肯亞和波士頓所見系列-Medical Elective 2005 and Beyond-By Philip

兒子 Philip 是一個醫學院最後一年的學生. 2005 年醫學院學生的校外見習課程 (Medical elective course), 他選擇到肯亞 8 個禮拜和美國波士頓 4 個禮拜, 並將他的見聞用英文公佈於 blog 網站上: http://philhuangelective.blogspot.com/. 為了方便關心他的親友們閱讀與瞭解, 我特別建立了這個 blog, 好將他的見聞翻譯成繁體中文, 一起來分享這個 25 歲年輕人的旅程.

Saturday, December 17, 2005

肯亞所見系列 (1)


Saturday, December 10 (Medical Elective 2005, 2005 年校外見習)


Final year of medical school and am about to embark on a journey of mass multitude. My journey will begin on the 12th of December in Wagai in Western Kenya near the border of Uganda and closest to Kusumu in Kenya.Much anticipation and fear are blended with adventure and excitement. There is dread but joy in knowing that I am about to dive head first into an unknown territory. (posted by Phil Huang @ 7:55 PM )

醫學院最後一年的學生, 我即將踏上一個橫渡洲際大陸的旅程. 我的旅程將於 12 月 12 日在肯亞西部靠近烏干達邊界的小城 Wagai 展開, 離它最近的大城市是肯亞的 Kusumu.

很大的期待與害怕, 混雜著對即將來臨所要經歷的事的興奮, 我很高興將要踏上一個我從來都不瞭解的國土.



Sunday, December 11, 2005 (Woke up this morning, 今早醒來)


Oh my god !. woke up this morning at about 12 (went to bed about 3am) and I felt terrible. Had the sweats, sore throat and felt very nauseous.Took some cold and flu and hoped for the best. About to leave for the airport in about 5 hours and I hadn't even started moving yet. Thankfully I finished most of the packing yesterday...(posted by Phil Huang @ 11:40 AM)

天啊! 昨晚幾近清晨 3 點才睡, 今早起床居然已是快要中午 12 點了. 而且冒汗, 喉嚨痛, 想吐; 我覺得很不舒服.

趕快吃顆感冒藥, 希望等一下會好一點. 再 5 個小時我就要趕往機場 [註: 起飛應是雪梨時間 11/Dec 19:45pm, 台北時間當天 16:45pm], 我還有好多事都還沒辦咧. 還好大部份的打包都已在昨天完成.



Monday, December 12, 2005 (At Dubai Airport, 在杜拜機場)


Sitting down is beginning to kill me. After a reasonable 17 hours flight I have arrived in Dubai. Getting off the plane was a nightmare as we were slowly taken in a bus for 10 minutes to our stop. Then we had to go through security again just in case i picked something dangerous up on the plane. Feeling drowsy and tired. Just want the journey to be over relatively soon.. There will probably be no internet for a while so i am enjoying it while it lasts.Wonder how Kaz is going on her travels. Her parents rang me last night and they hadn't heard from her. I hope she is ok and she is faring well in her travels.Otherwise all is well. The pills and sleep have done the trick and I only have a sore throat and mild gastritis remaining now. (posted by Phil Huang @ 1:41 PM)

再繼續坐著, 真是會要了我的命. 坐了 17 個小時的飛機, 我總算到了杜拜機場. 下機過程也好不到那裡去, 很慢, 每 10 分鐘一班巴士載我們過去轉機室. 然後還得經過嚴格的安全檢查, 它怕我們會在飛機上帶什麼危險物品下來. 我覺得很想睡也很累, 只想要這個飛行旅途趕快結束. 接下來我可能會有好幾天沒有和 internet 接觸的機會, 所以我還是趁現在還可以的時候, 好好享受一下吧!

不知道 Kaz [註: 他女朋友 Karen 選擇到南非做她的醫學院校外見習, 比他早一天離開雪梨] 現在飛到那裡了呢? 她爸媽昨晚打電話給我, 說還沒有接到她抵達報平安的訊息, 我希望她此行也能旅途 OK, 一切都順利.

除此之外, 一切都還好. 安眠藥和我在飛機上有睡的關係, 讓我現在只剩下喉嚨痛和胃不舒服而已.


Friday, December 16, 2005 (Speechless, 說不出話來)


After 40+ hours travel time I eventually made it to Wagai in Western Kenya. I landed in Nairobi after about 24 hours of flying and waiting and met an interesting man on board the plane whose sole job was to get water out to people in Kenya. He offered a place for me to stay and we became rather friendly. It was an excellent start to meeting the people of kenya. I hopped off the plane and lone behold there stood Miss Kenya fresh from the Miss World contest in China and I got my photo taken with her. It was all very special. Rosie, Osman and Kelly met me at the aiport and we all became friends very quickly. Our plane for Kusumu did not leave for another few hours so we decided to head to the Kibera Slums and have a look at the original project that was completed by Moving Mountains.Entering the slum was a real sight. The people, the smell and absolute poverty overwhelmed me. The house in the slums was equally mind blowing. We headed off to the ushrika clinic where I was originally going to work (before the tom easton thing fell through) and I got a great tour. I also met Helena and Fletch who were two poms working with moving mountains. It was a real sigh to see the clinic but I felt relieved that I was not going to be working here as it appeared like things were under control here in Kibera.

Eventually we made it back to the airport and Rosie and I underwent our journey to Kusumu. 1 hour later and some sensational scenery, I arrived at Kusumu, the third biggest town in Kenya. It was dark and there were little in the way of electricity and lights. We hopped into a taxi which took us to our place in wagai (near Siaya) 1 hour away. After the turmultuous beginnings, we made our way up to the Moving Mountain House in Wagai. Wagai is like a small suburb. It is very similar to the little towns you see as you drive from sydney to brisbane or brisbane to cairns. Its about 100 metres long and it disappears very quickly if you do not look carefully. The drive over was equally disturbing as the roads were in terrible condition. A diesel truck had collided with a coffee truck and had ignited on the side of the road since Saturday. IT was still lit when I arrived and even today (thursday).

The house appeared to be horrific when I arrived. IT was pitch black. There was no electricity, no phones and no running water. I entered and was greeted by a British Just qualified doctor named Kiran. She had cooked us dinner (kenya stew) and we sat down and ate a fantastic meal.

I opened the door to my room and immediately my heart sank. It was very dank and dark and there was one small window which was conveniently broken. I was also warned about the cockroaches that were an ever lingering presence and one had even snuck onto Kiran's face the night before while she was asleep. I will never forget that moment of opening the door to my room and realising this was going to be my home.

After some shuffling and settling in I eventually entered bed under my cocoon of a mosquito net. I felt trapped and suffocated. I spent the entire night in fear of the cockroaches and the supposed sounds they would make in the night. Nothing came to pass through the night and I awoke the next morning.

It was at this time that I realised the true majesty and beauty of this little house. The darkness did it little justice and the sunrise over the horize gave the entire home a new meaning. The toilet and shower were a basic thunderbox out the back and I ran in and out as quick as I can and had a bucket shower thanks to some boiling by Rosie. We then hopped on a muttatu (mini vans) and headed to Siaya Hospital. The muttatu's are a Kenya Symbol. They pack as many people as they can into it and people are often seen hanging off the side of the vehicles. We also had mandazi (doughnut bagel) which was great and the staple breakfast food.

The entire day was spent touring Siaya hospital. This is a district hospital which is similar to Hornsby back in sydney. The conditions were quite atrocious however. Words cannot do it any justice here and I will post photos up later once I arrive back in technology land. Needless to say the entire experience for me was like nothing else I have witnessed before.

The doctors then took us out to lunch. Kenya eating is a experience in itself. Everyone uses their hands and Ugali is the stape diet here. ITs like a damper but made with maize flour and tastes like hard porridge as Kaz would put it or hard Mash as I like to put it. Eventually I returned back to Wagai with a couple of cans of Mortein and other assortments and decided to bugproof the house. Sitting in the house at dusk was a beautiful experience and I truly appreciated where I was in every aspect. After returning home from the clinic I decided to go down the oval and play a game with the local wagai team and they put me on as Number 9. It was so much fun even though the younger kids were a bit scared to pass to me (plus I was pants). I also began to enjoy the showers in the Thunderbox so much more.After gasing the entire house I had a fantastic second night sleep with next to no disturbances.

Visitors would also just enter our house and greet us. From children to teenagers, these were Kenyans under the scout program which severed as a mentoring program for youths. IT promoted no drinking/smoking etc and pushed kids to finish education and lead in the community. It was great to meet the kids and their fascination was always good for a laugh. Muzungu was the name for a white person but I was not white. IT confused the children alot. Eventually we came up with JAckie Chan for my nickname and I even heard someone yell it out to me from the street on the way to hospital.

Second day and we attended the HIV clinic. It was simply amazing at how extreme the conditions were. Although free ART was available, the backlog was amazing and many patients were simply left to die with bactrim and multivitamins the main treatments available. This was when I met Peter, a 16 year old boy who was HIV positive. His mum and dad both had HIV and he did not discover he had it until he was 14. They are all patients of the hospital and all came it at separate times. He was at school, Loved football (as most kenyans do.. they also support Arsenal) and had a zest for life. He also was losing his sight and had diplopia whenever he focused on an object. His spirit and his thirst gave me this boost and reminded me why it was I came to Kenya intially. So often it is hard to explain when such experiences are so beneficial for medical students and yet when one actually has a taste it becomes so abundantly clear.

We took an early afternoon after the only surgeon (a very magooy man) pissed Kiran off and we decided to head off. We also decided to eat lunch at the kiosk which was a backyard shed at the front of the gate which sat 10. This was where I tried mutumbo (intestines) and fish and Skoomo Wiky (a kenya vegetable). Note the spellings are terrible. The food was simply amazing and I was beginning to appreciate the ugali more each day. I also enjoyed walking around the town of siaya more. People would either be hostile or overtly friendly. There was no in between.

Osman also joined us today and the evening was spent having a chat talking to him about his childhood. Osman is a orphan who has lived an amazing life. I video taped him for half an hour as he talked candidly about his childhood and the experiences of going through civil war and losing his dad. We also drank some Kenya Beer (Tuska) which was warm. Rosie brought a guitar back from Kusumu for the house and we spent the night teaching kids a few chords and playing around.

Today I woke up feeling great as we headed back to siaya for ward rounds. The doctor in charge (Eddie Murphy as we call him.. photos will explain) who is also the administrator of the hospital would take us around and we would decide on a management plan. We were basically residents. It was fantastic. We also met one his childhood friends who lives in bologna in italy and we all went out for our second lunch (the first being the obligatory mutumbo and ugali). I thought I would lose weight here but it has not happened yet. The afternoon ended on a rather sour note however as we attempted a lumbar puncture on a lady. They do not use local anaesthetic and it was a real harrowing experience having the doctor try a lumbar puncture on the patient. None of us could aspirate any fluid and her screaming continued.

Rosie turned up in the cab at this time and we all hopped in and headed for Kusumu to send her off in a big way. IT was sad to say goodbye to Rosie and I am so glad that she was here to take us around. I have no doubt I would have surely perished in the first few nights if it weren't for Rosie and Osman and Kiran.

I have spent the last few morning enjoying My Name is Earl on the laptop and draining the battery. God I love Jason Lee. Such a clever show. I hope it survives and doesn't get the ARrested Development, family guy treatment. ITs an interesting concept for me that I have to go down the road and pay someone to have my things charged but its sure worth the 20 bob we pay to have mobile/laptop and the rest. You don't really know how important electricity/refrigeration/telephones are until you are stripped from them. The Kenya goverment has obvious concentrated the wealth in central areas.

Nothing else to report. In Kusumu with Osman's Family. Fantastic. Found e-mail and spilled all this stuff on the page. Hope it makes some sense to whoever is reading it. Especially me down the line. Can't wait to post all the photos.

I'm sure I have missed many key events and will definitely fill in and edit bits and pieces down the road. (posted by Phil Huang @ 2:25 AM)


經過 40 個小時的旅途奔波, 我終於抵達肯亞西部的 Wagai 小鎮. 在搭機和等機 24 個小時後, 我就到了 Nairobi [註: 應是當地時間, 國慶日 12/Dec 12:10pm, 台北時間當天 17:10pm]. 我在飛機上, 認識了一個專門負責把水如何接引到肯亞居民手中的很有意思的人, 他甚至於還提議我當天可以先到他家去休息, 他對我很友善. 還沒到達肯亞就能認識到一個好人, 真是一個好的開始. 當我在 Nairobi一跳下飛機時, 就看到剛去中國參加世界小姐選美大賽歸來的肯亞小姐站在我面前, 她和我坐同班飛機. 我趕快拿起我的相機和她合照留影做紀念. 這種感覺真的是很特別. Rosie, Osman 和 Kelly 到機場來接我, 我們很快的就成為朋友. 由於到 Kusumu [註: 當地人稱Kisumu 基蘇木為Kusumu] 的班機還有幾個小時才起飛, 因此我們決定到Kibera 貧民區去看看“Moving Mountains” 這個團體在那裡所做的計劃成果.





一進入到貧民區, 那真是一番完全不一樣的景象. 那裡的人, 臭味, 和絕對的貧窮, 真是讓我感觸很深. 那裡的房子, 也是讓我看了就為他們感到心痛. 我們往前走, 到我原先打算要去見習的 Ushrika 診所看一看. 我也在那裡認識了兩位英國來的在此工作的醫生, 叫Helen 和 Fletch. 看起來在 Kibera 貧民區診所的醫療工作都已經上軌道. 我很高興我不用在此見習, 否則我會因他們不缺人手無法幫得上什麼忙, 而沒有什麼動手見習機會的.



我和 Rosie 趕回機場, 最後還是來得及搭上國內線飛往 Kusumu 的飛機. 1 個小時俯看風景漂亮的飛行後, 我們抵達了肯亞的第三大都市 Kusumu. 只見到處是一片漆黑, 很少看到電力或燈光. 我們坐上一部計程車, 開了 1 個小時後, 到達離 Siaya 最近的小鎮 Wagai. 經過一陣混亂的亂闖尋找後, 我們總算找到“Moving Mountains” 所提供的宿舍, 也把行李搬進了房間. [註: 他在此時用手機打電話向我們報平安, 應是當地時間 12/Dec 17:00pm, 台北時間當晚 22:00] Wagai 是一個小鎮, 它就像你在開車從雪梨到布里斯本或布里斯本到 Cairns 凱恩斯途中到處可見的鄉下小鎮一樣, 那就是開車經過時, 前後大概 100 公尺遠, 你不仔細看, 它一下子很快地就消失在你的眼前. 開往 Wagai 的途中, 道路是非常的破損顛簸, 路況也好不到那裡去. 一部載著柴油的卡車和一部載著咖啡的卡車上個星期六 [註: 應是當地10/Dec] 相撞, 著火後的兩部車車骸, 它們不但在我抵達的那天 [註: 應是當地 12/Dec] 就留在路旁, 昨天 [註: 應是當地 15/Dec] 禮拜四我經過那裡時, , 車骸還是留在路旁無人處理.

當我抵達宿舍房子門口時, 它完全是籠罩在一片漆黑中, 沒有電沒有電話沒有自來水, 看起來真是嚇人. 我一踏進房子裡, 剛取得醫生資格叫 Kiran 的英國人, 馬上過來歡迎我們. 她煮了一鍋肯亞燉肉湯給我們當晚餐. 我們坐下來享用這可口美味的一餐!

我一打開宿舍的房間門時, 我的一顆心馬上就沉下去; 它不止是又濕又黑., 連整個房間內僅有的一 扇小窗還是破的. Kiran 已警告過我要小心蟑螂 [註: 非洲蟑螂身體較厚大, 會飛, 還會嘶嘶叫, 繁殖力極強], 它們不但到處爬行, 前一天晚上還有一隻甚至飛襲到她的臉上去. 我永遠都不會忘記打開房間門發覺到這就將是我的家的那一刻,

把傢俱稍做移動與行李擺好後, 我爬進了罩有蚊帳的床上躺下, 我覺得好像被困住似的難以呼吸. 我整晚都在怕蟑螂和聽起來像是它們在活動的聲音中渡過. 還好什麼事都沒有發生, 我一闔眼, 醒來已是隔天早上 [註: 應是當地 13/Dec].

這時我才清楚地看到這間小宿舍房子的美. 昨晚一片漆黑中我根本什麼都看不到, 可是今早日出的陽光撒在它的每一個角落, 它看起來是完全的不一樣了. 廁所和浴室是在房子後面的一個原始大鐵桶裡, 多虧 Rosie 幫我燒的一桶熱水, 我迅速的進出大鐵桶完成盥洗, 跳上一部 Muttatu (迷你小巴) 趕往 Siaya 醫院去.. Muttatu 是肯亞有名的代表物. 它儘可能的搭載乘客, 很多乘客都只是一手抓著車體全身卻懸掛在車子一側的搭乘著. 我們還買了 Mandazi (炸圈型的硬麵包) 來當早餐. 它吃起來不錯, 本地人都拿它來當早餐食物.

我們整天都是待在 Siaya 醫院裡, 先熟悉環境. 它是一間區域醫院, 有點像雪梨的 Hornsby 醫院一樣, 但比它卻糟很多, 我無法在此用言語來形容它情況有多惡劣, 等我回到科技之土以後, 我再寄些照片給你們看. 不用說, 這整個經驗是我從來都沒有經歷過的.

接著, 我們和幾位醫生一起出去用午餐. 肯亞的吃對我來說, 又是一個新鮮的經驗. 每個人都是用手抓東西來吃, 而Ugali是他們日常生活裡, 最經常吃的一道菜. 它有點像麵團, 但它是用玉蜀黍粉去做成的, 吃起來像 Kaz [註: 他女朋友 Karen] 平常所說是硬稀飯我卻說是像硬馬鈴薯泥一樣的東西. 之後, 我帶著幾罐Mortein 殺蟲劑和幾樣東西回到 Wagai 宿舍去, 準備展開今晚我對整個房子的除蟲行動. 黃昏的時候, 我坐在房子內觀賞日落的景象, 無論從那一個角度看, 它實在是真漂亮. 這種感覺很棒! 從醫院回來後, 我決定要到橢圓運動場上去和本地的 Wagai 隊一起打場籃球. 他們給我一件 9 號的球衣. 雖然那些年輕小孩子們有點不敢把球傳給我 (因為我是穿著長褲下場去打的), 不過這場球打得還真是好玩,, 我也開始更享受起在大鐵桶裡洗冷水澡的樂趣來了. 在噴過除蟲劑的房子裡, 我不受任何騷擾的渡過美好的第二晚.

這一晚, 我們也有些訪客到我們的房子裡來拜訪 [註: 應是當地 13/Dec 晚上], 並歡迎我們的到來, 他們是一些小孩和青少年. 這些人是由慈善團體 “Scout Program 童子軍計劃” 所協助的肯亞街童或孤兒. 這個慈善團體是推行讓這些小孩子不抽煙不喝酒等等, 並要他們努力向學完成教育, 將來進入社會中當一個有為的領導者, 好幫助那些和他們過去遭遇類似需要幫助的人. 我很高興能認識到這些小孩子, 而他們對我的好奇與著迷, 也總是讓我開懷大笑. "Muzungu” 是他們本地人用來稱呼白人的一個名詞, 可是我又不是一個白人, 這讓那些孩子們對於要如何稱呼我, 感到很困惑. 最後我們決定, 乾脆就用 Jackie Chen 成龍來叫我的小名好了.
我隔天 [註: 應是當地 14/Dec] 到醫院的途中, 甚至還聽到有人在街上用這個小名大聲地來叫我.


接下來 [註: 應是當地 14/Dec] 安排的行程是到一個 HIV 醫療診所. 我很驚訝那裡的醫療環境是那樣的簡陋.. 雖然有免費的 ART [註: Anti-Retroviral Drug Therapy, 抗反濾過性病毒的藥物治療], 但數量卻是不多; 很多病人只是給他們一些廉價的 Bactrim璜安類抗生素或者是複方維他命, 就任由他們在那邊等死. 我在這裡遇見了 Peter, 一位 16 歲 HIV 陽性的患者. 他的父母都是 HIV 患者, 可是他卻是等他到了 14 歲時才發現自己也得到這種病. 他們 3 人分別在不同的時間裡被送到這家診所醫院裡來. 他本來是在就學, 喜歡打橄欖球 (幾乎每一個肯亞人都喜歡打橄欖球….而且很多也都支持Arsenal 隊 [註: 這是 Philip 從小就最愛的一支英國橄欖球隊]), 前途是一片大好. 可是現在的他卻是視力模糊, 看東西時也會有雙重影像. 他對生命的奮鬥精神和渴望, 不但鼓舞了我, 同時也提醒了我, 為什麼一開始我就選擇要到肯亞來. 這種經驗對醫學院的學生們來說, 是這樣的有幫助; 只要他們能夠真正的親身體驗過, 這種好處馬上就會很清楚的呈現在他們的眼前; 否則的話, 通常是很難用言語來解釋為什麼他們應該要有類似這樣的親身體驗的.

我們下午提早就離開這家診所醫院了, 原因是僅有的一位外科醫師 (一位脾氣暴躁的怪人) 對Kiran 大發脾氣, 所以我們決定先行走人, 也決定要在診所醫院大門口前的一家裡面坐有 10 位客人的後院鐵皮屋小攤裡吃點午餐. 我在這裡試嚐到了 “Mutumbo” (腸子), 魚, "Skoomo Wiky” (一種肯亞蔬菜), 和 Ugali 麵團. 雖然菜名聽起來可怕, 可是吃起來卻還不錯. 我不但每天越來越喜歡吃 Ugali 這種麵團, 而且我也越來越喜歡在 Siaya 小鎮裡到處走路閒逛. 這裡的居民要不是對你很有敵意, 就是對你很明顯的友善, 絕沒有第三種人.

Osman [註: 他見習的督導頂頭上司醫生] .今天也和我們在一起, 晚上我們一起談天, 聊到他的童年.. Osman 是個孤兒, 他的一生充滿著傳奇性. 當他很坦率的侃侃而談他的童年, 和如何渡過肯亞的內亂時期與在戰爭中是如何的失去他的父親時, 我拿起了錄影機幫他拍攝了大約有半個小時之久; 我們也一起喝了一些肯亞的溫啤酒 “Tuska” [註: 這是肯亞最有名的啤酒]. 晚上回到宿舍後, Rosie 從 Kusumu 也帶了把吉他來訪, 我們一起就教導那些小孩子如何彈一些和弦 [註: Philip 無師自學彈得一手好吉他, 頗有職業樂手的水準], 也彈奏表演了幾曲.

今早 [註: 應是當地 15/Dec] 我起床後趕到 Siaya 區域醫院裡去巡房時的感覺真棒. 值班的醫生 (我們都叫他 Eddie Murphy 艾迪墨菲…等你們看到照片以後就知道為什麼了) 也是醫院裡的行政人員, 他帶著我們去巡房, 也讓我們自己決定要到那個科別去實習
[註: 實習和見習的差別, 是在前者可以動到手, 後者只能動到眼. 每一個醫學院的學生都很盼望在畢業前能夠有越多動到手的機會越好. 但由於如果由他們動手而病人出事的話, 反而是這個學生的督導頂頭上司醫生要吃上官司或負起一切責任, 因此一般在醫療情況比較好的醫院裡, 都是只准醫學院學生見習而不是實習]. 我們基本上算是醫院裡的駐院醫生 [註: 在一般醫療情況比較好的醫院裡, 醫學院的學生必須要等到畢業後才能算是實習或駐院醫生, 畢業前他們一律只能被叫做是學生而已].

這真是太棒了! 他還介紹他現在住在義大利 Bologna的童年好友給我們認識, 我們一起到醫院外面去用我的第二頓午餐 (第一頓是昨天在 HIV 醫療診所外不得不吃的那頓 Mutumbo 腸子和 Ugali 麵團) [註: 我想 Philip 應該是忘了 13/Dec時在同一家 Siaya 區域醫院, 和幾位醫生一起出去吃的那頓 Ugali麵團, 也叫午餐吧!]. 我以為在這個國家裡我的體重應該會減輕的, 可是照目前看起來, 好像是還沒有發生. 當我們想要替一位女性患者做 Lumbar Puncture 脊髓穿刺時 [註: 醫學上簡稱是 LP, 它是一種將針插入在脊髓內抽取脊髓液的技術] 時, 這個下午發生的事情卻變得很討厭. 這家醫院裡根本就沒有對病患們提供做局部麻醉的工作, 而看到醫生在病患的身上直接做穿刺, 實在是一個很恐怖的經驗. 尤其是我們沒有一個人可以成功的在病患身上抽出骨髓液時, 只聽見那位病患她不斷的尖叫聲哀號不已.

Rosie 這時坐在計程車上出現在醫院門口, 我們於是一起坐上車陪她到 Kusumu 機場搭飛機, 給她來個盛大的送行. 我很難過的向她說再見, 也很高興能有她來跟我接機並且帶我到處熟悉環境. 如果沒有 Rosie她, Osman 和 Kiran 這 3 人, 我深信我一定會在剛開始的那幾個晚上, 馬上就被擊垮倒下來了.

我過去的幾個早上都會用我的 Laptop 膝上型電腦觀看 “My name is Earl” [註: 由 Jason Lee 所主演, 美國 NBC電視台每星期二晚上 9:00pm 所播映的一部半小時喜劇影集, 曾獲 2 項金球獎與其它幾項獎的提名, 有興趣者可到:
http://www.nbc.com/My_Name_Is_Earl/ 上一看], 以致於電腦的電池一下子就用完沒電了. 喔, 我實在是愛死 Jason Lee 了, 這個節目真是好看, 我真希望它可以繼續演下去, 而不會像 “Arrested Development” 或 “Family Guy” 的下場一樣 [註: 指被換時段或頻道與被腰斬]. 對我來說, 我必須走到路的那一頭, 付錢請人來為我的一些東西來充電, 又是一件很新鮮的事. 不過只需花費 20 bob [註: 約合 US$ 0.28, 或 NT$ 10], 就可以把我的 laptop電腦和手機還有其他一些物品的電池充好, 這還真是合算 划得來. 如果不是你被剝奪掉像電力/冰箱/電話這些東西的話, 你不會知道它們在我們日常生活中的重要性的. 看來肯亞政府很明顯的只是專注於照顧那些住在中部高原地區上的有錢人而已.

目前沒有什麼其他的事可以向大家報告了. 在 Kusumu 和 Osman 他的家人相處的經驗, 很棒! 收到 e-mail, 把現在你們正在看的這些東西放到自己的 blog網頁上, 感覺也不錯. 只希望無論是誰正在看這些文章的, 能夠看得懂我是在寫什麼; 特別是我也要看得懂我到底是在寫些什麼. 我真想早日可以將一些照片寄給大家看一看.

我相信我一定有漏掉幾件發生的大事沒有向大家來報告的. 不過也沒有關係, 我將會一路寫一路改一些東西的. (Phil Huang 寄於 2:25am).

[附註]


就在我把對兒子無限的掛念和對他生活在肯亞的安危擔心, 於 12/Dec 寫完 “生活雜感系列 (8)--肯亞之Siaya/Kenya (希阿亞)”這篇文章後, 16/Dec 一大早, 我就發現兒子發了封 e-mail 給我:


----- Original Message -----
From:
phuang@powerup.com.au
To:
liz.ting@bigpond.net.au
Sent: Friday, December 16, 2005 12:08 AM
Subject: Re: I sent you an eCard from BlueMountain.com

MumFound e-mail today;. Very slow.Do not worry. Life is hard here but I love it. I am seeing amazing medicine and meeting amazing people.
They have so little and yet they provide so much.

http://philhuangelective.blogspot.com/, I have a blog.Stop worrying. Tell dad to do the same. This is what Living is about.All of us live our lives but very few are actually alive when they are doing it.

Love you

Your cash obsessed son Phil


在我的 “Siaya/Kenya”這篇文章發表後, 有一些關心我和 Philip 的朋友們馬上有所回響與感言, 對這些朋友們的關心, 我是感謝點滴在心頭.

有一個 25 歲的年輕人, 放著舒服優渥的生活不過, 遠赴重洋深入東非肯亞這個國家裡的一個山區偏遠小鎮, 去過那沒水沒電的生活. 對他的這份勇氣, 我佩服; 可是對他的選擇, 身為他媽的我, 是既感到驕傲又覺得生氣. 我氣的是他只顧追求自己的理想, 卻完全沒有顧慮到愛他的爹娘日夜為他安危在操煩難以入眠的心底感受. 在這個選擇的背後, 我和他都認為對方是一個自私的人, 只顧自己的想法. 今天我看到了他在 blog 上所寫的文章, 我對他的擔心總算稍微有所減輕. 從文章中看得出來, 他似乎是過得很自在和快樂. 他看到了很多, 也學到了很多. 我想這時的我, 不應該再生他的氣了, 而是應該要給他支持和鼓勵.

就讓我們大家一起上去這個年輕人 blog (
http://philhuangelective.blogspot.com/) 的看板, 留點中英文給他, 讓他知道, 有很多人其實都是在默默的關心他, 祝福他的吧! 加油, Phil!

[Feedback: 回響]


1) Very Well done - Both Mother and Son. So proud of you. It is so beautiful.

2) 感謝妳讓我們分享 Philip 這趟非洲醫旅的歷程 我看見一個陽光的大男孩 正燃燒著他旺 盛的生命力 將關懷散播在那片蠻荒境地 Philip 文筆很好 當媽的翻譯更加深動 看來虎父(母)無犬子