Arrived in Coimbatore late today. I am here to lecture at the 4th Indo-American Winter CME sponsored by a friend and colleague at Bronx-Lebanon Vellore Parthivel. He was original;y from Chennai which is in the state of Tamil Nadu. He runs this course in Coimbatore which is also in Tamil Nadu. It is a bit of a change going from touring hospitals and new friends homes to a CME course. There will be quite a few doctors here and I am looking forward to the exchange of ideas.