everything.

it has been difficult for me to write lately. partly because days need space for words to creep in. partly that, but partly because across the street, a music store has opened. perhaps “music store” makes it sound a bit grand. it is a tin shack with half a dozen tapes and one gigantic speaker. at 8 am, their generator starts up and, seconds later, booming congolese tunes strain the speakers. i just sat down, enjoying some quiet for the first time this evening, hoping that a spare, bare wire may have dropped into a puddle and stunned the owner (temporarily). alas. i have been intending for a few weeks to write a smart ass post about how avant garde the minimal techno scene is here, how it was so minimal and meandering that you couldn’t even find the beat. found it.

i’ll be right back.

it is quite late. near eleven. deng graciously turned the music first down, then off. i have finished a preliminary pack. six months worth of living. it took me twenty minutes.

the abyei night. the clicking of crickets, clacking of generators. every few minutes a bat flutters in, swoops and dives its way through the crowd of insects hovering around me. mosquitoes dance over my hands then land. i blow them off. a vine that i have been watching for a few days has now crept into my tukul, and decided, for some reason, to turn left and follow the wall. i marvel at the gentle insistence of nature. quietly, it would reclaim this tukul if i let it. only bats and bugs and vines and clicking crickets. it is one of the things that gives me some solace. if we humans don’t figure it out, if we use everything until there is nothing more to use, and slowly or suddenly join fossil record, it’s ok. there are other things besides us.

mosquito whining in my ear.

one night, a month ago, i stayed up late talking to Maurizio. he told me how he had studied nuclear engineering because he wanted to know more about the universe, more about that one billionth of second right at the beginning where before it, there was nothing, and after it, everything. everything.

i told him that when i finished in africa last time, traveling with a photographer and writing about disease, she suggested that we work together again. i asked her on what. she wanted to travel the world and take pictures of people dancing. i suggested to her that we go looking for magic.

i felt foolish when i told him the story. i couldn’t explain it well. i didn’t mean voodoo, or trickery. i meant the unexplainable. like that one billionth of a second. the deep mystery of life and of time.

how do we know what life is? why is it that if we all read the headline tomorrow “LIFE DISCOVERED ON MARS”, it could describe a lichen, a bacteria hovering around a hot vent, or a wise wrinkled martian, but we would all know it was life, instantly, everyone. we would all recognize that silky equation where one doesn’t stay one, it grows, then changes, then becomes two. why that? how amidst all of the cold rock hurtling through cold space did this happen? sure, water meets carbon dioxide meets the light from a star, lipids form a bilayer and one of the little bubbles folds around a delicate piece of protein that twists on itself and pokes through its slippery cover. and then? why does that make two? why that silky equation?

though unknowable, its beauty is unmistakable. but that is what i meant by magic. and that is what this work is about. and the writing. we don’t have to look as far as mars, only around us.

we live in a blessed time where we have the chance to see it as never before. and the true gift is, we aren’t only resigned to recognizing it, we are given the chance to care for it. to let it grow. while we will never be able to answer the question, “why are we?”, we can ask with all the knowledge of where we are, “where to from here?”. we have never known “here” so well, never had so many tools.

this is our question. though its answer will not tell us why we are, in it we will discover what we are.

i would not be here, not in abyei nor in front of this computer screen, if i didn’t believe that what prevents us from treating the world and its living things more carefully is not indifference, but distance. the distance from the plastic wrapper in the gutter to the overfull landfills teeming with garbage. the distance from the groaning shelves in toronto’s organic grocery stores from the people in akur eating grass. that’s it. it is easy to remove for me. i can come here. i can only write about it for those who cannot. but that’s what i try.

i left. just now. i am on call. my last. i was called to the bedside of the woman i spoke of earlier, the one whose perineum was burned so badly after delivering her baby. she has been in the hospital for weeks. her fever would come, and go. she was losing weight, refusing to eat. tonight, just now, she started to lose her breath. when i put my stethoscope to her chest, it sounded like she had inhaled a handful of marbles. i gave her some oxygen, some lasix. i could think of nothing else to give, so i left. she won’t live the night.

allow me to answer one question. if this woman was in toronto, would she be alive tomorrow? yes. absolutely. and it is my belief that there is a part in all of us, as life not just as humans, but a deep integral part of that silky equation, that knows this is wrong. the problem is, i can’t answer alone what to do about it. we will everyone’s help with that.

it is late, this is long. my last day tomorrow. i feel sad. i don’t want to leave. i worry about everyone i leave behind.

i just stepped out of my tukul to get some water. the night is clear, silver pepper stars. the milky way is so bright, a smear of a million suns. did you see it?

from nothing, everything.

About James Maskalyk

James Maskalyk is an emergency physician and, when not in the field, lives and works in Toronto. His first mission with MSF was in Abyei, in a small hospital on the still contested border between North and South Sudan, and his blog from there became a book. He is in the field again, working and living in a refugee camp in Dadaab, Kenya, home to 300 000 displaced Somali people.
This entry was posted in Emergency Physician, Kenya, Refugee camp. Bookmark the permalink.

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8 Responses to everything.

  1. Racheal says:

    James, Thank you for what you wrote. Its not every day someone answers a troubling question or gives you some inspiration to do what you really want to do but lack the courage. I think you have an amazing heart to do what you have. I have only read ‘everything and the next, but will read them all now. Not enough people in this world are aware of what you do, you deserve a medal the size of a frying pan! Wishing you all the best. Rachael

  2. George says:

    James,
    Thank you for everything. It has been amazing. I followed your posts and I am going to miss this.
    Take care,
    George

  3. Toby says:

    Dear Dr. James:

    Thank you for opening up a window into your world and sharing your insights, your observations, life in Abyei, and your heart.

    I will miss both your posts and the comments.

    I hope that you keep writing and sharing.

    Safe journey home.

    Toby

  4. kelsey says:

    you writing is beautiful and heart wrenching all at the same time, i will be sad to not read your posts but appreciative of what i have been able to read of your time there.

    thank you

  5. Tess says:

    You’ve crossed the finish line…exhausted….You’ve drained yourself emotionally, physically….Without checking your time…you instinctively know….it’s a personal best….

    My sincere thank you for providing me with many hours of creative, inspiring reading…and resultant introspection…

    You have succeeded in raising awareness of the inhumane injustices done to so many simply because of the location of their birth…

    More importantly though you have succeeded in making many aware that beauty exists even in the most hostile and incredibly difficult environments… Your picture of the bicycle adorned with flowers… is so… devastatingly beautiful… So many of the difficult moments you wrote about… were cloaked, unknowingly I am certain, by your humanity… which made a difference in the lives of the people you touched and therefore made the reading more palatable…

    I read this once: This Nation will remain the land of the free only so long as it is the home of the brave – (Elmer Davis)

    It is only because of brave people like yourself, who unselfishly choose… to extend basic rights to those unfortunate enough to not have access to that which we so readily take for granted in the western world…. that our own freedoms and rights… are not eroded….

    Leaving something familiar for which you are fond of… is never easy… It’s not suppose to be easy… It’s suppose to hurt and be painful…. If it didn’t… it would be forgotten… Your… worries… thoughts… fond feelings for the people of Abyei… have been scorched into your memory… I’ve always thought no place is better than the one you just left… The most common mistake people make when I say this is to say that isn’t true because of the effect the place had on them…. The way to look it is to ask what effect did I have on that place… I like to think I leave places better than they were before I arrived… I don’t think there is any question that you have left the people of Abyei better than before you arrived…

    Travel well and safe…

  6. carla unger says:

    Jay,
    I’m going up to kiss my kidlets g’night. From nothing – everything. Safe travels home.
    Cea.

  7. Warren says:

    Thank you for providing so many incredible insights over the last few months. I will miss your blog. Maybe one last legacy could be the Techno scene of Abyei. I can see it now “DR DJ Masaly” in da house!:

    http://www.cmaj.ca/cgi/reprint/167/9/1045.pdf

    Good luck with whatever you throw yourself into next.

  8. Arabella says:

    I am definitely going to miss you….although that sounds odd. I look forward to your posts so much. You lessen the distance that allows us not to care.

    Lasix. Ha. Where I live, its the racehorses that get it.

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