Thursday, September 15, 2016

Day One: Train the Trainer

Today was our first working day, and on schedule was a half train the trainer training (boy that felt very redundant to type) followed by a visit to the corporate office our Indian consultants that are conducting the clinical trial with us. We learned that the work day is shifted back about two hours from typical US hours, their hours are typically 10a-7p or so with a lunch at 2-3p. Unaware of this schedule, Ellie and I work up at went to breakfast early. Same hotel breakfast buffet, but today I was a bit more adventurous in what I tried. I ordered the same egg white omelet as the day before, and then I ventured over to the traditional breakfast line. I tried several different dishes, and as I was perusing, a nice gentleman on the wait staff started talking to me about the dishes. I couldn't really understand what he was saying, so I just nodded and smiled and said that everything looked delicious. Apparently my kind nodding had actually been to order a traditional Indian breakfast dish called a "Dosa" from the grill. I wasn't too upset about this because I enjoy trying new things, but I did feel like quite a greedy American when I sat down to my table and three plates of food were in front of me. The dosa was delicious and I made sure to thank the waiter that had recommended it.

A few hours after breakfast we had our first meeting in a conference room in the hotel. This area of the hotel has yet to be renovated and in order to walk down the hallway I had to duck - the ceilings must have been about 5 feet tall. Boy did I feel out of place! I spent the next few hours walking page by page through our training manual on how to prepare animal specimen for mock procedures and how to talk to a physician about conducting the procedure. The four gentlemen I was training were very perceptive and eager to learn. Two of them have MD's so they are very  familiar with the finesse required for medical procedures. The only challenge I found in working with them was the distinct difference in non-verbal communication. Here, nodding yes is something that can be done either by an up and down head motion, a side to side head motion, or an S-shaped head wobble motion (trying to be culturally sensitive here, I promise...). I found it very difficult to be teaching people something new and not be able to rely on affirmative nods to know that they are understanding what I am saying. After finished a 5 hour session working directly with them the entire time (lots of talking!) we went back to the hotel restaurant for lunch.

Lunch was a lot of fun because our Indian colleagues were able to explain many of the dishes to us. After visiting the buffet line we came back with full plates of food, and the waiter from breakfast recognized me and brought several additional dishes for me to try. Our Indian colleagues, excited to see that I like to try new dishes, requested that even more dishes be brought over. Needless to say, I ate SO MUCH food for lunch. I didn't want to be rude so that meant trying everything....what an experience.

From lunch, we drove over to the corporate offices. The drive over was more explaining about the geography of the area we were in and how things operate. The entire time there was honking on the road, and as it was afternoon time the cows were migrating so they were taking up an entire lane of traffic in certain parts of the road. No one seemed phased by any of this except for Ellie and me. The office is a commercial part of Noida, and was a very different-looking facility than an American office park. The office was very welcoming when we arrived and had our names on the sign in the front lobby and presented a bouquet of flowers with us when we arrived. We were introduced to some of the staff in the office, and then spent time in meetings discussing the trial.

After meetings, one of our colleagues took us to the Mall of India for Ellie to pick up some travel items. Again, the traffic to get there was extraordinary. Security to drive into the mall parking deck was tight and involved a search of the car, and inside the parking deck there were attendants to help cars back in very tightly to preserve space in the deck. The mall itself was huge with many American stores, including Chili's, Gap, Columbia, Cole Haan, etc. We ended up finding what we needed at a store called "Big Bazaar", which seemed like a smaller version of a super-walmart.

Returned to the hotel took close to an hour even though we were only a few km away because of...yup, traffic. I really have no room to complain about traffic in Atlanta anymore. At least there is some sort of order when the lanes are blocked. I was utterly exhausted after such a long day, so we opted to not eat dinner (lunch had been quite large...) and head to bed. I had call scheduled with Clearside in Alpharetta at 2pm EST, which was 11:30pm our time, so I set my alarm and crashed in bed, clothes still on, until my alarm went off. Woke up for the call, then showered and went properly to bed. Utter exhaustion.

Tuesday, September 13, 2016

Delhi or Bust

So here I am in India. Same as for my Sri Lanka trip, I am here for work to teach more physicians about eye injections.  I am traveling with my best work travel partner, Ellie, for a week. Then I will leave for home and Ellie will continue to southern India for even more training.

We flew over on Qatar, from Atlanta to Doha to New Delhi. Since my last trip Qatar has opened up a terminal in the International Terminal of Atlanta, so it cut our trip down to just two legs - thankfully. Other than a significant amount of turbulence on the flight, we got out to Delhi without issue. We landed around 2AM, and the airport was bustling just as if it was mid day. Customs was easy, and thankfully all our luggage arrived without issue. As we moved from the gate closer to the exit of the airport, I could feel the air getting more and more humid and the temperature slowly increasing. By the time we found our driver outside of baggage claim I was officially hot. And when we walked outside the airport..oh my. It was very humid, stagnant, chemical-filled air that burned to breathe. Imagine sitting right next to a campfire with plastic melting in it - kinda what it felt like. Ellie and I looked at each other with a skeptical, well-lets-make-the-most-of-this expressions and followed our driver to the car. I'm not exactly sure what the car was, but it was something very small and our luggage almost didn't fit. Even the front seat next to the driver had suitcases in it!But it did have air conditioning, thankfully. Our kind driver insisted on showing us the city and pointing out various landmarks as we drove towards our hotel. Keep in mind that its after 3am at this point and you can barely make out anything. But he insisted we take pictures, so I've now got a nice collection blurry streetlamp photos with significant Delhi landmarks hazy in the distance. We arrived at the hotel and our car was thorough searched, including inspection of the trunk and under the hood of the car. Stepping out of the hotel we were hit in the face by the same hard-to-breathe hot air, and were then asked to go through metal detectors and have our bags scanned before we could enter. It was both unsettling and satisfying to know we were staying at such a secure place. 

Our jet lag plan was to go to bed immediately and wake up for breakfast several hours later, and that's basically what we did. Breakfast was buffet style and very confusing. I ended up eating an egg white omelet (I think...) and some spicy potatoes and some hash browns. So far this trip has been very heavy on the starches.

After breakfast Ellie and I got the courage to venture out of the hotel and head to some market areas recommended to us by the front desk. The man at the front desk encouraged us to visit the government markets as much of the city is closed for a Muslim holiday. EVERYONE recommended we stay away from mosque as it would be crowded and we would really stick out. We took the subway to Connaught Center, which was a much nicer experience than I had anticipated. Definitely cleaner and smoother than MARTA. We certainly got many stares on the subway, as we were the only white people on the train. When we got off at the station, a man walked up to us and kindly suggested we take a tuk tuk to a market nearby. He hailed one for us and told us not to pay more than 20 RUP for the ride. We weren't sure if we were being hassled because we stood out so much as white women, but we figured for 20 RUP (about a $0.25 USD) we figured "Why not?". Sure enough, Viki, the driver, spoke great English and took us right to the CCCI, some sort of government owned creative market. There were lovely fabrics, Saris, scarves, tunics, and jewelry...and I bought a little of everything. I even tried on a Sari! And I have to say, they make you feel quite regal. I resisted the urge to purchase one, since I already have purchased a wedding dress. From there, our tuk tuk driver (who had waited for us, unbeknownst to us) took us to another Bazaar, and then onto some sites around Delhi. We saw several temples, the India Gate, the India Parliament, and the President's house. We got plenty of videos and pictures of the experience - it really was a great way to see Delhi. Even though the weather is hot, being in an open air tuk tuk kept us pretty cool most of the day. We had some great wedding conversations with Viki, who got married last year. He showed me a picture of him and his wife, both beautifully and colorfully gowned. I showed him a picture of my wedding dress and he laughed and said "it is plain, but if you like it, good for you". He saw the picture of Parker on my phone and said he was a "very handsome man," so at least I know the groom will look good in our wedding :).

Tuk tuk driver Viki took us back to the metro stop and proceeded to instigate a larger payment for his services than we had anticipated. After an awkward (at least it felt awkward to me) conversation, we ended paying him a total of $20 USD for his services. Absolutely worth it for us, but still frustrating to not know if you're being swindled because of who you are.

The plan for the rest of today is....to stay awake. We're going to eat at the hotel for dinner and then pat ourselves on the back for resisting the urge to nap. An early bed time is in my future, thats for sure.