Tuesday, January 31, 2012

To Be a Different Animal and the Same Beast



I promised myself that I wouldn't write another entry until I finished The Brothers Karamazov because the book is just full of didactic nuggets to inform my conscience and outlook on life, but it's looking as though my days in Cali are numbered (more on that later.) So while I still have reliable Internet access, I thought I'd put myself through an exercise that is long overdue.

Every January, I think about making a list of New Year's Resolutions and then don't. I blame my heavy blanket at home full of duck feathers. Sleeping under it is like sleeping under the warm, shapeless bodies of women, and it raises my complacency to such a level that I will become susceptible to things like joyful reimaginings of my immigrant experience. Another one of those things is the assurance that a regular commitment to being the person I want to be trumps adherence to some short-sighted and contrived to-do list.

That would be true if I have actually taken the time to think about who I want to be, and made conscious efforts to see it through. I hope that by the time I finish writing this post, I will have achieved at least the first goal. A clear articulation of my beliefs, values, and action plan should come in handy throughout my life.

The Reality

Lead Us Today is a NGO started by my amazing friend, Dalumuzi Mhlanga, that provides leadership training to Zimbabwe's high school students who have a vision for lifting their communities out of poverty, corruption, and chronic disengagement with shared challenges. One of the main objectives of the leadership curriculum is to help students "face their realities." The idea is that a critical re-evaluation of what they consider to be true about the world around them can uproot false preconceptions and provide a logical basis for values.

What I consider to be true about the world is based on empirical and measurable findings that humans have gathered through observation and experimentation over time. There is no particular reason for this except that scientific method and statistical rigor work pretty well for most things in life. Like developing drugs to treat illnesses and going to the moon and creating shampoo that smells like apples.

This method of understanding the world has led me to two conclusions. First, I am not very different from people who may appear different. All of us share common ancestors who marched out of Africa long before Senator John McCain was born. So Latinas and I, despite the several gradients that separate our skin tones, are perfectly interfertile.

The differences I do see between people can be explained by a combination of genetic variation and environmental influence. For example, Europeans and East Asians probably have lighter skin because their ancestors adapted to regions with lower UV exposure. Girls are girls because they inherited the X chromosome from their father, and they also learn from their family members how girls act. And so on. There was a time we didn't know these things so we filled in the gaps with rubbish.

Having met some of these brothers and sisters from another mother, I've come to discover that people other than myself have thoughts, feelings, desires, and life-changing events in the same way I do, in fact some of the same ones. And because we are so similar and it was by fate that I became me and they became them, I think a poetic alien with an air of affectation might say we are like droplets of a small puddle of life. In another dimension where all of earth quakes with dubstep and Kobe gets better with age, we are probably a small puddle that runs and spills but is always one.

Secondly, the human race has been characterized by inequalities in quality of life. Quality of life is generally a difficult thing to measure, and I suspect it depends on what you consider human rights. I think a long, healthy life is a good place to start because Forrest Gump says life is like a box of chocolates and if somebody gave me a box of chocolates, I would like a big box of chocolates with a generous expiration date. You could also decide to return it if you don't like it, and in fact, many people do.

Other frequently used indicators of quality of life are levels of education, income, happiness, and freedom. I think these are neat as well. My current position of life is such that I have a basic understanding of the world and what is out there and what my aspirations are, and I live in an environment that more or less gives me a fair shot at making those aspirations come true. I really believe every human being should have that.

Our statistical methods of learning the truth of things, however, clearly show not everyone does. Life expectancy and levels of health, education, income, and freedom all vary widely across and within countries. In many cases, these indicators are closely correlated. There has not been as much research done about happiness, and the proxies we use are rather crude, but a recent OECD study did show interesting variation in "Life Satisfaction" of respondents in its 34 member countries (Denmark had the highest rating, which likely attests to the quality of its rye bread sandwiches.)

So where do we go from here? Well, that depends. We could acknowledge the truth of both statements but decide they are not as compelling as other equally true statements supported by equally strong evidence. Which is that we are independently functioning organisms with independent needs. That in no other corner of the ecosystem of life do organisms concern themselves with inequalities. This is how natural selection happens, and how humans got here. The weak die out, and the strong persist.

We could reason that as far as we can tell, each of us has one life to live in this world, and activation of choice pathways in our own brains ultimately determines the satisfaction we get out of it. The feeling of interconnectedness and altruism exist because some aspect of our own survival or happiness depends on them. And it would be possible to lead an internally consistent existence that abides by these truths.

But we could also place all of these facts side by side and choose a different course of action. We could decide, for whatever reason, that we value the gift of life, and the well-being of our more distant kin of humanity. We could arbitrarily grow a fondness for compassion, justice, and selflessness, rather than power, pride, and self-fulfillment. And recognizing the limitation that our thoughts and actions are constantly swayed by our desires for power, pride, and self-fulfillment, we could begin to discipline ourselves to make the decisions that align with our choice of values. We could apply the tools of empirical and logical reasoning to determine how we can serve others in the most impactful and efficient way. So that's what I want to do.

Inequalities

Before I do anything, though, I should figure out what needs to be done. Toward what vision of the world am I working? So to answer this question, I need to revisit the idea of inequalities.

Why do inequalities exist? Let's think about a specific inequality in a specific region of the world. The 2010 median income of white people in the U.S. was estimated to be $55,000. It's $35,194 for African Americans. Why? Well, it might have something to do with African Americans not being treated like human beings for a very long time. The history of slavery and discrimination placed generations in a severely disadvantaged position to achieve a good quality of life, and the recovery from such structural violence could not be expected to go quickly.

But is it possible that the observed income inequality has other causes? Perhaps it is diet and genetic profile, in addition to limited access to education and health care, that contribute to the higher prevalence of chronic disease and thus lower incomes for adult African Americans. Perhaps the median income is lower because it is a cultural norm for African Americans to have larger families and to provide more support to their family members in times of need. Or perhaps they are just getting outworked by those Asian immigrants with their superior math skills and excellently run liquor stores!

I think the issue many of us face is trying to trace the precise origins of inequalities. More specifically, we often struggle to decide whether victims of inequalities are, to some degree, responsible for their own misfortunes. The reason is that equality in its purest form seems difficult to reconcile with meritocracy. In a world with scarce resources, it seems only fair that honest, hard-working people get ahead. So when economic historians still butt heads about why Africa is Africa today and our favorite news stations release the newest estimates of our national debt, we are filled with doubts. We are busy paying off our own bills, and we are not too sure about tacking on extra tax dollars to support people we don't even know.

A helpful exercise, I think, is trying to understand inequalities from the point of view of a growing baby. A lot of decisions are made for human beings before they are capable of making decisions. Genetic make-up, as mentioned earlier, is one of them. It determines whether you are more likely to grow tall or become obese or develop a gambling addiction, even though you had no say in the matter. In fact, you also didn't have a say about the environment into which you were born. It's not your fault you were born in Nebraska or you come from a high-income family or your mother smokes cigarettes. At the very moment that humans appear in this world, they are saddled with certain pre-existing conditions that differ by individual.

And our understanding of child development tells us that these inequalities present at birth and during the process of growing and discovering ourselves - which lasts awfully long, mind you - have very large repercussions for our future well-being. This is why parents with higher levels of education or income are more likely to have high achieving children. This is why children of parents who smoke are more likely to buy cigarettes. And so on.

But new sources of inequalities also lurk beyond this "vulnerable period." Though we typically enjoy increases in our decision-making power and reasoning ability as we grow older, we are still subject to life's incredible unpredictability that render our decision-making power and reasoning ability rather insignificant at times. Getting hit by a drunk driver, for example. It may have been your decision to be out on the street that fateful hour, but the accident wasn't your fault. The same reasoning applies to victims of the financial crisis or natural disasters.

Our accountability for events in our lives obviously varies on a case by case basis, but it's easy to see that randomness and chance permeate our everyday life. The neat chain of cause-and-effect, and of intention and outcome is easily disrupted by consequence, with significant implications for individuals' well-being.

So how do we go about this? We can think about categorizing inequalities based on the amount of "fault" attributable to the victims of inequalities and responding accordingly. This is, in fact, what our government tries to do. The Recovery Act was passed because people who lost their jobs weren't to blame for the recession. We have a government agency dedicated to providing emergency relief in catastrophes (not named Hurricane Katrina) because people don't have control over them. And when there are disputes among people about who's to blame for a change in one's well-being, we rely on our system of laws and procedures, which, ideally, reflects our collective understanding of justice.

But outside of these singular events, things get trickier. The income gap between whites and African Americans in the U.S. fits in this category. Why in the world is the black man so poor?! Well, we could ask around. We could take a small random sample of whites and African Americans in the U.S., sit down with them one-on-one with a pen and paper, and jot down all of their relevant biographical facts. How well off their parents were, what their childhood was like, what kind of teachers they had in school, when they first had sex, and so on. And we could think hard about what most reasonable people would've done in their stations of life and assign them a score from 0-10 based on how much they are to be blamed or credited for their current state of well-being. I hear God does something similar with a pretty strict cutoff at 5.

To think of it, I have, actually, tried something similar. While volunteering with LIFT, a national student-run organization that helps clients access housing, employment, and public benefits through one-on-one service, I used to work with a black woman in her 50's who always asked for help on her essays. She was a single mother attending UMass Boston as a part-time student. I won't ever forget proofreading her essay on why we should beat our kids.

Anyway, we would be talking about improving her topic sentences so she could make clearer to the reader which reason for beating kids she was about to explain, but then she would get distracted and then talk about her life. She grew up with both parents but didn't get along that well with her father for some reason. She served in the army straight out of high school. Her checks went toward paying for her mother's prescription and medical bills after a stroke. Then she got married and had a kid. She was starting to feel depressed though, and her husband left her. So why was she going to school so late in her life with only a veteran's check and a son to feed (and beat)? Well she never got to attend college. She had always dreamed of college. She was a crazy and lovable person to know.

That's how people's lives go, more or less. Most people have emotions and children and dreams and do the best with what they have. And this is why I don't believe that large inequalities, and racial and gender inequalities arise spontaneously in a world that has affirmed the dignity of all people.

So if we as a society find compelling the idea that we are like one big family, we can do a couple things. We can continue to undo the global history of injustice toward fellow mankind by creating governments and institutions that safeguard the human rights of all. We can each contribute what we can to systematically erase the reminders of that history - the existing barriers to one's fair shot at a fulfilling life. And we will have thus embarked on a grand design of a society that, as far as we know, has never existed before. We will have invented a culture that truly honors the gift of life by protecting individuals from circumstances beyond their control. And we will have become the first species to deliberately betray the thirst for life, the impulse that separates life from non-life, for an idea. It's a noble idea.

And Kobe agrees:



Min's Action Plan

I've already decided that I'm interested in a career in international development. But I haven't really had a chance to crystallize how I can align my daily life with the values that matter to me. Here's a couple action items I hope to implement:

1. Treat those around me with kindness and respect

Last semester was one of the strangest times in my life. I was wrestling with a lot of these issues in earnest for the first time, and yet it was also the first time I went around acting like I didn't need anybody. I hardly kept in touch with my friends from high school or my more distantly located friends at Harvard (aka 15-minute walk away).

I think I was polite and respectful toward friends I did see regularly, but I wasn't much of a good friend. For some reason, I just wasn't in the mood to spend time with them or genuinely care about their well-being... as I was going over my duties as a global citizen. It's a shame because I really do appreciate the people in my life, and I need to show that. It's also a shame because simple gestures like smiling and making people laugh really do make a difference, sometimes in ways we don't fully understand. They are a big reason I regard my quality of life so highly, and I hope to start producing some positive energy of my own.

But just as importantly, I think a daily commitment to the Golden Rule is crucial for training myself to think and act in ways that are faithful to my values. If I make it a habit to care about others, the process will become much more natural over time.

2. Be honest with myself

Our brains are so good at telling us what we want to hear. We can always rationalize our asses off and feign, what Garcia Marquez calls, a bewilderment of innocence. This is worrisome in the context of everything above because my brain is wired such that the idea of helping people is closely linked with my own satisfaction and even pride. So I need to assess my progress by measuring, as objectively as possible, improvements in the well-being of those around me.

The real challenge, though, comes at the point of making decisions. If I had my way, I would clone myself a couple times before an important life decision, and randomly assign a different decision to each of my clones. I would then fast-forward a couple years and evaluate the impact of the decision on my ability to improve people's well-being. Then I would go back in time to choose the optimal decision.
But without any of these technologies? Integrity will be my biggest asset to ensuring that the product of my intentions and actions is the most fruitful.

3. Understand the impermanence of things

This lesson from Buddhism is just so hard to master, and yet it's really at the core of what I want to do. I don't consider myself someone who needs a lot of things to be happy in life. High-speed Internet, hip hop, Laker games, Chipotle, a public library with a decent fiction collection, a sensible woman, and access to nature. Yet I still indulge. I vainly cling onto temporary desires and pleasures, despite knowing that life will always have its highs and lows and my true sense of satisfaction comes from within.

I think it's the sad truth that moderation is the most feasible goal. Enjoy life moderately and set my conscience to uh, level moderate.

4. Be inspired from time to time

The movie Slumdog Millionaire hardly shed any novel insights into issues that interest me, but watching my boy Jamal Malik rise from rags to riches and score with a hot woman made me so happy that I now feel energized for the task of helping others. Again, letting my emotional attachments dictate my thoughts and actions can be dangerous, but I do think it's helpful to remind myself, from time to time, what is really at stake here. Nothing does the trick better for me than getting to know the people (real or fictional, apparently) who are facing poverty and marginalization.

And with that, cheers to a happy and meaningful 2012 for all of us, and a better tomorrow tomorrow!

Thursday, September 1, 2011

Sweetest Language that I Know





As a basketball fan, do you care whether MJ or KB has a prettier turnaround fadeaway?

Monday, August 29, 2011

Nail Clippers



So I understand that my handsome charcoal eyebrows, gently sloping nose, and generally hairless appearance don't exactly fit the All-American caricature, but seriously, TSA? Seriously?

After being not so subtly implicated in a transcontinental drug cartel network two weeks ago at JFK Airport, my patriotism was again called into question as my sweet countenance made its way past the Long Beach Airport metal detectors. The incriminating evidence this time? Ryan and Colin, take it away:

TSA guy: Sir, is this your bag?
Me: Yeah.
TSA guy: I'm going to take a look inside, ok?
Me: Ok.
TSA guy: It was in this side pocket here.
Me: What was in the side pocket?
TSA guy: Let me check it out. I'm not sure what it was.

TSA guy takes out the Ziploc bag containing my toiletry. His pupils dilate.

TSA guy: These are nail clippers?

TSA guy is holding my nail clippers.

Me: Yeah.
TSA guy: I mean, nail clippers are not a problem. These are just big.
Me: Yeah they are.
TSA guy: Hey, check out these nail clippers. This is the biggest nail clipper I've seen.

TSA guy calls over TSA girl and TSA guy #2.

TSA guy #2: Wow.
Me: I guess they don't make em like this anymore.
TSA guy #2: Did they ever? Damn.

Just leave your nail clippers at home.

Monday, August 22, 2011

The Originals



How do you change the culture of always finishing second in a U.S. footwear market that's growing more competitive by the second? You recruit Snoop Dogg, Game, Dwight Howard, a brilliant director's mind, and two unnecessary booties to shoot the dopest shoe commercial since Jason Williams appeared in one. I'm still not buying Adidas though.

Sunday, August 21, 2011

Tanzania Part 3 - Serengeti



Damn it's good to be home. Good to be home because here, I can walk around without being called a "chino" all the time - in the U.S., people only think I'm Chinese and that's a big difference. Also good to be home because my home is Southern California, and Southern California has authentic Mexican food, which I haven't had in a long time, and authentic Mexican girls to order them with me, which I haven't... yeah. But home is home, no matter the latitude and longitude, and I had been away from mine for far too long. It's good to be back, fam.

My return journey to the States, which spanned more than 24 hours inside cabin doors across five cities, went as smoothly as my pick-up lines for all but one stop. As I passed through security at JFK Airport, the TSA official womanning the carry-on X-ray machine vigilantly but mistakenly nabbed the Nicaraguan coffee stowed away in my backpack for the dark, powdery goodness it shares with a far more nefarious substance. For some reason, she must've not taken me for a delinquent youth trapped in a lifestyle of wheeling and dealing for tuition fees because her method of divining its identity was to administer only a quick sniff. Still counts as scientific method, I suppose, although a conniving cartel leader who reads this blog (probably has a tattoo that reads "Surk14") could now easily traffic cocaine to homies all over the world by giving it some coffee aroma.

Anyway, on we proceed with my adventures in Tanzania. Our next stop is Serengeti National Park, a place I never thought I'd get to visit in my lifetime. All in all, it's probably the most beautiful sliver of the natural world I've seen, if we set the scale of a sliver to a full rotation panorama, etchable in our retinas only in discrete frames. The conditional statement is probably necessary because I've been blessed to come face-to-face with some pretty incredible wonders of the world - Grand Canyon, Sedona, the Canadian Rockies, and Bahia de las Aguilas Beach in the Dominican Republic come to mind - that command their fair share of desktop wallpapers. But it's also because when I am walking in the fields behind my apartment complex at dusk, smelling the greenery, faint perfumes of passerbys, and barbecued meats in back yards unseen, feeling the wave of warmth generated from all that life, and watching the violet, vermillion, and cobalt of sunset, dulled by the granular slate of Los Angeles smog, tint the grass a thick metallic glow, I think it's pretty wonderful as well. And you could not tell from my endorphin levels where I'm wylin out.

But Serengeti is Serengeti for a reason, and I found myself in otherworldly landscapes unlike any I had seen before. For about the first half hour of the drive from the park entrance, our 4X4 vehicle traversed a vast sea of brown prairie grass entirely uninterrupted in all directions; the world was endless, flat plains and sky that met in a neat line. Then an invisible painter began to add signs of other life - termite mounds, riots of stubborn shrubbery, and giant trees with lush cover - but so sparsely such that each of them stood utterly alone and no more than one occupied a single field of vision. The eeriness of the scene was only allayed when I noticed crepuscular rays streaming through some cloud cover. The sky was so grotesquely large and the rays radiating from a point so far away that the light ceased to be light and became a barely visible wrinkle of space, a slow decay of hadrons into quarks. Most of these gossamer threads disappeared into the sea of grass, but I saw one kiss a lonely tree, as if the tree existed because it had been the benefactor of some vital essence in the light. It must be a blessing and a curse, I thought to myself, to flourish but flourish alone.

As we ventured deeper into the park, Serengeti became anything but uniform. The grasses yielded space to dense communities of towering trees, thorn bushes, and even wildflowers, and the brown dissolved into every shade of yellow and green imaginable. There were archipelagos of rocks, red clay valleys, rivulets and watering holes, and vast, gently sloping hills that unfurled millions of trees with capillary branches and brain canopies like Murakami's mushrooms. And then there were animals. A lot of them. There are no words to describe the feeling of being surrounded by thousands of zebras and wildebeest. So even though the pictures don't do justice, they will do a better job from here. Get your PokeDex out, boys and girls.

Baboon



According to National Geographic, baboons "have a taste for meat" and "eat birds, rodents, and even the young of larger mammals." According to my friend in elementary school, baboons can also rip your balls off with their hands. Now I'm a grown ass man at the age of 21, but I don't feel confident, with my 5'8'' frame, that I can necessarily convince an adult baboon to leave me alone. So when one jumped inside our 4X4 vehicle through the pop-up roof and perched 2 feet away from me, I was practicing the guillotine choke in my head. Luckily, no submission attempt was made, as our driver's honk scared it away.

Vervet Monkey



This one probably can't rip my balls off.

Ostrich



An ostrich in Tanzania!

Dangerous Birdies





The bottom one looks scarier. Probably a male because it wanted my sandwich.

Gazelles





Gazelles are one of the most common animals you can find in Serengeti but I never tired of seeing them. Very elegant and probably impossible to catch unless you are a cheetah. I witnessed a stare-down between a pride of female lions and a herd of gazelles - the gazelles broke off into a run as soon as a lion attempted anything close to a trot.

Zebra





Zebras are one of the most common animals you can find in Serengeti, and I tired of seeing them. Also, one of them chased me to the bathroom on my last night of camping.

Wildebeest





I missed their famous annual migration to Kenya, but for someone who had never seen a single wildebeest before, sights like the above were just mind-blowing.

Warthog



It's pretty amazing that the creators of Lion King made a hero out of this animal.

Elephant



Chances are you will get to see an elephant in your lifetime even if you don't get to Tanzania, and that's a good thing because elephants are so damn lovable.

Giraffe



I still have yet to see a giraffe in any kind of hurry or distress. So it's like the Confucius or Buddha of the animal kingdom but it's too tall.

Gator



Crocodile or alligator?

Hippo



Seeing a hippo out of water is about as rare as seeing me without a shirt on.

Jackal and Hyena





Both low-tier carnivores that scavenge on the leftovers of lions.

Leopard



Spends most of the day sleeping on trees...

Lion




I'm a grown ass man at the age of 21, but I felt pretty awkward when this happened. I mean, does the male lion really expect the female to carry him on her back just because he is tired? Pitiful. But watching the lions do it, I have to say, was kind of reassuring because even the king and queen of the Serengeti kingdom are figuring love out. Even though the male's expression in the top picture screams triumph and conquest, I can tell you he lasted maybe 7 seconds in that lionny position. I can also tell you that in his frustration, he attempted to swallow the female's head whole and the female, equally frustrated with his timing and flaccid underachievement, dropped to the prairie grass and writhed in disappointment. Relationships ain't easy, mane.

Wednesday, August 17, 2011

We Pause for a Black Mamba Update

There was much ado about the resurgence of Asian stocks following the U.S. debt ceiling deal, but we, vigilant citizens of the basketball world, all sensed a second coming far more spectacular. Little did we know that the second coming would be deposited on the face of LeBron James. In case you missed the first remotely cool-looking dunk completed by someone of Asian descent:



Nearly simultaneous with the tumble of BronBron stock was a cool 43-point increase in BMI, which usually stands for Body Mass Index but here stands for Black Mamba Industries. Congratulations to James Harden and his orange shoes for being the last buyer of the championship-winning venom.

Friday, August 12, 2011

Tanzania Pt 2 - The Work Life



I am not sure how it exactly works, but humans somehow possess the ability to pick out a few tidbits of their existence that are worth their attention and consciously neglect others, often in a manner that suggests they are not sure what they really care about, or don't really care about what they claim to care about. It can be contagious and in worst case scenarios, festers into a myopia of an entire population such that they will ignore the pain of others' poverty, despite acknowledging the arbitrariness of their fortunes, or demonize those who hold views that differ from theirs, despite coming home to wives and husbands who disagree with them about whether it's appropriate to take their children out to Chipotle for dinner (it is) and whether foreplay should last longer than five minutes (I have no wisdom to offer in this department). I suspect it is this same capacity for selective processing and double-think that can explain how I drifted through much of this summer not doing a lot of critical self-reflection or meaningful engagement with pressing issues around the global community and still learned quite a bit in my area of interest. It's scary, really.

As an intern working for Neovita, a randomized controlled trial investigating whether Vitamin A supplementation for babies within their first two days of life improves their chances of survival at 6 months, I have had the incredible opportunity to watch a pretty important project unfold from backstage. Neovita is a massive effort orchestrated by the World Health Organization to obtain sufficient evidence to evaluate an intervention considered a cost-effective candidate for reduction of neonatal mortality. "Massive" and "sufficient" are really the key words here because the trial is simultaneously occurring at three sites chosen for their high infant mortality rates - Tanzania, India, and Ghana - each of which is slated to enroll a whopping 32,000 babies. 32,000! Just imagine the response you'd get from Vegeta.

The Tanzania project itself is grounded in sites at two major geographical areas: Dar es Salaam, the country's urban center with high population density, and Ifakara, the more rural neighbor to the north. I've spent all my time in the former, mostly working from a small office that serves as the home base for our trial management staff. The field operations are based in maternity wards at different hospitals around the city, where nurses consent delivering mothers for participation in the study and research assistants receive their daily assignments for follow-up visits. It is also at these hospitals that any data collected from women and babies are uploaded wirelessly from the field staff's handheld PCs to servers located at our office.

There was something that the professor who taught my health policy class last year emphasized over and over, and now I know it to be true: ideas and plans can sound great, but figuring out how to make them actually happen is often incredibly difficult. There is nothing mind-boggling about the design of our study - you recruit babies in the trial, you give some of them Vitamin A, and then you compare the health outcomes of the groups that got and didn't get Vitamin A. But to actually do it? Quite mind-boggling, it turns out.

I could dedicate an entire blog post just to problems encountered with Vilivs, which are the mobile devices nurses and research assistants use to fill forms when they interview mothers. A simple issue like reduced battery life or missing chargers, for instance, can actually cripple field operations. When research assistants set out to perform follow-up visits on the assigned households without adequately charged Vilivs, they may not be able to collect all required data from mothers in time. So they will either fill forms incompletely or use paper forms. In the latter case, someone has to go through the trouble of re-entering the data from paper to web. If the research assistants do it themselves, they lose time that could be spent on more follow-up visits. If the paper forms are given to data clerks and double entry is not used, data quality takes a hit. The Vilivs may also run out of battery while they are uploading entered data to the servers. The challenge is that the servers cannot tell you whether data are missing because data have not been transferred from paper to electronic form, the upload was unsuccessful, or research assistants actually failed to collect the data. So the data manager informs the RA supervisor about the missing data, the RA supervisor tries to ascertain the reason, and then the reason is communicated back to the management team so they can respond accordingly. At least that's what would happen in an ideal world, where servers are always functioning, electricity and gasoline in Tanzania are in good supply because government officials are feeling not corrupt, RAs are not fabricating data, and uh, RAs are not striking.

As for my niche in this complex ecosystem of humans, money, responsibilities, and feelings (is there anything else?) I have really just helped out in any way I can. For a while, that entailed organizing and storing all consent forms in numerical order and creating a database of IDs for which they are missing, in preparation for the WHO audit that happened just a week ago. All that means is if we held a contest to see who could more quickly pick out the bigger of two 6-digit numbers, I would beat you. Since then, my responsibilities have ranged from writing a Standard Operating Procedure about consent forms and doing site visits to make sure the field staff understand and follow it, to re-creating a staff contact list because the existing Excel spreadsheet has a virus. But mostly, I've learned a lot. And I've marveled at the many challenges and rewards that don't show up in the PubMed papers.

Some of these challenges and rewards, though, have been personal ones as well. My first official "global health" experience is one that had me feeling anything but global healthy, and it's not just because I was asked to perform tasks that feel small in the big scheme of things. It's the fact that when I am flipping through the consent forms and reading the names of mothers - or glancing at their thumbprints, in the case that they are illiterate - I know nothing about what it's like to be a mother in the district called Kimara, how many little kiddos already in broad daylight will be eating her ugali tonight, or what burgeoning hopes and brooding worries graced her mind as she walked back from the clinic. It's also the fact that global health, much less neonatal Vitamin A supplementation, does not come even close to getting at the heart of the matter, in Tanzania.

But disheartening moments like these seldom last long, thanks to my darker co-workers. Whether it's food, first dates, or Tanzania we prattle about in that stale, dingy 5th floor office, my data team bros are always reminding me, with their wit, compassion, and love, why I'm in this journey, exactly what and who is at stake here. And as for the daunting challenges beyond the realm of global health? We are taking a collective deep breath and tackling a small one together. Stay tuned, boys and girls.