I see myself more as a Jack-of-all-trades than a specialist. I spent more of my working life raising children than in my profession of medicine, returning to family practice and then counselling as they grew up.
In my new country, I work in ‘support’. I do not run any projects myself. ‘Support’ for me may mean collating clinical data, making cushions, dolls and straps for disability work, applying for grant funding, updating health training materials, training locals in counselling and offering child development and parenting support. There is no ‘ordinary week’ for me. Some work is fun, some engaging and exciting, some frankly boring but necessary.
There are highs and lows. Here is one low from the start of my work: I was finally going to do something useful and I was excited! After a year of cultural and language learning, I was going to assist a local NGO with health promotion and a women’s shelter. I had carefully prepared my first training presentation and I arrived twenty minutes early, ready to set up and start on time. The room was in use, so I waited. With five minutes to go, I showed my face at the window. When it was time to start, I knocked on the door. A colleague came out. She said that the person before me was still talking. I waited for forty-five minutes. The team then came out and asked me to give my presentation another day, as now they did not have time for my training!
We now live in a relationship-based culture, not a time and task-based culture. I knew ‘flexibility’ was important for living and working here. I just didn’t know how flexible. Your duty is the person in front of you and other commitments go on hold until they leave. I have learned to call the day before I run training, and to schedule sessions at the start of the day so it starts approximately on time. That is, after the mandatory relationship-building cup of tea and chat.
I have continued to work with the same wonderful ladies for the last five years. They sat patiently while I attempted to teach in a new language. It was a relief to all of us when they offered to allow me to train in English, with one of them translating. They always encourage me and tell me how much they value me, which makes it hard to get good feedback for improvement! I think it took three years before my health training took root. I think it also took about that amount of time before they really trusted me.
Here are some of the highs:
I was asked to work as a counsellor in a medical clinic. It is always challenging seeing people in very difficult circumstances when you are unlikely to see them again. What could I really do? I was very humbled when lady after lady shared their experiences of difficulties with husband or children. They entered sad and left smiling. What had I done? There was really no advice I could give them, no change in their circumstances. It was simply important to them that both I and my Christian translator listened and valued them. I encouraged them. So many of these ladies only get abuse and blame. To be listened to with respect and cared for was a new experience for them.
The ladies running the women’s shelter asked for training to help the children who had escaped abusive situations with their mothers. I explained that although the children will probably later need counselling, the first and most important thing is to provide them with a safe and nurturing environment, provide good food and clothing and to cater for their educational needs. I also gave them training on basic child development and parenting skills. They were very grateful and said they found this training helpful even in their own families. They also realised that their work was just as important as what professionals did.
Nothing happens by chance. God uses all our experiences, and I am grateful for everything he is doing through my retirement!
Marian and her husband are doctors, serving long-term in a remote part of Central Asia.
Names have been changed