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2012 BN Duke International Summer of Service:
                                                                       Madurai, India
                                                                                             Sasha McEwan, Class of 2013

The Internship: A Typical Day                                                               The Saratha Family                                                                                    Traveling around South India
At around 9:00am every weekday, I would leave my accommodation and                          I stayed with Mrs. Saratha, a retired sports education teacher, and her husband Mr. Panner             Week 1: The Backwaters of Kerala
walk two miles to my placement at Nithila Nursing Home, a private hospital.                 Selvam, a retired transportation officer. Mrs. Saratha and Mr. Selvam insisted that I call them        We traveled by overnight train and arrived early Saturday morning on the
I say 9:00am very loosely, as Indian culture adopts an entirely different                   “Amma” and “Abba,” (the colloquial phrase for “mother” and “father”), respectively. Amma               western coast of the Indian peninsula. We went on a 24-hour houseboat ride,
concept of time – if I was an hour late, it would have been of absolutely no                and Abba had two grown daughters that were both married and working in the nearby city of              during which time we took canoes through the tropical backwater canals,
concern to my doctor (in fact, there were a few days where he failed to show                Chennai, and the elder daughter was expecting her first child at the beginning of August (right        watched local villagers make twine from coconut flax, and sampled traditional
up at all). On days where I did not feel like making the walk, I would take                                                                                                                        Keralan food.
                                                                                            after I left). Amma and Abba employed a cook to help cook for the slew of volunteers that
the over-crowded, six rupee bus, which in itself is an essential Indian
experience.
                                                                                            came in and out of their home, and I would be remiss if I failed to mention her here as part of
                                                                                            the family.                                                                                            Week 2: Pondicherry
                                                                                                                                                                                                   This time we took an overnight bus to the town of Pondicherry, an area that has
Once I arrived at the hospital, myself and the other intern, Andrew from                                                                                                                           retained much of its culture from a time when it was colonized by the French.
Germany, would sit in Dr. Gopalakrishnan’s office and await his arrival. Dr.                At any point in time I was staying in the house with at least two other female volunteers.
                                                                                                                                                                                                   We visited the rocky beaches and stayed in a youth hostel run by a local
C. Gopala Krishnan, M.B.B.S., M.S., Dr. Gopal to us for ease of                             Amma and Abba rented a separate neighboring house for the male volunteers. Each volunteer
                                                                                                                                                                                                   Frenchman.
pronunciation, is a general physician and a general surgeon who concentrates                served at a different placement, so it was always interesting to hear about their experiences in
in urology. He started the hospital jointly with his wife’s father, and his wife,           teaching, journalism, veterinary hospitals, etc.                                                       Week 3: Kumily
Dr. Jeya Chitra, M.B.B.S., M.S., specializes in obstetrics and gynecology and
is his partner at the hospital. So, in general, when I shadowed Dr. Gopal, I                                                                                                                       We went back to Kerala and spent a rather outdoorsy weekend hiking through the
saw male patients, while I saw only female patients when I worked with his                                                                                                                         Periyar Wildlife Sanctuary, touring tea and spice plantations and riding
wife. This separation is highly reflective of the Indian culture, and it was                                                                                                                       elephants. On the full day trek through the sanctuary, we rode on a bamboo raft
illustrated not only in the hospital, but throughout all aspects of day to day                                                                                                                     down a river and saw Asian elephants, Indian bison, and other large animals up
life.                                                                                                                                                                                              close.

When Dr. Gopal arrived, he would immediately begin seeing patients.                                                                                                                                Week 4: Kanyakumari
Consultations were almost always in Tamil, the local language, however Dr.                                                                                                                         Located at the southernmost tip of the Indian peninsula, this town is known for
Gopal would frequently translate for Andrew and I so that we were always                                                                                                                           its forts, temples and statues. We watched the sun rise over the famous
aware of what the patient’s condition or complaint was. We saw many                                                                                                                                Thiruvalluvar Statue, crossed a bridge made famous by its many Bollywood
examinations (I was allowed to witness the male exams, but Andrew was                                                                                                                              appearances, and visited a Gandhi memorial.
forbidden from being in the room with a female patient) each day, and he
encouraged us to actually lay hands on the patient to feel exactly what he was
feeling. We would also get up periodically and shadow him on rounds in the
emergency area. After about four hours of consultations and rounds, we got a
break to go home for lunch.
                                                                                    The Saratha family and                                Visiting the local fire station in
We returned in the afternoon to watch surgeries, often up to three in an            volunteers.                                           Pondicherry.
afternoon. Because Dr. Gopal specialized in urology, I saw quite a few hernia
repairs. However, I was also able to witness orthopedic, obstetrical,
respiratory and ENT procedures. We stood right beside Dr. Gopal (or the
performing surgeon) in the operating theater, and watched as they performed                 A Quick Guide to Madurai                                                                           The “Monkey Temple” in Madurai.               On the shore in Kanyakumari.
the procedure. Healthcare in India runs on what was to me, an ideologically
foreign system, and I thoroughly appreciated the opportunity to witness it
                                                                                            State: Tamil Nadu
firsthand.
                                                                                            Official language: Tamil                                                                              Special Acknowledgements
                                                                                            Religion: Primarily Hinduism, although Christians and Muslims are also present in strong
                                                                                            numbers
                                                                                            Economy: Traditionally an agrarian society with paddy, cotton, and flowers as primary crops. In        I would first like to express my extreme gratitude to the Benjamin N. Duke
                                                                                            the past few decades, rubber-based industries have become unique to this area.                         program and The Duke Endowment for allowing me to experience this
                                                                                            Attractions:                                                                                           wonderful opportunity. I would also like to thank Minda Brooks, Sarah Stacke
                                                        A patient awaits amputation         •Meenakshi Amman Temple: a historic Hindu temple located on the river Vaigai                           and Jenny Wood Crowley for their guidance and support as I planned this
                                                        at the leprosy clinic.              •Gandhi Memorial Museum                                                                                project. Finally, I wish to thank the Projects Abroad team in India and the
                                                                                            •Thirumalai Nayak Palace: a 17th century national landmark with Islamic architectural influences       Saratha family for giving me a home, a great workplace, and help traveling
                                                                                                                                                                                                   around the country during my time in India.

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Sasha McEwan in India

  • 1. 2012 BN Duke International Summer of Service: Madurai, India Sasha McEwan, Class of 2013 The Internship: A Typical Day The Saratha Family Traveling around South India At around 9:00am every weekday, I would leave my accommodation and I stayed with Mrs. Saratha, a retired sports education teacher, and her husband Mr. Panner Week 1: The Backwaters of Kerala walk two miles to my placement at Nithila Nursing Home, a private hospital. Selvam, a retired transportation officer. Mrs. Saratha and Mr. Selvam insisted that I call them We traveled by overnight train and arrived early Saturday morning on the I say 9:00am very loosely, as Indian culture adopts an entirely different “Amma” and “Abba,” (the colloquial phrase for “mother” and “father”), respectively. Amma western coast of the Indian peninsula. We went on a 24-hour houseboat ride, concept of time – if I was an hour late, it would have been of absolutely no and Abba had two grown daughters that were both married and working in the nearby city of during which time we took canoes through the tropical backwater canals, concern to my doctor (in fact, there were a few days where he failed to show Chennai, and the elder daughter was expecting her first child at the beginning of August (right watched local villagers make twine from coconut flax, and sampled traditional up at all). On days where I did not feel like making the walk, I would take Keralan food. after I left). Amma and Abba employed a cook to help cook for the slew of volunteers that the over-crowded, six rupee bus, which in itself is an essential Indian experience. came in and out of their home, and I would be remiss if I failed to mention her here as part of the family. Week 2: Pondicherry This time we took an overnight bus to the town of Pondicherry, an area that has Once I arrived at the hospital, myself and the other intern, Andrew from retained much of its culture from a time when it was colonized by the French. Germany, would sit in Dr. Gopalakrishnan’s office and await his arrival. Dr. At any point in time I was staying in the house with at least two other female volunteers. We visited the rocky beaches and stayed in a youth hostel run by a local C. Gopala Krishnan, M.B.B.S., M.S., Dr. Gopal to us for ease of Amma and Abba rented a separate neighboring house for the male volunteers. Each volunteer Frenchman. pronunciation, is a general physician and a general surgeon who concentrates served at a different placement, so it was always interesting to hear about their experiences in in urology. He started the hospital jointly with his wife’s father, and his wife, teaching, journalism, veterinary hospitals, etc. Week 3: Kumily Dr. Jeya Chitra, M.B.B.S., M.S., specializes in obstetrics and gynecology and is his partner at the hospital. So, in general, when I shadowed Dr. Gopal, I We went back to Kerala and spent a rather outdoorsy weekend hiking through the saw male patients, while I saw only female patients when I worked with his Periyar Wildlife Sanctuary, touring tea and spice plantations and riding wife. This separation is highly reflective of the Indian culture, and it was elephants. On the full day trek through the sanctuary, we rode on a bamboo raft illustrated not only in the hospital, but throughout all aspects of day to day down a river and saw Asian elephants, Indian bison, and other large animals up life. close. When Dr. Gopal arrived, he would immediately begin seeing patients. Week 4: Kanyakumari Consultations were almost always in Tamil, the local language, however Dr. Located at the southernmost tip of the Indian peninsula, this town is known for Gopal would frequently translate for Andrew and I so that we were always its forts, temples and statues. We watched the sun rise over the famous aware of what the patient’s condition or complaint was. We saw many Thiruvalluvar Statue, crossed a bridge made famous by its many Bollywood examinations (I was allowed to witness the male exams, but Andrew was appearances, and visited a Gandhi memorial. forbidden from being in the room with a female patient) each day, and he encouraged us to actually lay hands on the patient to feel exactly what he was feeling. We would also get up periodically and shadow him on rounds in the emergency area. After about four hours of consultations and rounds, we got a break to go home for lunch. The Saratha family and Visiting the local fire station in We returned in the afternoon to watch surgeries, often up to three in an volunteers. Pondicherry. afternoon. Because Dr. Gopal specialized in urology, I saw quite a few hernia repairs. However, I was also able to witness orthopedic, obstetrical, respiratory and ENT procedures. We stood right beside Dr. Gopal (or the performing surgeon) in the operating theater, and watched as they performed A Quick Guide to Madurai The “Monkey Temple” in Madurai. On the shore in Kanyakumari. the procedure. Healthcare in India runs on what was to me, an ideologically foreign system, and I thoroughly appreciated the opportunity to witness it State: Tamil Nadu firsthand. Official language: Tamil Special Acknowledgements Religion: Primarily Hinduism, although Christians and Muslims are also present in strong numbers Economy: Traditionally an agrarian society with paddy, cotton, and flowers as primary crops. In I would first like to express my extreme gratitude to the Benjamin N. Duke the past few decades, rubber-based industries have become unique to this area. program and The Duke Endowment for allowing me to experience this Attractions: wonderful opportunity. I would also like to thank Minda Brooks, Sarah Stacke A patient awaits amputation •Meenakshi Amman Temple: a historic Hindu temple located on the river Vaigai and Jenny Wood Crowley for their guidance and support as I planned this at the leprosy clinic. •Gandhi Memorial Museum project. Finally, I wish to thank the Projects Abroad team in India and the •Thirumalai Nayak Palace: a 17th century national landmark with Islamic architectural influences Saratha family for giving me a home, a great workplace, and help traveling around the country during my time in India.