Joe Starke is a South African doctor with a keen interest in emergency medicine. He is currently on his first mission with MSF and is working in an emergency room and inpatient department in Pakistan's North-West Frontier Province. So far he has encountered cholera, endured sweltering heat, monsoon rains and survived a bout of dysentery. He finds the entire experience exhilarating and this is his blog...

They don't let us out much here ? security concerns. But now and then we do get to see some of the more unusual things that go on roundabout. One of the things which continues to be a source of great entertainment to me, as I look out on this other world through the windows of the vehicle, is the ongoing and varied interaction between man and beast.

There is plenty to choose from: hundreds of chickens stacked layer upon layer on the back of trucks and pick-ups, gawking around at their last views of the world as they head to a certain fate; herds of goats wandering anywhere they please, eating whatever they find or dusty donkeys laden with impossibly large cargoes, picking their way through rush hour traffic.

I am particularly fond, however, of the interaction between man and buffalo.

You see, for a man from Africa like me, the African buffalo is a very bad tempered fellow ? highly likely to visit his anger on a frail little human. Not so, it seems, the Asian buffalo! This is without doubt a gentle giant.

On the way home from work each day, I find myself smiling uncontrollably at the site of groups of buffalo, hot and tired after a long day in the sun, thoroughly enjoying being bathed. This simple spectacle takes place in the river that runs through our town. The buffalo, their heads just visible above the water, relax in a state of bliss as their human attendant scrubs and rinses them each thoroughly, hopping from back to back until he has pampered them all.

Something else which lightens up my day is witnessing groups of buffalo loping by, all with henna-coloured hair! Yes, bright oranges and reds between their horns ? just for fun, of course.

But the sight which made me think to write this post, was that of a small boy (weight: 30kg) who couldn?t have been more than six years old driving a very large buffalo (weight: 800kg plus) across the street. In order to do this he was using his stick enthusiastically on the buffalo's large behind.

No African buffalo would ever put up with such treatment! But this placid soul continued to stroll leisurely along, seemingly without a care in the world.

Pakistan can be a perplexing place, filled at times with anger and hate ? unfortunately this is too true of most other places as well. But in the midst of this, we might take a lesson from a peaceful buffalo, and not let the little things get to us.

So, perhaps I can suggest that a luxuriating bath, a new dye job or a gentle walk, can all be ways to leave the frustrations of life behind for a while.

Have an Asian buffalo day!

  • Medecins Sans Frontieres / Doctors Without Borders (MSF) is an international, independent, medical humanitarian organisation that delivers emergency aid to people affected by armed conflict, epidemics, natural or man-made disasters and helps people excluded from health care in more than 60 countries around the world. Read more MSF blogs here