Tag Archives: illness

The 18-Hour Train Ride From Hell

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One of my worst fears in preparing for India was getting sick. Alone. On a train.

Everyone hears the horror stories of travelers getting sick before going to India: diarrhea (a given), sometimes vomiting and, worst of all, some bad tropical illness like malaria or dengue fever that leaves one incapacitated for days, sometimes forcing the person to return home, or worse.

And then there are the trains. Though not consistently bad, you never know what you’re going to get. Air conditioned classes are exponentially better. Aside from the cleaner, softer cushions, freshly laundered sheets, blankets and pillows are a guarantee for every traveler, and the fewer number of passengers provides at least a little privacy, at least fewer creepy stares.

A particularly crowded train during Diwali

The sleeper class, on the other hand, is a different story. Being significantly cheaper than the A/C classes, these compartments are usually chock full of passengers, entire families of seven crammed onto one berth in a space meant for three or four. Creepy men also tend to fill these compartments, sometimes lounging on the top berths, gawking intently at the random white women, no sense of shame when caught in the stare. The constant layer of grime (no sheets) that covers the berths, combined with the sight of an occasional cockroach or mouse, makes the sleeper class the most uncomfortable traveling class by far, second only to the general standing ticket or the equally bad non-A/C’d “chair “class. (Side note: nearly all train compartments carry “sleeping berths” unless otherwise stated, “sleeper” denotes the lowest class while first, second and third class A/C are the higher ones).

But fairly universally, all Indian train bathrooms are pretty bad (to be fair, I never traveled in first class). I’m not exactly sure how Western train toilets work, but in Indian train bathrooms, the excrement goes directly from the toilet to the tracks below. In fact, signs reading “Do not use toilets while train is stopped” are meant to prevent massive loads of crap from piling up at the train stations. Add that to the fact they’re rarely cleaned (especially the lower classes), and you’ve got yourself a pretty unpleasant situation.

Throughout my three months in India, I took at least a dozen train rides, and while I generally preferred the third class A/C, often took the sleeper class when I was with others, feeling particularly budget-conscious or there were no other options available.

So when planning my last-minute trip to Mumbai, I was lucky to land a seat in the third class A/C that should have made the 18-hour, mostly night journey from Jodphur fairly comfortable.

After mostly good health luck in my first six weeks in India, I wasn’t too worried. I’d taken tons of night trains before and was actually looking forward to a long, relaxing train journey alone before meeting up with my friend Geeta, an Indian woman who I met at the beginning of my trip, who had offered to host me during my stay in Mumbai.

I spent my last day in Rajastan enjoying a day-long cooking course with my two friends, Gloria and Tom, and together, we stuffed ourselves as we learned to make biryani, chapati, naan and two types of curries. It wasn’t until the course was over and my stomachache turned to general aches and a fever that I started to get concerned… Still, as I forced myself to run to catch my 6 p.m. train, I figured I’d pop a couple paracetamol, go to bed early and be fully recovered in 18 hours.

Me before the train ride: happy and proud after finishing a cooking class with Tom and Gloria

My body had other plans.

Soon after I got on the train, I climbed up to the top berth, made up my bed and attempted to sleep. But the longer I lay there the more I began to ache, and my first aid kit and medicine were buried deep in my backpack, which lay chained underneath the lowest berth, six feet down. As the pain continued, I felt helpless, lonely and scared, and I began to cry. Luckily, the kind Indian family below me gave me some paracetamol and, again, I tried to sleep.

A few hours later, I woke from my doze to find the rest of the train had also gone to bed, but the cramping in my stomach told me I’d need to be awake real soon. I groaned at the prospect of getting down. The three bars that made up the ladder that led to my berth were far from adequate for providing an easy way up and down. Additionally, I had been wearing my bulky, Keen sandals (instead of flip flops) and the dirty train corridors required I take the time to put on my shoes before any venture into the bathroom. And the fact that I was alone meant there was no extra pair of eyes to guard my purse, my most valuable and necessary possession in India, while I dashed to the loo. But in the end I had no choice but to go. I shoved my purse in the corner behind my pillow, pulled on my shoes and awkwardly shimmied down the ladder in a move I would come to perfect throughout the night.

As I ran to the bathroom, just making it, I was grateful the toilet and the sink were located right next to each other. Almost immediately, whatever poison that was in my body began making its way out, using every orifice it could find.

As I sat there after the first round, too exhausted to be disgusted, I was thankful I had had the sense to buy both water and wet wipes before the train ride, two tools that would keep me somewhat clean and hydrated throughout the rest of the night.

When I headed back to my berth, I thought the exhaustion from being sick would let me sleep the rest of the night. And though I felt weak, I found I could still use my arms to push off the bars and jump (yes jump) back on the ladder before collapsing on my bed.

But sure enough, a couple hours later, I felt that uncomfortable cramping in my stomach and found myself, once again, doing the diarrhea dash as I rammed on my shoes, shimmied down the ladder and ran to the bathroom, a routine that would repeat itself at least a half a dozen times throughout the night. But despite my body expunging everything in both my stomach and my intestines, I somehow managed to find the strength to jump back up to my berth.

Somewhere around 5 a.m., however, the jumping stopped. I just couldn’t do it anymore. I looked up longingly at my berth, my bed, my temporary little safe haven, but I just had no further strength to jump. So I did the only thing I could do. I sat. In the middle of the corridor.

Shortly after, the conductor came by and asked what I was doing. After explaining that I was sick and could no longer jump back to my seat, he pointed to a side berth that had recently been vacated. I immediately collapsed, grateful to have an easier trek to the bathroom, no longer caring about my hidden purse, which was no longer accessible to me.

By mid-morning, the trips to the bathroom were becoming less frequent, but by this point I was so weak I could barely sit up. The train was scheduled to arrive at 11 a.m., but every time I set my alarm to wake up in time to gather my things, I found myself forcing myself up for about a minute, before groaning, hitting snooze and laying back again, thankful the train was running late.

At this point, more people were noticing the random blond girl, even whiter than normal, laying helplessly in the side berth alone, and several helped me to retrieve my things from the top berth and unlock my backpack (luckily, my purse had also survived the night).

I had originally told Geeta I would take a rickshaw to her house, but given the fact that I could barely sit up, I finally called her and asked if she could come and get me. When we finally arrived at the train station, it took every ounce of willpower I had to haul my 30-pound bag on my back and get off the train, where I immediately collapsed onto an empty platform seat and waited.

But even sheer willpower couldn’t help me once I arrived on the platform. When Geeta found me, she barely recognized the pale, half-dead creature weakly waving at her and soon found a porter to carry my bag for me. But as I got up to walk, quickly falling back on my platform seat, determined to try again in a few minutes, I hear her speak to the porter in Hindi. The next thing I know, I’m seated in the trolley, being pulled with my backpack by the porter to Geeta’s car. I’m sure the sickly blond girl being carried on a trolley throughout the Bandra railway train station must have been quite a sight, but I was so exhausted I didn’t care and grateful to not be on that train alone anymore.

Me after the train ride: feeling half dead

In the end, the doctor said it was not necessarily one instance of food poisoning that caused my illness, but rather, an accumulation of bacteria from multiple sources that were probably triggered during all the food in my cooking class (In fact, neither Tom nor Gloria had any reports of food poisoning). Whatever it was, it took me nine days and two courses of antibiotics before I fully recovered.

Despite having been alone and sick on that train, I was lucky enough to spend my recovery time staying with Geeta, her husband Suresh and her daughter Ananyah, who not only gave me a place to stay, but took care of me, making sure I went to my doctor check-ups, rested up and avoided all of the delicious deep fried, sugared or cheese-loaded Western food I so desperately longed for in Mumbai (the doctor had put me on a strict diet of rice, yogurt, dahl and fruit, in what I coined my “food prison”).

In an ironic twist, after weeks of drinking only bottled water, avoiding raw fruits and vegetables and eating only carefully examined restaurant food, it was my own cooking that essentially brought me down :).

India: Illnesses and Injuries

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When traveling for a long time, especially in a developing country, illnesses and injuries are basically a given, and I was no different.

Over the course of the three months I was in India, I suffered from the following ailments:
– Severe food poisoning
– Tonsillitis
– A cyst
– Plantar Fasciitis
– Cuts and scrapes on both my knees, elbow and foot (which are scarring nicely)

I’m not kidding when I say I literally used EVERY part of my first aid kit and more, including six courses of antibiotics, all of my painkillers, an entire tube of antiseptic ointment and copious amounts of paracetamol, as well as the regular use of my thermometer, ace bandage, Imodium tablets and band aids.

In short, India kicked my ass. The only good things to come from these events were (hopefully) a stronger immune system, but more importantly, a few good stories :). In this part of my blog, I plan to share the more eventful moments of my ailments in the hopes that now, they can at least have some sort of entertainment value. Enjoy.

Side Note: If you ever go to India, don’t be scared. A significant part of these ailments were due to my own bad judgment (um, apparently you’re not supposed to jump out of moving transportation…) and I probably would have gotten sick less if I had eaten more Indian food (which they are excellent at preparing) and insisted less on Western food, which I ultimately prefer (one can only eat so much curry).

Surviving Sarawak

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With the different food, water and climate, everyone said I should expect to get sick when I came to Malaysia, especially in my first few weeks. I was very relieved to find my immune system working full force with not even a cold in my first few months here. In fact, the only sickness I did get was after eating at a high-end Chinese restaurant at the Hilton, not the local street food. So it was just my luck that I got a bout of bronchitis right before my four-day work/holiday trip to Kuching, Sarawak, East Malaysia.

I’d been looking forward to this trip for weeks, ever since I found out I was being sent for work with the chance to stay back and travel for a couple days after. When I started feeling a pressure on my chest and coughing a few days before, I thought it was a cold and my stance against encouraging a global immunity to antibiotics as a result of over prescription stupidly prevented me from going to the doctor beforehand. It wasn’t until my ear refused to pop for nearly a day after my flight and my voice started sounding like Barry White that I realized perhaps I was wrong…

After two days working, resting and drinking as much hot water as humanly possible, it was finally time for my weekend trip. Let me tell you, after waking up throughout the night with a hacking cough, feeling exhausted and feverish, I was not exactly in the best situation to go out exploring Sarawak. But I was also not about to give up my semi-free trip, so I loaded up on cold medicine, lozenges and tea and set out.

Let me just say, Sarawak is absolutely beautiful! It is much cleaner and less congested than KL, and there are green hills and jungles everywhere. Sarawak is one of two Malaysian states that make up East Malaysia on the island of Borneo, which also includes the country of Brunei and parts of Indonesia.

To start off our trip, Jullian and I rented a car and headed out to a crocodile farm where they have lots and lots of crocodiles, as well as cages of other cool animals. The farm was pretty cool. You get to see lots of crocs in cages, and at feeding time, you get to watch them jump in the air for their food. They also have cages of monkeys (like Rafiki), snakes and ponds of exotic fish to look at while you’re there. My highlight, however, was the baby monkey who escaped from her cage to give me and the rest of the tourists quite as a surprise as we were walking down to see the crocs…

Way better than the crocodiles, however, was the orang utan sanctuary at Semenggoh Nature Reserve. The reserve, along with another center, rehabilitates orphaned or displaced orang utans to send them back into the wild. At the reserve, you get to enter into the park at feeding times when the orang utans come back to eat (the plan is for them to eventually learn to get food on their own). It was amazing! I gotta admit, the first 50 minutes were a bit slow. The orang utans came down about 50 feet away to eat,  and I was disappointed that they were so far. But in the last 10 minutes four orang utans came down to our side of the park, where they came within a few feet of us to get food from our park ranger.  They were hilarious too, just swinging all over the trees and trying to steal food from our guide, even when he tried to turn them down. I absolutely loved watching them, and they had to practically drag me away from the park. It was definitely an incredible experience.

Aside from wildlife, Sarawak is also known as being a major cultural hub in East Malaysia, especially with lots of local aboriginal tribes that are different than the Malay-Chinese-Indian ethnic make-up of Peninsula Malaysia. In between the crocodiles and the orang utans, Jullian and I drove out to visit one of the tribes in a longhouse in the middle of the jungle. A longhouse is literally what it sounds like: a very long house, sort of. Mostly made from bamboo shoots, a longhouse is a very long community building where the

Longhouse

whole village lives. Individual families have their own doors and units, but the outside is like a very long porch which is a common area for everyone. We didn’t get to stay very long, but we got to walk along the building, chat with the people, and check out the skulls room (many tribes were known for headhunting, where it was a mark of honor for a man to take the head of another person. They then save the skull and get a tattoo).

The next day, we were able to learn more about the village we just saw at the Sarawak Cultural Village. Like Detroit’s Greenfield Village, the Sarawak Cultural Village is like a living museum where you get to walk through replicas of the homes of aboriginal tribes where characters dress in costume, perform local dances, traditions and crafts and talk to you about the history. It was fun, you get to see a very different kind of history than I’ve been exposed to and watch a very cool cultural dance show in the end.

Tree house

One of my favourite parts of the trip, though, was just swimming in the South China Sea. Aside from a short trip to the beach at Port Dickson (not known as a very nice beach in Malaysia) this was the first real beach I’d been too while I was here. It was gorgeous! The beach was right next to the hills (or mountains? Can’t really tell the difference) so you can swim while watching the clouds descend into the trees. The water was fun too. Not exactly crystal clear, but the waves were pretty rough making them extra fun to jump into! The resort we stayed at was also pretty unique, we actually stayed in a tree house! Technically, it was a cabin on stilts that sits among the trees, but it was awesome. It came with its own bathroom and shower, air conditioning and a beautiful view of the beach and trees. The fact that the hot water was fickle and there was a creepy crawly shell/crab thing sharing the bathroom with us only added to its charm (sort of).

Now I’m back in KL on a sick day with a full course of antibiotics waiting for my body to recover. Less than three weeks until Thailand!