Chapter 1

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This bingo card has a free space and 31 words: That access was surprising; he was just so receptive, I drew the last clinic on a napkin, how little the practices of architecture and design intersected with global health, I couldn’t believe that this guy was writing back to me, It was meaningless. I was also totally failing on the project, What are you doing here? You’re clearly not here for long enough to make a difference, He was very skeptical, It was in that first couple of weeks that I really built these relationships, I was just so inspired, Bruce and his crew were thinking about architecture completely differently from how I ever had, He was literally making everything, There, if someone needed a chair, Bruce made a chair, Nizeye’s focus on local labor and local materials made a profound impression on Murphy, I had seen well-intentioned designers parachuting into unfamiliar places to ‘help,’ only to be crushed by the complexity, It was not a good design; we just didn’t know what we were doing, They needed to be back there, living on-site, working side by side with PIH and the community, It was this very, very intimate, iterative design process… with medical professionals on a day-to-day basis, No one knew how it should be configured in this remote context, There was an expectation that it had to be different, If it can happen here, it can happen anywhere, What value is that going to provide?, It also helped me at least start to hone in on what would be useful for me to do, I wasn’t burdened by the way architecture is made in the U.S., This is a terrible idea, What could they possibly have been thinking?, Thank goodness Murphy and Shioiri-Clark didn’t listen to me, I really don’t think this is what you want to show, It’s not the kind of inspiring architecture that we were hoping for, More than designing the building together… they were building relationships rooted in trust and understanding, They knew how an operating theater at the Brigham should be configured, but no one knew how it should be configured in this remote context and Over many months and years, the two developed a strong relationship built on trust, hard work, and mutual commitment.

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