is a lawyer, advocate for SIKH people and their religion.
Does it take a lot of education to understand tolerance ? in the USA ? Is there a correlation for the adoration of fascism in this country by white men who do not have a college education ?

She is championing a concept of Revolutionary Love , a concept which may change the way people look at one another in the USA.





I urge you to watch her TED TALK. Here is a short video of her passionately expounding her very welcome view about HER country and HER countrymen..


I felt good listening to her.
She is a sensible, tolerant, educated American who cherishes her ancestry and culture much like white Americans cherish their christianity 
She knows WHO she is, American who is proud of being SIKH who came to USA in 1913 from British India. 

An elder at a midwestern tribe once told me. I cant make out the white person, when I ask them who they are, they say, I am 1/4 German, 1/4 scottish, 1/4 Norwegian and 1/4 Swedish
Four Quarters do not make 1, it makes ZERO..

lundi 26 octobre 2020

BE HAPPY WITH WHAT YOU HAVE, DO NOT BE UNHAPPY WITH WHAT YOU DO NOT HAVE .. GOOD ADVICE TO REMEMBER FROM AN UMONHON INDIAN

 

Dr. MW and I have been friends since our medical student days, he and his wife G, would make every effort to get together  during my brief passages through Miami as I got involved in International Medicine.

We call our sessions Schmooze sessions, after a Yiddische word for pleasant chatting. Normally we would get together for a prolonged dinner, and then continue our conversation at his house and to the breakfast of, typically, lox and bagels..It was not unusual for us to chat for hours and hours on end, aided and abetted by wines from around the world, and needless to  say priceless dinners at some of the best restaurants in Miami.

Our last dinner together in February 2020 was at Mazzi Cucina a small Italian eatery in North Miami Beach and as always memorable. What we did not realize was shutdown and social isolation was just around the corner and eight months since that dinner, we have not seen each other ..

In Cuba, the practice of Psychology is very advanced and I have been lucky to work with some excellent psychologists. Cary is one of best psychologists in Havana and we had talked about the psychological price of this social isolation. 

In answer to a chat we had, Dr MW had this to say:


Just thinking about what Cari said, about psychologically it’s difficult for the three of us not to see each other. Makes a lot of sense. Fortunately the three of us have some qualities which will help us get through this: namely, we are all both patient and mature. We have already done much traveling even though there are many places still to see. But for the most part the three of us have travelled far more than the average person our age will travel in a lifetime. It’s important during quarantine to step back and look back over all the memories of terrific experiences. Of that we have many. We can also pause and think of how beautifully our children are developing. My point is that with all these lovely memories we can find the patience to wait before more travel begins and before more restaurant visits begin. I am content. I am happy here in my home. So if we have to wait another 6 to 12 months or longer there is still much richness in our lives.




Solo pensando en lo que dijo Cari, sobre psicológicamente es difícil para los tres no vernos.  Tiene mucho sentido.  Afortunadamente, los tres tenemos algunas cualidades que nos ayudarán a superar esto: es decir, todos somos pacientes y maduros.  Ya hemos viajado mucho a pesar de que todavía quedan muchos lugares por ver.  Pero en su mayor parte, los tres hemos viajado mucho más de lo que la persona promedio de nuestra edad viajará en su vida.  Es importante durante la cuarentena dar un paso atrás y recordar todos los recuerdos de experiencias fabulosas.  De eso tenemos muchos.  También podemos hacer una pausa y pensar en lo bien que se están desarrollando nuestros hijos.  Mi punto es que con todos estos hermosos recuerdos podemos encontrar la paciencia para esperar antes de que comiencen más viajes y antes de que comiencen más visitas a restaurantes.  Estoy contento.  Soy feliz aquí en mi casa.  Entonces, si tenemos que esperar otros 6 a 12 meses o más, todavía hay mucha riqueza en nuestras vidas.


Here is a typical dinner of ours, much like our last dinner together.






Friendships are such worthwhile investments in time, one has to give of oneself and slowly cultivate and see it grow and blossom.  My friendship with Dr MW and his wife G has been one like that and each and every time, our reunion gushes forth and reinforces our friendship.


It is so pleasant JUST to think of the multitudes of dinners shared by the three of us in many restaurants in Miami.

Our good times, just the remembrances of those, would keep us busy for a while.


During the year 2019, I do not think I was anywhere for more than about a few days.. it was a wonderful wonderful year for travels.. Havana Miami Paris Doha Cochin Kuala Lumpur  Bangkok Siem Reap Bogota Buenos Aires Rapa Nui etc. Feels good just to think about them.


Yes we will wait this one out, Dr MW. We have a wealth that only increases in the pleasure it gives, our memories and our conversations and our larger family (our mischpochah)  and the planet itself .

The reaction from Cuba was incredible, to the message from Dr MW that I forwarded. Cubans are pure in their reactions to what they perceive to be genuine sentiments. My Cuban sister was so overwhelmed to read the message, as we are all missing each other.


You offered comfort, Dr MW, mon petit frere, to a lot of people.

and a nice dinner with similar wines await you at the Little Casita in La Habana.. and a short walk along the malecon afterwards..





samedi 24 octobre 2020

TOSKA IN RUSSIAN, COULD IT BE SAUDADE ?

Writing about one of the earliest short stories of Anton Chekhov, the author writes:

The title of this story—the Russian word toska—has no exact English equivalent, but it is the emotion that characterizes much of human life as Chekhov saw it. The story itself could stand as an extended definition of the word. Constance Garnett translates it as “misery,” ­Pevear and ­Volokhonsky turn up the volume to “anguish,” but the sense is closer to “longing.” In Russian, when you miss someone, you toska (toskovat’) for him. We live missing something, longing for ­something, though we do not always know what.


Does this not remind you of SAUDADE ?

Saudade is a word for a sad state of intense longing for someone or something that is absent, is one definition.

there are so many definitions of Saudade.

"vague and constant desire for something that does not and probably cannot exist."

Having "enjoyed" or "suffered" multitudes of ecstatic moments of Saudade, I have my own definition: It is the sense of loss of something even before you have it.

Fado da saudade

I sing fado for me
Eu canto o fado pra mim

Open the doors to me
Abre-me as portas que dão

From the heart out
Do coração cá pra fora
And my endless pain
E a minha dor sem ter fim

That is in that prison
Que está naquela prisão

Get out of prison, go away
Sai da prisão, vai-se embora
Oh, my pain
Ai, minha dor

Without the bitterness of your weeping
Sem o amargo do teu pranto

I didn't sing like a song
Não cantava como canto

In my bitter corner
No meu canto amargurado
Oh my love
Ai, meu amor

What are you now that I suffer and cry?
Que és agora que eu sofro e choro?

After all, now that I love
Afinal, agora que adoro

It's for you that I sing fado
É por ti que eu canto fado
I sing fado for me
Eu canto o fado pra mim

I've sung it for both of us
Já o cantei pra nós dois

But that was in the past
Mas isso foi no passado
Since this is the case, so be it
Já que assim é, seja assim

You forgot me after
Já me esqueceste depois

Each has its own fado
Já cada qual tem seu fado
The happier
O mais feliz

It's yours, I'm sure
É o teu, tenho a certeza

It is the fate of poverty
É o fado da pobreza

And that leads us to happiness
E que nos leva à felicidade
If God wanted it
Se Deus o quis

I don't envy you this achievement
Não te invejo essa conquista

Because mine is more fadista
Porque o meu é mais fadista

It's the fate of longing
É o fado da saudade









PSYCHOLOGICAL PANDEMIC IN THE TIME OF CORONA VIRUS PANDEMIC

DUNBAR NUMBER IN THE TIMES OF COVID 


This morning BBC Future had an article, 

How solitude and isolation can affect your social skills.

Humans are deeply social creatures, so what happens when we’re alone for a long time?


While in the western countries there have been a lot of talk about Economic decline and unemployment and disruption in the school system and the disappearance of life as we knew it just few months ago, there has been very little talk about the Mental and Emotional Health of the country, individuals, children, society and the new normal has a new normal in behaviour of the individuals as well.


It was Sadhguru, a South Indian Mystic who pointed out that there would be a second pandemic: Mental Health and I can see it is already here. 


I am an Endocrinologist and Anthropologist. While my travels around the world was curtailed drastically (down to zero), I have been pleasantly occupied counselling people around the world, not formal psychological consultation but offering subtle help in understanding small changes in their own behaviour or the behaviour of other people towards them. 


So this BBC article was handy, and in time.


Despite the Covid Pandemic, the Dunbar Number is alive and well.


From the BBC

One explanation is that socialising is a mental workout. To successfully navigate an interaction with another human being, you need to keep in mind a surprisingly large amount of information – in addition to basic details like where they live and work, it’s helpful to recall the more nuanced features of their existence, such as their friends, rivalries, past indiscretions, social standing, and what motivates them. Many faux pas are down to slip-ups with these basic assumptions, like asking a recently-fired friend about their job, or complaining about children to a soon-to-be-parent.

In the end, the number of relationships we can maintain is limited by the amount of processing power we have available – and over millions of years, species with more social contacts tend to evolve larger their brains. It turns out this link works the other way around, too. In the short term, a lack of socialising can make them shrink.



Harari’s book 21 Questions for 21 Century is timely too.. The processing power of our brains is being overtaken by Artificial Intelligence.

Today I was having a discussion about the role of Primary Care Provider or the first person an ill person comes in contact with, who may soon become irrelevant, in that AI can process information much faster and far more accurately than the humans and direct them to the proper place or resource. 

An ElectroCardiogram or ECG is a visible output in paper of the electrical functions of the heart. In many studies, AI had been better at coming at a correct conclusion than the Cardiologists.

While these points about AI is irrelevant to psychological dilemma during Covid, it is an example of available faster processing of information than human brain.

In selecting our friends and acquaintances, depending upon our personality , genetic and cultural upbringing, the processing capacity of our brains is of great importance.

This is where Dunbar number comes in 

This comparative Anthropologist from the UK had devised the approximate capacity of our brains to have Lovers, Good Friends, Friends and Acquaintances. This has become more relevant in this age of aggrandising social media contact numbers. I personally know people who have 1000 social media friends but do not have a person to call and talk to. 




I am beginning to see subtle changes in the behaviour of my colleagues and I feel the absence of friends and acquaintances.

Until the covid arrived, I took pride in the fact that in the course of the day, I could have multiple multicultural interaction of few seconds to few minutes in the course of the day.

My Uber driver could be a recent arrival from Venezuela, the American Airlines agents could be Jamaican or Haitian, then I go to TSA check where I can practice my Spanish with the immigrants from Latin America, onto the Flagship Lounge of the American Airlines where at last I come across some American transplants from the Midwest. I take pride in the cultural diversity of all places I visit: Miami, Paris, Brussels, Israel, Qatar…

I put into words a concept many many years ago: Transaction of symbols.


As humans, while we take pride in our national origins, race of our ancestors and our linguistic abilities, none of which matters when it comes to the practice of universal human civility. When I walk into the Marriott Hotel in Doha City Centre, Shiela at the front desk who can speak a Bisayan dialect comes to greet me warmly. We have only few minutes of interactions, she is checking me into the room and I ask her about her family back home and how she is keeping and when she is going home for holidays. Very pleasant exchange but worth more than its weight in gold !


Normally I would pass through Doha, the home of m favourite airlines, Qatar Airways, five times per year and it has been a full year  since my last visit. I have met and talked to Indians, Keralites, Pakistanis, Nepalis, Bangladeshis, Sinhalese, Ceylon Muslims, Kirgiz, Syrian, Palestinians, Jordanians, Egyptians, Tunisians, Moroccans among others.

Transaction of Symbols is the correct interpretation of the image they are projecting and recognizing it and reinforcing it in the small amount of time made available.


Before we go on, we have to make a distinction between LONELINESS and SOLITUDE. Very few people would choose Loneliness but many choose Solitude and under the right circumstances Solitude can be productive.


For the first time, I see the line between Loneliness and Solitude blurring in that you are able to maintain contact with your close friends and acquaintances, the important aspect of physical contact is missing.  Being a traveller on long distance journeys, I have the solitude but not loneliness. 

Galle, Sri Lanka 


From BBC

Research has shown that even when lonely people do have the opportunity to socialise, the feeling warps their perception of what’s going on. Ironically, this means that while it increases their yearning for social contact, it also impairs their ability to interact with others normally.

For example, people who feel isolated tend to have a heightened awareness of social threats – such as saying the wrong thing. They can easily fall into the trap of “confirmation bias”, in which they actively interpret the actions or words of others in a way that supports their negative outlook of their own status or social ability. By having low expectations of others and viewing themselves unfairly, they effectively invite people to treat them badly.

Lonely people must also run the gauntlet of an impaired ability to regulate their own thoughts, feelings and behaviour. This skill is critical to the ability to comply with social norms, and involves constantly analysing and modifying your behaviour in relation to other people’s expectations. Alarmingly, this process is usually automatic – and your capacity for self-regulation can be affected without you even noticing.

In this way, isolation can become a self-fulfilling prophecy known as “the loneliness loop”. It can lead to a toxic combination of low self-esteem, hostility, stress, pessimism and social anxiety – ultimately culminating in the isolated person distancing themselves from others even further. In a worst case scenario, loneliness can make people depressed, and a common symptom of depression is social withdrawal – again, not helpful.


Lets get back to the Dunbar Number. Even in the best of times, the number of people who you can all GOOD FRIENDS hover around 10, in my personal enquiries in various countries. I am reminded over and over again by people regardless of the country (Cuba exempted) that lucky is the person with 5 good friends. This is due to our ways of living and our political economical systems can be demonstrated by the social life in CUBA.. which I consider to be one of the best.. There the following observation, in Northern Ghana, may be applicable .


Indeed, social capital can be especially important for people who don’t have other forms of capital, as suggested by Acedo Carmona’s comparative research on northern Ghana and Oaxaca, Mexico. High biological diversity, remote mountainous settings, and the influences of Spanish colonialism on ethnic identities have all contributed to Oaxaca’s small trust circles, largely consisting of nuclear relatives. But northern Ghana’s scarcer environmental resources have made inter-ethnic cooperation and larger trust circles more important for survival.  From BBC


from her paper:

In this paper, we want to contribute to the defense of social preferences by focusing on personal trust, a powerful psychological mechanism that can be seen, from an evolutionary point of view, as a way to solve social dilemmas by making one feel certain that our counterpart will be loyal and choose to cooperate and hence, making one feel committed to cooperate. This is achieved, neither by an external threat of punishment, nor by some sort of rule-enforcing authority, but by an affectively grounded, benevolent attitude towards the trusted person that is derived from previous interactions . In other words, personal trust puts one in a situation of risk of being exploited, while believing that one will not be exploited, because of the feeling that binds one with the counterpart. Therefore, it is a complex psychological state, which relates two people, with a previous story of positive interactions, and which involves both a cognitive and an affective dimension, and which gives rise to a pro-social attitude between them.


In Cuba, the larger trust circles are vital for survival. Due to scarcity bought on by ECONOMY (bad management) and POLITICS (The cruel BLOCKADE of Cuba by USA for 60 years). The fact that this is a local phenomenon can be shown by comparing to their compatriots in Miami (the immigrant Cubans who are not known for their cooperation).


(I do remember asking a friend of mine why so many people depend upon him to get chores done which he would do happily: he said. I AM TRUSTWORTHY)


I think the closest people in your DUNBAR circles will have this quality. TRUSTWORTHY and you have previous experiences with them.





So we have to take seriously the emotional aspects of this isolation which is forced upon us by this virus. Some people may be tempted to flout the rules and regulations knowing that it won't affect them, but to be a compassionate society (think Japan and the only European society that I can think, New Zealand), we have to look after the feeble and vulnerable in our societies, whether they are such for cultural, historic and social reasons.


In America, to get ahead, you need Education and also the capacity to generate wealth. Someone asked me the other day, Imagine what a Black Man faces to begin a business in this country. While Jamaican, Haitian and Cuban blacks had been endowed by their recent history of running their own affairs, when they come to the USA, they have an intrinsic sense of training to survive in the business world and many of whom do well in the business world in USA, but for an American black deprived of such luxuries and burdened with only memories of constant oppression, the weight to lift up is great indeed. This is the first time, an average American is confronting the fact that America is a racist country, it does not give equal opportunities to people of African Origin who have toiled centuries to make this country viable. Who rules this country is decided by the Black People of this country. because of their voting numbers but once the elections are over they are forgotten for another two years..


BBC had this wonderful story. (I no longer watch USA TV or News channels. BBC and Al Jazeera for Non Israeli news, they cover the non Arab world very well )


Mr Ansell was given the opportunity to live in a very isolated farm with an indefinite period which turned out to be 5 years. He had no electricity, no cellphone and all the five years he lived there NOT a single person passed by his isolated house. 


Another thing Ansell noticed was that his identity had gradually started to slip away. “When you’re alone, you start to lose your sense of who you are, because you don't have an image of yourself reflected in the way that other people react to you. So I think to some extent, when I returned I had to rediscover who I could be in a social setting,” he says.

isolated farm house in Wales with no electricity or cellphone service 


I think during this Covid Isolation many of us are forgetting the sense of who we are. Lucky are the people with a job, in which there is inbuilt  protection and those for whom such protection is not available: employees of department stores or supermarkets. I notice that even with these people, who check our groceries and who make us coffee we have automatically adopted a new persona, social distance and no unwanted chatting (the spice of life for me).


Cherish the FRIENDS you have, not on your social media but flesh and blood contacts, we cannot hug and kiss each other like we used to but I remember a four year old Philosopher from Cote Sauvage said to me :


How can I miss you when I carry you in my heart all the time ?


So to my friends in Cuba, USA, Mexico, France, Israel, Spain, Latin America, India, Qatar, Cambodia, Malaysia, Thailand, China, Australia..

I am grateful for your presence in my life. 


I am confident enough to begin my journeys now..

The first one would be to return to CUBA.


I think it is only fit to dedicate this blog to the Petite poete de cote sauvage and the untiring and optimistic traveller, Carlos with his Panama Hat.

lundi 19 octobre 2020

OCTOBER 18. DIA DO MEDICO. BRASIL AND REMEMBERING THE GREAT CUBAN PHYSICIAN CARLOS FINLAY

 



Statue of Cristo Redentor in Rio de Janeiro lit up to pay homage to Dia do Medico on October 18th, 2020. 

I received this message from Brasil.

[08:20, 18/10/2020] : Você me mostrou um lado da medicina que eu não conhecia
[08:21, 18/10/2020] : Antropologia?
[08:22, 18/10/2020] : Pode ser, mas você usa a medicina para praticar o amor, isso é único, é seu e é lindo demais

I was so fortunate to have {Dr} Brown as my teacher in the clinic in the middle of the country, near a town which did not even have a cafe!

When an Indian is sitting in front of you, you really do not know who that person is, he could be the chief of the Eagle Clan and know more about everything you would ever know, but does not matter who is in front of you, show RESPECT to the Indian and if possible LOVE them.

To this day, Dr B, I remember those words and I feel a strong sense of love for the Indigenous people ..

Within the confines of a consultation room, you cannot show your love. You can provide a service attending to whatever it ails them. 

Among the Indigenous peoples regardless of where I am with them, I know that I am half the treatment and my relationship is the Medicine.



The reason the day of the Doctors is on October 18 in Catholic Brazil is that they celebrate the day of Saint Luke on that day and he was supposed to have been a Physician.
In the rest of Latin America where thy speak Spanish, the day of the doctors is on December 3rd, the birthday of the Cuban Physician. Carlos Finlay
Dr Carlos Finlay was a Cuban Physician, educated in France, England and then USA where he became a physician and returned to Cuba. 
He was the first one to think of the household mosquito, Aedes Aegypti as the carrier for the vector for Yellow Fever. The Americans who invaded and set up the epidemiology unit in la Habana under dr Walter Reed did not believe him first. 
Dr Walter Reed got a hospital named after him and Dr Finlay lives on in the heart of every single Cuban in the island ...even to this day..
The spirit of Carlos Finlay lives on in the ISLAND of Cuba and in the heart of the DOCTORS and NURSES working there.
Just today, my sister who lives in Vedado, needed medical attention of the Family Practitioner of the Polyclinic in the neighbourhood. A doctor and a Nurse arrive and wanted to rehydrate her, gave her an IV replacement of water and spent some time with her. She feels much better..

I am very proud of the Cuban Health Care System..
Greetings from Havana, Cuba
I have the greatest of respect for the Doctors and Nurses and other workers of the Cuban Health Care system.







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