Tuesday, January 31, 2006

On crutches


The days are starting to blur together but Neil continues to progress each day. Here he is with one of his physical therapists, Venkat. Venkat will be heading to the U.K. in September to pursue his PhD. Venkat is understandably proud of his India and its accomplishments in the IT and medical field. He quoted for us the number of engineering graduates in India, the % of Indian engineers at NASA and IBM, and the % of Indian doctors in America. He's also thinking about buying a secondhand Pentium III laptop from his neighbor for $600. That sounded too high for me. Can anyone help him out? He wants to know if he's paying too much.

The doctor appears very happy with Neil's progress. Things will start to get interesting again as we begin to prepare to leave the hospital. Neil will be checking out on Thursday and we'll head to Mamallapuram, a beach resort area about 1 1/2 hours south. Should start having some interesting pictures again.

Cricket Update

Favorite by-line in today's paper (not making this up):
"Blind play cricket, but no one to watch."

Well, India is in a jam and needs a world record to pull out the win. The pressure is on. We watched Cricket as we took 'Tea Time'. Very sporting of us.

Appreciate the link Dennis. We read the website as we followed the Cricket action yesterday. Starting to get the hang of it, though I remember only 3 of the possible 10 ways a batter can get out.

Sunday, January 29, 2006

Hotel Savera/Observations


The view from my hotel room
I'm now staying at the Hotel Savera. While not as upscale as the Park Hotel I find it more appealing in a number of ways - larger rooms, more quiet, and less expensive. It is also located in a more residential area of town so I see people out on their rooftops getting air in the morning. I have completely adjusted to the time change so I'm going to bed around 10 and getting up around 5 or so. I'm sleeping less than I normally do but it doesn't seem to bother me. It is nice having the hotel, a good change of pace from the hospital. On the food front, I haven't been too adventurous with the food, sticking to Chicken Curry and a lot of fried rice. For breakfast it is strictly an American affair - eggs, ham, potatoes and a whole lot of black coffee. The hospital food isn't too bad - I'd recommend their omelette.
The language barrier has been a bigger problem than either of us anticipated but I will say that the people have been very helpful and service in all aspects has been good. The doctors all speak English, as expected, but a surprise to me has been the lack of English among the nurses. There was one nurse, Chrislin, who spoke pretty good English. The rest, however, don't speak much English. That has made for some comical bedside communications between Neil and the staff.
For me this experience has been about what I call 'Managing Expectations'. The first reaction upon seeing the traffic is to see a chaotic mess. After you get past that reaction, however, and spend time in it you begin to see that it isn't nearly as chaotic as you think (there are still some pretty harrrowing moments). It works. I won't speak for Neil but my first reaction upon seeing the hospital was one of near panic. Again, one instantly sees an old building with old equipment. It's only once you get beyond the facade that you see top-notch doctors and very good care. There are very few of the eletronic medical devices that you find in the U.S.. Neil was not hooked up to a monitoring machine, instead for the first two days he had a nurse in the room at all times. (More on that in a later post).
One reason for the language barrier is that this hospital isn't really geared for Westerners. I was under the impression that this particular hospital targeted Westerners but that isn't the case (at least not to a large extent). According to one of the nurses, she sees around 50 Americans a year. I asked her about Europeans and she said that there are very few. The foreigners that do come, however, appear to be the Saudis. Neil is the only Westerner that I have seen in the hospital during our stay.
To answer your question Ellen on transportation. One can walk. Watching people try and cross the street can be a spectator sport in itself. One can take a bicycle. (No comment - my mind is empty - Karma at work). Scooter. This is a very popular mode of transportation. I have seen entire families on one scooter, including children as young or younger than Kieran. Auto-rickshaw. Car. Bus. Watching all of them interact on the streets is something. Horn hocking is a constant, used mostly as a tool of communication and not of anger.
More later...

Walking Update

It's around 6:30 p.m.. Neil walked for the second time today, this time without the physical therapist (but with a little help from me). Neil is amazed that he can both walk and sit only a few days after surgery.

On the down side I think Neil is going crazy with his T.V. choices. Cricket, fencing, BBC and 30 channels of Bollywood spectacles. I'm sure I'm missing the nuances but it seems that once you've seen one of these shows you're pretty much up to speed on the genre. Last nights extravaganza involved 3 beheadings, 1 man crushed by a train, a whole lot of kung-fu buttkicking and a whole lot more dancing/singing. At least at the hotel I have a few more choices such as Nash Bridges reruns with Don Johnson.

As for the India-Pakistan cricket match it seems that the results of the first day of the third test have squashed the rumors that they were playing with a bad pitch. While the teams were complaining that the bad pitch was due to the weather, ESPN was citing confidential sources that the home team, Pakistan, was specifically requesting such a pitch. I'll keep you informed about Day Two.

Walking


Neil went for his first post-op walk. He walked about thirty feet and back. The doctor says that each day he will show dramatic improvement.

Instant Karma, Baby

I should have known better. After all, this is the land that released Karma 1.0. So I'm in a car driving from the hotel to the hospital. As always, there are auto-rickshaws everywhere. I couldn't help but think to myself that 'there is no way in hell I'm getting in one of those'. Well, 15 minutes later I'm in an an auto-rickshaw heading to the hospital. What happened?

I learned three things -
1. There are actually two Apollo Hospitals - the main and the specialty hospital. If one simply says 'take me to the Apollo Hospital' you will end up at the main hospital. No problem if that's actually where you should be. If, as in my case, you want to be going to the specialty hospital then there is a problem.
2. To get from the main to the specialty hospital there is one convenient mode of transportation, the auto-rickshaw.
3. The rickshaw isn't as bad as I thought (although I'll keep my rickshaw wanderings to a minimum).


Saturday, January 28, 2006

Up on Two legs



Neil's physical therapy has begun. It's amazing to me that only a day after such a difficult surgery that he can actually be out of bed (if only for a short amount of time). As you say Dennis, the body and mind are capable of some amazing feats. Tomorrow he is set to walk.

Here's Neil's day - eat, sleep, awake 5 minutes, sleep, awake 5 minutes, sleep, try to read, sleep, repeat pattern. At least I don't have to fight him for control of the remote.

I have been very impressed with the care. The doctors inspire confidence and Neil has a nurse in the room at all times. The dietician has checked in a couple of times today and, as the pictures indicate, he has a physical therapist.

Yes, Neil did get a haircut before entering the hospital. When he's feeling up to it he'll have to tell the story because apparently he gave the barber enough of a tip to send his kids to college and him into retirement.

Well, gotta go - it's tea/coffee time.

Friday, January 27, 2006

Neel Ighan

Neil has gone native.

That's how his name was spelled on the board before Surgery.

It is Saturday morning, around 7am. Neil has been sleeping on and off since he was back in the room. I read for him all of your comments and he really enjoyed them. They buoyed up his spirits. He's reporting that he is sore (and tired of being in bed). Supposedly he will actually be up and walking today. That is hard to believe but we'll see.

To catch up on some of the questions/requests:
I have been staying at the hospital (last night was our second night). Tonight I'll be moving to the Hotel Savera. I'll still spend the majority of my time here but it should help me sleep better. With nurses coming in and out all night it is hard to sleep soundly. I'll snap more photos of the outside world. So far I can report not having seen any American fast food outlet. And yes, there is a place where there aren't Starbucks on every corner. I read in the paper the announcement that Starbuck's will just now begin entering India. Too late for me. Not suprisingly, this is a company that favors tea over coffee. At 4 pm - tea time - I order my black coffee. Heresy!

Chennai isn't as well known for its IT companies as Bangalore or Hyderabad but they are here. The interesting thing about wandering the streets is seeing a new, westernized 5 story glass building in a neighborhood of decaying buildings. Invariably, that building has a name like 'I-soft' on the front.

Pictures Before Surgery

I waited to post these until he was back in the room after the surgery.


A fashion statement to put Michael Jackson to shame...

Neil (the one taking a hit of oxygen) with Poquito, his traveling buddy since 1988.

Back in the Room

It's about 5 pm Chennai time.

Neil's back in the room. We have Neil Young playing on iTunes.

As Neil E. would say, "It's good."

Surgery Update

"Is it a boy or a girl?"

His sense of humor is intact.

It's around 2:00 pm Chennai time. The surgery lasted longer than I was expecting but Neil is out and resting in the ICU. He'll be down there for the next three or so hours and then move up to the room. Considering that he has just undergone major surgery he is fairly alert.

Hard to believe but they say that he will begin walking as soon as tomorrow.

I'll continue the update when he gets up to the room...

Thursday, January 26, 2006

Surgery is Underway

It is 8:50 a.m. Chennai time. In the U.S. that would be 9:20 p.m. CST. Neil left the room about 45 minutes ago. The surgery itself is expected to last from 2 1/2 to 3 hours with an equal amount of time for recovery.

I'll post an update as soon as I know something. Thanks to everyone for your comments - Neil has been tracking all of them.

Hospital Pictures




Neil working on an entry to the blog...



A temple outside of the hospital.

Wednesday, January 25, 2006

Some thoughts a few days into the trip...

Neither of us have successfully figured out a strategy to combat the 'jet lag'. We are 11 1/2 hours ahead here in Chennai from St. Louis. It is extremely hard to completely reverse a schedule. A testament to that is that it's 1:14 in the morning and I'm typing this while Neil reads. I thought I had it licked. At 6 pm last night I was confident I could last until 10 or so and get on schedule. I closed my eyes for just a second and woke up at midnight. Oh well.

Keep the posts coming. We love to hear from you. My goal before we go to the hospital is to get Neil to sit at the computer long enough to type in an entry. We'll see.

No problems with adapters (at least at the hotel). The adapter I brought over works fine (thanks B.) and the hotel provided one for Neil. The hotel has a high-speed internet connection so I'm connected to world. Skype is working great. I'm able to call the United States for around 2 cents a minute (if I'm calling a landline) or free if it is computer to computer. As we all know from all the talk of outsourcing, once you're digital it doesn't matter if you're in St. Louis or India for certain business transactions. Technology becomes an equalizer.

Tomorrow we start the next chapter of the adventure. Neil will be checking into the hospital. With that it is unclear how much of a connection we will have there so we'll see how often we are able to get reports out through this channel.

A tour of the city

Here are a few shots from one of the two Hindu temples we visited...




"Learn English" advertising sign above the road.

Here we are with Ranjith, our driver and escort for the tour. Perhaps the most fascinating part of the entire trip for me was watching Ranjith navigate through the traffic and the small back streets. The traffic at first blush appears to be a chaotic mess but as you look closely you find, as Neil put it, 'Everybody is watching out for everybody'.

After the initial traffic and temple we stopped using the camera. So much for the intrepid reporters.

Tuesday, January 24, 2006

Some Chennai Shots

Here are some shots from roaming the streets of Chennai. Neil mostly behind the camera and doing a great job. The shot of the pool and the view is courtesy of the Park Hotel. To answer your question Ellen - the weather is around 80-something and humid. We had dinner outdoors in the pool area. Having come from a cold St. Louis this has been a nice change.

Some Pictures

It is now Tuesday evening here in Chennai, which means that everybody back home is ready to get up and start their day. Definitely feeling the effects of jetlag. It's hard to orient the body for close to a 12 hour change where night is day and day is night. Here are some pics from the journey.
Here are the intrepid explorers before launch. Thanks to Uncle Neil, K. finally made it down to touch the Arch. His response upon touching it - 'It's cold.' Below is an artsy (Artsy because Neil's camera went crazy) of Uncle Pete and Aunt Peg. We were able to meet them in Chicago and had a nice lunch at the Hilton. It was a treat for me as it had been over 25 years since I had seen them.

Here I am in the mess called Charles De Gaulle. This was so messed up that it deserves its own entry. The book in my hand is 'Crossing the Chasm'. I had no idea it would describe our adventure in Paris in trying to get from one plane to another.

And more to come...

Sunday, January 22, 2006

The Day Has Arrived

It is time to shove off for Chennai.

I can't speak for Neil but let's see if I'm ready:
  • Packed enough clothes to move a family of four to Chennai - Check
  • Have enough electronic equipment to take down the Power Grid - Check.
  • Worred that the movie on the flight to Paris will star Ben Affleck - Check.
Looks like I'm ready.

With all my electronic equipment I should become very knowledgeable about all the myriad combinations of electrical outlets that 'Google ' has graciously informed me I should expect. If you get anything from this blog hopefully it will be the ability to take just the right adapter plugs to light up Chennai. (I dream big).

I am not an early adopter of technology, even though I work in the field, and so programs that are ho-hum to many are like fire from the Gods to me. Skype is currently occupying that space for me. For those who don't know Skype is a Peer-to-peer Voice over IP software product (whew, that's a lot of buzzwords). I'm hoping to use it in Chennai to call back to the U.S. . We'll see how that works. More reports on that later.

On a more serious note, I'm going to miss B and K like crazy. I have never spent this much time away from either of them. K doesn't quite understand that I'll be going for any length of time so I suspect Mom will be fielding about a 100 'When is Dad getting home' questions a day. This is by far the toughest part of the trip for me.

Later,
Pete

Tuesday, January 03, 2006

India and Medical Tourism

Here's an article that caught my attention.

It holds special fascination for me because at the end of this month I'll be traveling to Chennai, India with my brother. He'll be undergoing hip surgery. I should have some good reports from the frontline of India's medical tourism business.

I'm currently reading Thomas Friedman's book, "The World is Flat". Certainly medical tourism is a prime example of a consequence of this flattening world. More on that later...