Wednesday, July 28, 2010

The Golden Temple: A Truly Indian Experience

We were...
  • Whisked off with little warning and no preparation to a place I'd barely heard of.
  • Made to wear unfamiliar clothing, to the great amusement of the locals.
  • Separated from most of the group that I had come with.
  • Locked - yes, locked - into a giant cage, with only one way out.
  • Squished among the pushing, shoving mass of a hundred people.
  • Valuables confiscated, temporarily.
  • Shuttled through and endless maze of passageways to an unspecified end.
  • Blinded by the shininess of $150 million worth of gold gilding.
  • Then, finally, a breathless race to a feast at the town's best restaurant.

Needless to say, Sunday night was quite the adventure.

Tuesday, July 20, 2010

4 Weeks: Now What?

I have been in India for 13 out of 40 days, and today, I finished the bulk of my research project.  Now what?  Let me back up.  The reason why I am in India is to help set up a program that will allow CMC's Endocrinology Department to assess its diabetes education program.  Several times a year, different workers in the healthcare field - doctors, nurses, ophthalmologists, orthopedic shoemakers, etc. - from all over India can come to CMC for training in diabetic patient care.  The ultimate goal is that hospitals and clinics all over the country, and even internationally, will be able to run specialized diabetes clinics for the rapidly growing diabetic population in South Asia, and hopefully this model can then be spread to other countries that are also facing this quickly growing but frequently overlooked epidemic.

What does this mean for me?  It's not nearly as impressive as the above sounds.  The reason I'm involved at all is because Einstein and CMC have a partnership in this project through the World Diabetes Foundation.  Einstein, with its large interest in global health, wants to help hospitals like CMC to be able to do this kind of outreach in their own countries and then spread it to other countries that may not have the infrastructure quite yet.  India was an ideal starting point because it has the qualities of being both a developing country as well as one with healthcare infrastructure and resources that make this sort of project possible.  Since CMC has been running these educational programs for several years but has not, at this point, conducted a systematic evaluation of their effectiveness, Einstein is in a good position to jump-start the evaluation program so that CMC can make adjustments and changes if necessary.  We are doing this evaluation by having the doctors fill out baseline monitoring surveys before they come for their training, as well as several follow-up surveys afterward.  My job in all of this, as humble as it may sound, is to set up a database and begin the process of recording the data from these surveys.  And today I finished.

A quiet day at CMC

That's not to say my job is done.  I will still need to teach the staff how to use the computer programs for the data, so that they'll be able to continue the work when I'm gone.  Also, follow-up surveys are still trickling in one by one, day by day.  The bulk of my work, though, is done.  So what will I do the rest of my time here?  I will have lots of opportunities to observe different aspects of healthcare at CMC.  I've already seen a bit of inpatient, outpatient, and specialized clinics in the Endocrine Department; I'm hoping to also visit other departments like surgery and the Low-Cost Effective Care Unit, or whatever else pops up.  I'm thinking that the final 4 weeks will be scattered and hectic, but I'm looking forward to them.

Sunday, July 18, 2010

CMC Festivities

I've been in India over a week now.  Apparently I came at the perfect time, because this week marked the biggest event of the year for Christian Medical College: Pegasus, a 4-day festival of sports, music, food, and dance.  Medical students from all over south India come to participate, and lots of the doctors at CMC hospital join in, since many of them are CMC alumni.  Highlights of the festival:

A dance competition featuring a professional group from Chennai during the interludes

An intercollegiate cricket tournament - I'm still not entirely sure I understand the rules of the game, but essentially it's just really messed-up baseball.

"American-style sweet corn" with my new American friends (it wasn't bad!)

A final concert featuring blues and rock from unexpectedly good bands from Chennai - reminded me a little of Down by the Riverside concerts back home

Wednesday, July 14, 2010

Monday, July 12, 2010

Back in India

Things I haven't thought about in over 2.5 years:

Auto-rickshaw rides

- Sideways head bob
- Gecko noises
- Veg or non-veg
- Twenty rupees only
- Cool drinks
- Reluctant coins
- Toting T.P.
- Moth balls in the sink

Strange cows in strange places

That's just a start.  I'm in India, and although my lifestyle must certainly be adjusted and, quite frankly, held to a different standard, I am not experiencing any of the shock that we felt during our first weeks here in 2007.  Vellore is just as crazy, crowded, and congested as any Indian city, but luckily, I am staying on the Christian Medical College campus, which is separated from the rest of the town.  Here it is quiet, with shaded dirt roads running through the mostly residential campus, and only the occasional vehicle.  Also, I have already made friends with the other American students at the CHTC guest house - most are also medical students, and they've already had a month to adjust, so they're showing me all the good restaurants and things to do.  I don't know what I'll do when they all leave in 3 weeks...

Wednesday, July 7, 2010

No Rest for the Weary

It's hard to believe it, but not only am I back in New York after an incredible 2 weeks in Texas, but I will already be leaving again tomorrow afternoon.  This time it's for nearly 6 weeks.  This time it's to India.

Coming back to the Bronx after being on such an adventure the past few weeks was, honestly, a bit of a let-down.  Not that there's anything wrong with the Bronx - not at all.  It's more that I've been having such an amazing time learning about aerospace medicine, and coming back to reality is a bit of a disappointment.  I have finally been given the vision of exactly what I want to do with my life, but it was only that.  A teaser for the future, which I won't get to grasp again for an agonizing 2 years.  Medical school has now become, in my mind, merely a (large) hurdle in the way of becoming a flight surgeon.  Obviously I need to go through school to become a doctor, but now that I have such a clear goal in mind, it's hard not to be impatient.

I suppose there are worse reasons for impatience.  By the time I get back here in August, the glowing glory of AMP will have faded at least a little bit, and I will hopefully be ready to get back into the books.  Not only that, but I'll be excited to see my friends and classmates again, so there will be more reason to be excited, rather than impatient, about what the next few years have in store.  But in the meantime...it's time to get excited for India!  Not so much the 14-hour first leg of the flight.  Just keep thinking about the idly, Michelle, and smell the jasmine, chai, coconut chutney...I'm ready.

Thursday, July 1, 2010

Flying: The Real Deal

Whenever I told people that I was going to aerospace medicine training this summer, invariably the first question they would ask me was, "Will you get to fly?"  No, no, I would assure them, they wouldn't let us medical students even near the planes.  If I continued the AMP courses during my fourth year of medical school, I told them, I might get to go into some planes, but definitely not this summer.

I was wrong.

Since the first few days at AMP, when we found out that we would get to do some flying, I've been dying with excitement.  I didn't want to tell too many people, though, because I know how finicky flying can be.  You never know what the weather is going to do, and that's only one of the many variables that I saw being able to muck up the plans.  One of the other variables, perhaps surprisingly, is me.  It turns out I am too small to fly in the T-38; I simply don't weigh enough for the ejection seat.  Also, there wasn't enough equipment for everyone to fly, so there was the possibility that I would have been given simulator time instead.  But no, I was lucky enough to draw the T-1 in our AMP lottery, so yesterday, I (along with 2 other classmates) was able to fly and observe -- listen, watch, experience -- a T-1 sortie.

Our aircraft, the smallest (at that point) plane I'd ever flown in

We flew about a half-hour northeast of San Antonio and then began our low-level mission.  The plan was to fly at 500 feet above ground level for a half-hour, looking for specific points along the way to guide the flight and meet mock objectives.  Unfortunately, the half-hour ended up being only 8 minutes because of impending thunderstorms.  We were recalled to Randolph and barely made it back, being chased by lightning on our approach.  The little jet was buffeted around quite a bit by the wind and turbulence as we came in for landing -- much more fun than a roller coaster!  Even though we had a shorter-than-planned flight, it was still a privilege to have a new experience and chat with the pilots, as well as get a much more detailed glimpse at all of the behind-the-scenes details that go into flying any plane.  It was fun to try to watch the instruments and decode the pilot-ese squawking over the radio.

It's not every day you get this close of a view!

I was floored enough that I was able to observe the pilots yesterday.  Today, I got to be the pilot.  We spent the day at the Stinson airfield, where we -- no joke -- all got to try our hands at flying.  After a few morning briefings and a short ride in a simulator, we each took the controls of a tiny airplane with an instructor pilot at our side.  From my T-1 ride yesterday, I already knew that pilots had to deal with a lot of information coming their way, that they had to pay attention to so many dials and knobs and meters while both flying and communicating.  Today, I realized that there was even more on top of that.  Let me just state the obvious to try to emphasize: Flying a plane is not like driving a car!  Sure, there are similarities, but on a car you don't have to worry about horizon level, altitude, degrees of bank, propeller torque, rudders, trim, lift, and -- oh -- weather.  Despite all of this, we all had the chance to fly, and we really got to fly!

I can't believe they let us do this.

My instructor let me get a little taste of everything.  I taxied down the runway, using the rudder pedals to steer (obviously not intuitive).  Then, on cue, I pushed the throttle in all the way, watched the speed rapidly increase, and then pulled the nose up -- and we were flying!  In the air, I had still had the controls.  We flew around 2000 feet to stay well out of the 2500-foot cloud ceiling.  I got the chance to practice gentle turns (around 30 degrees) as well as steep ones (50-55 degrees, pulling up to maintain altitude).  I got to feel how "mushy" the stick got as the plane gradually slowed and came to a (planned) stall midair, how the nose dropped away, and then how easy it was to recover and push back into powered flight.  We then headed toward the airfield to practice some touch-and-go runway approaches.  My instructor said that he was very happy with how well I was doing and wanted to let me land, but unfortunately, the winds (which had been growing all day) were throwing the tiny airplane around too much (as near-30-knott gusts tend to do).  We had been avoiding patches of heavy rain throughout the flight, and Hurricane Alex's menacing clouds from the southeast were quickly whipping their way toward us and the airfield.  I was happy to allow the instructor to land; it was still quite the exciting landing, as the strong crosswinds forced him to touch down just on the left side and roll for a few seconds before allowing the right to come to the ground.

After a successful flight.  Note the scary clouds in the background.

So, to all my friends to whom I inadvertently lied when discussing my summer plans: I apologize.  YES, I did get to fly.  And you can bet that I'll be back as soon as they let me!