Monday, October 31, 2016

Update on life and intro to kidney disease series of posts - 31 October, 2016, Chicago, IL, USA

As some of you know, I am an environmental engineer and had been working in Chicago at a local non-profit since early 2013.  Recently, all that has changed.  I decided to go back to school, however, not for engineering.  Given my experience with Engineers Without Borders (I have another EWB trip to add to this and a trip to Ecuador to add as well...all coming, I promise), I have decided to go to school for public health, with a concentration in global health.  I think that this will supplement my engineering degree very well. I have always been passionate about travel and working on environmental and social justice issues, while also looking at the overall health and well-being of the community (wells that are well constructed take all of this into consideration).  I think that many engineers are mean well in several situations, but often don't know all of the health ramifications of certain actions, and I believe that pursuing this degree will help to "round out" my knowledge, thus making my designs and projects much more sustainable and overall, better, for the communities that I work in - whether that is domestic or abroad.

In pursuing this degree, I have had to leave my old job and have decided to focus on school full-time.  So far, this is not a decision that I regret, and I am thinking of adding an MBA to my studies as well, as I think that this will make me an even more robust engineer.

I am writing all of this for two reasons: 1) as a general update, as I know there are a few people who read this as a way to keep up with the work I am doing, and 2) because my next series of posts will be part of a project for one of my classes.  The project is to create a blog post on a work-related current issue.  My group has been assigned the issue of kidney disease in Mesoamerican workers, as this has become an epidemic in recent years. I volunteered to use my blog as a platform for these posts as most of the work that I have been doing has been in central and south america, largely with those of a lower socioeconomic status - so in short, I have been working with the demographics who could potentially be affected by this.  I say "could" because I don't know of anyone personally who does has chronic kidney disease, but I wouldn't be surprised if someone I do know from my work down there were to develop it or already has it.

I hope you enjoy the next series, as it is the direction my life's work seems to be going at the moment...

7th August, 2014, São Paulo

I didn't write about São Paulo in my journal, but I took a lot of pictures, so I am going to just post some of those here.


Downtown São Paulo, I believe by the art museum

Another view from downtown 

Out to dinner

At the Municipal Market of São Paulo

Inside São Paulo Cathedral

The front of São Paulo Cathedral

 São Paulo under the moon, looking back on our way back to the apartment. 

Dessert on our last night there. Espresso, seltzer water and chocolate mousse 

Fun fact: This is the cashew fruit ("apple") and the nut is the seed on top.
Bonus fact: They are super tasty and make a really good fruit juice. 

Triple the Birthdays Equal Triple the Fun (7th August, 2014, 9:24am, São Paulo)

7th August, 9:24am

I keep getting distracted by things before I can finish each story…maybe if I didn’t write as much about each thing? But where is the fun in that? And there is so much to write about and so much I am leaving out for one reason or another. But back to the waterfall from two days ago…
When the water is higher, the waterfall comes further out and the guide can take the boat behind the waterfall. That would be really cool, but since the water was so low, we had to make due with the photos in front of the fall.

The big waterfall

The other two guys on our tour went first for the photo op – sitting on the front of the boat, waterfall behind them, the boat swayed and rocked....until they were below the water and getting SOAKED – they had no idea it was going to happen. 

We were next.

Before getting soaked 
We knew it was coming and in all the photos we have of us, I have a smile on my face, like everyone else, but unlike everyone else I have a look of prepared anticipation – “Oh, shit! It’s coming!” It was fun though and my parents were surprised at how cold the water was. 


After the photo series, it was on to the last waterfall and attraction of the tour.






The final waterfall was another hike up rocks, this time there were a few stairs and a rope to hold onto, but immediately down from where we were walking were large rocks. The hike up was a little unnerving, but I love that adrenaline rush and would periodically look over the edge, just to get my heart racing.

The hike was well worth it. Out of everything we had seen that day, this was the most beautiful. It was a lower waterfall and not as thunderous as the first. It flowed into a large round pool that was completely clear to the bottom; yellow around the edges where the rocks flirted with the surface of the water, and a stunning turquoise at the deepest depths of the pool. The water was also cold here and within moments, Natalia was diving into the water. After a few moments of deliberation, I jumped in after her.

Me diving into the water after Natalia

Hanging out under the waterfall

The water was crystal-clear and we could see the black and yellow tadpoles darting across our feet. She swam under the waterfall and thrust her head back again, allowing the water to flow through her hair and down her back. She exclaimed how good it felt and encouraged me to do the same. The water was cool and the scenery was gorgeous; it was unreal. We floated and swam around a bit more, then it was time to go.



Our tour had come to a close and as we jetted back to the pier, I looked at the beautiful scenery around me, wondering when I would see it again.

Post-adventure chowing down
All of our jumping in the cold water worked up a crazy-strong appetite for both me and Natalia. Luckily, the restaurant that was right there had AMAZING food – particularly the fish – or so Natalia and her uncle told us. We ordered the tilapia and another type of fish that we don’t have in the United States (or at least I had never seen or heard of it before). Everything, of course, came with rice and a few other side dishes. The food was delicious and hanging out with Natalia’s uncle was so much fun. Even though he doesn’t speak any English, we still found ways to joke around and all make each other laugh. For example (and I am laughing as I am writing this), the one type of fish was served with the head on the plate and when we were done eating, he and my dad took the head and put a French fry in the mouth, exclaiming “Não fumar” (“no smoking”). Maybe it was the giddiness from being on vacation, or maybe we were drunk on sunshine, but it was hilarious at the time – definitely a “had to be there” moment. But with that being said, it was a moment where you share a moment with someone and you just have a connection, which results in lasting a bond – language differences aside.


 “Não fumar!!!!”


On the trip back to the apartment, we drove over the dam that I talked about earlier. While I found some things that they talked about a bit of a concern (as I mentioned earlier), seeing something so spectacular and knowing that it was man-made was extraordinarily impressive.

Just beyond the dam was a fish farm where we were told they raised fish that were being disrupted by the dam. I am not sure of any further details on that, although I am curious.
I should mention that it is now 8/8/2014 and almost midnight – I am far behind on all of this. I am on the flight back home…so far behind.

But back to the day at Natalia’s party...

After the dam, we went back to her grandmother’s apartment and crashed.

I was fully intending to write, but I laid down, face-first, on my bed, legs hanging off of the edge and fell asleep for a few hours. I vaguely remember my mom coming in to give me my cleaned laundry, but was awoken by her voice talking to some of Natalia’s relatives in broken Portuguese, and was really confused by the pile of clothes I was now sleeping on top of. I brushed off my sleepiness and finally took off my bikini and wet clothes so I could shower and prepare for the “triple” birthday party.

Due to the ratio of people to vehicles, we were the first people taken to the party and were introduced to everyone, literally everyone, as they came into the party – from family members to co-workers that I am still not sure if they knew Natalia or not.

As I keep saying, it was a “triple” birthday party. “Triple” because it was to celebrate birthdays for three people – Natalia, her uncle and my mom. And what a party! Lots of people, food, drinks, and of course, laughs. Any time someone’s beer was getting low, someone else from the table would refill for everyone – solicited or not.

Natalia eating some of the chocolate off of the birthday cake

Food was never low – “Japanese peanuts” (peanuts with a candy-type of coating) were refilled as soon as someone at the last one in the bowl, bowls and bowls appeared out of nowhere.  I'm not sure where everything was coming from as it all just seemed to appear.  

Natalia's aunt and guests
The atmosphere remained jovial all night, with people telling stories, laughing and just having a good time. All of this was facilitated by Natalia’s aunt, who was the epitome of hostess, chatting with every table, sourcing the bowls and refilling drinks, all with a hearty laugh and infectious smile.

The party was filled with moments that made the evening truly special, ranging from Natalia’s paternal grandmother passing out coconut candy to everyone (winking at me as she started to go by me, then stopped to give me a handful that I still have in my purse); to when I was getting a drink and the same grandmother winked at me as she started pouring herself a strong, stiff drink on the rocks, half talking to me and herself about “bebes”; to when my mom grabbed hands with everyone in the room and started dancing to the classic love songs from the jukebox (to which a tipsy Natalia couldn’t stop giggling about how “We never do this here! Never!”).


Group dance, facilitated by my mom - "We never do this here! Never!" (Natalia)



But out of all those moments, my favorite was when we were waiting for our taxi when we were leaving the bar her cousin was playing at (we went to a bar after the party), and she told me that this was one of her best birthdays ever. I know how true that was and how important of a relationship we all have with one another. It is a relationship and bond that I am extremely grateful for.

The next morning we were to leave for São Paulo and say goodbye to all of those wonderful people. I am sad to say “goodbye”, but I can feel in my heart that it won’t be as long before we see each other again.

The ride to São Paulo was rather uneventful – I spent most of it writing in this journal while the other people dozed.

Leaps of Faith (6 August, Wednesday, 2014 10:08am - between Passos and Sao Paulo)

6th August, Wednesday, 2014 10:08am - Somewhere between Passos and Sao Paulo

We left Passos about an hour and a half ago and are currently somewhere in the countryside. The countryside looks very much like the rest of the countryside we have been seeing, except not as many sugar cane fields and instead more coffee bean fields. The drive to Sao Paulo, we are told, should take 5-6 hours. We will be staying with another one of Natalia’s relatives - Henrique’s sister (Henrique is Natalia’s cousin that we met in Brasilia). It is so nice to meet so much of her family while we are here.

I want to write about yesterday though, before I forget everything. Yesterday is when we went to the lake that was formed from the installation of the hydroelectric dam.

Being an environmental engineer, the first thing I noticed was how low the water level was. We had been told on several occasions that not only is this the dry season, but it has been a very dry year for this season, and that was very evident in the level of the lake.

The lake was a dark blue that partially reflected the clear-blue of the cloudless sky. The trees bordering the sky were a deep green and chocolate brown (from being dry). Between the trees and water stretched a wide band of barren, rusty colored soil – a tell-tale sign of where the usual height of the water during the wet season. At about 12 meters, this is much more than the annual water level fluctuations.


The lake



It looks like Brazil is beginning to run into some of the same issues we have in the United States with dropping water levels at their dams. We have been told that several people that the government has been having people conserve their water at home in an effort to keep the water levels at the dams high enough to have enough head (height differential that results in a pressure differential) to produce energy. While I think water conservation is always good, especially when it comes to really excessive use (people in the US who work to get the much sought after green lawns, even during droughts and in desert elements), a large part of me has to question the reasoning for it.




Yes, we live in the 21st century and are highly dependent on electricity for everything from our smart phones to the manufacturing of our food, but how much longer before we are conserving every ounce of water that we consume to counter [c1] the energy production to turn on our lights or to turn on our phones so we can Instagram photos of ourselves at the lake that we rationed so much to save?
With all of that being said, there are a lot of good things with dams when compared to other sources of energy, such as coal or nuclear. And I doubt it will get to the point of major rationing of drinking water – people have a tendency of fighting such strict regulations of their basic rights, but water issues have occurred world-wide, so it could potentially happen. I guess time will tell, these are just things that are on my mind when I see and hear things like this.

But that wasn’t everything that happened that day, it wasn’t even the main thing aside from being the reason the lake exists.

The five of us – Natalia, myself, my parents, and her uncle “Eddie” – climbed into the boat with our guide and two other gentlemen who were also along for the tour. There were four attractions on the tour that we would be stopping at: a cave/canyon and three waterfalls. We jetted across the lake in our modest, but comfortable, speed boat – back-end deep in the water, front end several feet in the air. Before too long, we were slowing down to a puttering as the walls of the lake rose and closed in on us. The cleavage, and piling of the rocks was in such a way that they called it something along the lines of “Grande Bibliotech,” or “large library.” And it definitely felt like a grand library of books upon books whose history of this lake were written on the solid pages of eroded time – their edifice changing with the seasonal lake levels. One rather large rock sat precariously on top of another very small rock. Our guide said it had been like that for five years and hasn’t moved at all those five years. I wonder how much longer it has?

The Grand Library


We could only go so far into the canyon as the water was so low that the boat wouldn’t be able to go past the one point. We could see the rocks in the shallow water aboard, and could see the water mark of the usual summer water height on the walls around us – easily 10-15 feet above our current level – so I can only imagine how much different the access is and how different things look in summer. We exited the “library,” back into the open water of the lake – onto our next destination.
We crossed over to another canyon, knowing we would soon be seeing our first waterfall of the day. Our boat stopped short, a promising bend ahead of us that the boat could not cross the rest of the way would have to be on foot – across slipping rocks and up the canyon wall. At one point we had about three feet of space to walk on a few meters up from the black water below – one wrong move and …

We were too in the moment for that. The sense of adventure and promise of a beautiful waterfall ahead of us, we eagerly climbed on. Tadpoles darted away from our steps as we trudged through thigh-high icy water. Only a few meters ahead of us roared the wide waterfall, with only a land-mine of jagged rocks and splintered wood under water between us and the falls. With cautious steps, we made it through the wood and rocks to our waterfall destination.

Having finally made it, we quickly ditched our shorts and sun-glasses so we could douse ourselves in the roaring water. Natalia sat down first, thrusting her head back, allowing the cold water to run down her hair and back, exclaiming how good it felt. Standing a few feet away from her, I could feel the cold mist on my bare skin. I knew it was going to be cold – no in the way of the polar plunge, but in the way that you gasp for air when you first get wet and then get used to it after a while. She scooted over, making room for me and I just went for it. It was cold. And the coldness kept pounding down (because funny thing about gravity is that it doesn’t stop – no matter how cold you are). But it felt good. Really good. As we sat there, cold water pounding the backs of our necks and flowing over the rest of us, she told me how this waterfall is believed to cleanse the bad energy out and because of that belief, people flock there on New Year’s to cleanse – themselves of the bad energy of the previous year. I could definitely feel that. I felt very rejuvenated and refreshed as we walked away back toward the boat – but not with one more adventure in this canyon.

We climbed around the bend to our perch above the inky waters. One of the other guys from the tour decided it was a good time to go cliff diving, so he dove off the cliff. Natalia and I were ahead of the group so weren’t really sure what was happening.

...Until the guide asked Natalia if we also wanted to take the jump.

When Natalia relayed the message to me, she had a spark in her eye that said the same thing I was thinking, “I will do it if you do it.” How could I pass up cliff diving in Brazil? We headed back to our perch, filled with excitement. And some fear.

Due to the order we were in, Natalia was ready to jump first. She stood on the edge sizing up the situation. We were a few meters up from the surface of the water, with large rocks immediately below us. The water was so clear that we could see the rocks continue into the water and disappear into the black abyss.

Natalia jumping from our ledge
After a few seconds Natalia turned to me and asked if I wanted to go first. I looked at her, shook my head and said “You are already up there, you go.” We were both paralyzed so we tried coming up with a  few different solutions – maybe if we jumped together? No, that didn’t work, were too afraid of not jumping out far enough to avoid the cliffs. Maybe if we counted? No, there was too much mental pressure that way. She asked that I step back so she could jump on her own. Eventually she worked up enough courage to just jump and I wasn’t too long after her.





Me taking a leap of faith 
Afraid of belly-flopping from so high up, I jumped feet first into the darkness. The sound of my own scream, mixed with laughter was broken by the crashing of my feet breaking the surface tension of the water, followed by nothing but the bubbles rushing past my ears. I don’t know how far I went down, but I could tell it was fairly deep and took a few good strong kicks to get to the surface.


(No writing in Sao Paulo at 22:03 at night)

All I could feel around me was the icy water that had swallowed me and the tell-tale burning sensation of a nose that had not been plugged when jumping into the water. Within seconds, I was on the surface laughing from the adrenaline rush and from the situation as a whole. I swam toward Natalia and we both climbed out of the water.
Our guide told us that we could jump again if we wanted to, but we both thought that one jump was enough for that day. We could both say that we had done it and wouldn’t get mad at ourselves for getting that far and not doing it. And with that we climbed back into the boat and rode off to our next waterfall.

The second waterfall required no climbing and was much higher. Our guide informed us that, of the top 100 things to see in Brazil, this particular waterfall was in the top 30 (or something like that). It really was spectacular. I am not sure how tall it was, but it was well over 100 feet and plummeted straight down to the pool we rode in on. As we rode closer, we could see the mist at the top forming a halo in the sun. When the water is higher, the water fall comes further out and…


White Ribbons in an Alien Landscape: Casca Danta, pt 2 (6 August, Thursday, 2014, 3:28 am, Passos, Brazil)

6 August, Wednesday, 2014, 3:28 am, Passos, Brazil
Just got back from the bar that we went to after the triple birthday party. Natalia’s cousin (one of the many) is in a band and he was playing tonight and we just got back from it. It was really cool. It was a great experience to go to a club like that with a  band that we knew someone in…but back to the other day and maybe I will actually get somewhat caught up…I am still wired form everything and there are several dogs barking/howling, so I doubt sleep will come quickly tonight….
After climbing out of the water down stream of Casca Danta, we dressed and continued our hike up the trail.

Posing with a termite hill on the way to the waterfall

Along the way, we ran into a group that said “Oi!” to us, then when we had little to no response, the said (in English) to one another “Do we sound too much like tourists? Maybe we do, how do we sound more like Brazilians?” I thought about stopping, but I really had absolutely not desire to talk about where I am from or have that small talk with English speakers that is usually so welcome when I am travelling abroad.  I am not sure why. Maybe it was because I was so focused on just wanting to see the waterfall. Maybe it is because I think Portuguese is one of the most beautiful languages and I didn’t want to hear anything else unless it was necessary communication or a translation. We eventually did stop because their group had a question about how to get to the water to swim in it. After that brief interaction, we moved on through the trees that were becoming more rainforest-esque – the roar of the waterfall heard just out of sight, beyond the trees.


Forest, just outside of the falls


Eventually we made it to the first look-out – a cement set of steps facing the waterfall, a good distance up from the base of the waterfall.  Several photos later, and one monkey sighting later, we continued on, this time on the decline, toward the rocky base of the fall.

The forest opened up to a tall grassy area, just before the large black rocks of the fall. As we climbed through the grass, I couldn’t help but think of those movies where the main characters are chopping through the grasses of a foreign land, machete in one hand, compass in the other.  I had the more modern version of a cell-phone and a path that has been traveled a few times already.

The grasses came to a halt and we had nothing before us except for large, black rocks and the towering Casca Danta, plummeting down to the rocks.  After several hours (about 5, at least) we had made it to the major destination of the day.  Natalia, Conrado and I all climbed the rocks to explore and see what views were the best. Conrado climbed down to the water to fill his water bottle with the mountain-fresh water that was so clear one could see the details of the rocks several feet below the surface.  We basked in the beauty of it all; the waterfall, the river leading from it and the opening of the river that repeated spectacular views of the park.

View of the waterfall

My parents, hanging out in the grass




This would be the closest we would get to this waterfall, even though you could swim in the water at the base, we didn’t. 

View of the waterfall, on our way back to the jeep

Over five hours into our twelve hour day and we still had so much more to see. Back to the jeep and we bounced back to the small town a few mountains over to have lunch. A hearty lunch - of salad, meat, rice, beans, pasta, caju (cashew) juice and coffee – later, we were back in the jeep for our journey back home. 

Our host for lunch (left) and Conrado (right) chat after lunch (foreground) 







The sun was also beginning its journey down to its rest below the horizon. The new angle of the sun changed the appearance of the landscape, in some areas making it look like the uncharted surface of an alien planet. At other times, it highlighted the beauty in a single palm tree in a field.

Burned field in the park. Sad, but beautiful

Our journey led us to see two more toucans as they were startled by the noise of our trusty jeep.  Several green parrots and countless other birds, all fleeing the commotion we were causing. The sun descended lower to the red-orange color before it is snuffed out for the evening. The final rays highlighted the few clouds there were with pink around the edges and exaggerated the purple-y center of the clouds.  The landscape turned various shades of purple, blue and pink, aside from the land immediately around us which was still charcoal-black from the recent fires that had come through, and the road, which lay before us as an un-ending white ribbon, twisting and turning with each new mountain, headed toward some unseen destination just over the horizon.
We had to stop to take pictures.

Winding road 


Within minutes it was too dark to see anything beyond the headlights, which only shown so far with the variations in the road ahead of us.

The constant bouncing rocked me to sleep and I fell in and out of sleep as we bounced back to Passos. At 7:30pm, it was completely dark out and we were dropped off by our new friend, Conrado.  We soon had some supper and went to bed after another beautiful day here, in this beautiful country.