Saturday, 25 April 2020

Steps to safeguard mental health and avoid fatigue


What is Fatigue?

Fatigue is the general term used to describe physical and/or mental weariness which extends beyond normal tiredness.

Physical fatigue concerns the inability to exert force with ones muscles to the degree that would be expected. It may be an overall tiredness of the whole body, or be confined to particular muscle groups. Physical fatigue most commonly results from physical exercise or loss of sleep. Physical fatigue often leads to mental fatigue.

Mental fatigue, which may include sleepiness, concerns a general decrease of attention and ability to perform complex, or even quite simple tasks with customary efficiency. Mental fatigue often results from loss or interruption of the normal sleep pattern and is therefore of great concern to pilots and ATCOs, who are frequently required to work early in the morning or at night.


Having looked at the above definition, it must be pretty obvious that this is a cause of immense concern given the current situation in the world with COVID-19 Lockdowns/ Quarantines. There are many symptoms of mental health for people to be careful about - like social distancing(Isolation) or lack of assurance etc. These mental health issues when prolonged could lead to fatigue.

Health Meme - Source: www.pintrest.com

Now how am I qualified to talk about it? Well I have been in depression before and overcame it and successfully went on to qualify for my Pilot License and hence can give a brief insight.

Even before starting my Pilot training, I was earlier a Software Engineer working and having a decent life in London, UK. However due to personal issues and work related stresses together led me to become low-spirited and decided to return back to India. I undertook professional help (medical professionals and counselling) and recovered back. As part of the counselling, we explored what would make me very happy and one thing which was always there in my heart was to become a Pilot and thus I decided to embark on changing my career. However to become a Pilot, one must be both physically and mentally fit! So I approached an Aviation Medical Practioner to consult whether “At my age and recent mental health episode, if I could qualify for Pilot Fitness?” - to which I got a positive response and rest is me working hard to make my dream come true.

Later again after successfully completing my Pilot License and Multi-Engine endorsement training, I was struggling to find the right kind of job for me as there were age restriction of 35 for many entry level Pilot jobs in India - which I just crossed. I tried many other ways to improve my chances to become employed but was not succeeding  - which again was causing me anxiety. However, I could recognise the symptoms early as I had previously seen them and hence immediately rushed to get help. Counselling helped me again to quickly realise my groove and was back in no time. At this juncture to my delight, the job scene for Pilots was improving and saw few ads which offered promise for me. I started applying to all and finally was successful in tests, interviews and thus getting a Letter of Intent from a leading airline in Asia! After completing the required Type Rating program, the induction got delayed which now is likely to get pushed further due to COVID-19 :(. Hence this attempt at trying to beat the crisis by educating all on how it can be handled.

Now, I would put forward the steps taken by me to overcome - from which you’ll can gleam and customise it according to your personal needs and interests.

Firstly, one must try to hone your instincts to identify your own behaviour patterns, likes and dislikes. This is not an easy task! Also, one cant be perfect in identifying his own states that well. Hence, its always better to seek HELP! Help can be obtained from family members/friends etc. But best Help can be obtained from a professional mental health expert.

The ways I try to notice patterns are like eating habits - am I over or under eating? My speed and ability to do certain tasks - like speed of doing some familiar exercises - is it at an average speed or under?, sleeping habits - is it over or less?, screen time on devices - is it excessive? Given current lockdown, we cannot but do away with screen time - however, its important to give well balanced breaks. Also listening to friends or family joking or telling you about our behavioural change - this is difficult to grasp but one such way to start introspecting.

Next, Formulate a good time-table or routine to follow for the day. This helps the mind to be consciously active rather than just getting carried away with whatever activity you are engaged in. Try to follow it.

Make it a point to exercise for sure - its essential. It keeps the body active and sharp. However, its best kept at a moderate level - avoid over exercising to reach some target weight goals etc. Because strict targets would mean fixation on that target which could lead to some sacrifices for mental well being. Best is to do some form of mild exercises like walking/ yoga/ meditation/ short 30 minutes preferred workouts/dance.

Cultivate some time towards your hobby - some form like music/art/cooking/philately etc.

Learn a new language. You can either learn another Indian language or international languages like Spanish, French, German, Chinese, Arabic etc. I learnt French when I was struggling to find opportunities.

Eat a balanced diet. This means combine well both healthy foods and an occasional comfort food/cravings. This keeps both body and mind happy.

Maximise efforts to be in cheerful moods. This is the key! So whatever works for you to be happy - pursue it. Maybe a comic film or watching standup comedies or just speaking to some jolly good friend of yours!

Keep away from negativity. There is plenty of it all over currently - Try to channelise efforts to stay away from it.

Despite your best efforts if you are unable to hold fort, do seek HELP. Prefer professional help over family members as family members could be biased.

Try to avoid consuming alcohol - which universally the society prescribes to elevate your moods. It is only a temporary effect and does not solve the problem and hence may lead to more craving for alcohol - potentially leading to abuse.

Speak about Mental Health issues openly. This is very much a necessity. I do know it is considered quite Taboo and is Stigmatised. Trust me, I discovered it myself - Many of your close friends or relatives might distance themselves. It did happen to me and the way I look at it is - It helped me discover my true friends who really stand by you. You can easily cut down your close friends list and know which relatives you can fall back for support!

This Speaking about Mental Health issues openly is now encouraged as Good practice the world wide - However, its a tricky situation in the world of Aviation. The state is Damned if You Do - Damned if you Don’t! 

To Support the argument of Damned if you Do:
{
 Being labelled with a "mental health problem" in aviation might have consequences, including stigma and discrimination (perceived and real); grounding; additional costs, including costs associated with examinations and treatment to obtain/maintain medical certification; loss of income; and fear of loss of employment. Possible outcomes of being diagnosed with a mental health problem include self-esteem and self-confidence issues; reluctance to seek help due to medical confidentiality matters; seeking help, but declining treatment; obtaining treatment but failing to disclose the condition or treatment; having peers be hesitant to report concerns to an employer/regulatory authorities; increasing stress and isolation; experiencing adverse effects on the progress of a mental disorder and/or the exacerbation of symptoms. All of these situations can lead to an increased risk to aviation safety, and, in extreme cases, to, Pilot Suicide .
}

To Support the argument of Damned if you Don’t:
Is the classic aviation accident of GermanWings Flight 9525.

The above riddle is true and valid throughout the world. Given the current low in aviation due to lockdowns throughout the world, Proper and thorough steps and balances should be finalised and put in place to avoid and hardship or delays with Pilot Medical’s/Job Opportunites for the one who declares and an easy mitigation plans for Employers, Doctors, Regulatory Authorities alike!

Having said the above, many would like to know how I went about it. Here, Professional Help I took came in very handy. I did discuss the above related to my strict licensing requirements and they do suggest the best way forward for me. They understand the gravity of situation better and advice accordingly. The whole point of all the regulations is not to further cause agony to a person who recovered from mental Heath issues. I did take the path discussed and I prefer going the path of speaking openly on my mental health issues - which I did inform in my job interviews as well. Even employers would prefer someone who is open and forthcoming in disclosing about the mental health issues and taking the right remedy rather than hiding things in dark.

Hope the above is thought provoking and aids you in taking good steps for your mental well being!

Credits: 
Most definitions/theory has been obtained from SKYbrary an online wiki for Aviation. It requires publication of source and credits mentioned - www.skybrary.aero.
Image Source: Health memes - www.pintrest.com 

Friday, 8 November 2019

Ladakh Trip – A Pilots Perspective

I have recently been on a trip recently to Ladakh with my school friends. Leh, the capital of Ladakh region is located at a very high altitude – 11000 ft above mean sea level. Please check my earlier blog “The Adventure trip of Ladakh” on our fun activities. Now what is it for Pilots that I am writing this blog? The very fact that it is located at 11000 ft AMSL should raise eyebrows .

At Leh Airport


Now coming to the trip, since I did not Pilot myself there – I cannot write anything about the performance aspects of the aircraft nor offer any tips or tricks on Piloting to this challenging airport of Leh. So what do I have to offer?

Some TextBook Theory to start with.

Hypoxia – “Hypoxia is a state of oxygen deficiency in the body sufficient to impair functions of the brain and other organs. Because of the nature of flight, flight crews are much more likely to suffer from hypoxia than “normal” people. Knowing what to look for and how to react to resolve the situation is essential to maintain flight safety.”  [Source: Skybrary]

Time to useful consciousness table

[Image Source: Skybrary]


Hypoxia  signs include increased rate and depth of breathing, tachycardia, cyanosis (blue coloured lips and nails), mental confusion, anger, euphoria, poor judgment, loss of muscle coordination, slouching and loss of consciousness. [Source: Skybrary]

How many like me have read the above in books and memorized the numbers by rote? 🙋

Now, Let’s see the Human Factors in action.

For the purpose of this blog – Please treat me and my friends as mere test subjects rather than someone who is an expert or being shown in poor light.

The day we landed in Leh, almost all of us had some symptom of hypoxia or the other – most notably Headache, tiredness and bloating sensation of the tummy. I personally had a headache.

We had medical check in the evening and almost all had elevated levels of blood pressure and lower content of Oxygen in our body with varying heart rates. BP of upto 150 systolic was considered normal at that altitude.

Some walking on the day2 of our trip was tiring for many but it did help us adapt to the conditions well. Our BP, Oxygen levels and heart rates were now normalizing.

On Day3, it was all good until we did water rafting. It was an intense exercise which had some people gasping. I too had some breathing difficulty for few minutes after the rafting experience.

On Day4, Couple of them including me reported having a bleeding nose/nostrils early in the morning – probably because of the exertion of rafting the previous day. Thankfully it was not severe for any of us. However, during our trip to Nubra Valley via Khardungla Pass which is the highest motorable road at 18000ft, almost all of us were struggling. One of my friend was panting and at Khardungla pass, he vomited and was feeling unwell. The Oxygen level in his blood dropped down to 48% and had to be put immediately on Oxygen. He was few seconds away from passing out! Many had bloating sensation of the tummy. We went out to take images but struggled, we found it difficult to go to the nearby coffee shop. We were advised to remain no longer than 10 minutes at the Khardungla pass and we realized it why – the hard way! 

Here I realized the importance of Time of Useful consciousness concept!

Day 5 and Day 6 were a breeze. The only thing on Day6 was the Changla Pass at similar altitude of 18000 ft but this time due to the acclimatization over the days and proper use of the drug diamox, we could carry ourselves through!

Day 7 was significant as we friends almost all being city riders embarked on a tough but achievable mountain biking trip to Kargil on NH1 a relatively safer road to ride on. Our communication was good in the beginning but once the setback of a vehicle tyre puncture occurred, things started to take a down turn. People did not look clearly in the rear view mirrors for the other riders etc – things were not smooth. After a late lunch almost around 1400 Hrs, we started on the tougher mountainous part of the ride. We being relatively amateur riders of the terrain, treaded cautiously. This led to us riding in the chill which starts after 1600Hrs in that region. Because of the chill and our poor biking gear – btw we just wore arm and knee caps on our regular jeans and jackets, we were all suffering from chills. We kept taking breaks and that added to more time to our journey. We kept continuing in the dark hoping to reach the destination soon. Though the distance was less, it was taking lot of time due to the mountainous roads. We kept pushing and pushing and finally reached our destination at 2000 Hrs safely!

The terrain and roads of NH1 between Kargil and Leh
 
Day8, We started out by getting our bikes checked for tyre pressures. One bike had a nut missing for which we tried to get a replacement which went in vain. We were split in our thinking about refueling our bikes at the start. Finally, it was agreed that we would refuel the bike enroute as soon as it hits the reserve tank. The day biking started smoothly and quarter of a way two bikes developed some breaking issues. One bike exhausted its fuel midway – the driver of the bike left it on reserve tank all the way so he did not have an indication when it hit the reserve tank! Ironically, that rider was the one who proposed the solution of refueling when on reserve. Thankfully it was not far from a fuelling station – so we could refuel and continue our journey. Many riders keeping the previous days uncomfortable night riding in chilly conditions kept pushing to reach back Leh. So - Not all bikes were riding together. However, we all reached our destination back safely and thanked our stars for completing the trip safely!

Now, Let me interpret the Human Factors which were in play during Day7 and Day8:

  • ·         Poor Communication
  • ·         Complacency
  • ·         Lack of team work
  • ·         Distraction
  • ·         Stress/Pressure/Fatigue
  • ·         Lack of resources/Knowledge/assertiveness 

Almost all the factors known to disrupt aviation safety were in play. 

Except one, none of us were aware of the terrain/road. We blindly accepted the challenge of biking in Ladakh which was popular “must do” with all adventure seekers. Though few were not inclined on it, they did not assertively push their opinion or to put it in other way, they fell on deaf ears.

Surely given poor mobile network connectivity it added to us not communicating well once we were halfway from our journey commencement. We started very well with proper briefing. However once there was the setback of tyre puncture(Distraction), the communication took a hit. Not looking at rear view mirrors, not looking behind for the next rider let to us not going in an orderly fashion.


Our Bikes and Our Biking gear

During the journey when it was becoming dark, we just pushed on despite the chilly weather. We were not dressed properly ie. We did not wear biking suits – we just put on the arm and knee guards on our jeans and jackets and started off. This lead to a very serious situation. The gear we were wearing was not reflective enough for night riding. Next, we were riding in chilly weather and none were comfortable with it. To add to that we were almost tired(Fatigue). We all exhibited the classic “Get There Itis” or we were trying to reach the destination rather than halting when we were uncomfortable (Destination Obsession). All these almost aligned to form a huge issue for us. But thankfully we survived without any incident.
 
The ride back to Leh started with a poor choice of not refueling for the trip. However, since it was a road journey with many refueling points, we managed – But nevertheless a poor decision which included complacency. Also on the return journey few riders rushing back to Leh trying to avoid the situation like the previous day. This lead to a disarray of few bikes going ahead without being closely knit together (Lack of Team work).

Given the above examples – Did they just happen by explicit choice? Do me and my friends have to be blamed for so many mistakes? Hypoxia led to much of poor decision making. Thus, I choose to present this as a working case study to understand Hypoxia.

All pilots must understand these phenomena very well – not just read and mug up the topic for exam. Here, we had the luxury of familiarization to the high altitude environment. In real life for Pilot, there is no such advantage of acclimatization – Hence the importance. Hope it helps the readers.   

Happy Landings!

Special Credits:

I would like to once again thank the officers of Indian Army who gave us wonderful advice on how to accustom to the high altitude and cope with the conditions better. After going through the trip, all our friends became extremely appreciative of the brave deeds and tough conditions being endured by the soldiers at extremely high altitudes and brutal weather conditions. A big Salute!

Other Credits:

Most theory has been taken from Skybrary an online wiki. It requires publication of the source. [Source: www.skybrary.aero]

Monday, 28 October 2019

The Adventure trip of Ladakh


I have been on an adventure trip recently to Leh, the capital city of Ladakh. Leh is located at a very high altitude – 11000 ft above mean sea level. Geographically, this place has huge significance – It was formed by the clashing of Indian Plate with Asian landmass millions of years ago. This explains lots of findings in Ladakh – the salty lakes, desert, mountains etc. 

Coming to the trip genesis, it was initiated by my friend from school – Vamsee who being an ex-servicemen of Indian defence forces, had friends currently serving in Ladakh who encouraged to explore an adventure trip of Ladakh. He put forward a proposal with our classmates and instantly had great response. 12 of our batchmates from school confirmed for the trip and that gave my friend a good impetus to plan the trip.

Finally, when the trip day arrived, we were down to 10 but still a great number to go ahead with the trip. We started early and arrived in Leh by flight around noon time on Day 1. After arrival at Leh airport, we went to straight to our Stay. We were advised to take complete rest for the reminder of the day and avoid any straining activities to acclimatize to the high altitude.

Day2:

We started the day with a stroll on the banks of Indus river which was very close to our stay. Then we went to a small village where we were welcome by a small family for tea in their home. This gave us a glimpse of local home and their livelihood. We were thrilled by their hospitality. Later in the evening we went to Leh Market and had our dinner at a local bakery – specializing in Yaks cheese.

Traditional Ladakhi Home

Day3:


We headed out of Leh towards Magnetic hill – a place where vehicle runs contrary to expected direction.  Then we proceeded to Sangam, a place where the two rivers join(Zanskar and Indus). It’s a wonderful sight. We were immediately drawn to the rafting experience which was on offer there. It’s the highest place on the world where river rafting can be done. But given our fitness levels, we decided to go for the shorter 8KM experience. Many were skeptical but it turned out to be a wonderful experience on the river! Later we moved to Pathar Sahib Gurudwara – A great tranquil place with lots of history. We had langar (communal meal) which was fabulous. Later we continued to Leh Palace which was the royal abode of the ruler of Ladakh. Then we went to Shanti Stupa which was built as part of peace mission. Later, I realized that at its base were Lord Buddha’s relics. We then visited the “Hall of Fame” – a wonderful tribute to the War hero’s of India, It had a museum which gave great insights about military accomplishments. Later there was a beating the retreat ceremony followed by sound and light show about the Kargil War – a hair raising and patriotic depiction of the events – It is a must visit for every Indian. Finally we returned to our stay.
Worlds Highest Rafters😎


Day4:


We started for Nubra Valley via the Khardungla Pass which is the highest motorable road at an elevation of 17892 ft Above Mean Sea Level. It was a grueling  journey as our bodies take a hit due to the less oxygen levels at that altitude. We reached NubraValley and checked into a resort tired. In the evening we had a great time under a camp fire with my friend belting out superhit songs on guitar.

At Khardungla Pass

Day5:

We got up early to the stunning view of Nubra Valley. We went for a stroll around the fabulous town.  Nubra Valley has a desert which is wonderful. We then started for Pangong lake – which is a salt water lake. The lake is a beautiful place made popular by Indian bollywood film – “3 Idiots”. Later we rested close the place for viewing the Milky way. We were told it was the best place to view the night sky – however, we were novices on this front and were staring at the night sky with no luck. Later read that it is clearly visible during dark nights – we visited almost on a full moon night.

Pangong Lake

Day6:


We started our journey back to Leh via Changla Pass – the second highest motorable road in the world. However, we were now acclimatized with the environment. Hence it was a breeze. Enroute we checked the HemisMonastry, the Thiksey Monastry and Rancho School (Again made popular by film ‘3 idiots’). We then returned to Leh where we went to grab bikes for our next two days.

Day7:


We started with our bikes to Kargil on NH1 which is the best road to bike on for not so expert mountain riders like us. We went quarter of a way before one of our friends bike had a tyre puncture.  This led to a delay which resulted in us driving in the night in extremely chilly conditions. It really took a toll on our bodies. However, we successfully made it to Kargil and checked into our hotel.
Bikers in Action💪


Day8:


Keeping our previous days lessons learnt, we started early getting our vehicles checked before starting in Kargil. Without any issues, we reached back to Leh by evening. We went straight to the Leh market to make some purchases like dry fruits as we did not do it until then. We then had a party late in the night with camp fire and drinks to celebrate our grand trip without any issues. The weather turned absolutely chilly compared to the first day we were in Leh.

Different shades of Mountains

Day9:


We had our breakfast and started back to the airport. Bidding adieu to a great vacation for us school buddies!
Overall it was a great journey for the adventurous. We thank Indian Army who are responsible for most of the infrastructure in the region and also the officers who helped us with the itinerary – which proved wonderful and enjoyable for all of us.

For people visiting Leh, please do take precautions of resting for two full days after landing as it lays the foundation for our body to acclimatize to the lack of oxygen at those altitudes. Another important fact is carrying “Diamox” the wonder drug for high altitude sickness. Make sure to use it judiciously for a pleasant trip. Things missed in our trip were ATV biking and Double Hump Camel ride in Nubra Valley – as we were pressed for time. However, they were not glaring misses given the enjoyment we had!

Please visit the links of the sites we visited as these places have great importance and a tale to tell – which I cannot cover all here in this blog(hyperlinked and also links below).
  •  Geography of Ladakh - https://en.wikipedia.org/wiki/Geography_of_Ladakh
  • City of Leh - https://en.wikipedia.org/wiki/Leh
  • Indus River - https://en.wikipedia.org/wiki/Indus_River
  • Leh Market - https://www.tripadvisor.in/Attraction_Review-g297625-d17406552-Reviews-Leh_Market-Leh_Leh_District_Ladakh_Jammu_and_Kashmir.html 
  • Magnetic Hill - https://en.wikipedia.org/wiki/Magnetic_Hill_(India) 
  • Sangam - https://www.tripadvisor.in/Attraction_Review-g297625-d3683202-Reviews-Confluence_of_the_Indus_and_Zanskar_Rivers-Leh_Leh_District_Ladakh_Jammu_and_Kash.html 
  •  Pathar Sahib Gurudwara - https://www.tripadvisor.in/Attraction_Review-g297625-d3400596-Reviews-Gurdwara_Pathar_Sahib-Leh_Leh_District_Ladakh_Jammu_and_Kashmir.html
  • Leh Palace - https://en.wikipedia.org/wiki/Leh_Palace
  • Shanti Stupa - https://en.wikipedia.org/wiki/Shanti_Stupa
  • Hall of Fame - https://www.tripadvisor.in/Attraction_Review-g297625-d4603216-Reviews-Hall_of_Fame-Leh_Leh_District_Ladakh_Jammu_and_Kashmir.html
  • Khardungla Pass - https://en.wikipedia.org/wiki/Khardung_La
  • Nubra Valley - https://en.wikipedia.org/wiki/Nubra_Valley
  • Pangong Lake - https://en.wikipedia.org/wiki/Pangong_Tso
  • Changla Pass - https://en.wikipedia.org/wiki/Chang_La
  • Hemis Monastry - https://en.wikipedia.org/wiki/Hemis
  • Thiksey Monastry - https://en.wikipedia.org/wiki/Thikse_Monastery
  • Rancho School - https://en.wikipedia.org/wiki/Druk_White_Lotus_School
  • Kargil - https://en.wikipedia.org/wiki/Kargil
  • NH1 - https://en.wikipedia.org/wiki/National_Highway_1_(India)
  • Leh Airport - https://en.wikipedia.org/wiki/Kushok_Bakula_Rimpochee_Airport

Thursday, 8 August 2019

Hyderabad Aviators Meet 2019 – A writeup



The Hyderabad Aviators Meet 2019 was the 13th Edition of the meet held on the 1st August. The Meetup was organized in BMW Showroom in Hyderabad. It was a purely networking meetup. It was organized by passionate professional pilots from across the airline industry spectrum. The attendees included pilots from airlines, general aviation, flying schools, aviation medicine experts, aviation historians, ex-defence personnel etc.

People started arriving from 1900Hrs which was the scheduled start time. The seating arrangement was convenient for the interactions and networking with people. Everyone was friendly and interacted well with others. Sharing experiences, nostalgia, cribbing about schedules etc all was part of the conversations. There was a band playing live music as well. There was a small book presentation ceremony of Aviation history in India.

Many conversations by newcomers to an event was what is this networking meetup? Its like making new friends on social media and participating in random conversations like one does in groups etc. There goes an explanation using analogy from virtual world to the real world. Never expected that such a case would exist but that’s the reality with the current generation! 😇

The hosting of the event at a BMW showroom raised many questions for quite a few. Was the host purely looking for sales? On checking online, BMW was in fact associated with Aviation. Pre-World War era, it was into aircraft engine manufacturing. This fact was not highlighted by anyone around on the day. However, they turned up to be very good hosts – A big applause!

Post event, there was another event for shaking a leg✨/letting loose at another venue – which I did not attend and hence cannot comment.

Overall, Great initiative by the organizers in coming up with the event and providing a platform for all aviators to meet.