From Here to the Sea

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We had been driving for quite some time, our trip dotted with several detours, by the time we arrived at the final checkpoint. As we came to a stop, there were hundreds of people lining the road, the result of the clearly demarcated “point of no further progress”, which necessitated them leaving their vehicles if they wished to investigate further.

I had expected to find some sort of barrier to prevent further vehicular transport, as Joseph had earlier remarked there would come a place where security would be heavy.

As we approached the checkpoint, even from my seat in the back of the SUV, I could see there was only a small security station with an uniformed officer. He was flanked by an elderly gentleman who sat in a small folding chair holding a thin rope across the road. In retrospect, it would be an inaccurate characterization to call it a rope; instead, it was more like a cord.

Certainly, if we had needed, we could have carried through the checkpoint unabated, likely causing only a slight rope burn to the old man’s hands as it was torn from his grasp. I doubt there would even be a thread on the bumper.

If we had decided to forgo the minor annoyance of stopping at this point, the security officer would have needed to make a quick decision: either climb into his vehicle and begin pursuit, which probably would have caused hundreds more to climb back into their vehicles in an attempt to evade the blistering sun and proceed past the check point; or stood guard, calling for back-up, and awaiting our return at some point, knowing the road ahead only went from here to the sea.


 

Instead, the portly gentleman we had picked up at the last stop jumped out of the back of the SUV, where he had been napping since we departed Rameswaram. He had joined us at the medical clinic for our trip to the sea for this exact moment.

I had not caught his name when he was introduced, even though I had been asked to palpate the abdominal hernia protruding from his large belly when we met some  earlier. Later, I would come to discover he was to return from Rameswaram to Madurai with us that evening in order for him to undergo a surgical repair the following day.

Joseph, who also had joined us at the medical clinic and was in charge of the Rameswaram Trust, remarked that this man had some connections with the police and would have some words with the security officer standing post at the check point.

He returned a few moments later, climbed into the back of the SUV again, and the elderly man dropped the cord separating us from the continuation of our journey. We slowly rolled through the security checkpoint to the amazement, perturbation, and perhaps disgust of those we passed by.


 

The road from here to the sea had been finished months ago, Joseph informed me, but it had yet to be christened by the government, an act set for the following week, which necessitated the security checkpoint. There had previously been only sand covering the narrow strip of land separating the Bay of Bengal from the Indian Ocean until that time.

It had been laid down as a means for tourists to safely proceed to a point where they might find what remained along its path: the remnants of a town destroyed by a cyclone over 50 years earlier. Joseph grimly told me how the cyclone had ravaged the area, resulting in more deaths than he cared to recall. Many people had tried to escape by train or finding cover in the church or school.

When I looked closely, I could see a few railroad ties left visible as we continued along the road; I didn’t need Joseph to describe the scene that must have occurred that day. I could imagine the terror.

The opposite side of the road was pock-marked with destruction. It was barely evident that a congregation had ever met in the structure I was told had been the cathedral. Now sand-blasted and with no signs of life, it was clear no one would have survived.

We proceeded to the end of the road, where a golden monument stood high into the air. The stanchion holding it was clearly vandalized with etchings of remarks and names. Either the elderly gentleman who held the cord was not on watch 24/7 or the two kilometer distance had not deterred scoundrels from walking to this point.


 

As we had made our way from the checkpoint to the monument, the stark contrast between the two receding coast lines was ever more apparent.

The Indian Ocean raged on the south coast, where we had passed the remains of the cathedral. But only 100 meters away, the bay calmly pulsated. I imagined the cyclone washing over the small community some 50 years ago, leaving nothing in its wake but memories, and then violating the bay, distorting its history to this day.

Despite these cruel series of events, our varied group did manage to get a few pictures for posterity’s sake. We snapped photos together in order to commemorate our trip and new-found friendships. The driver even proudly commented he would place the Polaroid photo I gave him on his refrigerator. I sheepishly thanked him for safely guiding us to this point.


 

Our departure from Madurai five hours earlier included the three-hour journey to Rameswaram with the Rose Marie and Davenandran, who led the telemedicine project I had come to observe and the technician to assure its functional capacity, respectively.

Joseph had been alerted to my impending arrival by Rose Marie and joined our troupe at the telemedicine clinic. A man, no older than myself, he was easily the least-accented Indian I had met to this point, I asked if he had studied away from home when he mentioned he was in charge of the Rameswaram Trust.

Expecting that he must have studied in a native English-speaking country, or perhaps had lived there for quite some time before returning to his home town, he reported having only studied at a Seminary more inland than Rameswaram for a short time.

On our trip to the sea, he guided our troupe to a small fishing village where we stopped to check-in with a family he had known for quite some time. They were incredibly comfortable with me as a complete stranger and quickly offered food and drinks. I had not seen another Caucasian person in three days, so my presence was probably tempered by Joseph and Rose Marie. After some time catching up, none of which I could understand, we proceeded on.

On our path back, Joseph guided us to another home, where he introduced me to a woman who cared for the HIV+ fisherman whose numbers were creeping up in their community. She apparently did her best to also educate the townspeople of the treatment and safety of these men, all of whom had been outcast after their diagnosis was made. Joseph informed me this often fell on deaf ears.


 

By the time I returned to Madurai late that evening, I was exhausted but also fulfilled in the days events. It had been an unexpected event to be transported so far from the familiarity of Madurai, which I had known only for two days.

There had been little expectation on my part for what would occur on the way from Madurai to Rameswaram; even less so, the events of what transpired on our trip back to Madurai, most of which I have actually not documented here.

But the day fit with the nature of my overall journey so far, one which has been full of surprises, catching up with old friends, and making new ones. All the way from here to the sea.

The Death of Magneto

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The Birth of Magneto

The Rise of Magneto

The Opposition to Magneto

The Allies of Magneto

Magneto was beginning to feel a cool wave of energy course through him. So close as to almost be one with him, Dr. Bett calmly placed his left hand on Magneto’s shoulder and his right hand, with stethoscope resting in the palm, against Magneto’s chest.

As calmly as the placement of his hand, came the words from Dr. Bett’s mouth.

Don’t be afraid. Don’t run away- stay where you are.”

Magneto, born from tireless experiences of Intern year, knew a last gasp struggle with Dr. Bett would be moot. The poison Dr. Bett had so effortlessly and stealthily placed on Magneto’s mucous membranes was already causing a microscopic cascade of cellular apoptosis.

Et tu, Dr. Bett?”

It was all Magneto could think to say in the moment before his death.

Only Magneto had to die for this ambition,” responded Dr. Bett, recalling Brutus in the moments after he joined the assassination of Caesar.

 

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Since his birth, Magneto had anticipated the greatest threat to his existence to come from his progenitor, Ean the Intern. From Ean’s grueling experience, Magneto had arisen as a counterbalance to the unbridled instincts and passion necessary for survival in Medical Residency.

Magneto had provided the organization and realization necessary to prevent Ean the Intern’s passions from destroying himself from within and ending this fantastic journey in its infancy.

 

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Inadvertently, Magneto became the genesis for the Super Ego, Dr. Bett, who would become the moral compass on their tenuous journey.

Having given rise to Dr. Bett, Magneto was astounded of his own capabilities, but even more so, he was in awe by the strides Dr. Bett had made.

Each step Dr. Bett had taken brought Ean and Magneto closer to their ultimate goal. It also provided them even greater strength. His passion increasing along every one of Dr. Bett’s strides, Ean became harder for Magneto to control.

 

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Magneto’s sole purpose now seemed to revolve around keeping Ean’s passions in check and preventing them from obliterating their common purpose as the completion of Residency loomed ever closer.

Dr. Bett had entrusted this responsibility upon Magneto, from which he expected a long and successful existence.

His last moments, so close to the end of their journey, had not been anticipated.


 

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As the end of Residency became a reality, Dr. Bett began to feel the weight of Ean and Magneto with each step he took. While both had been necessary for his own creation, he could not envision the next journey coming to fruition if he would have to be responsible for them both.

This misunderstanding, which blinded Dr. Bett ever increasingly, gave rise to The Death of Magneto.


 

While Ean could at times create trouble if not adequately balanced by Magneto, Dr. Bett believed Ean’s instincts to be invaluable to their next journey. Simultaneously, Magneto’s own strength, as a counterbalance and as his own entity, could not be overlooked.

 

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Dr. Bett, after painful deliberation, could see Magneto becoming too powerful to control due to the opportunities awaiting them on their next journey. Eventually, Magneto’s strengths could make Dr. Bett unnecessary.

More importantly, Magneto’s relationship with Ean, while needed at this stage, was not deemed to be necessary by Dr. Bett in the future. Dr. Bett could harness Ean’s energy on his own.

And if Magneto eventually realized that Ean was beholden to him, and not Dr. Bett, it would be Magneto, and not Dr. Bett, who would truly be in charge of this journey.

 

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This was a reality Dr. Bett was not willing to allow.

There was a brief moment when Magneto looked into Dr. Bett’s eyes as his vision blurred and the sound of his own heart faded.

Dr. Bett looked as caring and thoughtful as ever.

It was a moment not foreseen by Magneto. But he was comforted by it.

That was the moment. The Death of Magneto.

 

 

 

 

The World is Flat

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Despite centuries of knowledge to the contrary, I’ve considered that Aristotle was wrong.

Or that Sir Isaac Newton didn’t know what he was talking about.

And maybe Eucledian geometry had a major flaw.

None of these amazing scientists or their eye-popping equations accounted for one significant variable: life in the 21st century.

 

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We are living in an age of mankind which could not have been predicted, even by the most sophisticated understanding of the world in centuries past.

I can send a real-time message to a friend in India with imperceptible hesitation between communication devices.

I can watch video of the sun rising upon the Australian shore.

I can order a tool, have it manufactured in Germany, and delivered to my doorstep within a week.

I can view the image of an assassination in Turkey and almost instantaneously share my shock and awe with a colleague located only minutes from the dead body.

 

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I can step foot in each of these countries with the push of a button.


When I left my home in Wichita, KS over 20 years ago, I couldn’t have imagined where my life would take me. At that moment, I was headed East, to Lexington, KY, to start anew after the divorce of my parents.

In the subsequent years, I developed a heightened awareness and independence I doubt few expected. Eventually, those traits carried me even further East to Boston when I was 24; an effort to figure out what I would make of my life immediately ensued.

 

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I took my first step on foreign soil in 2005; I had not yet read Thomas Friedman’s 21st Century Economic Bible, “The World is Flat”, but in a cosmic moment of clarity, I inherently knew my life had been forever changed.

At my brother’s behest, I began reading Friedman’s account of how modern life and technologic advances had defied the laws of physics set forth by nature and confirmed by some of the greatest scientists to ever walk the Earth.

 

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Ten years have passed since I finished Friedman’s manifesto. And my thirst for global excursions has yet to be satiated. Each time I have traveled abroad for pleasure was akin to another sliver of my brain being turned on for the first time.

When I lived abroad for two years during medical school, on a small, moderately inhabited island in the Caribbean, I had the opportunity to see how the world could still be flat, in ways Friedman never expounded upon.

The simplicity, beauty, and innocence of Dominica were unmistakeable at times. But in the next instant, I’d be immersed in the medical knowledge accumulated over the course of millions of hours of scientific discovery. The juxtaposition was remarkable.

 

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I readily acknowledge: I have lived a charmed life; one full of opportunities I have been thankful for; as well as those I’ve created for myself.

Each success has been no small feat. Many were met with significant resistance. Some with initial failure.

But I have been persistent. Persistent in my desire to prove Friedman correct. Persistent in my desire to meld the scientific truths of Aristotle, Newton, and Euclid with the economic realities of modern life.

 

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I only know one way of doing this. To travel. To find the experiences that allow us to come as close to surreal as possible. I crave them.

The World is Flat.

‘Twas a flight before Christmas

 

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‘Twas a bumpy flight before Christmas, when all through the house
Not a passenger was stirring, not even a spouse.
The drinks were all spiked by the flight attendant with care,
In hopes that in Boston, we all soon would be there

The children were all screaming, wanting to be home in their beds,
While visions of Pokemon-Go danced in their heads.
And the grandma in her ‘kerchief, and I in my hoodie,
Had just settled in for our last flight, a gut-wrenching goodie.

When out on the wing, there arose such a clatter,
I sprang from my seat to see what was the matter.
Away to the window I looked with alarm,
To see what it was, causing us such harm.

The moon on the breast of the new fallen snow,
Gave the lustre of mid-day to Boston below.
When, what to my wondering eyes should appear,
But a ruby red sleigh, and eight tired reindeer.

With an old lost driver, so chubby and adorned like a hick,
I knew in a moment it must be St Nick.
More rapid than eagles his coursers they came,
And he whistled, and shouted, and called them by name!

Now Dasher! now, Dancer! now, Prancer and Vixen!
Oh Comet! Oh Cupid! Oh Donner and Blitzen!
We landed on the wing, not atop a porch or wall!?
Now dash away! Dash away! Dash away all!”

And then, in a twinkling, I heard on the wing,
What sounded like the Angels, beginning to sing.
As I drew in my head, and was turning around,
In through the cock-pit door St Nicholas came with a bound.

He was dressed all in fur, from his head to his foot,
Like an 18th century Appalachian trader, all covered in soot.
A bundle of sticks he had flung on his back,
Unexpected to be stranded, even he thought the flight was whack.

His eyes-how they twinkled! his dimples how merry!
His cheeks were like roses, his nose like a cherry!
The plane jumped around in the air, soft like a bow,
And the passengers cried and whaled like a newly shot crow.

The stump of a pipe he held tight in his teeth,
And the smoke it encircled his head like a wreath.
My eyes met his and noticed his little round belly,
The plane shook and lurched, bouncing my brain, like a bowlful of jelly!

He spoke not a word, but went straight to his work,
And re-filled all the boozy drinks, then turned with a jerk.
And laying his finger aside an old woman’s nose,
He calmed her fears, and the boozy drink rose.

He then sprang back to his sleigh, to his team gave a whistle,
And away they all flew off the wing like the down of a thistle.
The plane, it righted, with no more of a peep,
The fear amongst the passengers was gone , though it’d been quite deep.

Just then I heard him exclaim, ‘ere he drove out of sight,
“Welcome Back to Boston, and to all a good-night!”