Saturday, December 31, 2011

A taste of Hollywood


Hollywood in the Hospital.

While at Los Angeles, I stayed in the area called West Hollywood, courtesy the hospital of my rotations. The medical center was a 10 minutes drive from the Beverly Hills. The hospital, pimped as a multispecialty, state of the art, tertiary care center; besides taking care of the service-class, insurance-less population from the free clinic; also collaborated with many high profile private attendings, and was dubbed ‘the Hospital of the stars’ for obvious reasons. Therefore, though the hospital was in Hollywood, Hollywood seemed to be in the hospital in more ways than one.
(Dont want to violate any HIPAA- Health Insurance Portability and Accountability Act, regulations here ) But, I can let you know that many big names would be seen often,  casually walking down the hallways with thick shades over  their eyes and heads in the air, there, for themselves or to visit friends and family. The residents and nurses had many a tales to tell, on how a particular movie actress was ‘so down to earth’ while this other star ‘ had all the airs.‘
You could get a complete update of the latest fashion and make up trends by just walking across the patients’ waiting room. Pregnant or aborting, they did-not ever forget their ‘new soft under-eye concealer from clinique’
The hospital staff too, had been inflected with this so very virulent virus called showbiz. Everybody, and I mean everybody across all ages, sex or rank, seemed to think that he/she was about to shoot the cover for the People’s magazine.
 My earlier impression of attendings was of balding men with their sympathetic smiles, in boring black-brownish suits or neatly dressed women holding hands of patients in the middle of a labor pain.
Well my friends, at this hospital, our male attendings came straight from a gym session into the morning rounds, in their tracks & tennis shoes, high fived the patient’s boy friend and cracked naughty jokes about Lady Gaga and her meat dress. The Ladies were young (atleast looked like, to me, with an inch of powder and unmistakable double layered  mascara) , in the latest designer dress from the cover of Opera, with knee high boots. they were sure to flaunt their new prada hand bag while they ran the ultrasound probe over the star mom-to-be ‘s belly.
The residents and nurses (do-not, even for a second think that nurses were paid any less. The RN-4s got paid by the hour and ended up with more money than the chiefs) were even more interesting. They had to be in scrubs all the time, but some found innovative ways to dress up. Many had printed OR hats or cool goggles for eye protection during surgery.
It was considered an absolute sin to forget the early morning makeup ( by early I mean 5 am)- together with the base, the eye-shadow, mascara, blusher , lip-linner and a few more accessories I do not know the names of.
And, for your information, there is nothing like ‘trimmed nails’ for Hollywood docs, (even though these were obstetricians and would perform sensitive procedures),because all of them had French, Italian & god knows what other kinds of manicures, with each of their nails a centimeter in length. All this, irrespective of a regular 14 hr call or a 24 hr call or the not to be talked about 36 hr nightmare.

My 80 hour week with the Step -2 test lurking round the corner, ensured that I could only dream about taking a walk along the Hollywood Boulevard (the street that has all the big names in stars over the pavement) .But what I saw from my off site location was far from the glamorous sparkly face of Hollywood.
  
The struggler’s story.
West Hollywood was a very beautiful neighbourhood... nice wide streets, beautiful houses, well trimmed gardens with a pretty little coffee shop or a designer dress show room at every corner. The weather was perfect on most days – light breeze with a bright, but not too sunny day. If I did not have to wake up at 5 am 6 out of 7 days a week, i would seriously consider the 2 months a long vacation.
These beautiful homes were owned by wealthy land lords, who divided them into smaller apartments and rented them to what was called ‘the struggling crowd of Hollywood.’
I sublet one such studio apartment but shared it with maria and her dog Olive for the last 15 days of my stay as she had to return a few weeks earlier, from Mexico as ‘she worked her ass off... but they just would not pay her as much. ’
She told me how she worked on contract basis as a stylist on small time e series/ TV shows, but really dreamt of being a singer-cum-artist. And oh, she really did work hard for it. She took singing lessons, guitar lessons & held small auctions of her art work. But fame, like we all know, is not for everyone.
 She borrowed 5 dollars for the bus from me, one day, and I wondered if she had run out change. ‘I am broke, my dear little doc, i am so so broke!!!’ ,
and to top it all , ‘ I hate being broke, Isha, but this is show business.’ Well that explained it.
 But it didnot stop her, from trying, day after day & shoot after shoot.
My charming little roommate was thirty seven, single, with no cash, her apartment lease was running out, her car was broke, but...she could not for a moment stop dreaming.
About the stage, the crowd, the music, and her very own song.
My sincere wish, is to be part of the crowd as she performs her very first grand show.
 But in this world of glamour it does n’t take long to ‘go down, to a very dark place,’ like Maria put it. ‘When things go wrong, you don’t have a job, you don’t have any support, your dream is shattered, your bills are pending, many big people give up and let go.’ She told me about her previous manager, who had managed Madonna, for a long time, but due to reasons gotten into a drugs habit and finally committed suicide.
‘Thats what they always say about Hollywood, but does this happen a lot ? ‘ I wondered.
‘ Senioreta, I can tell you, a story a day, about the people who I knew personally, giving up like this..’ she winked. ‘ But that would not make for good dinner time conversation . Would it?’
‘So before you lose your appetite, lemme change the subject.’ And, then she went on to tell me about her shoot that day, and how the male lead was a pretty handsome guy, and also famous in a way, and how he would crack naughty jokes, flirt around and be a gentleman & pull chairs for the ladies. She showed me pictures of the shoot,that she took on her own camera.
Apparently there was a lot of food on the sets at all times. Maria would have some , and smuggle a piece of cake or a small sandwich for me , everyday. So at dinner we had some of that with my amateur Indian curry, and Mexican tortillas which she absolutely loved. And over dinner we would chat for a few minutes about random things. I would tell her about Indian culture, food, my family and you guys.
She would talk about her shoot, and how things work, how the actors get ready, how the takes are arranged, and how crappy some of these people are, off the camera.

  
Boy o Boy !!!
 On one of the evenings, Maria had a off day, and so all three of us (Olive also went with us) decided to walk to the coffee shop at the corner to catch some fresh air. We got there, and took seats in the outdoor area, ordered a Moroccan tea each and started our work. I was reading for CS and she was ‘researching’ for her next shoot.
We sat close to the entry of the coffee shop. A few minute later, a girl walked by. She was tall, thin.. no, emaciated would be the right words, short hair. She looked pale, and had big dark circles under her eyes, and puffed nervously on the last bits of a cigarette, before she entered the shop. (it was no smoking shop). To me she looked like a book case of anorexia nervosa.
Maria waved to her. She walked up to our table hurriedly.
‘Hi! I am a Maria. I work as stylist. I couldnot help notice your skirt. It is really good.’
They both shook hands. ‘ I am Lisbeth’
Lisbeth’s  hands were shaking profusely all this time.  In her trembling voice she said ‘ well,i designed it myself, hope to be a designer one day.’ She gave a sheepish little smile.
‘That’s great, well, do you have a card, may be we can work together some day.’
The girl scribbled her email id on the paper tissue. As she left, Maria said to me, ‘ That’s how small artists like us find work, my dear!’ ‘ She seems to be talented but donno know if she has it in her to survive our big bad world..’     she added with her crocked smile. I had my doubts.
On the way back home, we took a little detour, to walk in front of what is called the Pacific Design Center. Maria wanted to show me how the workers were busy putting it together for the ‘Post Oscars Party.’
The coming weekend was The Oscars Night. And I learned that, after the show is over at the Kodak theaters the stars drive up to a different location for The Post Oscars Bash, touted as ‘the grandest, most amazing party of showbiz!’ as Maria put it. The Pacific Design Center had been chosen for this year’s party. And it was a 5 minute walk, by watch from our place!!
We were not able to enter the arena for security reasons. So we just stood at a distance for a few minutes and  watched as half  a dozen florists carried what seemed like a million orchids from a truck and started to arrange them by the fountain and the water pool at the entrance. ‘ Oh god ! A pink-purple theme !’ Maria said in a hushed voice, she cupped her hands over her face, and I could see her eyes welling up with tears. She was so excited.
They were also testing the lighting. They were using  soft purple spot lights that lit what was suppose to be the entrance. And some of the spots had been turned upwards to outline the building, that in itself was a marvellous structure, about 5 stories high, with glass panels arranged at different angles to reflect the light.
It was amazing! and It was perfect! It looked in many ways, like a modern castle, magical almost!
It seemed so appropriate. The victors of the most prestigious movie awards would dawn upon these very gates, two days from now, while mortals like us would stand behind the barricades trying to catch a glimpse. 
Boy o boy .... this is Hollywood!
I have not had my bollywood experience yet. But i wonder if both of these work the same way. A few weeks into either of them, and many have stars in their eyes and crack up their nose.

  I confess -I will miss it!!
In the last few days in LA I would spend a lot of time at home, and therefore would often browse the TV channels.
Without doubt there is one guy who is splashed all over American television these days.. the self proclaimed ‘more famous than Obama’ guy...Charlie Sheen. Now, I could go on and on about Charlie and what he calls it ‘his winning ways’, but I’d rather you catch him complete with his two goddesses and twin sons,  all exclusive only on ABC/ CNN!! (even though its on every damn channel 25 hrs of the day.)
This guy is so funny, but in a dark scary way. It seems, he has left ‘Charlie’ the character of ‘Two and half men’ far behind as he himself admits to have done all that the character was shown to be ‘doing’ , and much more, for real. God bless him!
Finally March 2nd came, I drove to the exam centre in a cab, went through the 8 hours of nerve wrecking, they call step -2 clinical skills, and took the bus back home. I had to pack, the next day was my flight out to Omaha.
In the evening, with all my bags repacked, I sat on the couch, for the very last time, with Olive on my lap and maria on the phone arguing with her not so efficient and equally broke new manager, I turned on the TV to yet again listen to Charlie (who I believe in surely hypo-maniac at this time)rattle on,  .. about how he took drugs in amounts no one could tolerate& how he indulged in tiger’s blood (for god’s sake !! Charlie ...) & how, now he wanted to be there for his little twin boys, but at the same time was not ashamed of his drug habit. Instead he was just bored of drugging and so wanted to try something new (like trying be a primary caregiver for his children, does he think it is joke!) . I turned off the TV a few minutes later. I had had my daily dose of showbiz associated drama.
I have always had a soft spot for the stage and the crowd. And as I stared at the dark TV screen for a a little longer, I could not help but think, that despite having seen and heard about all the irregularities, the suicides and the wild drugged super stars, slowly but surely Hollywood had found a place inside me. 
Like many more before me, I was addicted!

Fables from (the other) America –II


1.. Need live study partner, LA, ASAP!!!
The title of this chapter was my post on an online forum, about a week before my clinical skills test.
The same evening I got the phone call.
‘Can start practice tomorrow ?’ those were his first words. They were in an extremely accented & broken English.
I was caught unaware.
 I wanted to say .. hey mister? Hold your horses there ...I don’t even know your name yet ... 
But instead i said, very slowly, clearly and as politely as i could, trying to use those Interpersonal skills that i was trying to practice for my Clinical Skills Test..
‘ I am sorry ‘ ,pause 2 seconds, ’ but ‘ pause 2 seconds, again, ‘what was your name again ? ’
It is aa-lllaa-xxx..’ he said stressing on each syllable.
Our conversation lasted barely two minutes.  He suggested that since I had not much time left before my test, he would be willing to drive 40 minutes against the morning traffic, to come to my place, to practice cases starting the next day, at 9 am. 
I said yes, out of necessity.
It was exactly 8 days before my test, and I desperately needed a study partner to practice. I had been doing the online practice for a week now and I was not sure that it was helping me a whole lot.
But, I was apprehensive about this whole thing with Alex.
For one, I did not know him.
I  did not even  know which country he was from? (He never gave me a chance to ask that over the phone, he was so fast!)
Or  how old he was? I could not make out from his voice.
Was he still a student or a MD already?
Would he be able to help me at all?
Would I be comfortable practicing cases with him? I did not have many days left. And his overt enthusiasm to start practicing the very next day even though his test was 2 weeks after mine, raised my suspicions.
 But, I decided to take the chance.

 2. The gynecologist from Peru
It was a bright day. The sun was out, and I sat on the steps outside the apartment, with my laptop,  waiting for what I thought would be a  lanky, awkward looking foreigner in his twenties.
A few minutes later, Alex Fernando Ramos Antonio walked up the stairs.
 He was in navy blue scrubs, had flung his coat on one of his arms, as he used the other hand to grab on to the reeling of the stairs to climb up with some difficulty.
He had an average height, some what coarse facial features and his hair were salt and pepper, though still more of the pepper.
He smiled to me, genuinely,  and held out his hand , ‘ Alex ‘ , he said with his accent.
I smiled back, shook his hand, and invited him inside. I poured lemonade in two glasses and offered him one of them.
 He took a sip, and simply said ‘ Can practice now?’ , and so we began.
We would practice cases, trying to simulate the test setting as much as possible, timing them and following them with simulating note writing also.
We would do 5 cases starting 9 am. Take a lunch break for an hour at 1 pm , and then do 3-4 more cases till 4 pm when Alex would leave for work.
The live practice was helpful for my preparation, but, the lunch breaks were more interesting.
Alex finally told me that he was from Peru. He landed in the United States four years back when he won a VISA lottery in his country.
He use to apply for the same lottery every year just for fun. But when 4 years back, his name was announced on the list of a handful of people who had been offered a chance of permanent residency in the Unites States, his wife and he did not know what to do.
Alex was a full fledged gynecologist, in the capital city of Lima. He had done his medical school and residency at the government college and hospital at Lima.  He had studied everything in Spanish.
Though there were no gynecology fellowships in Peru, he had worked in a cancer centre for a few years after residency, and therefore was well versed with therapeutics including the surgeries of all gynecological cancers. He had chosen to specialize in cervical cancer as it was the most prevalent of the women’s cancers in his country.
Interestingly, he quit his job at the cancer center a few years after training.  Then, he and his wife, who was a nurse, together with a few volunteers hired a few ambulances. They would drive outside the capital city to the small towns and villages in the interiors of the country with the purpose of providing medical care to women who in his words ‘no see any doctor ever before.’ They conducted camps for screening  pap smears and colposcopys.
Usually, Alex, would be the only MD, on the entire team, that also performed numerous surgeries on women who were found to require them for various gynaecological problems including malignancies. Though he didnot make a killing like his fellow oncologists, at the cancer center, he thoroughly enjoyed his work.
But, winning this lottery changed everything. Their three boys desperately wanted to move up north. Their youngest son, who was eight, wanted to visit the Disney land. Their twelve year old boy, wanted to study at the ‘white boys school’. And their eldest,16 then, had already set his eyes on a film and mass media course at a college in Boston.
 So like all loving parents they decided to transform their lives for the better future of their children.

3.  Lessons over  lunch !
I was impressed.
Though we continued to practice cases, it seemed so futile at times. This whole deal of clinical skills testing which mostly involved being pleasant and polite to an actor pretending to be a patient. ...
 I might need it, but Alex surely did not!
He told me, he had been taking English classes, separately. But, what if he was not fluent in the English language, he was proficient in performing a radical hysterectomy, and even more, he was willing to do it for free.
On our first practice day, when he finished telling me about his body of work, I asked him, ‘Alex, Is it possible for us exchange places, I want to be a surgeon and you can have my English skills.’
He smiled, and wrinkles ran all over his rugged face. His eyes twinkled. The man was satisfied. 
He spoke simply, sometimes messing up the grammar, on occasions using the wrong tense. But if you listened carefully, it all made a whole lot of sense.
During my rotations and my preparation for CS, I would always be nervous about my accent and ‘english proficiency’ as they like to call it.
 Alex made me realise, how over rated the language really is.
During the lunch breaks I would heat up the few basic Indian dishes that I could manage to cook the previous night. He would usually grab a sandwich on the way, but always request for some of the home cooked food, ‘ gimme jus like you  have it.. I want taste’
We would talk on all kinds of subjects. He would ask me things about the Indian culture, family system, independence, politics. He would quote Gandhi on a few occasions.
He would tell stories of his childhood and of his youth. Though, I called him by his first name, and he was about the same age as my dad, he reminded me the most of my nanu (grandfather) with his slow paced speech and his way of narrating anecdotes.
 He even taught me a few interesting facts on the politics and economics of countries of the South American Continent.
When i told him, that I had, till date been oblivious of these very basic facts, he chuckled and remarked, 
‘ya! True, people often forget that there is another America in this world....’

4. Doctors from the ‘other’ America.
Of all his stories, I was most impressed by the one about a young doctor from Argentina.
I would like to share it with you guys.
On the last day of our practice, during the lunch break, Alex was going through maria(the girl who gave me the sublet)’s canvases that were lying at the back of the room. He pulled out a magnificent charcoal portrait of a young man, and showed it to me.
‘Do you know him?’ he asked. I simply shrugged my shoulders.
Ernesto "Ché" Guevara, he told me, was born to a rich Argentinean family in the early 20th century. He was a smart kid, and went on to study medicine at the government medical school at Buenos Aries. After completing school, he, like any other young lad of his age, decided to a buy a motorbike and travel all over South America.
He rode to many latin American countries which at that time were ruled by oppressive monarchs. Being a medical doctor he would provide basic health care to the people where ever he stopped. But he soon realised that the only way to end the suffering of the impoverished masses was to over throw their anarchic rulers. His first experience with armed revolution or guerrilla warfare as it is called, was in Cuba, with Fidel Castro, when they defeated the US backed dictator Fulgencio Batista. He went on to become a minister to Castro’s government in Cuba, though he continued to lead movements for the liberation of many other South American as well as African nations.
Finally, he was executed, on being caught fighting a guerrilla war against the anarchic government of Bolivia, an year before he would turn forty.
Alex told me, that Che’(meaning dear), like he is lovingly referred to, continues to be revered as a revolutionary hero of the poor by many a communist leaders, even today.
Then he asked me , ‘ your parents are doctors, right ? Do they ever think of politics’
‘If they have time they try to cast their votes, but that’s about it...’ , I said...
He went on to tell me how many successful doctors in his country would go into politics as they felt they wanted to do more, for the greater good of the common people.
‘You should think about it, too ... ‘ he added.
  
5.  who is up for it ?
Though my dear CS study partner was an idealist, he did remind me of some very basic facts.
 We guys in India, enter medical school at the tender age of 17 or even younger. The entire stress is on trying to sieve out what the system considers the smartest kids, and place them into medical school. It is believed by all that they would make the finest doctors.
Students have their own reasons to take up medicine or a particular speciality. It could be because a) their parents want them too, b) there are big bucks involved, c) people will respect me, consider them a stud !
Someone want to specialise in internal medicine because diagnosing is fun, surgery because it is about art and finesse, radiology because it is chill or dermatology because no one dies, really.
Perfectly valid reasons in themselves!
But have you recently heard a fatcha/fatchi/batchmate/senior tell you that they wanted to be a doctor or go into a particular branch  to be able to help the target population , make a difference in their lives, or simply give them some hope or at-least a little reassurance.
Everything said and done, the fact remains, that (excuse me for the cliche’ but its true) medicine is a noble profession and qualities of a doctor do include compassion.
Sadly, these qualities are neither sought after by our medical education system and rarely if ever are found in our doctors and students.
I am not trying to give you a moral science lesson here (though I sound like it, very much). What I want to say is, if someone is not capable of empathizing, he/she should realise it. There is nothing wrong with it, really. Rather, the sooner it dawns on you the better, so that you can find other things you are good at.
Now, before you close this file and send me an email about how I am surely losing my mind, I would like to end by to requesting all my dear friends to find for themselves the right calling... be it medicine, a particular speciality, or something else.
Because 30 years from now, I want us all to be smiling with satisfaction, and not reeling with depression/anxiety/anger management issues/ accusations of harassing subordinates or anything else worse .  ;-)
Meanwhile, I have an open offer to take a week’s holiday to Peru, and do some charity Ob-Gynae work while I am there. Alex promised to host me and any friends I would bring from India. So who is up for it ?!

 











Fables from America

1.The fiasco in Hollywood
I met him, in what now seem like, the most amusing circumstances. After a long day at the hospital, I came home only to realize that I was locked out of the house!
Maria(the girl i was renting the apartment from)’s manager (who had borrowed the key from me the same morning) had turned a different lock on the door from the inside, to which i did not have the key. I was hungry, I was tired, and I was alone. I tried calling the landlord for spare keys but she was out and her phone was off. What more could I do? Nothing was coming to my hypoglycemic mind. I vaguely remembered that the guy who lived downstairs, Tom that is, perhaps had spare keys. I knocked at his door, he welcomed me in.
 I was still in my scrubs. The first thing he said ‘I can see that you work at the hospital and I guess you are from India’, the guy  was smart. He told me he would find a trustworthy locksmith over the internet and he went on to call the locksmith using his own phone and gave him the directions to our building. ‘Have my card’ he said, ‘if you need anything’ . It read Jack A. Bolan. Attorney at Law.
Hmm. No wonder he was smart, and he had what seemed like a hundred books in what was a very neat and expensively furnished apartment, and two cats. He was nice and he was helpful. In his hay days he had represented many a doctors and nurses in mal-practice insurance cases. The only things I knew about him till then.
  Glad to be indoors and glad to be warm, i crashed into my bed sans dinner( Who could cook?  I had no energy)


2.Of the lone American life and a bit of medicine.
Two days later, 2300 hrs, at the apartment: I was close to the end of another tiring day, when I heard some noise. First I thought it was a dog. But no, it was a man, he was shouting and moaning , continuously.
The noise scared me. I thought it was a drunk man, outside the building.
 I somehow fell asleep.
Next day, 0500 hrs: my alarm went off.
He was still moaning.
I dressed quickly and went  close to the door, and peeped through the window. It was still dark outside. I did not see anyone.
 I gathered my stuff for the day,  held my breath and opened the door. At the very same time the lady who lived in the apartment upstairs opposite my building stepped out too. The moaning stopped suddenly.
I  ran down the stairs, and on the street. She almost ran towards her car. It was then that it struck me, the noise was coming from downstairs, from Tom’s apartment, but I was so scared that I could not turn back. I jogged the whole way to the hospital, looking over my shoulder every second for possible drunk men/ dopchis/ molesters. Yes ! These were the things that came to mind. 


3.He is gay! 
The same evening,  1840 hrs: I was walking back home. The long busy day had surprisingly washed out the memories of the whole episode from my mind. They hit me back when I saw the sheriff’s car outside the building and two officers at Tom’s doorstep. Someone had called 911. They seemed to be giving him some sort of a polite warning.
As I was climbing the stairs, the senior officer waved to me and asked me to come down. He questioned me about the noise, and in the end reassured me and advised me to call 911 if I were ever scared or heard the noise again. I did not want to show-off my limited knowledge of medicine but I told him that it seemed to me that Tom, who was otherwise a fine fellow, was shouting and talking to himself and perhaps he needed some help. The same evening I sent a long email to Maria and there came a short reply ‘isha, chika don worry.. he has AIDS , but he is gay, he means no harm’ 
I had had enough excitement for my first month in United States.
I personally felt that he was moaning and shouting because - a) he had pain as a manifestation of the disease , b) he had psychiatric and neurological manifestations of the disease or c) he had psychiatric symptoms due inability to deal with the fact that he had the disease.
Al l of you  are most welcome to suggest other differentials.
But I was scared, to even go near his door. And now that I think of, I have no rational explanation for my fear. It is not that I have never seen people with HIV.
 I have spoken to, examined and even taken blood samples for patients with full blown AIDS.


4.  The  new  ‘Ways’
So much for all the differentials listing! So much for the thick medical texts that we all have read, the answers we have scribbled about patho-physiology, microbiology , symptom-ology or even epidemiology of AIDS and HIV!
 I was scared and so I never went once to ask if he was alright. And neither did anyone else in the building with 12 apartments.
Maria came back from Mexico last week. I related to her the whole episode again. That night he started  moaning again. Maria told me – ‘you know chika, this is the gay hangout place of Los angeles, it has a huge  gay community, and you know the way they do it once they get AIDS and they cant do it naturally, they pay other guys to get themselves fisted !’ and then she winked.
I didnot ask her what ‘fisted’ meant but I could hardly imagine the possibility of it happening.
 ‘But , I have never seen anybody come-by his place’ I asked, ‘that’s because he is probably doing it to himself, senioreta!! The other gays in the building are always gossiping about how he cant find anyone so he must do it himself....’ and she walked out of the room to smoke her jama .
O My God!! I was not sure if I wanted to know so much ...
Now, I did not know what was true and what was gossip. But I had to try to concentrate on my The First Aid for Step 2 CS while he moaned and cried in the background.
This Saturday, it rained. He was quiet all through the morning. The german lady who lived on the ground floor on the foot of our stairs was complaining about how he disturbs her 3 times a day with his ’unusual energy and activity even though he is supposed to be sick you know’ she told me in her accented english. Then the neighbors  made another little joke and walked away to their Saturday chores of grocery and laundry.
But , Maria was a little annoyed, ‘ I understand that he has been here a long time , but I guess now he needs to understand that he is sick and cant be alone, his disease is getting worse, com’on lets try and talk to him.’
 She knocked a few times but he did not answer.  We climbed upstairs and went on with our busy lives until 5 days later.


5. The man who died alone
It was the Thursday of the next week, 1700 hrs: I stepped out of the house to get some fresh air. Rona the landlord’s daughter was standing downstairs with her extremely old mother. She was trying to say something to me, but did not want to be loud, so I climbed down.
 ‘Wanted, to let you know, Tom passed away.’ 
‘When ?’, ‘How?’ , I asked.
 ‘On Sunday, he was sick on Saturday, and the ambulance picked him at 11pm and he was gone by 8am, they said that he had a meningitis or something, but a really fast and fulminant type.’
‘Did he have any family?’
No just a friend, I think she was by his side.’
’I am sorry..’ I muttered.
The germen lady rushed outside, ‘what did you say he had? Was it contagious?’ she asked in germen. ‘Because he would act so friendly sometimes and sit outside my door and start talking, and me and my husband have this really bad fever for two days now.’ She was out of breath and red with fear.
I tried to explain to her ‘Ursula , don’t worry , what ever he had , probably a virus, would not affect you, it affected him because he had low immunity because of his condition.’
Still, tell me the germen word for it, I will read about it on the internet,’ she still looked anxious.
May be Tom was developing progressive multi-focal leuco encephalopathy.. with his phases of normalcy interspersed with delirious episodes. There is a possibility that he developed a viral meningitis or encephalitis on top of it, which accelerated his departure. CMV or Herpes or some other exotic species.
What ever got to him, i find it hard to believe that he indulged in all the activity that people gossiped about. And even if he did the bottom line is that he died alone.


6.The rude American dream
 Do not worry folks , I am not getting sucked into what I will describe as the rude American dream.
I am not getting depressed or lonely.
 I just feel that the story of this previously fierce lawyer who was reduced to a bald  sad man by minuscule virus, needs to be told.
It needs to be told, at the very least, to realize how the stigma attached to HIV is still big in the supposedly liberal land of Amreeka.
Also it is something to take note, how the seemingly beautiful independence at 20+ yrs can turn around to become a lonely joke once you are 35+. I guess and I hope none of us will be a subject of this joke, but  I can see that a large number of Americans still face it.
As I walk on the streets of Los Angeles, with no one to gossip along, I have had a lot of time to look around, and the more people I see, the more I realise that as people come closer to the fourth decade of their lives,  their friends tend to slowly disappear. 
The building I live in has 12 apartments, all big enough for at least two people, but are inhabited by only one person , all of whom happen to be a single and middle aged.   
As I struggle night after night, to find an opportunity to learn what I want to learn , from the seemingly ultra progressive americans , I cannot help but wonder that it may be helpful for them to borrow and inculcate a few things from us and our culture.
I consider myself fortunate enough first, to be born in a country and a culture where family and friends both are valued, and also extremely lucky to then  have these very friends and family support me in pursuing my dreams in this foreign land.
Love you all ....