Monday, November 15, 2010

Again

It has worsened now than when it started
she was scared then she would go
and not be able to live
beyond a twelve year old,
with her parents. When it started,
and she spent hours locked up
in the bathroom waiting for it to stop.

They came they ate into her,
tortured her soul month after month
leaving bright red tears on beds
chairs, skirts, roads
and she ran from everywhere.

They worsened, came at their wish.
And bled her life away, her legs shaking
Her eyes reflected the silent agony
she went through, as she stood
through endless hours of work.

She cannot stand because she is weak,
she cannot sleep, because she will dirty the bed,
she cannot speak because she is
catching her breath, while,
the remaining blood trickles out
beneath her in steady dribbling jets.

There inside of her it started,
that flesh day by day, eating out
blood and rooting in the place
where a life begins,
right there, it grew
and spreading tentacles
cuscutas of its veins
drained life blood from the house
that gave birth to it.

Till this day, when it has grown
into the tree, crushing beneath it
the house where, it began as a seed
and its roots drain deeper
leaving the shambled cottage's
hungry lungs cry for air.

White pallid skin, replaces golden
parched lips reflect the hunger in her
eyes, as she passes by every child
she sees, she wants it.
To be her own.


But fears, because, tomorrow
every possibility exists,
This poison ivy will never
allow a small seedling to grow
and attach itself to his
mothers womb.
Or if it does, she will
choke him to death.

Thursday, November 4, 2010

Diwali...

How many years thus passed,
he had promised when he stepped out
the door,
to bring candles and crackers
for the evening, saving graces
for a year spent in counting
grains on the bottom of the urn
and potatoes dug from the ground
sharing that in a family of five.

That he would not return, amidst rains
and summer heat, amidst
loss of memories that counted in
a storm that broke the house,
water flooded inside
took a happy child
and returned.

Today, that he returned, seven years hence
phool jharris, candles, diyas, anaars in hand
for the daughter who had died,
for the son who had grown up from the
rocker horse, pulled carts outside,
for a mother who could not see or hear
and a wife he no more recognized.


Tuesday, November 2, 2010

HS

I am filled with a lot of good feelings over the time for my Professor,which I am finally penning. I am aware that word may possibly trickle out to him ( or worse, he may read it...) but I am not scared. My feelings about him do not arise out of a need to placate him to give me a better position in the list of Publications in the pipeline ( I am not bothered even if my name is not on the list), or to go gung ho somewhere and to someone about my exceptionality ( I am not an exceptional person).

But I have realized this over the one year that I have worked under him, from the first meeting, where his first question to me was ' Are you single?' ( He was worried if I had a place to stay...) and I thought of the myriad possibilities of shapes that question would take acquire in my life, ( I did not take one in the wrong sense) when I was not sure I would be staying on in Rohtak in the first place. And my "Yes" was more an answer to me, rather than to him. A decision, I have come to give the highest regards to, of late. I got a room to myself, albeit dilapidated, but big enough to house my thousand odd books, the day I joined Rohtak. Someone as unsocial as me would have had a lot of problems if I had not got the room then.

While I am still filled with awe about the professors back home ( I was always too much into Medicine, its in my blood, its in the air I breathe, and I had SCB by its guts...you could blindfold me there and leave me and I could walk about and back without hitting a single post...), while I still look upto them for their presence, for their knowledge, and their commitment ( Can never forget CBKM coming to ward at 11 to look up a patient, or doing a pleural tap today...a venesection tomorrow...putting a note another day...it maybe bigger to me because at that time, I knew much less...I was, as an ordinary MBBS, still not into the system), my teacher, my Boss, My professor, Sir, as I call him inside my mind as my mood makes it, I have seen for one thing more than another...his effort, his sincerity.

While I am not the ones who normally goes all out in front of people who move and shake the country..( got that attitude from dad...he refused a banquet invite at Maurya Sheraton where Bill Clinton had come...though his reasons are obscure to put here..but I want to drive home a moot point...I cannot make an effort to please someone if I don't feel like it from within...possibly because I haven't been in a situation where my career, or my position have been similarly placed, and in a way, as a post graduate, I still dont belong here..) but to see it day in and day out..for friends, for people who hear my Professor's good name and come, for people in positions of power...I do not see the intensity of his sincerity diminish. And while our troop ( of postgraduates) sometimes waits with exasperation wishing him to actually kick these people out of his office ( for closing their eyes in answer to 'what is your problem', thinking for 2 minutes...and give a dramatic soliloquy for another 10 minutes...by then I would have had a cardiac arrest..or would have advised 3 people on the benefits of clean health habits, physiotherapy, GCP, rushed to my room and back...stole a trip to my personal life..and back...blessed someone and back....), the fact that he comes with his hair in the air is enough to stamp the exasperation out. And his frank admission that he was exasperated with all those 'wise men' he has to entertain...I am sorry...but just his admission of the fact that he was equally bored through his smiles and his compulsions is enough for me to adore him. Not many would admit it. And I don't mind his living it. Its his way of living, and dealing with those around him. I may not agree to it, but it doesn't diminish the mutual respect I have for him.

And I am glad he has given me space. Space to wander, and lose myself be lost..and finally, beginning to gather myself up again. There was once this concept of firebird I had accidentally built in my mind ( first from an isolated orkut profile picture upload...then a poem whose two lines went like...'and then the firebird from her ashes rose, and prescribed her lunatic a sedative dose'...to isolated meanderings when I wished to be one of the firebirds known for their healing qualities in Harry Potter ( I have always been a fairy tale kid....I hate myself for that) When I wanted to fly and go and cry over a bleeding toe nail, and cure it, because there was no other entrance for me into that person's place or life) and today, he reminded me of that situation in his unbelievably artless pinup expression...honesty. My Boss does not have an ego. And if he does, its not the harmful kind. Thats the best part about him.

I listen to stories when I hear him straighten up in the presence of two girls with he took a picture with ...and I know that expression even without seeing it. I have seen how uncomfortable he gets ( in comparison to his friend and my other inspiration here who can hug a bunch of us silly willies with a damn care attitude about the world who would be stupid enough to comment...) and I remember his expression when I told him about my medical problem. He had not even looked at me once. He looked up at the ceiling instead of looking at the MRI scan showing a fibroid twice as big as the uterus. And I wondered if I had told him something banal...or worse...like I had a sexually transmitted disease. And then I wondered if he would have looked me in the face if, say I had a brain tumor instead. But anyways. Thats possibly because he hasn't got friends or the situations to let go of his straight laced ways. In any case, I am not worried, or troubled, or even saddened by this. I find it mildly amusing, even kind of funny...the same way I feel for my mothers tempers about our ( me and my sister's) perennial single statuses...or my continuous ignorance of my medical condition, basically which cannot be helped ( got another verbal lashing...when I told her by Hemoglobin has gone down again to 10, its actually 9.6...and gave her the explanation for it...I am not taking medicines...did she have to be irritated?). So I look upon that stiffneckedness with the same adoration I have for my mothers continuous banter when she opens her mouth, as I watch the television unfazed, or look into her face without an expression...

No, the liking stems from elsewhere. He has given me space to actually go down to the average murk that consumes one of us sometime or the other during post graduation. Keeping up in the Medical profession is difficult. Going about with the same energy, I find myself sapped of it each time after I do an Emergency. I know I am not like the saviour there...but I try to do my best. And I know I am the one anyday who spends more time counselling patients. I have seen its rewards. Doctors forget body is a temple. It has its own healing powers within itself that will begin to act with a small nudge from outside. Call me a believer in Alternative medicine or whatever ( I actually wanted to find out a unani doctor in Chandni Chowk when I used to live in Delhi, but then I had other persuations, so I could not go about it all out). I have got myself into this downward slide maybe or vacuum for like 4 years now...and for sometime, it got into my system and choked my aspirations. I slouched. And it showed. My files, my patients, my work, all started to reflect that inner negative vibes I was carrying within me...

And finally he told me. He stopped me from taking a break, asked me to wipe my paws and to get back. And got back I did. Three days later he told me something I will never forget. I don't want to put it down. But I knew that he knows me. Not for what I am, but what I can be. I am grateful for that. I have carried these people in my heart of hearts when they have been with me when I have been licking the pits.

I often remember that incident in the movie The Perfume where the protagonist doles out a thousand concoctions of perfume for his teacher before he leaves (about that movie, later). I am not speaking in that murderous perspective at all. I speak in the perspective when it doesn't matter to me if I am read, or published, if my name comes in a positive impact factor journal...if I go and do a fellowship in John Hopkins and all that...For all I know, I might turn into a yoga teacher tomorrow, or marry a farmer and own a farm in South America, or just go to some island and practice medicine and live my life like the oracle in Minority Report, where her truths would no more be the life she saw in reality, or her dreams, but the fairy tales she read where people lived happily ever after...I dont know where I am going to end up in my search for the meaning of two words in my life...Love, and Happiness. But I know that even if I am caught for sometime, I shall fly away someday to that place my closed eyes keep dreaming of. And that I will also ensure I know the meaning of both of them before I go. But I am glad he stays silent where he does. And speaks with his artistically inarticulate honesty when he speaks what he speaks.

To this end, today when I asked him why I have become like that, when no one else around is like me, and that my laid back attitude is highly unexpected for a post graduate in Medicine...what he said picking up from a weird ad which might be airing somewhere...starring a ludicrously muscled hero from Bollywood ( how health conscious my Boss is...u can take a guess when at 46, he can run 10 kilometers without his breath flaring.)...Sucharita, those people win who do not defeat somebody..but who are able get up after being thrown down.

Thank you so much for these words ( And I am glad I havent seen the ad..I would have never got the perspective then...) Today, he makes me want to go back to my life again in the aspect that I want to get serious about what I like. I like to heal. And I like to write. And for now, these two are perfectly sufficient for me to lead my life successfully, if not necessarily contentedly. I will be content if I can pour in the words, happy and love inside that porridge. But its not the time for that. I want to write again. Not just this blog. Or silly stories for kids, or words of life and childhood, and love and loss. I am picking up writing for writing about everything...to the patients who could not live to teach me the lessons, to the patients with whom I have had my most honored moments...to people who have shown me what love could possibly mean. And better, entail.

God bless you. Even if I will be one person who will come up with bare faced facts and complaints and its true that I think you should take some serious lessons from your friend ( my other Boss I adore..his best friend, his mirror isomer) about recognizing people, their motives and capacities ( Dear Sir, you always...almost always trust the wrong people...and suffer because of this), I am glad with we three, the reticent Co-PG of mine, the strictly unsocial SR we treasure..and the whatever me, you have taken the magnanimity to trust us.

And we shall never let you down. God bless you

Sunday, October 24, 2010

Today.

One class every Tuesday.

Teach kids all the systems. No matter if its less. Or more.

Teach them, so they don't grow up to make

the same mistakes we do.

Or if they ask me questions I don't know the answer to.

Not to flinch.

Write.

I am happy today.

The within type.

And I can now fly without feeling the need to look down on the ground below.

The Fly Away type.

I have shed that skin, that shed sad-sodden slime drops.

Fewer stuff remaining. In the To-Do list.

Open the windows in someones closed room.

Make someone realize a word 'want' is not a thing beyond her reach.

And tell another, 'I cannot' are words just not meant to fit his shoes.

Spread two corners of everyones mouth.

Meet two people. For the last time maybe.

And no cringes of selfishness when I realize I am praying,

but not for myself, for the truest-firstest time.

I have nothing left to ask for.

What thirst I parched for from the falling raindrops of a cloud.

A big river came and started to flow outside my home.

I got everything I needed; from him from Her.

I am free.

Free to fly.

The Fly Away type.

And I am happy today.

The within type.

Saturday, October 23, 2010

Nothing...

Yesterday I promised someone I would write instead of crying. And I was with the hope that i would yet again produce voluminous amounts of text. Today I dont feel like crying at all. I just realized this. That I still don't have enough love in my veins. Not as much as I would like to. And I lay down my weapons against that thing called life. Right now, I would like to,

Go and fall over a cliff. And trust me I would be smiling till I smashed into the rocks.
Something I have never been able to do...
Run till my lungs burst and all the blood came out of it.
Hit my head and forget everything about me. And then go to a village and live a life doing chores from house to house like an ordinary peasant woman.
Leave this place. Just leave this place and start walking. And walk till my life bleeds out of my legs.
Actually fall into that water I have seen myself fall into countless times in my dreams.

The best, be that Mermaid I grew up with, even before I learnt to read the story.

Life can be that strange, that fucked up for some people.
Or people fuck their lives up. Maybe that is the truth.

And tears, No tears today. And I doubt if there will be any ever again after this.
I don't know if I am better today knowing it or worse.
I am numb. Because still, I have nothing to gain.
And I have nothing left to lose.
Just a vague emptiness, that I have no words to describe.
Like someone punched me in the face, and forced me to see my face in the mirror.
Like the moths I used to smash as a child because I was scared of them.
Ugly isn't it?
I have nothing left to say.

And when I dissolve into foam, one single drop would fall from my eyes. I wish I could dive in and go away from here.

I wish this is all a dream and I could be, I could be 24 again.

And if that is not possible, then what I learnt today, should change me to the extent that I don't have to do that "Exhale Sucharita. Fill yourself with happiness, you are going to save people's lives. Its a much bigger privilege than anybody gets to get in his/her life. Don't ruin this with your unhappiness within. Don't let that shadow fall on them", each time I walked to the Hospital.

To be honest, About right now, I want to go to Daycare center where I used to be on night duty for a bunch of Terminal patients on ventilator. At about 2 or 3 in the morning, in the biting cold, I used to be the only one person awake there. And I used to pace all night. Looking at each of those bloated faces till it was 6 in the morning. People I mostly never saw making it to life till the time I left.

I want to do that now. I wish they did not lock our hostels from outside. They possibly sense our feelings. Thats why they lock us in. People like me can be dangerous tonight.

Friday, October 22, 2010

On being read...

I have no idea why I am being told I write well. Few days back a junior around here i don't even know the name of approached me, checked if I was the name I know to be mine, and said I write a good blog. That means a lot many read my blog who do not choose to say anything. I dont know what to say. I am not sure if I want to be read. I don't think I would like people to come asking me...oh who is that person u referred to in that entry who loved to beat his students in their knuckles...or who is the she with a white saree and a vermillion mark. I dont want to answer these questions. It doesnt make a difference if people know or dont know. I never wanted that for me. I write when my heart wrenches. Which is quite often. Because I choose to come back to my life silently. And stubbornly stick to my privacy after my exhaustion with people in a hospital. I wonder if my extremely nice friends can actually hear that grumble when they knock on my door and I reluctantly allow them to come in. No I have never wanted to write well. I have always written because I have always been afraid to speak. (Disclaimer: Nothing about this blog is professional; because if I use the same statement in that regard, at least two people will lose consciousness. I won't name them of course. They try to put some sense into my head about controlling my outspokenness and blatant temper ) And when I do feel like this, if I am not in tears (which is most often; I am a very emotional, depression prone neurotic individual), then my hands move automatically and I start hitting the keypad.

Gaining 6 people on my followership column is a little daunting. Like I have to produce something good for the ones who read me. Yet I have no such ideas in my head to write. I write about my life, and the life I see around me. None about the feel good factor. None about the poke your head and come up with something that is like a cliffhanger; a instant hook-up. I write things that might just look interesting to someone else because its another persons private tragedy or comedy. Humans have that innate voyeuristic tendency. They always want to know what is going on in another persons life.

Like someone who asked me something recently to which I fell into that numb stasis. And produced this piece. 1> Do u believe in Love? 2> Do you believe in Destiny and 3> Do u believe that whatever happens, happens for the good?

I have written for years now. How and in which circumstances, doesn't matter. And to whom, and when, not much of a bother. I have written to people who have mattered the most to me to kids who never thought grown up people would appreciate their drawing. Recently I went through a chapter in Psychiatry about the defense mechanisms people use. And after going through it again and again, I knew I use two of them. Suppression, and humor. My aim is to go to the Sublimation. Its the noblest of all defense mechanisms (as has been pointedly given in the book...lie its forcing people to see inside them and reevaluate...). I cannot paint, for then I would have painted of sunshine streaking through clouds. I cannot travel, because I seldom get out of my campus more than once a week. I used to sing. But I used the money saved in buying a guitar for something else. A few months later, wretched with emotion, I stopped singing, and I have not sung ever since. I have slowly given up, over the time, my appetite for consuming large number of books. I remember I finished nearly 300 novels ( not M & B mind it...I would consider that subscribership to be below my dignity..). But Revolutionary Road hangs there. Somewhere in the 20 or 30 odd pages I read...for over a year now. And I have let up on that. I cannot live that life anymore. Its too painful as it is. I want to go numb after my exhaustion. Because reliving upto a passion that once got me into the best and worst moments of my life is an adventure I choose not to undertake anymore.

But I cannot leave this. I cannot leave writing. No matter how much I try to. And I have tried to quit; to stop writing letters, to stop writing about my personal life on a public forum. But I cannot do it. Not that I am advertising. No matter what I write, I know the one person perhaps I would want to read it is no more there. And it doesn't matter if a hundred other people read my blog ( I am not being disrespectful. I sincerely take on the blessings of all those people who have bolstered my faith in this. Especially my Professor, the most unimaginable person to read my column...hick hick...makes me blush each time I think about what he must be thinking to read young rantings like mine ) Without your faith and trust, I would be nowhere. But its difficult to describe. Like the Pin Wheel Jasmine. A flower without a scent . And the same way I cannot forget. The same way I cannot stop worshipping. The same way I choose to stay silent about that one question that snuffs the laughter out of my eyes and kills it everytime I see the same childs face in every child I see smiling. And I cannot move on. In fact I choose not to. In reality I manage to get my hands on every child within passing distance of me. And trust me, children are the only people who will look straight into your eyes without flinching. Most of the time, I break the gaze.

Believing that whatever happened happened for the good will prove that ascribing ones faith in another person or thing is not a permanent thought. Just because it got broken, or was not fulfilled. Or the idea that it can be done over and over again and it can be killed over and over again. Like 'gathering and dusting off lovers' that someone had written. I cannot believe in this. Even though I have lost enough times trying to prove it to myself to the extent I have quit playing games with my heart or faith. Yet I cannot do it. Not to someone else. I cannot do it to myself. Because that would mean whatever I say, or do, are statements that bear strength only in transience. My feelings and my life is not a short episode of a Sitcom. I move from day to day through the things that have happened to me all these 28 years. And I am a sum total of all of them. Even if some of them have been painful ones, they have defined me. Even if I know I can never have that faith anymore, I choose to believe Faith exists.

For some it does. You have to trust me.

People who know me for what I am, have seen the aggression with which I work, my friends who have seen the depression that I once fell into (God knows I think I can never shake out that old hag tugging at my happiness each time I try it ) will tell you, I go by with a few things pending. ( Not including the paper my Professor wants me to complete..I think I should be doing it in another one and a half years..). I shall write about things that I feel like. And I know not all of it will sound good. In fact I know most of it will speak of the filth and the anger and the hurt that sometimes weaves up dark wet nets on my attempts to look at the sunshine. But I shall choose to write about them. Each time it comes to me, rather than fall back on my pillow and drench it ( You devise a method to date tear stains...and mine will be the longest surviving pillow....the prize shall be a detergent that would promise to wash the stink but keep the stain)

But I wont write with a promise to put more people in pain through the pain that I or some other people I know have undergone. People generally tch tch at things like this. Believe me nothing is more stupid than this. Or more classless. I don't want to make you more miserable than you already are. I wont have that much time to explain, and I rarely edit my posts so most of the time things will be dropped here and there. I know I shall never have much time to explain or beauitfy. But if you can, try to look for the hope I dont speak of when I write about despair. Just look inside the pools of tears and you shall find a girls innocence, a mothers dream, a sons fears, a daughters laughter...all undiminished, shining against the grey truths we give names like life, situations, and destiny. And you shall find love. Lots and lots of love. Of the capacity of people for love. Do not read me if you want to see life as a punishment. Dont read me if you think you need a vent for your anger and see that happening here. Which of course is true to the point that I write about things or people who were possibly wronged or misunderstood at some point in their lives. But beyond that, its also about truth. The whole truth. And nothing but the truth. Because I dont know about love but I can say that truth stands the test of time.

Because no matter what I tell, no matter what I or anyone else mentioned here goes through, lives, or passes on, truth shall remain.

And also that I will...

Always believe in love.

Always fight Destiny.

And always make things happen to me rather than decide that whatever happens might have happened for the good.

(Dear friend, did you get your answer? I promised you I would reply to you in my blog. And I did it. I am very serious about my promises...I keep every single one of them...)

KISSES OVER THE PHONE

It had started from there;
begged, in the presence of a friend
and you blushed and denied until;
you slammed the phone down.
And when you confessed to your friend
the situation,
She chose not to believe !!!

It went to a place when you were scared
and wanted to lock yourselves
in a room until you shook him
and you could say; bring it out on me.
take it out; don't let it consume you
the way it does.
But for him there was a better option.

Few days back again,
I got that telephonic kiss
again from someone who stays
up in the mountains, comes down to touch me
when my eyes open and
against all darkness of a house
devoid of light, I see
the moon by the window, full faced at me.
And from her I got it and got it again,
until stiff lipped, pool eyed,
I asked her to turn her head
and check her ears,

And planted a solid one against the dial.
What she did not realize,
was that her giggles caused
ripples on my pool of dreams
that I once saw with my eyes
that still choose to be blind
to the truth that ultimately awaits us.

Saturday, October 16, 2010

In Comparison

How strange is this land, in comparison, where no more than twenty people can rise together for an occasion. Today is Dussehra, the festival of triumph of good over evil, of truth over falsehood, and it is a dead city. Cuttack, in comparison, would be held in chaos now. Pandals, murtis, Melodies, would be littered all over the city. From the Muslim dominated Buxi Bazar, through the beautiful Manglabag and the Silver Chandni Chowk effigy, into the Taladanda Canal Puja committes slum dwellers Durga effigy, its hard not to spot a place which has been left of some attempt at happiness.

I miss you Cuttack. The lack of religion here is as pathetic as the excess of it there. Given a choice, I would prefer the latter. It was always easier to unload ones sadness there. That is not possible here. You have to consume it within you.

Saturday, September 4, 2010

Minding my ABCs.... (1)

Prep School, somewhere in a remote corner of Orissa, an Integral School developed on the tenets of The Mother and Shri Aurobindo. Event: The Independence Day Oratory Competition. year 1986-87. I went knobbly kneed and spoke nothing on the dias...I am told I could recite chapters from books after just 2 readings. Maybe the initial synaptic connections were being set. But my first stage presentation and even if I had memorized the stuff in only one or two readings I got nothing on my lips the moment I set foot on the dias. Everyone gave me a respectful lapse until they finally got bored and finally asked me to step down. Another girl got a prize.

There was some man my mother had given a job in the school as a physical instructor who also teamed up as my bearer for the 20 odd kilometers I used to go by bus everyday. Sort of a benefactress for both the school's director and this man, who were her patients. I used to torture him into giving me a soft drink every day we used to walk back from school. I hated him but I loved his father, who was a village priest. He had a long aquiline nose and had a Sandalwood paste done in a way till the mark came upto his nostrils. I found him very good looking and kind. I thought my tutor was a monster since he was mean not to ever give me any cold drinks. What I did not know was that they barely had money to cook food in their family, and my mother had put him in a job because of his father's insistence when she went to the temple. So everytime he did give me a Gold Spot, my mother would force a note in his pocket.

He and his father were both very nice men and his family adored me. Everytime I went to their house in the village I got an omelette. I hated the Omelette. I wanted to eat smoked potatoes and water rice like them with Saag from their garden but never got that. They always gave me the parboiled rice and omelette. I loved his mother because she used to take me to the big and cold mud thatched room in their house which smelled of fresh straw and showed my how rice was beaten on a dhinki. And taught me to play see-saw on their bullock cart.

I was the previleged one in at least 5 villages...as the daughter of two dashing doctors from Cuttack. And so it couldn't be that I did not win a prize. I beat up C, the physical instructor, who also doubled up as my private tutor. My mother inquired what I wanted and bought it and secretly gave it to me through C Sir. I was told the school had retrospectively decided to award me because that was the first time I spoke, even if I did not come first. I had a school bag which I hated. I wanted a shiny steel box, like all others used to carry. It was heavy. So 'C Sir' used to carry it for me. It had a Bonnisan baby joker pasted on the top. Bonnisan for Happy Healthy Babies.

Somewhere through that winter and the rest, my mother bought me 2 illustrated fairy tales by Hans Christian Andersen. My world was awash with the idea of the being a mermaid dying for her love, sharing a chocolate house with Hansel and Grethel, wearing a frock that looked like a lotus, a black rose, having a house in a kite, understanding animal languages, visiting Russia to meet Ivan Ivanovich, live in a caravan and so on. I used to sleep between my parents and the first thing they did was to ask me tables. They wanted me to learn upto 30. I was not even 6 that time. I hated that time when I woke up and used to pretend to sleep over. But I loved it when father picked me up from the tables to talk to me about Popes and kings and India's Independence struggle. They stopped the tables recitation after I reached 25.

With the fairy tales I used to read strange books my mother bought me to read. I was being trained to go to Stewart School in Cuttack. My mother used to work in the hospital and then come back and teach me. I devoured the Science book and the New Horizons book for English. She got me another years book in advance that I was supposed to do in my spare time. I did that in no time.

I used to play Doctor Doctor with my cousin in the sprawling drawing room in our quarters. We were always short of paper we used for our games. I despised the white notepads that MRs gave my parents. My attention was in turn on the sheaths of blue kept in a black leather bag in my father's shelf. One day I picked a few sheets a little scared some one would know. We played with it, and I threw it out the window. It went unnoticed. Next day I became a little bit daring and we brought out another bunch and had a field day cutting it into prescriptions, bus tickets, coupons, currency and so on. Within a week a ream worth of typed paper was lying in a heap outside the window. A few days from then some summons came for my father to attend. He was and till date remains an extremely organized man. I was in the room when he came to the shelf. He opened the bag and found a pen without a cap. ( We were using the bag as the money bag conductors carry ). He never told me a word.

Not long there after I once jumped inside the operation theater in the Primary Health Center both my parents were posted at. It was an open air, open access, brightly lit room with windows that had no panes, and my father used to remove fibroids, lipomas, drain abscesses, squelch hernias and so on, with some spectators from outside who kept standing outside the window panes and looked on at the proceedings. One day I entered the OT to ask permission for something. On the outside was my mother, with a baby hanging upside down in her left hand, and a woman with red between her legs and a bucket below. I ran inside when she asked me to go out. I saw dad stiffen. But no one spoke a word. I strained at what he was operating through the drapes. I stood there a long time before I got bored and walked out. It was a circumcision. I knew that day that my mother was a gynaecologist. She was giving birth to a baby !!!

In 1989, I walked as a 9 year old into a section full of 90 odd students. I was readmitted into Standard 2 Section B because the "English Medium" ICSE schools would not admit me in Standard 3. I thought I had failed, so I was doing it again. I was not in Stewart School, because my mother was told kids did drugs there in that school. And that scare was enough for my parents to decide to put me in good old SCB. I was in my favorite yellow Salwar and in my aluminium box which was heavy with hard bound notebooks. I was pink with shame. Someone called me back and the teacher asked me to go back and I began to go towards her. ' Go Back...' she said a bit louder. I blushed. A guy I later knew to be Santosh called me from behind in Oriya to come back. I went and sat next to him. We were friends. A few minutes later it was decided that I should ask Amrita, the smartest girl in the class for her friendship. But it would depend on whether she wanted to be my friend or not. I eagerly waited for the Recess.

The bell rang and I was taken by 3 or 4 kids to a girl who was incredibly round cheeks and eyes that ended in a oiled sort of way between her lashes. She had incredibly beautiful eyes and wore her hair parted on the side with a white band pushing the front hair back. In one moment I felt ashamed of the Yellow Salwar, the Aluminium box I was carrying. They were all bought at my own insistence when I was back in the Integral School. In one moment, I wanted to be like her, with her shirt having a round collar, and blue tunic. " See I don't have a problem in making you my friend. But I need to know what my best friend has to say about it". I waited for her Best Friend to come. An extremely fair girl, with a nose I noticed immediately, and kajol in her brown eyes, came banging desks on either side of her with her palms. " Can I be your and Amrita's friend? "

She took one look at me from top to bottom. I was very nervous. 'She is not a good girl', she said and walked back, palms banging desks either side of her. "I am sorry", Amrita said matter of factly. " I really had no problems being your friend but since my Best Friend says you are not a good girl, I will go by what she says". She walked away. Santosh consoled me. " Don't worry, I will be your friend." We shook hands or what I don't remember. I hated myself for being bad. I wondered why my parents had to give birth to a bad girl. I cried that day while returning from school.

That white girl was known was "White Ghost" amongst us. I used to run away every time I saw her. Because every time she neared me she cast a shrewd look that convinced me I had something deeply worng with me. Santosh had some time convincing me I wasn't bad. We shared our tiffins. But I did not like Santosh for all his help. He just did not want to read and had a terrible handwriting. I wanrted to befriend Amrita an her Best Friend. She was a very vicious girl it was said. She was a 'dada', a goon. And her name was Subhashree Panda.

Friday, September 3, 2010

I am obsessed with neat looking files and treatment charts that have less than 2 cancelled orders. But I am wondering if that part of the Obsessive Compulsive disorder I have to keep things clean, then why I don't carry it to my room. My room is a heap of mess, do not know if it is for the stuff that I kept lugging from Delhi, a total of contents of three rooms all shoved into one small dreary room I have here, with its books and papers, all flying about, and now 2 computers to add. For this reason I choose to suffer the summer heat and not add a refrigerator and cooler to it. Tonight I am going to clean it, in terms of shoving out the papers and literature I have been bringing home. Then I will get that 20 kilos of books from Delhi I am planning to finish. God be with me.

Thursday, September 2, 2010

J

What she did not realize. What people like me and some others never realize. Never idolize a human being. People are full of imperfections. And I have no idea how women end up being the way they are when it comes to idolization. They idolize weak faltering men into towers of divinity until that divine soul kicks them down their stairway of heaven into the realm of reality. Whether its a girl who goes on loving a person despite fully knowing he neither kept his promises to her when he had said it was a forever thing and that his basic reason for getting rid of her, was perhaps, his not getting everything of her, or its a woman who realizes on her twentieth marriage anniversary the man and his family she married and gave her life to, has been tweedling a teenager's nipples in the comfort of his home she works her guts out to run, the story just goes on and on and on.

Whether its a trait that makes them strong or weak, these women, I have not been able to know. They are the women you find everywhere, women who you might pass by on the street ever realizing what her life might have been, what her day to day struggle could possibly entail. Sometimes I think its a good thing to be so, to go by the morals people only hear about and read about but never endure, never try to live. But you can never imagine the torture these people face every single day. Words are easy to pen, especially when we have a bunch of thinkers who sit over a packet of cigarettes and start to write about things they can never ever live upto.

She has been living alone, a 'Widow despite a husband', in all possible ways a single woman can possibly manage to live. She has aged, all these years have brought the loose strands out of her tight hair bob and her heels have given way to sandals, sandals to chappals. When the man she married her life into left her, she was left with a child and a mountain of memories belonging to another one. And nothing else besides. Everyday since that morning till the time she sits to recollect it is a struggle against herself, more than the surrounding thoroughfare that usually gets thrown at women into this fate. Against a life that was forsaken, against comforts that could have been her due, she had to get up every morning to rummage through her scanty powers to live through a struggle that slowly consumed hours, days and now stretches over a decade, not ending, not being overcome. I cannot spell it out what every day can be for a woman brought into this fate in terms of people who tried to understand her, people who tried to take advantage of her, and people who kept forsaking her. For the men who asked her to take use of a good opportunity in lieu of unmentionable filth they had in their eyes for the woman they called their sister, bhabi...I am not qualified to do that. I am not a woman who has gone through this.

But she kept on. With some success and more failure if you strictly talk in the materialistic sense of the word. Its just that when she talks about the big dreams she has been waiting for to come true, of grand times to come for her and her son, which now her son grown up and man of the world, sees it as mere foolishness, I don't see it as a way of running away from it, or an indulgence. Its perhaps just a douser to the inner filth a woman feels for herself when she must have looked into her son's eyes, and found he was looking for someone apart from her. The pang a woman feels when she returns into an empty room burning with memories of a life that she hates with all her existence, but something that was a part of her, her marriage, her identity in terms of the promise an average Indian woman makes when she consigns her life to the holiness of the flames burning in front of her. For better or for worse. And when she must have finally realized herself, that even with the best of her efforts, she could not give her child the happiness and love he deserved, and the comfort and luxury every single woman wants her child to be in...prehistoric rules of Biology. Basic Instincts of every species against Darwin's back drop. Propagation of a productive perpetua. Because she could always be the mother. The boy needed a father.

And also the realization that her dreams betrayed her...Her idea of things that she deserved to get were rudely crushed under that wheel called destiny...and she was consigned to the ordinariness she could have despised when she had that age. I can understand that feeling of "Not enough" in a woman's eyes when despite everything she does for her son, she will always know that there will be a chair on the table she will not be able to take. Women have this inherent masochistic tendency in them. The more independent they become, the more they yearn to be taken care of, to be pampered and even treated like a kid. To the onlooker, it is an impossibility.

Men tend to run away from such women because they never get past that sexual mould where men are supposed to go hunting and women cook the meat they bring. Its will take a day to write about the bizarre malady that afflicts when such situations reverse. Women tended to move out of the house in the absence of an alpha male who fell back upon his words. There was never any need to prove a point. All the things that followed were cascade reactions of the vicious cycle. And in case of women who do manage to succeed, often but not all the time, their success becomes their private tragedy. Especially more so for a woman living in a society like ours with pseudo societal values of honor and chivalry. And in the lack of what she wants most, that is a new identity besides the tag she carries around like millstones, if she wants to prove that even she can make it on her own in the masculine chauvinistic society she lives in; if for some reason or the other not managed to do it, her indulgence in the idea of a better future, which she may have got complusively adhered to, not realizing that her boy has grown up, understands that his mother isn't exactly the heroine she keeps telling him she is, its her bane. She feels she has been a total failure as the caretaker of the one person who is all she has. He feels she is stupid and suggestible, a cause for embarassment. For him the adulation he feels for her is at a level she doesn't manage to see. For her his love is a distant expression of silence she doesn't feel reassured with. Distances grow. He denies responsibilities fiercely, and runs from expectations. She cannot live without hoping for it. And she is too proud to demand that due. Love fades. Or does it.

Because she is honest, scrupulous, and believe it or not honest to a fault. No wonder she keeps failing more than succeeding. Except where she lends her dreams to people who do not have the patience of a conversation with her, even when they love her. For she needs love too. She needs someone to scoop her off and carry her to a place where she can have the indulgence of a little comfort without worrying about the next meal. Her people don't see it like that. They subconsciously compare her with the modern day mothers they see trampling in stillettoes and think how ignorant she is when it comes to the ways of the world. And how stupid she is to keep trusting those who hurt her. Petty things. Inconsequential things to ponder about, really. And things pile on until it becomes one big mound of rotting filth. I don't see any foolishness in that dream, any falsehood in that staff she holds on to, and any malice in the idea of helping someone; and its okay if she does not make it. Its her salve. Because if someone will ever heartlessly tell her the truth, which in any case she knows, she will break into the million shreds she has actually managed to keep herself from turning into.

I feel sorry about it when I realize it that things like the lack of a family or a lack of love can bring upon a man a peculiar escapism even when he seeks such higher truths. And then I decide to bury the truth. And accept that not every person chooses to go by his word. There will always be men who will leave their mothers for their wives, there will always be boys who will promise their lovers the world and then move on to another city and find another woman and trample the hopes of the ones they left without even giving so much as a decent explanation. And there will always be women who will run off to marry someone better off. Or daughter-in-laws who will come to a house with the chief intention to break it. Despite what people say in the beginning. Promises are meant to be broken. You just never know just about how many of them practice this laugh line. And when people forget things for any reason, its best not to remind them and to move on and beyond it. Even if you think you deserve to know the answer to a simple question. Why? Even when you glorified him in your loss. And kept waiting. For a time that was never to come.

There are people who choose to bring out at their dearest ones the most hurt that they have in themselves. There are people who cannot bear to see the truth and the trust and will challenge one's faith to their utmost, not because they do not believe in it, but because they believe in it to the extent that they start getting scared. And some of them, some of them, don't come back and make up for it even when they know its time. Whatever be the case, whatever be their reasons, be it between brothers, lovers, sons and daughters, and whoever is the one who has been waiting...Exhale....And move on. Do not wait. Do not waste your life for people like these ignoring those who love you and care for you. Like she does. And when you ask her how she does it, its simple...'I have surrendered everything to Him'. I cannot express how she described her faith in this word we all call God, to my left cerebral hemisphere it was a weird indulgence. Sublimation of all things she has suffered to this date. Even my conjenctural Meera Bai Phenomenon where all emotional, physical and sexual frustrations are brought out in terms of lyrical words and music. But one part of me listened. Agape, as she recounted her personal love affair with her God. I know the love between the mother son duo. Its not the place to write about it. But She and her God I can. It was weird. How can someone still have so much faith? Do people like this actually exist?

Utter Bullshit.

That was India that lived like that upto the eighties. Still lives on in nooks and crannies where you find women in white sarees wearing bright red vermillion on their foreheads for a man who treated her like a whore, and then left her and her son for another. The ultimate biological definition of a male. And she lived on. Through everything. And then you watch agape. And the cynic in you wonders if the same can happen to you. Rather, if the same ever happened to you, would you/ could you become like her.

And then that utterly beautiful woman comes and hugs you and plants a wet kiss on your neck, because that is the most of you she can reach. You take one look at her, at the whole of her. And you lose it.

You can never understand that. Not if you have not been a married single woman bringing up a child both as a father and a mother.

I have the honor of my life in knowing someone like her. She may not have managed to scorch the headlines as an immense success story, or be a failure to end her life. Her life, small, like the 5 feet of her, is reason enough for me to be stronger and more confident and more hopeful about the world and the people in it. The way she holds her head high when she walks from door to door to vindicate her belief in serving, in helping people, not everybody can believe it. Even I cannot myself. But I give it a possibility. People like this can and do exist.

To you, who will never know this, I promise to get over the single hurt that has been present as an insiduous nuisance all my life, which affects my thinking, gives me the violent tempers and gives me stubborness beyond reason. And I cannot explain why but I will see to it that your head always remains as high as I first saw it when I saw you...And for every drop that fell from our eyes when I held your hand for the first time and you said you did not need to know why they fell. You are reason enough to forget ( & I have long since forgiven) and reason enough to feel like starting all over again.

I am ready. And I am not afraid. Not because I lost, but because I fought a just battle, and admitted my human lacking with the candour. Because I admitted to being susceptible to what most people want in their lives. For someone to understand them without hurting them. In any case. Today I am ready to start living my life the way I used to before things changed. Except perhaps that it is odd that you should be the one to get me on about this. Life can be that odd. You get the light at the end of a tunnel. You get the answer from where you least expect it.

I want to start all over again. And this time I will take a human being as a human being. With limitations and punctuations. Except perhaps that I will still be looking for the God within. And I have learned my lessons this time. I want to fall in love with a human being, not with a concept of perfection or endurance. They do not exist. They never did. I want to move beyond the scattered question marks that arise when I ask myself questions about relinquishing the concept of owning to the concept of belonging. I have been too strong and too hurt and too cynical for too long now. I just want to be what I was when I read "Little Mermaid" for the first time. And when I told the story to someone. I want to become a child again. Be able to dream and trust again. Be able to hope again that all is not lost inside me. That a new day is approaching.

May God bless you with the abundance of his kindnesses (Since you are such a believer. My prayers have been more or less heard when I have prayed for others..With whatever religion I have in me..which I believe solely results from the passion and honesty and the respect I put towards my profession and the sacrifices I feel I have done for it. It can never be mentioned. Its in the life I live. I have no running on other peoples quotas of loves or cares. I owe no one anything except the care and unconditional support of my parents and faith of some of my teachers and some nameless, faceless ones who will never ask me for anything. I don't drink other people's alcohol, and I haven't unfortunately been in the need to borrow money from anyone which I have not been able to return. My parents taught me that. Mostly, even though I have anger potentials booming upto a few thousand volts enough to burn one or two houses down, I am not exactly a bad person, for I don't hurt people for the fun or the forgetfulness or the inconsideration of it. And I take my promises very seriously.)

And may the one person you love with abandon understand this some day what it takes to be you. Beyond writing about it in a language you will perhaps never get to read. Nor will any of us. And some part of one person who was waiting with all her dreams for it to be written so that she could go and tell him how much she loved and how things really were, and how mistaken he really was about certain things, she will perhaps keep waiting for ever. These are virtual concepts. Skeletons in cupboards you open and smell in the cold of your dreams. They will never see the light of the day. Should not either.

From me, to the TWO of you. The BEST. I hope your lives converge into something meaningful rather than the base escapism exhibited by one of you and the miserable suffering of the other. Its time for both of them to end. And I will love you both till the end of time with all our imperfections and fears acting as the glue to keep us separately connected. Maybe we will meet again...I don't know what lies ahead of us. Whether our 6 degrees of freedom will actually bring us closer or put us further off on our individual destinies.

And I will recede into mine now. I have to live my life. And now I want to. Hopefully, I will begin. Its time.

EMERGENCY

Another 45 admission day...misdiagonses, missed diagnoses, unknowns and the pangaas with Neurosurgery and Surgery dudes. But what I am about to write is that it was good to sleep in the ward again. I rather liked the 24 hour shift the ward handler has. Cannot say because I have always had a problem falling asleep and today was an official holiday so the Rheumatology clinic was closed. Otherwise things are bound to become very hectic for someone in our place. And as for the guy doing the night, without the intern, things will become dicey...

Fever is the most difficult to treat. Its easy if you know what you are handling. With temperatures at 104 you just cant write a treatment and ask the patient to come after 7 days. Its not like a fibroid you know lying in your pelvis silently, its not a burning micturition you are not aware of unless you visit the loo, fever and dyspnea are perhaps the most unnerving of all clinical symptoms. The insipid taste to the tongue that goes on until you have cured yourself off it, it ruins your life, spoils your mood and downs the examination results.

Hate the weather. Am longing for the winter to set in, that crisp way the air begins to break..Hope it will be soon now. Am still on with the other idea of posting things freely available on the internet; but as of now, one thing at a time. First, a new laptop and a short break. I am losing my edge and I need to be by myself for some time without having 50 people conversing in my head.

Yesterday, at 5 am I had to console an attendant whose father was admitted as meningitis but one my work up turned out to be a huge frontal lobe infarct...Was feeling like shit at that time, pulverised from morning Emergency, afternoon journal club evening round and post round emergency dash...but it was exactly that hurt in the son's eyes that took all the physical thing away. And here I am. Need a thorough spring cleaning of my room before I go to Delhi. Will be back, and start my thesis work.

Will write more. There are things I have been piling on.

Saturday, August 28, 2010

A Second Diversion...

On Fbook or should it be blogger..I think it will be worthwhile to provide links to the resource available on Net for free, at a place where people can read them..may be i shall tag them on Fbook or share them there....or should I start a second blog with this address? Appendixedmusings seems good enough for that too.....

Lessons

Missed a patient initially come for shortness of breath for the metabolic acidosis part...Even if i have been handling patients for quite some time like this, I will admit I havent come across the scenario when I missed making a diagnosis.

Bicarbonates were persistently coming low. He never gave a history of diabetes and he is an 80 year old man, too well preserved to come up with an initial Diabetic Ketoacidosis. Even if I and A were working together and its beyond doubt we make a super efficient team with our doggedness, we both did not have a time when we had tea before us and did not get time to sip it. Minds were pretty crowded and with the Medicine- Chest and T B story and me being on a backfoot because of the other units LOC rigid admission criteria, we both failed to miss it.

Always, always account for a patients metabolic acidosis. I will never make this mistake again...Because DKA doesnt come with an age tag. Today's 80 year old Bijender just showed that to me.

Friday, August 27, 2010

My first confession will be Sunita...a case of TB Meningitis who was there in my first month of posting. I will not mention the reasons for her death, but I will tell here that I am going to read about this and try to do womething better..She was a beautiful woman, newly married and had a daughter..and when she dies her mother had held on to me long after the others went. That was possibly the first day I had cried in hospital. I could not know she was developing hydrocephalus and her conjugate gaze palsy started and went on until I stopped forcing it on myself that it was not coincidence. Opposite to her was this real marasmic female with TB meningitis and DVT who survived. Suneeta never made it. I met her mother yesterday, and she came and hugged me. Women. They never forget another one they connect with.

And I will mention it when I finish with TB Meningitis. Since then I have seen very few deaths with it, except this one occasion when the man was so down with TB, that he had cutaneous TB, and of course one where we did not give ATT to a patient with SIDS with a near normal CSF..I will get back to you on this...Its a promise.

Thanks to two teachers here I have with me, who I think have faith in me, I am beginning to get my nerve back, along with the unnerved back, and I am back. The wards are beginning to seem once more like Cuttack now.

THE ART OF MEDICINE

I miss the arrogance with which PKD taught...and contrary to what people might otherwise think about me, I want to be humiliated about how less I know and with what I know how underconfident I really am about them. Today, these days, classes and situations are creeping up where that inner feeling inside me like " Ah...I know it, I have read it somewhere", keeps coming at me from time to time. About the inadequacy of our learning, and about the rampant disregard we have for facts in the way we treat. Evidence based Medicine.

When I was in undegraduation, I used to belong to one of those types who knew most answers if not all to most questions thrown at postgraduates in Medicine. And Medicine in my college was good, and we had some of the most arrogantly well read professors in our time. The biggest war after how much money one made in a month was succeeded by how many correct diagnoses one made...and it was like that...except for the excuse of those not being able to get managed being sent to AIIMS. I remember seeing those postgrads sweating and panting, of professors throwing letters and papers in their faces, and then we as undegraduates, and I in particular, with all the theoretical knowledge obtained from all books garnered from amply providing parents and the Internet used to look down upon Post Graduates thinking " How can they not know this ?"

It has turned into that. I have turned into one of those I used to look down upon. I dont have a reason, or maybe I do, but I am not staying put like this. And I will do whatever it takes beyond that point when just " Connecting with people and recognising diseases" is not enough. I have achieved that level. Now I will work with the limited expertise that should come to someone in my position. I am a physician. I will not work like a Dai. No more words, but one day at a time, and I will document deaths, mistakes that happen and as and when they happen. Before I forget to recognize them a second time it happens. Before its too late.

And thanks to one of the teachers I have over here who gives me the confidence that aggressiveness is not bad, as long as you are saying the right thing. I am aggressive no doubt. But I am not confident how right I am. And in all probabilities with whatever limited intellect I have if I work one step at a time, 3 years of post graduation will not be a difficult time. It has not been bad till now. I don't see it often, but a part back home in SCB is still here. And with my own professor giving me the confidence to give the medicine I want to, the freedom to choose, admit and refuse ( okay, none of this last part), I hope what I do makes up for the time I lost i finding my nerve back.

And I will be back with more. God bless the ones here who are trying to make a difference beyond eyewash.

Sunday, August 22, 2010

Coming Back to blogger

Lots of things happened.

3-4 months passed, pain subsided, screwed the medicines, overcame the fear, rampaged facebook, slept through Inception, finally nodded at the examination, abused the internet, wrote a paper, was asked for a bribe, faced a confrontation, thoroughly disappointed with an inspiration, got back to books, started yoga, quit it, got a QWERTY keypad phone, met two great friends on social network site, loved qi gong,

Came back to write. Met this awesome blog by Dr S Venkatesan in wordpress by the same name. Amazing the way he writes. I am going to do something similar if possible.

And work harder if i have to pull through it.

Wednesday, July 14, 2010

Lunar Troubles...

My obstretician-mother feels it is wiser to let me continue having my intramural fibroid and to let infertility be an issue later if at all rather than cut it out in the beginning and make the issue a certainty. In truth, she is following my own principle in healing..that is to let nature and the capacity for life take its own course. I am happy in a way because I don't have to jeopardize my examinations over a trivial gynaecological accident ( if people do consider a fibroid to be an accident). I have got over the initial trauma and the phases and am not in denial. I am sublimating. Over the years, I have handled it with carelessness even despite my mother imploring me several times to get an ultrasound done. Anyways I am not talking about my emotional wardrobe of tornadoes but want to pen something that is far more real. The real issue I have always wanted to know...Why do people in general and men in particular have such an issue with the words " Periods" ? And also the fact that I am talking about this in an open forum like Bloggermay sound crazy, but guys, give it a break will you and break away from your primitive minds just for once. Over centuries, from Leah to Cleopatra to Indira Gandhi, women have used this tool and your discomfort to their obvious advantage. And this is an issue with at least 3 billion of the world's inhabitants. So just chill.

I have read in a co-ed Convent. And one where the Sirs outnumbered the Mams. And I remember my principal perpetually sighing that her 'girls' could not be trained in 'girlish charms' like the counterpart all girls Convent where girls learnt to shimmy, bitch about, develop intolerable undescribable sexual inclinations in the poverty of male pheromones, learn Homescience, besides study. In my school we played kho-kha, that involved throwing tin drums at one another, and I do not remember just how many times I have run after my friends trying to pin them down in a brawl ( boys I meant) or cut their ties. I have learnt my girlish charms as all can see it. My mathematics teacher called me Soldier, I was School prefect, called Man-eater as a slang for my Monitor status ( I remember I was always kind as long as the decibels did not exceed. Maybe the innate firebrandedness got in the way). And got a number of steady Convent fan following for my mushroom cut hair, red tape shoes, baggy jeans top and skirts, with the tag of the worst dressed girl ( someone who can wear a rag) from a guy who turned out to be one of my best friends over the time...And I am not boasting of this. There were other girls like me. In abundance. People whose pheromones were all confused which side they belonged.

But when puberty hit there was so much of a distance, like we were untouchables, unable to do the same things, and my perpetual monthly troubles convinced me of my identity only when it hit me. Over the time I remember some or the other unprepared junior who accidentally spotted walk back from a drill class with a spotted skirt, with a red face, as if it was her crime. And I remember half the school looking down in shame. Where is shame involved? Or is it plain awkwardness? Its just routine biology. In humans, it just shows. I used to get angry at this. For a long time until I devised ways to twist and turn the hormonal milieu.

I thought things were bad in my state. But you wouldn't believe with what delicacy women spell their menstrual troubles to dashing young male Bong gynaecologists in Cuttack, and with what disdain they treat most female ones. Like they say there, the Best Gynaecologists are males. Because they treat women with 'tenderness'. What Junk. Or is it?

It even happens now when I talk with patients. For women hitting menopause, climacteric, with thyroid troubles, post menarchal, its but normal to ask about the monthly cycles. And there is always a stiffening from the side, like some cult phrases are being discussed. And I am harassed how some females can never learn to keep themselves clean despite their troubles. Men with sisters, daughters or married women are a bit at ease in comparison. The trouble is with men who have sons, who don't have a sister, who think talking about a gyanecological problem is only to be done among women. You meet a lot like that who don't look you in the eye when you are talking about your problem. That a cause for back pain could be the fibroid you have been harboring, men you adore and respect, who trust you to be true but are so self conscious of perhaps causing an error that they don't talk with you at ease, or talk about it when you are climbing stairs together and are least likely to pose by way of a confrontation. And it surprises you even if it doesn't hurt you. As doctors, its not expected from them. But then, so it is. And its all with good intentions mind you. They are just shy. For inexplicable reasons. Or they just think you are shy and don't want to press the issue. And I thought that instead of uselessly going on about it in a way that would be misinterpreted as being wild, I did the same thing, kept shut. Through my emergencies and ward nights. In pain that only a woman can know. And not once have I worked any less that any male counterpart in my College. I never allowed my trouble to turn into my weakness. And with drugs and a slight understanding of the physiology, which I used to manipulate my own timings, it did not do. Only that I do not have the answer that in this process of self experimentation, over a period spanning more than a decade now, I could have hurt myself. I don't do that any more nowadays. Not since the growing backpain over last 8 months that made me pause and rethink.

During my 2nd MBBS, I was hit upon the word 'Priapism'. I do not keep a dictionary because I believe in textbooks. I ran to my father and mother and asked dad. My mom gave me a one over and looked at dad and told him..' tell her, tell your doctor girl'. And he did. Straightforward and neat. Just the way I discuss my problem today, and my innate fear of having to deal with this issue in more serious manifestations. And he is equally reassuring. And I have seen women talking about worse issues like endometriosis, menorrhagia, dyspareunia openly in my city with professors. For some reason the situation is different here. Its not good that it is. We have numerous women who suffer from problems arising out of these but who keep their mouths shut for the fear of having to communicate it to their parents/husbands. One cannot imagine what proportion of young women with severe anaemia coming to me whisper to me a yes when I ask them if they are having trouble with their cycles. Faces like my school juniors, faces somewhere somehow that could have been mine. All red in the face, like a crime they committed.

I have more or less done to myself what leaking information or submitting to my investigation crazy mother-obstretician would have ultimately led to. Treated myself conservatively in styptics, haematinics and pain killers. Its only a three day nightmare a month. And so with even more gynaecologists and her learned self finally saying this is the best mode of treatment I am only vindicated. Just that she casually mentioned that if we do a myomectomy I should try to conceive within three years ( chances of a myoma recurrence)...( Just look at that woman). I said. 'I am finishing everything and going to Amrica sweetheart' . That was the end of the conversation of her perpetually trying to indicate to me that we have responsibilities besides patients. And her obvious ways of finding solutions for it, in terms of astronomers and scientists and what not..

That was the brief medical tete-e-tete I had with my mother-doctor, and despite my apprehensions, I move on with my priorities. Fortunately for me, I can diagnose a lot of hyperemesis gravidarum cases referred to me from Gynae OPDs and I do prescribe things that work when women are sent back from the dysfunctional gynae emergency we have in PGIMS here. All thanks to the one woman I have always laughed out and not listened to...her first diagnosis about me was correct. All her subsequent ones, ranging from PCOD to Endometriosis and God knows what not...are all wrong. I owe her my sympathy for these women, and I owe her this forthrightness that I can bark orders into their face about wounds or conditions they think they have done a crime to have. And I owe her that the treatment I gave myself digging into her basketfuls of Physician's Samples ( and also the brand names I fortunately remembered that worked with me) works with these young females who just go on covering their faces like dumb cows waiting to be slaughtered. And yes. I am taking care of myself. In case thats what you want to comment. I am smart enough for that.

Haryana needs a change. From up above to down below. Else they will plateau after their real estate money is spent on BMWs and Scorpios who periodically hit the Scrap Bins. And their idea of shame is actually a growing concern because it concerns the only ones they so badly treat and who are the only answer to their perpetuation.

Their Women.

( Not mentioning the peculiar inbreeding practices of the state which some of the most highly held and revered people openly subjugate themselves and their families to and the in-the-face disrespect for Education...that would take volumes to write. And would possibly issue me a fatwa...err, in local dialect a lath...So I wont write about it.)
Finally the shores shift the sands....
A shot of that feverish pitch,
that once underlined,
my madness is not
without the sense.

It knows, when to come
and when to leave alone.
And I am prepared, because I stand
arrogant and proud.
I am ready to dream,
dare and expect.

But only in connotations
of a promise, a positivity, a presence
a perpetua.
Because that defines, that I
have not been and
will not be the one to break away.

And I will dream on,
with absurd phrases, with work,
with broken letters, and fast words,
until I am prepared to wake up one morning,
and see the sunshine
as it really is.

Tomorrow will be mine.
Because, I did no one any wrong.
And I did not make anyone choose
a mistake,
over incomplete phrases and stories.

And I hope, because this strengthens me,
that I will be able to
Start all over again.
Without remorse or regret.
Because things cannot be
simpler than this.


Tuesday, July 6, 2010

Miserable tales of the XX

I hope God takes away this pain, this terrible pain I have been living with for the past 9 months, and all the fears associated with it. I cannot sit at the computer, cannot read, cannot write and cannot enjoy a book or a walk without having to shift my weight every 5 minutes. And the peculiar tugging sensation as if my perineal body was pulled by a strong rope anchored to it by a steel hook stops me in my tracks the few times it occurs. I will write about it. Not today. I am trying my best to shift about every 5 minutes and write a paper I have long since taken the sole responsibility to write, bypassing my Professor's insistence to contribute, because I kind of felt a personal attachment to the patient and thankfully, he allowed me to. I will finish this paper and write when I go home for three weeks to remove the intramural fibroid I have been harboring in my uterus for perhaps a decade or more, the reason for most of my miseries in life. I own an obligation to myself and this parasitic shameless lump of tissue that has been tugging at my crevices for a year now trying to announce its presence, and when I ignored it, it decided to grow and slow my life down.

It will not succeed. And it will also not take my uterus down.

Saturday, June 26, 2010

The Secret in her eyes....

You cannot do anything.

A thing you hold on to, a situation when you will out that conversation you have been having for years inside your head. See a cute child, hear an old couple's love talk, a mother fighting for her son, a bird pecking endlessly at a car's mirrors as if it did not like it own image, the cat you run after, the acid scar on your thigh your friends mistakenly put on you, the first hint of rain on your face, two metal chairs on a railway platform, the possible duration of lactation....it goes on. Life's tit bits, till the memory attached to them becomes that passion with which you live your life, day after day, year after year.

The biggest truth of them all. That you are afraid. Of numerous things, faceless, nameless irrational fears. Your life, your way of life. The dirty room, the swollen left foot, the books you are supposed to read, the books you read instead, travel and fashion magazines you collect, the fear of entering a parlour, of being made to feel like the one you want to hide the most. Behind that grit, that volcanic anger and the humor for which your patients warm up to you, your juniors adore you. That girl who keeps looking on, behind all this. Day in, day out. Like a secret.

Like a death you remember nineteen years later with absurd details. And when you don't want to but end up crying and revealing everything through your tears to the person who should have been kept the most away from it.

Conversations that go on in theory for 4 years, and in practice for less than 3 hours. Amidst your diamonds, the smart phone, the A/C, the second Littmann...You are a rich girl. And you like it. A trip in the same position, as a pillion, in that same posture you sat 4 years back. Afraid. Afraid of many things. And time flows. This time though there were no irrationally humorous conversations. There were just forced silences of the inevitablility that was to come four days hence.

Fear is such a constructive force. It helps one to work better, unlike the absurd excuses one can give for not wanting to return. 'I don't socialize. I don't pretend to like a person I can't. I don't care how I look. I wish I could care how I work. But beyond a point, no.' You give one reason for it, its understood. You will fail. Love will not last, a second time. And you are afraid when it will happen, this time you wont make it. Notice the author has used the word 'when' instead of 'should' like this is an inevitability.

Fear of getting in the path of ones dreams, like returning home night after night fallen, beaten and tired to keep a smiling face at the door, and sipping coffee and discussing 'paradigm shifts...'. These are well founded fears of coming in the way. Once accused, they never leave you, even if the person says its unfounded, because you know it has always been there, inside your head..Your absence is a release, your presence has always been a prohibition. Beyond that 16 hours working thinking about everybody else and coming back home to read 15 other things in 2 hours time is a soul that is desperate to be talked to. Doesn't matter. It will be learned to be overcomed.

Tell me. Tell me anything you want.

There is nothing else to say.

Okay then.

I will call you sometime.

Click of 2 phones. Sum total of 4 years of relation summed up in these 4 sentences. And the difference in it finally came about from an enforced request to clear the muck. At a time when things had gone far far ahead. The 'I will call you sometime' has never been kept. An ordeal for one of them. An uncomfortable situation. Why did he decide to stick on to it then? She had only wanted to see him one last time before she went.

This and in other painfully unimportant ways do people stop being in love with one another. It starts with these mute cycles of respiration that grow out and snuff everything else in no time. Even if 'make up' has been a word in not so distant past. Because it takes you 1 hour of your duty to realize where you stand.

Nowhere.

Nowhere. No escape. Not even a fleeting thought that love could be enough.

Despite what the movie says, its never enough.

Pictures. Pictures you see, photographs, two people looking good, smiling at the camera, holding each other like friends, sharing dinner every night, talking, laughing, getting the sun together on their skin, discussing movies, books, music, dance...How can you even think it could be good otherwise? Convince the person. Slowly but reassuredly, make him know that the word 'make-up' is always a put-on. It always wears away.You are invincible when it comes to optimism. This is the lasting truth. One just lacks a little bit of strength, and a little bit of motivation to understand why 'everyone' needs the 'call before you sleep' routine. Even people laughing together drunk in the spirit of the moment, where the glint in his eye is visible while he sips that beer. Even in the space where at some other place someone is trying to decipher why the man she sent for a psychiatry opinion would have come back and arrested. She had never seen him look like that. There was no glint, perhaps thankfulness, and the so called 'respect and intimidation' stuff she heard regularly, when he saw her. She hates herself for herself. Fireflies had studiously disappeared this time.

Things are always that complicated.

In any case the entire situation is the same as it was a month back, a year back, four years back. Things don't change and the only thing you know is that you make a better choice by choosing to step back. Like the numerous lies you told him in lieu of asking him if he wanted you any closer. It was a negative. People forget. He forgot. Or else his smiles wouldn't have been that happy, his looks wouldn't have been that satisfied. And even when he asks to bring it back, you know it cannot be brought back. You have been too wasted in that wait. Its too late. Things somewhere have been signed, sealed and delivered.

Its better to remain in status quo. Better for both, and at least for him, on a personal option too. Because the four years old secret you read in four days in the eyes of a person you will begin to forget before four weeks pass. Its not your cross to remember. It the other's. Looking on from behind that formidable force she presents.

The Secret in their Eyes, I saw this movie tonight.

I hated this movie. Too much of the things I would not want to be told.

Wednesday, June 9, 2010

CIRCLES IN CIRCLES

4 years changed everything, the concept of myself as a human being, as a woman, of fears and anger and betrayal, of dreams that are above everything else to dreams that do not seem as important when you come close, so close to realize them.

Tomorrow I fly, with eyes lidded with some breatholds of a quiet unsettling acceptance; things don't always turn out to be the way you want them to. To my city, that overdunged underdrained city I mentioned, where the metamorphosis first began.

Todays OPD was filled with happy moments. And I counted I touch approximately 400 people a week; save my insouciance for wondering, I wonder if this sea of people I have been thrown into, to think about them and worry about them putting my life into back gear, brushed below the carpets into a deadened awareness later, does compensate for my not being able to go and be with the people I most want in my life. That my habit of thinking about them makes them hug me, touch my feet, come hunting for me and all that, yet the people I most wanted to help in this life, I was tainted with a sense of expectation that ruined, always ruined the trust.

And I will never know why the people you most love in your life are always the ones to hurt you the most. A lot of them happen to be in that city I am going to now.

And I guess the papers I will be carrying this time will be signatory to the coming to an end of the entire section of a life. Less lived by or more, I don't know, its happily sad in a weird way. Perhaps I should have done somethings when I did not do them. Its never been an ego issue, but I hesitated, for several reasons in saying the most important thing. Maybe I would have, could have done better in a different set of circumstances. But in any case, they were mine.


You know, someone had asked me what would I do if I ever knew there was this one last day of my life. The answer to it is the same as it was then. I am prepared. No dues remaining to give to anyone, no one left whom I could have said how much I loved them and did not, no work left undone, no money borrowed, no love lost with parents, sister brother..the ilk. A little short of effort maybe, as far as my job was concerned, but I have given every working hour the best of my effort.

Yet I would like to go and take a long walk on the road, this time alone maybe, and go watch the fireflies on mahanadi patha and go to some austere corner of the other side of kathajodi to cry and cry, till I dissolve into nothingness.

I miss you my tropical over heated worthless city, I love you with that passion I drove my scooty challenging the train, where every temple nook and cranny was filled with a prayer to three hundred gods, and every rainy moment had a tear of longing. I am coming to you. Last time as me. And I will leave it from the soil where any remaining of my soulcry goes to. Puri. Nothing could have been better than this.

Tuesday, June 1, 2010

To Feel

I have never been able to decide if its a good thing or a bad thing to get passionate about people, or the patients I treat. Sometimes, they catch my fancy. But its usually the nitty gritty things about them, like brushing their teeth, or getting a posture change. I usually don't bother them too much about the diagnosis. Most of the times I am to be found catching a CT Scan and explaining it to people. I feel that its good if someway we tell the people what their condition is all about. And trust me, each time you tell, you will notice a difference. The attendants grow far more conscientious, the adherence to treatment shoots up. And doctors should never make the mistake of undermining a parent's education in this country. I have seen absolutely illiterate people turn around and care for their own with a vigour that is unmatched by some of the most literate people in the hospital.

Health is not just about curing a disease. Its about bringing about a change in life, its about perceiving that something is wrong and that people desperately want to be heard, no matter how hard they try to stay away. Sometimes you manage it with people. Sometimes you fail. But if you look a little deep you will find its not so difficult to connect. Especially for people who do not live up with pretences.

I am not going to fail. Search for happiness has been a tough battle but I am generally optimistic. I tend to swim over the situation. I will tell you how it works out. And its true. I still cannot contain the blessings. But I feel happy about it now. There is no baggage of secrets or misgivings associated with it.

Lessons in ECG

Starting from today.

And the book is called....

"The only EKG book you will ever need"

:(

LOL

Monday, May 31, 2010

What do you do

When you write a paper and publish it but find the same thing and the same treatment has been published years before with the same taglines almost.

My professor is a very sad man. None of our papers are getting published either because the stuff we are reporting is outdated or because of insufficient reports or workup, or because we are speaking the truth and not putting in too much fabrication. Plus with his penchant for speed I have a feeling, we are lacking out on content ( thats a personal opinion). Hence, our papers are going everywhere and coming back.

I have taken one case report but I am sitting on it for the time being. And collecting all things I can get on it for free. Once I am done with it, I will perhaps realize that there is not much new to report in this case. The condition is at least diagnosed, and very few have been reported so far. Hence, I will perhaps try not to do what Indians do best, collate stuff and then twist the truth to arrive at a conclusion.

Summarily expresses what some of my old colleagues used to say when I was at AIIMS. So much fund being given for research, AIIMS has virtually produced no meaningful research in the last 50 years since its inception.

When AIIMS could not do that, what can we say about PGIMS?

Lol.

Saturday, May 29, 2010

I wonder if it is the same for everyone. I am so drained when I come from the Emergency. Life is like an empty blur and I feel sapped of life and energy. Sometimes the days are good, sometimes the days are not so good. Today there were 4 casualty deaths. For some inexplicable reason there is a sinking feeling coming from somewhere deep within me. I have narrowed down the choices to one or two. But I have no clue. This used to happen some time back. But for quite some time now it had gone. A claustrophobia of sorts. That was most evident when I intubated the patient wrongly. Dr B came and put it right. No one had attended the patient since the day. And since she was an old case Koch's with Cor Pulmonale, nothing much could be done apparently. I tried intubating her twice. But each time it went into the oesophagus. By the time Dr B came, she was long since gone.

There was another death with a CVA, one with poisoning, one with something else I don't remember. Walking back was a drag. As if something is going to happen. But I just can't put my hands on it what it is. Maybe its the pre 28 year old phenomenon I am feeling. Its in my bones. Starts from today.

Convincing yourself about the choices you make is not a difficult thing to do. But sticking on to the promise is the most trying part. I am just letting myself sip it in. Gradually I will think about this and choose what I must.

Reading up on ECGs and stuff from today. I leave for home on 11th June. Before that I plan to finish Hashimoto's Encephalopathy and CVT. A lot of time has gone by. Getting back on track will take time. Lets hope for the best.

Friday, May 28, 2010

Random Jottings....

I start from you
from the morning of the last
until the dusk of the first.

From the haze of the barren clouds
that sift over salty shores.
To move over the wet rocks,
upon a light house,
with a broken beacon,
a limp falcon

flying above a prey,
clawing with
ineffective snatches, the time
that went by, when

the weather was good.
and things then stood
and she stood by
till a point in magenta

by a dusty sink
disappeared into the
democracies of jobs,
sobs, subjects, choices.

And stood there by
a mahogany table,
half cracked open, by its owner
while she walked

with sores on her feet,
her blood's fate sealed at a number
and the shadows watched
as the times happily
disappeared by.

'Happy Birthday' spoken
into the phone awaiting a response
from behind a wooden door
long since shut.


twenty and eight
Stay happy and tight.
with choices that were never difficult
to make
over causes that one
could not take.
And questions that were
best left unanswered.

Thursday, May 27, 2010

GOPAL - II

Today that old patient of mine I wrote about last month came walking to me.

You can read about him here

I am happy for this man as much as I can be. And I feel as proud of this man as much as I can allow myself to be. And this makes me promise to myself not to waste time on things and people who will never give you a chance in life, or understand your motives or intentions. 3 odd months back, we had an alcoholic who had seizures persistently who we took to be Rum Fits. Associated with an undeniable unconscious urge to let these patients be, we offered him the usual for delirium tremens. Somehow, somewhere, he did not recover and was transferred from bed 13 to bed 49 and given more than a cautionary glance than subconsciously reserved for these people. Somehow somewhere, it did not look like he had an ordinary problem most young alcoholics face. We did a CT Scan. Big Subarachnoid hemorrhage..and something something more... Something was missing. My SR Dr P suggested we start him on Low Molecular Heparin despite there being a hemorrhage. We got a MR Venography done. His CT Scan and MRI concurred. He had those bleeds with infarcts spread over 70 odd percent of his brain area dotting it like full cherries on a cake. He had loss of flow void in the sagittal veins and an empty delta sign. Diagnosis: Cortical Vein Thrombosis. To see it with alcohol was a rare condition. Only 3 patients have been reported so far the world over. Why he had it, what predisposing factors he had to have it, we havent managed to find any.

He was bed ridden, aspirated, fetid bed sores oozing serum from all over his body. I dare say he was being treated correctly but not being looked after correctly. His mother was a woman who would not listen to any advice. We have no nursing care in our hospital. Its not possible, to have them, with the number of admissions and the precarious work distribution we have. That was when I took over. I am not bragging about my achievement but I just want to say that proper instruction to attendants about basic hygiene and physiotherapy...these two are cornerstones of management of any neurosurgical patient. Life and Haryana have hardened me into an indomitable woman, unafraid of anything. I went after the parents, his pyorrhoea I ensured went with at least two Listerine scrubbings. I howled at the mother when she fed him water without lifting his head up increasing chances of aspiration, took care so he did not smell of pee that he did despite the catheter.Mostly i shouted at his parents, day in and day out. I could not do these things, looking after 20 odd patients lying any time. So I made sure my 'orders were obeyed'. In short, I did become what I hate being called the most...A Sister...the Staff Nurse. And a most angry one at that. Fortunately his parents got scared and did what I tole them to do. He would lie for days on one side of his body being able to move nothing but his mouth and eyes. His hands were clasped tight, and he almost always had his wrists clenched.

He recovered. His bed sores stopped oozing and started to dry. He stopped passing loose stools that continuously soiled his undersides. I remember the way I used to ask him everyday if he could move his hand. He used to sat Tch Tch in a way I cannot forget. There was a dogged way about him, a different light in his eyes. I never asked why he went binge drinking for three continuous days at a friend's marriage party. Earlier, he drank almost everyday. But he did not smoke. His father was a very docile man who was literally bent twice from the burden of his son's disease. He always had a sad smile on his face. His mother graduated, under my rather uncomfortable and voluble appraisals of her inefficiency as a mother to someone who started on his physiotherapy vigorously.

Last time I wrote that previous blog he continued to lie down in bed and was massaged by his entire family all the time. I asked him if he could sit. He said no. I ordered him to sit. Slowly he sat for the first time which you can see in that picture I took of him. That was the first time he sat in three months he said. I asked him why he did not do it earlier. To which he said he did not do it because no one had ordered him to sit so far.

What have I become.

Yesterday he came walking to the OPD. Meanwhile his father during the process of taking care of him suffered a left basal ganglia bleed. And barely recognizes his son he used to look after. But Gopal came walking in full glory today. He is a handsome man, with a beautiful daughter. And very very proud. Something about him doesn't look ordinary, commonplace. I don't know what it is. He doesn't drink anymore, and is about to start work as a photographer. His mother came upto me and ran her hands on my head blessing me yesterday.

I will take his snap next time to show what a remarkable man he has become. I am not talking about a case of Cortical venous Thrombosis we are trying to get published with minimal homework and preparation. I am talking about the human effort and kindness. About faith and hope, and how such lives get transformed after a tragedy if taken in the right way.

With Gopal, I learn few things. And one saying by Einstein rings loudest in my ears. I am clueless what sort of a person I will become tomorrow, especially with the iron fist I am developing sans any feminine streak, almost like a man. But I hope I will at least preserve the humanity in me. And that I become a good doctor. That is the most I will be happy with.

The secret to happiness lies in attaching oneself to something, not someone.

Monday, May 24, 2010

Starting Rotation

We got together to start the Rotation. By a stroke of luck when 7 of us gather inside the HOD's office, in comes in most daring and my most lauded of them all. Proff D. That made things half as easier. He changes the air around him when he comes in. And most of all, he is not scared.

The worst part is the thesis. How to complete and when to submit. We have been asked to submit a roster on how to do it. I hope we do it.

If this does not pull through, we are even then going to get rotated in ICU. Thats an understanding between Proff D and my Proff H, childhood friends, buddies. Its heartening to just see these two walk together in the campus. You get a feeling all is well. Even when they bicker about a case.

No second thoughts. Will visit Cuttack to finish a chapter. And come back and start a new life.

I hope I have the physical stamina to match it. And the capacity to block certain things out of my life. I am a doctor. It would be enough for me to be able to do justification to just that.