Cancer… That disgusting, evil, dreadful, horrifying, life-changing disease that affects each and every one of us in some way or another.
Why does it exist? I am not really sure. But I do know for sure that we must stand up and battle it until the day that it no longer exists. My very close friend of two years has been battling Stage 4 Liver Cancer for about five years now.
First meeting her, I would have never known she was fighting such a horrible disease because of the smile that she never lets slip away from her face. That smile makes coming back to college after every break only that much harder.
She was living the life of a normal nineteen year old. She attended all of her brother’s high school football games and all of the big events in town. She was not letting her cancer affect her in any way.
Then one morning, I got the call that she was being rushed to a hospital an hour from home due to some major complications. I will never forget answering that call in class and completely losing it. I debated on walking out of class to make the five hour drive home to be with her, but I did not know if I was strong enough to get behind the wheel of the car. Until… I got a phone call from her begging me to leave class to come be by her side.
The drive to the hospital was probably the longest drive of my life. There were a million thoughts running through my head, thoughts of overcoming and thoughts of pure sadness. I was not sure if I would make it in time to give my friend that one last hug. I was not sure if I would make it in time to let her know how much I love her.
Thankfully, I arrived at the hospital with a red face and swollen eyes and sprinted to her room. Only to find my friend with that same smile on her face that makes it hard to go back to college after every break. That smile that brings so much joy to my heart. I wondered how she was able to carry this smile while being literally two hemoglobin levels away from death.
I was a bit frustrated with myself because I knew that my sadness and fear was radiating, yet all she wanted was happiness. After arriving at the hospital Tuesday, I did not leave her side until we walked out together with discharge papers in hand and a smile on her face.
Needless to say, her battle with cancer is not over yet. But the moral of this story is to never let your smile slip away from your face. My friend is battling some of the nastiest stuff on this planet, yet she still finds a way to let that smile shine. She can be in the most pain and be filled with so much fear, but she lets that smile shine.
Look into every situation for the positive. For when you can take that view on life, your smile will radiate. It is not just a smile that people see. It is a smile that affects people. It changes people to realize all that they have and to find greatness in the most troubling situations. Be the light of the world by smiling a contagious smile today.
Who knows, that one small smile could change the life of someone who really needs it.
I never find bus rides enjoyable. A crowded vehicle swaying, lurching for long periods of time frequently leads to horrible cases of motion sickness. This is well known to my family and friends.
It will come as quite a surprise, then, that while on a sweltering bus ride to Phnom Penh’s sole water park, I submitted to my student’s chorus of pleas to sing Celine Dion’ chart topper, “My Heart Will Go On.” Microphone in one hand, passing out sick bags and eucalyptus candy with the other, I belted out tone-deaf lyrics to the best of my ability. Luckily, my adoring fans appreciated effort rather than sheer ability.
The main attraction was a small river water-filled pool located at the end of two long slides. The twisting tube slide could’ve rust apart at any minute, and the racing slide must’ve been coated with a solvent certainly illegal in the US. I was afraid the friction from the breakneck speed down said slide would dissolve the seat of the bottom half of my “Khmer bikini” (read: pants). We stayed for over five hours, endlessly sliding and attempting to perfect the “mermaid” swim style.
I had only recently arrived, and immediately I was holding hands down slides with students who still thought my name was “Medicine.” The students are in turn kind, silly, sassy, shy, and wild.
Their energy is never-ending. It was one of the most joyous days I have ever had; it bonded me to the kids Children for Change Cambodia (CCC) serves and to its mission. Ever since our trip to the water park I have believed that CCC’s most important service is the establishment of a space in which to create childhood memories. That day is not just one I will be able to hold on to, that memory will also be there for each student when times get hard.
A chaotic, overwhelming, and often inspiring work environment exists at the end of an alleyway overflowing with trash and beat-up bicycles. Barefoot children in recycled uniforms play tag through the small neighborhood maze, rushing into the organization’s door-free entrance when staff call.
Here I found myself, also barefoot, seated on a blue plastic chair in the cramped office, surrounded by a stream of Khmer and a mountain of files. I was informed that I would be the only intern, and the only non-Khmer speaker, for the first two months.
It provides invaluable life-affirming support for those who lack the stability, financial support, and/or safety necessary to receive an education. It is the only organization serving the two worst slums of Phnom Penh, Cambodia, Trapang Chhouk and Trolouk Bek. The rickety, shoulder-grazing plank paths offer views into overcrowded homes, the meth addict’s indistinguishable from the sex workers or the gambling-addicted.
CCC offers emergency housing to students whose physical safety is in extreme danger or who have no place to go, provides them with their largest meal of the day, pays for their government school fees, emotional counseling and mentorship, offers a full range of academic classes, uniforms, and most importantly, nurtures a safe space in which to “be a kid.”
Provision of such a space allows students to create childhood memories that they will carry with them moving forward, a small treasure that is anything but insignificant.
I was often left mentally and emotionally exhausted at the end of work. The day-to-day issues that popped up were incredibly challenging. In the States, we are not directly confronted with other people’s most serious problems, other than the occasional concerns of a family member or close friend.
We are isolated within our own issues. As a result we conceptualize others’ difficult situations in abstract ways and offer up generic solutions and words of bland sympathy. As a population, we lack the skills to deal with the serious situations of those not close to us.
At work, I was met with students’ home situations head on, in ways I never expected. Real, tangible solutions and decisions were required; sympathy and soothing words have no utility. Not only did I have to handle the situation in the moment, but I also had to develop mechanisms to deal with the emotions that stayed with me after the situation has been resolved, even to this day. I am affected by their pain, their worries, their tears, and their joy.
On the first day, a student complained of stomach pain. When he lifted his shirt, a fresh, boiling burn cut diagonally across the length of this abdomen.
I have walked through the rotting plank pathways built over a trash-filled toxic sewage pond to the homes of my students, stepping over boys comatose from meth and $0.75-an-hour prostitutes, whose vacant eyes followed me as I passed by.
A student stays up at night to sell condoms to his mother’s clients.
Neighbors, their throats slit, faces puffy, were hung in the streets outside students’ homes.
This a measly list of situations the CCC students encounter. The problems embedded within their community are multi-faceted, dynamic, and intertwined creating a complex weave of issues in which one cannot be untangled from the rest. These students experience this complexity all at once in their fight to lead the life of a child. As both they and I know, there is no simple solution to their problems.
Serious thought is being given as to whether or not the organization can remain open, even after the extensive and harsh budget cuts made in the last week of November.
In the beginning, I never thought to worry about the organization’s permanence. I quickly learned in the last month how fluctuating financial issues can lead to a small NGO’s easy demise. Development as enacted by small organizations creates momentous, awe-inspiring individual change, but is incredibly unstable and, I now believe, almost unsupportable without the backing of a larger organization with a powerful donor network.
Money does matter, which is something I never wanted to believe before. So much hangs on the transfer of a few dollars. People are donating money to development causes at an unprecedented rate, but most of these donations are singular and go towards organizations with the capacity to market their programs well. When funding is short, it takes valuable time out of the staff’s day in order to rework the budget, finding ways to pinch pennies in an organization already operating on a shoestring. When funding is short, we have to eliminate the option of emergency housing, sending kids back to unstable environments.
Securing funding is one of the two roles in small NGOs that I now believe can be filled by a foreigner. The other role is providing services that cannot be provided by local staff, such as English language services or specialized training. Development work must be done on the ground.
Day to day changes are so great that it is nearly impossible for operators halfway around the world to respond effectively. Overseas management and policy creation is unwieldy, which is why CCC recently decided to shift most decision-making powers to on-site Khmer staff.
Most grants require forms to be filled out in English and are offered by Western organizations and governments. I have come to realize that this is the most effective set-up for a NGO: a locally hired staff, complete with executive directors and managers, an international board for fundraising and general reference, and internationally hired staff to provide specific training and language services. This formula maximizes program impact, and increases an organization’s stability.
I would highly encourage anyone interested in international development work to invest their time and money in organizations with local leadership, discernable local impact, and that require international interns and volunteers to have a specialized skill set (and who are not required to pay for their stay).
The ramifications of closing the organization are catastrophic and unthinkable. Since CCC pays for the students’ government school fees on top of offering classes at the center, the end of the organization would mean the kids would have no way to go to school.
They would lose their safe place, forcing them to spend extended time around abusive family members, gang members, drug dealers, and sex workers, greatly increasing their chance of emulating any of the above. Not finding a way to keep CCC open would haunt me for the rest of my life.
I offered skills that were not held by current staff and ran programs that would have otherwise stagnated. It was difficult, confronting, and every emotion in between. It is bone-shakingly disturbing that I am leaving without firm knowledge of my student’s, and CCC’s, future. My experience reaffirmed my belief in the power of people with passion, and in the value of small, dynamic NGOs.
Size matters. Whether it’s with actions or appearances, we are told that our purpose in life is to “do big things.” This, however, is a tall order—one that can invoke much confusion and frustration.
However, to attain clarity in the midst of such extremes, flock to the rooftop of Prem Dan. A home for the elderly, sick, and dying, it is a microcosm in the midst of a city encapsulated by a haze of smog and spices: Kolkata, India.
The streets are alive with beggars and merchants bartering their fresh produce. Rickshaws and tut-tuts compete with taxis and buses for space in the tight mazes that constitute the roads.
The gutters are intricately decorated with trash and dust strewn in piles. Pedestrians shuffle about with careful steps.
Footsteps of thousands of people combined with the staccato of the cars honking set the stage for the bass and treble. From the roof, one can hear the throaty, Islamic call to prayer, the poetic Bengali folk music streaming from nearby window sides, and a train rumbling along the tracks all at once.
The sharp call, of “Auntie!” interrupts this rhythm that snaps one back to the reality that lies behind the doors of Prem Dan.
A little fast thinking and quick hands, and sopping wet dresses and shorts are fling from each direction, slapping as they hit the ground.
Slowly, the roof transforms from a bare no-man’s-land of parallel bars and perpendicular wires, to a rainbow maze of drying fabrics. Within the first few minutes, hands are already stinging from wringing out the laundry laced with lye soap.
Yet, the concept of time itself does not exist—it is difficult to differentiate the third trip from the thirteenth trip up the six flights of stairs leading to the open air. Instead, time is undercover as a metronome ticking with the alternating acts of entry and re-entry.
Entry takes one down with an empty tin pail to the ground level, a chasm of medicine, chemicals, and fecal matter. Re-entry returns the passenger, bucket in hand now overflowing, to the scenic rooftop that welcomes with a comforting inhale of fresh air.
The rooftop is particularly transformative in that it is the source of clarity in Prem Dan. It paints a birds-eye-view picture of Kolkata.
Surrounding Prem Dan is a concentric layer of poverty. Within that ring are many hidden rings of true poverty and organized begging cartels that traffick women and children into a cycle of oppression. The border of this ring is thick with indifference.
There is a layer marked by stark contrast. The ornate opulence of vibrantly colored temples houses gods, and the filth-ridden streets. The streams of friendly greetings to one another are welcoming, while the incessant honking and yelling is disconcerting.
The metal cots are not draped with Frette, and the daal makhani is not served on a silver platter. Yelling and seemingly harsh methods of helping the women and men that reside may not strike a chord of unison with what volunteers would deem as appropriate, but there is an undeniable bond of hope.
It is a community of care that unites thousands from around the world with its Bengali employees and nuns to serve with an open heart and mind. In the midst of another, larger place in which you are less valuable than a piece of chapatti, it is a place in which the good you do will feel rewarding.
Its rooftop shows a vast stretch of city, of which every inch is alive and beating with sensory overload. This makes the goal of making an impact and invoking progress through service seem totally unattainable.
However, there is something about entering the doors of Prem Dan that shuts off any notions of frustration and exhaustion from the chaos of the city that surrounds it. Each exit from Prem Dan back to Kolkata instills a newfound sense of purpose and ambition. This purpose and ambition is to put diligence into every small effort.
Mother Teresa once said that although the entire world may not ever notice what you do, it is imperative to do whatever “it” may be anyway, and to not underestimate the power of the smallest of efforts.
In the small vicinity of Prem Dan, the opportunity to pluck each chance for change awaits; to serve with purpose, passion, and senses of humility and grace. It no longer matters that the surrounding world is ridden with an infinite amount of glorious imperfections. What matters is the small efforts dedicated to serving wholeheartedly.
Though there are moments in which the vastness of Kolkata feels overwhelming, it is possible to find clarity and instill a sense of capability through service at Prem Dan.