2013, Cheap Travel in India, Kerala travel, Travel in India, Varkala

To Indian Dentist

I needed a new crown.

The temporary crown over the implant post had worn out and popped off in Ann Arbor in October, where a dentist I’ve come to think of as Dr. Doofus glued it back on for nearly $400 and then again for $74, when her first gluing was insufficiently sticky.

I was attracted by the price here of $200, and the Montreal couple in the next room at bizarro Mektoub resort had determined this Varkala man was reliable. They had researched up and down the coast for an Indian dentist to replace two of the woman’s failing bridges – work that involved 14 teeth and much shaping and welding. “He has recommendations from Westerners, even Americans,” the man said.

Dr. S’s office is across from the Bata shop in downtown Varkala, next to a fruit vendor. His sign features an extracted tooth smiling from a red circle that could be a pool of blood and a peeling slogan: “We care your smile.”

Image

S’s “dental spa” (his card has grimacing Halloween lips in lurid color around clenched teeth)  is up a flight of unwashed stairs on Temple Street.

At the top of the stairs, shoes and sandals are left for hygienic reasons at the door, but the inside made clear shoes weren’t the problem. It was in miniature the 3 a.m. Greyhound bus station in Fort Wayne, Indiana a half century ago minus the wino on the floor by the Coke machine.  The foul cushions on the benches were decoratively striped. Across, by the reception counter, were four battered folding chairs, each with a grease blotch above where countless anxious heads had leaned on the off-white wall.

I was encouraged that I had found the place, even if it looked like a place for a drug buy. I hadn’t been able to find the sign from my scooter in the carnival blaze of sign-crazy India and had gone too far along Temple Street.

I asked a passing man in creased trousers and a long-sleeved shirt with a tie, the sign here of a respectable place holder. “I show you,” he said. He waited patiently  while I locked up in front of a peppers vendor then took me by the hand into and out of the path of an onrushing bus, its horn blaring, through a maze of tuk-tuk rickshaws swirling hornet-like, housewives and servant runners from the hive of businesses on the street to the office and then up the stairs to the door itself. “You must be removing shoes,” he said, pointing to the pile at the door.

The waiting room

The waiting room

He was a sweet man, and I was encouraged because I had asked him what he thought of Dr. S. as we marched unscathed though traffic.

“The best,” he said.

My Canadian neighbors had been persuaded by the endorsements but I remembered as I stepped barefoot onto the grimy office floor that I hadn’t asked exactly where they’d seen those endorsements, which might be as reliable as the endorsements I’d read from happy travelers of a hotel in Bangalore which turned out to have a rap nightclub on the floor below.

Come to think of it, I didn’t know anything about the Canadians except that he had studied at an ashram. Were they good judges of dentists? Did Canadian dentists have clean floors?

Why was the door with the TOILET sign darkened with smudges?

However, I am cheap, and this was simple dentistry which shouldn’t even lead to blood. Pop off the old, take an impression, cement on the new…

S. was an Indian hipster, down to the blue jeans and the carefully oiled Frankie Avalon hair. He donned gloves, pushed me back firmly in the chair, tapped the questionable crown, and said, “Yes, yes.”

The crown would be zirconia – the latest thing. He made a starting offer.

I’m careful with my health. I did the math. Not even 50% of a bad Ann Arbor gluing, so if it fell out, I wasn’t out much.

And his equipment looked clean. True, the assistant was one of the receptionists, and she had come in from the desk and was wielding the spit-sucker without gloves, but everything was going in her direction, not from her to me. And yes there was no soap in the muddy bathroom, but surely the office had soap somewhere? What the hell. When I joined the Army I signed up to be a paratrooper. Geronimo!

Next step: X-rays.

That was down the street, the assistant said. He had been leaning in silence against the wall, apparently a patient in pain.

“Just there behind,” he said, pointing vaguely north. “See sign ‘BAR’? Yes? There behind.”

The next morning I went for the pictures and pretended confusion as they pointed at my feet. The place looked too dirty for bare feet. “No, no,” I said. “My teeth.” I pointed and handed over the sheet of paper with S’s instructions.

“Twenty minutes,” the man behind the counter said. “Sit there.”

There was an odd odor, maybe of burned hair. I went outside.

A young woman came immediately and led me forcefully into a room with an X-ray table. “No, No. Stand,” she said and roughly turned me around. She found the tooth and made me hold a small tab behind it with my forefinger while she pushed the button.

Then I went to the machine that circles your head and bit on a tiny piece of plastic intended to keep me in position. I clenched and waited while the rotors warmed up, humming like a ceiling fan. It took so long my teeth began chattering from the strain, but it made no difference. I left with a negative that cost 580 rupees.

I scootered back down the street for my appointment. “No, no,” said the receptionist, counting through a stack of rupees. She fluttered her hands as at a bug. “No electricity until five o’clock. You come then.”

I don’t think so, I said, rolling my eyes like Dennis Hopper. That’s too late. That could put me on the streets in Varkala at twilight time and it’s hard enough at noon on a scooter to dodge the tuk-tuks and pedestrians and trucks all plunging without a glance left or right into the dodgem-car street. I don’t want to drive a scooter here after dark unless I’m bleeding heavily already.

Friday I went back. The electricity was on and the unwashed hygienist was there with her hose.

This was the plan, Dr. S. said, pulling my X-ray negative from its brown envelope and holding it up toward the ceiling fluorescent for a moment. He would give me two crowns. My implant with the temporary crown at number 5 rested in porous bone and should be bridged for extra support to the solid implant at number 4.

“But isn’t that crown good?” I said. “Number four?”

“Yes,” he said. It was fine, but it would have to be reshaped to help number five.

“How much?”

At least 20,000, maybe 21,000, he said, holding my mouth open with two gloved fingers.

No, I told him. Just one.

He may be exactly right about the bone. He wears his blue jeans well, and he does have those endorsements. I was focusing on the superficial. After all, I had a Vermont implant fail because of too-porous bone for number 13, though the surgeon who removed its wobbly remains wondered aloud how it had ever been inserted at such an insupportable angle.

I have concluded that finding a competent dentist anywhere requires some false starts, some What the hell! sessions with licensed professionals who sat always in the back and missed Friday classes to get an early start on whatever dental students do on weekends. And as I waited I read in India Dentist a complaint from a senior dental surgeon that competence was a worry here, too. India dental schools had lost all credibility and standards had plummeted since they separated for turf reasons from universities. Now, he wrote angrily, the students simply “vomited back” on exams what their instructors had force-fed them the previous day. They had no understanding of the medical aspects of dentistry.

S. shrugged at my decision. OK.

He picked up his drill, humming to himself. One it must be. One, two, double my fee. Two, one, out it may come…

Wait! The cost?

“Ten thousand ,” he said. “Cash.”

He drew a diagram. Make it 11,000, he said, with this shield to “prevent corrosion.”  He drew a crown with a short skirt. He may well have drawn the extracted tooth on his street sign.

OK. And add the undercoating, I said. I wanted the best.

That was the time to leap from the chair and negotiate. I could have gotten him down to 8 or 9, even with the skirt, but I didn’t. I was getting oddly restive, partly because the receptionist-assistant seemed to be falling asleep on her feet, though her hose was on and sucking air.

His job now, he said briskly, was to “shorten” my temporary crown and then take impressions. My tooth would be ready in seven days.

But I was going to Sri Lanka maybe, I said, maybe sooner than that.

Four days, he said, and pushed me back in the chair, opened my mouth, and as quickly as a knifefighter jabbed me in the upper gum with a needle. No sweet talk from him.

Then he buffed the temporary crown for 15 minutes, and the assistant seemed to do her job skillfully. I gagged just once when she thrust the suction device in too far.

I understood only belatedly what he’d done. It worried me a bit. I had never heard of the technique. He had shortened my temporary crown by half, shaping the plastic into a base for the new crown.

“But the temporary came off twice,” I said, “in October. It has a hole in it. If you glue the new one to it, won’t the new one just pull it off?”

“Yes, yes,” he said. “Come Wednesday. It is not a problem.”

Twenty-four hours later, his work was smooth to my tongue, but my lower lip was a bit numb. I think I’ll do without a shot Wednesday, I told myself. Just pop off the old and glue in the new, please. Why would my lip be numb? What was in that needle? Why did he give me a shot, anyway? The implant is nerveless…

But isn’t all life a mystery?

Wednesday was Christmas. I climbed the stairs at 3:30. Dr. S. was waiting, wearing the same shirt as for my first appointment. No assistant was needed this time. The new crown fit perfectly. He puffed air on the temporary, squirted glue in the new crown and pushed it into place.

“How does it feel?”

“A little high,” I think.

He inserted a strip of carbon paper. ‘Bite!”

He examined the tooth. No, the bite was perfect. He held out a wad of cotton. “Bite on this for half hour please.”

He held out his hand for the rupees.

In the outer office, the receptionist handed me a 10-year guarantee for the crown. “Zirconia,” she said.

Outside, the scooter wouldn’t start. “Damn that Rafi!” I said clumsily, talking past the cotton, but that’s another story.

Two days later, the crown feels pretty good—maybe a little high at the back—though my tongue detects extra cement that oozed out during the insertion and initially I had to pull off cotton there from the wad.

Yesterday I ate a Snickers bar and chewed on that side, and my crown on a crown didn’t move a smidgeon.

Standard
2013, Cheap Travel in India, Kerala travel, Odayam Beach, Travel in India, Varkala

The Garden

I wrote to someone the other day, as I sat by this placid seaside on Odayam Beach at Varkala–fishermen dragging in their nets and arguing with each other, Western tourists walking by, the air rushing in warm through the palms, “air you can kiss,” Kerouac said when he first reached California in 1947–that the days are an endless caress.

Image

Sunset at Fisherman’s Art Cafe, Varkala

I was content in the sweet wind and thud of long swells collapsing in celebratory foam, the fresh oranges at every market stall and long hands of tiny bananas, and I’ve made friendly acquaintance with Wahoub Budeen, whom I think of as the stout man in the little market booth south of the bizarrely named Fisherman’s Art Cafe—fishermen don’t go there, there is no art, and the people who run it, all from Darjeeling, lean on their hands most of every day, waiting for just one customer.

Budeen insists with a big hello that I buy biscuits, or oranges, or anything. Whatever the price he gives, I wave my arms and argue it should be five less, or sometimes, to his great amusement, I change direction and go from 40 to 50, having just gotten him down to 40.

Image

Wahoub Budeen at his market on the Odayam Beach Road, Varkala

And just beyond him on the dirt track, the poor, sad, rarely visited Karnatakan sellers of cloth — one man, two women, two small children who should be in school. One of the woman sells fruit; the other tries to sell their faded cotton cloth; the man sits grinning at me but says nothing. The fruit woman usually has a papaya or two, a pineapple, maybe a melon and three or four oranges or bananas for sale. I’ve not seen another customer stop there. She is hopeful when she sees me.

I bought from her a few days ago then walked on to Wahoub Budeen’s stall. He has many kilos of bananas for sale. No, I didn’t need any, I said, and showed him the three or four bananas I’d bought for 10 rupees.

I’d paid too much, he said. He’d charge half that.

Yeah, I said. I know, but… I tipped my head toward the sad people.

He stopped laughing. “Yes, yes,” he said. “Yes.” And he reached out and touched me on the shoulder.

Then he threw back his head again and laughed his big laugh. I needed biscuits, he said; oranges!

The days are regular. It gets light after six and and 12 hours later it’s dark. The mornings are beautiful and easy and then it heats up toward noon and after, with the hot sun coming straight down, and that’s when the water feels best, cool and soft-handed.

There are irritants. This is weird tourist India after all, where no one works very hard and the restaurant workers have no acquaintance with soap and garbage burning and unburned makes ditches bright and public ways all papery and discard littered.

Mostly, though, because as a visitor you have a few bucks and time to stretch and nothing much to do but luxuriate, unlike the natives, and slowly turn the pages of an Inspector Morse mystery, it is perfect — Dorothy Lamour walking off the black and white screen to lead you by the hand out of your familiar blaring world to a place of fantasy much like this.

Here is relief from collapsing institutions and corporate misanthropy, the political and cultural rot of my birth world. The Indian papers have not heard of fantasy football, and our public haters, slick-haired shouters, have no reach beyond our borders.

Perhaps it’s deserved indolence after decades in harness, I tell myself, but old habits are deeply ingrained and it came to me a week ago that I understood for the first time that ugly old story of  Adam and Eve. Given this, the garden, by a nagging, small-minded creator, they got bored.

To the sickly, dour church they are poster-children of  dejection and inadequacy, slinking away, cast out, rather than walking boldly into uncertainty, but I understood their drumming fingers.

I must move soon, even knowing I will look back.

Standard
2013, Cheap Travel in India, Kerala travel, Travel in India

Settling in, Varkala

An hour ago, I was swimming off Black Beach, just to the north, rising and falling with the long swells which make landfall here.

I’d been in a bad mood, feeling prissily that India was clutching too tightly.

But that changed in a moment.

Part of the change was my own clumsiness. I miscalculated. The breaker was higher than it had seemed and  knocked my I’m-walking-into-the-surf insouciance into a graceful backwards somersault. It restored my good humor.

Such moments should be chased. They’re infrequent: a beam of sunlight through a crack in the clouds that spiritualists call divine and which leave secularists like me struggling for vocabulary. Chase? Our clerkish culture makes it hard. Pursuit is scarcely possible from a cubicle life except at the simian level of the virtualists, those etiolated souls who flourish only under fluorescents and who seem always to be peering at some glowing device. To the others, the struggling brother- and sisterhood in the cubicle gulag, I send best wishes and my hope that you break free soon.

The flash of freedom… It was the sky, the water, the palms of a tropic coast along the low shore, the lifeguard (whom I had taken for a local idler) who called out to me and pointed me toward the south (dangerous rocks loomed under water just north of where I’d been swimming, he told me later, and it was easy to get cut or break a hand or foot), and blue ocean and clear high sky and the green shore, the black beach, the offshore breeze…. I put my face down in the cool water and felt for a tingly moment like the little boy playing in the foam at the shore.

Image

Net-tending boat, Varkala

I disliked Varkala at first. I’d had a comfortable train ride down from Fort Kochi with competent help from the conductor in my “AC-reserved” coach and left my city dysentery far behind, but my arrival began with a grim portent.  Specifically, petty though it sounds, I hope my tuk-tuk driver at the station doesn’t build a fleet of tuk-tuks. He was irritating. He agreed to take me to my hotel five k’s off for 80 rupees but got lost, then demanded 150 because the trip had taken longer than expected. I spoke to him sharply in Joisy (I picked up some phrases in Vermont) and he went away, scowling over his shoulder, me still muttering.

My room in Middle Cliff was OK, clean, with a mosquito net draped neatly over the bed like a bridal veil, but I was located up a littered alley far from the sea, which crashed on the rocks at the base of the cliff 100 feet down trash-littered steps (the shop keepers lining cliff-top routinely throw the day’s waste over the side. And the shopkeepers and the inumerable hangers on and assistants and idle cousins, the squads of waiters at each of 20 or 30 restaurants, the blind beggar fluttering his faded testament  of need from a doctor who won’t operate without “much money,” all reaching out, the shop folks saying, shop after shop, “You are just looking no buying,” and when to be polite you say, “Perhaps later,” they become attorneys and fasten on you like a Texas prosecutor,  asserting with a frown that the remark constituted a moral commitment to buy from them.

The newspaper vendor was a paricular blot. Newspaper sell usually for four or five rupees. He demanded 75. I laughed at him, and he got unpleasant, telling me of his hard life and he had to bring the papers out from the village and he was poor man and I was a rich foreigner. Like all whiners he was easy to imitate. The shop guys, many of them from Nepal, were amused as I walked away waving my arms, telling the idiot he should GIVE me a paper because I have gray hair and the electric power is off and I just washed my underwear by hand….

It’s a sad truth. The power keeps going off in Varkala, for long periods. It’s mid-day Saturday as I write, and the plugs have been empty and the bathrooms dungeon-dark all day. Corruption plus upcoming holidays that feature lights… The explanations vary.

Or, one last observation. My first night I was at a front table watching the flow of people. Two cops appeared assigned to make a foot patrol along this high promenade. Like most cops here, they were neatly uniformed, and they didn’t leave a wave of fear or dislike behind as cops do in Saudi Arabia or Iran or American ghettos. They stopped to say hello to the restaurant manager, standing by the fish table with its neat array of tuna, barracuda, snappers and huge prawn, all on ice. They laughed and chatted, then moved on.

Ten minutes later they returned, ending their patrol. As they passed, the manager reached out with a small bag. The near cop took it without a word, and he and his partner kept walking. The next day I mentioned it to a waiter and then to a hotel manager. They responded identically. They laughed. They weren’t amused; they were resigned. “Yes,” the waiter said, “and not just food. They also take money.”

Just next door of where I’m staying, 16-year-old Sonia runs a shop that sells cheap cloth bags and shirts and beach trousers. Her parents don’t work, and she supports them and her two little brothers, she said. They are from Gadag, in Karnataka. Of course, she’d had to leave school after the “fifth form,” she told me with a pretty smile. “I angry that!”

I bargained her down on two thin beach shirts from 1,400 rupees to 650, and I took her picture and her brother’s, 12-year-old Kumar. I haven’t asked her yet if she has to pay off the police, but O. in the Kashmiri shop does.

ImageSonia, 16

Then, recovery. I found a new place to live, a mile closer to Black Beach and pretty, with neat gravel walks, grass and well-tended new plants. It overlooks the ocean; plus, as I say, I went swimming. My fluorescent mood blew away in a hallelujah! instant.

Standard
Cheap Travel in India, Travel in India

Dysentery

 

It’s five after six and the evening prayer call has begun, made furry by a poor amplifier. I’m  sitting in my room, a bit glum, immobilized by dysentery.

I’m sorry to record the episode, but the colonial graveyards here are filled with victims of the flux, and it strikes me that little has changed in the past five centuries in terms of cleanliness. Hand washing remains uncommon, at least in the class of restaurants I use.

The windows are open, letting in the stench of burning garbage on the street down below. I’m writing by the light of a single fluorescent tube high on the wall. India has no reading lights. Thick tropic air, heat, dust and dysentery.

The perfunctory dictionary on my MacBook defines dystentery as “infection of the intestines resulting in severe diarrhea with the presence of blood and mucus in the feces.”

The description lacks force. For one, I seem to be issuing little feces; otherwise, I haven’t looked closely enough to see if there’s blood. In my case, the bowels curl a bit in warning and then murky liquid gushes out.

It began yesterday at noon, the day after Thanksgiving, and it tapped on the colon wall every half hour or so until I opened my medicine kit today and took two pink pills prescribed by the University of Michigan Travel Center, 500 mg. tabs of ezithromycin,  unlisted by the dictionary.

I had previously taken two Pepto-Bismol tabs, but they were routed by the infection. I didn’t sleep much, rising so often as I did, but I did have waking dreams, startlingly vivid, of Custer’s options diminishing by the moment as the Sioux closed in; the Peptos fell one by one and I staggered again to the toilet.

I think I know the culprit, a small beanery in Cherai town where I had masala dosa Thursday, my Thanksgiving feast.

Dosa is a crepe-like pancake, unsweetened, about 12 inches across, folded over with masala-spiced potatoes inside. It’s usually served with a little bowl of chili dip and another of coconut. Well done, it’s a good meal.

The counter-man reminded me of Floyd the Barber on the old Andy Griffith show. He had a sweet smile and was pleased when I had eaten, paid and walked out satisfied.

But I’m not sure where to place the blame. Maybe I just licked my finger at the wrong time. My bowels were quiet for hours after that meal, though I was more exhausted than I should have been after a six or seven hour trip – a walk up through Fort Kochi, across on the ferry to Vinin, and then a long trip up to Cherai, 24 kilometers north, on a local bus. That trip up and back was bouncy, and I did walk four or five miles along the beach and then the two kilometers back to the bus stop on a steamy day, and back on the ferry.

I was pleased with myself: the ferry cost 2 rupees and the bus 15 each way, and the only thing I bought, other than the dosa, was a coke, which I didn’t finish.

I got back here, though, barely able to sit up, and I went to bed and stayed there hallucinating the rest of Thursday, until Friday morning. Then I walked into town, got some rupees from an ATM, bought more contact lens solution, and had a quick breakfast at the cafe which offers free WiFi, where I researched where to go next, but couldn’t focus.

I walked back here and arrived just in time.

Twenty-four hours later, I was getting a bit worried. I was losing what seemed bucketfuls of liquid, and my only desire was to sleep, to lie down and close my eyes. I concluded, maybe speciously, that my symptoms matched the description on my pill jar, and I took the medicine. It didn’t work immediately. The Sioux, who had now turned into sharks, continued to thrash nearby, but I felt gradually an ominous tightening of my midriff, and the attacks diminished. I can still see the dorsal fins circling not far off, but I think the worst is over.

I keep thinking, though, that it may not have been Floyd’s masala dosa. It was a bit crude in execution, yes, but not the worst I’ve seen, and he and the waiter were so anxious to be helpful to a hungry stranger that I want to absolve them.

My mind turns instead to the odd-tasting scrambled eggs I had at the Fresh Choice cafe in town. I ate them, but only because I was hungry after a day of fasting. The war-whoops began an hour later.

However, that doesn’t explain my exhaustion Thursday and an achiness which extended left and right, up and down, as though I was foolishly attempting as I did in 7th grade to tackle Bud Parker head on.

I have been lucky. The room is pleasant. The toilet is near and attractive, and Louisa, the owner of Lotus Home Stay, has been very concerned. She offered to get me whatever I need. I pooh-poohed my needs and staggered out this morning for water and then for fruit and then, after the pills took hold, to the Idiom Book Shop, where I got 50% back of what I’d paid back for P.G. Wodehouse’s Laughing Gas (not his best) and 366 daily meditations from Hindu holy books and exchanged them for a Tom Clancy book full of Chinese gangsters, nasty corporate types and steely-eyed heroes. Its subtlety is what I need.

My medicine kit

My medicine kit

I’ll add a digression here to keep my ailment in perspective. At Bandipur in the nature preserve, I got up early to go on a “trek” with the resort’s guide. I was the only trekker, as the place was filled with rotund Indians in fancy cars.

Janine and I walked out of the resort into the brush, broken country of erosion ravines dotted with small villages, backed by a high ridge.

In the near village, Janine stopped outside a hut and called and in a minute a middle-aged man appeared, drawing his clothes around him. The left side of his face was grotesque, as if it had been caught in a grinding machine. His left eye was gone. The skull seemed nearly caved in.

Bandipur villager mauled by bear

Bandipur villager mauled by bear

“Bear,” Janine said. The man was attacked by a bear six years ago when he was cutting wood on the mountain, Janine pointed up at the near green slope. He shrugged. I took a picture, as was expected, and then reached in my pocket for a tip for the old man.

Janine stopped me. “No money,” he said, making a face. “He only drink and smoke.”

Years ago, I spent time on a Kuwaiti fishing boat manned mostly by Iranian workers. When they got hurt, as happens on fishing boats with lines running out and heavy nets swinging in, they were discarded, and they returned to their village minus an arm or with a leg that didn’t support them. No workman’s comp. The Republicans’ vision of the good society resting on rugged individualism and discardable people.

Drink and smoke… Why not? He doesn’t need to keep his head clear while he studies for the GRE.

 

Standard