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Kinda hard to go 18 hours without drinking water.
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The company provides you with as much bottled water from stateside as you care to carry. I think the bottles we get are 2 liters each, I carry one for a short overnight and two for a long one in Mexico. I use it to brush my teeth and drink. I'm sure I've accidentally swallowed some Mexico water from time to time in the shower and whatnot, and it's never really hurt me. I also make it a point to try out some of the local cuisine if I get a chance to. Never gotten sick yet (although some of the food has been pretty bad). As an IAH based pilot I spend about 3 nights a month in Mexico on average. I'd imagine it'd be one night a month or less for a CLE or EWR based pilot.
So far in my year and a half here, I've flown into Aguascalientes, Chihuahua, Ciudad Del Carmen, Ixtapa-Zihuatanejo, Leon-Guanajuato, Mazatlan, Mexico City, Monclova, Monterrey, Oaxaca, Puebla, Saltillo, San Luis Potosi, Tampico, Toluca, Torreon, and Villahermosa. I think there are still a dozen or so COEX destinations in Mexico I haven't been to; it's nice to have the variety of flying into a new city every so often. Later this month I'll get to go to Cabo San Lucas for the first time.
The non precision approaches down there tend to keep you pretty sharp as well, especially since they're often at night and almost always in the mountains. Add some bad wx into the mix and things really get interesting.