Sunday, September 14, 2014

Eighteen-18

While in The Gambia I celebrated my eighteenth birthday and this got me thinking what it meant to be 18 in different cultures. 

At the age of eighteen you are seen by the law as an adult, you can vote, you can buy a lottery ticket, and if you commit a crime you are now tried and sentenced as an adult. But are you really an adult? Do others perceive you as an adult? There is some unseen line that we cross on our eighteenth birthday the line between childhood and adulthood. It is like crossing the border from Florida to Georgia, one minute  you’re in Florida and the next you’re in Georgia. It almost seems like you are in the same state, like you never left Florida in the first place. The only way to know is the sign saying “Welcome to Georgia.” What most people miss however is the sign directly after the welcome sign displaying the Georgia law stating that talking on the phone while driving is illegal, . even though it is legal in Florida. A new state, a new set of rules. Much like the new set of rules you get when you turn eighteen.  When you turn eighteen, you get a birthday card as your welcome to adulthood  and a new book of rules to follow.

However it is not the distinction between a child and an adult that interests me. It is the difference between eighteen year olds around the world. There are small differences like the difference between me and my cousins in the UK when they turned eighteen. Living in England, turning eighteen meant my cousins could go down the street to a pub and legally order a beer. A rite of passage I will have to wait three more years to partake in. For them their eighteenth birthday also signified that they could now drive a car, something i have been doing since i was sixteen. These differences seem small and insignificant compared to the differences I here in Africa.

I first noticed it a month ago when a new patient walked in with her one month old baby. She looked young but many Kenyans do. The baby was sick, just a small cough that seemed to be going around the neighborhood. The nurse prescribed medicine for the cough and paracetamol for the pain and small fever.  She paid and left and I did not think twice about her. Two weeks later she came back her baby was feeling better but she was experiencing some pain while breastfeeding. That was when I looked down at her chart and read that she was only eighteen. As the nurse examined her I sat there holding her now six week old daughter. The pain was caused by a small abscess, nothing serious it would burst by itself in a few days and the pain would go away. The nurse prescribed more pain killers and once again the patient paid and left. This time however I could not stop thinking about her.

The expectation of eighteen year olds today in the developed world is that they graduate high school and go off to college. At least that is the American expectation. But what about other countries expectation. Are eighteen year olds in China expected to do something different? What about in Russia? Brazil? India? In Kenya is it expected for our patient to start a family of her own and have children when i still feel like a child in my family?

I wake up at 8 am  to go to class. Our patient wakes up four times throughout the night to feed her crying baby. I grab a bowl of cereal for breakfast. She milks the cow and makes porridge for her family while she still has not eaten. I spend a few hours in class. She spends her whole day cleaning the house and working in the farm. I throw my clothes into the washing machine and press start. She hand washes not only her clothes but her families clothes as well. I spend my extra time hanging out with friends and watching Netflix. She has no extra time.

There is no difference in age but thousands of differences in life. Eighteen!!!
Love always,
      Niamh


No comments:

Post a Comment