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MOUNTAINS BEYOND MOUNTAINS By Tracy Kidder. New York: Random House. 'The world is full of miserable places,' Tracy Kidder writes. 'One way of living comfortably is not to think about them or, when you do, to send money.' ' 'Mountains Beyond Mountains' is about one physician's quest to relieve suffering in just the kind of places we do not like to think about. In a stylistic departure from most of Kidder's previous books, he writes in the first person, offering himself as a character and even as a foil, so that his own reactions of admiration, skepticism, exasperation and awe provide a second lens by which to see Dr.
A latter-day Schweitzer, Paul Farmer divides his time between the Harvard medical complex -- a 'Wall Street of medicine,' as Kidder describes it -- and Haiti. 'Out there in the little village of Cange.. In one of the most impoverished, diseased, eroded and famished regions of Haiti, there was this lovely walled citadel, Zanmi Lasante. I wouldn't have thought it much less improbable if I'd been told it had been brought by spaceship.' ' The Zanmi Lasante hospital serves about a million people and represents years of single-minded effort by Paul Farmer.
Farmer's eccentric father was a wanderer whose children christened him 'the Warden.' ' Home for the Warden, his uncomplaining wife and six children had included an old bus, trailer parks and even a boat. Farmer says of his childhood: 'I'd like to be able to say that when I was young I lived in a trailer park, picked fruit with Haitians, got interested in migrant farmworkers and went to Latin America.
All true, but not the truth. We're asked to have tidy biographies that are coherent. Everyone does that. But the fact is, a perfectly discrepant version has the same ending.' ' Paul was the scholastically gifted child, and he won a scholarship and studied anthropology at Duke University. Farmer visited Haiti after graduation.
He was appalled by the health conditions and by the health care offered; even the most caring doctors from abroad would ultimately return home, turning their back on suffering that would not abate. Farmer could not turn his back. He performed a preliminary health census in Cange and found that mortality among infants and juveniles was 'horrific.' ' Maternal mortality was of central importance because it often led to skeins of catastrophes in the squatter settlements: hunger, prostitution, disease and death. What was needed was a healthy marriage of doctoring and public health; his field of anthropology could be the perfect marriage counselor.
It is telling that Farmer found his life's work not by theoretical explorations but through experiencing Haiti. 'I would read stuff from scholarly texts and know they were wrong.
Living in Haiti, I realized that a minor error in one setting of power and privilege could have an enormous impact on the poor in another.' Advertisement Farmer's efforts at Zanmi Lasante continued through his training at Harvard, where he pursued a combined M.D./Ph.D. Degree in medicine and anthropology. His fellow students knew him as Paul Foreigner, who was always off in his beloved Haiti, showing up just in time for exams. The combination of Harvard and Haiti had begun to enforce a new kind of belief on Farmer. 'The fact that any sort of religious faith was so disdained at Harvard and so important to the poor -- not just in Haiti but elsewhere, too -- made me even more convinced that faith must be something good,' he says.
Vyazanie letnih koftochek spicami opisanie. 'Surely someone is witnessing this horror show?.. I know it sounds shallow, the opiate thing, needing to believe, palliating pain, but it didn't feel shallow..
I was taken with the idea that in an ostensibly godless world that worshiped money and power or, more seductively, a sense of personal efficacy and advancement, like at Duke and Harvard, there was still a place to look for God, and that was in the suffering of the poor. You want to talk crucifixion? I'll show you crucifixion, you bastards.' ' Farmer recounts a Haitian proverb that says, essentially: 'God gives us humans everything we need to flourish, but he's not the one who's supposed to divvy up the loot. That charge was laid on us.' Kidder shadowed Farmer as he toiled at his hospital in Haiti from dawn to dusk, as he hiked vast distances to follow up on patients and then burned the midnight oil writing grant applications and preparing speeches.