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Thomases in India

Sunday, April 22, 2007

Overnight train to DehraDun

JT is back at Woodstock, leaving Barb at Likir House in Delhi: I took the overnight express train -- very easy, and almost too quick, only 6 hours of sleep! The hillside is gorgeous -- even in DehraDun the air was cool and fresh, compared to Delhi. A new crop of flowers are blooming, after a few days of rain in the hills last week.
The boys are back from the dormitories, where they had a great time but are glad to be back home where it's a bit quieter. In this week, Chris has played alot of tennis; Coleman, basketball. The school just finished its big annual basketball tournament with an exciting final game that Woodstock lost in the last few seconds.

Thursday, April 19, 2007

Attendant Hospital Notes

It is standard practice in India hospitals for each patient to have an "attendant" (usually a family member, but of course could be a private nurse) stay there all the time. It is assumed that each patient has an attendant to help a bit, translate, get nurses' attention, etc. When we checked in, they gave us an attendant (24-hour) pass and a visitor pass. Security guards at various points were reasonably meticulous with checking passes. Our semi-private room had two hospital beds, typical setup, plus two pull-out chair-beds...as they would say in India, chair-cum-bed. Each night, a guy would come around and hand me a set of bedsheets and a pillow. It was surprisingly comfortable, if a bit hard (very thin foam pads).

When we first arrived, a 69-year-old lady was in the neighboring bed, barely conscious, with some breathing difficulty. Her son and grandson took turns staying with her -- she talked only a bit that first night, and not at all thereafter. I chatted with grandson Hrithik a bit. Her condition declined, so that on the third evening, she was moved to ICU. Her bed was empty. The nurse suggested that I sleep in that bed. Much more comfortable!
About an hour later, at midnight, we are awakened by a young child's voice. A 6-year-old patient walks in -- he had been in the pediatric ward (near our room), discharged, but returned complaining of mysterious pain. He and his parents are Afghani, now living in Delhi. I heard them speaking in some Persian-sounding language; and the father looks like Mahmoud Ahmedinejad – they were indeed speaking Dari, which is related to Persian. But they knew no English. In the family connection, Dari is the regional language of Mazar-E-Sharif, where brother-in-law Rick is helping translate maintenance manuals and uniform procedures from American English into Dari.

Back to attendant-ship: on this ward, I did not have to do much work – the nurses were reasonably present and usually helpful. Barb’s previous experience, on a bigger ward, made much more use of the attendants, as there were fewer nurses there. (And, to our regret, she had no attendant there.) Although this time, ironically, when I took leave for an hour or two of errands and internet-blogging, was when the nurses descended for this needle or that sample or this pill or that drink. Also, the hospital offers special “attendant food” (i.e. room service), distinct from the hospital fare – this was very nice, good food, reasonably priced…charged to the bill, not covered by insurance, but irrelevant as none of this bill is covered by insurance.

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Wednesday, April 18, 2007

the View from Apollo

--Hospital, that is. The hospital is six floors tall. Other commentators have noted the sprawling nature of New Delhi’s architecture, with few skyscrapers. I realize that I have never seen a birds’ eye view of the city. From this fifth-floor vantage point, the dust and noise and poverty are invisible. North of the hospital, in the view from Barb’s room, is a large tree-filled lot. Some office and apartment buildings are visible in the near distance, as is the top of the lotus flower building that is the Baha’i Temple. The only other religious building visible is the small Hindu shrine on the hospital grounds. However, the smoggy haze obscures any view beyond a mile or so. To the south, the view is more generically metropolitan, with the hospital’s small garden, then a construction site and elevated highway visible along with generic apartment buildings.

This evening Barb was discharged. The last 24 hours we had been well-cared-for: both the doctor-on-call and two customer service reps came by repeatedly to make sure everything was all right. Was this typical? or simply because we're foreigners (and paying cash)? or because Barb had a bit of a meltdown yesterday morning while I was out walking around, after she was poked and prodded several times by unclear nurses who seemed unconcerned about pain and unable to explain what they were doing? In any case, the service rep from the hospital's Platinum Lounge -- where the medical tourists are serviced -- came up to help with the checkout, bypassing the queues. The Platinum Lounge is like an large upscale doctor's office. They even treated us to a free ride home, to our guest house.... a very welcome and happy event. Though the car was strangely an old beat-up Suzuki Esteem with no A/C, it was more comfortable than most taxis, and the ride was smooooth. Happy to be back and resting. We all feel better now.

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Monday, April 16, 2007

April 16th surgery went fine

Barb went into surgery at 8:15 this morning, completed at 10:15, and back to the hospital room at 1:30pm, a bit groggy but otherwise doing well. The surgeon reported that all went better than expected -- faster, less anesthesia, etc.
So, depending on reaction to the next 24 hours, she will likely spend less time in hospital, too.
Thanks to all for their thoughts and prayers.
There's a heat wave in Delhi (temperatures are usually in the 90s; now in the 100s), but the hospital has good A/C and good power backup of course. The staff have been very kind and responsive. I even had a visit from Miss Gandhi, the Guest Relation Officer from the Platinum Lounge, who told me where the internet PCs are...thus this weblog entry!

Sunday, April 15, 2007

April 15th in New Delhi


It is hot hot hot, 95 degrees in the shade, normal for this time of year. We managed to get a bit of culture -- two stageplays in two nights: a dress rehearsal of an outdoor extravanganza play starring Woodstock graduate Tom Alter -- a dramatization of the book City of Djinns, about New Delhi. This was a fascinating outdoor walk through history -- though we had to battle the mosquito fumigation vapors in the early evening! Then a play called Choices, about a Delhi woman doctor returning from overseas for her grandmothers funeral, and facing choices about her life -- lots of monologues and local references.
Soon we go to check in to the hospital. Note the sign, legally required in India at all medical-testing offices.

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Friday, April 13, 2007

Delhi arrival on April 12th


We arrived separately -- Barb took the crack o' dawn train, slept a bit on the train, navigated her way through the gypsy cabs and negotiated a deal with a nice Sikh auto-rickshaw driver to take her to Likir House, drop off bags, then on to Defence Colony for lunch. Then to Apollo Hospital for pre-op discussions, insurance approvals, blood tests, and consult with the surgeon, all no problem because she knows the place by now! Then back to Likir House, order in Chinese food.
Jeff left school as the chaperone-in-charge of the "going-down" group: 117 students, 6 teachers, in 4 buses to the train station (nobody threw up this time, on the windy roads--the drivers were relatively cautious), 2 train cars. The students were in a good mood, no problems aside from wandering around a bit much; all the parents and guardians met them at the platform, ready even though the train arrived early. Christopher's hosts came over to chat with me a bit -- he's going with friends Avi and Kiril to their nice condo in a nearby suburb, with 2 shopping malls next door.
Likir House is wonderful, friendly as always. The rooms are airconditioned and immaculate, if a bit spartan.
We will return to the hospital late this afternoon for the consult with the dermatologist, who plans to remove some BCC (long time sunburn remnants) pieces from Barb's shoulders while she is under the anesthetic on Monday.
We are hoping to find a live concert or theater to attend tonight; or just a movie theater, to take advantage of some "culture" in the Big City.

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Sunday, April 08, 2007

Easter2007


Easter 2007 family photo, at St.Paul's Church in Mussoorie.