Thoughts

Conflict Management Professionals as Early Responders to Disasters – a Call for Comments

Written in collaboration with Amaza “Scottie” Reid, Mediator, Assistant Attorney General, Maryland and Adjunct Professor, University of Baltimore School of Law

As we all viewed the horrific effects of the earthquake in Haiti, thinking back to other “disasters” of recent memory – the Katrina experience as well as the Tsunami – I think we can all agree that these disasters may bring the best out in people and also, at times, the worst. Some of us may have lived through the stress of a loss of a family member; damage to personal property; a missing relative; temporary hunger or thirst; loss of phone service; etc.

But can any one of us really imagine the stress of several of these events occurring at the same time: The fear of imminent loss of life due to a natural disaster that has no known end, but produces shocking immediate consequences acutely perceived by all senses:


The trauma of being trapped:

 

Children lost; orphaned; confused; scared:

As the dust settles, reality settles in:”Where is my child?””Is Daddy coming back?””I have no water””Daddy, I am thirsty””But officer, my baby needs food!””Can you find my Mommy?””Where should I go, my house is gone?””It is dark””I am hungry””I am bleeding””I am trapped””I cannot see””The hospital is gone””There is no food””Can someone help?”That is the question — Can Mediators help or will they get in the way? Are Mediators able to help? Are there needs which are unmet or inadequately met by the First Responders as we know them now? First Responders are not to be taken lightly. They are perhaps some of the most fearless, caring people the world has to offer each other.They work in the worst of situations; and are pushed, pulled and tugged by those they serve. Some are there to pull people from buildings; others to give medical care; others to feed, clothe and shelter. The success of First Responders is a great cause for celebration :

However, for every success there are far too many stories of frustration and heartache. Stress prevails. The conditions are, understandably, too much for the people affected by the disaster. People are desperately trying to continue their lives, with no water, food or sanitation:

They may have spent the day looking for a relative among the departed:


Or been told to stay away:

Or, told, “You must stay, we cannot let you in here”:

So they react poorly:

People fight for food and water to feed a child, a dying parent or friend. They feel that needs can be met only through aggression. And the aggression increases, as each day passes without food, shelter and sleep. Some choose other behaviors:

Would an organized team of highly trained mediators, conflict coaches, communication coaches, group facilitators, peacemakers and other professionals with the expertise to provide these services be able to intervene in a helpful way? Not to save bodies, but to save minds; to
counsel; to calm; to be of service not only to victims, but also to first responders as well. What are some of the services that an Early Responder team of mediators, supplemented by these other professionals, may provide?:


Communication Coaching

Preparing people for the delivery of emergency healthcare  
Explaining triage

How to communicate your needs

Are your expectations reasonable under the circumstance

Understanding your alternatives

Preparing people for the delivery of food/water

Coaching that cooperation speeds delivery

Coaching that order, not chaos, gets results

Teaching cooperation skills

Advocacy Skills Training
How to communicate your needs effectively

How to deal with bureaucracy
A collaborative exchange for more open communication and sharing

Community Trauma Healing
Creating safe and supportive environments
Learning how trauma affects the brain, body, and mind
Learning conflict transformation skills
Supporting peaceful collaboration
Developing rituals – storytelling, play, spiritual practices

Child Trauma Healing
Giving Children a Voice – the needs of children as voiced by the children themselves need to be heard
Sponsoring children’s discussion groups
Creating opportunities for children to play

Can a protocol be developed where these peacemakers, once on the ground may respond to hot spots; are placed at care distribution sites to deal with the high emotions that are prevalent in such situations; to prepare people in advance for a food drop or distribution; to prepare people for an evacuation. In short, to offer meaningful and effective help that complements and supports the work of the First Responders?We welcome your comments.

 


Maybe a thank-you instead of a complaint

I am tired of hearing car dealers complain about waiting for their checks form the government, or say that now they are just worried about getting paid by the government.

The taxpayers have funded huge bailouts of the auto industry. And now for a little icing ont he cake, we throw a couple billion dollars or more their way.

It wold have been refreshing tohear a thank you or two — to the taxpayers who continue to bear burdens we do not understand, and to the half a million or so customers who showed up with their checkbooks to buy cars clearing out inventory.

What a great thing — ” we couldn’t handle the volume” — “all of our inventory is gone” —

Not so great — “we are worried about getting paid”

Shameful — no appreciation expressed.

“My Name is Lulu” – a story of determination and a model for accepting responsibility

 

A little personal background will help to let you know how I met Lulu. I spent the major part of my  legal career representing people who were harmed as a result of the behavior of others. Somewhere in that process it occurred to me that I was not very happy doing that anymore. There is an unattributed quote, that goes something like:             
 
 ” Money won’t bring you happiness, but happiness can bring you money. ”
 
Well. I felt like I was living the first half of that quote. I think it came about as a result of my frustration with the litigation process that, to me, encouraged litigants and their attorneys to ignore the concept of accepting responsibility for behavior.  This was by no means universally true, but was only my perception as a result of where I was, then, in my career and my life. So I gave up advocating for people and decided to pursue a career that focused on resolving conflicts in different ways.
 
Accepting responsibility is something that is a very powerful tool in self-awareness and conflict management. So enough of that, so who is Lulu?
 
Lulu is a former client, now friend. I met her at a very difficult time of her life. She was a “20-something” who had suffered a stroke as a result of certain medical interventions that were ordered by her doctors. But this story is not about that . It is about Lulu and what she represents to me. Now mind you. Lulu is a friend. We became friends during the “case” and remain friends today. So I am biased. But here are my thoughts about Lulu. Lulu represents to me the epitome of accepting responsibility. Here is  her story. It will take a few minutes to read, but please do :
 

MY NAME IS LULU

by

Vicki Palermo

 

My problems started in my junior year of high school with severe cramping and diarrhea. I barely made it through my senior year and graduation. I became so thin and weak trying to work, date and do everything an 18 year old does. Finally I was diagnosed with Crohn’s disease and ulcerative colitis. Alzulfadine didn’t help. I was then given Prednisone, which 21 years later I am still on.

Following years of pain and not being able to get any relief I went to Mayo Clinic. I was tested and told an ileostomy was my only chance for relief. By this time every part of the large intestine and rectum was involved in the disease. Surgery to remove both was recommended. I returned to Chicago to be with family and friends and ask their help in making that decision. I held a great job but the disease was taking its toll. I spoke to an ET nurse, a surgeon and a young woman who had the surgery. Then I decided to have the surgery but in Chicago.

The surgery was in 1988, two days following my 27th birthday. I though everything would be fine and the need to wear a pouch seemed like a small price to pay for freedom from pain and to,once again, be able to be out and about without the worry of where the nearest restroom was. Unfortunately the hoped for relief did not last long. Something had gone terribly wrong and I repeatedly found myself in the hospital emergency room. My stoma was not doing its job and everything I ate was vomited up. My gastro doctor, who I had faith in for so long, told me it was all in my head and he felt I had just given up. I believed then and still do if you are not getting results with your current treatment, run, don’t walk , in your search to find someone better qualified. My doctor also felt my mother was overly distraught and suggested I go home with my aunt, a nusing aide at that hospital. But that night my aunt and uncle rushed me to the hospital where I had emergency surgery on a perforated intestine. I was very near death. From that operation I began a six month downhill spiral, that lasted from November 1988 to Mother’s Day, May 1989.

The intestinal poison spread throughout my entire system. My breathing was extremely labored,causing my lungs to collapse. I was placed on a respirator with tubes inserted into my chest. A few days later I was intubated and put into an induced coma. The massive infection had gone into Adult Respiratory Failure. I received 100 percent oxygen, which I could not be weaned from. My parents were told that in all probability I would not survive. In the wee hours of January 3, 1989 my mother was summoned to the hospital and there in the intensive care room, I was given last rites. Then, although not expected to survive, I was put into a deeper coma.

Slowly I was weaned off the oxygen and the day came when I was to be brought out of the coma. My eyes opened but I did not respond. My mom noticed I would flip the monitor off my left hand but not the right. She mentioned to a nurse that I was taking a long time to come around. The nurse confided I should have responded by then. A scared, nagging feeling came over my mom who began to wonder “Where are all the doctors who had been hovering around? Why isn’t anyone telling me anything?”

Recognizing certain signs, mom mentioned to Gram that perhaps I had a stroke in January when so much had gone wrong. She wanted answers. A large entourage took me for a MRI. My mom’s worst fears were confirmed. I had a stroke and it had damage my brain affecting my right side and eyesight. I could no longer speak. With further study the doctors concluded a blood clot shot through an opening in my heart, when my heart became crushed by the Adult Respiatory Failure. The ileostomy was no longer the major problem. I had the aftermath of a stroke to contend with.

Since that time I have had years of physical and speech therapy, which continues to this day 21 years later. Seven months after the original surgery, in May of 19891 began daily therapy at New Medico in Chicago. It was difficult struggling to regain what I could of my former self. With little use of my right side, arm and leg, limited eye sight and an inability to speak coherently, life was overwhelming. I fought hard and received a lot of love and assistance. I still have Aphasia. Sometimes it is hard to communicate my thoughts, but the difference between then and now is like night and day. 

Perhaps you wonder about the title of my story, especially since you now know my name is Vicki and not Lulu. My dad would visit and try to get me to talk. He had and still does have a great sense of humor and coached me to say “My name is Vicki and I am a creep.” What came out of my mouth was, “My name is Lulu and I need money.” With Aphasia often what is clear in the mind is not what comes out of the mouth. I repeated that sentence over for days. This exchange has for years brought smiles and laughter to an otherwise tragic situation.

My past work history included jobs at the Tribune, Browns Chicken, McDades, a financial advisor at John Amico Beauty School, travel agent, one of my favorite jobs, a Mary Kay consultant, and a secretary at the Daley Center in downtown Chicago. I loved all my jobs but I was medically retired.

We relocated to Highlands Ranch,Colorado in 2005 but I keep in touch with friends in Chicago, including those from the North Side Support Group of the UOAA and folks at the Rehabilitation Institute. I attend the conferences as often as possible. It is great to see familiar faces and recive updates on health issues. I am attending the New Orleans conference and am hoping the next one is still going to be in Denver. 

Today the Crohn’s is under control. My vision has improved somewhat. I wear a brace on my right leg, I can move my right arm, but the right hand will not cooperate. Fate has placed before me many challenges but I try to keep a good attitude. I can walk trails and swim like a fish. I am in Golf 4 Fun with others challenged by disabilities. I am taking tennis lessons and I bowl. I take art classes and one of my works sold at silent auction for over $500.00.1 am writing my memoirs. I spent a week end at Easter Seals camp recently and was able to get on a horse again. Something I have missed. I am looking into some riding programs and hope to get into one this year. Beyond family and friends my support group has been through the Rocky Mountain Stroke Association where I take skill classes in addition to occupational and physical therapies. I also attend the YESS support group there, which means Young, Enthusiastic, Stroke Survivors.

I have had other health issues over the years – a hysterectomy, sinus surgery, a broken shoulder from a fall down the steps at our pool in our complex. Panic attacks are no fun, but fortunately they are few and far between. A case of Pyaderma around my stoma caused a lot of pain and made it impossible to keep a pouch system in place. After medical attempts failed I found a group who I’ll call the “Irish People who work on the aura surrounding your body. Believe it or not, after 2 sessions, the Pyaderma was healing. I did confess to my doctor, he said he didn’t care how it was healed just that it was. I was please to learn he was open to alternative medicine.

It has taken years following the ileostomy surgery to get the Crohn’s under control. But now it is. The move to Colorado seems to have been good for me. Although I missed my Chicago doctor who knew my case so well, I have a doctor here who has been great. My doctors just met recently at a conference and discussed how well I am doing.

With the Crohn’s under control I am concentrating more fully on correcting the disabilities caused by the stroke. People at the support group I attend are consistently inspiring. I have been told I inspire others, which is always good to hear. I am again dating. In 2008 my friend and I traveled to Santa Fe, New Mexico, and this year to the Grand Canyon, stopping along the way in Sedona, Durango, and Moab.

My family is close by. I share a house with my mom. My dad lives about 3 miles away. My brother, his wife and 3 sons live about 7 miles away. The rest of the family is still in the Chicago area, and I try to get back to visit them and my friends at least once a year.

As too many of us have experienced life is not easy. I do the best I can every day. My motto has become “FIGHT TO THE FINISH”

 

 
 

…… So now you know that “Lulu” is Vicki Palermo.

Her story is compelling in that it represents one person to accept responsibility. For what?  you may ask. For her condition and her happiness. It would have been very easy for Vicki to have given up. But she never did. Vicki could have become, very easily and understandably, a bitter young woman who blamed others for her disability and wallowed in the mire and muck of being unable to walk, talk and live like she had as a younger person. But she didn’t.

With thousands of  hours of therapy, incalculable gallons of sweat, and a mountain of determination, Vicki accepted responsibility for making her life a happier place. And she did it! Now her life is certainly different than your or mine, but Vicki is a happy happy person. If you are lucky enough to know Vicki, you will agree that Vicki never blames or complains. She decided, on her own, to recognize her condition and to accept responsibility for changing. In her own words, she has written about where she was,  where she is now, and where she wants to be.

Vicki, as you know has very little use of her right side, has limited vision, and difficulty communicating. (Yes, talking to Vicki is “different.”  But I enjoy it so much. For those who know the challenge of “aphasia ” you will understand.) Vicki was not content to walk again — she wanted to swim, to hike trails, to bow, to golf, to ride a horse – so she learned to do all of those things. She paints, she travels,she is writing her memoirs,  and she teaches.

Teaches? You are thinking I don’t remember that in her story.  But, yes, her story “teaches” by  inspiring other stroke victims, and all of us. She is a stellar exmple, to people all over, of the power of accepting responsibility for our situation and having the determination to make one’ s own happiness.

“FIGHT TO THE FINISH.”
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

 

 
 
 
 
 
 
 
 
 
 
 
 
 
 

The Mind in August

The Mind in AugustA reflection on the Month of August sent by a friend. The author is unknown, at least to me. I heard this morning that kids were heading back to school already and thought that this summer can’t be that far gone already. But yes, it is.