By Ravi Shankar
The van suddenly went quiet. Night had fallen and our driver was negotiating the bends and turns in the road carefully. The yellow fog lights cut through the mists lighting up the dense forests on both sides. We were in Idukki district in the western ghats of the southern Indian state of Kerala. This region is called the high ranges. Areas above 600 m in height from the mean sea level in the central Travancore region of Kerala have rich biodiversity and a cooler climate. The weather was beginning to get colder.
We were ill prepared for the cold as we were students from Thrissur in the plains, where it was always hot and sticky. The road continued over the top of a dam. The security officer wanted to talk to us in person before letting us through. We boldly rushed out in our slippers and lungis[1] only to return at double the speed to the warmth of the van. It was freezing outside. The short but intense exposure to the cold may have frozen many vital organs. During winter, the temperatures here can dip to around 4 degrees Celsius once the sun goes down.
We were on a college trip to Idukki while studying for our undergraduate medical (MBBS) course. We had visited Thekkady and Peeramede and planned to spend the night in the hill station of Munnar. The trip was long and tiring as we drove through the mist along winding roads. The night in the hotel was freezing but we managed with the clothes we had, and the blankets provided by the hotel. The steaming tea with cardamom was the highlight of the morning. We hungrily gulped down several cups to chase away the cold.
I eventually completed my MBBS and got an offer to work at a hospital in the high ranges. The place was Ellakkal at a height of about 1100 to 1200 m. The road diverted from the main highway to Munnar at a place called Pallivasal, the site of one of the earliest hydropower stations in Kerala. The village is also known as the gateway to Munnar. The area had a mix of Malyali and Tamil culture. Many poor families from Travancore had migrated to Idukki in search of land and better prospects. Tamil families had migrated too. The nearest village to Ellakkal was Kunchithanny (little water in Tamil). I had seen a similar system of naming places after water in Nepal. There was Kalopani (black water), Ratopani (red water), Ghorepani (where horses are watered) and Tadapani (far water) among others.
St Xavier’s hospital where I was working was situated up an incline from the main road. The location was spectacular. The hospital was established in the 1960s and was once the only source of medical care for a large region but now several clinics and hospitals had been established in towns and villages. The view across the valley was breathtaking. In the evening the mist slowly moved down the valley eventually reaching the river far below. The thickly forested green hills draped in thick white mist that slowly cleared as the Sun gained in strength was the highlight of my mornings! The hospital was run by the Medical Sisters of St Joseph and owned several acres of land on the hill. They grew coffee and cardamom and other spices. My quarters were a newly constructed annexe to an old house situated halfway up the hill. The view from the veranda was spectacular. I used to spend my afternoons and evenings drinking in the magnificent views and reading my books and magazines. The hospital still exists and provides affordable health care to the people.
Dr Rodney Sebastian, the other doctor at the hospital had graduated from Kottayam Medical College. He was from the high ranges and a devout Christian. Many evenings there were prayer meetings at the hospital and people from the neighbourhood participated. The convent for the nuns was nearby. There was an old nun who was fond of gardening. Flowers grew well in the rich soil and the cool, moist climate. Multi-coloured roses were the highlight of the garden. There was a priest (Father) who lived on the other side of the hill next to the church. The deep phut-phut of his Enfield Bullet as he rode to the hospital was distinct. This heavy motorbike has a solid presence and is stable to drive on rough roads and undulating terrain. My cousin brother used to also ride one.
In the mid-1990s there was no internet and no mobile phones. The hospital had a landline. We lived more in the moment. Letters were still an important means of communication. My mother used to say that the arrival of a letter was as good as the arrival of a person. I have not posted a letter for a long time now choosing to go with email, voice chat, Skype and WhatsApp. During those days these were, however, all in the future. I never imagined the changes that would happen during the next two decades when I began working at Ellakkal.
We mostly had outpatients though we did admit people. Most of the admissions were for fever. Leptospirosis[2] was common. We also had X-ray facilities, and we sutured many wounds mostly caused by farm injuries. We did not handle surgeries and deliveries. We did not have any intensive care units and our lab investigations were basic.
We used to occasionally drop in to meet a doctor couple, Dr Verghese at Kunchithanny. His clinic was named John’s clinic, and he was called Dr Johnson by the locals. We knew some quacks, that is unqualified self-styled doctors, also practised in this area. The nearest big town was Adimali Adimali had a movie theatre, and a huge rock dominated the town. There were tribal settlements on top of the rock. The tribals were a deprived community. Long distance buses as local transport was something peculiar to the high ranges. The buses started from the town of Ernakulam over a hundred kilometres away and reached the high ranges through Kothamangalam. The buses had glass windows and were comfortable. Ellakkal was on the route to Rajakkad (literally the King’s Forest). There were many places named after rocks (para in Malayalam). Poopara (Flower rock), Santhanpara, Chaturangapara viewpoint were the most prominent.
Munnar was famous for heavy, dense white fogs that were almost opaque. The place was covered by a heavy mist most afternoons and evenings. The mist began a few kilometres from the town. Drinking cups of cardamom flavoured tea in the cold mist was a highlight of my visits to the place. The restaurant also served crisp dosas. We went on a trip to the Eravikulam National Park which took a lot of planning as both of us (Rodney and I) would be away from the hospital for over eight hours. Some of our local friends accompanied us. The route was through rolling Kanan Devan hills and expansive tea gardens.
The hills are owned by Tata Tea, and they grow the famous Kanan Devan brand of tea. I used to remember their advertisements starring the megastar, Mohan Lal. The park is famous for the Nilgiri Tahr. I remember it also for the leeches. We were badly set upon by them and the bites bled for over twelve hours. Once I also took a bus ride with my cousin to Maraiyur near the Tamil Nadu border. The route was through spawling tea estates. Maraiyur was an end of the Road Town those days. The place was famous for sandalwood. The security checks were strict to ensure people did not decamp with a few thousands of rupees worth of sandalwood in their pockets.
I visited Ellakkal once more after I left toward the end of the last century. The ensuing three decades must have brought about a lot of change to this spice garden. Tourism has boomed and Idukki district is a prime tourist destination. Internet has made steady advances and cable TV is now common. Several resorts have opened, and the roads have improved. They have opened a hospital called Morningstar. The pace of life has quickened with all the city folks coming to escape from their hectic city lives. Someone once said about Munnar and I quote, “In Munnar, time slows down, allowing us to savour every moment, appreciate the present, and find joy in
[1] A sarong is called a lungi in South Asia
[2] A blood infection caused by contaminated water and soil
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Dr. P Ravi Shankar is a faculty member at the IMU Centre for Education (ICE), International Medical University, Kuala Lumpur, Malaysia. He enjoys traveling and is a creative writer and photographer.
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