Dear friends and family,
I’ve had my first experience with sickness in a Third-world country. I
may have picked up what Stephen had the other day. That, or something
from the unpeeled fruit that Clara keeps giving us. Yesterday I was
ill all night and then I went against my better judgement by going on
the all-day visits to the Essential Drugs manufacturing plant run by
ICSA (fascinating) and to two churches in Chennai (not so
fascinating). I was fine most of the way, but finally the heat and the
smells got to me. It’s hard to describe a ride through Chennai in a
cramped van, but when you pass by a slum or over a river (which the
slum-dwellers use as a toilet), the smell of human waste is
overpowering. Combined with the constant smell of exhaust fumes and
the heat, it was too much to bear. My vision constricted and I passed
out. The rest of the night was all vomiting, diarrhea, throbbing
headache, and cold sweats. Now I think I’m almost recovered, thanks to
Pepto-Bismol, azithromicin, acetaminophen, Sprite, and all the oatmeal
Clara has given me over the past day.
Still, it’ll take several more such experiences before I would prefer
a Minnesota winter!
Like I said, the Essential Drugs Program that ICSA runs was great. The
staff there greeted us kindly and showed us around the plant, where
they start with raw materials and from there manufacture many drugs
ranging from ibuprofen to antiretroviral drugs (for HIV). They had us
all put on hair, face, and shoe coverings and treated us like visiting
medical students. We seem to get that level of respect a lot around
here. Maybe it’s because medical students here start at age 16 or 17,
as we found out today. After the tour they gave us tea and biscuits
and let us each plant a flowering plant in the garden outside the
building, as is the tradition. Mine was a yellow rose – I look forward
to visiting them again.
Today I skipped the morning lecture for rest but was well enough to
hear a doctor from a Chennai hospital tell us about the rising
incidence of noncommunicable disease (such as diabetes and
hypertension) in India where communicable disease used to be the only
emphasis. He also left us dumstruck with the differences between our
countries’ healthcare systems. A doctor’s visit here is 1/1000 of the
cost of one in the US!
This afternoon we all succeeded in taking autorickshaws (on our own)
to the shopping center near here where we found a great bookstore and
women who were wearing – gasp! – t-shirts. Mariam even found a KFC.
And for dinner Clara made us noodles, spaghetti sauce and green beans.
She may be going too easy on us…
Ever your loving,
Isaac H.