AUG-A-4

 

RETURN TO LEH FOLLOWING THREE INTENSIVE WEEKS OF THE REMOTE LINGSHED-03 TREK

 AND MEDICAL CAMPS FROM FANGILA

THROUGH SEVEN PASSES ON FOOT FROM FIFTEEN TO EIGHTEEN THOUSAND FEET ELEVATION,

ALONG THE ZANSKAR RANGE AND ACROSS

 THE SURA RIVER VALLEY AT DISPUTED KARGIL,

TO RETURN BY THE SRINAGAR/LEH ROAD,

 DUSTY, WEARY, WELL-EXERCISED,

 WITH A COUPLE OF NEW PAIR BONDS AND ONE

JUST-NOW CONFIRMED PREGNANCY

 AS FURTHER MARKERS OF THE EVENTS

IN THE MANY MILES AT MANY FEET ELEVATION TREATING OVER A THOUSAND PATIENTS IN BOTH LADAKH-03 AND LINGSHED-03

 

August 20, 2003

 

            Well, we did it.  It was not always pretty or graceful, but we got the task done, and completed well!

 

            There were a fair number of first-worlder complaints of denied privilege (looking a lot more like the indigenous people than just observers of them) and incessant complaints from at least one source about how everything in India was filthy—there seems to be much more dirt in India than elsewhere in at least one world.  In that world and in a very limited life, everything is unsafe, unsanitary, unsavory and unsuitable—wh9ich is why it is not much of a life. 

 

            That one exception should never have signed up for the trip, and was almost left at the hotel Kangri but promised to make the effort.  Then she should have been evacuated from the first day of the trek when we had the ability to carry her back from Hanaupata by horse, which she rode in almost from the first steps on the trek.  But, after that it was too late to turn back, and she was carried along.  Several of the younger students did spectacularly well—and I am proud to say that the GW students ranked highly.  We had good tutorials and improving case presentations as we went along on the professional side, and even those who were not quite up to the rigors of the trek found that the Himalayas had a way of making them fitter as they went along, if they did not have a failure of will to perform in the spectacular setting in which they found themselves.

 

The full details area available to those who ask, and the itinerary was followed as it was outlined to them in their pre-trek orientation and briefings along the way—notwithstanding the usual “democratic votes” to change plans to convenience and an earlier return to civilization and shopping, notwithstanding the fixed group permits with the police permits allotting us to be at a given location at a given time not subject to re-working on whim.  Of course, any who wished to break away would find it difficult if not impossible, given the isolation and lack of transport, hotel accommodation, and the all important permits to be in this restricted area.  But, most realized it was a chance of a lifetime, and settled in to performing and enduring, if not always enjoying the rigors and the isolation.  A few remarkable events also marked the passages, with the last being a positive pregnancy test confirmed at the last stop in Lamayuru Gompa as we concluded our trip before the return to Leh, where we are now in the scramble to regroup and re-pack whatever can be cleaned up and got ready for the next trip for me into Sikkim, or carried back for the next trip into Alaska.

 

And, therein lies a rub.  The warning about the lack of a return ticket to Delhi to catch my international flight has come to be as true as predicted, since it seems I have no confirmed passage to start out on the long air flights to return to get started on my next trip to Alaska.  Kishor, one of the group who came in with me five weeks ago, had the same situation, and he bailed out from Padum to return early to Leh to get a flight to visit family in Madras.  But, without a confirmed flight to return (the same agent and situation as mine) he was stranded here, and had to cancel the family reunion and is now pondering a long road trip to get to Delhi if possible to connect with the ongoing return air flights to the US.  He did not seem so totally crushed by this outcome since he had left with Jen, my GWU freshman medical student in one of the two romances that have seemed to blossom along the way, the second also taking place with Matt, another of my GW freshman students.  But, whatever their blissful strandings, mine are not quite so heaven-sent or cupid-mitigated if I am not able to connect with the Lufthansa flight from Delhi for the long return travels to whatever may be awaiting me at Derwood, GWU and the preparations for Alaska.

 

THE NEWS GOES FROM BAD TO WORSE:

I AM STRANDED AFTER A PROLONGED STAY IN INDIA,

NOW DOOMED TO FAR LONGER,

AND WITH THE ONLY WAY OUT BY WAY OF STILL FURTHER

LONG BOUNCING DUSTY BUS RIDES AFTER A FULL WEEK OF SAME, TO GO BY ROAD TO A CONNECTION TO A LATER

INTERNATIONAL FLIGHT

 

When I went down to the presumed  seven thirty dinner, Hem had come to me to cheerfully announce that I would have to make a new and later international flight connection to leave India, since there was no way I could fly out of Leh this month.  The glitch of the Ambassador Travel Agent was never corrected despite the notice of over a month to fix it, and it seems I must pay for their mistake.  This means, said hem, that I should spend several days going with the Nepali team back to Simla which is, of course, several hard days of road travel from here, and even then I am not yet at Delhi from which a new international flight arrangement will have to be made, since there is no way I can make it to the Lufthansa flight for which I should be rendezvousing the day after tomorrow.  The crew here typically looks at a map and says—as they said yesterday, “Why, Leh is only a few inches away—we can make that in an hour!”  Even when it is pointed out that the true distance is 180 km, they figure that in the US, such a straight distance could be covered on the interstate in an hour and a half, and forget that this is on unpaved single lane rocky roads along deep canyons on switchbacks that will take more like two and a half days—and I am now in what passes for civilization—Leh, with intermittent electricity, and even hot water for about an hour a day!  Now I must get to some urban center, out of the “Hill Country”—which even includes Simla once we get there, over three days away.  So, kiss off the next week at best, as yet another hard time roadwork imposition by the staff of a negligent agency. If all goes well as it might best be turning out after further scrambling, I may be able to make it to Washington just in time for the Alaska takeoff, but without any of the “catch-up” tasks after a month of absence.

 

As we sat discussing this, in came the high school senior, Charles Young, a bit of a pet or maverick on this trip for which obviously he was not equipped to make much of a medical contribution, but maximized his entertainment value, by doing “skits” impersonating the others on the trip.  Anuj was genuinely distressed at some of his antics, and he was perpetually lost, and wandering, waving his walking stick in the sword dances he performs as a kung fu buff.  But, he is a disgrace at any social function, since he has an exaggerated cultural deficit at eating.  He smacks his lips so loudly as to turn heads three tables away in a restaurant, and it is annoying to hear how many extra noises he makes with his mouth while slurping soup or inhaling whatever he is devouring, while sniffing and clearing his throat.

 

  This evening, he elected to benefit the Lingshed-03 team leader with a dissertation on parasitic disease.  I tolerated this for a little while before pointing out that he, a high school student (he bridles back to respond that he is going to be going to college at Berkeley next year) is talking to a tenured professor of Microbiology and Tropical Medicine with a doctorate in tropical medicine and many years of experience in tropical diseases in the three and a half times he has experienced life than a snot-nosed kid with acne on his chest who is pontificating on a subject he knows little about.  He responded that this was absurd since he has a grandmother who once had a tapeworm, and nothing I might know or have seen trumps this bit of his strategic advantage over me in knowing more about this subject than he.  At this moment, the whole charade played out not just with Charles, but a number of others only slightly his senior, and with “instant experience” to be accorded my rapt attention and respect got less funny.  I told him he had a lot to learn, and he might start about now, before someone other than I hands him his head, when they might also not be quite so amused as to listen to the drivel of an audacious kid and be expected to accord it the respect of superior wisdom.

 

Meanwhile, the others had all gone out to eat at someplace, presumably more sanitary, where they would not get worms from the contact with these filth-ridden Indian peoples, as Elvina is convinced she now has contracted and has consulted one of the more kindly disposed residents to suggest treatment, though symptomless,  for the vile beasts she has no doubt contracted from touching down in India.  They are all congratulating themselves on a successful trek, in which they can go home and show and tell how they had single-handedly brought modern medicine into the darkness to save a backward people—from worms? 

 

 With the exception of several stellar performers who did superior work without complaining, India as an experience did not change several of the first worlders who have been reinforced in their entitlement to privilege over the poor and destitute of the world whose function is to serve them at a safe and sanitized distance.  Some you can teach, others will learn anyway, and some remain incorrigibly ignorant.

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