Tag Archives: India

Tonsillitis.

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When preparing to travel to a developing country, especially India, there are a number of precautions one must to take to prevent contracting disease. Vaccines usually begin with the basics: Hepatitis A, typhoid and cholera to protect against food and water-borne illnesses, a tetanus booster in case of cuts and a steady stream of anti-Malaria pills to keep the potentially fatal, mosquito-spread disease at bay.

But the longer you plan to stay in these countries, the longer the list of recommended vaccines becomes, and the nastier some of these diseases start to sound. Fun-filled infections like Japanese encephalitis or meningitis cause rapid brain degeneration, polio (didn’t we eradicate this decades ago?) can lead to paralysis, and who doesn’t know and love the foaming-at-the-mouth, race-against-the-clock associated with rabies?

So imagine my surprise when, after two months in India, I come down with…tonsillitis.

I’m sorry, WHO GOES TO INDIA AND GETS TONSILLITIS?! I don’t remember reading about a vaccine for that…

It all started in Mumbai. After my nasty bout with food poisoning and a restless week-and-a-half recovery, I was thankful that I was finally well enough to continue my journey throughout India, even with this new-found sore throat…

Now, traveling in the second most populated country in the world, constantly taking public transportation and eating out frequently, the common cold would seem inevitable at some point. I figured my sore throat would progress to a cold, and since my destination was the relaxed, sun-filled beaches of Goa, I figured I could handle it.

So I traveled to Arambol, a small, hippie-esque town in northern Goa, where I rented a small, but charming beach hut near the sea at Olive Garden guest house for about $7 a night. Though simple with a basic bed, desk and cold shower, the idea was to spend most of the time outside the hut, enjoying the sea and the sun. It should have been paradise.

Me and my beach hut at the Olive Garden guest house in Arambol, Goa

But when, days later, the cold never came, I began to worry. Not only had the cold not progressed, but my sore throat intensified, and I began feel a painful protrusion on the right side of my neck. I soon found myself in a round-the-clock paracetamol cycle, taking the maximum safe dose allowed and waiting impatiently for the time to pass before I could pop another pain reliever. When I finally woke up crying in the middle of the night calling my parents in a panic, I knew it was time to see the doctor.

The next day, I took a motorbike taxi ride to the nearest local doctor, where he confirmed my growing tonsillitis suspicions. I had never had tonsillitis before. To me, tonsillitis was something that occurred more frequently in my parents’ generation and usually involved surgery to remove the tonsils. Surgery, I thought, an operation that involves cutting open my throat. This was not good.

But when the doctor simply prescribed me a course of antibiotics and said I should feel better in three days, I felt relieved. Oh, he said, and no swimming in the dirty sea water, which might increase the infection even further.

Three days. Not great, but not terrible. I could last.

But when the pain refused to subside, I started to wonder if that was true. Barred from the sea with no TV or cinema to distract me from the pain (and no good bookshops in town), my little paradise hut turned into a little prison, mocking me with all the fun things I could be doing but couldn’t. And, I’m sorry, lying on the beach under the blazing sun trying to “relax” while your throat tries to explode is not my idea of a good time either.

Even attempts at making friends proved futile. As a solo traveler, you learn quickly how to make friends when traveling to a new place. But when you’re in pain, miserable and hating the world, “friendly” is not how I would have described my personality. Every time I did try to talk to people I just turned into an old lady, constantly complaining about my ailments. I don’t think I would have wanted to have spent much time with me either.

Lonely and miserable, I passed the days on the Internet and constantly watching the white formations in the back of my throat grow bigger, wondering if that was normal in the recovery process…

When my throat swelled up on day three and I began to have trouble breathing, I really began to panic. Any notion I had that the antibiotics were, indeed, working went out the window. Thoughts of all the fun things I would do after I recovered transformed into horrific images of throat operations, wondering if I would need surgery, if it was painful, if it was safe, would it bankrupt me and would I be all alone while strangers in a foreign country open up one of the most fragile parts of my body. And as my wheezing increased, I began to fear that I would not be able to breathe at all, and thoughts of my impending doom really began to freak me out.

At this point, my frequent calls to my parents repeating a more teary-eyed version of the above melodrama had put everyone on edge, ready at a moment’s notice to fly out to India in case things got really bad.

But when I went back to visit the doctor (a different one this time), I was surprised when he prescribed me another two courses of antibiotics. The one I had been on before, he explained, doesn’t work with everybody and the next two were stronger. I think he sensed my skepticism and fear, though, when I started to cry and quickly reassured me that my throat was not at serious danger-level yet. He said to give the antibiotics some time to work, and if I did not see any improvement by tomorrow, then I should go to the hospital.

Now, one of the great things about traveling, especially alone, is you really get to know yourself well, especially your breaking points. Like my experience at Mehandipur exorcism temple, I realized in Goa where exactly my bravery ends: at throat surgery. As much as I love traveling, I’d be lying if I said I didn’t fantasize about coming home when I was sick. While lying in my hut, alone, scared and in pain, all I wanted more than anything was to be back at home in Coldwater (or Ann Arbor, or Detroit), watching copious amounts of crappy American television, eating delicious, fattening Western food and sleeping in my own bed, all with the comfort of knowing exactly where I am and that someone would always be around to make sure I don’t die.

When I left the doctor’s office, I tried to look at the situation as a win-win: either my throat gets better and I continue traveling, or I get throat surgery and make it home for Christmas.

In any case, it was out of my hands, all I could do was wait.

And as I am still overseas, you can guess what happened. I was very relieved when I awoke the next morning to find, not only had the swelling gone down in my throat, but the massive white formation had begun to break up and subside. The worst was over.

I’m happy to report that once the tonsillitis/surgery/death scare had finished, I was finally able to enjoy a little bit of Goa, swimming in the sea, taking advantage of the natural mud baths and admiring some of the old Portuguese churches.

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I’d like to think that this little episode has made me a stronger person, but catching something as seemingly innocuous as tonsillitis alone in a foreign country scared the wits out of me. I just hope to God that I don’t have to go through anything like that, or worse, again.

Why You Shouldn’t Jump Out of Trains

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If cinema has taught me anything, it’s that when you’re in a hurry, especially when running away from a bad guy, it’s perfectly fine to jump on or off a moving train. Especially in India.

Think about it.

Jumping on the train is what allowed Jamal and Salim to escape from the evil gangsters in Slumdog Millionaire. James Bond managed to prevent a major war by jumping on and off trains in Octopussy. Hell, even those three brothers in The Darjeeling Limited managed to catch their trains with an entire collection of Louis Vuitton suitcases!

So when I arrived at the Churchgate train station in Mumbai, semi-lost, I didn’t think twice that jumping out was a bad idea…

Now, to begin with, the day had started off pretty bad. After days feeling restless and frustrated waiting to recover from my food poisoning, I forced myself out of the house to finally do some sightseeing.

Despite still feeling weak, I had made plans to meet a friend that afternoon to show me some of the city’s major sites. But after two hours of my friend’s work-related delays, my sick, frustrated and impatient self decided to head to South Mumbai on my own.

As I took the hour-long train ride into the city, I tried to remember where exactly I was supposed to get off. While I couldn’t recall the exact name of the station, I did remember my friend saying it was the last stop on the line, so I figured I would just wait until they announced the last stop.

When we arrived at Churchgate Station, I vague bell went off in my head, but since they had not mentioned that this was the last stop (as they obviously would), I figured I’d just hold my place. But when the train started moving backwards, I began to panic.

After already losing a number of days to illness and the delays in the afternoon, I was determined to not waste any more time by having to travel all the way to the previous station and back again.

So I decided to jump.

Now, if I had had time to actually think about the consequences of jumping off the train, I probably would have imagined a light, graceful Erica leaping off the train like a doe before landing softly on my feet and casually walking to the nearest exit. Actually, given my imagination, I might have thrown a few turns and a toe-touch into the landing.

But in the few seconds between when the train started to move and when I decided to jump, any notion of thought, and certainly any notion of physics, went out the window.

The next thing I know, I’m lying face down on the Churchgate Station platform, gawked at by what I imagined to be hundreds of Indians laughing at me from the train.

As I wobbly stood up, examining the damage on my throbbing, scraped knee and elbow, I forced myself not to cry. Though the damage was minimal, days of frustration at my body now added with a sense of stupidity and humiliation, and it took every ounce of strength to hold back.

Once I left the station, a few tears slipping out, my pride vowed never to tell anyone, especially my parents, about this incident, not if I wanted to retain any strand of self-respect or prevent my mother from personally coming to fetch me home to stop me from doing anything more stupid.

But the massive red welts on my arm and knee weren’t in on the secret. The next thing I know, I’m on the receiving end of a series of lectures by my hosts, Geeta and Suresh, and all of their friends on how dangerous jumping off trains is and how tons of people die every year from falling in between the train and platform. Even Ananyah, their 15-year-old daughter, took on the Mom role in telling me how stupid it is to jump out of trains.

But I think the best reaction came from my doctor, affectionately deemed “Dr. Handsome,” who noticed the welts during my food poisoning check-up. His lecture started with, “The problem with Americans is they never get properly yelled at as children…”

As appreciative I was of all the helpful advice, I’m pretty sure eating the pavement in front of hundreds of strangers is as effective as any to prevent me from jumping out of any more trains.

And, sorry Mom, cat’s out of the bag :).

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).

High Kickin’ it in Amritsar

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When people think of the relationship between India and Pakistan, not a lot of positive things come to mind: rivalry, religious dispute, violence, threat of nuclear war… You’d think the border crossing would perhaps not be the wisest place to visit.

But despite all the conflict between these two countries, there are certain places where they can let their rivalry out peacefully, like in Amritsar…

Popular on the tourist trail, Amritsar is most well-known as the home of the famous Sikh shrine, the Golden Temple or Harmandir Sahib. But also worth visiting is the nearby India-Pakistan border in Wagah where, once a day, hundreds of people gather to watch the dramatic border closing ceremony.

This fun-filled event involves the border officers marching one after another to salute the corresponding officer on the Pakistani side. That would be tame enough, except that this is no ordinary march. The officers must first begin with a series of high kicks then, looking as angry and fervent as possible, march as fast as they can to the border gate where they continue another series of high kicks, as if to show the Pakistanis who’s boss. Add a funny hat and a long mustache and you’ve got yourself a real performance here.

What makes this event even more incredible is the show of patriotism that surrounds it. As far as I know, the show never changes, but people come to this ceremony EVERY DAY, walking the long distance to the gate, waiting in line smushed against hundreds of others, all for the chance to sit in the stands and cheer for their homeland. It’s like some kind of sporting event, complete with popcorn and drinks. Definitely a fascinating sight to see.

In addition to the border closing ceremony, James, Daniel and I made sure to visit the Golden Temple, priority number one in Amritsar. Now, I’m not going to lie, Amritsar is every bit as noisy, dirty and stressful as Delhi, though less corrupted by tourism (I actually had a pedi rickshaw driver tell me the fare was only 10 rupees after I offered him 20…). But situated among the dirt, the crowds and the cows is this diamond in the rough that makes Amritsar worth all the chaos.

More than just a shrine, the Golden Temple is actually in the center of a holy lake surrounded on four sides by these large beautiful white buildings. With the gold of the temple gleaming against the contrast of the blue of the sky and water, the whole complex is simply stunning. And like the intensity of the border crossing, Sikhs come from all around to pray with fervency, bathing in the lake, chanting prayers in small rooms or, like us, waiting in an endless line to get a glimpse of the temple’s inside…

Just our luck, James, Daniel and I had decided to visit the temple during one of Sikhism’s holiest holidays and found ourselves in a THREE-AND-A-HALF HOUR line to enter the inside of the temple (it was impossible to see how long the line actually was for the first two hours, otherwise I’m not sure I would have done it :/). And this line was crazy. People squished together like sardines and stampeded forward the minute the bar was lifted to allow the next group to advance. The crowd, plus the heat, made the wait almost unbearable and it took every ounce of determination I had to last (James gave up after one hour, I could hardly blame him).

When I finally saw the inside, it was a really beautiful, with multiple floors, covered in multicolored stones and gold with a large chandelier on the ceiling. But after more than four hours in the heat and crowds, the three of us booked it out of there, retreating into an air conditioned restaurant then hiding in our guest house the rest of the afternoon.

After that morning, I was pretty over the Amritsar experience and was ready to leave as soon as possible. But after hearing about how beautiful the temple looks at night, I somehow dragged myself away from my hideaway and returned. And I was glad I did.

The evening, though still busy, was much less chaotic and cooler than the morning. The entire complex was lit up with the golden temple reflecting in the water, and all around the lake people lighted candles, which gave the atmosphere an extra sense of enchantment.

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I had returned to the complex with a friend I had made at the guest house, and we decided to try out the free meal the Golden Temple serves all its guests. Though a very simple dinner of mostly chapati, dahl and chai, the food was pretty good and clean. Somehow, we befriended one of the temple volunteers and found ourselves on a very thorough tour of the Golden Temple kitchens, including where they prepare the massive pots of dahl and tea as well as the chapati room and the cellar where they keep all the vegetables (I tried to ignore the rat that ran past the back).

We also got invited to dine in a special part of the cafeteria, where I sat cross-legged on a dirty mat, eating with my hands, while half a dozen Indian women asked me a hundred questions in broken English and took pictures with me.

Though not my most comfortable moment, I smiled and stayed as long as I could before politely bowing out.

In the end, Amritsar was definitely one of my more challenging cities, but well worth the effort :).

Mustaches and Water Pots: the Pushkar Camel Fair

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One of my favorite experiences in all of India was my visit to Pushkar.

Located in the state of Rajastan on India’s west side, Pushkar is a charming little town full of old homes, narrow streets and a beautiful lake said to contain holy water full of medicinal properties that make it a popular destination for religious pilgrims.

Those things alone makes Pushkar a travel-worthy destination, guaranteed to fill your heart with happy feelings. But what the city is really famous for, is its camel fair.

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Now, at first glance, an event where people go to buy and sell camels might not seem that exciting. But throw in a week of quirky games, traditional performances, cultural exhibitions and several hundred thousand people, and you’ve got yourself one of the most popular and renowned fairs in the world.

When I arrived on the second to last day, I was determined to participate in something. Unfortunately, I arrived five minutes too late for musical chairs and my registration for Tug of War (Indians vs. Tourists) was revoked when too many people joined the list.

I finally got my chance to play, however, in the water pot contest during the closing ceremony. Limited only to women, the water pot race (I’m sure it’s officially called something else) involves carrying a large pot of water across the field to the other side – on your head. Think of the last scene in The Jungle Book when Mowgli falls in love with the Indian girl who is collecting water for her family, then walks away with the pot on her head.

I was like that girl. Only much slower.

All over India you see women, sometimes men, carrying ridiculously heavy loads of food, building materials and Lord-knows-what-else on their heads, as if it was the most natural form of transportation ever. Clearly, there was no way in hell I was going to win this competition.

My friend Gloria had done the contest two days previously and had warned me that you will get very wet. I have always been more of a fan of slow and steady wins the race, so instead of running to the finish line awkwardly trying to keep this heavy, liquid-filled pot from falling off my head, I took my time, careful not to spill, and gracefully arrived in last place. Though I did not win the competition, I like to think I arrived with the most style :). (Side note, an IRISH girl won the event. Go Team Tourists!)

Aside from the water pot contest, the closing ceremony in itself was spectacular. In addition to the games, the ceremony included a camel racing contest, a massive Indian dance performance and, my favorite, a closing parade around the stadium.

This spectacular sight featured traditional musicians, dancers and lots of long-mustached, highly-decorated camel riders, parading in front of the stands like kings. The costumes and make-up were amazing, full of bright colors that just shimmered as they danced in the sun. Best of all, everyone just seemed so happy, and it was hard not to smile when the Indian men with the long mustaches, swords and swirly skirts skip by you without a care in the world.

Definitely one of the coolest experiences ever :).