Monday, December 24, 2007

New Art



In Bamako I got a painting from Bama Toure, cousin to Malik, and with grandparent Xmas money I got a stained glass window hanging from Steve on Chestnut Street in Hampden that I'd been eyeing for a while.

Christmas Eve food



We made super yummy Creamy Shrimp Grits with Prosciutto along with some fried oysters and smoked salmon for Christmas Eve dinner.

Sunday, December 16, 2007

I heart Canadians


Canadians, they love me! This reinforces my sense that I am actually a good person. I have a very worthwhile hangover today after the 'wheels-up' party last night where I somehow managed to impress a key Red Cross person with my extensive political-malaria knowledge. After a week of low-grade wtf-am-I-doing-here this was very nice. The Canadian photographers and writers are also totally groovy. I think we will have a little love-in this evening before everyone leaves. I fly out 3am tuesday morning and will miss this crew - they are super duper.

I should point out that none of the girls in this picture are really Canadian, but they are all AWESOME.

Saturday, December 15, 2007

Back from Segou







Campaign is going pretty well though some places have already run out of nets. The clinics were asked to send in population estimates before getting trained on how to do population estimates, and in many areas where we've visited there are a lot of migrant workers, who are not counted in the census. The first two or three places we visited did have nets but the 'advanced' and 'mobile' sites, served by health agents on motos and in 4x4s, were out as of yesterday. Both teams were taking down names and in a followup campaign after Tabaski (starting Saturday), the redistribution is supposed to take effect and people will gets nets sent over from other districts that had overestimated the need. Fortunately women and kids are still showing up for the vaccines, deworming and Vitamin A, and in places where nets are out things are much more calm. Crowd control was a not a major part of the health agent training and so of course there's a lot of crowding. In some places police were called in to help out. There's not always shade for everyone in line and so tempers can flare easily.

Today Ruth Riley from the WNBA and Diego Gutierrez and Dwayne DeRosario gave bball and soccer clinics, and then demonstrated how to use a mosquito net before handing out (not quite enough) nets to all the kids. Somewhat hokey but they will have nice images for fundraising, bully for them.

Off to take the Admiral shopping now...my commission at Ahmed's is getting huge!

Thursday, December 13, 2007

Off to Segou

The campaign starts today, if the CScoms don't strike, and I'm off to Segou to translate for the Red Cross (Bambara/French, yeah right!) until tomorrow night.

Our team is doing a very good job but it's event logistics and not necessarily the fun/technical stuff. It's an important role but I'm a little grumpy and not knowing how exactly to be strategic about this whole trip.

I'm changing my flight to leave here late Monday night or Tuesday morning so that I can take care of some stuff at the office before Xmas....feeling a little découragé.

Friday, December 07, 2007

Mecaniciens

The airplane mechanics I met last time are back! We will see if they are more interesting than last time.

Had a nice meeting at lunch today where I pretty much defected to PSI for next week to take care of the Malaria No More visitors.


Ok must get money from the ATM. Which is in the hotel! I am still ecstatic over this.

Tuesday, December 04, 2007

Blast from the Past

--- wrote:
> Date: Sat, 12 Oct 2002 01:22:30 -0700 (PDT)
> From:
> Subject: oh my god i think i am going to throw up
> To: pcv1pcv@ga.peacecorps.gov,
>
> Michelle - for JTD - more commentary may follow
> later
> from me and allison
>
> Received: October 11 2002 at the Mouila Case
> 13 packages for Jennifer including:
>
> 2 twelve packs of double stuf oreo cookie packs
> 14 packets of beef jerky products
> 2 boxes wildberry poptarts
> splenda lo-cal sweetener
> 6 boxes velveeta shells and cheese
> 2 boxes nature valley granola bars
> 3 multipacks cheese and peanutbutter crackers
> 5 sweet roasted vanilla mixed nuts
> 4 red rice and beans
> 8 soup mixes
> starbrite peppermints
> 3 funpacks tic tacs
> 3 boxes nutrigrain cereal bars (slightly crushed)
> 5 bags creme savers
> starburst
> gumballs
> 2 packs pudding
> honey bear
> 4 general mills coffee (swiss mocha, french
> vanilla....'jean-luc!')
> 2 mulling spice mix
> oompas
> 2 trail mix
> 3 taco seasoning
> one bottle Sweet Baby Ray's BBQ sauce
> dinty moore beef stew
> tasters choice coffee
> 3 italian cappucino mix
> 10 chicken breast in water (canned)
> 3 sardines in Louisiana hot sauce
> 1 turkey SPAM
> macadamia nuts
> bag of red beans
> bag of chick peas
> bag of bean soup
> 14 starkist flavor fresh pouch (tuna)
> 3 chicken of the sea pink salmon pouch
> brown sugar and smores pop tarts
> box of 30 lb ziploc bags
> bugs and phrases stickers
> listerene breath strips (2 packs)
> danish wedding cookies
> wylers drink mix
> stovetop stuffing
> 4 cans pringles
> malt o meal
> dirty cup measure
> gravy mix
> peanuts> Tough Son of a Gun sponge
> crab boil in a bag
> werthers
> dumdums
> bob's sweet stripes
> stridex pads
> CD (mix)
> 5 packs bubbleyum
> sweet tarts
> bandaids
> fundips (razapple magic flavor)
> 2 40 oz Jif extra crunchy
> seeds
> 2 packs playtex living gloves
> taffy suckers
> 6 shock tarts
> 6 runts
> 11 taffy
> bag of assorted tacobell chinese popeyes condiments
> 4 gobstoppers
> 4 nerds (grape and strawberry)
> 2 antiitch gel and powder
> toothpaste
> Bounce dryer sheets
> 4pack starkist tuna in a pouch
> creole seasoning
> 5 starkist lunch to go
> 2 footpowder
> carnation instant nonfat dry milk, 3 qts
> biore self heating mask
> 6 tuna helper fettucini alfredo
> 4 crystal light
> pizza goldfish
> red zinger tea
> fruit by the foot
> cortizone 10
> 4 teas
> Dobie scrubber
> swiss miss cocoa
> 2 cans goat milk with vitamin D
> bag of bath products
> 7 pack towels
> 5 lbs Planters salted in shell peanuts
> 2 Mixups candy (200 pieces)
> 2 total balance natural meal replacement drink mix
> 5 pairs heavy latex gloves
> 2 welch's concord grape jelly, 2lbs
> 12 pack big league chew
> 6 assorted loofahs> 24 pushpops
> Amino Fuel
> first aid bit and sting kit
> 25 pack Mead folders with pockets
> strawberry splash bubble gum
> 2 tea tree soap
> magic BBQ seasoning
> magic BBQ seasoning salt
> cajun seasoning
> sheet
> dry erase board
> 2 mini tape recorders
> gumdrops
> tea
> assorted drink mix
> 2 plastic tablecloths
> color club water colors
> scarf
> bandana
> neutrogene acne wash
> 4 beach balls, inflatable
> balloons 50 count
> baking soda deoderant
> 2 big bottles advil
> energy booster supplement
> 3 boxes crayons
> 4 composition books
> incense
> shelf paper (flowered)
> 24 AA batteries
> another whole box full of candy for lambarene host
> family:
> 2 bags cotton candy
> 2 boxes gobstoppers
> 2 nerds
> nerf football
> 2 bubble tape
> 6 wrapped gifts
> 4 ring pops
> 2 flip n dip
> 5 popping candy
> one big wrapped gift, for parents
>
> Thirteen packages total, costing 751.90 in postage,
> not including the Fed Ex box (Extremely Urgent:
> recipient please hand deliver to addressee) which
> didn't have a postage amount on it.
>
> Jennifer said: Oh my god I think I'm gonna throw up.
> Oh my god oh my god oh my god (repeated). She also
> was
> disappointed that her khakis (the only thing she had
> really asked for) were not sent. Also, 'good thing
> I have students!'
>
> mom dad, people stateside - this is not a good
> representation of things to send me, except for the
> oreos. just looking at all that stuff made me freak
> out. we wanted to cover it with a sheet or
> something.
> what a wierd night.
>
> ciao, ragazzi,
> h

Monday, December 03, 2007

Upgraded!

I just in the nick of time got my Flying Blue GOLD UPGRADE!!!

Now I no longer have to suffer on one-person airport waiting room seats during long layovers. I can access the lounge, baby!

Not sure if this is a random upgrade, or they're actually checking my flights, or if it's some latent bonus from the strike, but hey I'll take it!

The Wire Previews!

http://bigscreenlittlescreen.net/2007/11/29/the-wire-hbo-drops-premiere-date-16-early-on-demand-5-promos/

New Lease on Life

I think that because of the lucky outcome of my collision, I am supposed to have a new perspective on things. I've not yet figured out what that is, though. I think I still feel pretty much physically invincible (Unbreakable!), like most young people.

Maybe I'll just stick with that, for now.

Sunday, December 02, 2007

Hit by Car

Friday morning I was rounding one of the last corners into work, where I have a stop sign and turn left into a small alley usually devoid of cars. Instead a car was speeding through, fast enough so that he wasn't there in the reflection in the large window opposite me that I use to check traffic, but then there he was when I went through the intersection. I thought I would make it somehow and he hit my left leg, knocking the bike sideways. I tore out of my toeclips and fell on my front teeth and the front of my helmet, rolling to the far curb.

My leg hurt a lot but at this point I still thought he'd hit my rear wheel. I could move my toes and didn't think it was broken. The guy, a detective, called an ambulance. His cop buddies came over from the police station a block away with some gauze. A big fire truck came with some medics. The ambulance arrived. My friend Chris from work was walking by when the accident happened and stayed till they took me away. My leg kept hurting and in the ambulance Sean and Dennis gave me some morphine and splinted both my ankles, there was a small scrape on my right one too that I hadn't noticed. My lip was cut and bleeding but my teeth were still there.

At UMD Shock Trauma they cut my jeans off (but saved my new patagonia green fleece!) and checked my spine and pupils. I had been shivering from shock but the morphine helped with that, and by the time they were xraying (chest, left leg, ankle, foot) it had worn off and I was shaking again. They gave me another two mg and it felt bitter through my body, but then I was warm.

A doctor came and stitched up my lip and a crazy volunteer came and talked to me while I waited for the xrays to come back. The guy in the next bed had had a stroke or a fall after a stroke but was really chatty. A cop was brought in who'd been in a collision and had some pain in his back but seemed like he would be ok.

Xrays were negative. Two (different) sergeants came by and took a statement and told me the bike was at the police station. At first I heard the guy who hit me was FBI but then someone said something about a 'task force' and all I could think was I got hit by the guys they based the Wire on. They sent me home with crutches which I haven't used at all and an Rx for oxycodone which I took two of and then felt like throwing up, though it might have been from hitting my head. All in all I have a bruised and maybe sprained left lower leg, scrapes and two stitches on my lip, badass bruise on my knee (from hitting the top tube on my bike as he hit me), and a small scrape and a bruise on my right ankle and hip. I expected a lot of whiplash soreness the next morning but really, it's been fine. I kind of look like a turtle or a giraffe, though, with my lip all poofy on top.

Everyone's been so great; Bonnie got me from the ER, Tarik brought chocolate, and Nick and a few others have called or stopped by. Edith and I went and got the bike on Saturday and it seems fine - which is sort of surprising and sort of not, considering he hit my leg and not the bike. I have some pics I'll post after I hook up the camera.

My helmet saved my head and my nose. Please wear your helmets.

Thursday, November 29, 2007

Pyervi blin

There's a Russian saying I hold dear, because it's true: "The first pancake is always a flop."

But the 3rd pancake, he is smart and nice and good looking!

Wednesday, November 28, 2007

Tuesday, November 20, 2007

Youssou N'Dour


Youssou is one of the malaria spokespeople for Roll Back Malaria. Lisa his manager in the states (sort of) got us tickets for the Kennedy Center show last night. We had nice drinks and food at Dish beforehand, where I mistakenly ordered my salmon medium (OOPS!) but it was still pretty good. As always UNF and BASF picked up most of the bill.


Jumana and I went right up front and danced. Fun. I saw Jamaica from PSI (ex PC-Guinea) in the other aisle. Every other white person was an RPCV. This pic of Jumana is not nearly as scary in large format as it was on my camera, when she looked straight out of "Lost Boys".

Sunday, November 18, 2007

Comp and the weekend

The climbing comp yesterday was fun except for the part where I was trying this rad move involving a low pocket undercling with my left ring and middle fingers, pushing down with my feet so I could get up to a nice flat sloper with my right, and something popped in my left wrist. It was pretty much curtains after that. Not too much pain, but a sense of weakness in the wrist, and pain all up the forearm to the ring finger. I climbed a few more things but couldn't finish any of them, though I did enjoy the slab route. Sean did really really well, sending a bunch of 11's, and ended up fourth overall, only missing the finals by - well, ok, a lot, but only because VJ, Ben, and the kid from Loyala are crazy good and can onsight 5.12. That means climb it the first time without falling or having any prior tips on how to do it.

So it's rest for me and the wrist and perhaps a trip to urgent care on Wednesday before mom comes into town just to make sure it doesn't need to be immobilized or something. I tweaked it again opening the car door (an undercling, technically) and it aches. I guess going to Mali for three weeks and not climbing through the holidays will be the best thing for it, but it bums me out.

A sort of frustrating continuation to some other things, including boots getting stolen (or misdelivered) off our porch, the treadmill not having its startup key, and not being able to install Windows on my mac this weekend so that I can use our new trial mapping software. Nothing major really. And offset by lots of good hanging out time all weekend and my free Prana jeans I won in the comp raffle. They are size L, but fit pretty good, and hopefully I can shrink them a bit in the wash.

Tuesday, November 13, 2007

That familiar sense of panic

I am going back to Mali Dec 5-20th for the integrated measles/malaria/polio/Vitamin A campaign so that I can babysit journalists, translate, and do logistics. I'm excited but now I only have two weeks to do this database thing which makes me want to shoot myself. Plus Office Olympics (November 27th) and the Friends of Gabon Mayumba ITN distribution. Yiiiiikes.

Panic Free Weekend


I made a potful of Hazan's ragu this friday. Here's the recipe so that I don't have to keep calling up my mom every time I want to make it!

Melt
8 tbl yellow onion
8 tbl diced carrot
in 12 tbl olive oil and a stick of butter

crumble in
3 lbs chuck just until loses its red color, and 4 tsp kosher salt.

add a bottle of white wine, cook until evaporated.
Then add 2 cups milk (whole is better, duh) and cook until evaporated. All this over medium-high heat.

Oops I forgot the 1/2 tsp nutmeg. Oh well.

Add 3 large cans (~8 cups) San Marzano tomatoes. Chop 'em up in the can first.

Cook uncovered for 5 hours or as long as possible. Sauce should not be too liquidy at the end. Stir occasionally to avoid burning.

Monday, November 12, 2007

Sean's Dream


I went climbing with Sean yesterday and got some beers after. Here's the dream he had last night:

I had an interesting dream last night. The four of us were out driving
in the country somewhere, past lots of corn fields and we passed this
makeshift dirt dragstrip. Someone was racing two white limousines on
the dragstrip, so when we passed it a second time we stopped to take a
look. This older guy owned the place and he liked all things fast.
Hannah seemed to know him. We went inside his house where bryan found a
rolling desk chair, a propane tank, and a stack of cash. He got this
grreat idea that he could sit in the desk chair with the propane tank,
open it up and light it, and shoot down the dragstrip. He liked this
idea so much, he was going to race one of the limos and bet his new
found wad of cash. So we looked around for a helmet he could wear. We
found a stash of about 20 dusty old peugeot bikes. I got excited,
thinking i could buy one off the guy, but Hannah assured me that he
loved them all an would never sell them. So we found bryan a bike
helmet, an old style leather one, and he headed out to race. Everyone
was waiting for him, including a guy riding around on a red track bike.
Unfortunately, i woke up before the race went down, but bryan was so
sure he was going to win, it was hardly worth watching anyway.

Tuesday, November 06, 2007

We made it out

Sorry for not posting, not like any of you actually read this to make sure I'm still alive :)

I'm in Philly, in a hotel room next to the bank of elevators, listening to sessions I cannot concentrate on, signing myself up for website design for 80 hours a week for the next two months, and hoping the fog in my head will not lead to malaria. Jet lag is getting better and we appear to be moving forward with the project but I'm just so tired, and Gates is taking over the malaria world without putting any more money into it. Kevin describes it as 'the predator', running through the leaves and bushes around us, but we can't see it.

Friday, November 02, 2007

Okie dokie

On our flip chart in a conference room where no one is discussing work and everyone is checking their email, we have:

Dakar Flight

8:30 leave hotel
9am formalities/weigh-in
11:00am departure

It's not much, but it's a lot. Now if we can just get the Ghanaians, our director, and the Camerounaise to Ouaga by road we will have taken care of everybody.

I think I've missed my calling as a logistics expert.

Thursday, November 01, 2007

Low blood sugar

Eating always makes you feel better.

We have everyone's tickets changed and distributed - I am not sure if our first flight is 9:30am Saturday or 16:40 Saturday, or how long it will take to fly to Dakar with this little plane, but we will figure it out tomorrow. We had a nice chat before dinner with Charles the airplane mechanic who reassured us that Soviet planes last a long time, so hopefully we will be ok. Then off to the National Museum, which has a FANTASTIC sculpture outside of a minibus filled with people and piled high with metal trunks, plastic mama bags, goats, and lanterns and salidagas. The passengers are made of paper maché and it's covered in stickers like "BinLadens" and presidential campaign photos. The ouijala was excellent as always (Museum has the best Malian food of any restaurant) and it was very nice to see my old friends Maiga and Tandina from the other CCP projects, who I met when I was working here for PSI. It was a little CCP family dinner with our director who got stuck with a pretty large bogolan. Fortunately she's not on our flight so I don't have to worry about the weight!

It's ten to 9:00 and I'm going to sleep. Hopefully Charles will tell me how great the Appaloosa Halloween party was tomorrow.

Charter Flight

We have chartered a 16 seat plane to Dakar on Saturday. If everyone's luggage is under 25 kilos we won't crash.

I'm getting pretty close to not being able to function anymore. At this point it's almost not worth going to Philly since I"ll be broken there anyway and unable to really participate, though I guess we'll see if I can find some strength somewhere.

Two if by land, one if by charter plane

Options:

Charter a small plane to take the 6 of us to Dakar saturday morning; see if we can get on one of the many flights out of Dakar home.

Drive 12 hours to Ouaga where Air France says they can maybe put us on the one AF flight from Ouaga to Paris. We'd have to get visas today.

Stay until the 12th of November because the backup from the strike and the airport closing mean a lot of people need to get out. I love Bamako, but not that much.

Wednesday, October 31, 2007

Kara, I love you

but not when you call me at 1:40 in the morning. Sorry if I was rude!

Tuesday, October 30, 2007

Photos




We went to Koulikoro and had a nice visit. Here are some pics of vaccination and giving SP to infants, a research study in progress.

The airport is closed for varying lengths of time and for various reasons depending on who you talk to. Latest from Alan at Appaloosa is that weekend Air France will go. I tend to believe him, but thanks to folks today who followed up on various rumors. It's been a nightmare of sorts but as I said, exhausted, at dinner, at least we are not trapped here because of a revolution or armed conflict.

I'm as beat as I've ever been and I'm signing off. Who knows when I'll be back in the states or through what route.

Monday, October 29, 2007

Charge it to the project

Ex-paratrooper redeems slightly creepy self by giving good advice on my current hugest headache project, the Joint Malaria Database. Some may find it odd, or icky, that I should hang out with such a fellow, but you know what, the icky factor is pretty small, and sure he likes to talk about how many different kinds of aircraft he's jumped out of, but it's nice to actually get some useful information about what I need to do on this database debacle to make it move forward. I'm tired of fucking around with my own small understanding and everyone else's non-technical background and trying to build a website out of sand. Let's get some freaking experts in here, for crissake.

And so, bartender, please charge that jack and coke and big bottle of water to the room, please, and I will write if off as a business expense.

In other news, Allan at Appaloosa says the airport will be closed for a week starting wednesday. Like we didn't have enough problems!

Sunday, October 28, 2007

The willies

The story stealer is still here till tuesday and we are introducing them to the vrai Bamako. Interesting stories yesterday at the Campagnard, where there is a huge projection screen (for rugby, and wrestling, and everything), and Paul recognized me, and the PCVs were playing cards. My old house belongs to the Pirate Club and I couldn't tell if the Obama for Senate sticker was still on the door, as it was late and the shutters were closed. There was a truck and lots of trash in the yard along with a huge pirogue with tables and chairs inside, and a new concrete storage shed in the corner we kept Uncle Sam the goat before the July 4 bbq. La nostalgie...jarring.

The colonel wanted to dance so we all went to the MonteCristo, where last time Areana and I shook it to salsa and ndombolo until 3am. We stayed until about then chatting about things the USG does to remove human obstacles to progress, and (non-US) Ranger school. I got that feeling where I needed to run away and burst into tears. I don't know if I feel sorry for all the things they've done or for the people themselves that do them. It just seems like a terrible mess of good intentions and bad means and courage of conviction and inability to foresee consequences. The fact that the guy is extremely interested in my story, in my 'depth' and 'stoicism' is unnerving. But this always happens when people take a shine to me immediately, and this happens more often over here. It's my Bamako self again, my mysterious, hinting, play-spy self, but being close to people who were doing the real thing (long discussion on how Mali is the first place he doesn't need to be constantly on guard, and he can sit with his back to the door), well, it makes me ashamed that I try to pretend I can watch people in mirrors and overhear conversations. The real thing is hanging out with us and he's flesh and blood and sacrificed a lot, and quite frankly, this scares me. Like I said,unnerving. The platonic pursuit is also unnerving and the combination just makes me hide more behind my wary gaze. I'm repelled and fascinated.

Saturday, October 27, 2007

Air France strike

Europeans have canceled but our intrepid US staff are mostly coming. Should be a good time.

Am being pursued by an ex-military secret agent type guy who wants to...steal my stories. He and his team are also stuck here due to the strike. Am having beaucoup deja vu (esp at Appaloosa the other night, bantering with DoD) and this will only increase when we go to the Campagnard tonight.

Fun!

Friday, October 26, 2007

Oh Shit

Air France is on strike. For two days so far. All our people arrive on Sunday.

Tuesday, October 23, 2007

Back in the Motherland

Got into Bamako and promptly met 3 DoD dudes who want to pick my Peace Corps brain about their projects doing 'humanitarian assistance'. No problem. We are off to Bancoumana and Djoliba tomorrow; Koulikoro the day after, and Kita on Friday. Music at the Hogon Friday and assorted dinners this week following our site visits, which are day trips fortunately. Apparently there is a new Lebanese restaurant, the Ouragan, near the Salaam. And yes, internet in our rooms totally rules.

Getting in everything (dinners, Halloween, shopping, favors to friends, flag making for Office Olympics) will be tricky but a fun challenge. On the bus into town the other guy was a random friend of a woman who works with Salif Keita who we don't really like. He's doing a fact-finding mission to see if we could run a T1 cable undersea to Ghana and supply West Africa with super fast internet. I love Bamako.

Me is Ace Linguist

I am killing approximately 8 million hours in Charles de Gaulle airport, next to people leaving for Chicago and Philadelphia and Toronto (how Bamako fits in I do not know, but this is a different terminal than the modernist oval round one I usually leave from, which has bright sun streaming in but is somehow kept frigidly cold in all seasons). Perhaps something fell down again. Who knows. Anyway. I have gotten coffee and croissants in this terminal before, on my way back home to the States, and it was good. So of course I decided to try the stand alone stand instead of the Shoppe-thing. I witness a prime example of French snobbery!

Older black American woman: Yes, I'd like a coffee? What kind of coffee do you have?
Surly: It's coffee, just coffee.
OBAW: But what flavors do you have?
Surly: Flavors? It tastes like coffee.
OBAW: Yes but I'd like a coffee that's not strong. Do you have coffee that's not strong?
Surly: I don't understand.
Guy behind woman: Listen, she wants coffee that isn't strong. Don't you speak English?
Surly: Je suis Francais. Je parle Francais. Je ne comprend pas.
Guy: Well you shouldn't be working in an airport if you can't speak English! We're going somewhere else, come on Elaine, we're leaving.
Surly: Vas y allez.

I was the next customer. I tried sooooo hard to make my accent not african. The coffee still sucked though.

Across the aisle from me on the plane over was an older couple. He was wearing tan orthapedic shoes and a safari vest. She was plump with a white turtleneck and gold chain and fancy Dame Edna glasses. They talked the entire time. He did color commentary on the landspeed and distance traveled monitor! At first I thought he was speaking English because the intonation and the vowels were Oklahoma. But then I realized it was French. I heard a 'quand-mayme' and thought oh! they're quebecois! It's like Tete-a-claques right in front of me! Amazing! But it was still a little odd. Finally at the end of the flight he put his hat back on. I mean, this guy was just speaking french non stop, but stuff like 'por le moment', with American stresses on the syllables. (I am spelling phonetically, by the way). His hat - US ARMY VETERAN. It all makes sense. He talks like a guy who married a french girl back in 1945 and never left. And never stopped talking.

Friday, October 19, 2007

Dinner Party

I had a dinner party and it went very well indeed.

We had broiled eggplant/zucchini pasta cheesy thing; thai green curry with tofu, sweet potato and onion; garlic bread extravaganza; salad; and magnificent cheese. Also wine, and caramel apple slices. Yumminess was achieved by all, and Nick did a good job not mentioning how all the other people are my work colleagues. Ha. The kitchen performed like a champ and the dining room table was ever so grateful to have people sitting and eating and drinking.

Next time - we will have trivets, and possibly a salad spinner. And perhaps some real napkins.

Wednesday, October 17, 2007

Oh Fucking Hell

Melinda Gates, in her infinite wisdom, announced that the B&MGF will be setting a goal of eradicating malaria. No timeline, no specifics, no mention of how, given current capacity (human and financial) and the crazy high EIR of the disease, this is widely acknowledged BY ACTUAL SCIENTISTS to be in the same league as say, Cubs winning the World Series.

Even worse my boss's boss thinks this is a rad idea and partly due to our efforts. This makes me throw up in my mouth.

Monday, October 15, 2007

Prices

I wish the Honda Service Center had a pricing scheme similar to Radiohead's. I would much rather pay what I think a starter and a driver's side mirror and an oil change are worth, rather than $846 dollars. I would pay, let's see, $50 bucks for the starter, $30 for the mirror, and $10 for the oil change. We have health insurance for normal wear and tear on our bodies - why not on our cars? I would love to have a co-pay for this kind of thing!

New Radiohead

Their new album, In Rainbows, is superb. And you can download it for whatever you think it's worth. Some economist is going to have a field day with this, but I wonder what effect having to register your name, address, mobile number, etc will have on what people pay? I found it to be a little guilt-inducing. Not saying whether or not that resulted in my paying 'fair price' or not. After all, every price is a fair price in this situation.

Triple A basically rules

So I've had this problem with the starter on my car all summer, where it doesn't turn over and then you try again and it goes. Nothing major. I finally caved in last week and made an oil change appointment (my maintenance light has been on since June), but only after lightly bashing in my driver's side rear view mirror while parking in the garage. On Friday I was down in DC and Edith borrowed the car, as she is wont to do, to go see some friendlies down in Fells Point. Woe was her when the car finally gave up and refused to start, after having been parked illegally in a very narrow alleyway/street (the plan was to pick up the friendlies for transportation to an eatery). A chance parking spot right at the intersection of this alley/street and the next cross street appeared as if by divine intervention, but how to put the dead car in the spot?

Gravity saved the day, as usual. Edith simply let the car slide down the incline, used its inertia to pull a 90 degree left turn, and slide back down into the parking spot. Now that's a nice park job!

Off to the eatery they went. Next evening we spent two hours hanging with the friendlies waiting for the tow truck to come and cart off the car to the Honda Dealership, where I had conveniently scheduled an appointment for Monday (see above). But Tow Trucker Wayne did not show. Meanwhile, Carmen had to study for her Boards, Edith had a raging caffeine headache and a raging sushi craving, and I just felt bad making them all wait out on the corner of Patterson and Bank, although, as we conceded, there are worse corners in Baltimore to wait. We saw a professional dog walker and an androgyne-arm-swinger. Boy was s/he swinging that left arm of hers (his?). We left Carmen to direct the tow truck when he finally arrived and we hauled off for Kawasaki sushi in Fells, stopping in to see not one, not two, but three friends of ours, none of whom were at their homes/on their phones/in their place of business (John Stevens). Oh well. Then CBarks called, last minute as usual, wanting to do something fun and exciting like RIght This Hot Minute. Instead we ate our sushi at home, fielded calls from "limited" Wayne, who did a nice job dropping the car and the keys in angled parking at the Honda Dealership, by the way. Some people just need a few more instructions than others.

Oh yeah they had to disconnect the battery because after tapping on the starter for a while, it got stuck in the 'must turn over and over' position.

Am mildly cheerful about this considering it will cost me about 9 meeelion dollars to get a new starter (and a new mirror). It was just nice of Edith's Triple A to do all of this for no cost to me.

Stillness in Motion


This morning I had my first proper trackstand in traffic, no unclipping, no wobbling, just smooveness till the cars were all through and I could dart across like a needle.

Click on the picture for corporate/alternaculture guide to how to do this (and other things on your fixie).

Thursday, October 11, 2007

Trainspotting

Not the movie about heroin, but the original trainspotters, and planespotters, who track flights and trains and know each type of aircraft by its silhouette, and how many horsepower the engines have.

I do this with bikes.

I used to do this with trucks in Gabon, knowing who was driving what was of vital importance. A new 4x4 in town was cause for sleuthing.

Walking into work in the rain wasn't particularly fun this morning until I came to the Au Bon Pain and saw the Messenger slowly arriving at the Randstad building ahead of me. Blue tires. Chrome track bars. No brakes. This was not necessarily the bike I had seen parked outside of Rocket to Venus where I believed he also worked on Tuesday nights, so I'm both excited (a sighting!) and disappointed (harder to track down the track bike now). Rumpled white buttondown with sleeves rolled up. A very pleasant morning.

Tuesday, October 09, 2007

Daydreaming


Tonight is climbing night. There are two routes I want to hit, a pinchy 11b with a great first move, and (finally!) a great route that makes the most of this long roof we have in the gym. Sort of like this picture.

But somehow more awesome.

Good Coffee




For all my friends, especially ladies in New Orleans, who are having trouble with the home coffee system. There is a brewing guide in the row of links on the bottom, with options for "Press Pot" or Moka thing or Pavoni (yah right!). The other key is having beans that are no more than two weeks out of the roaster.

Monday, October 08, 2007

gigglemonster

Ok but - it's kind of funny Cecilia thought that 'intercourse' was the 'middle of two courses'.

a new way to communicate passive-aggressively


www.someecards.com.

Fun is Ouch

I had a really nice weekend! I took no pictures so there is no proof of this, however.

A pleasant backyard bbq Friday night with the peoples, limited sleep Friday night and an interrupted (by roommate's zip-code question) nap, leading into frantic packing of non-lightweight camping gear and making of pb&h sandwiches. Picked up Ian and Lucy and Buster the dog and drove out Annapolis Rocks, where we commenced a 2.25 mile hike directly uphill. Before it flattened out I started getting that panicky, roaring in the ears feeling. Fortunately three Teach for America volunteers who climb at the JHU wall appeared and fear of embarassing myself won out over fainting.

Did I mention it was really hot and my pack was heavy and non-ergonomic?

We camped that night and watched the sunset; Buster scarfed my apple.

In the morning we set up a couple ropes and climbed. Plenty of overhangs and roofs, nice horizontal hand cracks, and a gratuitous heel hook on the 10a made things fun. Second time around I finally finished the tough overhung section that drew blood from my knuckles. The sun started hitting our west-facing rocks around 3pm, so instead of staying to sweat even more we packed up and hiked out, cursing my pack (which Bryan had found in a dumpster) most of the way. The brewpub on Market Street in Frederick had a nice Hefewiezen and a decent pulled pork sandwich, but an especially scrumptious sherry lobster tomato bisque.

I'm achy, cut, bruised around the collarbones, and a little worried about the tightness in my left achilles, but how nice to be outside and climbing again. Marin took some pictures so if I receive them I will share....so you can believe me.

Friday, October 05, 2007

Bike Snob NYC

http://bikesnobnyc.blogspot.com/2007/10/from-lbs-to-complete-bs-future-of.html is my new favorite thing. Where oh where is Bike Snob BLT and why won't he buy me a drink?

Oh right...I'm the bike snob. Guess I'll have to buy myself a drink.

Thursday, September 27, 2007

Office Morale

Is really really low. We just lost the big proposal and now it is too late to pretend that any morale building exercises (office olympics? secret guerilla art?)are just for fun. There are long-standing issues with management and senior management that are being discussed vehemently now, and perhaps this loss is the catalyst we need to actually take care of them. Of course, nothing will matter if we cut 20% of our staff and have to do all the admin work ourselves. How do you keep an organization from imploding?

Awesomeness

My fixie, now that the Brooks saddle is gone, is a marvel of lightness and agility. Wearing my cute cow-hair ballerina shoes just makes me that much hipper.

I am totally holding down the fort while the bosses are gone! When the Communications person at a large government aid agency calls you to apologize for not including you in the calls, you know you are doing ok. That or, they really just want the money you promised for the drinks reception after the Hill briefing you are supposed to be planning together.

Somebody wrote the Seattle Times, which is publishing gads of stories on how much Gates is doing for malaria, to say that cholera is a bigger killer. Um, in what universe? Oh, it must be the universe where 2,272 is larger than a million.

Interior design report: don't try to drill through the 1/4" metal plate on your back door to install blinds so you can sleep in on the weekends. Instead, tack up blackout curtains with magnets. Also, studfinders can be very useful to figure out that your house has no studs, just drywall over the brick foundation. Sa-weet.

Thursday, September 20, 2007

Fixie Up!

My one goal this evening was to make the fixie right again. All I needed was a front brake. Dumb Champaign bike guy gave me a rear instead of a front brake, so I went to Velocipede with intent to trade. Beth, the Wise One, warned I would have trouble finding a modern short reach sidepull in the boxes of old brake parts, and she was right. No dice. So I hightailed it to Joe's, where yet another adorable bike monkey took pity on my plight, and rummaged through the parts drawer for a proper brake. The one he found was too bulky and would have torn my tire to pieces, so he came up with an ingenious solution (and free to boot) - replace the back nut with a longer one so that it would fit through the drill hole in the fork (which is wider than the drill hole in the back, standard on most bikes). Ten minutes later I am Good To Go. I buy a bunch of tubes as a thank you to kind cute bike monkey, and rock on outta there, stopping at Whole Foods for some staples (milk, raisin bran, strawberries, ice cream). Dinner and then brake cable installation and barwrapping and shazaam! I am all set.

Of course, the new bars and stem are a tad long for my reach, and the Brooks seems a lot less comfy now than it was in the spring, but it's all about readjusting, yeah?

First ride tomorrow...can't wait.

Driving and Metro

Left work at 4:55.
Got in car 5:05. Downtown traffic heavy but moving.
Got to 395 at 5:30.
Parked at 6:05 in Forest Glen, two blocks from 495, for free!
Reached SAIS 6:40 (or would have, if had not run into very person I had been putting off phoning for work stuff; fortunately, was able to talk about all necessary business in 20 minutes).

Class was kind of useless - "what's an intervention"?

Return:
Out the door at 9:00.
Got on train 9:20.
Back to car at 9:55.
Hit 4 lane to 1 lane merge nightmare at 10:15. 45 minutes for two miles.
Got to MLK/downtown split at 11:05. Took downtown/83 home (next time will compare to MLK).
Home at 11:20.

Wednesday, September 19, 2007

Start the Day without Coffee

And end snoring on your desk over a draft toolkit.

Bad Dream

I had a dream last night that my boss and I were in Zimbabwe and crossed over the border to visit the National Malaria Control Program in Tanzania. Jeff Sachs was there lecturing within the NMCP to a bunch of exchange students. He saw us and got mad that we were saying he was a dumbass, and started yelling and grabbing my arm, so I pushed back and we got in a small fight. I think I said his ideas were too simplistic, that we can't just give everyone a bed net, that not everyone has access to ACTs even when they're free, and he said we were trying to kill people. Eventually it calmed down and we went back across the border to Zimbabwe.

Thursday, September 13, 2007

Vaccines, useless

I had a really nice dinner with Djimde from Mali and Eili, from Princeton/RFF. Then we went to the vaccine session and I wish I had gone the way of the clinicians, because none of them were there. The super-exciting vaccine news was um, yeah, it's complicated; hey I tested this irradiated attenuated version on myself and it seemed to work so now I expect to have it ready in 8 years; and something about the molecular chemistry of something where the binding site is opposite the polymorphic part means Sweet, we could try to make a vaccine out of this!

At least I know for myself that I could care less and of course I wish all the vaccine people the best of luck.

The conference, as promised, was really really good, and quite fun most of the time, and extremely useful. Of course I wish I had talked more with a few people in particular but sort of made up by the people I talked to anyway. Now it's back to the grindstone and I have a sheaf of documents to review on the plane, so the two (ok five) movies I brought with me will have to wait until, hm, maybe Thanksgiving to be watched.

I have to say, too, it's really nice being surrounded by highly motivated people, especially highly motivated Africans. Might be just the kick in the ass I need.

Wednesday, September 12, 2007

The answer to the previous

is gay (or else he was sashaying to keep his noisy shoes from clacking on the wood floor?). Had an interesting muse on the evolutionary biology of women's gaydar. Hypothesis: women's gaydar should be more highly developed than gay men's gaydar, since we have reproductive capacity with our preferred partner.

Other discoveries this evening:

1) Resistance modeling is very complicated, but the models are very simple.
2) You need a lot of tools and effort to monitor large-scale malaria control programs, and even then, you might need to resort to massive drug administration to get the results you want.
3) Test kits for insecticide resistance will revolutionize program planning, if only Liverpool can produce them
4) Paul Eggleston is a master at explaining mosquito transgenic technology. I can almost explain to you how it works! Not that I think it's a great idea, however.
5) Mwanza, Tanzania has been out of SP for IPT for over six months, and none of the presentations at this conference know anything about how to fix that.
6) Matt Damon may become our newest malaria advocate.

Tomorrow are my favorite sessions, so I am skipping the bar and sleeping instead.

Gay or European?

Arg!

Tuesday, September 11, 2007

Malaria in Pregnancy

According to tonight's three sessions, is:

a)complicated and especially dangerous for your first pregnancy
b)not easily prevented with SP, at least in Manhica Mozambique
c)completely destroying all kinds of drug regimens on the Thai Burma border

Again, always go to the bar after the evening sessions, as magical free beer will appear and GlaxoSmithKline people will talk to you candidly about drugs and the ACT subsidy.

Makes me want to throw up

Oxford Bike Works guy with pedophilia moustache.

Old couples walking hand in hand on beautiful sunny day.

Trying to talk about malaria with clinical pharmacologists/molecular biologists.

M.D./Ph.Ds. who can do bio-economic modeling, policy analysis, and drug resistance research.

Sorry. Don't want to imply the meeting is not going well. It's going well. Just not when I'm inside on the computer. If you're ever in doubt about whether you should go to the bar after the sessions, always say yes. And you don't go to the poster sessions for the posters, you go for the other people looking at the posters. So off I go to stock up on cadbury's and biscuits (for Dave/Camilla's wedding) and then to ask nice questions about people's research.

I need a Ph.D.......

:(

Monday, September 10, 2007

IPTc PhD hey sure, why not

So I see Ogo, the director of the Malian Research Center on Malaria drinking coffee by himself and since he's one of my targets I go up and introduce myself. We get to talking about the severe malaria in E vs W Africa, because they're quite different - even within Mali you get different rates of cerebral vs severe anemia as signs of severe malaria. Next thing I know he's explaining school-based IPTc (preventive treatment in kids) and saying how it would be a great PhD thesis for me since I speak French and Bambara and know Mali, blah blah blah. He's half pulling my leg (he doesn't know my background) but it could probably happen if I wanted it to.

Next presentation we hear about IPTpd (post-discharge) where you give kids ACTs at 1, 2, 3 and 6 months after they're discharged to prevent severe anemia (the major problem in E Africa). Tomorrow we get all the updates on IPTi (infants). I just wonder when we're going to hear about IPTa (all adults). Just give drugs, all the time, and then you know, people won't get sick! Amazing.

It's sunny and breezy out today and I think I might go to the botanical garden.

Sunday, September 09, 2007

Oxford

Being in Oxford is like the first day of school, except that all the other students are professors. Am feeling extremely undereducated, especially when talking to vaccine developers and pipeline guys, and clinical researchers. Fortunately at the end of the night I got a chance to bring it on back to advocacy and messaging, so not a total flop. Everyone's very nice, but hard to impress.

Also, the Deer Park is ridiculous. The deer act like dogs, wagging their tails and chasing each other around the trees.

Friday, September 07, 2007

Labor Day

Um, I loaded the photos of the bikes but am very very confused about where the heck my Mac is saving my photos....the whole Pictures folder is gone.

Oh For shame

Have not blogged in a while. May as well do it over lunch hour. I have these pics of the bikes we built over labor day but of course have not had TIME to even get them off the camera. Whatever! How do I not have time for that?

Oh yeah, I'm taking two classes (this week only- have dropped Australian guy's Health Econ in favor of World Bank guy's Health Econ). Nick and Johanna came over to help with the mess that is the house (last pesky details, like knife rack, bike stand, bathroom shelving unit, backyard mosquito eradication...still researching that one). I am driving around and sending kind friends with trucks to who-knows-where to pick up new dining room tables. I have skipped climbing twice though both days the gym was apparently closed. Yoga is kicking my butt because I come to work underslept and overcaffeinated and dehydrated, which makes for dizzyness and confusion. The new mattress seems good, if only I could spend enough hours in it.

Tuesday I had the Black Hole Stomach for about 5 hours, where it didn't matter what I put in, I just felt nauseatingly hungry. I'm wondering if I'm finally reaching the age limit where you can't get away with eating crap anymore. My metabolism seems to be on overdrive. I have 18 people coming for brunch tomorrow, then a haircut, and packing for Oxford, and then getting to the airport....once I'm on the plane I can finally relax, I think.

Frantic, I know, but indicative of what's going on this week.

Wednesday, August 29, 2007

ooh.

Having new and more space makes one desirous of stuff

Like these, for example:






Moved in, two weeks

We moved in two weeks ago with the help of all the climbing crew. I promptly disappeared to West Virginny and Cecilia ran off to visit cousins in Regular Virginny. Now everything is pretty much in place, except the dining room, and the place is kick ass. Slowly we are accumulating craigslist furniture to fill up the empty spaces and replace worn out things, like chairs and coffee tables. I'll post some pictures later when it's more nice.

Bikes are doing well - the Nishiki is up and running with a super-stealth new chain and rear gear cluster. The indexing works, if you count working as not shifting down to the lowest gear (I got a 7 speed to replace a 6 speed, but I'm still only able to use 6 speeds). I rode to work for the first time in a long time today and it was great, especially the part where I nearly rear-ended a car turning left who stopped for a pedestrian. I like to think the cop on the corner was impressed with my lightning fast brake reflexes.

I finished Season 4 of The Wire which I highly recommend to everyone but my parents. Baltimore is really like this, people. They are filming season 5 but somehow the first episodes are already available for download through the bitorrent things. Last weekend in Portland I introduced Cam and Linh to the magical wonderness that is Azureus. They had been just getting dvds from the library! Imagine! Now they are watching Season 1 of the Wire and downloading all the Rick James singles they can handle. It's just like Venture Communism!

Oh yeah, the bikes. Well the blue Peugeot is getting a custom-made seatpost shim courtesy of Sean, and then when its proper tires arrive it will be all ready to put up on the old Ebay. The white Peugeot has its stem and I think I just have to file down a notch on the brake cable hanger in order to set up the front brake and be on my merry way. Having a bike stand and plenty of room in the basement has just been fantastic.

Linh is a graphic designer and has her own website now. She makes the COOLEST STUFF. Somehow we have similar sensibilities (Marimekko, Orla Kiely) despite not having seen eachother for 7 years! Cam is also doing well and starting work for the Governor of Oregon next week. And Caitilin bought a house with another college friend of ours, and is planting it all up since she is a landscape architect. She also has chickens! And a Nishiki of her own. We had a totally fun time on Saturday going to the Farmer's Market and buying picnic food, then heading out to the Gorge and hiking and wading and traversing up a slot canyon. My shoes got pretty wet but boy was it fun. Then yummy pizza at Ken's Artisan, where 9 million fixies whizzed by, along with a stiff breeze. We also visited Stumptown Coffee twice, which has the best coffee in the world. No fooling, NPR says so. They are super serious and super hip. Fortunately, they make a little zine on how to get the most out of your french press/cafetiere/etc (no drip coffemakers for them!) so I can try to recreate the awesomeness at home, if not the post-punk hipster atmosphere. I came home with a bag of beans and promptly ordered an appropriate grinder from the Internet. Bientot le vrai café. If you would like to order beans from them, you can do so here: http://buystumptowncoffee.com/

Thursday, August 09, 2007

New Laptop

I ordered a new laptop yesterday. Am sure this will solve ALL my problems.

Wednesday, August 08, 2007

Clouds lifting

Yesterday turned out to be a good day, though I didn't quite figure it out until we got seated downstairs at Dizzy's, and my burger arrived still very very pink! It has been quite a few weeks since 'medium rare' has not turned into 'well done' and I was getting a little despondant about the quality control. But maybe the old chef, who loves me and my uncooked ground beef, is back from maternity leave or something, or maybe Elaine put a little word in 'cuz our table is so 'easy'.

I also got promoted, and made progress on a couple key projects, which involved only picking up the phone, but it has been hard to do lately.

So, for all that, I can now share this Onion headline with glee and not cause for alarm:
Everyone Should Own A Gun For Protection And Possibly For Suicide

Monday, August 06, 2007

Thanks, Dad, for the super-depressing link.

Why I should have known that economists are assholes.
Perhaps the skills that make a good economist are, for some reason, negatively correlated with the attributes associated with being an agreeable human being. That is, economics may attract people with a particular set of personality attributes, and perhaps these attributes are not the same set of attributes you might choose for your next dinner party.

This is not entirely conjecture on my part. For example, this study

"explores the relationship between student's personality types, as measured by the Myers-Briggs Personality Type Indicator, and their performance in introductory economics. We find that students with the personality types ENTP, ESTP, and ENFP do significantly worse in Principles of Macroeconomics than identical students with the personality type ISTJ."
What is this personality type ISTJ that excels in economics class? Check out this description, which say in part:


The ISTJ is not naturally in tune with their own feelings and the feelings of others.

Sounds like any economist you know?


Except for my dad. Who does a pretty good job, except on Mom's birthday, of being a super niceguy.

Friday, August 03, 2007

Thursday, August 02, 2007

New Bike Logo

The dudes over at Fixie Inc (cycles-for-heroes.com) have my new favorite web address and new favorite logo. They are Turkish! In Germany! And, most interesting, their Cyclocross bike is called the 'PureBlood'. Since their site is only in German and Turkish for now, I cannot understand any hidden irony in that. The bikes are expensive but the shirts are pretty cool. Also - they sell "Carscratchers", for the ends of your flat bars:


Ben Hur, anyone?

Tuesday, July 31, 2007

Good news

Having a root canal was not so bad, and now I have almost no pain. Am keeping my fingers crossed that this actually works.

Last night I got invited over the bike messenger bbq across the alley. It was super fun. As I walked in everyone was like hey, the Peugeot girl with the moustache handlebars!

Tuesday, July 24, 2007

Vino, you stupid cow


PAU, France, July 25 — Alexander Vinokourov, the Kazakh cyclist who was considered the favorite to win the Tour de France this year and who has won two stages of the race so far, tested positive for an autologous blood transfusion and his Astana team will abandon the tour, a team official said Tuesday.


Rest of the story here:

Dumbass. Velonews gives a little more detail, including David Millar's reaction ("Jesus Christ....this makes me want to cry.").

"Hardcore Commuter"

Of course I am not doing work at the moment but instead using the lightning fast internet at work to shop for tires (did not know how hard it was going to be to find skinny tires for 27" rims!). And I visit the Soma site, since they are totally awesome in every way, especially these cool steel-core tire levers.

Anyway. I'm looking at the Xpress Tires just for kicks, and I see the description:
We wanted an urban tire that was flat resistant AND also gave an excellent ride. A splendid tire for the AIDS Ride. Messengers and hardcore commuters should try them, too.


And I realize - I am a hardcore commuter! What a perfect description of my totally lame 2 mile commute through stupid traffic and monster potholes, skating over broken glass and treacherous jettisoned trash. I don't have to feel bad about not being as tough as those messenger guys, but nor do I have to stay in the ranks of the average bike commuter, pedaling a heavy hybrid or mountain bike down bike lanes, laden with panniers. I am in that happy medium of speed and agility and short distances, every day.

Cecilia, our new roommate



She has braces so isn't smiling very big. She's 23, from Bolivia, and doing a Masters in Psych.

User Fees

User fees are a tough issue. You want to get people to pay a bit, so that they value the service they are getting at the health center and so the health center can have a bit of income with which to run programs or supplement salaries. But finding the right price is tricky. I read the Ashraf article when it came out a few months ago and it seems like Clorin is an ideal product to charge a bit for - it's dirt cheap. But you just can't charge 18 cents for a bednet.

From CDG Blog:

One of the most controversial subjects in global health is the topic of user fees for health services and commodities. Ever since Nancy Birdsall, David de Ferranti and John Akin declined to rule out user fees as a useful source of health financing way back in 1987, the World Bank has been pilloried for "advocating user fees" in the health sector, which the Bank has never done. By setting out explicit criteria for setting user fees in the 2004 World Development Report, the Bank resisted continuing political pressure to ban them outright and further fueled the debate. Among the donors, DFID (see also this white paper) has most adamantly rejected user fees as either effective or legitimate for improving access to health care by the poor. On the other hand, the social marketing of health care commodities, from condoms to antibiotics, is increasingly popular among actors such as PSI and KfW and presumes that the optimal price of these commodities, while heavily subsidized, is not free.

The obvious argument against user fees is based on the fundamental economic proposition that demand curves slope downward* - e.g. that the number of people willing to purchase a product or service declines as its price increases. It follows that lower prices should result in more health care utilization than higher prices, and that zero prices would be even better. However, a fascinating new study by Nava Ashraf, James Berry, and Jesse Shapiro of the market for home water purification solution in Zambia finds that in fact demand curves seem to flatten out as the price approaches zero, and may even slope upward - or, in plain English, that the act of paying a small amount (up to 18 cents, in this case) actually increases use over distributing Clorin free of charge.

The authors posit two reasons why people might behave contrary to the simple law of demand. First, the price effectively targets the distribution of the health commodity to those least likely to waste it. Second, people who have paid more for a product may have a greater psychological commitment to using it. They find strong statistical support for the first of these effects and weak support for the second.

If these results could be generalized to other health commodities, like bednets to prevent malaria, or to health services such as curative health clinic visits, the suggestion would be that sufficiently small user fees do little to discourage utilization; they might even increase it by stimulating the supply of health care quantity and quality. Although 18 cents - the highest price that can be charged for Clorin in Zambia without reducing utilization - seems like a tiny sum to people in rich countries, this would be enough to substantially motivate a distributor of a health commodity such as bednets or condoms, and a similarly small sum might help fill a financing gap in health clinics.

Obviously, this has huge implications for policymakers in developing countries, where cutting subsidies could actually improve overall health outcomes while motivating both public and private providers at the periphery of health care systems. Let's hope that the debate on user fees for health care is enriched by more such randomized controlled studies and that they look in more detail at supply and financing effects as well as demand-side effects.

*As an aside, the existence of upward-sloping demand curves has actually been in the news a lot this week due to recent evidence proving the heretofore purely theoretical case of Giffen goods.

Wednesday, July 18, 2007

Interviewing Roommates

I'm at Dizzie's last night and talking about the weirdness that is our roommate search (i.e. Edith has interviewed someone before I have! In Bolivia!). Ian, being British and having an affinity for Scotland, brought up Shallow Grave, which came out in the early 90's, before Trainspotting (same people). There's a famous roommate interview scene which I will shamelessly post here. The movie ends quite badly for everyone but it is an icon for students of a certain age, especially those in my current situation.

Shallow Grave





Final Draft Screenplay

by

John Hodge
[Introduction]


Typed and HTMLed by "Greg Adkins"



INT. DAY

A blurred image forms on a white screen. A horizontal strip of
face, eyes motionless and unblinking.

DAVID
(voice-over)
Take trust, for instance, or friendship: these are the important
things in life, the things that matter, that help you on your
way. If you can't trust your friends, well, what then?

EXT. DAWN

A series of fast-cut static scenes of empty streets.

DAVID
(voice-over)
This could have been any city: they're all the same.

A rapid, swerving track along deserted streets and down narrow
lanes and passageways. Accompanied by soundtrack and credits.

The track ends outside a solid, fashionable Edinburgh tenement.

INT. STAIRWELL. DAY

At the door of a flat on the third floor of the tenement. The
door is dark, heavy wood and on it is a plastic card embossed
with the names of three tenants. They are Alex Law, David
Stevens, and Juliet Miller.

A man climbs the stairs and reaches the door. He is Cameron
Clarke, thin and in his late twenties with a blue anorak and
lank, greasy hair. He is carrying an awkwardly bulky plastic bag.
Cameron gives the doorbell an ineffectual ring and then stands
back, shifting nervously from foot to foot until the door is
answered.

CAMERON
Hello, I've come about the room.

Cameron enters and the door closes.

INT. LIVING ROOM. DAY

David, Alex, and Juliet sit in a line on the sofa directly
opposite Cameron, who shifts uneasily in his armchair. Alex
checks some items on a clipboard before speaking.

ALEX
What's his name?

DAVID
I don't know -- Campbell or something?

JULIET
Cameron.

ALEX
Cameron?

JULIET
Yes.

ALEX
(to Juliet)
Really?

CAMERON
That's right.

ALEX
(to Cameron)
What?

Cameron is not sure what to say.

ALEX
(continued)
Well, Cameron, are you comfortable?

CAMERON
Yes, thanks.

ALEX
Good. Well, you've seen the flat?

CAMERON
Yes.

ALEX
And you like it?

CAMERON
Oh, yes, it's great.

ALEX
Yes. It is, isn't it? We alllike it. And the room's nice too,
don't you think?

CAMERON
Yes.

ALEX
Spacious, quiet, bright, well appointed, all that sort of stuff,
all that crap.

CAMERON
Well, yes.

ALEX
So tell me, Cameron, what on earth -- just tell me, because I
want to know -- what on earth could make you think that we would
want to share a flat like this with someone like you?

INT. STAIRWELL. DAY

As Cameron plods slowly down the stairs, his shoes striking out
against the stone steps, Alex's criticisms continue.

ALEX
(voice-over)

I mean, my first impression, and they're rarely wrong, is that
you have none of the qualities that we would normally seek in a
prospective flatmate. I'm talking here about things like
presence, charisma, style and charm, and I don't think we're
being unreasonable. Take David here, for instance: a chartered
accountant he may be, but at least he tries hard. The point is, I
don't think you're even trying.

Cameron has reached the bottom of the stairs. He opens the main
door.

ALEX
(continued)
And, Cameron -- I mean this -- good luck!

Cameron leaves and the main door closes behind him.

ALEX
(continued)
Do you think he was upset?

INT. STAIRWELL. DAY

Inside the hall of the flat, David approaches the door toopen it.
Freeze-frame.

ALEX
(voice-over)
David likes to keep spareshoelaces in sorted pairs in a box
marked, not just shoelaces', but spare shoelaces'.

David opens the door to the Woman.

WOMAN
I've come to see about the room.

INT. STAIRWELL. DAY

Outside the door of the flat a young Goth girl, aged about
twenty, rings the doorbell.

INT. HALL. DAY

Inside the hall of the flat Alex approaches the door to open it.
Freeze-frame.

JULIET
(voice-over)
Alex is a vegetarian. Do you know why? Because he feels it
provides an interesting counterpoint to his otherwise callous
personality. It doesn't. He thinks he's the man for me. He isn't,
though there was a time when, well, there was a time when...

Alex opens the door to the Goth.

GOTH
I've come about the room.

INT. STAIRWELL. DAY

At the door of the flat a Man aged about thrity-five rings the
bell.

INT. HALL. DAY

Inside the hall of the flat Juliet approaches the door to open
it. Freeze-frame.

DAVID
(voice-over)
Like one of those stupid posters -- you know, a gorilla cuddling
a hedgehog, caption love hurts --- that's what I think when I
think of Juliet.

Juliet opens the door to the Man.

MAN
I've come about the room.

INT. LIVING ROOM. DAY

In the living room each of the candidates is interviewed
individually with the same seating arrangements as before (i.e.
the trio on the sofa and the applicant on the chair). What we see
are briskly intercut excerpts from each of these interviews. We
do not get the responses to the questions, although we may see
some facial reaction.

All of David's questions are to the Woman.

All of Alex's questions are to the Goth.

All of Juliet's questions are to the Man.

DAVID
All right, just a few questions.

ALEX
I'd like to ask you about your hobbies.

JULIET
Why do you want a room here?

DAVID
Do you smoke?

ALEX
When you slaughter a goat and wrench its heart out with your bare
hands, do you then summon hellfire?

JULIET
I mean, what are you actually doing here? What is the hidden
agenda?

DAVID
Do a little freebasemaybe, from time to time?

ALEX
Or maybe just phone out for a pizza?

JULIET
Look, it's a fairly straightforward question. You're either
divorced or you're not.

DAVID
OK, I'm going to play you just a few seconds of this tape -- I'd
like you to name the song, the lead singer and the three hit
singles subsequently recorded by him with another band.

ALEX
When you get up in the morning, how do you decide what shade of
black to wear?

JULIET
Now, let me get this straight. This affair that you're not
having, is it not with a man or not with a woman?

DAVID
Turning very briefly to the subject of corporate finance -- no,
this is important. Leveraged buy-outs -- a good thing or a bad
thing?

ALEX
With which of the following figures do you most closely identify:
Joan of Arc, Eva Braun or Marilyn Monroe?

JULIET
It's just that you strike me as a man trapped in a crisis of
emotional direction, afflicted by a realization that the partner
of your dreams is, quite simply, just that.

DAVID
Did you ever kill a man?

ALEX
And when did anyone last say to you these exact words: You are
the sunshine of my life'?

JULIET
OK, so A has left you, B is ambivalent, you're still seeing C but
D is the one you yearn for. What are we to make of this? If I
were you, I'd ditch the lot. There's a lot more letters in the
alphabet of love.

DAVID
And what if I told you that I was the antichrist?

Tuesday, July 17, 2007

Feeling lame

Shit. Now I'm in one of those funks where I'm sad I'm not 26 with a brilliant job and married to an equally brilliant and clever person. I suppose this only gets worse as one gets older.

Emily Oster at TED

How HIV and life expectancy are correlated (given malaria burden...which I'm not sure about, since reduced life expectancy in high malaria areas is because lots of small kids are dying, bringing down the average); Uganda's coffee production vs ABC campaign as reason for its reduced incidence rate in the 90s; risks of rapid economic growth for spread of HIV. This is why I love economics!

Monday, July 16, 2007

Eh?

Mr Mwesigye said if NMS predicts the expired drugs, they supply the relevant information to the third party programmes but most of them fail to respond to save them.

from Uganda: Shs3.7 Billion Malaria, ARV Drugs Rot in National Medical Stores

The Monitor (Kampala)

12 July 2007
http://allafrica.com/stories/200707110814.html

$1900 WHAT?


Just talked to my dentist, since I still have (more) pain in the tooth, my bite is off, and my jaw is still sore from novocaine. Apparently the latter two are normal/on purpose. Fine. He's still hot to take out the tooth and I'm pretty annoyed by now and wondering if that's just the best option. Get rid of the whole thing which he's injured beyond repair thanks to his needless drilling on that infintessimate cavity.

I asked about costs and steps and he said extraction will run about 150-300 if they don't knock me out, and insurance will cover most. Apparently insurance companies want people to be toothless, because they don't cover implants. Like, we're just supposed to gum our food? Go around with huge gaps in our molars? I kind of need that tooth to you know, crush things and extract nutrients. Seriously. So what would it cost?

$1900 for implant placement, roughly.

Probably more. That doesn't even include the crown, which apparently I have already put $200 down on.

$2500 for a fucking cleaning. After this is over I swear I'm never going to another dentist ever again.

Sunday, July 15, 2007

I can't wait to move



I am so excited I almost started packing today. I got as far as making three garbage bags full of clothes and shoes to take to the donation place. And I looked at Ikea online to see what kind of furniture we might have to get.

Bike update:

Blue Peugeot: still don't have the right size bearings, but now suspect I need 5/32" for the bottom race based on the headset in another 70's mixte at the coop. I did manage to steal the top bearing retainer and I just ordered ball bearings so I am hoping on Wednesday I can finally put this headset together. I have the cranks, the chain is coming, and I will use the old wheels until I get the itch to either build a 27" inch rear wheel (with cog I also picked up at the coop) or redish those heavy, heavy, steel wheels from Mom's bike. The latter will be pretty unlikely.

White Peugeot (PR-10): I ordered a plain chrome fork online and a cheap but solid headset. I'll have to take it in to get the cups reinstalled but that should also happen this week. I still need a stem that will fit but that shouldn't be too hard.

New Gorgeous Chrome/Blue Italian Mystery Bike: It's beautiful. And Speedy. The brake levers were set too low and they are too big for my hands (but they are drilled and so pretty!) so I ordered some compact Tektro levers that won't look quite as nice but will be much safer, along with new brake pads. The current ones are from 1985 and were never more than 'speed modulators' anyway. I like the drops but uh, kinda need the brakes to work pretty good if I'm gonna ride it in B'more.

Nishiki: Is doing quite well, thanks very much, and is enjoying going to work almost every day. The moustache bars are so perfect for city biking.

I saw Harry Potter V this weekend and it was pretty entertaining. This of course is the one where Harry is all full of teenage angst and hormones, so he's pretty annoying most of the film, but it was a lovely time in the lovely old Senator Saturday night, with a participatory crowd.

Thursday, July 12, 2007

EPO TE QUIERO

From the folks who brought you the Zidane "Coup de Boule' music video...I laugh heartily.

Tuesday, July 10, 2007

It's Memphis!

We're gonna take the Memphis house!

Monday, July 09, 2007

Sean and Marin YAY



Sean and Marin got engaged woo hoo!!!




Sometimes I am not so excited about other people getting engaged. But I am excited for them. And not just because, as Bryan says, there will be an open bar.
Two days after proposing Sean rode his first fixie in Boston and fell off. This is it. His brother-in-law built it and someone posted it as "Seen in Boston" on fixedgeargallery.org. Don't worry, Sean's ok.


Rocks State Park

Rocks State Park was great!

I sent Strawberry Jam no problem. And Martin took pictures.




And then I came down.






And then we went to the swimmin' hole.














Friday, July 06, 2007

Only One Bathroom?

Damn. 3047 Guilford only has one bathroom. I just know that'll be a problem for three girls.

Thursday, July 05, 2007