Sunday, September 13, 2009
Saturday In Isaan - Dealing With Police
One half the way to Nong Khai, "Momma" realized that she did not bring her Thai National ID card so going into Laos was off the agenda. I would not go into Laos on this trip anyhow. I would have to pay $35 for a Lao Visa to enter be it for 1 minute or 30 days. I will wait and pay when we take another holiday in Laos. Thai people who live in Isaan, typically the Lao Loum but not restricted to only them, can enter into Laos without paying or even getting a Visa. There are some restrictions as to length of stay and how far from the border Thais can travel without a Visa but during last year's week long trip to Luang Prabang, we had no problems with Duang not having a Visa - perhaps we were lucky.
Many expats bring their wife or girlfriend to the border crossing at Nong Khai so that the Thais can cross into Laos and shop at the Border Duty Free Shop in Laos. Laos has excellent prices on articles such as whiskey, rum, wine, beer ... In Laos clothing and textiles are also very cheap. In Nong Khai at the market along the Mekong River, you can buy beautiful children's clothing made in Laos for $3 to $6 U. S. dollars - the same clothing that in the USA would cost $20 to $40. The little girl's outfits were exceptionally cute.
Our trip up to Nong Khai was interrupted by a Police checkpoint. On average we encounter Police checkpoints 4 times a week. Inside of populated areas, the checkpoints are focused on checking documentation of motorcyclists (typically the young female university or high school students) and giving out fines for not wearing helmets. All people 6 years or older on a motorcycle are supposed to wear a helmet. The fine is 200 baht ($5.88) if you get caught without wearing one. It is like shooting fish in a barrel. Easy and quick money for the police - I can't believe how many people ignore the law. The babies, toddlers, and young children who ride the motorcycles squeezed between older people or standing on the motor scooter running board in front of the driver are exempt from the law. I know that it is only a matter of time before we encounter an accident involving a small child. We have seen many victims and some fatalities involving motorbikes but fortunately none involving small children.
Outside of the populated areas, police checkpoints target truckers who have a reputation of using "yaba" amphetamines, speeders, and spot check of documentation such as driver's licence, vehicle registration and vehicle insurance. Yesterday's random checkpoint was for documentation. Duang's brother's girl friend had an one month expired vehicle registration. She had to go over to the tent that had a desk, chairs and officials to pay a 500 baht fine. She has 10 days to correct the problem or she will be subject to fines once again. She has a receipt, "stay out of jail card" for yesterday's fine to avoid having to pay again within the next 10 day period.
Along the way up to Nong Khai, we passed an Immigration Police Roadblock on the other side of the road heading back to Udonthani. We teased Momma about getting arrested because she didn't have her National Identity card with her. We told her that the Police would think that she was an illegal Lao in Thailand. She started to practice singing the Thai National Anthem so that she would be able to convince the Police if we were stopped. She was joking and we all had a good laugh. Humor is a big part of Isaan culture and Dunag's family is no exception.
We parked the car at a local Wat near the market. Often Wats will rent out parking on their property. As we got out of the car, the Abbott spotted me and started speaking some English. We went into the uboth so that the family could make merit. Part of the merit making was to be sprinkled with water by the Monk. He included me as well as my camera in his blessing. No problem - I had a cloth to quickly wipe it dry. We enjoyed a massive lunch in a market restaurant along the walkway bordering the Mekong River. The river was high due to the rains of the past two months and was running very fast. The boats that were crossing between Laos and Thailand were just about running all out to make progress against the current. After lunch we did some shopping but had to leave early because Duang's brother was feeling some discomfort from his recent stomach surgery. I was ready to go too - too much heat, too much humidity, too many people - I was glad that he flinched first.
On the return to Udonthani, there was no excitement due to road blocks or checkpoints. Duang's brother invited me to join him on a road trip in two months. He will be chartering a bus and the band along with the dancers are going to Chiang Rai to perform. He said that I would be able to take many photographs. I readily agreed - sounds interesting -perhaps I could do a story about it for Rolling Stone magazine - I doubt if anyone has written about a Mahlam Lao/Mahlam Morlam road trip yet.
We got back to Lon's place, Yes he does have a name although few people use it, and we were greeted by some of the other performers who live on the street. They were finishing their lunch and in the middle of drinking their whiskey. I had a "quee", a round Pan Pipe type musical instrument central to Lao music, and gave them some samples of how I was teaching myself to play it. That was all it took. Although I initially declined to join them in drinking, they were persistent and my resolve was weak. I joined them and quickly had a nice cold whiskey and water in my hand. I had met three of the guys before and they knew that I was Lon's falang (foreign) brother-in-law. Two of the other men were introduced as policemen. They were not wearing the top of their uniforms but had their radios, guns and other police items around their waist. Apparently their were on a long "lunch break" and did not want to be conspicuous sitting at the sidewalk cafe drinking while on duty. There were two young girls about 18 years old at the table next to us - obviously new dancers from the neighborhood. The men asked me in English if I liked the young girls. I responded in Thai "Sorry, but I have a Lao wife" they roared with laughter. They were very interested in where I was from, how much money I made when I was in America, did I like Thailand ... It worked out very well - their limited English, my limited Thai and even more limited Lao and the free flowing whiskey. The young dancers seemed entertained by our antics. This definitely made the Police happy. We were soon joined by a motorcycle policeman who had also removed his shirt. He admitted that he was interested in the pretty girls. Time for another toast - I gave it in Lao to their surprise. Duang joined us after awhile and did some translating and let me know that I had to finish my drink because we were leaving.
The guys invited me to join them again someday soon.
It was a nice way to finish a Saturday here in Isaan. they were the type of policemen that I can and actually enjoy dealing with.
Wednesday, September 9, 2009
Duang woke up with an ear infection. She has a propensity towards ear infections due to perforated ear drums caused as a child by her father and years of not being able to afford medical treatment. I drove her to the Ear, Nose, and Throat Specialist in downtown Udonthani. It was not necessary to schedule an appointment - Isaan is very informal. We arrived at his clinic at 8:25 A. M. and we were the second patient waiting on the sidewalk for his clinic to open at 8:30. The clinic opened on time and we waited until 9:00 A. M. for the doctor to arrive.
The doctor's office is a small and narrow room with stucco covered brick walls. The walls are a dingy pale cream color and could use repainting or at least a good cleaning. The front third of the space is a combination of wooden benches and plastic chairs for patients. There is a water cooler on the left hand side of the room with three plastic glasses sitting in a tray atop the water bottle. People in Isaan accept and are accustomed to sharing - I have a ways to go in that department.
There is a receptionist desk and medication storage area facing the patient waiting area. Behind the receptionist station there is a 6 foot high partition which is one of the walls to the examining room. There is a sliding window in the partition which allows the receptionist to get change from the doctor when a patient pays their bill. Credit card payment is not an option.
On the walls there are two medical posters showing detail cut aways of the anatomies of nose, ears, and throat. There is a large picture of the King of Thailand near the receptionist' station. All businesses and every private home that I have been to have pictures of the King, King and Queen, or other members of the Royal Family prominently displayed.
There is one other large poster on the wall in the patient waiting area - a large advertisement for a huge industrial HEPA vacuum cleaner - think in terms of a shop vac. The poster displays all the hoses as well as nozzles available with the machine. I always have a silent chuckle when I look at it and think about some poor patient going to the doctor for the first time and seeing that device.
The doctor's "shop vac" is much smaller and definitely very much older. To clean out ears, he has a vacuum pump device. There is a vacuum pump that looks like it was made in the 1950's with a exposed belt and 12 inch diameter wheel with a large glass bottle that appears to be straight out of 1960's high school science lab.
There is a 1950's era dental work station for the patient to sit in. Instead of a xray camera, the work station has a microscope/camera device. Magnified images are displayed on a 13 inch color TV from the early 1970's. The office is completed with an old metal desk, old and somewhat corroded metal bookcase of paraphernalia and medicines, an examining table, and two plastic chairs for visitors. There is no door for the doorway into the area and the area has 6 foot high partitions in a building with 12 foot high ceiling, but if you have read many of my blogs you already understand that privacy in Isaan is not high consideration.
The doctor took care of Duang and she needs to go back in 3 days. The cost for his care and 7 prescriptions which were filled by his receptionist was 400 Baht - $11.76 U. S. Dollars.
After returning home, we addressed a home repair issue. The shower from the upstairs guest bathroom has been leaking on to, into, and out of the dining room ceiling. Our house is three years old and we are not the original owners so I expected correctly to have to pay for the repairs. Duang talked to the developer's office people (houses are still being completed) and within 1/2 hour we had a man over to the house. The man and his female assistant worked from 10:00 A. M. until 4:30 P. M. removing ceiling, tiles, and concrete. We bought new tiles and a new drain fitting for $13.23 U. S dollars. The man and his partner replaced the drain and tiles. Another man returned today to patch and paint the ceiling. Total price for the labor - $58.82. In addition to affordable (by U S standards) health care, Isaan also has affordable home repair pricing.
I am learning, very slowly, to speak some Thai. Duang's command of English far exceeds my attempts at Thai or Lao so we communicate mainly in English. Often there are mis-communication which end up with both of us laughing. Yesterday was another example. Duang got a phone call. During the phone call she told me that it was her cousin. She has 93 cousins. Duang also uses the term "cousin" to include nieces and nephews. I do not know how many nieces and nephews that she has. Anyhow - the way that I heard it was that her cousin wanted to know if I wanted to give 2,500 now or get 3,000 in one month, cousin says 2,500 now , wait one month, give me 3,000. I assumed, wrongly in the end, that her niece was calling to borrow 2,500 baht now and would pay me back 3,000 baht in a month. Falangs are perceived by local people to be rich, and compared to the local villagers, we are. Due to our status a foreigners and relative wealth, Isaan people believe and it is actually part of their culture to ask us for favors such as to borrow money. In return as part of the Isaan culture, we as a "higher" status are entitled to ask them to do things for us. To be fair to everyone, I do not loan money.
Duang kept talking to her cousin and asking me about 2,500 and 3,000. I replied that I was not a bank. I do not loan money. If I were to loan 2,500 baht, I would not want to get 3,000 baht back - only the 2,500 baht. I reaffirmed my position to not loan the money. Duang looked perplexed and I was becoming impatient. The phone call ended with Duang telling me that her cousin would call again. I said I didn't know what good that would do - I said "No" and I will say "No" again! Duang then started rummaging through the magazines and papers on our cocktail table and pulled out the Toyota Truck brochure. It then started to dawn on me what may have been going on. The person that she was speaking with was her cousin the car dealer - the man we are buying and ordered our truck from. Through hand gestures and pantomime, I now understood that he was saying we could have a truck with a 2.5 Liter (2,500 cc) engine now or wait for a month to get it with the 3.0 Liter (3,000 cc) engine that we had wanted. We decided to wait for what we wanted and ordered to begin with. Duang and I had a good laugh and teased each other the rest of the day about our lack of communication.
We ended up going to the OTOP Festival at 5:00 P. M. We had gone last year and enjoyed it very much. This year it was better and it was worse. It was better this year in that it was comprised of several large interconnected AIR CONDITIONED tents. It was worse in that there was no large outdoor stage with free stage shows. We toured one area and bought some handicrafts and left.
The restaurant that we used to eat at frequently last year near our hotel is closed so Duang's son took us to a different place. We were going to eat "mauk ka tah" (Thai BBQ). The open air restaurant that we ended up at was alongside the fence of the airport fairly close to the runway. Heavy vegetation concealed an open view but a couple times you could partially view and definitely hear planes completing their landing run out at the airport. The restaurant is mostly for Thais - just what I like. There was a large open sided structure that contained a large stage and some tables for diners. There were three sections of open sided structures that had tables or shelves with uncooked foods such as marinated beef, marinated chicken, marinated pork, squid, vegetables, noodles, leaves, greens, etc. Another section was where you could get "pauk pauk" - green papaya salad and another where you could get some grilled food.
You sat in plastic chairs at a wood table that has a large hole in it. A heavy and thick refractory lined bucket with a charcoal fire is placed in the hole of your table. A thin metal, hubcap type, pot is placed over the fire. The pot has a trough around the perimeter in which water is kept. A slotted cone rises out of the trough. Food is boiled in the water and food is grilled on the slotted cone. The cost for this "all you can eat" extravaganza was $2.91 each plus drinks.
I know why the restaurant from last year was out of business. People from Isaan can pack away the food. I was the first to get full and stop eating followed by my step-son. His girlfriend who is about 5'5" tall and about 110 pounds was third. My wife who is 5'0'' tall and 94 pounds (before eating last night!) was the last to finish - 20 minutes after I did. There was no problem there was a man playing guitar and singing for entertainment. It was a nice finish to a busy and definitely interesting day here in Isaan.
Saturday, September 5, 2009
Being Informed - The Price of Freedom
This was not the first time that I had been asked if I was a professional outside of my career as a Mechanical Engineer. I was once asked by a lawyer if I was a lawyer.
On another occasion, during a review of my investment portfolio, a professional "investment counsellor" for a large US firm remarked that he had nothing to recommend to me and complimented me on the portfolio that I had created using Quicken software and performing my own research over the Internet.
These incidents are not due to random chance. I have always strove to be informed on all aspects of my life to be able to make informed decisions as well as to be capable of evaluating the advice given to me by "experts".
Having worked overseas, I have been exposed to a myriad of medical standards and conditions. In Curitiba, Brasil I had two impacted wisdom teeth removed at the dentist's office under conditions that most likely exceeded most facilities in the United States. The office, surgery, and even the elevator were immaculate. An oral surgeon trained at Northwestern University, a regular dentist, dental assistant and anesthesiologist all worked together on the operation. I am certain that my after care exceeded US standard practise - I received three laser treatments to accelerate and facilitate healing. The surgeon gave me his home phone number as well as his cell phone number. While he was away at a convention the following week, he called me three times to check on my recovery.
In Arzew, Algeria our medical facility was basically a clinic set up in a 20 year old house trailer in the resident camp staffed by an Algerian doctor who had been trained in Belgium. When my wife first met him, he was seated at a table reading the "Merck Medical Manual" - the same book she had brought to Algeria with her. The facility was very basic and handled the medical needs for the camp's 5,000 residents. Medical waste such as syringes was used by some of the local children as playthings - even during the age of AIDS. Medical emergencies such as ex-patriot's broken limbs required medical evacuation to either Spain or France.
In between these two extremes I was exposed to various degrees of medical facilities and capabilities including treatment for Cholera in my home in Vietnam with the bedroom coat rack serving as support for the IV drip. These experiences have lead me to some different perspectives regarding medical care and treatment.
I have found and learned that most of the time our aches, pains, and sickness do not require the high tech but expensive facilities so often available throughout the USA and in large part expected by patients. In the places where I have lived overseas lawsuits and charges of malpractice are rare.
Doctors are not responsible for our health. We are responsible for health. Poor choices that we make affect our life and we are eventually accountable for those choices. Doctors can help alleviate some of the damages that we cause ourselves.
Having seen medicine practiced under various conditions, I view doctors as people with some specific training and experience but they are not miracle workers. They, based upon their training and experience, diagnose our ailments. It is our good fortune that for most of our life our ailments are relatively common place and predictable. Colds, flu, sprains, cuts, broken bones, childhood diseases and blood pressure ailments are easily treated without requiring the latest technology or world class facilities.
To be truly free, we need to be able to make informed decisions and not blindly trust or rely upon others. To enjoy and maintain freedom requires diligence and hard work.
During the early years of our life, many of us were encouraged to question and challenge authority.
Now that we are advancing into the later years of our life it is ironic how willingly some of us are to blindly accept and trust our governments in matters that affect so much of our daily life.
A cost of being free is to take the necessary steps to ensure that we are fully informed. If it can't be explained or if you can not understand it, it most likely is not a good idea or the truth to begin with. The problem is not with you. The problem is with the presenter or proponent but it very well could become your problem if you blindly buy into it or accept it be it investments, personal finances, relationships, foreign policy, law or health care.
Wednesday, September 2, 2009
Selling Human Organs - I Don't Understand
In the report it was stated that it is believed that up to 10% of the kidney transplants in the world come from the illegal sale of kidneys. These kidneys rather than coming from a genuine donor actually are procured from people for around $10,000 U. S. dollars. These purchased kidneys are then brokered for up to $100,000 U. S. dollars to patients who need a transplant to survive.
A big part of the story dealt with an alleged ring in New York, where Jewish people were buying kidneys from poor Jews out of Eastern Europe for transplantation into Jews in New York City, Boston, and Philadelphia.
I am opposed to harvesting organs from executed people or from people who have not signed a proper organ donor card. However I am confused in regards to the illegality of willingly selling one or a piece of one of your organs in the United States.
A couple of the justifications regarding the Supreme Court decision of Roe v Wade 1973 that ruled abortion was a fundamental right under the United States Constitution were the Due Process Clause of the 14th Amendment and the right to privacy.
So how is that it is legal to have an abortion which ends up ending a life but it is illegal to sell one of your organs which will end up saving a life?
Do not the same arguments that the Supreme Court used to define a woman's abortion rights not apply to anyone's rights regarding their decision to sell a part of their body?
If a woman's body is her own personal property and she is free to make her own decisions regarding the use of her body, is it not also true that our, men and women, body is our personal property and we, men and women, are free to make our own decisions regarding the use of our body even if it entails willingly selling parts of it?
The Supreme Court has found support for right to and of "privacy" in the Bill of Rights as well as the 14th Amendment to the Constitution although the right or freedom to "privacy" is not specifically stated or written in the Constitution.
I strongly believe in this "right" and "freedom" which along with the Freedom of Speech is so frequently attacked and compromised. However, I do not understand how privacy and the "freedom of contract" can be used to allow abortions and not used to allow for the selling of one's organs.
In selling of one's organs, assuming that it is fully informed and consensual, no one's rights or freedoms are abridged or violated. The most likely result of this private contract and transaction between the donor and recipient or broker is the saving of a life. We are all brought up to believe that saving a human life is a good thing. The world's major religions all support the concept of helping our fellow man as well as saving a human life.
So why is selling one of your organs illegal - other than that is what the law says now?
I don't understand.
Is it because selling organs is not politically correct - yet?
Is it because it is not part of a major political party's agenda or strategy?
Is it because the basis for defining abortion rights is fundamentally flawed and therefore can not be used to define the right to sell your body parts?
I don't understand.
Monday, August 31, 2009
Local Shopping - Shopping for Locals
Local markets are a combination of indoor permanent facilities and temporary outside facilities. The indoor facilities are large dark buildings or a series of connected buildings with corrugated sheet metal roofs. Inside there are rows and rows of fixed raised tables where the vendors set out their goods to sell. Outside facilities consist of a low raised wood rough platform typically covered with a plastic tablecloth upon which the merchandise is displayed along with a small spring scale to weigh the goods. A large umbrella protects the goods and vendor from the elements. Sometimes there is a small plastic chair or aluminum lawn chair for the vendor but quite often they sit atop the platform along with the goods. During harvest season, we often see Duang's sister and her husband there selling vegetables from their farm.
Saturday, we went shopping at the markets in Kumphawapi for food to celebrate the visit of one of Duang's friends who was visiting Tahsang Village along with her family. Eleven people had piled into a pickup truck to travel from their village to Tahsang Village. It is a typical sight on the roads of Isaan to see a pickup truck chugging along with 12 or more people representing 3 or 4 generations.
We were shopping at the local markets because the food is cheaper than at the big international stores, and most importantly of all the selection of the types of foods that the Lao Loum people eat is much greater there.
Shopping in the local markets is not just the matter of going in, grabbing what you need, paying for it and getting out. These local markets in Isaan also are centers of gossip and social interaction. People end up meeting their friends and relatives at the market so they stop and talk. The vendors also join in and ask questions about family matters. The simple task of selecting vegetables to buy also requires an involved conversation - to ensure the best quality, best price and most likely most importantly of all be perceived as a "kuhn jai dai" - a good person, someone with a good heart.
Scattered throughout the interior of the indoor portion of the Kumphawapi market there are large charcoal grills where fish and meat are cooked. Large metal ducts take the smoke and fumes up and out through the sheet metal roof. Cooked products are lined along the counter for sale. In other areas people use gas burners to cook sweets. The sweets are typically corn or rice with coconut as well as sugar added. I particularly enjoy the corn kernel- shredded coconut waffles fresh out of the waffle iron.
Inside the market the aisles are very narrow as well as crowded. You need to be careful walking because the concrete floors are not level, have abrupt changes in elevation, and are in various states of disrepair. Lighting levels are low inside the market with illumination provided by a small number of exposed fluorescent tubes and bare light bulbs. Interestingly, many of the bare light bulbs are now the eco-friendly fluorescent type. An occasional cat or street dog will also wander by to further complicate navigating through the market. On this trip, someone had placed newspaper along portions of the aisle to soak up some of the rain that had entered through the roof from an earlier rain shower.
Some of the vendors, typically those who are selling canned goods have updated their booths with small TVs or stereos. This provides some entertainment and distraction for their children or grandchildren who accompany the vendors. Between the sights, sounds, and smells, a stop at the local market is always entertaining as well as interesting.
From the Kumphawapi market we drove to the meat market - not a club or drinking establishment but a place where beef is sold. We had purchased beef there before and have never been disappointed. The freshly butchered meat hangs in the open air from metal hooks. Besides meat, the shop sells various beef products such as stomach, liver, blood, and very small plastic bags of what appears to me to be urine. I discussed this with Duang and it apparently it is urine from inside the cattle. Apparently older people like it but young don't - I guess that qualifies me as still being young.
The meat is definitely fresh - I smelled it as it hung in the open air. One thing about the lack of refrigeration - it may not prevent spoilage but it also can not hide it. If anything is less than fresh, it is obvious.Surprisingly there were hardly any flies hovering around the meat. Today unlike other visits to the meat booth, there were not any "ready reserves" tethered to the sturdy fence along side of the shop. Usually there at least two cattle tied to the fence awaiting their fate. The shop is run by a Muslim family which is fairly rare here in Isaan. There was a sign at the front of the booth written in Arabic which tipped me off that they were Muslim and that their beef was "halal" - good to Muslim standards.
We bought one kilogram of beef for 130 baht ($1.73 lb). We pointed out the portion on the hanging leg that we wanted. The female vendor took her large knife out and carved it off of the hanging chunk of meat. We had selected a more expensive cut of beef so it was 130 baht a kilogram. At the Kumphawapi market, less than a mile away, the same cut of beef is $2.00 a pound. Less expensive cuts from the leg cost 100 baht a kilogram.
Having completed our "local shopping" we completed our trip out to Tahsang Village. Everyone enjoyed the large meal and a good time was had by everyone