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.

Life on the Amazon

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“Welcome to the Jungle

We’ve got fun and ‘n’ games

We got everything you want

Honey, we know the names

We are the people that can find

Whatever you may need

If you got the money, honey

We got your disease”

 

 

Axl Rose’s voice roared over the loudspeaker as I sang along with a bar code scanner doubling as my microphone. “Welcome to the Jungle” seemed quite the appropriate theme song for where I found myself at 3AM on a recent Wednesday morning: an enormous warehouse on the outskirts of Lexington, KY.

But how the hell did I get there?

One day in July 2013, while on a month-long break from medical school, I found myself dreaming about what I would do during the 8-month break I would soon have between finishing medical school and starting Residency.

During that day-dream, I found myself:

a) in the outback of Australia, rough-housing with cuddly koalas and lacing it up with rambunctious kangaroos

b) providing medical care to the indigent people in Chennai, India with an old friend

c) attending evening lectures at Harvard and mingling with Nobel laureates

d) indulging at Carnival in Rio de Janeiro

 

 

Each of these seemed as likely as the next. My mind wandered and the possibilities seemed endless. Approaching the end of my journey to becoming a physician, I was feeling a bit grandiose. My delusions of grandeur had me feeling like the memories I would create by gallivanting around on such ridiculous journeys would serve as a buffer for the long nights and difficult times I would likely face in Residency.

 

 

But none of those things will happen during this 8-month break. No koalas. No Jared Diamond lectures. No flights to Chennai. No beads at Carnival.

Instead, I’ve been spending an enormous amount of time on the Amazon.

No, not the Amazon River. Though I’m surprised it didn’t ever arise as a possibility during my day-dreaming sessions.

The Amazon I’m referring to is the Amazon processing line. The Amazon that services your on-line orders for ginkgo biloba, Lego’s, the King James Bible, cans of corn, defective remote-controlled helicopters, and a new door handle.

 

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Yeah, you ordered all of those things from one website. In five minutes. And it cost you $107.18 and was delivered in two business days. I remember your order. Creepy, I know.

So where did my day dreams go so wrong?

The end of my nearly nine year sojourn to becoming a physician ended with a month of Trauma Surgery, not exactly the typical elective for a a future Family Medicine doc. I felt like an incredible weight had been briefly lifted from my shoulders when I walked out of that hospital for the last time as a student. Now I wanted to regain some semblance of self, or at least reflect on whom I had become… even if it included moving somewhere I hadn’t lived in nearly 15 years.

Upon arriving in Lexington, I was in need of some serious mental and physical recuperation. I promised to give myself the month of November to basically cram whatever meaningless and mind-numbing things I could into my life before starting to be a productive member of society again.

 

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As November was coming to a close, the stark reality that money no longer grows on trees began to reflect in my bank account. So I began researching possible job opportunities at the local universities, considered private tutoring, and investigated becoming a Craigslist gigolo.

 

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I quickly realized that I was either severely over-qualified or unlikely to get anything worth my Bachelor’s degree when potential employers realized I was in Lexington only temporarily. Except for the gigolo position, you can never be too qualified for that. But you can be too out-of-shape.

And then, in a stroke of holiday magic, I flipped open the newspaper on an early December morning to see a booming full-page ad for “Temporary Work! Great Wage! Happy Holidays!” placed by Amazon and the agency that fulfills its temporary staffing needs for the holiday season.

I could hear the Bezos Dollars cha-chinging in my ears.

 

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So I bundled my pride up in a knapsack, which I had obviously ordered from Amazon, drove it to the Kentucky state line, and tossed it into the Ohio River.

Then I drove to the staffing agency that handles temporary hires for Amazon, parked my Benz as far away as possible, and walked in head held high, unsure of what I was getting myself into.

Before I could muster a word, the young blonde at the front desk blurted out, “We are only hiring for night shift. It’s 6:30P to 5A. Are you still interested?”

“That’s perfect!”

 

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She was only momentarily stunned by my enthusiasm and proceeded to quickly detail what lay in store for me… in the next three hours I would have to maneuver my way through a series of computer terminals, video presentations, and drug tests before an impromptu interview where I might still be told I wasn’t quite Amazon material.

Medical school doesn’t allow time for part-time money-making endeavors, so I thought, “Three hours? I’ve held retractors longer than that!”

 

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By the time I reached the second of three computer terminals, I was beginning to wonder how much my professional reputation could be impacted in twenty years if it came out I was a gigolo between medical school and Residency.

At this computer, I was welcomed by a flashing screen. It warned me that if I was unable to score a 90% on the following exam, I would immediately be removed from the applicant pool and would have to return in 30 days for further consideration. My palms began sweating. These people were not screwing around.

Thankfully, I nailed all 20 of the picture matching questions.

 

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Cha-ching!

After fist-bumping the guy at the station next to me, I said a quick prayer thanking the Medical Licensing Examination Gods for preparing me for such a rigorous test of my mental faculties.

A short hour later, after watching a video about how awesome it was going to be working in a warehouse overnight, I was beckoned to a makeshift interview area.

 

 

A pleasant woman pulled up my on-line application and asked, “So you have a college degree, that’s great! Any other education?”

“Uh, yes. I do, but I don’t think it’s relevant.”

She looked at me quizzically. “Will you have a problem standing for 10 hours straight?”

“That shouldn’t be a problem.”

“Then get a copy of your high school transcript. That way you won’t get fired in the first week.” I humbly nodded my head and wondered again what the hell I had gotten myself into.

That was over two months ago. I can’t say processing customer returns in a warehouse overnight has been a “come to Jesus” moment, but if I needed one, it would suffice.

 

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On a recent night, while parked in the snow-covered lot outside the warehouse, waiting to begin my shift, I answered a phone call from one of my aunts. She had heard what I was doing and chatted me up about it for a minute or two.

As the conversation began to wind down, she asked, “So… you are going to be a doctor, right?

“Yes. I am. I swear. But if I ever needed a reason to go to college, which I already did, this would be it.”

She laughed. In my head, I reflexively wondered, “I am going to be a doctor, right?”

As I stood at my desk that same night, the conveyor pumping boxes alongside me, the overhead radio station blared ’80’s rock and I sang along as if I was competing for a place on the The Voice.

Axl Rose screeched, “You know where you are, you’re in the jungle, baby!”

I turned to the woman at the desk behind me and said, “More like, you’re in the Amazon!”

She giggled; I again wondered what the hell I was doing in a warehouse at 3AM, when I could be in the actual Amazon. Shooting blow darts at ravenous crocs. Or learning how to carve a canoe out of a tree with a toothpick.

I suppose that’s why they are called day-dreams.

 

“Welcome to the Jungle

We’ve got fun and ‘n’ games

We got everything you want

Honey, we know the names

We are the people that can find

Whatever you may need

If you got the money, honey

We got your disease”

welcome to the jungle