The India Group

Sunday, June 23, 2013

The India Group: The Third Blog Entry


Milli Enjoys a Dental Lesson before Surgery

Friday, June 14 and Saturday, June 15th—Sightseeing:
Since there was nothing we could do for 2 days but wait to see if Millinote the new and preferred spelling of “Milli.”  I was showing her the different ways her name could be spelled and she made it quite clear that I had been misspelling her name:  Her name, she insists, ends with an “i” and so it shall bewould be surgery-ready, we decided to see some of Assam.  I would say that they we were going to do “the tourist thing,” but there are no tourists in Assam to “thing.”  If you look at Assam on the map, you will see that geographically it shouldn’t be a part of India, and one senses that politically its hold to India and India’s hold to it is tenuous. The slightest mass of land, separating Tibet and Bhutan from Bangladesh, joins Assam to the rest of India.  The capital, Guwahati, Wikipedia tells me, has a population of 1.5 million.  I would have guessed between 200 and 300 thousand.  As Baba said, “It doesn’t be like a city,” and it doesn’t.  It reminds me of one of those Atlantic coast towns in South America that are inhabited by the descendants of slaves rather than of the Spanish.  Once when I told a Costa Rican acquaintance that I was going to visit one of these towns in her country, Limon, she said “feo,” ugly.  Ugly and conveniently forgotten they are without the infrastructure their sister cities have as is Guwahati.  The sidewalks of the town look like they are waiting for repair after an earthquake.  You can literally look under the sidewalk where the slabs of concrete are to meet but don’t because one is elevated above the other, producing a gaping aperture that holds an underworld of trash that mirrors the debris above.  The lights go out several times a day and there are no amenities that tourism brings, e.g., something to do.  I have yet to see anyone, other than those of us in the Milli entourage, that I thought might be a tourist.  One of the doctors said to me something that I’d already noticed, “The only White people in town are with the hospital.”

 Operation Smile Staff Celebrates 9000 Surgeries

I’ve asked why the Operation Smile facility ended up in such an isolated location.  The services this organization provides are so needed, why hide them, as it were, under a basket in remote Assam.  I’ve gotten 2 explanations for “Why Assam?”  One doctor told me that the hospital was placed in Assam because the incidence of cleft palates was higher in this region than anywhere outside mainland China. Another person questioned this static and said that there were political reasons for placing the hospital in Assam:  The government wanted to give “them” something, and what a gift it is.  Operation Smile apparently has 2 other permanent facilities. I believe that one is in China and the other in South America (I wasn’t taking notes during the conversation that produced this information, so I can’t swear that I’ve remembered what I was told correctly, and as I write I have no access to the Internet).  Since all the Operation Smile services are free, including the medicine, I would have thought that people in need would be coming from all over India, but apparently this is not the case. Indeed, one of the strangest things about our little group is that we had come from so farfor Milli and her family almost a 50-hour train ride.  We were told that we had come farther than anyone had ever come for surgery.

Milli's Family

Now back to the sightseeing.  There is a scraggily zoothe Bronx it is notthe main attraction being the Indian one-horned rhino.  We were told that across the road was an African rhino.  I wanted to see it for the sake of comparison, but the across-the-road enclosure seemed empty.  When I asked a guard where the African rhino was, he said, “Somewhere in there but we’re not sure where.”  How do you lose a rhino?

Ramakuiyan and Haman in the Cage Line

The other sightseeing opportunity was Hindu temples.  One, Hayagriva Madhave, had some historical interest in that my Eyewitness guidebook says “that the Buddha died here.”  The priest/guide said nothing about this as he led us around intoning  chants we were to repeat.  When I asked him about the Buddha, he said something like “Oh yeah, he did his last meditation here.”  The most mythologically interesting temple is the main one in Assam, Kamakhya Temple. The Hindu Trinity is composed of Brahma, the Creator; Vishnu, the Preserver/Redeemer; and Shiva, the Destroyer.  As I understand it from Baba and a little reading, Shiva and Sati fell in love and were about to be married, but Sati’s father, as is the case with most fathers, thought that no man (and in this case, god) was good enough for his daughter.  (The father didn’t know Shiva was Shiva.)  A family argument ensued (What wedding would be complete without one?), and Sati ended up killing herself by jumping into fire.  Shiva was so upset that he went around the world with Sati’s corpse and where parts of it fell there are now major temples.  Supposedly Kamakhya Temple in Assam marks the spot her vagina fell. 

Entrance to Temple of the Nine Planets

It is, therefore, a very sacred temple and the devotees are so fervent that they have to be controlled by cage-like structures to keep people from trampling each other to get into the temple.  Oh course, to the non-believer all this seems crazy, but then I remember that I am a member of a tradition that believes in the Virgin Birth; I belong to an intellectual milieu that would be loath to disavow that we came from apes; and almost everyone I know thinks it makes sense to pay $300 or more an hour to talk to someone about problems s/he may or may not have.  I guess faith is not reasonable, it’s faith.

Milli’s Family at the hospital

Sunday, June 16th, 2013
Sunday was a day of waiting and anxiety:  Was Milli cold-free enough to pass the surgery hurdle?  We waited at the hospital and finally were called up to see the pediatrician who listened intently to her heart and chest, asked Baba a few questions in Hindi, and then gave his OK.  Next we had to see the anesthesiologist, but he was in surgery.  After waiting for 30 minutes, we were told to go to lunch and return at 2:30.  He would be out of surgery by then.  We went to lunch at a near-by restaurant and I found it to be typical of the Assam culinary scene:  The menu was extensive, but they were pretty much out of everything you ordered except chicken and vegetables. We asked for mineral water, but the waiter opened the bottle before he brought it to the table, so I sent it back (like an inferior wine).  In India there is a distinction made between bottled and mineral water.  The former is local water poured into plastic bottles so it can be refrigerated.  Mineral water is purified water that comes from a factory in a bottle.  Getting the right type of water is close to a life and death matter, so I insist on having the water opened in front of me.  What was unique about this situation was that the restaurant had only one bottle of what was being passed off as mineral waterThe the bottle I had refused.  I’d never been in a restaurant that didn’t have mineral water, but the Assam restaurants always seem to be out of something: Soft drinks, other menu items, and, in this case, mineral water.

Milli before her surgery

When we returned to the hospital, the anesthesiologist was indeed out of surgery and found Milli to be surgery-ready.  Her weight and temperature were taken; she passed a hearing test, gave a blood sample, and we were told at 3 PM that Milli would be operated on the next day and would be admitted at 5 PM.  We returned to our apartment complex.  What were we going to do at the hospital for 2 hours? 

Pre-op Ward

We were to leave for the hospital at 4:45, and Baba said that everyone was ready to go, but Baba always says the family is ready to go, but they never are.  Just as I thought we were leaving, Haman had to have his diaper changed.  We got back to the hospital around 5:20, just as the 30 or so people to be admitted for surgery the next day were walking down the steps on their way to the pre-op ward.  Milli joined her colleagues; Baba, Krishna, and I went back to the same restaurant, that still had no mineral water, for “take away” that we brought back to the hospital where the family ate dinner.  

Settling in the hospital

Ramkuiyan, as did the other mothers/women, stayed the night, while Baba, Krishna, and I, as did most of the other men, went home or somewhere else.  When Ramkuiyan had expressed earlier in the day that she was afraid to stay alone at the hospital, I suggested to Baba that we could stay with her and Milli.  He said, “Don’t they put you to sleep when they do surgery?”  I responded in the affirmative.  He reasoned then that Milli wouldn’t know whether we were there or not, so if Ramkuiyan didn’t want to stay at the hospital, she could come back with us, but he was not spending the night at the hospital.  I guess it’s the difference between mothers and fathers.  And, indeed, when Ramkuiyan saw that she was in a ward with other mothers and children, she seemed quite comfortable.  I think she thought that she would be in a room by herself with Milli, and this would indeed be a unique and unnerving experience for her.

Waiting

It’d been very interesting to see Ramkuiyan on this trip.  She’s never been anywhere before except her village, where she lived before she was married at 16, and Baba’s village, Khajuraho, where she’s spent the last 11 years.  She seldom leaves the house except to go into the forest to gather firewood or to their caste’s well for water.  I had a long talk with Baba about this trip, explaining that Ramakuiyan could not cover her face with the veil of her saree as she does in Khajuraho.  He told me he explained this to her and she’s seems quite comfortable being “uncovered” because the men she sees she doesn’t know.  When we were at Bablu’s house for dinner in Delhi, she covered because Bablu is 6 months older than Baba, so the wife of the younger man, in this case, Baba, is expected to show respect by covering when in the presence of the older male relative.  It’s literally another world.

At the Playground

Not surprisingly, Ramkuiyan is child-like in many ways (what chance did she have for a childhood of her own?). She’s very interested in the games I play with the children and she very much enjoys the cartoons I brought.  We’ve been to a couple of parks and she loves the swings and see-saws.  It’s been nice to see her literally and figuratively come out of the shadows of that dark room Milli’s family calls home. What makes no sense to her is how much we pay for food at the restaurants (5 of us eat for between $15 and $20).  She explains that for what we pay she could buy tons of vegetables and make a lot of chapatis.  True, but they don’t do cleft palate surgery in Khajuraho.         

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