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Notes -
If you'll forgive a little prod here - the advice could be considered generic. In many ways it is. But I think it's a better fit than you may be seeing. Your prompt:
Quite simply, you must untether yourself from support and get practice at surviving and thriving when in that position. There are several ways to skin this cat, but all of them will bump up against your nature as a homebody.
Solo travel will accomplish this in several ways. You'll be forced to appreciate the social connections you do have right now, close at hand, once you have far fewer. Once you find your level of actual need and want for these connections, you'll also be forced to develop them, a valuable skill. Perhaps most importantly, you don't have to exclusively travel via primitive camping and just a backpack's worth of supplies, though a stint doing so is advised. You'll be able to find places where you can find a job that treats you like a professional, run your household the way you see fit, and find a reasonable alternative to staying in India.
The consequences of following through on this plan include delaying marriage and family by some amount, spending resources faster than they can be replenished, and the potential that your viewpoint on your life as it stands today could become more negative. You'll also face a very difficult decision with your romantic relationship.
My only qualifications to provide life advice are twofold: I've uprooted myself twice to positive results, and I have friends who are the older version of you (down to some surprising details). I'm, of course, making some assumptions about your ability to solve problems and speak to people over the vast gulf of textual internet communication. If they're reasonably accurate, though, I believe you could do this successfully.
It might hearten you to know that I just traveled for the first time entirely solo to the other end of the country and made it back intact. Not quite literally the only time I've traveled alone, but certainly it involved figuring out quite a bit on my lonesome for several days with nobody to hold my hand if I ended up fucked in a city where I knew nobody and barely spoke the language.
It wasn't nearly as scary as I thought, and that makes me more positively predisposed to take t your advice, even if this was business more than pleasure.
In terms of finding a job and doing something, the main issue is visas. Westerners, especially Americans, really take for granted being able to do largely whatever they want, wherever and whenever they want. And medicine is a heavily regulated profession, almost uniquely difficult to just wing it. If you have suggestions for the kind of thing I could do to pay my way, I'm not averse to hearing it!
But I have leaned more towards the idea of just fucking off somewhere for a bit, more than I was inclined before toh suggested it, so I am thankful for you taking the time to help me!
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