Aloha from Hawai’i

It’s been a little over 6 months since we moved to Hawai’i. More specifically, we moved to the island of Moloka’i. It is known as the last island of “real Hawai’i” as all the others have been dominated by tourism. Tourism has its positive and negative aspects, but the majority of the population of Moloka’i has decided they’d rather not have tourism here. Instead, we find ourselves on a rural island with small-town vibes.

A Quick Island Overview

The whole island itself has about 7,000 people. It takes about 1h45 to make it from one side of the island to the other by car. It takes that long mainly due to the winding roads on the East end and speed limits of 20 mph to 45 mph along the whole route. About midway along the main road that runs along the south coast of Moloka’i is the main city of Kaunakakai.

Kaunakakai

Kaunakakai is where our critical access hospital is located, my office is across from it. This is also where you’ll find our main road. It has two grocery stores, the post office, the bakery, a few other shops, an art gallery, and that’s about it. There are no chain stores here. Amazon takes anywhere from 1-2 weeks to deliver goods.

East vs West

The East end of the island is lush with beautiful greenery and a water wall at the very end. The beaches we tend to go to on the weekends are located on the East side. The west side is flatter and drier. There are also some nice beaches that are bigger. But they don’t really have the palm trees lining the shore as the east-end ones do.

The impressive and historic North shore

The whole north side of the island contains the world’s largest sea cliffs. They are truly magical to fly by when you’re headed to or from Maui. Jutting off of those seacliffs is a triangular piece of land at sea level that is called Kalaupapa.

Per the national park services website:

When Hansen’s disease (leprosy) was introduced to the Hawaiian Islands, King Kamehameha V banished all afflicted to the isolated Kalaupapa Peninsula on the north shore of Molokai.  

Since 1866, more than 8,000 people, mostly Hawaiians, have died at Kalaupapa. Once a prison, Kalaupapa is now a refuge for the few remaining residents who are cured but were forced to live their lives in isolation.

https://www.nps.gov/kala/index.htm

Since many of the affected people didn’t know life outside of Kalaupapa, they decided to stay. The park services and state promised to continue to care for them until they passed as an effort to right the wrongs of history.

You used to be able to visit the community by taking donkeys down the cliff side but the community has been closed to visitors since the pandemic. There isn’t a timeline yet for when it’ll reopen to limited amounts of visitors. It’s something I would be extremely interested in seeing firsthand.

Life on Moloka’i

It was certainly a process of getting used to life here. Life is not hectic here, one of the things I looked forward to. We don’t have a movie theater, a mall, or even a Target to entertain you. The main forms of entertainment on the island are beach days, hiking, hunting, fishing, paddling, and spending time with your ‘ohana (family). For my toddler and I, that leaves us mainly with beach days.

Child care

During the first three months we were here, my sister Karoline joined us from Austria to be the nanny while I looked for local childcare. I knew that having an au pair was not going to be an option when I decided to come to Moloka’i. I also think an au pair would be bored out of their mind with minimal opportunity to meet similarly aged people. It wasn’t easy for Karoline either. She would spend four days at the house with my toddler. Our place was located up a steep hill, not within walking distance of a park or beach. On the weekends, we would make several trips to one of the beaches. She definitely got a lot of book reading in and started a bracelet-making business. I really appreciate her coming to help me out and realize it was not the easiest time.

I’m thankful I found a wonderful babysitter who now watches my toddler while I’m at work. There are a few other kids as well which is so much more fun than being the only kid. They play a lot outside in the mud and water. My toddler is even picking up some Hawaiian words!

Work

I work in an office with a really great team. The island went through a lot prior to my arrival. Two primary care physicians passed away (both having had long careers and large patient panels on the island). Two left the office to move back to Oahu (I came as a replacement for one of them). A primary care nurse practitioner also retired at that time. For an island of 7000 people, to lose 5 primary care providers was a lot. The one doc who passed away and was in private practice probably had a patient panel of 2500-3000 people himself. So my first couple of months were spent absorbing a lot of his patient panel into our office while also covering the panel of the doctor that moved away.

Thankfully, my appointment times are all 30 or 60 minutes slots. That is a real luxury as many of my colleagues would attest to. Even so, when I’m not actively seeing patients, I have a bunch of paperwork, orders, and coordination of care that keep me busy. I’ve continued with my four-day work week and don’t plan on returning to a 5-day work week anytime soon. It is such a wonderful work-life balance that I am grateful I can have.

The patients have all been absolutely lovely. Unlike many patient encounters on the mainland where you feel like patients merely use you to get what they want, patients here are truly grateful that I am on their island helping out and it’s a much more collaborative approach than I’ve experienced elsewhere. I think a big contributor to this is the beautiful Hawaiian culture that thrives on this island. They have such a wonderful respect for their kupuna (elders) and a sense of community.

Community

At first, we were rather isolated. The weeks looked pretty much the same. Go to work for four days, and be home with Karoline and my toddler for three days during which we would grocery shop and hit up the beach. But there wasn’t much interaction beyond that.

Thankfully, over time, I have built up a community of people. I’m not extremely close with anyone but I have made friends with neighbors, patients, and co-workers. Through one neighbor in particular (thank you Karoline for the initial connection), I have met many wonderful people who live on the island. We’ve had a few organized group dinners. I’ve been invited to patients’ homes and graduation parties. I’ve hosted a dinner myself too. So though it is mostly my toddler and I who spend time together, there is always a little event here or there to mix things up.

Cost of Living

The cost of living here is horrendous. Groceries are the most expensive I’ve ever seen them. I will easily spend $150 on not really that much. A watermelon costs $10-20 dollars depending on the size. I’ve seen a container of strawberries for $16! A big bag of chips will cost you at least $8. A packet of butter is easily $10. It’s insane. How anyone affords to live here, I do not know. I am privy to the fact that many share fruits and veggies among themselves that they harvest in their yards. I myself have an avocado connection and many patients have brought me mangos. But even so, all the things you can’t grow yourself (and are imported to the island) will cost you a pretty penny. Shockingly, even pineapples grown in Hawai’i cost over $8! It’s just wild.

I make my own soymilk. I initially was not able to find organic unsweetened soymilk. So instead, I ordered organic soybeans on Amazon and made the milk myself. It’s definitely not as creamy or tasty as the store-bought kind but it does the trick for cereal, cooking, and baking. I also made my own coconut yogurt for a while using probiotic capsules. It is not easy finding vegan alternatives. There are a few alternative meat options in the freezer section but two Beyond burgers will cost you $14. I mainly miss soy yogurt and tempeh/seitan. I do plan on trying my hand at my own soy yogurt one of these days.

Traveling Adventures

Traveling to and from the island is truly adventurous. Since the pandemic, there is only one airline that services the island, Mokulele Airlines. Funny enough, Mokulele means plane in Hawaiian, so it’s the plane airlines lol. Anyways, they might also just be the worst airline I’ve experienced. The pilots and staff have always been friendly so I don’t want to throw any shade at them. The issue lies with the schedules.

I have flown with them MANY times since being here (again, my only option) and I don’t think I’ve had a single flight leave on schedule. I’ve had several flights canceled, a flight moved ahead by 3 hours (sorry, I couldn’t leave work early), moved to different days, or delayed with no information given as to when we might leave and spent 5 hours at the airport with a toddler (so fun) before we left late at night. And all of these come without the benefits the big airlines give you. I’ve had to pay for my own hotels in Honolulu because we missed our connecting flight. I’ve gotten vouchers for flights that were canceled but not refunds. It’s as if they know they are the only option and couldn’t care less.

Every trip with them is a gamble. I’ve had appointments in Honolulu that I would fly out two days in advance and spend money on a hotel or Airbnb just to make sure I was there for the appointment. Oh, and they are so expensive! A round-trip flight to Maui (a 20 min flight) or Honolulu (a 35 min flight) costs $250 per person! The ferry that used to go between Maui and Molokai stopped service many years ago. So Mokulele is literally the only commercial way off the island.

Island Hopping

My aunt and uncle came to Hawaii for several weeks back in March. We met up with them on three of the islands on my days off.

Maui

Our first weekend with them was on Maui. Mokulele was doing the most so we ended up actually catching a private boat to and from Maui. My office staff really came through and found a boat with some room on it for us. It ended up being a bit cheaper than what the flight had cost and we got a nice 45-minute ocean boat ride out of it. We even saw several whales along the way. So although it was stressful to get it organized, it ended up being a cool experience.

We landed in the historic harbor of Lahaina. If you’ve been following the news at all lately, you’ll know that it tragically and horrifically all burnt to the ground this past week due to a wildfire fueled by a hurricane over 600 miles away from us. My heart is broken for the people of Maui who have lost their lives, their homes, their communities, and the life they knew. Lahaina was one of the cutest towns I experienced on any of the islands and it seems incomprehensible that it no longer exists. I’ll be posting some ways to donate to help those affected at the end of this post.

After grabbing something to eat and strolling through Lahaina, we drove to the peak of Maui, Haleakala. It holds the world record for the highest climb in the shortest distance- 10,023 feet in a mere 32 miles! The landscape changes several times as you drive up over the clouds to reach the peak.

The following day, we drove along the Road to Hana. There are many attractions along the way. It’s more about the journey than the destination. We stopped by the rainbow bamboo and the botanical garden. There are a few waterfalls to see along the way. We also made a stop at Hamoa Beach before heading back to the AirBnB through rugged terrain.

Kauai

To get to Kauai from Molokai, we first had to fly to Honolulu and then catch a Hawaiian Airlines flight to Kauai. As you probably already guessed, Mokulele royally screwed up this itinerary too. This is when we waited at the airport for 5 hours, only to have to get a hotel for the night in Honolulu and rebook our Hawaiian flight (for a fee as well) to the next day.

When we finally did make it, we had a great time. Kauai is a very beautiful lush island. We mainly spent our time on various beaches. My uncle and I took a helicopter ride around the island and got to see the waterfalls featured in Jurrasic Park. It was a wonderful experience that my toddler was able to join for free and slept through the entire ride.

The farmers market we visited had a lot of cool artists and beautiful flowers. The island had a bit of an artsy hippy vibe to it that I really appreciated.

Big Island

I was under the assumption that Big Island was going to be even more big-city than Honolulu. I was so wrong lol. The island is just that, it is very big but the towns are small. The two main cities are Kona on the west and Hilo on the east. We had our AirBnB on the Kona side. It’s a bit more in the mountains, cooler and wetter than in the east. Kona has an old hippy vibe and is filled with a lot of great shops and restaurants. Hilo gave off an old-time vibe with a bit of art deco flair. We took a trip to see the volcano. At the time, it was quiet, several weeks later in June, it was the active volcano in the news.

Overall, the big island had a very chill aura to it and wasn’t quite as touristy as Maui and Kauai are.

I really only got a small glimpse into each island over just a few days we were there. Given how expensive flights and especially AirBnB’s are though, I don’t have plans to return to the other islands for visits while I’m out here. I wouldn’t mind working a gig in Kauai sometime though, I’d like to explore that place some more.

Homeland

We took a trip to Germany in June. It was a long way to get there. We were there for two weeks and I did nothing else but see friends and family and host a family reunion. I never dealt with jet lag before becoming a mom. I just never had it. But now I get jet-lagged by proxy because my toddler is jet-lagged. It took about 5 days to get into a normal rhythm going there and almost a week when we came back. If I ever were to go to Europe from Hawaii again, it would have to be for at least a month.

What’s up ahead?

My original contract was only until the end of July but I extended it through the end of the year once childcare was established. I recently moved into a new house. After six months, I needed a change of scenery. I liked our first spot but I itch for change after 6 months. Our new place is actually the home of one of the friends we made. He is on the island for 6 months and on the mainland for the other 6. It’s a really beautiful house with a killer view of the ocean, a pool, an in-home movie theater, and plenty of extra space for guests.

My first guests were scheduled to arrive tomorrow but due to the events on Maui, had to cancel their plans. I was really bummed although I completely understood and agree with their decision. Although I’ve made friends here, I was REALLY looking forward to seeing some of my own people again and sharing the experience here with them. If I’m lucky, my next guest may be coming in October but nothing is booked yet. I’ll be headed back to Ohio and Rochester, NY next month for a quick week-long visit to family. Hawaii is really far away from anywhere else, so even a trip to the Midwest is an odyssey.

The above images were captured by the talented local photographer Arinna (ariannapaikii.com)

Support Maui

The wildfires on Maui were devastating. What those people are going through and what they experienced, if they were fortunate enough to survive, is unimaginable. I see Lahaina, or what used to be Lahaina, from our house. We had strong winds and a power outage for a few hours. Beyond a pool, deck, and yard that needed to be cleaned up, we are ok. There was a brush fire on the west side of Molokai that the firefighters were able to extinguish relatively quickly. What happened on Maui easily could’ve happened here and that is just terrifying. I was expecting so many different consequences from a hurricane but a wildfire was not on my radar. Since I am not physically on Maui and don’t have any items to donate with me, I have been donating money to causes that are helping people get what they need.

Please consider donating something. Even if it’s $5, that helps. Here are some links to make it easy for you.

Maui Food Bank

Hawaii Red Cross

Together Rising

Mahalo (thank you) for your support!

That is it for now. Take care and stay safe everyone!

mfg

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