Saturday, November 26, 2005

"Al-most there..."

Back in Narita with only one more "leg" to go on my sojourn for a new mobile life. The ride from Singapore was actually quite okay. I was in business class which I'm sure had a lot to do with it. Being able to extend my leg while seated really helped work out some of the muscle/tendon discomfort.

One thing that is immediately apparent when sitting in an airplane seat after a surgery like this is exactly how swollen your hip/butt have become. The swelling of the left side caused its own bit of discomfort, not necessarily because of pain, but because it feels like your half-sitting on a tennis ball.

Only 8 more hours, and I'm home.

I Seem To Have Misplaced My Sherpa

I arrived at the Singapore airport right on schedule, 8:30PM, and immediately called Don, my coworker from Intel's IT department. We were to link up outside the airport so we could re-swap laptops.

I hooked up with Don outside the Arrivals Hall. There, on a small granite table, he proceeded to disassemble the two laptops in order to exchange the hard drive, main memory, and expansion memory.

I then entered the Departures Hall and ran into a snag. My flight out wasn't until 7AM the next morning, but because I had left the terminal I needed a boarding pass to re-enter the terminal. The United Airlines counter didn't open until 4:30AM either.

I took some time considering my options.
  1. Purchase a fully-refundable ticket on some airline for a flight, get a boarding pass, enter the terminal, then cancel the ticket. This seemed risky, and hard. Maybe even slightly dumb.
  2. Get a hotel.

So I got a hotel.

It took over two hours for this whole saga to unfold, and the whole time I'm carrying around my old red canvas duffel bag. I carry it in my left hand with the crutch in my right. Holy cow was that tiring. It was not the wisest luggage choice I've ever made.

For anyone reading this who will be traveling alone like I am, get a Sherpa. Or pack mule. Or just throw all your stuff away. Better yet, get luggage with wheels. For the India trip, odds are fairly good you'll be on one crutch by the time you leave, so using a wheeled suitcase would be a wiser choice than a red canvas duffel bag.

Well, I'm boarding for NRT in 4 minutes so I'd better go. Almost home!!!!

Friday, November 25, 2005

The Beginning of the End

I started my return trip today. As I write this, I am sitting in the executive lounge at the Chennai Airport. Someone is jack-hammering something, someplace nearby, unfortunately, but otherwise it's a lounge.

The drive back through Chennai to the hospital was far less alarming than the first time I went through. I’m not sure why. Maybe because it was sunny, or because it was a Saturday morning and there weren’t that many people about. Or maybe just because I’d seen it before. I don’t know, but I think the traffic has regained it’s position as the lead topic of concern.

Occasionally I will suddenly see parallels or similarities between what I observe and some other esoteric reference. This happened on the drive to the hospital, twice. These similarities are rooted in the movie Aliens and racing video games. I think of them as pop-culture-inspired epiphanies. Sounds pretentious, doesn’t it. J

“Oops, I made a clean spot.”

Remember the movie Aliens? There’s a scene where Ripley (Sigourney Weaver) tries to comfort Newt (little blonde girl) after they find her holed up in this planetary colony. Newt isn’t talking yet, or screaming like she later does, so Ripley takes a cloth, wets it, and wipes it on Newt’s cheek. She says something like, “Now I’ve done it… I made a clean spot. I’ll have to do the whole thing, now.” I thought of this because I wondered what would happen if a professional crew went to work on one of these small little depressing shops and did an Extreme Makeover on it. Redo the sidewalk, clean up the trash, add professional signs and fixtures, the works. Make it real purdy. In essence, make a clean spot. What would happen? Would it spread? Would this inspire neighbors to improve their own properties, thereby making the clean spot bigger? I’m not talking about spending tons of money here, just basic Curb Appeal stuff you’d see on DIY or HGTV channels. Or would the new shinny penny gradually dull back to match that of its bleak surroundings? It would be an interesting experiment.

“Time Extended!”

My other thought is that driving in Chennai was exactly like some of those old car racing video games. I can’t think of the title, but it’s the one where you cruise along at 180 mph or whatever, and there’ll suddenly be people on the side of the road that start to walk across the street. It’s usually in the middle of nowhere, too, like an Interstate through the desert or something. Nobody knows why they’re there, but they step out anyway. The diligent driver avoids hitting them and reducing his/her overall score, but usually it’s easier to just hit them. Some games, like that one cab driver game, make hitting those pedestrians a source of bonus points, to be redeemed later for nitrous, or better tires.


Dr. Bose

We arrived at the hospital around 8:10, and Mohan was outside waiting for me. We went up to the room and chatted about stuff. I had a chance to talk with Mohan about the future plans of the hospital. I asked if Dr. Bose ever planned to move back to the other Apollo Hospital versus the “Specialty” hospital that he’s at now. He said ‘no’, but that over the next 3-6 months, starting in December, they are going to begin massive renovation of an entire floor in the current specialty hospital, exclusively for the use of international patients. It might be the 4th or 5th floor, he didn’t know for sure. This is fantastic news for future patients, because anything that can reduce the stress of incoming patients, who usually travel alone, is a good thing. That was Mohan’s goal, too. It’s so refreshing to find a doctor and staff that actually listen to patients’ feedback and act upon it. Kudos again to Dr. Bose.

Dr. Bose arrived shortly thereafter. He seemed very satisfied with my recovery. I told him that I was now able to put on my own left sock and tie my own shoe, a mere 9 days post-op. He changed the dressing and checked the range of motion of the leg, both of which are doing great. I did my catwalk for him too, so he could see how I walk, and he liked what he saw. Who could blame him, really? I’m too sexy for two crutches. ;-) We each took pictures of each other on our respective camera phones (Dr. Bose has a black RAZR), and I departed.

The complementary Fisherman’s Cove shuttle ride to the airport dropped me off about 5 hours early. I still feel bad about not being able to tip the driver. I hate tipping, and I didn’t know that tipping is customary in India until yesterday, but he deserved one. I had literally no money, either dollars or rupees. I think I’ll send something to the hotel to give to the guy whey I arrive in the states. I also need to post-tip Samuel, the guy in charge of my room’s cleanliness. He did a great job, but I had no money to leave him. I spent it all on my backyard landscaping back home.

Thursday, November 24, 2005

Happy Thanksgiving!

Happy Thanksgiving, everyone! I sure wish I could join you back home for the traditional Turkey Day festivities (visiting with family, watching NFL football, over-eating), but I did fine over hear. I got to celebrate Thanksgiving with honest-to-gosh Indians! (*rimshot*)

Mr. Mohan (International Patient Services manager for the hospital) called me last night to let me know I can have my last checkup with Dr. Bose at 8AM Saturday morning, before my flight out. This will be much more convenient than going all the way into town on Friday, returning to the hotel, then going back the same way to get to the airport on Friday. The only down-side is that I’ll have to camp at the airport for almost 5 hours, but hey, it’s just that much closer home, isn’t it?

Leg-wise, I’ve been steadily getting better. I walked around the resort using one crutch yesterday, trying to focus on the form of my stride. I have to “relearn” it after so many years of tightened muscles and limping with halted steps. While lying on my back I am able to lift my extended leg a foot and hold it for up to 10 seconds, and I can even sit down on my feet, a prerequisite position needed for changing diapers. Jeree was really glad to hear that. I get a good bit of “ache” from the leg if I don’t take the medicine, but that should diminish in a few days.

So, one more day of lying around and I’ll be staring my return journey home. Yippee!

Quickie Update from Fisherman's Cove

This hotel is VERY nice. The staff is superb. They cater quite a bit to the stream of recovering surgery patients coming from Apollo Hospitals. Even room cleaning staff has done things to the room to make it easier/safer for me to get around.

Anyway, here are a few pictures I took yesterday. Clicking on a pic will enlarge it.

Toilet Paper? Notice the non-thickness of these rolls of TP. Are these "per meal" sizes? Seriously, one of these would suffice after a good burrito lunch at La Placita.

This is what near-100% humidity does to a brand-spankin'-new US passport. Minor warpage.

My Room. Not... too.... shabby.

Tuesday, November 22, 2005

Goodbye Hospital, Hello Resort

I slept not one wink last night. It was so humid in my room that my passport cover curled up like a Chinese yo-yo. In fact, it was responsible for re-gluing my wife’s get-well card envelopes shut. My parents and sister will know what I mean if I mention “Coloma, MI." Imagine Coloma, but in India. It was an excruciating night, a miserable morning, and I’m glad to not spend one more second in that place. I still have the musty smell of it in my nose. Time to do a line of SoftSoap or something.

I was trucked away from the hospital at about 1:30. Prior to that I had a final meeting with Dr. Bose, a new dressing was put onto my wound, I packed my things, Mr. Mohan took an “after” picture of me for their comments album, and I finally settled the bill. I wasn’t prepared for what came next…

The ride from the hospital through Chennai to the Fisherman’s Cove resort affected me on an unbearably deep level. I have never ever seen such utter filth, wanton poverty, or raw despair. The traffic is a favorite bitch of many people, including me, but what I witnessed on the sides of the roads for over 40 minutes made the primal traffic almost charming. There was continuous trash on the sides of the roads mixed with standing pools of rainwater, men urinating in the open, palm huts next to shambled concrete structures all in disrepair, stray dogs looking around for something do, mingling with a non-stop throng of people. Cows meandering wherever their wills took them. When you think of an impoverished third world, this is what you think of. What was most saddening, though, was that the people seemed so used to their surroundings that nobody was doing anything about. For instance, I saw shop owners outside their store literally standing and sitting in trash. Why don’t they pick it up around their store? Wouldn’t you or I do that? Are they content to live this way? I’m smart enough to know that a drive through the neighborhood isn’t going to give me those answers, but I literally had to close my eyes to stop seeing these sites. At one point, when we got close to the resort, the car traveled over a bridge with open water on both sides. It felt momentary emotional relief, not because of any affinity for open water but because it displaced everything from view.

We thankfully arrived at the hotel/resort where I was greeted by the Indian equivalent of Hawaiian lei-bearers. Instead of a lei of flowers I received a nice necklace of shells, and a glass of freshly-squeezed juice. I couldn’t tell you what kind of juice, but it was a pale yellow. After finishing the check in, a gentleman named John from British Columbia noticed my t.e.d stockings and walked over to introduce him self. He and two others are due to return home tomorrow after having gone through the same hip resurfacing experience that I did, only a few days earlier. He had the t.e.d. stockings on too, looking much like I did, but he didn’t have any crutches. Maybe I’ll be equally capable when I leave in 4 days. His first words to me were, “I bet you’re really glad to be here.” John, you are oh so right!

I got to the room and basked in the real functioning air conditioning. I shivered with glee, opened up the mini-bar and dove in. After a wolfing down small tube of Pringles and a Pepsi I got so excited I had an urge for a smoke. I just polished off a chicken burger and French fries for dinner, so I’m pretty pleased. I have a high-speed wireless connection, too. Yay!

The plan for the next few days is to hang out here, do my exercises, do some work, and try to never leave my room. I do have to go back to the hospital for a check-up with Dr. Bose, but then it’s off to the airport on Saturday!

Monday, November 21, 2005

A Picture is Worth 1000 Words (or 5.3 Trillion Rupees)

I have a camera built into my phone. I took a few snapshots of the room and stuff to give you an idea of this place.

Here’s one of the nurses (a.k.a. “sisters”). I don’t remember which one, and I’m sure I couldn’t spell it if I did. Imagine about 5 more exactly like her, and that’s a typical shift of nurses here. Sorry for the poor photo quality, btw. Behind her are a small couch and love seat which are also part of my room. I have yet to experience these particular pieces of furniture.


Room View #1. Here’s the view from my bed. See the TV, drinking water, wardrobe (which really, really stinks). To the right is the profile of a refrigerator and microwave. Since all the drinks I get are either room temp or piping hot, I’ve been using the fridge to keep those pigmy Sprites chilled.

Room View #2. This is to my left. Pictured is an old IBM desktop they provide. It runs Windows98 SE which is notorious for not liking USB devices. I couldn’t get it to recognize my USB drive. The white phone on the top uses some wireless technology to talk to a base station someplace, and phone connection to the computer was via a serial port. It’s really a decent setup for putting dialup access in rooms with limited or no existing phone line available.

I am geek, no?

This is me after being prepped for surgery. Notice the stylish cap, very popular in India’s operating rooms this season.


Jim getting a sponge bath (off screen, thankfully), after surgery.

Anecdotes

I thought I’d capture a few small observations of mine here at the hospital. These are little things, not really all that important, but make up those “charming” details that capture the environment here.

  • The bathroom floor in my “suite” is raised above the room floor by about 4-5 inches, so you have to step up to get to the toilet/shower/sink. What does it say when even the hospital room isn’t even handicapped accessible?

  • I’ve had my temperature taken numerous times. At home we have one of those fancy forehead vein readers that reads the temperature simply by dragging the sensor across your forehead. Most hospitals stick a dingus in your hear to read the temp in about 4 seconds. The technique used here is, um, different. They put a thermometer under the armpit. What am I, 4 months old? The nurse will put it under the pit, let it stew for a minute, and then remove it. She’ll read it and if all checks out announces “okay.” They use the same thermometer and keep it in a drawer in the room. I’ve got several days worth of antiperspirant on that thing. Ick.

  • It is raining right now, and it has been since last night, which means the humidity is about 5-6 bazzilion percent right now. The in-room AC is pathetic. It runs non-stop and it has not gotten cooler since I arrived. I tried asking if it could get cooler, but apparently if air comes out they think “it’s working”. Fine, yes, it’s working. Sorry for troubling you.

  • Last night a nurse came in to remove the food tray from my room and put it into the hallway for pick up. She did the oddest thing; she took the paper cover from one of the dishes (which looks exactly like other paper covers from other dishes) and put it on the nightstand beside my bed, then put the rest of the tray out into the hallway. It’s like she thought it was different from all the other trash, special, if you will, and deserved to be spared. Then, this morning a different nurse came into take inventory of the room and picked up the same skanky piece of trash, looked at it, and put it back down, opting to not throw it out with the other paper trash she had collected. I think I’ll pack it in my duffel bag and take it back home with me. It deserves that much after all it’s been through, don’t you think?

  • The hospital itself is not very inspiring, I’m sorry to say. During a conversation with Dr. Bose I learned that the super nice hospital was down the road… it wasn’t this one. No shit, I thought. He preferred this one because of the control he had over the patient information and was better able to keep tabs on the progress of the patients. I thought, “Well, that’s all well and good, but this hospital is a P.O.S.” It’s built with old marble floors and concrete walls, and all vertical surfaces are slathered haphazardly with either one-too-many or one-too-few coats of glossy white paint—no “quality” or attention to detail to be found. A graduate from the Beirut Junior College of Architectural Design (BJCAD) must have designed it. All the stone and concrete and smooth surfaces means I can hear EVERY sound in this place. It’s very noisy, and I can’t find my earplugs. Grrr.

  • I have yet to see one single ice cube in this country. I’m not exaggerating. Not a single one on the airplane, at the first hotel, or here in the hospital. I’ll go on safari in the exit hotel (Fisherman’s Cove), in search of the ever elusive aquos frigidi.

Sunday, November 20, 2005

Catching Up

It’s Sunday afternoon. I was FINALLY able to connect to the Intel network today. I won’t even begin to describe the kludge it took to get things working, but I’m finally able to link with the Toll-free India number.

Let me recap the last day or two…

(First, look down to a post I wrote a while ago but was unable to upload due to the aforementioned kludge.)

Yesterday, at about this time, Dr. Bose came in to remove the drain from my hip wound. I was expecting pain much worse than what I actually encountered. I’ve popped zits that hurt more than that. Of course, I did still have an IV in my right hand being fed by a slow-feed medicine transfusion tube. The IV was subsequently removed, about 3 hours later.

I also had my first untethered journey with the walker yesterday. The physical therapist had me go through a number of exercises designed to increase the strength and flexibility of my new joint before guiding me through the hallways around the floor.

I met my neighbor, another patient of Dr. Bose. She’s an older lady, from England if I judge the accent right, who had the same hip resurfacing surgery a day earlier than I. She’s been living in India for 3 years now, but her daughter is visiting from Las Vegas. I need to get over there and talk to her, if for no other reason to have a real conversation.

Today (Sunday)

This morning was uneventful. They brought in the first of many tiny coffee pots around 6:30am, breakfast shortly thereafter. I resumed my leg exercises, but I noticed how badly my right butt-cheek hurt. That’s the side that received the pre-surgery sedative shot. Apparently the pain medication had been masking the discomfort there, which feels like a huge deep-tissue bruise. “Subcutaneous” if you will.

By far the most irritating thing happened today, however. Channel 1 on the hospital’s TV is “Star Movies”. It shows US movies that aren’t too out of date, but some good oldies, too. The previous night had the Patriot, 3 episodes of Lost, and a couple other decent movies. This morning I watched Jaws, and then started watching Miracle. Miracle is the story of the 1980 US hockey team, staring Kurt Russell. The final matchup between the US and Russian hockey teams had just started. One of the sisters came in to take by blood pressure, and before my eyes the channel started changing. Not on the TV, but to “channel 1”. It’s as if the feed to my TV was being changed by someone else, clicking around. WTF? 10 minutes before the end of the movie. ARGH! I was p-o’d.

Oh, and guess what channel they changed it too…. Russian sports!! HA! I think there was some Rusky, unhappy with the way that whole Lake Placid thing went down, and he got the hospital’s AV club to change it to Russian soccer. Classic.

Around 2pm today I was taken downstairs for a couple x-rays. They took one and developed it to make sure it was aligned correctly, so I got to see it on the light bed while the radiologist looked at it. What a total trip! Where I used to have a multi-tonal blob of gray was now replaced by a perfect metal joint (in “white”). The other amazing thing is that while laying on the table, on my back, I smiled at the fact that my left leg was now completely flat. I couldn’t do that before. So, I continue to get range of motion back just a few short days after the surgery.

The best news, however, is that I finally figured out how to get my laptop hooked up to the Intel network in India. Even though the modem sounded like my call was going through, it wasn’t. I had to request specific access to that number within their switchboard. They kept asking me for the location of the number, but didn’t seem satisfied when I said, “It’s toll-free, I have no idea. It could be anywhere. It shouldn’t matter.” Much like previous conversations, this was greeted with a puzzled stare and reiteration of the question. The other piece of the puzzle was that the remote access software wasn’t configured right. I had to change not only the time, but the time zone of the computer. I changed the time and date to match local time, but that wasn’t good enough. (Of course, it doesn’t SAY this anywhere… I just tried it.)

So, I’m up and moving, in more ways than one.

Surgery

It’s now Saturday morning, about 48 hours after the start of my 2.5 hour long surgery. I’ve been mostly napping during this time, and thankfully the pain has been a lot less than I expected. Thank you marvels of modern chemistry! I get the wound drains and I.V. removed today, maybe within a couple hours, then I’ll be “free” to move about.

By the way, I’m writing this on my laptop which is incapable, as far as I can tell, of doing what it’s supposed to do: connect to other computers. I can’t stand using the desktop system they have here mainly because the cords are too short and there’s no way to connect to work. And the connection is slow. And I’m sure I could keep going, but suffice it to say I’m writing this now and will “back post” later.

Dr. Bose was late to surgery, due to traffic. I totally believe him. Traffic here is senseless. Imagine the rush of people leaving a concert, exiting out of the auditorium doors. That’s traffic here. I talked about “staying within the lines” when I was in Singapore. There are no lines here to be concerned with. The car’s horn is the only piece of equipment needed to indicate your intentions to those around you. Blinker shminker.

Prior to surgery, I was given a sedative in my bum to make me sleepy. It worked. I felt sleepy (but now, two days later, I have very sore bum). However, being on a wheeled gurney parked underneath the surgery schedule board wasn’t very conducive to catching some winks, so I failed to see the point of the whole thing.

After Dr. Bose arrived they rolled me into the OR and got me ready. Blood pressure was taken and they inserted an IV into the top of my right hand. The general anesthetic flowed and I went night-night.

I awoke in the ICU feeling quite groggy, and with phlegm. Groggy is bad enough, but pile phlegm on top of it and it downright sucked. Since I hadn’t had anything to drink for about 16 hours, I was quite thirsty, so they fetched me a 7-Up that came in a 220 ml glass bottle. They put me under a space heater to keep me warm, and soon thereafter we played musical beds to get me back into my room.

There has been a nurse in my room virtually non-stop since then. I don’t know if it’s because my call button doesn’t work or if it’s just policy the first couple nights, but there’s been a nurse in my room even through the night. They curl up on the couch during the wee hours. Very bizarre.

Nurses

I have to talk for a minute about the nurses. First, they’re not “RN’s” like I had thought. They are mostly nurses in training having finished the first round of classes and somewhere in the middle a 2-year probationary period. The gaggle of nurses (referred to as “sisters”), are all in the 22-23 year-old range and could literally be sisters. I honestly can’t tell when the shift changes, unless they say “good morning” or give me some other type of cue that it’s a different person than before. Very dark skinned, short, wisp-like gals. One of them had a hard time putting a tight stocking on my leg because she simply didn’t have the hand strength or technique to do it properly.

Being a little inexperienced in the nursing field shows. They walk around with a sort of “deliberate unconfidence”. The sisters would appear to dawdle when performing some task, like giving me my food. She’d pick at the cellophane, adjust her uniform, pour the drink, remove the silverware from the napkin and place them in particular order of her liking, and just generally appear distracted. Cripes, just give me the food! It’s been sitting there for an hour already. It’s hard not to jump to the conclusion that they simply aren’t sure about what they’re doing.

English is clearly not one of the strong suits. It’s been very difficult to communicate with them at times, even for some seemingly simple subjects, like when she asked me, “Coffee?” after I had just finished drinking a cup. She didn’t know what “later” meant. I just got a blank stare, followed by a pause, followed by repetition of the question. All the while her head would do the same little bobbing thing. One time I asked a question and she said yes while shaking her head no. Argh! I think, now, that the random little Alzheimer’s-like motions are a cultural thing that I’ll have to get used to.

They use odd terminology, too. For instance, urinating is “passing urine”, and doing a #2 is called “passing motion”. Instead of “tonight” one girl said “today night”. Last night I almost laughed because the nurse babysitting me that night mentioned that I was very quiet and that I didn’t want to talk. She asked if I was as quite at home. I didn’t have the heart to tell her, “Umm, you don’t understand what I’m saying!”

Speaking of food… The folks here seem a little too preoccupied with what I want to eat or during the next 24 hours. Early morning drink, Breakfast, mid-morning drink, lunch, afternoon drink, dinner, night-time snack. Good grief. Good luck trying to get a simple cheese burger in India, btw. Read my earlier rant about food on airplanes. It’s like that, except the flight attendants know how to say “subcutaneous”. (During the time it took me to write this paragraph, two new nurses came in and asked if I had had breakfast. Don’t they take/read notes?)

Back to Me

But enough about the nurses. I’m now able to slide out of bed, stand up, and start walking with a walker. It’s cool that now my left leg can point in a direction it couldn’t since a number of years ago. It also feels like the left leg is longer than the right, which, in fact, it is, but the physical therapist explained that this feeling is normal because of all the tension that used to be on the affected joint. They’ll be taking the drain and IV out tomorrow, which will be swell. In the Intel mantra, “Unwire”, or something.

Wednesday, November 16, 2005

Surgery Prep

Hear I sit, covered in goop
Thanks to last night's enema
I have no need to poop

Last night they gave me one. I can't say it was a pleasurable experience. Maybe with some candles, incense, and Barbara Streisand playing in the background I could have seen the silver lining.

The nurse came into the room at 5:30 this morning, but I was already awake, what with all the noise of the city outside the window. I got up and showered, per nurse's instructions, and got into my by opened-in-the-back hospital gown. It's a nice green and white gingham pattern. Makes me yearn for a picnic. A squirrel climbed into the bathroom window. That was exciting. Noisy cuss, too. He left soon thereafter.

The nurse then returned and asked me to clip my nails. I had thought they were already pretty short, but they want them shorter. I cut the fingernails and she had to tackle the toe nails. Tough break. (nyuk nyuk)

Lastly, she and another nurse got be prepped for the O.R.. I have a tight-fitting stocking over my right leg, supposedly to keep it warm and to reduce the chances of blood clots, and they rubbed down the entire left leg in iodine, then wrapped it in a sterile surgical blanket. I'm just grateful they did the correct leg.

And now I'm watching BBC news until they come get me.

This will most likely be my last post until tomorrow as I will be OOC (out of consciousness) until then.

Thanks for you support, everyone. I'll talk to you later.

Pre-op Tests

Blood Draw

I've given blood before, lots of times, but much like other things during this visit, this time was a little odd. First, the technician drew six (6!) vials of blood. That was minor compared to what he did with two of them. The technician examined each of the vials to make sure they were "good" (whatever "good means), and then, I kid you not, he opened one of the vials and poured a little of the blood in another vial that evidently didn't have enough in it. He did this right there in my room, while standing over my bed. Yikes! I'm no sue that would meet any of the standards in the US in terms of blood-handling safety.

I will say, however, that despite this, and despite the fact that it took him a full minute to put on his latex gloves, his technique was quite good.

Heart Ultrasound

A short while later an orderly (a.k.a. "boy") led me down to the main floor and to a very small room for the ultrasound of my heart. The room was probably about 9 feet wide and 18 feet long; basically it was the size of a bedroom. I lie down on the bed thing and pull up my shirt a la Girls Gone Wild. The doctor running the machine squirted the end of the ultrasound doohickey with some jelly, touched it to my chest, and started looking at the monitor. Everything basically checked out. The heart looked fine, and I'm apparently 3 months pregnant. Just kidding. I should have asked her if it was a boy or girl, but I thought of it too late.

She finished a minute later. After wiping the goop off my chest I headed back to my room, led by my faithful orderly. He doesn't say much. I think his preferred form of communication is head bobbing. He does so at seemingly random times, in random directions and frequencies. I haven't cracked his code yet.

[Okay, a dude just walked in my room asking if I wanted a mosquito spray. What the H? I said, "Uh, no."]

EKG

The next test was the EKG. I'm not sure what it stands for, but I'm pretty sure it's Russian. Actually, I'm not even sure it was technically an "E-K-G", but it sounds right and it looked like one. It's where they put little pads on your chest to measure various heart-related things.

The method applied here, again, was borderline bizzaro. Instead of the usual round white pads that go onto your skin like you see in the US or in movies (like Apollo 13), they used these little turkey-baster doo-dads. Picture a small metal cup with about a 1" diameter, with the open end placed on the skin. Connected to the up end of the cup is what I can only describe as the pump part of a perfume atomizer. Squeeze the atomizer and it creates a small vacuum in the cup causing it to be sucked to your skin. The nurse placed about 5 of these onto my chest, so I am now the proud barer of a constellation of hickeys.

She also attached a "clamp" to each ankle and each wrist. I looked like I was about to be jump started, but I think it was related to how the EKG (or whatever) works.

Xrays

Not much excitement on this one, I'm afraid. The basement contains the xray and other imaging departments. I had a chest xray and two more of my hips. All the while, my loyal orderly's head was a-bobbin'. I try to avoid making eye-contact with him because he tends to just stare at me, and this amplifies the head-bobbing. It's quite disconcerting.

By the way, they provide a dialup connection that really slow. It's good enough for accessing the web browser, but I can't connect to anything at work. That's not good.

Tuesday, November 15, 2005

At the Hospital

I'm now sitting in my room at the Apollo Hospital in Chennai. The hospital was actually quite close to the hotel. Maybe only a mile or two away. I got a taste of driving here during the day, too, but more on that later.

The hospital is not quite what I expected. It wasn't the plush hotel-like surroundings shown on the website. Maybe they were other Apollo Hospitals depicted there, or a different part of this one, but this basically just looks like an old hospital. The room is spacious, however, with some decent amenities.

A nurse and assistant just came to take some vitals. BP, weight, height, temp, etc. I'm not too sure about the claims of "high tech" now, however. The assistant walked in with a bathroom scale and a long stick. I slid off my shoes and stepped onto the scale, and after reading the weight, he wrote the number on his hand. HIS HAND! Is paper considered "high tech" here? Should I be worried? Measuring my weight was a similar process. He held the long stick up to my back, marked my height with his finger, then wrote the measurement on his hand. Uh boy.
Anyway, they're due back now to run some more tests like xrays and such, so I'd better sign off.

Monday, November 14, 2005

Arrival into Chennai, India

The flight from Singapore to Chennai was perhaps the most unusual one I'd taken in quite a while, for two reasons.

First, I was the only Caucasian on the plane. The average height of an Indian male is probably about a head shorter than my 6'1". Let's just say I was hard to miss.

Second, I was the sole business class ("Executive Class" is what Air India calls it) passenger on the flight. There are 24 seats in the biz class of the Airbus A310, and my butt was the only one in any of them.

Now, add those two pieces of information together. I, the sole whitey, boarded the plane before everyone else. Then, while seated in my isle seat 2B, I watch every other passenger file past me on their way to cattle class, giving me slight glances along the way.

Service on the flight, needless to say, was somewhat "dedicated" to me. I selected the curry chicken, mostly because I couldn't actually identify what the other option was.

When I arrived at Chennai, I couldn't help but notice the dreary quality of the airport. It looked completely rundown, as if it were built in the 70's and only maintained to keep it operating. Easily the shabbiest airport I've been in.

After passing immigration and customs, I made my way outside where I was greeted by a throng of equally shabby taxi drivers. I immediately started scanning for my name on one of the placards being held up. Someone from the Residency Towers hotel was supposed to be there to pick me up, but I couldn't find him. I walked passed all the people, predominantly men, while being accosted by cab drivers or simply stared at as an oddity. (Judging by the demographics of the flight and the airport, they don't get a volume of foreigners here as compared to Bangalore or Delhi.) There was a bit of a mix-up with the hotel, but I eventually got a ride to the Residency Towers.

I had hoped that my perceived notions of what India would be like were wrong, but the dirty "rubble-ish" appearance of buildings we passed, the groups of loitering men wearing sandals and untucked shirts, and the chaotic roadways, only confirmed them.

But, the hotel is great. I'm in the room right watching the History Channel's biography on Patrick Stewart. I'm almost finished with my work.

Tomorrow at 10am I check out of the hotel and get admitted to the hospital. I imagine I'll have an exam, some X-rays taken, and blood tests in preparation for my surgery on Thursday. The closer it gets, the nervouser I get. But I'm excited to be rid of this hip pain.

Back to work!

Observations in Singapore

I've been in Singapore a few times before, and I really like it here. My first trip here was in October of 2004, and I remember being surprised by how much I liked it. The weather is what you would expect from a place being within a stone's throw of the equator, (i.e. hot and humid), but the cleanliness of the city, the niceness of the people, and the overall "western-ness" of the place really appealed to me.

This time I noticed a couple things that, while not unique to Singapore, were interesting just the same.

Cab Drivers

A huge part of my initial impression of Singapore began with the cab ride from the airport. My driver was a younger guy who was interested in talking with me. He wanted to know where I was from and that sort of thing, and being my first time to this country, I obliged him. He was even more interested in educating me about the history of Singapore. He did a superb job during the half-hour ride to the hotel.

This time, however, I got more of the Beijing-style of cab driver, which is to say, crazy, with tendencies bordering on suicidal. The lines on the roads are where he aims his hood ornament. Staying between them didn't seem to be a concern. Another non-concern was following distance. He was close enough to some vehicles that I could make out the radio station playing on the car in front of the car in front of us. (This was only true when the car in front of us was yet another cab, driven by an equally insane person.)

I usually don't worry when I'm in taxis like that. If the driver is calm, I'm calm. I will rely on my assumption that the driver has some sense of self-preservation at least matching that of mine and the other drivers. If I had some guy who just found out his wife was cheating on him, or lost his shirt to Enron, *then* I'd be a little concerned. Self-preservation replaced with self-loathing and a desire to "end it all"... not what you look for in taxi driver.

Mentally-challenged Children

While limping through the departures portion of Terminal 1, I saw a class of young kids, all with various obvious forms of mental retardation. Some with vacant looks on their faces, many with Down Syndrome, etc. The reason this was interesting to me was that I hadn't ever seen a class like this outside the states. Aside from the visual hints to their shared characteristic, each one was clearly from one of the many races that make up Singapore: Chinese, Malay, Indian. Not surprised, really, just not something I'd seen before. That's why I'm noting it.

For all the wincing I do because of my hip pain, I was reminded how lucky I am to have the family I have. Two parents (still married, no less!), a self-less wife, and two unbelievably cute/funny/smart kids. The in-laws and extended whatever-in-laws are all, for the most part, really great people. Not that I ever forgot that, but it's easy to lose site of how exceptional one's life is when all you compare it against are other equally exceptional lives. When you take a second to pull back and glance at the rest of the bell curve, you realize that being in that upper 5-6 sigma range on the quality-of-life scale is freakin' amazing thing.

Christmas

They're starting to decorate this place for Christmas. There's a good-sized Christian influence here (remember caning?), so I'm not surprised. Just funny hearing classic Christmas tunes in the Singapore Changi Airport.

Popeye's Chicken

They have a Popeye’s Chicken here! Holy Crap!

Sunday, November 13, 2005

Kindly Retract That Poop, Mister!

In the immortal words of that old guy in Monty Python's The Holy Grail, "I'm not dead yet."

Thanks to some minor shenanigans by an incredibly helpful IT guy, I have been given new life with someone else's recently-repaired T40. The only catch is I have to swap it back when I swing by Singapore on my return trip two weeks from now.

The timing of that layover ain't pretty... arrive at 8:30pm Saturday evening, fly out Sunday morning at 7:15am. Perfectly fine for moi, but it's gonna screw up somebody's Saturday evening. Amazing dedication, though. I told the guy, "If I have another kid, I'm going to name him after you." Good thing I'm not having any more kids-the guy's name is "Edwin".

Okay, enough on this. Time for some actual work. Okay, lunch first, then work. For real!

"Aye, yer laptop be fooked, Cap'n!"

Poop! Poop, I say!

I made it over to the sales office in Singapore to see about fixing the laptop. The good news is that apparently the issue is a fairly common one, related to the mainboard. The bad news is they have no replacement computer to give me. They're back-ordered, as a matter of fact. And even though there's a small Intel sales office in Chennai, my ultimate destination, there's no "PC services" office there that can do a swap. The closest option is Bangalore.

So, my only option right now is to nurse this puppy... use it only on flat, firm surfaces, and avoid typing with too much enthusiasm. Kinda takes the "lap" out of "laptop", doesn't it.

Hopefully it won't give up the ghost too soon.

Singapore Layover... laptop woes

My laptop is sick. Something broke inside and the screen turns off or on depending on which way I tip the thing. I think I'll have to go to the Singapore office to get it looked at and hopefully replaced. In fact, while I type this the screen keeps cutting in and out. NG!!

The offices doesn't open till 8am or so, so I must find something to do with
myself. I've already showered at the spa they have here. It felt so good to get
all that airplane scunge off of me.

Saturday, November 12, 2005

The Narita Layover

I just arrived in NRT from SFO. I'm sitting in the international red-carpet lounge, waiting for my flight to Singapore, hoping my fricking headache goes away. I'm not optimistic.

What I can't stand about long flights is the amount of time it takes you to complete a meal, particularly in business class. There's the appetizer, the main course, the dessert... all that crap takes about an hour or more to go through, all the time you're confined to your seat. Maybe I'd rather do work or watch my movie or fart quietly into my seat cushion (like the German sitting next to me did for 10 hours) than decide between chicken or beef.

And sometimes the choices aren't even that good... On the flight from SFO the "arrival" meal was a choice between a fruit plate or pasta (with fruit appetizer). I don't want any damn fruit! And maybe I don't want to eat any pasta, either. But the old ladies flying the UA international flights, (the "ancients" I call them) don't even consider that maybe the passenger doesn't want to eat anything. I know this because I asked for "no appetizer" during the main meal part of the flight, and the reaction was the same I always get. "Uh, hmm, I have to remember that now. This isn't ordinary at all! What do I do. Should I still give you a table cloth?"

Ugh! Jeez, excuse me for not wanting to be locked to my chair for the next hour. Bring me some meat on a stick, and wait there while I eat it... it'll only take a second. Then take everything away. That's the way food should be done on planes.

Oh, but the hot peanuts and warm cookies are super. Keep those coming. And why no Mountain Dew on UA international flights? They carry it on domestic flights. Go figure.

Headache is not gone yet. Ranting didn't help, I'm sure. Time to go hunting for some Tylenol.

New

Yo!

I hate the buzz over blogging, yet here I am making one. I'm only creating this a way to chronicle my trip to India for major hip surgery, mostly for my friends and family.

I plan to share some notes of my experiences around my trek from California to India for hip surgery, and the recovery progress. If I get in the habit of updating things, I may even use this thing for other non-hip-related things.

Anyway, if you have any good comments or questions about this hip surgery, and why I'm doing this, let me know. If not, I really don't care. :)