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Empty Vessels

Ramgarh station slumbered under the sultry afternoon sun. The dusty platform seemed emptier than usual, with even Moti, the stray whom the porter Deva fed religiously having called it a day in the hazy heat and taken refuge in the tiny waiting room. Little did it know that a flurry of activity was to descend on it no sooner did the Ranthambore Express arrive from Jaipur.

 Lakhanpal Singhji rose from his perch on the ubiquitous bench on the platform on spotting the diesel locomotive in the distance.  He was a man of few words. Unfortunately witnessing his father gradually losing his mental balance in pursuit of justice to keep some of his ancestral land for the welfare of the local peasants following the integration of the princely state of Ramgarh into the union of India of which he had been the Raja had made him realize both the ways of fickle fate and the frailty of the human mind. Always dressed in clean clothes, his favorite attire on home turf was a black bandgala, white jodhpurs and a traditional pugree which looked somewhat out of place with his shock of greying hair and round glasses.

No one in the tiny hamlet of Ramgarh knew exactly what he did when he was away, except that he was their “Hukum” as the people still referred to their erstwhile Raja. However, the number of the grey haired in the village, who addressed him thus was dwindling steadily and the younger generation thought of him as a slightly eccentric but rather harmless fogey, offering unsolicited help to tired travelers. Whenever he was in town, he made it a point to walk to the station in time for the two express trains which halted there and helped out anyone who alighted from them in any which way he could. Calling the porter, fetching water or even lending a hand with the luggage on occasion was all part of the service for any traveler who trusted him. And his wise, rather grand-fatherly demeanor and frank open face made the number who trusted him far outnumber those who did not.

 Today, the door of AC2 was flung open with a crash. The first person to alight of course was Jaikishan Sisodia, resplendent in a natty double breasted deep blue blazer with a maroon tie. He strode down the platform, peremptorily beckoning Lakhanpal Singh, who had been standing quietly to one side.

“Arre, idhar aao bhai! Itni door khade rahoge to saaman kaun uthayega?”

Justice Jaikishan Sisodia of the Rajasthan High Court or JJ as he was popularly known in legal circles, took himself and his exalted position very seriously. While there was no doubt that he had worked his socks off to reach where he was, he expected to be lauded for this feat by all and sundry. A stickler for rules, puffed up with self- importance, woe betide anyone who dared to thwart his wishes and interrupt his soliloquies!

The passing of a first cousin had mandated this condolence visit and was the reason for his unofficial visit to this far-flung corner of Rajasthan without his usual entourage in attendance. But he was determined to make his presence felt irrespective of his visit being official or otherwise. He had chosen to look down his aquiline nose at all things Ramgarh no sooner he alighted on the platform and the sight of the doddering old fogey who seemed to double as porter had only irritated him further at this visit to the back of beyond. It went without saying that he liked to keep himself in the rarefied atmosphere and exalted circles which were par for the course due to his position in the legal world.

Lakhanpalji stepped up smartly, ready to help as always, when his attention was drawn to a young woman alighting from the general compartment, a large hold all balanced precariously on her head, a shabby suitcase in one hand and a toddler balanced on one hip. Her stark white attire, devoid of any ornamentation, frail form and face etched with deep lines of sorrow proclaimed that life had dealt her a difficult hand.

Without a qualm, Lakhanpalji turned his solicitous attention to the woman, ignoring Jaikishan completely. Unused to such temerity, Jaikishan turned puce in the face and raised his voice “Maine tumko pahile bulaya na? Sun nahi sakte? Jante bhi ho main kaun hoon?” Lakhanpalji turned back with a smile. “Sahib, aapke paas ek chota sa bag hai. Aap khud utha sakte hain. Bahar rickshaw mil jayegi. Bitiya rani ke paas saman bhi jyada hai aur munna bhi saath hai. Aap ruko. Use bithwa kar main vaapas aata hoon.”

Jaikishan had long lost the habit of being kept waiting for anything and was quivering with self-righteous outrage at this temerity by a lackey, who seemed to be lavishing attention on a down at heel, good for nothing young woman. Trembling with rage, he picked up his small overnight bag and stalked off, but couldn’t resist throwing a few choice remarks over his shoulder about lecherous old men who couldn’t resist a pretty face. What he failed to notice was the sudden stiffening in Lakhanpalji`s stance as he got the drift of what was being said. With a single scornful glance at Jaikishan, Lakhanpalji walked away with the young woman, a local, a war widow who was returning to her ancestral home, having lost her husband at the border, barely a week before.

Burning with what he thought to be righteous indignation, Jaikishan spent the two days he was in Ramgarh in a high temper, hoping that he would be able to make the doddering old man regret his actions to his dying day. Although the trip ended uneventfully, the incident remained etched in his mind. A few months later, Jaikishan Sisodia was invited as a guest speaker at a legal convention in Delhi. On the day of the convention, he reached the venue in grand style, in time for the inauguration. With the rest of the legal luminaries, he awaited the arrival of the chief guest who happened to be the newly appointed Chief Justice of the Supreme court, a man notorious for his low profile and whom Jaikishan had never seen, even in photographs.

No sooner did the car drive up, he rushed to open the door for the CJI and was rewarded by the sight of the doddering porter from Ramgarh stepping out of the car. “What is this boor doing here?”, he wondered to himself peering into the car in the hope of spotting the CJI. On finding the back seat empty, he turned, only to be greeted by the sight of all the legal luminaries present paying obeisance to the figure with the shock of greying hair and round glasses dressed in trade mark black bandgala and white jodhpurs, who was now the CJI. Justice Sharma, his colleague and good friend at whose behest he had come to the convention put a friendly arm around his shoulders before leading him up to Lakhanpal Singhji. “Your honor, let me introduce you to my colleague and good friend, Justice Jaikishan Sisodia of the Rajasthan High Court.”

As Lakhanpal Singhji brought his hands together in a namaste, Jaikishan Singhania tried to avoid looking into those wise eyes, fearing the scorn he was sure he would find in them. However, all he  saw was compassion and heard was a gentle voice saying “I am truly sorry for not helping you in Ramgarh that day, but I am sure you will agree that the war widow deserved to be helped first.”

Jaikishan could only hang his head as he remembered his misplaced eloquence of that day. He realized that the clamor in his head was nothing but the clanging of the empty vessel that was his mind, yet to be filled with wisdom.

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Poem

Freedom

             A place where your own is the earth, sea and sky

             A place where you find your dreams flying high

             Such is a place called freedom!

             A place where you find the spread of your wings

             A place which to your soul peace always brings

             Such is a place called freedom!

              A place where you as your true self dwell

              A place which still holds you however hard you fell

              Such is your place of freedom!

              A place where you find the people all your own

              Where time does not matter, or how far apart you have grown

               This truly is the place called freedom.

               A place unjudging, where no regrets live

               A place never taking, which only knows to give

               Yes, such is a place called freedom!

                Perhaps a place from which I now live apart

                But it still lives on in a corner of my heart

                Know it as my Motherland, my freedom!

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(H)EAR, (H)EAR!

Two appendages on the side of your head which maybe elfin or which prick up when you are eavesdropping on something which is none of your business, which actually help the nose poke itself into other people`s business, the first sense organs to develop and which are way better developed in man`s best friend rather than man himself.  The ears of course!

Lending a patient ear to a patient (pun intended) is one of my prime jobs and I fancy myself to be rather good at it, a fact hotly contested by my spouse and offspring, who tend to think that I fly off the handle after turning a deaf ear to them. Without delving into the depths of the subject, suffice to clarify that most of the times I have half an ear out for trouble at all times of the day AND night, more so when the offspring was younger.

The ear is a unique organ because like most women worth their salt, it is a multitasker too. While most commonly associated with hearing, it also houses the organ of balance thus helping us hear sweet bird-song while twirling effortlessly to catch sight of said bird. It is often beautified by piercing its external part in various places for the artful addition of jewelry in various shades of the rainbow. Of course, the piercing can go horribly wrong and you end up with a not-so -nice appendage glued to the side of your head, the dreaded cauliflower ear.

All kinds of things find their way into the ears. With the strange S- bend the ear canal makes, it often becomes the receptacle for small pebbles, grains, insects and the like. In a misguided attempt to soften the wax which accumulates within, people put in all kinds of softeners like warm oil laced with garlic for good luck, soap solutions and all kinds of drops so freely available in the market. Of course, most of these do more harm than good, but people tend to believe everyone other than the doctor when it comes to all and any matters related to health. The same way in which they are more than ready to listen to their doctors when it comes to matters of filing tax returns and investments, rather than their accountants, but more on that later.

The phone shrilling in the dead of the night pierced my ears making me shoot bolt upright.  It had been a long day, with my ears still ringing from the ceaseless prattle of the offspring who had just started school and could not wait to tell me all about it. The birth of the offspring had made me an even nervier sleeper than usual and my ears were always pricked up for the least sound of a tiny voice. I truly envied the spouse who could sleep soundly through an earthquake, shutting his ears to all sound, thus making sure that I woke up for his calls and mine.

It was the night supervisor from the hospital where I now worked. A patient had come to the casualty ward writhing in pain clutching his right ear. Now, ear ache can be extremely excruciating given the fact that the ear not only has a rich blood supply, but is also located inside the mastoid part of the temporal bone, which creates an unyielding surface precluding much space for swelling. It thus is one of the commonest conditions seen in emergency rooms, pulling many hapless ENT surgeons from their beds.

The dearth of residents in the hospital was acutely brought home to me as I fetched a sigh from the soles of my feet and tiptoed out of the front door ten minutes later, thinking dark thoughts which were reflected in the incessant rain and howling wind outside. I had honed my routine to perfection through years of long practice and could effortlessly negotiate the three kilometers of driving in a semi-somnolent state, which would have made the famous British veterinary surgeon and author James Herriot, point at me with pride.

The scene in the emergency room however was unlike anything Mr. Herriot had ever confronted, (since he tended to work in dim and dark surroundings in the olden -day barns of rural Britain), and woke me up like never before.  A man in his mid-thirties, looking rather the worse for wear and drink was hopping form foot to foot, one hand clamped to his right ear. He occasionally tugged at the pinna as if in an attempt to pull it clean off and occasionally thrust his little finger into the ear canal in an attempt to rid himself of whatever it was that was bothering him.  A couple of nurses huddled in the corner of the room and gave me a blow- by- blow account of the fact that he had upturned a couple of chairs in agony.

 With Mr. Herriot again swimming to the surface in my thoughts (since he dealt with similarly rambunctious large animals in pain) I approached him warily, wondering whether I would be subjected to the same treatment as the chairs, with a couple of ward attendants behind me in case a quick restraint was necessary. I had adopted the most soothing of tones, rather like the one adopted when one approached a high -strung race horse, and the patient, like said horse having sensed that help was at hand had miraculously quietened down.

After a brief question and answer session, I was able to ascertain that the patient had been heading home after making merry in the local tavern (deshi daruche dukaan in local lingo). With the famous Mumbai monsoon having just put in an appearance, moths of all kinds had assailed him on this brief journey, flying closer and closer, until one of them had found the ultimate safe spot to nestle in, the patient`s ear!

I was baffled. A moth lodging in the ear though highly distressing and scary to the patient, should not cause the amount of pain the patient was experiencing. There was more to this than met the eye and my sharp nose could already smell something fishy. “Maazha kaaaannnn! (my eaarrrrrrrrrrrrrrr)”, howled the patient. “Yes, yes I know. Let me take a look”, I replied in what I hoped were kind soothing tones. Drawing my trusty otoscope out of my pocket, I peered into the depths only to see the brown speckled moth enjoying its siesta. The patient was probably being driven crazy by the low- grade humming coming from the moth`s rustling wings.

It was my nose which saved the day however. I sniffed in distaste at the strange smell emanating from the man`s ear and enquired whether he had been instilling anything in his ear as a sort of “home remedy” His answer almost made me lose my own balance and sit down on the floor. With a grimace of a smile, he pulled a grubby bottle from his pocket and brandished it at me…….there staring me full in the face as pretty as you please was a label “ OIL OF CLOVES”!!!!. “I use it for tooth ache and I am sure it will work on my ear”, he told me wisely.

My ears were buzzing now and my throat dry as I made short work of syringing the ear with lukewarm water, retrieved the long dead moth and instilled xylocaine drops. The patient made a surprisingly quick recovery and delivered a parting shot, “That oil probably wasn`t pure enough! Everything is diluted these days you see” and as usual, I couldn`t believe my ears!!!!!

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The Gift

A gift is giving good will
With the entire heart and soul
It has the power to mend what is shattered
Making it once again whole!

A gift can mean the world to one
Something which can be called life
Thoughtfully this loving token
Can smoothen many a strife

Many a time a discerning gift
Is indicative of love and care
However tiny, its mere presence
Can say “Worry not, I`m there!”

Gifting can be for reasons galore
And sometimes for no reason at all
Sometimes its so easy to give a gift
And crack the hardest wall!

The Almighty bestows each of us
With some gift to call our own
He lets us to discover and use it
So that life is less care worn

For some, gifts are only contracts
A chip with which to bargain
For some this is what a gift means
It`s true spirit in vain!

Love, kindness, understanding and attention
Make the best gifts, sublime
But remember the one gift which loved ones want
Is nothing but some of your time!

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When the Lines Blur

“You can`t do a good job if your job is all you do”

These lines strike a chord with many of us, for this is the truth of modern life, being frenetically busy all the time. The easier life gets with all the technology we have at hand, the more we find ourselves entangled in the world wide web of work, with hardly any time for ourselves at the end of long, busy days which leave us drained and exhausted, not just physically but also mentally.

Do the words of Viru Sahasrabuddhe, the hard- taskmaster director in the cult hit 3 Idiots, “Life is a race. If you don’t run fast, you will be like a broken anda” hold more truth than we care to acknowledge? Perhaps yes.  When you want everything, you have to work that much harder to get it and this is where the all-consuming beast that is workaholism raises its ugly head.  The high that comes with better outcomes at work are no less addictive than any drug, and though initially we out of necessity consume the drug, we hardly ever know when the drug starts consuming us!

There is indeed an extremely fine line between work being worship and worshipping work which is becoming increasingly blurred, with most people now bearing the brunt of “being available 24-7”.  This commonly used phrase has now come back to haunt those who happened to use it without giving it a second thought.

THE WHYS AND WHEREFORETOS

Work-leisure lines have been gradually blurring with the advent of globalization but the speed and reach of this have increased exponentially in recent times. With rapid technological advances, it has not only become easy to peek into the personal lives of others, but to invade their private space too.

This often takes the form of work- related matters being communicated at all hours and all places, some as mundane as the office and others as unique as a holiday destination. Being totally switched off from technology is becoming increasingly difficult for most of us. It is now the norm to check or send emails right up to the time one goes to bed with quite a large number of people actually waking up in the middle of the night to make sure that they haven’t missed the latest communique.

We have talked the hind legs off donkeys and written reams about the sanctity of the family dinner hour and proudly boasted about the rule of “No phones at the table”. Ironically, each of us definitely recalls an incident where there was that ‘extremely urgent’ call from the boss which made us miss our dinner altogether! While this occurs only few and far between for the luckier ones, most of us are slaves to the whims of the powers that be.

If the dinner hour can be sacrificed, small wonder then, that a holiday where one is totally isolated from the world of work is the stuff of dreams. You only have to look at the number of travelers toting laptop bags at any bus or train station or at any airport to know that by and large we are happier when we carry our work with us. Perhaps it keeps us grounded to the reality to which we have to return or perhaps, it just lends a sense of security that we have a job which will pay for the lovely vacation we are taking!

Working from home is yet another culprit, proving that every rose comes with its inbuilt thorn. Yes, we are now saving enormously on commuting time, have the freedom to work from remote locations which are very far afield and of course corporates are making a killing by saving on office space and all the paraphernalia it entails, but it comes at the cost of ‘the end of the working day’. Anyone is expected to available anytime of the day or night. If children as young as twelve and thirteen are no longer spared from the vagaries of school and/or tuition classes at odd hours, it is small wonder then, that adults are seen hunched over their devices, muttering to themselves at all hours of the day and night. The luxury of ‘winding up’ at the office and heading home reveling in the end of the working day is gradually being done away with.

The extreme competition on the employment front and in various jobs is another important reason due to the insecurity it breeds. With ‘here today, gone tomorrow’ being offered by way of job security, one has no option but to step up to the mark and try to make a lasting impression in any way possible, even if it means being the early bird who arrives at the crack of dawn never to leave or go off-call. The shrinking of traditional employment especially in up- and- coming industries like tourism, entertainment and hospitality, and the need to recast oneself in a different model following the new trends in the wake of the pandemic have been a significant contributing factor in this regard.

CONSEQUENCES

When the work culture changes and how, so suddenly and significantly, it is bound to leave debris in its wake. This is what people in all job spectra face today. Stress and lifestyle related issues, either physical or mental, fraying of the social fabric beginning with the family unit and economic issues form merely the tip of this iceberg. Far deeper and more serious consequences like substance abuse, increased rates of suicides, increased tendencies to violence, whether domestic or other wise and an increase in white-collar crime are becoming more the norm than the exception. Not to speak of the inadvertent neglect which hapless dependents often face and are increasingly normalized as collateral damage as the perpetrator is often working to pay for their needs, but doesn’t know when and where to stop.

WORD TO THE WISE

To seek betterment, whether monetarily or in terms of recognition is a human need. But again, as humans we need to exercise the unique power of discretion given to us and consciously differentiate between our needs and wants.  It is up to us to decide whether putting a foot across the line is worth the price which will have to be inevitably paid.

 So, remember that when we see blurred lines, it is time to correct the vision to view the world in all its glory. A befitting reply to the culture of workaholism would be “ Am I a workaholic? Yes, but I also have NO problem taking time for myself”!!

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The Ghost

She felt unsure. Was she dreaming it all? She kept on looking at her hands as if expecting them to waft away in wisps of smoke.  Being deferentially seated at a table in the Taj Mahal Palace and Tower was not something that happened to her regularly. No wonder then, that she felt out of place, a fraud.  She knew that she had earned her place here, but was still far from convinced. Years of leading a half-life had made her think of herself as a living ghost.

She had found herself only recently and her pen had helped her make her way back to the world of the living. As the popularity of her anonymous writing slowly grew, thanks to the new tool of social media, so did her confidence.  A helping hand in the form of her niece had materialized to aid her with the finer nuances of social media like Facebook and Instagram, hitherto closed books to a reticent person like her. And it had helped. Her pen name, derived from her late father had become one of the most searched ones across Google.

It was that time of the year when all sorts of awards are announced. Ranging from those in the world of dance, drama and entertainment to the Padma awards. But these belonged to the world of those who lived life on a “Grande” scale. For those who lived the simple life, watching all the award ceremonies provided a vicarious pleasure, a peek into a life to which they would perhaps never be privy, but could enjoy from a distance all the same.

But this year was to be different in more ways than one. A ghost would be acknowledged as the winner of the “Popular Choice” award of the Hindi Chalchitra Kavya Sanstha, a newly established association for rewarding excellence in Hindi film lyrics.  Not the sort of white clad ghostly figure seen floating ethereally, ready to disappear in a puff of smoke, but a person who had hitherto remained unseen by the world at large, known only by the pen name of Amarja. Thanks to the lyrics of a song penned by her ruling the roost of popularity charts for at least six weeks now.

Of course, Alina Chattopadhyay`s ethereal beauty and Shishir Deshmukh`s music had a lot to do with its popularity, but the song “Paani” from the movie “Adhuri”, most famed for its haunting lyrics, “Jo na sune koi teri dastan” had broken all records. This was even more of an anachronism in a world where popularity was lost in the blink of any eye, which was famed for its here today gone tomorrow life style.

When the letter announcing her nomination had arrived, she had scarcely believed it. It had lain unopened in her drawer for a full two days, before she convinced herself that it was true. She had managed to send in the RSVP by the skin of her teeth. And, now here she was, dressed in a saree, feeling utterly out of place and gauche` among the well-heeled. If she thought she had known snobbery at home, she was now witnessing it carried to new heights, with little cliques springing up everywhere. She of course, sans entourage, was not part of any circle and barely even made eye contact with anyone. She was of half a mind to get up and walk away, but when she remembered the domestic drama her departure had caused, she was determined to sit it out until the end.

Judging by the popularity of the song, she had for once felt the stirrings of hope, but she had immediately quashed it down, realizing its futility, another habit long ingrained into her by constant disappointments and the belittling of her hopes and aspirations. It was popular knowledge that many of these awards were notoriously “fixed”, with a pre decided winner but this one being a new one which involved a lot of public opinion and being touted as transparent, held a modicum of promise, since she a virtual unknown had managed to even make it to the list of nominations.

Numb was how she would have best described herself when her name was announced, beyond pain and pleasure, beyond joy and sorrow. Yes, she did feel overwhelmed, largely by the curious craning of necks to get a glimpse of her and the incessant flash of cameras and mobile phones to capture her picture.  Only after receiving the trophy from the famous poet Randeep Singh Khattar, did she realize that she was expected to make a speech and it was being beamed live, for the world to watch.

“I don’t want to run the usual gamut of thank yous”, she began “but I would like to acknowledge the Higher Power which animates all of us for guiding my pen and my thoughts in the right direction so that my song gained immense popularity.” With the audience now rapt in what she had to say, her voice grew stronger. “However, I would like to thank my family, especially my husband, for being the gale in my face, thus teaching me to push my way through storms undaunted. For making me lead a half- life, that of a ghost, seen but never heard, so that I lived a life devoid of expectations. Were it not for him, I would have never learnt the truth in Krishna`s preaching in the Bhagvad Geeta, that we have a right over our actions, but none over the consequences, that to indulge in the right action with no expectations whatsoever is the truest from of worship. And it is this worship that God in his wisdom has perhaps decided to bless in the form of this award.”

Life in the Sharma household followed its own pace and traditions. The time after dinner was when the privileged members of the family, (read senior Mr. and Mrs. Sharma and their sainted son, Advocate Abhay Sharma) watched TV from their earmarked nooks in the gracious lounge. Today, the scene was different because Abhay`s wife the quiet, submissive Ketaki had found the temerity to rebel and go out for the evening without informing anybody of her whereabouts, leaving the family to fend for itself.

As if this was not dramatic enough, here she was, being beamed live on ABP news no less, having won the popular choice award from the Hindi Chalchitra Kavya Santha, a newly constituted but hugely popular association, reputed for its clean, free from mutual back scratching image. The lyrics of a song he had heard as a child sprang unbidden to Abhay`s mind, “ Tan ki Daulat  dhalti Chaya, man ka dhan Anmol, Tan ke karan man ke dhan ko mat maati me raund, man ki kadar bhulanewala veeran janam gavaye, Tora Man darpan kehelaye”

Yes, the ghost of his making had finally stepped out of the shadows to haunt him AFTER finding her place in the sun and ceasing to be a ghost….

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Right Under My Nose

I am quite familiar with their kind. They can be lumpy, straight, crooked, aquiline or Roman. But the ones I see the most often, thanks to examining them being my bread and butter are tiny buttons which are invariably running or red adult ones, accompanied by watery eyes and a “sorry for myself” expression.  I am talking about noses, as you have probably guessed by now!

Being an ENT surgeon, I have made sticking my own nose into other people`s business a fine art. I also seem to have a nose for trouble and would rather follow my nose than take a crooked path. I run for miles when I see noses in the air and woe betide anyone who tends to look down their nose at me.  All the puns aside, I have to accept the fact that peering into the hitherto unchartered territory of the internal workings of people`s noses is what brings home the bacon.

Living in a satellite town of the megapolis of Mumbai, my own nose is no stranger to pollution and I tend to make hay (read moolah) when the weather changes. The sight of flowers in bloom makes me think of the amount of pollen in the air and the allergies it will cause rather than turning me jocund a la Wordsworth. And my heart does fill with pleasure and dances with the daffodils only after a patient of acute on chronic sinusitis brought on by said flowers reports a reduction in symptoms.

But what really sends my heart leaping into my throat is when there is a call for me to remove something from the nose, which has no business being there in the first place. Foreign bodies are only too common in this organ, because as someone rightly pointed out, “all that glitters is not gold”. I would go a step further to say that all that appears smooth on the outside is riddled with potholes from within.

Nowhere is this truer than the human nose whose internal workings are replete with small bony shards, pieces of gristle and blood vessels running every which way, allowing it to perform as a humidifier par excellence, but also making sure that a bleeding nose is not a sight for the faint-hearted. Thanks to its convoluted anatomy, it provides wonderful hidey holes for foreign bodies to lodge, thus ensuring that ENT surgeons are masters at hide-n-seek.

With my now middle aged and rather jaded bespectacled eyes, I have seen a whole gamut of foreign bodies ranging from rice grains and peas to ear studs and maggots residing or should I say illegally occupying premises from where they are rather unwillingly evicted thanks to my skills with a Vectis. This little hook shaped instrument has come has proved to be a life saver making many a parent and me heave a sigh of relief at the sight of the offending foreign body nestling safely in my palm rather than in the secure depths where an intrepid toddler had placed it for safekeeping.

A couple of incidents stand out in my memory when it comes to extraction of foreign bodies from the nose. After my tryst with Pathology in V.N.Desai hospital, I was safely ensconced as ENT resident in a large municipal hospital in Thane, with the aim of emerging  a full- fledged otolaryngologist bent on bringing succor to the needy. With my usual luck, I was again the sole ENT resident in said hospital with the onus of a daily night duty in addition to all my nefarious activities during the day.

While I know that modern day children think of Wee Willie Winkie as a wimp because no child worth his salt will be found in bed at eight `o`clock, I have always believed that fatigue makes parents, who are only human, slightly lax and inattentive at the end of the day thus making sure that most nasal foreign bodies present in the dead of the night, with me setting to work in the struggling moonbeam`s misty light and the lantern dimly burning. With the day`s fatigue setting in, I had quite a few sharp words to say to the more careless of them, especially people who had let the foreign body either stew in its own juice for a couple of hours or had made foolhardy attempts to extract it themselves, ensuring that a simple case turned complicated.

Extracting a foreign body from the nose can be tricky at the best of times. Thanks to the mucus produced in the nose in copious amounts, a foreign body can become slippery and can slip either forward or backwards. If it slips forward, God is in His heaven and all is right with the world. If however, it chooses to slip backward, it can slide into the throat from where it can lodge either in the airway (an unmitigated disaster) or in the food passage (an unnecessary complication). Hence it is important to make sure that the patient is in an upright position and sits still while the extraction is carried out.

Now, children are slippery little eels at the best of times. Trying to approach one with a small steel hook in one`s hand and not expecting the child to make a dash for freedom is like expecting the red carpet laid out for one when one travels in the Churchgate Virar fast at 6pm! That is to say, nearly impossible. And hence the cajoling and sedating which one invariably finds in such situations. It is no wonder that most ENT residents wander around with small toffees in their pockets, all the better to restrain patients with my dear!

One night I happened to encounter just such a situation, but the child in question was slightly older, probably around seven to eight years old. A cursory examination showed a round metallic object in the right nostril lodged between the septum and the inferior turbinate, the pink mass of flesh you see on the wall of the nose when you lift the tip of your nose and peer at it in the mirror. Since this child could be reasoned with, I managed to get him to sit still by dint of cajoling and with good old- fashioned threatening on his father`s part when the battle seemed to be a losing one.

I inserted my trusty Vectis and slowly pulled. The object seemed rather large. Maneuvering gradually around it was difficult and my palms were sweaty with the thought of it slipping backwards out of my grasp. Just when I was losing hope, it moved forward slowly at first, but then popped out suddenly. It was a large button, made of copper, the kind that is seen on jeans.

I was triumphant, the child`s father ecstatic, the child howling loudly and the casualty staff relieved. I was planning to pop back to my room for a well- deserved break and put the button down on the table while writing out my notes and explaining the procedure of instilling nasal drops to the father. He seemed well satisfied, all toothy grins as he was about to depart. The child had stopped howling and was quietly engrossed in something.

They reached the door of the casualty ward without much incident, when there was a fracas and the father was back with the child held by the scruff of the neck. He pointed ominously at the child before uttering a single word “Button!”. “Who…where…what?” I was flabbergasted. As I leant forward to re examine the boy, there was the button, glinting prettily, this time from its place of pride in the left nostril!

That`s when I learnt the real meaning of something happening right under my nose!

Luckily I managed to extract the button without incident a second time round and I hope the talking to that I gave the father-son duo helped them keep their noses clean for the rest of their lives!!!!

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Poem

Growth

 Long ago in a dusty field,
 A farmer wielded his plough
 And as he turned the rich black loam
 He wondered what to grow.
  
 His eye caught by shining pearls
 Of sweetest brightest green
 “ Grapes it is for me”, he said
 “ The sweetest the land has ever seen”
  
 Quickly setting to the task at hand
 He got a bamboo stake thick and strong
 To make a trellis support firm
 Which the weather could do no wrong!
  
 The tiny vine he planted soon grew
 Covering the stake from side to side
 And gazing at the beautiful vine,
 He was unable to hide his pride
  
   The vine was soon covered with grapes
 The sweetest in the land
 And though the bamboo bent under the weight
 It still continued to stand
  
 Absorbing the farmer`s pride,
 The vine thought itself the best
 Smothering the patient bamboo
 Who thought not of protest!
  
 “You live because of me”, it said
 “ Otherwise nothing but a piece of dead wood”
 The bamboo absorbed its vicious barbs
 Swallowing tears as it stood!
  
 Till one day a mighty gale came calling
 Making the bamboo creak and groan
 It put up a valiant fight for its beloved vine
 But from the ground was torn.
  
 Come morn the green and gracious field
 Wore a look of utter despair
 The vine was beautifully green still
 But the bamboo, beyond repair

 With green tears rolling down its cheeks
 It was the vine`s turn to know
 Its growth and beauty were not all its own,
 The bamboo had made them so
  
 The broken bamboo was abandoned
 To a bonfire hot and glowing
 And though the vine continued to live,
 Its death was in the knowing
  
 That it had been nothing by itself
 The bamboo`s selfless care
 Had carried it to the heights it had reached
 And made sure it stayed there
  
 In each of our lives there is one such bamboo
 Ready to sacrifice it`s all
 So that you climb the vine of success
 Making sure you never fall!
  

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Articles

The Great Indian Inequality

Laying bare the hidden patriarchy in modern society

He is born, she is born. There`s rejoicing in both families. His family distributes pedhas, her`s barfi. Both are loved, cherished, encouraged to spread their wings. Both go to the same school, score similar marks throughout, pass the same entrance exams and join the same professional course. She is selected to pursue residency in a more challenging branch but facing some familial opposition picks a `lighter` branch instead while he continues unhampered. So far, not so rosy.

After some parental pressure, she agrees to join him in holy matrimony and in the blink of an eye or rather in the tightening of a knot, the world as she knew it changes! Now, she wakes up early and makes the breakfast while he lounges with the newspaper (he was late the night before because of an emergency, you see) she gets the tiffins ready while hustling the kid along, whom he drops off to school with a long -suffering air if he has no emergency. While she`s in an important consultation, she fields a call on a PTA session, cancels an overseas conference invitation because it clashes with the kid`s exams, and heads home early cancelling a shopping trip with a friend as she has to get dinner ready. After dinner, she clears the plates and puts on a load of washing before checking the kid`s project. In the meantime, he has come home after having a drink with a colleague and settled at the dinner table where he pulls a face because the vegetables are not to his liking. He then makes himself scarce in the study because he has an important presentation the next day on which his promotion hinges, while she puts the kid to bed and preps for the next day, entirely forgetting to go through the reports which her junior mailed her.

And so it continues, with his rapid progress up the career ladder until she can no longer keep pace and she resigns her job for not being able to undergo institutional quarantine during the Corona pandemic.  `Good riddance`, he says, `I earn enough for both of us anyways. You can now devote more time to home and hearth while I bring in the bacon`. And so ends another chapter in the book of `The Great Indian Inequality`, with her taking the mandatory step back for the wellbeing of her family, rueful about the long hours she spent poring over tomes to ace her exams, biting back the bitter remarks when anyone, from friends to family preen and compliment HER on HIS success and on how she`s the perfect foil to complement him, on how he owes his success to her sacrifices and what an asset she is in caring for his parents, many a time at the cost of her own, wishing that she had not been born into an emancipated family only to marry into a patriarchal orthodox one.

People think that their platitudes will fill the job shaped hole in her heart and the kitchen will replace the void created by her laboratory. And so, a pathologist conducts her own post-mortem. What irony for a country which advocates `Beti Bachao Beti Padhao.`

THE GENESIS

Inequality amongst the sexes is not new to the Indian milieu. While recent historical evidences point to ancient India being more egalitarian, the advent of agrarian society changed all the rules creating shackles for women which they have been struggling against for millenia. While quite a few regions of the country like Meghalaya, Assam, Kerala and a few regions of Karnataka boast a matriarchal society, by and large patriarchy still dominates huge swathes, especially in the hinterlands. Under the guise of protection, women have been systematically alienated from politics, economics, sociology and education. With male bonding coming to the forefront, most rules governing society were made by the male for the male. What is strange is that while we chose to break off genetically from the chimpanzees millions of years ago, we still choose to ape the ape when it comes to our societal structure. The inroads which patriarchy have made into our psyche are so deep that we choose to normalize or ignore them rather than looking them in the face and acknowledging them for the problems that they pose to the physical and mental health of half of the population of the country.

PATRIARCHY IN TODAY`S WORLD

The Indian constitution is revolutionary in the fact that it guarantees  Universal adult franchise, thus eliminating the need for a suffragette movement, but this has not created the equality that it was meant to. Centuries of conditioning have ensured that women are only now emerging into the light of day as far as education, legal rights and economic rights are concerned.

While it is now `Trending on Twitter` to support feminism and female equality, ways and means of hobbling women in the most innocuous of ways still remain hidden in plain sight. It maybe the conditioning in early childhood where most people attending a little girl`s birthday party tend to gift her dolls, miniature kitchen sets or frilly things in pink or that older girls are often admonished for sitting, eating or laughing in what does not conform to ladylike ways in society. Schools, whether pedestrian or elite generally do not have cricket or football teams for girls or if they do, they hardly play the kind of matches that boys play. Any woman who is prone to stick to her opinions and challenges societal norms be they about clothes, food, customs or traditions is viewed as `forward` and not in the right sense.

While more and more women are breaking the glass ceilings to take up challenging careers, they are so few and far between as compared to their male counterparts that they often warrant headlines in dailies as seen in the case of B. Sirisha and V. Bharathi who filed and won a case against the Telangana electricity board to become the first `linemen ` in the country!

Nowhere else in the world is the image of women as the `Magna Maters`, the great nurturers as popular as India! No matter what the lady maybe capable of achieving, if she can`t turn out perfectly round rotis, she is looked at with a prejudiced eye, however slight. They are expected to pick up the slack from the word go when it comes to the `Great Indian Sansar` or family life. And being the natural caregivers that they are, they do bend over backwards to do it all, often taking personal responsibility for circumstances beyond their control ranging from the mundane like a few dishes sitting unwashed in the sink to the extraordinary like a downturn in the family business. Another sad fact which needs to be acknowledged is that most often than not, it is other women who stand to gain in the patriarchal hierarchy who perpetuate these injustices so as to safeguard their own position within the family structure ingratiating themselves with the males rather than bonding with their own ilk by dint of soft sighs and rolling eyes whenever another woman puts a foot wrong. With the want it all trend, women are under more pressure than ever, to manage superhuman tasks, while looking like dewy roses with not a hair out of place at all times.

It is ironic to know that even in emancipated western countries, women are paid less for the same work as their male counterparts, with a recent American study revealing that women were paid only seventy five cents for every dollar earned by the men. The picture is especially grim in countries like India where women work in far more menial tasks at construction sites, as household helps or in sweat shops where they earn less despite working longer hours. Another glaring example is the Indian film industry where the so called `Queens of the Heart` are paid a fraction of what the `Badshahs` receive, for films promoting women empowerment! In many families, women hardly have a right to what they earn, with a male member of the family taking over either the investment or spending of the monies.

….THE ROAD AHEAD

Although a journey of a thousand miles begins with a single step, we have miles and miles to go before we gain any semblance of equality between the sexes. Yes, laws being enacted and landmark decisions like the recent one by the Supreme Court which ruled that the value of a homemaker`s contribution was the same as her husband`s in his office are definitely that step in the right direction, we still need to gain Herculean proportions to clean out the Augean Stable of inequality which has been festering in our society through the ages. It will be only when women are accorded equal rights from the cradle to the grave in the form of zero female feticides and infanticides and similar funeral rights granted to both bachelors and spinsters that we can proudly call ourselves a truly egalitarian society.

Until then, those of us who face the great Indian inequality on a daily basis can hope that the appeal the brilliant Malyalam movie,` The Great Indian Kitchen` had to our collective conscience is the beginning of our journey of a thousand miles  where we can truly embrace the preamble of our constitution which  guarantees equality, liberty and justice to all its citizens! It is high time that we call out the invisible enemy of inequality for what it is ….a mill stone around the neck which truly needs to be discarded so that Indian women can soar to reach their true altitude.

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Unmatched – Lessons From The Lab

Ah Bombay! Or what we now call Mumbai. Home to myriad dreams, indomitable spirit, tall buildings, small shanties, more people than you thought possible and a very rare blood group called….what else? The Bombay Blood group.

Just like this megapolis, its public health system too has its own quirks. Run mainly by the MCGM, The Muncipal Corporation of Greater Mumbai, it reminds me of a giant anthill with a queen and numerous minions. The three queens of course are the three teaching hospitals, KEM, BYL Nair and LTMGH Sion, with Cooper hospital a recent (and hopefully  welcome) addition, the minions being the smaller peripheral hospitals located in distant suburbs lending succour to the local populace with quick reference facilities to `Big Momma` should the need be felt by the denizens of the staff. The JJ group of hospitals are of a world of their own and do not fall under the ambit of the MCGM.

Twenty years ago, young, foolish and newly married, I arrived at V N Desai hospital in Santacruz, which is one of the peripheral hospitals of the hallowed KEM, armed with an appointment letter (my first job! Yay!), a fancy title (Resident Pathologist), lots of enthusiasm and of course, zilch experience. Looking back, I now see the slight hint of desperation which resulted in my appointment, for the powers that were in the MCGM had been apparently unsuccessful in pinning down a pathologist to work in the derelict lab and had to settle for a green behind the ears rookie MBBS instead.

Enter ME! Brimming with the confidence of being able to group blood ( we had been doing it since pathology lab in phase two) and the ability to draw blood from human veins albeit with a bit of poking and prodding. The honorary pathologist in charge, the roly-poly jolly Dr. Kohli (I have still not been able to ascertain whether he is related to Virat) greeted me with an enthusiastic “ Aap jald se jald cross matching seekh lo, phir night duty kar lena”.`Night Duty`, these two loaded words were the first damper on my ebullient self(because as a newly- wed, the only night duty which sprang to mind…ahem..ahem), anyway, moving on, I had to face the rather onerous task of breaking this news to my then newly minted better half (he has gone a bit mouldy now), which further darkened his already dark brow.

After a few days of begging and pleading with the permanent lab staff (read rather snooty lab techs), I was gradually trained in the intricacies of cross matching blood by the motherly Mrs. Sukkawala, the Junior Scientific Officer. This was the only task worth any salt for a self- proclaimed pathologist as the lab had no histopathology section and the rest of the routine work like blood counts and sugar levels were automated. Now, before blood can be transfused, it must be cross matched and if you have any Amar Akbar Anthonyesque pictures in your head, get rid of them now or the said blood bank will lose its license before you can say `Robert`. The principle behind this is very simple. The surface of the RBCS carry an antigen depending on the blood group and these react with any antibodies present in the serum. This reaction if severe enough can cause blood to clump in the blood vessels leading to a potentially fatal condition.

Landsteiner, widely considered the father of blood grouping came up with the concept of four groups-A, B, AB and O depending upon the presence or absence of antigens on the surface of the RBCs. What is little known however is that the And B antigens have a common precursor called the H antigen. This is sometimes absent in certain individuals and though they present as O group clinically, they form a special category and must be transfused with blood from a similarly deficient individual otherwise resulting in a severe reaction. This special condition was discovered in 1952 in Bombay and named after the place of its discovery-`The Bombay Blood Group`. It is extremely rare and occurs in about 1 in 10000 individuals in the Indian subcontinent.

After about two weeks, Dr. Kohli had had enough and deciding that I had been sufficiently trained was ready to be unleashed on the unsuspecting population as the in charge of the blood bank. I had of course been brimming with the misplaced confidence of the ignorant since day one and was now fairly sure of the intricacies of cross matching and dispatching blood for transfusion should the need arise. In fact, I had carried out several dry runs during the day and had passed with flying colours. Heaving a sigh of relief, Dr Kohli was glad to make himself scarce and not go bump in the night anymore. Night duty thrice a week quickly became a way of life. If you saw the better half moping in the KEM corridors, you could be sure it was either a Monday, Wednesday or Friday.

The initial nervousness gradually gave way to genuine confidence and the nightly call of the attendants `RP Madam, cross match ` no longer sent a shiver but a pleasant thrill of anticipation down my spine. I no longer went bump in the lab but rather gained confidence that I could pick my way there blindfolded. Peering through the microscope looking keenly for freely floating or clumped RBCs lent a strange sense of fulfilment to the dark hours of the night. I felt as if I was making a small but real difference, a small cog in the giant wheel of health care.

And then there came a fateful night which stands out in my memory for furthering my education in a way no library ever had. The usual call of `RP Madam` had come and gone. A cross match was required for a patient who was to have a planned surgery ( though I never did fathom why a planned surgery needed to be carried out, in the struggling moonbeams misty light in the dead of night). The surgeons were keen to hone their skills, but could not proceed without said blood being available should the need arise, this much being spelt out for them. It was an O group sample and this meant a lot of hard work since O is the commonest of all the blood groups. A quick peek into the storage facility showed no less than twelve bags of O group blood. It could be a long night. I had my own rule of thumb when it came to centrifuging the samples from the stored blood. `Sign of Four` I called it. It was necessary because true to municipal equipment, the centrifuge machine had only four intact slots to put the samples into. Picking the first four samples, I set to work, sending a quick prayer heaven wards that one of these should prove to be a match and I could return to bed. Centrifugation normally took around half an hour or more and I was leaning back in the hopes of a nap when the phone shrilled in my ear, shattering the stillness of the night.

It was the surgery registrar, a little irascible, asking whether the cross match was done. `Not for another 40 minutes`, I matched his testy tone because I rather fancied myself  the local expert on dealing with testy surgeons (the husband being one). The first batch did not have a single match. I fetched a sigh from the soles of my shoes. No quick return to bed for me. I had just started work on the next lot when the big black phone gave tongue again. In sepulchral tones I conveyed the news of the failed cross match, only to be treated to rather ripe surgical language. The hour being too late and my energy levels too low, I decided that ignoring was the better part of valour and did not retaliate in my usual peppery fashion.

Forty desultory minutes later, the result was the same, the sample still remained single in unmatched glory. A bleak grey dawn peeping through the windows matched my mood. Another hour of this, and I would be hard pressed to brush my teeth, bed now a distant dream. Putting in the last four samples with flagging spirits, I was interrupted by a loud banging on the door of the lab. Opening the door at the crack of dawn in a deserted lab is not a good idea, but fatigue had brought with it a strange recklessness. I marched up to the door and opened it only to see the flushed face of the surgery houseman in what he believed was a righteous rage at being pulled from his `cutting` and packed off to the godforsaken lab to deal with an uppity pathologist who for reasons best known to her seemed hell bent on thwarting the wishes of the surgeons. I realised the futility of trying to reason with the unreasonable and let him in. With the patience of a kindergarten teacher trying to explain that two plus two equals four to a rather dull and disinterested five- year old, I showed him the slides with the clumped RBCs. He departed slightly less belligerent, muttering under his breath.

The sample I had seemed strangely reluctant to be matched and seemed to take pleasure in its single glory as was revealed by the last cross matches. Blood, blood and more blood but not a drop to spare! I thought I was onto something inexplicable and decided to take the matter to Dr. Kohli for clarification when I was interrupted again, this time by no less a person than the surgery registrar himself who had decided to climb off his high horse to give me a piece of his mind. I tried explaining the situation the best I could and showed him all my slides. But when he had the gall to suggest that one of the slides appeared normal with fewer clumps and that I should release the bag, my nerves already frayed at the edges gave way. I do not want to repeat the words that I used in that little altercation in polite company, suffice to say that he departed rather shell shocked with the single ominous word `complaint` on his lips.

Wearily, I sat down to write my report. I knew that it would have to be a detailed one as I would soon be summoned to explain my nightly doings.  Sure enough, by mid- morning I had to report to the superintendent`s office with Drs. Kohli and Moorjani peering at me beadily. Luckily my slides saved the day and they could do no more than peer even more beadily through the microscope before deciding that I had done well. Dr. Kohli thought that the sample merited a more thorough study than was possible at the hospital and it was summarily dispatched to KEM .

A little while later, I was vindicated when the report from the KEM lab revealed that the patient had the Bombay blood group and required transfusion under specialist supervision and the saga came to a close.

That night taught me much beyond arcane academia. It taught me the importance of being meticulous no matter what the job for in our profession, a life did literally depend on it. It taught me the importance of standing up for what I thought was right in spite of receiving flak. But, most importantly it taught me respect for the people who worked behind closed doors, away from the spotlights of glamour and accolades making magic in their own quiet ways.

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