My Foolish Indian Surprise


I knew I’d be wrong the minute I started having doubts. That’s how it always works. I say to myself, “I won’t like this new place because…” either out loud or in my mind and then, after a few days of settling in, I find my place and start to think about how I don’t want to leave. Can I tell you how many places on this journey I’ve thought, “Noo… but I don’t want to go now!” after saying, “Meh… it’ll be OK” at the beginning or even fully flat out disliking a place from day one?! It’s a pattern that I’ve begun to recognize and now take note of, but it still held true for India, and I should have known better.

Backwater tour views

We’re in India, Kerala, Cochin, Fort Kochi. This region has been a prominent spice exporter since 3000 BCE; it is ancient. Kerala is the “spice garden of India” and was an important trading location on Silk Road.  For years, I’ve had an interest in maps and the ancient spice trade, so I was very excited to learn I’d be coming to one of the historical landmarks and origination points. Unfortunately, we weren’t able to find any “tours” so to speak that explained the spice trade’s history. At least I can taste the spices in person as I eat throughout the city!

By Whole_world_-_land_and_oceans_12000.jpg: NASA/Goddard Space Flight Centerderivative work:Splettederivative work:Bongan - Whole_world_-_land_and_oceans_12000.jpgSilk_route.jpg, Public Domain, https://commons.wikimedia.org/w/index.php?curid=35995542
We are staying in the southeast of India and are the blue point on the coast.

Kerela, as a state in India, is one of the country’s most well educated, healthiest, religiously diverse places with some of the highest gender equality ratings to boot. There’s far less poverty here than in the rest of India, so the stereotypes that I’ve heard about begging has hardly rang true. Truth be told, it’s so similar to some parts of Southeast Asia it’s like we’ve just moved sideways, but definitely not into an entirely new dimension. Most people speak English and it’s often far better we’ve experienced in Southeast Asia. There are even two bookstores here where I’ve purchased inexpensive classical English literature short novels, The Land that Time Forgot and The Old Man and the Sea. Tis good to read real books again!

Lunch on a palm leaf

There’s not too much to do here in Kerala, but that’s OK by me. Earlier this week we did a Backwater non-mechanised boat tour, where we snaked through small canals and struggled against the winds on open waters with just bamboo sticks to move the boat downstream. Along the way we visited a traditional village where we had our lunches served on palm leaves. The food was some of the best I’ve had thus far! We also visited a small scale calcium carbonate processing “factory”, run by just a few men covered who were covered in white powder from their work, where they take spent oyster shells and naturally turn them into calcium oxide and hydroxide. In another location we witnessed how rope making is done through soaking coconut husks and then twisting the dried fiber together. The ropes are very strong and used throughout India. The best part of the day, however, was meeting fellow travelers. We had so many great conversations with interesting people and it really did refresh my spirit. One of the couples even invited Jason and I out for beers that night, which I obliged and enjoyed a beautiful sunset paired with even deeper conversation.

Rope making demonstration

Yesterday, after Jason told me he wouldn’t be eating lunch, I ventured out to seek sustenance. I have to eat twice a day… it’s just the way I am. Or at least snack a few times! Regardless, I stumbled into this place called, “Upstairs Italian Restaurant”, even though I was eating at the ground floor cafe. I ordered a chai masala tea and a masala omelet and began reading my book. A man came in holding framed pictures and started asking me what I thought of them. At first dismissive, being a woman alone in India, I eventually started chatting with him after he asked the easy question of, “Where are you from?” Turns out, he’s been all over the world and lived in LA for a few years, working at a Sheraton Hotel as a chef. He’d also cooked in Rome for several years, which translated into his love of Italian foods and thus his speciality restaurant. He said every September and October he shuts down and travels. He’s interested in going to Mongolia next, or studying pastry making in England. After nearly three hours of conversation I realized I needed to head back to the homestay to get ready for the dance!

More backwater views

Traditional dance seems to exist all over the world and we’re lucky to have witnessed two dances thus far on the trip. First, we watched a Balinese dance that enchanted and in some ways spooked you with their rapid eye movements, intense makeup and costuming, and jutting arms. Here in Kochi, it’s much the same. Both dances come from a Hindu tradition, so they share many similarities. There are no words spoken during these performances, only music. During the Kochi performance one of the actors was permitted a tiny meep-like noise that made me nearly squeal with excitement every time he did it. It’s a performance art that I doubt I’ll see anywhere else.

Makeup application before the show
Shot of the play

On Friday, we head to Mumbia, formerly known as Bombay (India is taking the name back over as Bombay was a British term). It’s a city with 20.7 million people. It won’t be the most densely populated city we’ve visited as that honor squarely goes to Tokyo with 37.8 million people. Delhi is a solid second with 24.9 million, but we won’t be heading there. Mumbai is going to be starkly different than quite, quaint Kochi. I still have doubts that I’m going to enjoy it there, but it’ll only be for four days and then we head to Greece!

Oldest European church in India

The Wats of Angkor in a Picture Post


Cambodia’s Angkor Wat complex is a dream within a dream. Offering endless opportunities to wind your way through history and discover a world from 1,000 years ago. Angkor Wat is the common name for the structures, with Wat meaning Buddhist Temple in Cambodia, Laos, and Thailand, but there is far more than just one Wat to explore.

According to UNESCO:

Angkor, in Cambodia’s northern province of Siem Reap, is one of the most important archaeological sites of Southeast Asia. It extends over approximately 400 square kilometres and consists of scores of temples, hydraulic structures (basins, dykes, reservoirs, canals) as well as communication routes. For several centuries Angkor, was the centre of the Khmer Kingdom. With impressive monuments, several different ancient urban plans and large water reservoirs, the site is a unique concentration of features testifying to an exceptional civilization. Temples such as Angkor Wat, the Bayon, Preah Khan and Ta Prohm, exemplars of Khmer architecture, are closely linked to their geographical context as well as being imbued with symbolic significance. The architecture and layout of the successive capitals bear witness to a high level of social order and ranking within the Khmer Empire. Angkor is therefore a major site exemplifying cultural, religious and symbolic values, as well as containing high architectural, archaeological and artistic significance.

The park is inhabited, and many villages, some of whom the ancestors are dating back to the Angkor period are scattered throughout the park. The population practices agriculture and more specifically rice cultivation.

I don’t want to talk too much about our time there, except to say if you’re wanting to have your breath taken away at an affordable rate go to Siem Reap. The people are kind, the food is delicious (just… be careful 🙂 ), and there is plenty to do and fun to be had. Beers are as low as $.50 for a draft. The city is lively and filled with tourists. We met some great local characters who never seemed to be without a smile. While Cambodia is still raw from the Khmer Rouge genocide that ended just 38 years ago and led to the deaths of an estimated 25 percent of the total population (around 2 million people), the spirit of the people is ever resilient and they fight on.

Click on any picture to blow it up and see it in greater detail. This is my first album, so hope you like it!

 

A Bout of Salmonella in Bangkok


No one wants to get sick. Yet, it seems as if illness has been a common theme in my travels thus far. Between colds to travelers diarrhea to strep throat, I’ve had my fair share of sicknesses in the past six months. Most have been minor annoyances. I don’t like being sick, I complain about it. And, I’m a bit of a hypochondriac (I can hear Jason saying, “a bit, ha!”) so I tend to overblow my illnesses at times and become paranoid over things like having the feeling of a lump in my throat (the entire goddamn day long) or minor twinges of pain in my chest (chest pain = immediate emergency, except when it doesn’t).

Yesterday was a test of my mild paranoia gone right! A few weeks back, due to those weird twinges of chest pain, I decided we were going to Bangkok and I was getting a female cancer screening. In the US, I’ve had serious trouble getting physicians to perform breast exams on me and I cannot fathom why. It’s something that if I don’t ask for repeatedly they will not do. Having a young cousin who had breast cancer makes me exceptionally aware of the risks and there just seems to be no reason other than prudishness or laziness for them not to examine me. So, I scheduled for the full package, far more comprehensive than a GYN visit in the US is, and one that would only cost me ~$217 in total (without insurance) and booked the flight.

Jason wasn’t too happy about my trip plans. He thought it was a waste of time and money to entertain my deluded phobia and that it interrupted our plans to do something more fulfilling than going back to a city we both didn’t really enjoy. Still, we went. Upon arrival I felt fine, just a little touch of diarrhea, which is so normal at this point that it’s to be ignored. However, on our second day here I developed a fever and knew it. You don’t need a thermometer to know you’re feverish, you can feel it all over your body. With fever, and diarrhea now every hour or so, I began to feel completely terrible. My heart rate soared while laying down, my body ached, and at times breathing wasn’t as easy as I’d wanted it to be. That night, I didn’t sleep at all. Every time I began to fall asleep I’d jolt up. It was like my heart wouldn’t slow enough to even let me rest. By 5:30 a.m. I was done trying. Jason and I had a 6:30 a.m. alarm for my previously scheduled appointment for that day, so I just stayed up till we had to go.

Upon arrival I told the receptionist that, yes, I am here for an appointment, but I’m not feeling well today. This is Thailand, English isn’t their first language and often times it’s limited at best, so they basically said, “We’ll do the cancer screening first, than check you up”. OK, I wouldn’t do it in that order, but I’m not going to argue because I’m in a safe space now. I go back to get my vitals check on and, low and behold, my blood pressure is up and my heart rate is 144 bpm. Upon sitting, two nurses come back over to me to check my vitals again, because they probably thought they didn’t get a good reading. Nope, reading worked, I’m just ill.

I am called into a doctor’s office that’s more office than anything else and sit down at his desk. He doesn’t touch me, except on the wrist to feel my heart rate, when I tell him in the past few weeks I’ve had heart palpitations and my heart rate is high now. He does listen twice with a stethoscope to my lungs. He asks me why I’m here, “Well, it’s for the female cancer screening, so they said I’ll do that first.” “No, you have an infection and if we do the screening the test results won’t come back properly. We’re going to admit you to the ER, are you OK with that?” I guess I am now!

When I was a little girl I twisted the chains of a swingset together at my grandmother’s house and looked up. Rust sprinkled like dust into my eye. I had to go to the ER to get it taken out with a magnet. I’ve had surgery before, minor but still surgery. I’ve been to medical clinics at few times. But, I’ve never been admitted to the ER. This wasn’t the plan for the day!

In ER admitting, they do a quick EKG (I don’t know this at the time, questions are hard to ask and are often met with nods or vague answers) and then I am fitted with an IV. Someone with much better English comes to me and tells me I’m staying overnight, so would I like a private, semi private, or dorm style room? I’m overwhelmed, Jason isn’t allowed in this area, and I feel like crap so I don’t know the right answer, but opt for the private room because we have insurance and, at worst, it’s $100 a day for the room, food, and 24/7 nursing care (not including meds). I am wheeled up fairly quickly and get started on some antibiotics and IV fluids to rehydrate me. The room is large, has a private bathroom, and accommodations for Jason to sleep on the couch. There’s a table and the food isn’t half bad actually! While I’m reluctant to eat at first, knowing what will happen, I realize I should because I’m in good hands and haven’t had a meal in well over a day. I settle in.

A new doctor, Doctor Nick, comes in hours later to tell me I definitely have a bacterial infection and he highly suspects it’s e. coli. It’s very common in this part of the world and easy to treat. Most people don’t even seek medical treatment for it (although, to be fair, I didn’t exactly seek it either, but I’m glad I got it!) they just suffer it out with fever and sickness for a few days. He says they’ll do a stool test and he’ll be back in the morning to confirm exactly what’s wrong.

During the night I have one more battle over my fever, but quickly overcome. By midnight I’m declared fever free with a great blood pressure and heart rate! I can rest easy, until 4:30 when they wake me up for vitals again. No problem. I fall asleep quickly and get about 6 hours in, which is nice compared to none the night before.

After eating some breakfast the doctor comes back (“Hi Dr. Nick!”) and tells me, actually, I have Salmonella and not E. Coli. This is my second bout of salmonella in my life, and the second time I needed IV treatment for it. The first time I was in Ocean City, MD, on a vacation with my friend Stacey. I’ve got to say, it was rougher then than it is now, mostly because we waited days for medical treatment and I was throwing up too. My mom thought, “It’s a stomach bug, you’re fine”, but with no improvement it was determined I am not fine and in fact needed some interventions. Some people react more strongly to certain bacteria than others, and for me salmonella is particularly potent.

Because Salmonella is an infection of the walls of the intestines, and because it causes blood in the stool, the doctor has asked me to stay at the ER throughout today. Our flight to Krabi isn’t till tomorrow, so sure, why not! Our hotel room really sucks anyway, and our neighborhood has either really expensive food or the highest concentrations of prostitutes outside of Pattaya. So, we stay one more day and I will make fully sure that the salmonella is kicked out of my system before going off to other tropical lands. At least this isn’t malaria or dengue. We have one more month in Southeast Asia (which includes India) so we’re going to double up on bug spray and I’m going to be extra vigilant about what I eat and where it comes from. Thank goodness Jason isn’t sick like me also, or we’d be sharing a room!

Thanks to all my friends who sent me well wishes! Being sick in a foreign land is scary. Being sick in America without adequate health insurance is really really scary. Being sick is just plain scary. I truly hope this is my last bout of illness on this adventure.

UPDATE: After spending ~72 hours in the hospital I’m back at the hotel room, just 24 hours prior to our flight to Krabi. The doctor released me, saying the salmonella is on the mend and I should be fine after taking my course of antibiotics. My only real complaint from the hospital is their lack of english language skills among the nurses, which made it scary when I felt I had a problem that I couldn’t articulate well. Thankfully, I wasn’t in much need to worry. The nurses were incredibly sweet and took excellent care of me. Jason even got them a basket of treats as a thank you gift 🙂 Dr. Nick was completely willing to answer every question I had and even helped me resolve an ongoing medical complaint that I was having with the throat lump. When I told him I was nervous about the course of antibiotics that I’m on due to the risk of tendon damage (news is out this week about it that scared me) he knew exactly what I was talking about and assured me the problem is rare, happens in people who are generally older and/or have taken this kind of antibiotic over and over again. He made me smile many times over.

For my care, I put an ~$850 deposit down. Upon checkout today I got back $221 and that’s after I was able to do the female cancer screening. That means for a three day hospital stay, out of pocket, with 24/7 nursing care, a private room, meals, and tons of drugs it cost me just about $550. Are you shocked and awed at the US medical system after hearing that? I am.

We weren’t going to go to Bangkok, but I’m so glad we did, because apparently I had been harboring the infection for a few days and by the time we got here it was ravaging my body. The doctor told me today, “I’m glad you came in, because your white blood cell count was really high! Normal is about 6,000 and yours was 16,000. If you didn’t come in today, you’d have come into a hospital soon enough and might have gone septic, which requires a 7 day IV treatment.” Whew! So glad I had the appointment and trusted my instincts to make it a priority to take care of myself.

Thanks again for the thoughts and well wishes! I feel so loved, even being so far <3