It has taken me a bit of time to create a role here at the physio dept/hospital. I have been exposed to tremendous learning experiences (some frankly gruesome, some enlightening, some technical, some emotional) while at work, but was feeling a little directionless in an environment where one truly has to have intrinsic motivation and desire to make an impact. The notoriously laid-back culture, which certainly exists in the workplace as well, can be dauntingly structureless without direct supervision and clear objectives and parameters. It would be easy, and maybe even is expected, for the volunteers who come briefly to Bhutan to just go day-by-day and treat the experience as an immersion into a foreign culture, plain and simple. I hope it is not a streak of egomania, but I would prefer to leave some sort of legacy and believe that people directly benefited from my presence here.
I have found a way! A very enjoyable, edifying, frequently hysterical, culturally-revealing way ... through massage!
On Monday, I began teaching massage to the first-year Physio students as well as the staff physical therapists and techs. What a laugh riot! Trying to convince a male student that he really did have to take off his "gho", a full-body garment consisting of copious yards of rough thick material and belted very tightly at the waist, in order to receive a Swedish-style back massage involved several minutes of cojoling and finally barring his way behind the curtains telling him I wouldn't let him out until he was lying on the table with his back bare (and covered with a sheet). By the way, I was REQUESTED (multiple times) to teach massage by these particular students and staff and attendance is completely voluntary - i really was not trying to be The Ugly American. If I had trouble with the males, imagine how difficult it is trying to convince the females, who don't show an inch of their bodies except at the wrists and neck/face/head! I emphasized the importance of draping, creating a comfort and trust level with the client, respecting boundaries, etc. There were so many differences between the actions of the students here than at massage school in Boston. Whereas we were not totally resistive to the thought of certain areas of skin being exposed during the course of massage, we did seem to initially hesistate at the physical touching aspect and were all a little too light and ill-confident at first. Here in Bhutan, the physio students have been touching clients for years, across gender lines, and once the massage class was underway (with the reluctant model on the table), the massage techniques were easily understood and executed without hesitation. Much joking ensued. I don't know the local language, but it was pretty obvious that lots of off-color remarks and observations were being made about the poor person on the table! The students seem eager to learn, ask for repeated demonstrations and are so much more interested in learning massage than the teaching unit I did on Burns and Wounds in Physiotherapy. It is really fulfilling to see that look of understanding and excitment in their eyes.
So, even though I come to Bhutan as an Occupational Therapist, my true contribution, i think, is massage therapy. Thank you, Massage Institute of New England!