Saturday, July 26, 2014

The Importance of Inspiration



The other night in my hut, I sat down and started making a timeline for my graduate school applications. The common application for public health opens in September, which is in less than two months. Once I realized how soon I need to be making decisions about my future, I realized that I have to do what I have been dreading: write my personal statement.

There is a very visible difference in my writing when I am inspired versus when I am not. Since I downloaded the guidelines for the personal statement last November, I’ve been waiting for inspiration to hit me. I stare at my computer once every few weeks and hope that the right words will flow. They never do. I have not been able to articulate why I want to study epidemiology. I know in my heart that it is where I am meant to be, but that will not win over an admissions committee.

I am meant to study epidemiology. I got a 5 on my AP literature and composition test, which excused me from the second semester of freshman seminar at Butler. I chose to take it anyway because I liked the professor. I honestly never read any of the books because the essay prompts didn’t require it, but something struck me about the last book, and I read it. The book was Mountains Beyond Mountains by Tracy Kidder, and it is the biography of Dr. Paul Farmer. From page one, I knew. Shortly after reading the book I didn’t have to read in the class I didn’t have to take, I changed my major to biology.

In my zoology class one day, I was talking to my lab partner. By now, he and I both knew we needed to get involved in research, and as a pre-med he had his pick of projects. I said that it was a shame that Butler wouldn’t have any epidemiologists, and wondered what I could do. Our lab assistant passed behind me at that point, and said: “Actually, we have one. My friend Cam is working with her now. She’s in the pharmacy department. Dr. Priscilla Ryder.” That day, I looked up her office and walked in the door. The chances of the lab assistant walking by at that moment were slim, but it happened.

As I knocked on the door of the person who would become my combination mentor-slash-life-coach, my heart was racing. I had no clue what to say. I awkwardly introduced myself. I was in luck that day. Dr. Ryder had just been approached by a professor at IU who needed someone from a pharmacy school to collaborate on a study. Because she does more projects than a whole team of graduate students, she needed an assistant. There I was.

That project turned into multiple conferences, publications, a paying job, and invaluable experience in epidemiology. The day I pushed the registration button for that freshman seminar, I changed my own life. When I do an interview, enter data, or even spend 5 hours with a team trying to figure out a way to structure a matrix so that we get something significant in our data, my heart lights up. I am happy. I call my friends and family after doing those projects and excitedly give them a recap of what must bore normal people.

Sadly, nothing I just said really rang true for a personal statement. I know that this is where I belong, but what can I say to convince an admissions committee?

Tonight, finally, it hit me:

“I believe that it is a violation of basic human rights that one in every two women of child-bearing age in any country in the 21st century should suffer from HIV. I believe it is a further violation that due to lack of access to hospitals women should die in their homes while giving birth. I believe that choosing between deafness and death when deciding whether or not to seek tuberculosis treatment is a choice that no person should have to make. Finally, I believe it should be a crime that diabetes is a death sentence in the developing world and a manageable condition in the first world. Health is a basic human right, and I believe that the existing disparity in healthcare is something that needs to be addressed immediately and aggressively.

I know myself. I am not going to write a bill and stand before Congress and lobby for years for its passage. I am not going to run a grassroots education campaign in a rural school for the rest of my life. I am not going to make fundraising calls to raise money to implement an international intervention. Those services are necessary, but they are not who I am. I am going to run a qualitative study where, through a series of interviews, I gain a deeper understanding of the issues facing a community. When I have enough information, I will give a survey, and then I will enter that data line by line and look for significant variables through any statistical method that I know. When I know all that I can, I will work to design a culturally appropriate intervention that is informed by the community and for the community. What I see when I look at the existing health disparities in our world is an opportunity for an epidemiologic study. That is where I fit in the large puzzle that is public health, and that is how I dream of making a meaningful contribution to our society.”

That’s why I’m in this. If an admissions committee reads that and turns me down then, frankly, they do not deserve me and I would not be a fit for their program. I am confident that the right school will read that, in addition to the rest of the statement, and find a place for me.

Tonight, I am lit up with the excitement of knowing that what I just wrote is perfect. With those two paragraphs, I have paved my path to find my own corner of the world to change. The next step is finding the school that will empower and educate me to be everything that I can be in the field that I know the universe has intended me to be in since day one.

Friday, July 11, 2014

What's In A Name?



When I started siSwati lessons with my friend Nombuso this week, I learned a lot more than expected. I was asking her what the names of various Swazi friends and family members mean, and she was able to translate. For example, Siphesiwe, my 12-year-old sisi, translates to “our special gift,” because make had already had two boys and she so badly wanted a girl. Njabulo, my 16-year-old bhuti, translates to happiness. Every name has a translation and frequently is a word you’d use in conversation. I know a boy at the school named Siyabonga, which is the word for thank you. I say that every day.

I explained to Nombuso that we do not name our children in this manner. If I want to know what my name means, I have to look it up on the internet to see what its origin is, and what the closest translation to English is. I know the meaning of my brother’s name (Cameron – crooked nose; every sister has a responsibility to know when names have funny meanings), but not the meanings of the names of my friends or acquaintances. As I was explaining this, I said that this is why the Volunteers find some names here very funny. When a man in Shoprite introduced himself as Comfort, I thought it was a pickup line (it wasn’t). You’ll also find women named Goodness, Blessings, Girlie, and so on. I thought this was funny, but then Nombuso looked at me and said: “But how do you know your story?”

I stopped, and thought. I asked her for clarification. She told me that she knows her whole life story through her name. When her mother was pregnant, she barely gained any weight and was able to do as she liked, free from medical setbacks. For her daughter, she chose a name that means independence and freedom, because that describes her pregnancy. Nombuso says that through names, you learn everyone’s story, as well as what he means to his family. I remarked that it was cool, and we moved on with the lesson.

After I got home, I did more thinking. While it’s funny to hear names like Lucky and Comfort in men, it’s really amazing to think that the name actually means something. A mother and father took the experiences of pregnancy and where they were in their lives at the moment they welcomed their new baby, and so a name is chosen. It’s more than just a background, it’s a legacy that parents can leave with only one word. It’s beautiful, and it’s one of the aspects of the culture here that I didn’t fully appreciate before.

I was named before I even met my host family during training. The bosisi had started calling me Maswazi, meaning Swazi girl, before I even arrived. They had dreams of teaching me siSwati, how to cook liphalishi, how to dance, and how to sing. They wanted me to feel and act Swazi, and they named me according to their dreams for me. Before I understood, I was a bit annoyed. I mean, come on. Maswazi? We couldn’t have gone with something that sounds cool; we had to go with something that makes everyone laugh when I introduce myself? Now, I get it. They had dreams for me which they never shared with a conversation. They shared those dreams with one word.

I’ll carry the legacy of my name throughout my service in Swaziland. Now that I know what it means, and not just in terms of the literal translation, I will introduce myself with pride. Knowing that others dreamed dreams for you before you were able to dream them yourself makes you feel extraordinarily special and extremely loved.

Thank you, umndeni wami.