Sunday, March 30, 2014

Realism and Despair


When I was younger I struggled with seeing the world as it was, accepting the inequality, and remaining a functioning part of it. The shattering of the illusion of any kind of fairness in life is a concept I, in my naïve idealism, continue to struggle with. I got past my teen angst and depression, moved to the city and eventually found the activist community I had dreamed of finding at uni, I had become involved in trying to fight against climate change through various forms of activism, and through those networks been introduced to some ideas of anti-racism work, anarchism, queer activism, femme, feminist and various other idea’s. These all taught me more, gave me frameworks to question things introduced me to structure to put around those vague feeling of unease and confusion I felt, gave me a feeling of purpose and a community of beautiful friends.

As time went on I became disillusioned with the lack of results visible from this kind of activism, and the infighting between different groups that took up a lot of time and seemed to me to be at a disconnect between the way that most people outside of those circles thought about things. About this time I finished my degree and so I threw myself into the, (for me), challenging work of becoming a nurse. The next two years were spent working at becoming a competent nurse and creating a loving family with my partner and her dog, and spending time with my siblings, parents, and friends and doing dinging and circus lessons for fun.

After a year of general nursing and  year working in the ICU I made a somewhat unexpected decision to leave my job and go travelling for 5 months in Spain, Ireland and a brief few days in Paris, Singapore, Thailand and Cambodia. I loved Battambang, a quiet town in Cambodia with a country feel and a nice group of Ex-pats working there and it reinspired my desire to volunteer as a nurse, one of the reasons I decided to become a nurse.

This was an amazing time, and when I came home I bummed around for quite some time, and emailed a hospital in Battambang offering to volunteer. Over the next three months I found a new home, a job agency nursing, fell in love with roller derby, and, sadly separated from my partner at the time. Around this time I heard back from Battambang,  had a skype interview and decided to go to Cambodia for just a few months. I started to feel like I was getting my life back together in Sydney, finding a sport I loved, friends, and after some time a new and unexpected lover. I felt I was getting back into the groove of Sydney and then it was time to go.

Now, after about 7 months in Battambang of excitement, exploring settling in, learning and questioning I find the same uneasiness occupying my thoughts more and more.

 The rudimentary awareness of white privelidge and institutionalised racism that I have has lead me to read more and try to learn more to try and help me figure out how I feel about my place and my influence here and the way I work.

I think I have only a little awareness of the way that my skin colour, class and education (among other things), have benefited me above others and given me opportunities I wouldn’t have had if I had been born in a different set of circumstances.
I also have a poor understanding of Khmer culture, it’s origins, the way it is changing, the influence of foreigners and expats in Cambodia, and how to behave and interact with that.

Is the influence of a very privileged foreigner with little understanding and awareness of the institutionalised racism and colonialism, and also little awareness of the intricacies, influences and development of the culture of the country I am in just perpetuating the issues of colonialsm, racism, classism and all the things I want to avoid?
The fact that I am given autonomy respect and a management position despite being younger and less experienced than most of the nurses here is based on the fact that I have education and management skills from a comprehensive nursing course in Australia. But I don’t know how to tell if I am more of a problem than a solution.
Does the way I work here undermine local staff? Does it continue the idea that white people are somehow superior? Perhaps it would be better to try and raise money to support Khmer people to get education and experience in hospitals in developed countries, or perhaps there are better ways for Cambodian health care to develop, more appropriate to Cambodian people, that don’t just emanate western health systems…


These are the idea’s that I want to explore, read about and make sure that I am not perpetuating. The challenge is how to engage with these idea’s without simply feeling despair. And how to take a critical look at myself in a way that doesn’t lead me to feel hopeless or depressed. The management of a resource poor health centre, the interaction of different cultures that know little about each other, and the legacy of war, the examination of my own racism and being treated with an unearned amount of respect and leeway, the unearned amount of money, respect, attention, safety, etc. that I have received in my life, and how to avoid feeling entitled and continuing to behave in the ways I have been socialised to do that might be difficult for others  are all things that I want to continue to learn about and to address and change in myself, while I continue to try and find an acceptable balance.

Friday, March 7, 2014

Home.

So recently I have found myself saying to friends that Battambang feels like my home now. It’s a slightly funny thing to say, as I know I can’t stay here forever, I know that I will run out of money and outlive any usefulness I might have at the hospital. I will have to go home and work and train more at some point if  I want to become a more capable and useful nurse, and to see all the friends and family whose lives are flowing along in a parallel vein somewhere.

But for now it is true, I try to put a date on my departure but it just dosen’t feel right. I love Battambang, I love it’s dusty streets, its slow meandering river, which seems almost to flow as lazily as I feel myself being with the dry season heat. I love the animals that wander the streets, fields and my house, and I love my hang outs, my friends, the hospital and the fond and hilarious memories that I now have attached to so many places here.

I love riding my bike by the river on the weekend, going to Kinyei and always meeting someone I know, talking shit with my friends, having each over for BYO cutlery dinners, making grand plans about our future adventures together, having weekend moto trips and inventing things to do with the hot dusty afternoons.

I like my slowly increasing level of Khmer, the slowly revealed secrets to what people are saying and what is is going on around me, my increasing ability to make jokes and be friendly and playful with my words.

I like my increased ability to talk to the nurses and patients and to be a more involved part of the ICU, to be able to follow more of what’s going on and add suggestions and systems to try to increase the standard of nursing care and of nursing management skills.

When I think of leaving Battambang it dosen’t feel like going home, it feels like the daunting process of creating a new life somewhere else, without the river, the familiar resteraunts, roads, meandering cow’s, happy looking skinny dogs and baby chickens following hens around, without these friends, and khmer culture and language, and khmer being spoken, and without the aim of working together to give patients the best care we can manage with the resources we have.


I know I will leave, and create a new life, and that I will find a new home and friends and purpose, and a love for that place too, but for now, Battambang is my home and I love it.