Blood, Sweat and Knobby Knees by Peg Bowden

Peg Bowden is a retired nurse living in southern Arizona on a ranch near the border. She volunteers each week with the Green Valley Samaritans at an aid station known as  El  Comedor in Nogales, Sonora. The aid station/soup kitchen is a project of the Kino Border Initiative, directed by a binational Jesuit ministry.

*******************************************************************************************************It It is 11 a.m. and 103 degrees outside in Nogales, Sonora. An ancient fan wobbles and clickety-clacks from the ceiling of el comedor, the aid station where I volunteer each week. The fan tries to make a dent in the intense heat and humidity of this monsoon morning. The legendary dry heat of southern Arizona is gone; the air feels like steam.

I am on my bony knees on a concrete floor gently placing the blistered, bleeding feet of my migrant friend into a plastic basin of cool water. He rolls up his jeans and gingerly submerges his feet. Caked dirt and blood cloud the water. Sweat drips from my nose. My back is killing me. Wobbling back and forth on the unforgiving floor, I wonder what in the hell I am doing here. My friend winces as I gently take some forceps and remove the dead skin and small pebbles embedded in his feet.

He is heading to Bakersfield and a job he has held for ten years in a restaurant where he claims to make the best chile rellenos in California. I believe him. Speaking perfect English, he tells me that he has lived in Bakersfield for 20 years. He decided to return to Guadalajara to see his grandmother. He ended up burying her, and is grateful for the time he had with her. With no memory of his grandmother as a young boy, he wanted to meet her before she died. Attempting to cross the border and head back to Bakersfield, he was picked up in the desert two days ago. Deported to Nogales, he ended up at here at el comedor.

I am a retired nurse, a grandmother, and a volunteer at this aid station. Never in my nursing days have I had this sort of experience. It is an act of pain. It is an act of love. I feel like I am a character in the Bible washing the feet of a weary pilgrim. The intimacy is profound and unsettling. There are no charts and paperwork and the slick high-tech machinery of the American health care system. Just a wounded man, a basin of water, and a retired nurse diving into the drama of connecting as best we can. It is all hands-on.

We are both self-conscious and bumble through this together. He wipes his eyes as I pick away at his chewed-up feet. I examine his toes and decide how to best treat the open sores and broken blisters. I am all business and try to put on my nurse face.

We talk about his children. I talk about my grandchildren. He pulls a crumpled zip-lock bag out of his jeans pocket and spreads the wrinkled photos on the table. Two adorable little munchkins in school uniforms are smiling in front of a bus stop. He tells me he must get home to them soon. They need their dad. His wife needs the money from his job at the restaurant.

I tell him he cannot walk for several days. If your feet are abscessed and infected, you don’t migrate. He is staring at the photos; he doesn’t hear a word I say. I find him some over-sized slippers to wear over his bandaged feet. He tells me to look him up if I ever come through Bakersfield. He crosses himself and hobbles out the door.

I never saw him again.

 

 

 

Saving Marta by Morgan Smith

Morgan Smith lives in Santa Fe and travels to the border every month to photograph, write about and assist humanitarian programs like Vision in Action, Pastor Galván’s asylum.  Vision in Action is a private mental hospital that was founded by Jose Antonio Galvan about 18 years ago. He is a former addict who was deported from the US and then lived on the streets of Juarez until he became clean and decided to dedicate himself to helping the mentally ill. Almost all of his funds come from donations.  Smith can be reached at  Morgan-smith@comcast.net.

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Saving Marta

 

L-R: Elia, Marta and Leticia. Photo by Morgan Smith

L-R: Elia, Marta and Leticia. Photo by Morgan Smith

 

It’s a blazing hot July Sunday – 103 degrees – and I’m standing in the desert outside of Pastor José Antonio Galván’s mental asylum west of Juárez. Eight municipal police officers have arrived, most of them carrying automatic weapons. Now two of them pull a woman out of one of their cars. She is wearing only filthy underwear. Her hair is matted. This is Marta.

Earlier the police had called Pastor Galván to say that they were going to place this woman with him. She had been living on the streets of Juárez and no other facility would take her.

Fortunately, Sunday is when Dr. Vicente Pantoja, Galván’s consulting psychiatrist visits so he is able to assist. Nonetheless, when the police tell you to take someone, you do it. There’s no negotiation. As for Pantoja, he is one of only eleven psychiatrists in Juárez, a city of about 1.5 million.

Earlier, Pantoja talked about the differences between our mental health system with its rigid rules about things like the interchange between staff and patients and the Mexican system with its heavy reliance on simple human contact. I see this when Pantoja arrives and the patients rush over to hug him just as they do with Pastor Galván. I see this when they comfort each other. “Es como una familia aqui,” Pantoja says.

Several patients take Marta into the facility and soon a new Marta appears. She has been bathed by several of the women patients, wears a clean blue smock with little fish on it and her filthy, matted hair has been shaved. A male patient named Benito is gently trimming her long, cracked, dangerous looking fingernails. When he points to her broken, torn toenails, however, she shrieks and runs across the courtyard to a cement bench in the shade.

“Let her calm down.” Galván says. With her shaved head, wide shoulders and thick tattooed arms, she looks like a wild animal.

Finally a tiny patient named Elia approaches, sits next to her and puts her hand on her shoulder. Elia has a speech defect; the only word I can understand is “foto” because she likes to be photographed. Nonetheless, she has a sense of when other patients need consoling. Her older sister, Leticia – smaller and even more incoherent – joins her.

They lean towards Marta who has covered her face with her hand. We can see how well trimmed her fingernails are now but we can’t see her expression. We watch in silence as the minutes tick by. Is she about to explode? She is big enough to hurt both Elia and Leticia.

Finally her hand comes down and we can see her face. She is smiling. Maybe now she’s part of the family. This is what Pantoja was talking about. This is the environment that Galván has created, one of caring and affection, an environment of dignity.

 

About 6 weeks later, a patient named Blanca kisses Marta whose hair has partially grown out.  Photo by Morgan Smith

About 6 weeks later, a patient named Blanca kisses Marta whose hair has partially grown out. Photo by Morgan Smith