Sunday, August 10, 2008

Marine Mammal Mania!

As I've written before, one of our friends down here, Mihnea, is the island's vet. He treats mostly dogs, cats, birds, the occasional monkey (though he doesn't like them), but he also is, by default, a major contact for any business involving animals. This includes Dolphins Pacific, the local 'swim with the dolphins' gig (which falsely advertises itself as both the largest and the ONLY place in the WORLD where you can swim with the dolphins, but maybe that was an error in translation of the pamphlet).

The dolphins are (were) trained to clean the leaves from their pens, which are overshadowed by a variety of foliage, but rather than bring the leaf to the trainer in order to receive a fish, as they are supposed to, the dolphins have taken to eating the leaves. We were told they were addicted to the leaves, but I'm guessing they just have an enjoyable flavor – either way, the dolphins' digestive tract is unable to process the leaves, and as a result they get stuck in their stomach. This requires treatment about every month to clean out the leaves before the dolphins get extremely sick and, potentially, die.

These sorts of routine treatments don't require Mihnea's presence – but they do require a lot of manpower, both to catch the dolphin and to hold it while it's cleaned. More manpower than they generally have staff available – and so they take volunteers out to help with the festivities. They ask Mihnea if he knows anyone who might be interested in helping, and Mihnea puts out his feelers – this time picking up Curtis (a Peace Corps member), myself, Jodie, Vivi, and Jirka. I believe the exact texting exchange (Mihnea, for whatever reason, does not seem to like actually SPEAKING into the phone):

Mihnea writes: Do you and Jesse (he met Jodie first, so he just writes as if he's addressing Jodie by default) want to go to Dolphins Pacific to help catch a dolphin?

Jesse writes: Jodie's not here right now, but I'm almost positive I speak for both of us when I say 'hell yes!'

Mihnea writes: Then hell it shall be!

Dolphins Pacific is attached to Neco Marine (one of many local diving operations), and so we were told to meet at Neco's dock at 3pm on Monday. Jodie and I got there at about 2:50pm to make sure the boat didn't leave without us (a bit over-eager on our parts, as we would soon find out), and everyone else within about 15 minutes. Jirka, notably, had apparently come straight from his last patient, so he was still in his scrubs (my MS2 classmates may recall that this makes him 'that guy' from our orientation's 'ethical dilemmas'). 3pm, everyone's on time.

We all forgot that, in Palau, this makes you early. We were told the boat wasn't going to leave until 4:30pm. You would think they might call Mihnea to let him know, but nope. No big deal, we decided, we'd just go get a bite to eat and some drinks at the adjacent Drop Off Bar & Grill. Unfortunately, we were greeted there with:

"I hope you're not hungry, the kitchen doesn't open until 4."

Great. Well, no problem. We could go to Kramer's, it was just a few blocks down the road, and we'd be back by 4:30pm no problem. Except, as we were about to leave, someone popped their head out of the office:

"Hey, can you guys stay right here? The boat might be leaving at 3:30."

So, basically, could we hang around just outside the Neco office for potentially an hour and a half because the boat might leave only a half-hour late?

Well, no problem. We'd just run across the street to the little deli there, grab some food (for those of us who were hungry), and eat it outside of the Neco office. We ran, grabbed our food/drinks, returned, and sat down to eat and keep an eye on the dock. By then it was about 3:15pm. Immediately, the woman came back out of the office.

"Okay, we're ready to go."

Within the timespan of 15 minutes, the boat had gone to leaving at 3, to 4:30, to maybe 3:30, to 3:15pm. That's unreliable information, even by local standards! So, with lunch in hand (I wound up having to eat part on the way there and part on the way back, since it's only a 10 minute boat ride or so), we waited for the last tour group to disembark (coincidentally, a group from Seattle who took a moment to bitch about the Mariners and Sonics with me), and were on our way.

The Dolphins Pacific facility is its own little island set-up about a 10-minute boatride from the dock, consisting of two large buildings, several large pens for the dolphins, and a bay where they're allowed to swim freely after hours, all walled off/connected by a bunch of floating walkways. A pretty idyllic spot – if I were a dolphin, I would probably enjoy living there. On the ethics front, all of the dolphins at Pacific were apparently headed for a slaughterhouse before they were brought to Palau, and in my mind that puts Dolphins pretty much in the ethical clear. I'd say the dolphins seemed happy to be there, but do dolphins ever seem anything other than happy?

You might think they would just give the dolphin the aquatic equivalent of syrup of ipecac or something, but no – they literally strap a giant fork to their forearm and reach their arm all the way down the dolphin's throat and into the stomach to rake out the leaves. A dolphin's stomach is apparently huge (I can't remember the exact length, unfortunately), and the guy who was doing the cleaning was literally shoulder-deep in the dolphin's alimentary canal.

As you might imagine, this isn't particularly comfortable for either party, and the dolphins tend to squirm. Hence the need for a lot of bodies to help hold down the critter – and then another crew (the smaller volunteers and staff) to keep pouring salt water over the dolphin (and us) full-time.

The whole operation was apparently complex enough that they held an honest-to-God briefing, though as far as I could tell, there were basically a few jobs: 

1) Hold dolphin

2) Stick hand in dolphin's stomach

3) Pour water on dolphin

4) ???

5) Profit!

Simple, no? And yet, everyone spread out around the war map, and the manager, like a veteran general, doled out his orders for managing the tarp and net which they used to catch the dolphin (basically by herding it towards the pier by decreasing the space it has to swim in, and then pulling it onto a little platform, wrapping a bunch of towels over it, and then bodily lifting it up and out of the water and onto the cleaning platform), and a few people had to dive underwater (tanks and all) to manage the tarp/net and then catch the dolphins, but the crew had obviously done this so many times that the briefing was, for the most part, superfluous.

Once the dolphin's head and tail had been wrapped in wet towels, we all lifted it out of the water and set it down on the cleaning platform, then applied towels to the body. Each time we moved the dolphin, we had to hurriedly throw our weight down against it to keep it from wriggling off of the platform or otherwise panicking – though for the most part, it held still during this time. They crammed about 12 of us onto just holding the dolphin – 3 on the tail and the rest along the body and head. They basically just chose the heaviest 12 people to do this – as Mihnea would say, they liked me for my beef. Or, as he has said, '[I] have a good beef on [me]' I'm not sure he'll ever get the hang of that word. Either that, or he knows exactly what he's doing.

Anyhow, this left us sitting still, completely exposed in the baking heat (and I swear to God it was the hottest day of my stay here – even the locals were complaining about how hot it was), for about 40 minutes while they cleaned the dolphin's stomach. Fortunately, a group of about 8 people were constantly pouring salt water over the dolphin – and, coincidentally, us (after about 20 minutes, both Jirka and I were asking Vivi and Jodie, respectively, to just dump it directly on us every now and then – we envied that dolphin). But as hot as it was, it was just ridiculously cool (re-reading this, I realize the unintentional horrid pun, but don't apologize) to touch and hold the dolphin. I've never swam with the dolphins or any of that jazz (and at $120, I don't intend to do so here in Palau), so this was the first time I'd ever touched one. It's pretty much exactly as you might imagine it: rubbery, soft, slick.

Just like I like them.

If ever you need a reminder of just how weak and frail humans are compared to many forms of wildlife, consider this: 12 of us holding the dolphin down – with our bodies, not just with upper body strength – and the damn thing was still stronger than us. When it thrashed around, it threw us back and forth on the cleaning platform – it didn't break free ever, but if it had really freaked, I'm betting it could've knocked a few of us in the water (or whacked someone a good one with its tail). Still, other than some chunks from its blowhole and some vomit-covered arm, no injuries were sustained.

The emphasis on beef left Vivi and Jodie, both pretty petite individuals, with water-pouring duties. Jodie got to touch the dolphin, at least. I asked permission to switch out with her in between dolphins (two of them had to be cleaned that day), so that Jodie could help hold, and was told no. Not like 'no, that's okay, you can stay if you want,' 'no' as in 'no, you have to stay.' Given how powerful the dolphin turned out to be, I don't blame them, but at least I tried.

After cleaning, we unwrapped the towels and carried the dolphin, in a little basket net thinger, to the edge of the pen and rolled it back into the water so it could relax. The first dolphin (Ariel) spent the entirety of the second dolphin (don't remember)'s cleaning glaring balefully at us and trying to see what was happening to its friend, swimming back and forth against the pier and pushing itself more than halfway out of the water so that it could see. She took a particular liking to Jodie, and spent the better part of 40 minutes staring at her, silently imploring her to stop the insanity. Sadly, silent pleas fell on deaf ears.

Once the cleaning had been done, and the tarp/net put away, we were treated to a brief show of dolphin stunts – backflips, high fives, and tail-waves abounded. I tried to videotape these stunts, and was only partly successful. Due to a woeful lack of understanding of my camera, I didn't think the video feature was working, and kept beginning a video… and then turning the camera to the ground in frustration while I tried to figure out why it wasn't recording. As a result, I have brief moments of dolphin glory interspersed with footage of my feet. If I don't get a chance to go back, that may be my one greatest frustration – I'd hoped to videotape the entire show.

As we left, the manager came over to ask when we were leaving, and said that he wanted to get us back to Dolphins to do some of the activities by way of thanks. The way he offered made it sound like he was offering it for free (awesome!) – but as yet, that hasn't materialized, and it's been a few weeks. I'm asking Mihnea to try to pursue it, because I would desperately love to go back and see the show again, and swim with the dolphins and all that jazz (for free), but no results yet. We'll see… I've got about a week left to make it happen, so if I can bother Mihnea enough about it maybe he'll push something through.

Here's hoping.

Taking Care of Business

A brief business update from Palau – I finally got out to Peleliu and was able to give my presentation. Because of the short amount of time I've got left, I'm not going to be able to do the longitudinal follow-up part of my project very well – frustrating, but there's not much I can do about it. The Governor wanted me to find an interpreter before he'd arrange a group meeting, but there's no way I can find an interpreter from the hospital and his office doesn't seem to know anyone on Peleliu who could do the job. However, an extremely busy day in the clinic (probably precipitated by the fact that we didn't make it out the week before) netted me 7 patients for my presentation – I had hoped to get 15 over 4 weeks, so if I can get 10 over 2 weeks, I'll be pretty pleased. When you consider that Peleliu has a population of 500, and maybe 150-200 of those are adults, and that less than half of those have diabetes or hypertension (though more than half are obese), and that I've only personally seen maybe 20-25 unique patients with hypertension/diabetes actually at the clinic, that's not a bad percentage of the patient population. I'm going to give a copy of my materials to the Governor's office if they want to present them and reinforce them at a community meeting (as they had asked permission to do), so there is some chance that the information will eventually reach a greater proportion of the population, but it will have to happen after I leave.

However, I also lined up a second presentation. After the storm last Thursday, I wound up at the hospital mulling my options for getting a working project. Kristen, though she claimed not to have any ideas, as usual wound up pointing me in the right direction – she suggested I talk to Tino, saying he had a youth group I might be able to talk to. So, I went over to Tino's office and sat down. What followed may be the most hectic 30 minutes of my life:

"Tino, I've got a problem."

"Jesse, what's your problem?"

"Tino, I haven't been able to get out to Peleliu for two weeks and I'm running out of time to do my project there."

"Jesse, how can I help?"

"Tino, I need an audience."

"Jesse, I can get you an audience."

"Tino, I need a venue."

"Jesse, I can get you a venue."

He went on to explain about his youth group, which apparently is some diet/exercise educational dealie, and a state-wide program which has a section dedicated to non-communicable diseases, so he figured he could just bill me as the diabetes/HTN part of it. He could spread the word to his youth group, but he also wanted to get some of the older patients in to hear my presentation, so he wanted to talk to the Governor of his state, Ngardmau (Nard-mow, ow as in cow) and get her involved in it. He called the office to see if the Governor was in – she was, but she was leaving in 30 minutes. It was about 3:30 at this time. After a brief moment of indecision, he got up from his seat.

"Umm… where're you going?"

"To get a car. Come on."

We ran over to the public health office, where he borrowed the keys to someone's state car, but failed to ask the license plate or parking lot – instead, he just knew it was a black state car, and we ran around the parking lot trying to open every black state car in the hospital's three parking lots until we just found the right one (which felt pretty shady). Given that we were in a hurry, it would've been more time-efficient just to go back and ask the license plate number and location, but , eh. By 3:40pm, we found the car and were off. He was supposed to have the car back by 4pm – apparently, it's illegal to drive state cars after 4pm without 'a reason.' I thought we had 'a reason.' He didn't. I don't claim to understand the law here. The Governor's office was only a 5 minute drive away, and we hopped out and hurried in. The understanding was that Tino would do the talking, since he's the one who knows 'what's up,' as they say. He greeted the Governor, then started to explain who I was, before just turning and asking me to introduce myself.

"Hello," I began, in a speech I've rehearsed and performed innumerable times, "I'm Jesse, I'm a visiting medical student from the University of Washington, and I'm doing a project on diabetes and high blood pressure for ---"

"That's enough, I'll talk," Tino interrupted, and, somewhat stunned, I meekly shut the hell up and took a seat.

They began to rattle off in Palauan – I'm not sure what was said, but it seemed to work, because the Governor expected me to do my presentation the following week (that would be last week, now) on very little preparation. Tino arranged for it to happen this Tuesday, a week before my departure, giving us some time to get our act together.

While I was sitting and listening to them talk without any ounce of comprehension, one of the girls working at the office glanced over at me,

"You're a U-Dub student?"

I blinked, but, excited that someone knew the good old UofW, I responded enthusiastically, "Yeah!"

"You're from Seattle, then?"

"Yeah, you've been there?"

"I lived there for two years!"

"Best city in the country," I stated objectively.

"I hated it," She replied with a grin.

"…What? Why?" This was the first time I'd met a Palauan who didn't like Seattle or Portland (the two most Palauan-heavy places, apparently), though I'd met many who have said they wouldn't want to live there.

"It rains too much!"

Aghast, I pointed silently at the window, where a veritable typhoon buffeted the glass.

"Well, yeah, but it's different!"

Mark this: Palauans and Floridians both will whine about Seattle's rain, but refuse to acknowledge their own.

A quick drive back to the hospital got the car back at 4:03pm and completed a whirlwind of activity that wound up arranging for a second presentation for me – a back-up in case Peleliu wound up a bust. Tino had a variety of changes he wanted to make to my presentation (which was fine, I had a week or so to work on it), and we're getting a couple of BP cuffs/stethoscopes to do blood pressure screenings, as well as a measuring tape and a scale to do BMI screenings, and I dropped some cash on him to help put together water and healthy snacks for the attendees. If there's one thing I've learned in this life, it's that if you want people to show up, you offer free food.

I'm not sure which project I'll wind up doing my poster/abstract on – all of the build-up has been to Peleliu, but if the Ngardmau presentation works out much more cleanly, I may be forced to use it instead, since there's no real way to force both of them onto a single poster. We'll see.

Saturday, August 9, 2008

The End is Nigh

Random Palau Statistics:

Babies Saved: 0+
Consecutive Nights Without AC: 4 (a personal best)
iPods Broken: 1
Cab-drivers Who Have Suggested I Have a One-Night Stand With a Filipina Prostitute: 2

The end of my tenure here in the Republic of Palau is drawing inexorably nearer. This was, of course, technically true from the day of my first arrival, but the finish line is very clearly in sight now. I habitually measure time by a series of consecutive rounding’s, with weeks being the unit of measure. For instance, during a quarter, week 2 is halfway to week 4, which is halfway to week 8, which is typically right before finals week – therefore, by week 2, I can, in good mathematical conscience, round to week 4. Week 4 rounds to week 8 and I’m practically done. This does not, of course, change the actual length of time which passes – but it helps make it seem manageable to my fevered imagination. The reasoning “well, if I get through the same amount of time which I have already survived, then I’ll only have to get through THAT amount of time once more” makes sense only in my own mind, and I realize that, but it works.

Another favorite trick of mine is fractions/percentages. By the end of week 1, I’m already thinking “hey, I’m 10% there!” Then two days into week 2, I round up to 2 and a half weeks and tell myself I’m ¼ of the way there… this keeps the time which passes safely in perspective, and makes it go faster – without actually forcing you to confront the fact that, eventually, you really WILL reach the end and will feel sorry to leave.

As the numerator of this fraction gets larger, however (for instance, I am about 8.3 weeks into my stay, which rounds to 8.5, which rounds to 9… 9/10 of the way through), I no longer find myself devising mental tricks to avoid intimidation by the amount of time I will be away; I try to rationalize how much time I have left so that I don’t feel like I’m leaving so soon.

After all, I still have 11 more days – that’s 264 hours! Plenty of time to do everything I want! I still have at LEAST one more of each day of the week! I’m in great shape!

No mathematical manipulation erases the fact, however, that I am leaving very soon. I am constantly reminded of it:

People here ask me (with heated anticipation, I must imagine) when my flight is (often glancing immediately afterwards at their calendar, then sighing heavily and gritting their teeth).

Jodie has left – this marked the 2.5 week mark (3/4 of the way, which rounds easily to 100% through my IHOP experience). I haven’t yet been forced to confront the stifling silence that her absence would have brought, as our friends Steve and Marla were with me from Sunday (she left Friday night) through this Friday, so I’ve skipped a week of potential boredom in that manner. The same storm which kept me off of Peleliu last week screwed up the state ferry to Angaur, so they wound up stranded here far longer than they intended (apparently a common occurrence for them, and for the state ferries in general), but I’m not complaining. Still, I can’t help but see her departure as a harbinger of my own, in the same manner that her arrival started me glancing at the calendar through the end of microbiology, thinking of what it must be like in Palau. On the one hand, the departure of my wife allows me to lead the swinging bachelor’s life I’ve always dreamed of; on the other hand, it actually takes effort to find someone to hang out with. It’s a difficult tradeoff. Not so difficult for others – I’m fairly certain James has asked God more than once why she left and I stayed.

I have stopped receiving messages signed “I miss you,” or “you’re going to be gone for SO LONG,” or “10 weeks is too long!” Instead, I get “see you soon!” and “I can hardly wait!” and “I hate you and everything you stand for” (special thanks to Julia for that one).

Last, and most poignantly, I have been forced to actually start buying gifts. This is always a difficult process, as I can’t help but compare the monetary value of the gifts I select and attempt to compare them directly to how much I actually like someone. Such a money-to-emotion conversion is tricky, particularly when you find great gifts for two people who deserve equal consideration, but there is a substantial price difference – I end up feeling obligated to buy what I call “filler gifts” to fill in the price gap and even things out. The one exception to this rule is gifts which are particularly unique to the person receiving them, and show outstanding consideration on my part – if a cheaper gift has more meaning than an expensive gift to the recipient, it evens out. It’s all very scientific.

Anyhow, this was a process which I was able to safely ignore for about 7 weeks – I kept an eye out as I went through Koror for gifts, but I never worried about buying anything or making final decisions because, hey, I had all the time in the world! Now, finally, that’s not true – and with each purchase, a little bit of the carefully-woven illusion that I have “plenty of time” in Palau dissolves right along with my bank account.

Then there’s the uncomfortable process of deciding who to buy gifts for – typically, close female friends are more likely to receive a gift from a man than a close male friend. The value of these gifts is always directly proportional to the chances that they might one day get into that particular girl’s pants (needless to say, this is why I spend way too much on gifts), so obviously I have to be extremely careful in my selections, so as not to give the wrong impression to certain parties… or the ‘right’ impression to others.

Then there are some friends with whom you feel close, but are just not in the habit of giving gifts to – maybe you haven’t spoken for some time, or maybe there’s no chance in hell you’ll ever sleep with them. This can be for a variety of reasons, the most common of which being that the friend is male (see above point) or the dreaded ‘friend zone.’ Without getting into the specifics of this phenomenon, it is fortunate that God has provided men with an easy solution. There is a cheap, extremely easy-to-find, and useful gift which any purely-platonic friend (particularly men) will appreciate: shotglass. $3 and BAM! Problem solved. Of course, some of these friends are beating you in fantasy baseball, and so they don’t get squat. You know who you are.

But I digress.

I, myself, am ambivalent on my return. There’s no doubting that I want to go home. I miss home for a variety of nouns, which can generally be classified into four groups: 

People

Places

Things

Ideas

Grammatical lessons notwithstanding, I miss my friends. I miss my home (and am looking forward to seeing the new one that my room-mates, with the help of my father as my liaison have picked out), I miss reliable, fast internet (I know, I know, it’s so very childish of me, but damnit I need it), and I miss… uh… antidisestablishmentarianism. You just can’t get that shit down here.

Shouldn’t the prefixes ‘anti’ and ‘dis’ cancel each other out, just leaving establishmentarianism anyhow?

On the other hand, I don’t want to go home because I dislike Palau. I love Palau. Aside from the internet, the heat, the rain (I’m from Seattle, and I can’t believe I just wrote that), the outrageous electricity bills, and the lack of people giving me $50 (a shortage shared by Seattle), the place is great. People are laid-back, friendly, everything I’ve written about previously. The diving is amazing. Even the heat isn’t that bad once you’ve gotten used to it – I’ve finally stopped using the air conditioning, just in time for my departure so that I don’t save any money from my acclimation (and will undoubtedly be freezing in Seattle). I’m going to miss Palau. I know that the second it’s too late to do anything about it, I’m going to remember something I wanted to buy, or see, or do, or what have you and it’ll haunt me the entire 25 ½ hour trip home.

And it’s not like I’m in SoCal – I can’t just come back next summer. It’ll be at least 3 years, until graduation, before I ever have an opportunity to return, and I’m willing to bet it won’t happen until I’m done with residency. So, 7 years. By then, everyone I know will be gone from Palau, so there’s a definite feeling like I’ll probably never see the majority of the people I’ve met and made friends with down here once I leave. Sure, sure, there’s the Facebooks and the Myspaces and the “electronic mails” but, with one (notable) exception, I may well never actually see these people in person again. That’s not a new feeling – it happened at high school and college graduation, when I moved away from University Place, etc, but at least I had met those people in Washington, and they had family there that they might come back to visit, thus leaving the possibility for some sort of chance reunion. Not so in Palau – with people going to the Czech Republic, Romania, Austria, England, the Philippines, Canada, Florida, and God only knows where else, who knows?

At least I can honestly say I enjoyed myself down here – as evidenced by the fact that I’ve outlived my stipend and am $1000 in the red in that regard. I’ve gotten almost all the diving in I could’ve wanted, and outside of seeing the various sights of Babeldaob, diving Ulong Channel, and playing with the dolphins (which I’m supposed to be lined up to do for free, but I’m doubting it will happen and I’m not paying $150 for it), I’ve basically done everything I wanted. Now it’s just trying to enjoy the rest of my time here.

I just think it’s odd how you can feel sad about something which excites you.

Surgery II: Son of Surgery

Shortly after being forced to take a step out of the OR during a gout reduction surgery, I took the next logical step in my surgery-watching career: I scrubbed in on an above-the-knee amputation. After orchidectomies (which, by the way, happens on Monday, and I’m still debating scrubbing in for since I missed that below-the-knee amputation), amputations have long been tops on my “no way in Hell could I take part in that” list. And, after my less-than-impressive showing in the gout reduction, I basically planned on having to leave. It was sort of a “hey, Jesse, do you want to come watch?” “Yeah, I’ll do my best” arrangement.

Well in line with my longstanding habit of making absolutely no God-damn sense, I wound up hardly being uncomfortable at all, and easily made it through the whole surgery. Surgeries, outside of the enormous amount of blood, are very similar to the cadaver dissections we did in one major factor: it was always easier to do it than to watch it. In anatomy, the vast majority of “uncomfortable” dissections that I told my group I was going to avoid touching I wound up participating in directly – i.e., scalpel-slash-buzzsaw in hand. Eyes, face… the one exception was, as you might guess, the orchidectomy. And that was on someone who had passed away – my comfort zone for living beings is much, much smaller.

Still, it’s easier when you have a task to focus on. They had this little vacuum tube (like at the dentist’s) and they needed me to clean up blood from the surgical site (while Jodie mopped up the remainder). Then we were cauterizing arteries. Then we were assisting in suturing. There was always a task – something to occupy hands and mind so that you can’t fully process the enormity of what, exactly, you’re doing. The surgery as a whole didn’t take long, either – the surgeon pretty efficiently cut through skin and fascia, took his electric saw to the femur, and removed the leg in its entirety (which went into a nearby box – I’m not really sure what they do with it after the surgery, it’s not exactly like taking your tooth home from the dentist) – another positive in terms of ‘Jesse surviving the operation.’ Plus, the foot was really far gone – gangrene had set in, and blood supply was cut off all the way up to the thigh. I mean, if I were the patient, I wouldn’t have wanted that thing attached to me – framing the operation in terms of “we are removing potentially-dangerous diseased tissue so that this patient can feel better” as opposed to “no, seriously, I’m pretty sure I learned in anatomy that the leg is supposed to be attached to the pelvis, what the hell are we doing?”

Anyhow, it was a good experience – and for the first time, I felt like I really could handle invasive surgeries. I’m sure that if I choose to scrub in on Monday my confidence will be shattered as is only proper, but for now I actually feel like I might be able to handle surgery. Even if I’m not destined to be a “bonecrusher.”

Extenuating circumstances forced me to miss the surgeon’s below-the-knee amputation the following week, but I should have at least one more day in the OR with him. We’ll see what sorts of shocks we can cook up.  

 

Camping in the Rock Islands

I’ve fallen woefully behind, here.           

It’s more difficult than I anticipated to be bothered to immediately chronicle every interesting event which occurs during a 10-week trip. Other things happen, there’s work to do, you’re going out with friends… sometimes you just don’t feel the urge or inspiration to write. Whatever it is, it’s all too easy to fall behind, and the prospect of writing five, six, seven entries in a row to make up for lost time is only further reason to avoid the task in its entirety. If there’s one thing I’m good at, it’s procrastination.

However, another unfortunate side effect of nearing the end of my IHOP experience is that I feel like I have to write these entries, or it will never happen. Mind, I could write them on the plane home, even after I got back – but I’d have other things to do, other things to occupy my time (like all the video games I’ve missed out on while down here!), and I know I’ll never get around to it.

Besides, somehow it just seems insincere to update a Palau blog with Palau events once I’m back in the States.

Since I’m looking at a backlog of about six or seven posts here, and certain parties (Melissa) have complained about being illiterate, I’ll do my best to split them up into smaller morsels of journalistic goodness.  Honestly, some people (Melissa) are so needy. 

As I’ve lost all sense of the chronological sequence of past events, I’m not even going to try to put them in any order. We’re just going to start with the top of my list, here… Ah! Camping in the Rock Islands!

An interesting Saturday began with another dive trip – this one was Vivi’s first ‘official’ dive since being certified, so we went out with Jirka and Keith. I’ve basically exhausted every interesting way to describe diving in writing, so I’ll spare the details and skip to the meat of it: a series of small delays resulted in us returning circa 4:30pm (as opposed to 3pm). This normally wouldn’t be a problem, except that we were also slated to go camping that evening, and the camping party was split up.

Me, Vivi, and Jirka were diving and got back late. Jodie, Mihnea, Mihnea’s cousin Miruna, and Ming were slated to leave around 4:30pm on the motorboat. Somehow, despite Vivi’s extremely strong hints the previous nights that she was not interested in paddling 3 hours to a campsite, Mihnea had it in his head that we were going to take the canoe there. Every attempt to call Mihnea failed, so after getting home from diving and showering off, we hurried to the dock to try to catch him – only to find the boat gone. We called him again. We called Ming. No answer (we would later find out that the only call which had gone through had been at about 5:30pm… when they were already at the beach). Why would Mihnea leave without calling to double-check one last time that we didn’t want to hop on the motor boat with him? We all had our hypotheses, some more forgiving than others, but in the end we piled all of our camping supplies into the canoe and climbed in. What other choice did we have? Besides, it’d be good exercise.

At least Vivi got her wish – she didn’t have to paddle at all: Jirka and I took us there (and only Jirka did so without any rest at all). To be fair, Vivi was more than willing to paddle – it was just pretty much impossible to switch spots in the canoe in the middle of the water.

The trip really wasn’t so bad – it ‘only’ took us two, two and a half hours, but along the way we got to chat, it was nice and cool, and we played a fun game where we made up the most creative names we could for Mihnea. Good times. There was a lot of bioluminescent algae in the water, and the sky was clear enough that we could see tons of stars – so between the flickering lights in the water and the sky, it was a rather scenic little ride. By the time we’d reached the beach we had arranged to meet Mihnea at, we were relieved to see four lights just on the coast. Surely, we had at least reached our friends!

There was something odd, though… there was no sign of the boat. Anywhere. And there was no noise. But the lights were right there – flashlights, we assumed.

“Alii-iiii?” Hailed Vivi in an uncharacteristically-deep voice.

No answer.

We landed to investigate, just in time to see the lights dart away – a pair of feral cats alone on the beach (Lord knows how they got there – maybe they were camping, too). Mihnea wasn’t there. Nobody was there. We’d already been paddling nearly two hours, we knew Mihnea had taken the boat – not only leaving earlier than us, but in a faster craft, so he had to have beaten us to the campsite. And yet… nothing.

A fair bit frustrated by this point, we had to decide – do we just set up camp and enjoy the evening, or do we continue on to try to find them? We (and by ‘we’ I mean ‘they’) reasoned that, given the direction Mihnea was heading, he probably mistook the first beach with a shelter that he found for the beach we were to meet at. We could do a circuit of the remaining beaches on that string of islands, and if we didn’t find him, we’d just set up camp on the last one. The process of deciding which beach we’d probably find Mihnea at was rather impressive – Vivi systematically broke down Mihnea’s likely decisions from beginning to end in Sherlock Holmes-like fashion, and ultimately guided us to the right beach (after a few more futile ‘alii-iiiis?’) By the right beach, of course, I mean the wrong beach, but the one they happened to wind up at. We’d hardly eaten anything since finishing our dive, so we were famished by the time we FINALLY landed. Thank God we’d arrived just in time to miss dinner! There were plenty of leftovers, thankfully – but there’s something unique about the feeling you get after paddling for 2 and a half hours, being frustrated trying to find the people you’re camping with, and hungry all the way… only to be greeted with “we just finished eating!”

In the end, Mihnea was not called any of the creative names, nor harmed in any way – the wrath of a canoe full of hungry divers was assuaged by three simple words: “We’ve got beer.”

All was immediately forgiven.

After a night of eating, drinking, and be merry-ing, we retired for the night. There would be more sandwiches in the morning, along with fresh fish from a spearfishing expedition, there would be snorkeling, there would be all sorts of good times.

I would assume, at least, that all sorts of good times were had by the people who partook in those activities. I woke up feeling like hell. I wasn’t hungover – I’d hardly had anything to drink the night before (at least compared to what it would’ve taken to give me a hangover), but my body hurt, my stomach hurt, my head hurt. Naturally, med student instinct took over.

Quick, what’s that disease which causes myalgia, headache, and nausea?

I had to opt out of the spearfishing (only three could fit in the canoe anyways, and it was far more fitting that Jodie finally get to go with Vivi and Jirka) and the snorkeling (Ming needed equipment, so it was lucky for him that I was sick – though he had to wear my fins on his hands because his feet are so freaking tiny). Instead, I slept. All freaking day. Except that one time I got up so that I could have some fun being violently ill. And when I had something to eat – though that only made it worse. After waking up at about 9am, I spent about 5 of the 6 and a half hours until our departure at 3:30 sleeping or lying down, and probably seeming to be a really sore sport about camping (though I did explain I was sick). By the time I finally was able to drag myself out of Jodie’s hammock (which was just insanely comfortable) and the little shelter that had been built on the beach, we were pretty much getting ready to take off.

Mihnea had apparently had engine trouble with the boat, so it was a fairly slow (by speedboat standards – not by canoe standards) ride back… but at least we didn’t have to paddle! And all that sleeping had worn me the hell out – so I had a nap when I got back.

Just to recharge my batteries. You know how it is.

 

Thursday, July 31, 2008

Clarification

Since apparently there were multiple instances of sailing-related
confusion as a result of my post, I would like to clarify that Richard
and Rita did, in fact, sail upwind using the main and the jib whereas
they used the spinnaker sailing DOWNWIND. I am not, as they say,
'crazy.'

Cheers,
Jesse

Monday, July 28, 2008

Who'd have thought a backpack would be such a hassle?

"It's camouflage, you see, so it's made for guerilla warfare. And it has THREE zippers, instead of one – making it three times as effective at everything. It also cost $12 – logically, it should therefore be at least 50% better than the Blue's Clues backpack. After crunching the numbers, I have also concluded that, at a rate of three zippers for $12 as opposed to one for $8, I have doubled my zipper purchasing-power. A strong choice economically, practically, and all-around."

Never have I been more wrong. I did not make this entry sooner, afraid, perhaps, to see the evidence of my madness so clearly produced before me. That camouflage backpack is no more – it perished just as quickly, perhaps quicker than Ol' Blue. Two of its three zippers broke in slow, agonizing fashion, the tabs by which you operated them first bending, then twisting, and then finally breaking, before the zipping mechanism as a whole unraveled before my eyes in a grisly display the likes of which I pray never to see again. The backpack was a soldier – it knew the risks when it took the job… but you still hate to see it happen, especially to a kid so young.

So, once more, I was forced to replace my backpack, and this time, I did what I should have done to begin with: given the sheer quantity of crap I've been lugging around, I should have called in the specialist. I should have paid the premium for the one they call 'Jansport.' With five(5) heavy-duty zippers, 1.37x more carrying space, and heavier-duty material, this backpack has withstood the rigors of time, surviving, thus far, a full five(5) weeks where its predecessors fell in just one. It, too, is camouflaged, so you know it means business. The irony of it all is that I bought the shit backpacks to save money, and now I have spent more money than if I'd just bought the damn Jansport to begin with. It's like how sometimes you won't buy the extended warranty on, say, an Xbox, and then when that Xbox inevitably breaks, not that this has happened to me, you end up having to pay more to repair it than you would've if you'd just bought the extra coverage. That, by the way, is the second worst feeling in the world.

I KNEW there was a reason I never ate cottage cheese...

A major step forward in my burgeoning medical career occurred this last week. It was an event which should have happened long ago, when I worked at Harborview, or during my first year of medical school, but it is only now, just before the beginning of my second year, that I can finally say I have watched a surgery. A real surgery. Not just a circumcision, or an excision and drainage, or a closed reduction of a fracture, but an honest-to-God, "holy shit I've never seen this much blood" surgery.

Jodie and I have been getting in some clinical experience by splitting up our time following around several doctors – a pediatrician, two general surgeons, and an orthopedic surgeon. The internal medicine doctor never got back to us, nor has another private surgeon we've tried to get in touch with. In general, however, it's our responsibility to set up clinical hours, and I was interested in orthopedics, so I thought I'd follow him around on some of his cases.

His surgeries are usually on Wednesdays – this one, a reduction of severe gout in the right elbow, promised to be a reasonable 'gateway' surgery – not too grody, not too weird, but legit: lots of cutting, lots of blood, a 'real' surgery, if you will. And it would have been, if this had been a 'reasonable' case of gout – but even the orthopedic surgeon said this was the worst case he'd ever seen. Nearly every joint on the man's body was affected and had the huge nodules that are the most obvious sign of gout. To complicate matters, he was hypertensive, and so they could not operate on him for too long or too often – so they were focused only on the worst of the lesions: a baseball-sized deposit of uric acid crystals on his right elbow that made the limb practically immobile. Gout is a painful condition – basically, there's a build-up of these crystals in and around the joints, and it hurts like hell to move against it (I've heard it often described as having 'ground glass' in the joints) – so the lesion was pretty debilitating.

Now, I don't know about any of you, but I'm a bit of a wimp when it comes to having surgeries done. I wanted to be put out for my wisdom teeth. I was put out to have a cyst removed. I took the gas for a gum graft. If you have anesthesia, I want it, don't even ask. This guy just had a local nerve block – he couldn't feel his arm, and he was mildly sedated, but he was awake. No gas or anything – responsive to questions, cognizant of what the nurses were saying (there is something very odd about hearing a patient converse with the surgeon while they're being cut), but in no pain at all. He couldn't see what was going on – they had draped him such that he was unaware of precisely what was being done, which is just as well, because I don't know how anyone could handle seeing themselves bleed that much.

And I do mean 'that much.' It was just a cut on the elbow, and it gets worse as far as surgeries go, but I have never seen that much blood. Mind you, blood has never really bothered me, and it didn't here, but it's still weird to see that much of it. Everything immediately around the surgical site was just soaked in it, and it did not stop coming. And you know how, in movies, when someone gets cut and blood just shoots from the wound in an arc and splurts (yes, splurts) all over everything in this tiny little jet-stream? I thought that was Hollywood special effects and exaggeration.

Nope. This was Monty Python and the Holy Grail's Black Knight-type shit. It literally hit a nurse standing four feet away on the other side of the instrument table.

For the first 25 minutes or so of the surgery, I was completely scrubbed in and sterile – hands in the air and everything – and holding some forceps to keep the surgical wound accessible to the surgeon, occasionally cleaning up blood, etc. Real "feels like a doctor" type stuff, and it was good, and I was happy that the blood didn't bother me. The gouty mass itself had to be meticulously cut out – I expected some sort of a fluid with granules in it (which actually does exist, and can be squeezed out of the fat like some sort of grotesque toothpaste) – but the crystals were so invested in the fatty tissue under the skin that he basically had to saw out all of the fat under the skin and down to the bone and joint capsule (which I had to stick my fingers in and help expose) with a scalpel. Once the majority of it had been removed in that manner, it became more and more difficult to get the gouty tissue away from the bone – and he had to pry it out with some force, until finally, he was forced to stop the surgery because they had cleaned it out as much as they could without opening his arm completely, something he wasn't willing to do on a high-risk patient. He's supposed to return in a couple of weeks for further operations, but the surgeon didn't want to remove too much tissue at one time. I'm not precisely sure of the specifics of how he knew when to quit, but I trust he did.

As the astute reader may have deduced from the opening sentence of my last paragraph, I didn't actually last the entire surgery. I was doing fine in relative silence, just paying attention to the surgery and what the surgeon was doing, until the nurses got bored and started talking about the surgery. Conversation is fine – it can be a pleasant diversion and all… but for some reason (and my anatomy lab partners, if any of them are reading this, can attest to this) I hate comparing body parts to food. I couldn't stand being told that parts of the cadaver looked like pork or beef or spaghetti or coleslaw or haggis or whatever-the-fuck-else, because it ruined the food for me for weeks (and believe me, I love me some haggis). So when the nurses started talking about how the gouty tissue looked like cottage cheese, I immediately started to feel nauseous. I knew there was a reason I've never eaten cottage cheese.

The conversation carried on for five minutes or so – cottage cheese, cauliflower, toothpaste, porkfat, and popcorn are all off the menu for me for a while – until finally, feeling more than a bit uncomfortable suddenly, I just admitted that I needed to take a breather. I got laughed a bit for it – good-naturedly, of course – but it was better than looking visibly uncomfortable, so I just took off my sterile stuff, tossed it, and sat outside for some fresh air for five minutes. When I came back, I observed the remainder of the surgery (about 50 minutes total, so perhaps 20 more minutes) from the back of the OR to stay out of everyone's way, and encouraged the nurses to find other foods they could ruin for me. No one really gave me any crap for it – actually, one of the nurses was impressed I lasted as long as I did before tapping out, so to speak – and it was a cool experience. It was nice not to be so viscerally repulsed by the sight of surgery that I question my decision to be a doctor – though I admit I would like to believe I would have lasted the whole time if the nurses hadn't started talking about food.

If I DO ever become an orthopedic surgeon – or "bonecrusher," as a dear friend recently put it (while telling me there's no way I'll ever be an orthopedic surgeon, so thanks for that) – that will be a strict rule in my OR:

Never, under any circumstances, are human beings to be likened to food. Ever. 

Jesse Nearly Bites It

The sound of tires squealing against asphalt rang in my ears – my hands shot forward to catch myself on the dashboard of the car, green eyes wide as they snap to regard the car which had nearly T-boned us on the right-hand side with a mixture of fear and anger. I was fortunate, this time – we had only just been leaving our parking lot. We'd not been going faster than ten miles an hour – the same could not be said for our potential aggressor.

There was an awkward silence as the two drivers – our cabbie and the other man – exchanged irritated looks, and then an uncomfortable hesitation as Jodie, the cabbie, and myself exchanged surreptitious glances. We all knew, but none of us wanted to say it aloud – the driver was embarrassed. We were embarrassed for him, but we also were simply thankful to be alive. But all of us recalled the ironic conversation that had occurred simply moments prior…

***

"Does this seatbelt work?" I asked in frustration, tugging at one end to attempt to snap the buckle in, only to find that it was not secured at the bottom. Jodie, having similar troubles in the back seat, echoed my query.

"Ah, no, you don't need seatbelts in Palau," replied Jules, our faithful cab driver, "everyone drive so slow, no one get hurt."

"You sure?" I asked dubiously, regarding him from the corner of my vision as I searched for some way to jury-rig the seatbelt. The people on Peleliu had said the same thing. Everyone in Palau would say the same thing.

"The roads so bad, no one want to drive fast. Is fine." He waved his hand dismissively, and began to pull out of the parking lot…

Sunday, July 27, 2008

Jess Goes Sailing and Lives To Write About It

I promised I would write, at some point, about the sailing trip. Of all the remaining topics I have on my 'list of things I need to bore my readers with,' it is the senior member, and every night, I gaze upon it, meeting its defiant glares, knowing that it planned mutiny should I not address its needs. Its story screams to be told, and so here, finally, I give it life.

The problem, the reason I have not written about it earlier, is that I'm not sure it's a topic that entertaining to read about. Sailing is fun – the boat was beautiful, the water was crystalline and pure (at one point, we could see 50 feet to the bottom), the Rock Islands, as always, are gorgeous in their verdant glory… but I know so precious little about sailing that I could not make it an appealing story to the sailing experts, and I've already described the scenery in Palau such that there is nothing new to report on that front to those as clueless as I about the sport. Is sailing a sport? We'll say it is, because if poker gets to be on ESPN, then by God, anything that requires the upper body strength of sailing better count. Also because I don't have any other more suiting synonym for it.  Moreso the latter.

That aside, my dad loves sailing – though he hasn't done it in some time, to my knowledge, at least a few years – and this entry is more for him than anything. This is in lieu of an actual gift from Palau, so I hope that he treasures it as I treasure the $20 I am saving. I have a ton of pictures of my two sailing trips, and those are far more interesting than anything I could write – but, sadly, uploading images to the interblog from Palau is just extremely difficult and not really worth the effort.

Richard and Rita, perhaps two of the friendliest people I have ever met, invited Jodie and I out on the Tiaka, a 40-foot (I believe) sailing vessel that they have lived upon and sailed for 30-40 years. They sailed it across the Pacific to Palau, have sailed it through the Pacific islands and around Australia, have sailed it, frankly, everywhere. They met on it, they were married on it, and one of their daughters was conceived, born, and raised on the boat (a concept I find stunning – though I'm not sure how I'd feel living so near the bed in which I was conceived), and it was named for their eldest daughter, to my understanding in her 30s or so. Her name isn't Tiaka, mind, but apparently, an African friend of theirs (their nanny, I believe) made some sing-song out of her name (he repeated it, but there is no way I can recall the entire thing – suffice it to say it was essentially the same concept as the 'banana fana fo f(insert syllables of name here)' song of some repute), and 'Tiaka' was one part of it, and hence… Anyhow, the boat is essentially their home – they are lawyers, and have a bed in their office for emergencies, but they commute to and from their boat by dinghy, take their car to the office, work, and most nights, take the dinghy back to their boat under cover of night. They own not only that boat, but a smaller, 18-foot racing sailboat they just call 'the skiff,' and a small speedboat (whose name eludes me). You would think this makes them, as the saying goes, "rich," but they can't possibly be making much money in Palau… and my understanding of their history is not that they're wealthy people, but rather that, by virtue of not owning a house, they are able to own boats. Which makes sense, frankly, since the way my parents tell it, owning a home is the second most expensive thing in the US after raising me. Specifically, me.

Needless to say, their daughters have grown into sailors themselves.

Let's summarize my experience absolutely as succinctly as possible: I love sailing.

There are many reasons to love sailing: You might love the immense amount of technical expertise required.

I do not.

You might love the teamwork required to successfully operate larger craft – the elegant dance of pulleys and ropes that must be pulled in precisely the right order, at precisely the right time, by multiple different people in order to get where you're going.

Neither do I love that.

You might love the mechanical complexity of a sailboat – the mind-boggling array of pulleys and ropes and cleats and various other doohickeys and widgets that comprise a seaworthy vessel.

That isn't terribly appealing either.

No, the reason I love sailing is far simpler, appeals to a far more childish side of me (and, keep in mind, I am childish to begin with): I love sailing because it's silly.

How can I not love any sport which allows me to utter such ridiculousness as: "Grab the lazy sheet, we're going to jibe the jib!" Or "Ease the afterguy, we need to tack the spinnaker! Leave the genoa up!" Or, "release the halyard, we need to drop the main and pull to starboard!" I mean, there is some serious lingo up in this sailing biz. It reminds me of medicine – where a rash can't just be a rash, it's an exanthem, and a bruise is a contusion (or hematoma, depending)… in sailing, a rope can't just be a rope. Unless you're Jirka and Mihnea, then it's 'that thing over there!' No, every rope and clamp and cleat and sail has its own name, there are a thousand and one different ways to tell directions – relating to the boat, relating to the wind, relating to the compass, you name it (hah, name), and you can bet there's some jargon for it. Leeward, windward, aft, forward, starboard, port, stern, bow… seriously, can't we just say 'left' and 'right?' Pretentious bastards. Sailors and doctors, one and the same.

Now, just don't ask me to tell you what the hell any of it means, and we're good.

The physics of sailing against the wind still elude me, though I am assured that it does work, and that it does not involve, as they say, witchcraft – I suppose it must, as we spent about three hours on this boat doing precisely that, and I saw neither a cantrip cast nor incense lit, neither animal sacrifice nor unholy Gods invoked, and yet we were moving all the same. We brought with us supplies – only the necessities, of course: grilled chicken, bread, cucumber, cheese, watermelon, pineapple (Jodie had picked up two pineapples at the local fair on Constitution Day, and they were, let me assure you, some bomb-ass pineapples – or, for those fans of www.xkcd.com, some bomb ass-pineapples), condiments, kim chi (and I have discovered, as my classmate Julia assured me, that Todai's kim chi sucks, and actual kim chi is not half bad), and other assorted feasty goodies. I was told that we were sailing against the wind so that Richard could fly some spinnakers. Not at all certain what that meant, but not wanting to seem ignorant, I smiled and nodded and ate my sandwich in blissful ignorance, content to listen to alternately Richard or Rita regale us with stories of their sailing exploits. While I shan't recount them here (I'm not certain I remember many of the details, besides), suffice it to say they had led an interesting life, having explored so many different locales with their boat. I remember how much trouble it was for my father to keep his boat maintained when he had it – I shudder to think how difficult it is to keep a 30-year-old vessel, in constant use, seaworthy.

The sailing trip was peaceful, pleasant – again, any boat trip through the Rock Islands provides approximately the same scenery, and it is extremely difficult for Mother Nature to make it unattractive, even with the worst of squalls (yet another reason I like sailing – the only context in which I've heard a weather system referred to as a 'squall,' an excellent yet underused word), and we were blessed with a clear day, clear water, and mild winds. I was taught, briefly, how to navigate via sextant – and I hope the picture of that survived, because it does not seem to be on my camera, but I looked rather convincingly like I knew what I was doing in it. It's comforting to know that I can fake competence for 1/100th of a second for a picture, at least – now if I can only do all of my clinical rotations in stop-motion…

A spinnaker, I would find out, is a very large and fine sail, which catches a lot of wind and is very powerful. They are Richard's favorite sail and, as he describes them: "it's a lot like playing with women's underwear: they're both very flimsy and silky, but very exciting." I fear I've bungled the quote a fair bit, but the message is there: Richard loves two things – spinnakers and playing with women's underwear. What more do you need?

The idea was that our boat would travel (sans-sorcery) against the wind for a few hours, then we'd tack, or jibe, or whatever the hell it is you do in sailing so that you turn around, throw up the spinnaker, and cruise on back. And that's how it went, with the exception that an oncoming squall, as they say in the sailing world, 'fucked the winds all to hell,' and we ended up getting a lot less power out of the spinnaker than we'd hoped. Round trip, it ended up taking about 5 hours (3 out, 2 back) rather than the 4 hours Richard had anticipated. No worries -  we weren't in any particular rush, since we had brought a second chicken (that's right: two chickens) for dinner, to go with that bomb ass-pineapple. We reached an attractive little cove off the coast of Sam's, cooked us up some dinner (thank you to Jodie and Rita for a wonderful meal), and spent from about 5pm to 9pm just chatting about everything: from Romanian politics, to Palauan politics, to American politics, to sailing, to culture, to art, to constellations… and the sunset in the cove was absolutely stunning. I spent as much time popping out of the cabin to grab photos of the progressing sunset as I did actually paying attention to our hosts (I would later be informed that such sunsets are really not that unordinary, so I really just succeeded in making myself look like a tourist, but, hey…)

After enjoying the sites and the company, we traveled under cover of night by small rubber dinghy back to Sam's – an adventure in itself, as there were tons of speedboats racing by at high speeds who would have been hard-pressed to pick our little craft out amongst the water, save for the feeble flashlight that we shined by way of tentatively requesting that they please do their best not to run us over. The time passed with a debate over the Big Dipper and the North Star – and my insistence that what Rita was pointing out was neither one nor the other, but rather a similarly-shaped cluster of stars pointing at a planet, and that the stars she sought were actually partially obscured by clouds on the horizon – granted, she has done more star navigation than me, but I feel like I'm as qualified as anyone to recognize that particular constellation…

A debate that Mihnea and Jodie, trapped with us in the dinghy, found enthralling, I'm certain.

We took a second sailing trip with Richard and Rita on "the skiff," which lacks a proper name of its own, insofar as I can tell. The skiff is an 18' racing boat, and requires a far higher level of technical knowledge and a far more experienced crew to operate at high speeds. The "thrill ride" portion of the skiff comes with the spinnaker flown – a task which apparently took months to be able to accomplish without immediately capsizing – and Jodie and I were far too green to actually do that. So, we followed in a chase boat – a small motorboat that we kept a small distance behind the boat and videotaped from. Apparently they can get up to 15, 20 knots with the spinnaker up and a decent wind – winds were a bit more mild this time, and no capsizing occurred (which made for a significantly duller chase, but hey…)

The skiff is an interesting piece of equipment. And Richard is the hardest of cores about doing it right. He has a little wooden model with yarn as the various lines and the like, so he can give briefings to everyone on what he wants them to do when they're out in the water. It then takes a full hour or more to put the boat together – to attach all the masts and sails and hooks and wires and ropes where they need to go, like some sort of incredibly complex 3-d jigsaw puzzle, and then another bit of effort to push it all the way to the water and get it in… and then, naturally, Jodie and I were a bit disappointed to have to travel behind on the speedboat while they had all the fun in the skiff with the spinnaker up, but the presence of either of us on that boat with that sail would have made it a near-certainty that they would have capsized. Hard.

Operating the skiff in strong winds with a large sail like that up is an exercise in precise balancing. Everyone needs to be able to reach the lines they're responsible for pulling on or easing or what have you, while being aware of everyone else's position in the boat and making sure to precisely counterbalance the shifting in weight created not only by their movement, but by everyone else's and the force of the wind. It requires an intense amount of concentration and awareness of your surroundings, as well as quick reactions and a fundamental understanding of what, exactly, you're doing. Everyone is ballast to try to counterbalance the force of the wind, and if people don't scramble from one side to the other exactly as they need, while dragging the sails about exactly as they need, the boat –will- fall over. For everyone's sake, it's probably best that Jodie and I weren't on it at that time, because more than once it looked like they nearly wiped with the experienced crew of Richard, Rita, Mihnea, and their friend Elizabeth.

Once they had finished their down-wind sailing with the ladies' underwear, they drew up alongside the motorboat, and there was a high-speed exchange of personnel, where one person scrambled off the skiff, using the racks, and onto the speedboat, and another scrambled on, before the boats separated. Given the slickness of all surfaces involved, I'm amazed more limbs haven't been broken in this exchange. Since they had taken down the spinnaker, Jodie and I, alternately, were allowed on the skiff to sail back upwind (once more, without magic). It was an extremely mellow trip – though we did get a decent breeze every now and then and got up to 7 or 8 knots, it wasn't nearly as exhilarating as the spinnaker trips looked. Neither, however, did we come close to capsizing.

Jodie and I were given rather simple tasks – we were weight, and our only job was to make sure the skiff stayed balanced. This is accomplished by wearing a harness which attaches to a wire strung up somewhere overhead. There are then a series of racks – 3 parallel metal bars which allow you to lean out over the water, throwing your weight further and further from the ship's center, and thus gaining leverage to maintain the boat on an even keel. Going all the way out on the racks is an awesome experience – you feel like some sort of bipedal spider when you're scrambling along the railings, and then when the wind is strong enough that you need to stretch all the way out from the furthest point and lean, parallel, over the water, it's almost like you're flying. Given another 10 or 15 knots and I'd have been in heaven – but even with the relatively mild pace we set, it was "totally sweet."

All in all, the sailing trip lasted perhaps 10 hours – and there's just tons of footage from the day between my camera, Jodie's camera, and Mihnea's video camera, all of which will make it home with me. There's not enough time while I'm here in Palau to learn how to sail the skiff with the spinnaker flying, so I fear that is one wish which shan't be fulfilled – it took Vivi and Jirka and them months to learn how to do it properly, and I've… three weeks.

At least now I know what she meant all those times my mom kept telling me I was just "dead weight."

The Worst Feeling in the World

The worst feeling in the world – the absolute worst, bar none (and
rest assured, being a white male growing up in middle-class suburbia,
I have suffered much in my youth) – is the feeling of utter
helplessness that comes with being completely and entirely unable to
fall asleep… but simultaneously really, really needing to fall asleep.

This isn't an outlet for my hidden emo, I'm not here to bemoan how
difficult it is to be me (although any excuse to bust out my mascara…)
but sometimes, it's just absolutely infuriating to be unable to sleep.

Case in point: Today, my body is made of hurt. I came down violently
ill this morning, which was exhausting, and my stomach has been
hurting all day. My left ankle is still sore, and was aggravated by a
fall I took a couple days ago which, in the process, mildly sprained
my left wrist (you know that annoying kind of sprain where there's no
swelling, no point in icing it, but certain movements cause just
enough pain to be incredibly irritating without being at all
overwhelming or debilitating?) After diving with Keith, my left ear
still hasn't completely re-pressurized – and I'm not really sure what
to do about that other than wait it out, and it may be exacerbated by
the sudden nasal congestion I'm suffering. Sleeping, last night, on
hardwood did nothing good for my back, and all in all I just have a
thousand and one various minor aches and pains to whine about as if,
in the grand scheme of things, these were really all that bad.

Still, my point is, it sucks being awake. And earlier in the day, I
absolutely could not stay awake. I got up at about 9 at our campsite
(more on the camping later) and then drifted in and out of
consciousness basically until we left at 3. I was exhausted at PPR
later that evening with Jodie, and by the time I flopped into bed to,
mercifully, pass out, I thought I'd be out in a second. I simply could
not keep my eyes open.

Now, I simply cannot keep my eyes closed. And I can't find my Lunesta
– even though I distinctly remember placing it in my bag when we left
the campsite – so I'm forced to attempt to wait out the restlessness
until the lunacy of exhaustion sets in and my ramblings lose all
semblance of coherence.

The cruel irony, of course, is that by the time I post this, it will
be tomorrow, I will have either slept or been imprisoned for hurting
someone in my impotent rage, and thus my pathos will lose all meaning.
Such is the burden of being me, I suppose. If people could just see
how much I'm in pain, maybe then… then they'd understand the black
abyss that is my heart.

Okay, yeah, I think that about marks it. Off to give this 'sleeping'
thing another chance.

Friday, July 25, 2008

Wherein a Dessert and a Friend are Taken Untimely

A brief anecdote or two about Chris – the lawyer with whom I exchanged obligatory “we’re both white” nods at the supermarket and then later bumped into at PPR. The guy is ultra-nice, like, superhero nice – and produced perhaps my favorite quote from Palau to date:

“I’m going to slip you a dessert. Just be cool.”

Jodie and I were having dinner at PPR – with the 30% discount on the restaurant, it’s actually really cheap to eat there – and they always have a delicious-looking buffet. Only problem is that said delicious-looking buffet costs about $25 with the discount, so we always opt for the $9 pizzas which fill two of us up. That night was Italian – and looked amazing, but, alas, not $16 worth of amazing, and so we, as always, passed it up. We happened upon Chris and his girlfriend eating dinner, went over and chatted with them some, and then took our seats. After a heated and occasionally violent debate about whether or not to order dessert following our pizza dinner, our dilemma was solved by our flaxen-locked savior who, upon Jodie’s departure to, as they say, freshen up, slipped clandestinely by our table and uttered that little stroke of brilliance out the side of his mouth, tapped the side of his nose, and made his way for the buffet. I did my best to look inconspicuous as a white person can in Palau, pretending to stare ponderously at the stars (which, by the way, are SO much more visible here than they are nearly anywhere in Seattle). Upon successful delivery of the goods, he encouraged us to eat quickly, and made his way back to his table. Jodie and I thanked him, dug in and began to discuss, in much quieter tones, our plans for the weekend. Naturally, the waitress came to return our bill right in the middle of our ill-gotten dessert. Fixing us with a suspicious look, we did our best to ignore her and just continue eating and carrying on our conversation as if she didn’t KNOW we hadn’t ordered the buffet, and as if she didn’t KNOW those were buffet desserts we were eating. Don’t mind us, Un-named Serving Lady, we just work here.

It worked. None the wiser, or perhaps thinking it not worth making a fuss over (they probably don’t get paid enough to care), she left us in peace with our check. It was the perfect crime, executed by the perfect criminals. Chris thinks he got a dirty look with his check, but I think it was just his guilty conscience catching up to him – a weakness I’d not have expected in such a smooth criminal. Ah, well. We got our desserts.

This next story will be of absolutely no interest, I’m sure, to anyone who doesn’t play Halo, but I’m throwing it up here anyways: I’m sure everyone back home will be proud to know I found a way to play some video games while I was down here… and I don’t just mean the absolutely addicting game of Snake II (really, how do you have a SEQUEL to Snake? What, exactly, makes it a sequel? Is there an intricate plot involving the snake and his much-coveted dots that I am unaware of?) on our cellphone. I mean an out-and-out Halo night. That’s right, Teva – Halo. In Palau. NOW are you jealous?

With ridiculously unhealthy beer and ridiculously unhealthy snacks in hand, we gathered at Chris’s bungalow to engage in the greatest pastime men can engage in – destroying each other in virtual combat because each of us is too scared to pick a fight in the real world.  Most of the night was spent trying to find some way to create a balanced game, as Chris and I had far more practice with the game than the others, a problem only finally solved by pitting 3 against either Chris or myself in King of the Hill, a sentence meaningless to probably 90% of the people READING this thing, but I digress… my favorite part was trying to teach them how to play the game. In the midst of explaining to James, a rapt pupil, the advantages and disadvantages of all of the various weapons and when to use each type:

“So what weapon do you use?”

“Me? Oh, the Battle Rifle. Best weapon in the game.”

“Wait, is that the one that fires three shots?”

(Random guy whose name I don’t remember, in stunned disbelief) “That gun SUCKS! You mean the really shitty one with the scope?”

“Yeah, the really shitty one…” (moment’s pause while I kill random guy in the game with said really shitty gun) “That I’m destroying you with? That one.” Properly chastened, I continued on with my Mr. Miyagi-esque Halo clinic, teaching the finer points of headshots and plasma grenades, and all-in-all just having a good time.

There are two things that happen to ALL X-Box 360s, my own included: they play Halo 3, and they die. I don’t know anyone who has never had ANY trouble with their Xbox 360 becoming unplayable. And, sure enough…

Three red lights. The bane of any 360 owner’s existence. The one problem that absolutely cannot be fixed without mailing the thing to effing Texas. And that whole ordeal takes a month in the States. From Palau? Forget it.

I got word some days after it happened. Needless to say, I was crushed. I poured one out for our fallen friend, and sadly, there shall be no more Halo. The Wii is still here, but somehow, it is just not the same.

In memoriam of Chris’ fallen Xbox, I offer this haiku:

Selfless white machine
Gave itself that we could play
Taken before its time

*Snapplause*

Project update

For those of you interested in the business side of my venture to Survivor Island: 

My project is rolling along nicely – I’ve basically done it. All I have left is to present it – and so when I’m on Peleliu next Thursday, I’m going to pull aside a couple of diabetic and hypertensive patients and go over lifestyle choices with them, and keep doing that each time I’m in Peleliu until I depart Palau. But the Powerpoing(sic) is done and translated, my brochures/fliers are done/translated/printed… everything’s ready to roll. That’ll give me a few weeks to start work on my poster/abstract before I leave Palau, which is critical because they’re due two weeks after I return – and classes start one week after I return. Given that Peleliu is a nutritional wasteland, with a dearth of healthy foods, my presentation mostly consists of “eat lots of bananas and walk somewhere, dammit.” Now I just need to find a way to make that into a scientific abstract.

However, because the boat was “ridiculously full” this week, I can’t go back out to Peleliu… so I have to delay my presentation for another week. I can’t do it in Koror at the hospital for bureaucratic reasons, so essentially I’m in IHOP limbo for another week. I was hoping to have five weeks to do my presentation and get feedback from patients and follow-up with them… now it’s looking like I might be fortunate to get three. Not much I can do about it though.

Not Even Trying To Assign This Weeks-ish

I was lying in bed last night, thinking "you know what my blog needs? Another gargantuan post!" Truly, I fear my readers have been deprived of the tortuous (and torturous) ramblings that had characterized my journal at its outset. I am here, gentle readers, to fix that gaping void in your literary lives. 

You can thank me later, and no need for applause. 

So, for your enjoyment, I have prepared a mish-mash of goodies for your perusal. Boil until firm and then salt to taste (I recommend a grain of it).

As the last four days, consisting of a go-round of Peleliu and Angaur islands warrant a long entry of their own, I’ll start us off with a potpourri of random stories which may be of interest to some, and less so to others. We’ll start on a cultural note, since it’s always fun to occasionally talk about Palau in this blog. These range back as far as July 4th, so that is how well I’ve done at keeping up-to-date. Where memory fails me, I shall fabricate awesome lies to impress and amaze you – that way, in years, when I look back on this journal, I won’t be able to tell fact from fiction… and neither will you.

The expatriate community continues to be outstanding here – though it borders on racism to say so out loud, there is something about being European/American/Canadian/etc that brings people together in Palau. Everyone talks to everyone, is friendly to everyone, invites everyone to social events… it is just a far friendlier place than America. The Navy guys here (the CAT team… Community… Advocacy… Team… or something redundant like that) are great, everyone’s just… nice. I don’t know how to explain it other than that. Palau is so small that you see the same people EVERYWHERE you go – one day, I saw the Minister of Health 3 times at the hospital, then we wound up going to the same restaurant for lunch, then we saw him at the same restaurant as us for dinner, and then again at the track. Being a fairly unique face in the area, it’s not uncommon for people I meet to say “oh, I’ve seen you at the hospital/walking across the bridge/the supermarket/playing Frisbee/screaming like a small child at a giant insect/being generally awesome.” When I’m looking for Jodie, I just ask if people have seen the short, blonde, skinny American girl and usually they know who I’m talking about. It’s great. The Palauans are very friendly, as well, but they are not as embracing as the other foreigners on the island.

On a side note, why would ‘Palauan’ be a valid word, but ‘Palauans’ be a typo, according to Word?

The thing is, the expatriate community turns over every 6-12 months. People come here on 6 month-1 year contracts/deployments, enjoy their stay, do some good work, and then leave, leaving Palau to have to train new people, get them up to speed… only to have them leave again. This, I am told, is a very frustrating issue for the Palauan workers who stay (understandable), but the pay for jobs in Palau is extremely low compared to what one would make in, say, the rest of the world. The government does not have much money to pay more, and what money they do have they would prefer to put elsewhere, so this won’t change – and as such, a large percentage of Palau’s legal, medical, and engineering professionals change every year. One of our IHOP assignments asks us to provide the contact information of individuals who have been helpful. I can’t even do this much – every single one of them will be gone by next year (most of them are leaving by November, even), be they doctors, PAs, lawyers, epidemiologists, or otherwise. The UW’s primary contact here, the one we were sent here to work with, is leaving before I do by a couple of days – most of the people Jodie and I would call friends here are leaving by November… and if not by then, then by next June. The only one who might be staying is Mihnea, the vet, and even HE might choose not to renew his contract. How Palau gets anything done with a situation like that is just slightly beyond me.

July 8th, I believe (though I could be humiliatingly wrong as to the actual date - I don’t have internet right now or I’d JFGI) was Constitution Day. As their actual ‘Independence Day’ happens much later in the year, I’m not really sure as to the difference between the two – I’m told Constitution Day is the celebration of their independence from US administration in 1994, when they formally became their own country. They have a fair each year, with a few fair-type games (the ones that are impossible), tons of food stands (fruit bat for $8 and I missed it!), lots of influential speakers, none of whom Jodie or I could understand because they were speaking Palauan (wtf anyways?) and then various stands from foreign groups doing work in Palau – in particular, a large Taiwanese stand that shoved lots of medical propaganda into my hands and then fed me star fruit juice to keep me content (it worked). In general, it was fairly uneventful – it was mostly interesting to wander around the Prisoners’ Shop to see the various storyboards (which are really intricate wooden carvings which are supposed to depict a legend of some sort) that the prisoners made (instead of license plates). They were a bit expensive for my taste, but now that I think back on it, I realize that buying from the Prisoners’ Store would PROBABLY have been less expensive than what I’m going to have to pay to get one from a gift shop before I leave. We didn’t have time to really wonder about the wisdom of purchasing at the fair (my experience with American fairs is inflated prices – apparently not the case in Palau), because we only had 45 minutes to an hour to check out the entire place before me, Jodie, and Mihnea went to meet Richard and Rita to go sailing (more on that later).

I’m going to wax a bit political here, so bear with me: it’s nice being in Palau because it’s a country where it’s still “cool” to be an American. These have grown relatively few in number over the last eight years, for reasons I shan’t deign to explicate, but few would argue that our standing in the national eye has fallen dramatically. Palau, having received so much aid from the United States, is an exception to this rule – many Palauan students travel to the States for college before returning, the US military retains both a protective and a constructive presence here (and the CAT team guys are some of the most popular people in Palau, believe me – even moreso than visiting doctors), and the US liberated them from unpleasant Japanese rule. Needless to say, these are 20,000 people who are pretty stoked about the States – an integral part of our coalition of the willing, if you will. I’m not really the type to sew Canadian flags onto my clothes or something to deny my heritage, but it’s definitely nice not to catch flack for being American (as I have heard of many friends getting in Europe, Latin America and, yes, even Canada).

But, then, who the hell cares about Canadians anyways, AMIRITE?! (With apologies to both people who care about Canadians).

Anyhow, I only bring this up because July 4th is actually a fairly significant day in Palau. There were signs up wishing America a happy birthday, lots of smaller July 4th parties, and then one big one hosted by the CAT team up at Camp Kutuu (I believe is how it’s spelled) in Airai, north of where I am, on the island of Babeldaob. My theory is that the Palauans use Independence Day like we use Cinco de Mayo or St. Patrick’s Day – an excuse to drink (not that we, or they, have ever needed an excuse). I spoke a bit about the party in another post – the President and Vice President were there, tons of expatriates were then, tons of Palauans were there to join in the festivities, they had live music, tons of American cuisine (read: burgers, hot dogs, processed cheese, and Budweiser) and two giant cakes in the shape of American flags (which was both sacrilegious and delicious – sacrilicious!) Pretty sure consumption is not proper flag etiquette – but hey, I’m not military. There was also an impromptu and hilarious game of drunken volleyball, and a smattering of live classic American tunes (the opener being Surfin’ USA, apparently the iconic American song). People ate, people drank, people were merry – but a grave miscalculation on the part of our Palauan hosts led to the removal of the beer (and thus, the party) at 8pm. People stayed until 10, 11, but festivities and sobriety are inversely proportional, and it quieted significantly about an hour after the beer vanished. No number of small, plastic American flags or mishaps during drunken volleyball could suppress the lucid doldrums of sobriety. And there were no fireworks – a fact which greatly disappointed a number of us, as it’s been a couple of years since I’ve seen a good July 4th fireworks show (I was in Calgary, of all places, last 4th). Combine that with two years in Costa Rica during the 4th, and then a number of years holed up in apartment complexes/dorms studying for tests where I couldn’t see the fireworks, and there has been a paucity of harlequin explosives in my life the last few years.

As I implied in a previous issue, much of the Palauan ‘cultural’ displays are reserved for tourists. This is embodied no better than in the various dance performances that occur at Palau Pacific Resort, of which my wife and I are proud members. Every Sunday night, there is a group of girls who comes to do various ‘islandesque’ dances which really aren’t Palauan in nature, but are your typical hula-girl type dances that you might see in Hawaii (I refuse to give that rogue state the benefit of an apostrophe and an additional syllable if they’re too good to even float on over and join the mainland. Assholes.) or Samoa or any of the other myriad Pacific islands. There’s two groups: the first is an adorable group of, say, 6-10 year-old girls, who have obviously practiced very hard for their performances, but the youngest of whom simply lacks the fine motor development just yet to match the grace of her elders, and thus looks a bit listless and clumsy out there (only adding to the girl’s Cuteness Quotient [CQ]) in comparison. They perform a variety of hip-swinging, pom-pom waving, gourd-tapping dances in hula garb that, quite frankly, seems a bit out of place on 6-10 year-old girls, to the sound of an assortment of soothing island tunez, and the onlooking tourists laugh and applaud and ‘aww’ as they do, and talk about how amazing island culture is. The second group is rather ambiguous, age-wise, some seeming as young as 12 and others seeming to be over 18 (do you think ‘seeming to be’ will suffice in court?), and they do the more coordinated and complex dances of the bunch, though they lack the adorable miniature props of the first group. The elder group has an interesting habit of performing these really loud, high-pitched, Both are enjoyable to watch, no matter how many times you’ve seen the performance, but there is this infuriating hula song they always do at the very end – their coup de grace, if you will – that is this poppy, lilting song whose main refrain is “sophisticated hula… is the talk of the town.” The application of the modifier ‘sophisticated’ to the ‘hula’ dance is a bit odd to me, but not enough in and of itself to catch my ire…

Until I hear it every damn minute of my life for the next three days.

It’s not just while I’m wake. Oh no. That would be tolerable. At least then, the blissful embrace of slumber would save me from this waking nightmare. But it follows me to bed, serenades me while I sleep, runs on endless loop through my mind, no matter where I go and what I am doing. I can’t escape. It’s enough to drive a man to insanity, I say. IT’S IN MY TEETH!!!

Following this, their penultimate ballad, they do their typical touristy “thank you and goodbye” in both Palauan and English, and then it’s time for the most anticipated part of their performance. The encore. The ultimate in aural entertainment. They perform the national dance of Palau – the most recent dance fad, newly arrived from the States… and they pull the luckiest of the lucky -with the nasal but much-ballyhooed announcement “and now, everybody to the dance floor” -  from the crowd to learn this sacred groove.

They do the Macarena.

I have said many times how we have imparted much of our culture onto this nation – we have also imported our obesity and hypertension and diabetes into Palau via our food products. We have, it would seem, also managed to curse them with our tacky ‘80s fads, excluding (mercifully) the mullet. The Macarena is not just danced here, it is... dare I say it… popular.

The best part is watching the Asian tourists learn this ludicrous dance – since, mercifully, it never became the smash hit in their nation that it did in ours – and the looks on their faces belies their disbelief that anyone would engage in such an inane activity.

“Achy Breaky Heart” is also a popular karaoke song in Palau, further proving my theory that pop culture here is a near carbon-copy of ours, circa the 1980s.

On Wednesdays, PPR has happy hour – consisting of free drinks (beer, wine, and coconut juice and rum in a coconut shell) and some local entertainment. I took this opportunity to get my much-coveted coconut drink and some prime photo ops, but the most noteworthy aspect of the experience was the “local entertainment.” Colloquially referred to as “thong dancing,” there was a group of five or six teenage boys wearing red loincloths and carrying various simple percussive instruments who performed what, to me, seemed like ancient Polynesian battle dances. Heart-pounding percussion seems to be a staple in all dance performances here in Palau and makes what otherwise might be a rather lazy and relaxing event into an adrenaline-packed thrill ride, but I digress.

The main point that I’m trying to get at, here, is that these dances weren’t the slow, graceful dances I described above, but erratic and loud and powerful performances filled with shouting, flailing arms and limbs, and animalistic roars, interspersed with chanting – it reminded me a lot of Native American dances I’ve seen performed in the past. In between each session of fearsome frolicking, one of the performers would explain what the next dance was supposed to represent – and it was always something extremely banal and undeserving of such an impressive dance:

“This is to tell you guys about how we used to row the, ah, canoe.”

“This is to tell you guys about how we used to build house.”

“This is to tell you guys about how we used to weave basket.”

I swear they performed the exact same chanting, shouting, and roaring with each of the above performances, the primary variant being that you could see them pantomime whatever activity it was they were telling us guys about – of course, the chanting was in Palauan, so there was absolutely no way for anyone who was watching to figure out what they were saying, so we just took their word for it.

I mentioned the “juicy bars” in an earlier posting. They are, on the surface, karaoke bars. What I have learned, however, is that “karaoke bar” means many different things in Palau. There are “karaoke bars” where, literally, you just drink and sing karaoke, and it is like any karaoke bar in the States. There are “karaoke bars,” however, who DO have karaoke, and that IS an attraction, but they also have a cadre of “karaoke girls” (or “juicy girls”) whose job it is to sit with you, talk to you, be nice to you, get you to buy drinks (for yourself or for them), and cuddle up to drunken strangers. Drink prices are reasonable ($3 to buy yourself a beer), but if you buy the girl a drink, it’s substantially more ($10, say – though if the girl likes you, she can charge you less) – and you’re essentially paying for a more ‘affectionate’ karaoke girl. They’re not prostitutes – and most of the “juicy bars” are not sex bars or anything of the sort, but suffice it to say that people don’t go there “primarily” for karaoke. Karaoke and dancing are just pleasant diversions. These bars (from what I have heard – I’ve only been to one thus far, and would be fine keeping it to that one) vary as well in their… shadiness, for lack of a better word. The one I went to was recommended to me based on the fact that it was clean, the girls were nice, and the environment was friendly. I’ve heard stories, however, of others where the story is a bit different – to quote a friend “you feel sticky just walking in the door.”

This friend has been exploring the various bars of Koror, and when I asked him which ones to stay away from, he told me about one joint in particular where they call it a “karaoke bar” but he suspects it’s a thin cover for a whorehouse. They had “karaoke rooms” – private rooms in the back where you could take your karaoke girl (and your friends and their girls or whoever) and they have a karaoke machine. But the “wink wink, nudge nudge” part is that it’s, well… a private room. In some of the more upstanding joints, these really ARE primarily for karaoke. But when he asked about them… :

“What are those rooms back there?”

“Those are karaoke rooms, sir.”

“And you can take the girls back there?”

“Yes, sir.”

“And what do you do back there?”

“Anything you want.”

To be fair, maybe they just meant that no one will judge you for singing all the Celine Dion  your little heart desires, but somehow, I doubt it.

There’s a whole messed-up system in place with the karaoke girls that I don’t really care to get into in such a public venue – as it is, I feel like I’m skirting the lunatic fringe of my comfort zone here.

But enough about Palau. Let’s talk about ME.

After a week off from Frisbee due to the Belau National Games’ track and field component, I finally got back out on the field on Tuesday. It was nice to give my legs a rest – my shins had been killing me, and though I’d managed to get it under control with lots of stretching and warming-up plus some liberally-applied painkillers, I was pain free and ready to play.

So, naturally, I turned my ankle HARD on the second point of the game.

Play stopped for precisely thirty seconds – long enough for me to kneel and rub at it a bit, curse luridly, and then hop back to my feet and begin to limp back to my endzone so that people could play and I could walk it off. I ended up playing out the rest of the game (and actually did well – I should get hurt every day), but by the evening it had swollen up so big I could barely get it inside my shoe. Today, Thursday, the swelling has gone down quite a bit, but it’s still really sore and I can’t turn my ankle outwards – a local doctor I’ve been following called in a free X-ray for me, which I’m still waiting to look at with him just to make sure I don’t have any tears, but nothing’s broken. I’m walking a lot better today, so I’ll probably (stupidly) give it a go at Frisbee tonight, break it entirely, and then be forced to sit the rest of my stay in Palau. Dr. Graney would be SO pissed at me. I wasn’t even wearing goggles.

The one thing that this injury SHOULDN’T stop is diving – flutter-kicking my way through the water doesn’t turn the ankle at all – so as long as the swelling goes down enough to fit into my fin, I’ll be going out with Keith again on Saturday, and hopefully we will finish up the diving portion of my Advanced OWD course. There’s still some book-reading and knowledge review stuff to do, but I’m excited to finish it up. Vivi and Jirka are going, and it’s always fun diving with friends – and it’s Vivi’s first dive since she finished her certification (also with Keith), so it should be fun. I’m hoping to get a chance to do a wreck diving specialty course here, too, but we’ll see if I have time to drag Keith out to do that one. James is interested in doing it, too, as is Jodie – but she’s leaving soon, so who knows?

On that note, I was out diving with Keith a week or so ago, and got to do two more new dive spots. The first was a wreck dive, the Irou – which was a Japanese oil tanker, sunk off the coast of Koror by American planes during the Battle of Palau. We didn’t go inside the wreck very far (because the four of us that went weren’t really good enough divers to go around inside the ship without completely kicking up the silt bottom and ruining visibility), but we did swim along the entire length of its deck, explore its exterior, and go in a little bit. Highlights of the spot:

At the bow of the ship, Keith tried to get me to do the Titanic pose with Riley. I declined. Riley, and Keith, were very disappointed. I did go over the bow and down the side of the boat about 10 or 15 feet to check out the coral – the thing is basically one massive reef by now, but the size of the ship is tremendous – you feel like a bug crawling along it.

The ship’s deck was covered with old beer bottles, encrusted with reef by now, that were apparently a favored beverage of the ship’s crew. I didn’t catch the actual beer name, and it’s not terribly important, but the sheer quantity of them was astounding. And, there’s something cool about holding a beer bottle that some soldier drank 65 years ago while you’re underwater on the deck of a sunken ship.

Keith found a crocodile fish – which really wasn’t terribly exciting, they’re not very pretty, they’re pretty well camouflaged, and it was just sitting there hidden under a bit of metal… but it was something new. Apparently, that fish is always in the exact same location whenever Keith finds it – though he has no clue where it goes the times he can’t find it.

Not really a highlight of MY trip, but apparently Keith and one of the other Navy guys (Ski, I think his name is), saw a cuttlefish – which is uncommon for that dive site. I saw Keith gesture towards it, and write down ‘CUTTLEFISH’ on his little underwater slate, but I missed it entirely. So… I saw the word cuttlefish at the Irou, but I did not cuddle with the cuttlefish. Carmen loves the things, so I made sure to tell her about the cuttlefish I… didn’t see.

The engine room was open, and we were able to go down inside a little bit and see the thing – objects look larger underwater, so it’s hard to say exactly how big the engine was, but it seemed the size of my garage back home. I’m almost certain that’s exaggerating, but it was a gihugeic piece of machinery

We went inside one open door, down a hallway, and took a look inside the second door on the left – and found some of those porcelain squat-style toilets the Japanese use. Or, at least, I am told the Japanese use. Or used. I’m not really clear on the status of their utility. I know they exist and they are Japanese. That is enough for me. The porcelain was actually still visible and white – or, at least, it –looked- white against the grays and greens of the reef and the ship.

The second stop on our trip (I ended up getting to go to both places I wanted because no one else would speak up) was Blue Holes, which is RIGHT next door to the more popular Blue Corner. Blue Holes is so named because it consists of four holes in the coral reef which lead inside the massive formation, you swim around in the caves, and come out a large opening at the bottom some 60’ underwater (the entrance holes are right under the surface of the water). It is apparently connected to an extensive network of caves ominously dubbed the “Temple of Doom” that is another dive in and of itself (which Keith has claimed he will take me on before I leave, though whether or not that actually happens remains to be seen). Highlights of Blue Holes:

The natural scenery on this dive was amazing. You dive down into the cave, and the light dims, but there’s enough filtering in through the surface holes that you can still see. You are surrounded on all sides by coral teeming with life, and the sunlight flickering in through the four spots in the roof gives this eerie, but incontrovertibly fantastic cathedral-like effect, with these columns of glowing light piercing down into the darkness of the surrounding cave. It’s needlessly prosaic, I know, but it was just unbelievable. As the kids say, it was the “cat’s pajamas.”

Reef fish naturally swim with their bellies towards the reef. As a result, the fish on the cave were swimming and living upside-down. This isn’t really a terribly remarkable thing to see, but it WAS kind of neat.

We saw a nudiebranch (I still am not sure of the proper spelling of that, though I’m sure Melissa will be happy to inform me) about a centimeter long (that’s right, I went metric on that shit) and was pretty brightly-colored and neat. Since I didn’t really see the one Keith found for Jodie, this was a pleasant first for me.

We saw a disco clam – if you can look up a video of one of these things, I’d encourage you to do so. They’re really weird-looking on the outside – or, at least, the one we saw was – with lots of little spiky-lookin’ things and various brightly-colored bits. But the reason it’s called a disco clam is because when you shine light on it (as Keith demonstrated), some weird sort of electrochemical reaction occurs which sends light skittering across the mouth of the clam (it looked like little lightning bolts, or one of those electric orbs when you touch it). Plus, not only was it pretty, it has the most entertaining name of any underwater life I’ve yet encountered. It sounds like a nightclub. “Hey, guys, you wanna go grab some beers at the Disco Clam?”

Hmm… I just had an idea for a business venture…