We had a very Interesting time today giving the Power Point presentation that was both in English and Dari to our Afghan physician counterparts. LtCol Johnson did a very good job with the help of our interpreter. Maybe I could enlighten you on some of the interesting challenges we face in opening up a medical clinic in Afghanistan. Men and women can not wait in the same waiting room so we have to create different waiting areas (I do not endorse the customs I just follow them). It is important to take into consideration the religious customs when creating a clinic, for instance, the urinals should not face towards mecca. It is also very important that the Afghans have a way to wash a body right after someone dies, I am not sure why. Never the less, we need to construct a body washing area in the new clinic. There needs to be a place to pray in the new clinic so a prayer room needs to be constructed. It is traditional to sacrifice a goat at the opening ceremony to bless the facility (we are still working out those details). Some other interesting Afghan customs is that it is common for a man to kiss another man on the cheek as a form of greeting and hold hands. It is also customary to enjoy a nice cup of chai and talk about each others family prior to discussing business.

We had a lot of cultural awareness training at Fort Riley, they called it "Leader Meets." We actually had actors that dressed and acted as if they did not know any English and it took place in a traditional Afghan surrounding. We were presented with challenging scenarios that we had to work through all with the help of an interpreter. Let me share just a few cultural taboos with you. You should never sit with your legs crossed where the bottom of your feet are showing, this is considered rude. You should never place your hat on the ground (I am not sure why) but it is common for Afghans to kiss their hat after it falls on the ground. You should not give the A-OK sign because it is considered offensive.

Everyone seemed to be pleased with our layout of the floor plan so we do not need to make any major changes. Our next step is to start training the staff of how to use the new equipment. We also will be giving lectures on mass casualty and emergency procedures, and infection control. I am looking forward to it.

I learned yesterday the origin of the word blog. I believe that it comes from the combination of the words web and log. I found that to be interesting.

Thanks for reading.