Tuesday, October 7, 2014

Religious Harmony


Prophets or God’s messengers always fought against social malpractices ruining lives of ordinary people.  Their lives were threatened; they were ostracized or sometimes even killed.  In due course of time religions have come into existence following their school of thought.  Religion that has come into existence to teach people to love one another is becoming cause of conflict and wars.
As every religion teaches us to love, live, and let live is followed religiously by all and practiced as fundamental principle of life this earth will become heaven.
On 'Durgaashtami’ 2nd of October, I visited Bhadrakali temple in Warangal.  Being auspicious day, many temple rituals were going on. Usually there will be temple musicians who play ‘dolu’ (drums) and ‘sannai’ (shahnai).  They will be playing instruments during the rituals.  The striking difference on Durgaashtami was a lady was playing shahnai.  First time in my life I have seen a woman playing shahnai.  I was surprised and happy to see a woman playing Shahnai. 
I took a short video of her performance.  On interacting with her I came to know that she learnt it from her father.  She gave me another jolt of pleasant surprise when I asked her name.
“May I know your name?” I asked
“Saira bee”
“What?  Saira Bee?”  I could not hold my expression of surprise with eyes wide and eyebrows raised.
“Yes”, she said with a smile looking into my face.
“You are a Muslim?” I wanted to confirm.  She having a regular ‘bottu’ and ‘vibhuthi’ (ash) lightly smeared on the forehead looked more like a Hindu woman.
She smiled, “Yes”.
“How come you are here?”  It was unbelievable.    
“I stay in Hyderabad.  My son brought me here for the occasion”.
“So nice to see you here.  Do you have any objection if I put your video on YouTube?”
“No”
“Thank you so much”.  I wanted to know more details but it was not possible.
It is generally thought that playing wind instruments like shahnai and bansuri (flute) requires good lung capacity and breath control and woman cannot do it.  It is exclusively male bastion.  Now this woman Mrs. Saira Bee has proved it wrong and is able to show her prowess in playing the instrument.  May be she may need more training and more exposure to the world.  Anyway this is one step forward in showing women strength.
On searching the net I found that there is another woman – the first woman shahnai player, Bageshwari Qamar.  She is crowned as “Shahnai Queen” at Chandigarh in 1983.  She also participated in some international concerts and played jugalbandi with other artists.  Bageshwari Qamar is the daughter of Jagdish Prasad Qamar who was a student of Ustad Bismallah Khan.  Jagdish Prasad Qamar had seen his daughter practicing shahnai at her grandmother’s place, recognised her passion for music, and got her trained under Ustad Bismallah Khan. 

Shahnai is played in India on auspicious occasions in temples and Hindu marriages.  Saira Bee playing shahnai at Bhadrakali temple is a perfect example of Hindu – Muslim harmony.


Saturday, September 20, 2014

Abstract Art

The branches are unique to every tree.  Each branch is having its own course of growth
Trees are most important part of nature.  Without water there is no life on earth.  Without trees man will not have survival.  Trees provide us oxygen that is essential for a human being to be alive.  Trees also provide us with food, shelter, clothing and health.  The beauty of flowers and the cool breeze from trees make many persons great poets.  Trees themselves are artistic in their growth and appearance.  No single tree though of same species will have branches exactly same as another tree of the same species.  Like we human beings are unique by finger prints and iris each tree is distinct.

Recently I visited Cubbon Park in Bengaluru.  The 300 acre park in midst of metropolis is probably the main reason to sustain life of people in highly polluted city.  The park is more like a forest in the centre of the city.  It is amazing to see the number of huge trees and bamboo grooves here.  The rustling of bamboo shoots produces the music that resembles the sound of rain.  Every tree presented me its beautiful abstract art.  These are few pictures of those artistic trees. 
It looks more like the trunks have grown close together, branches spreading as to cover the sky 

The base of this trunk is shaped into some person lying on the ground  looking to a side

Just imagine which animals are here and what they are doing!

Here I find one elephant trunk

Name this animal

Is there any deer that is looking back?

The reptile seems to carry a tiny human being below its belly
A reptile entering or coming out of its burrow

I don't understand this.  Truly modern art!


Just a Face?

Anaconda?!!

A Pastor giving sermon to the visitors!
Mushroom in trunk standing out majestically

The love birds sitting in privacy of tree hanging the helmet beside on broken branch

Monday, July 14, 2014

Royal Meal

“What is in a name?”  Famous quotation from Shakespeare’s Romeo – Juliet.  A rose whatever name it is called its fragrance doesn’t change.  But roses are of many colors and hues and there may be variance in fragrance.  But the moment anybody calls a flower rose immediately the different colors of roses come to our mind.  But somebody wants to call a rose by name jasmine because it also has fragrance, it is difficult to imagine and correlate the flower and fragrance. 
Human beings are highly evolved animals.  The ability to communicate by means of language is the most important step in evolution.  Different parts of the world have different languages.  Every language has its own script and expresses words that will be understood by people speaking that language.  People speaking other language will have to learn the language specific to the region to communicate to the people of the region and live in that region. 
We give names not only to the articles of daily use but also different places depending on the activity carried out there. One cannot call a post office a hospital or hospital a railway station as they like.  Establishments in different location are given specific name to be more precise.  So it is very important to have a name and the name cannot be changed according to the fancy of a person.  So a rose should be called a rose and not chrysanthemum. 

The name given to an establishment does not only specify the type of establishment but also conveys the variety of services provided or motto of establishment. Apt name given to a business establishment will definitely boost the business.

This is a photograph taken near Borra caves, Vizag.  This is a thatched house with a big hall and kitchen and a room behind the hall.  There were few tables and plastic chairs for the customers to sit and have meal.  In the front, to the right corner, there is a counter to collect bills.  This hotel is named as Shri Chaitanya Rajula Bhojana Hotel.  Rajula Bhojana Hotel means it is King’s meals hotel.  But below it is also given that it will supply Bengali meals.  I found it amusing to see the name given to the roadside motel given the name suggesting to supply royal meals.  The customer is considered the ‘King’ and the meal provided is “king’s meals’.  After a tedious journey and as the acids in the stomach make havoc hot rice with simple dal will definitely taste delicious and the customer will bless the hotelier.

Friday, April 11, 2014

Sweet Threat


Narayana is worried.  To overcome it he has increased his dose of liquor intake for the past three days.  But that has increased his problems and made him more gloomy and irritable.  The word sugar and sweet is making him feel jittery.  Three days ago in the night he had argument with Bhagyamma, his wife.  Since then his like for sweets has disappeared and now the word sweet itself is raising his blood pressure.
Narayana and Bhagyamma are happily married couple.  They have two grown up children, a daughter and a son.  Daughter is married and son is in college.  The couple works as construction workers, Narayana picking up some contracts of house constructions and Bhagyamma also working in the projects of Narayana.  They have a team of workers under them.  As in construction works male and female labourers work, Bhagyamma supervises women workers and Narayana deals with entire deal of forming a contract and executing it with his team.  Narayana is a high school drop out and Bhagyamma just literate.  Since their marriage twenty five years ago in their teens both lived happily with their earnings and also constructed own house, a portion of which is rented.  They did have their set of problems and differences, but patience of Bhagyamma made their home a sweet home. 

                                                       *****************

For the past two years, after the marriage of their daughter Narayana had taken up to regular alcohol intake.  Previously drinking alcohol was occasional.  After daughters marriage on the pretext of hosting parties to daughter’s in-laws frequently he got habituated to liquor.  Now he is almost addicted to it.  Bhagyamma’s request to stop the habit has fallen on deaf ears.  He tried to convince her that small quantity of alcohol is good for health and he knows his limits.  Often he forgets his limits and there will be strong wordy duels in the nights.  Three days ago there was strong protest from Bhagyamma and she gave her ultimatum to him. 
That night he could not sleep.  In the morning when he woke up and remembered the night’s incident, he became restless.  He did not even drink tea in the morning and went to his work.  Bhagyamma was cool and carried her regular work.  He was silent that day.  Next day morning when Bhagyamma wanted to make tea she could not find sugar tin.  She went on searching for the tin in the kitchen shelves, and asked her son if ever he had kept it somewhere.  Her son replied in negative.  Narayana, still lying in the bed heard this.  He slowly got up from the bed and opened a trunk in his bed room and took out the sugar tin and handed over to Bhagyamma.  After she added sugar to tea decoction he again took away the tin from her hands and safely put it back in the trunk and locked and the key was in his key chain that has his two wheeler key and is always in his pant pocket. 
“Heyy!  What is this?  If you lock the sugar in the trunk how Raju will make tea in the evenings?” Bhagyamma questioned.
“I’ll give money to Raju.  He can drink tea outside.  I want to be careful” retorted Narayana.
“This is really funny.  Keep the tin out side” Bhagyamma shouted.
“Now don’t tell me anything.  I know how to control you.  After this sugar gets over, I will never buy any sugar”, Narayana said firmly.
“What nonsense.  Can there be any house without salt and sugar” quizzed Bhagyamma.
“When there is need we shall just buy in small quantities of 50-100gms.  That’s all”, then he turned towards his son who was picking his tea cup and said, “sonny, from now onwards we all shall stop drinking tea.  So we need not have sugar in the house”.
“Nanna, this is simply meaningless.  If some friends or relatives come to our house, we should have to at least give them tea.  How can we run for sugar in front of them”?
“OK.  Then I shall keep only five spoons of sugar in the kitchen everyday”, Narayana said as a compromise.
“Sonny, you go.  I’ll deal with your father”, Bhagyamma said to her son and turned to her husband, “look, if you are locking it inside I’ll buy another tin and a kilogram of sugar and keep it in a secret place out of your reach.  After all, kitchen is my domain”
Bhagyamma warned seriously. 
“You, stubborn lady!  Why, why do you want to trouble me?”
“I am not troubling you.  Just stop that bloody habit of drinking everyday”
“You never allow me to live in peace”, Narayana walked out from kitchen. 
Bhagyamma continued her chores in the kitchen. 

                                                          ******************

The next day in the afternoon from their construction place Narayana took Bhagyamma to diagnostic laboratory and got her blood and urine examination done.  That day was her scheduled visit to the doctor with blood reports.  Bhagyamma was diagnosed to have diabetes mellitus a year ago.  Since then she is regularly using medicines and visits the doctor at regular intervals of two to three months.  If Bhagyamma forgets, Narayana reminds her and gets investigations done and visits the doctor.  Whenever they visit the doctor, it is Narayana who always does the talking and questioning the doctor about medicines.  He also takes care to remind her to take medicines regularly.  When the reports of blood sugar are given he compares them with previous reports and if there is any elevation of sugar level by 4-5 milligrams, he will pester the doctor for reasons for elevation in spite of regular treatment.  Bhagyamma simply sits by his side and listens to what doctor says.  If she has any complaints she tells them in a word or two and her husband will elaborate and questions the doctor for such complaints and their relation to her diabetes and the precautions to be taken.
That evening after returning from work, both bathed and wore clean pressed clothes, and together went to clinic.  On the way he collected the reports.  They went to their doctor, Dr. Rajkumar.  They entered the doctor’s chamber on their turn.
Dr. Rajkumar looked at them and smiled, “Oh, Narayana!  How are you Bhagyamma?”
Narayana sat on a chair in front of the doctor and Bhagyamma sat on the stool beside the right of doctor.  Dr. Rajkumar remembers the couple very well as they are his regular clients for the past two years.  He particularly remembers Narayana as a dominating husband who always does the entire talking for his problems or his wife’s.  He will have many doubts and makes him repeat everything twice about medicines and their usage. Bhagyamma talks very little rather her husband interjects when she wants to say something.  Since Bhagyamma is diagnosed to have diabetes, it is Narayana who even before handing over of the reports would tell the blood sugar level in the report and comment on it.  But today in contrast to that he simply handed the cover with reports to the doctor and put the pack of previous prescriptions of Bhagyamma in front of doctor. 
Dr. Rajkumar, as he was taking out the reports from the cover was bit surprised with the behaviour of Narayana sitting quietly with a gloomy face.  “May be the sugar levels have come high”, he thought to himself.  But when he saw the reports they were completely normal. 
“OK, Bhagyamma.  Your reports are normal.  Good. Let me check your BP”, doctor proceeded with his regular physical examination and BP. 
“OK Bhagyamma.  You are doing well. You can continue with the same medicines”, and proceeded with writing the prescription.  As he was writing the prescription Narayana said in low tone, “Saar
“What Narayana?” doctor felt relieved as Narayana started speaking
Saar, she is threatening me that she will eat sugar and commit suicide”, sadness in his tone was obvious. 
“What?” doctor looked into his face.
“Yes saar, she is threatening me that she will eat sugar and commit suicide.  I am hiding the sugar tin. I am really scared”, Narayana said in low tone, fear has drained his energy.
Doctor burst out into laughter.  He couldn’t control, he laughed and laughed.  It was unimaginable for him to think that somebody can threaten this way, particularly Bhagyamma who appears to be a submissive docile wife. Two persons sitting in the waiting room peeped into consultation room to know the cause of laughter.  Bhagyamma was also laughing.  The persons moved back to their seats.  Narayana stirred in his seat with discomfort.
“What to do Saar.  He is troubling me every night.  Doesn’t give up alcohol.  I have a grown up son in the house”, Bhagyamma explained.
“Well, Bhagyamma, sometimes there will be problems in marital life.  You two together sit and discuss and solve your problem.  You seem to be a patient woman.  Anyway now that who have threatened him with your sweet threat, I think he will try to change”, doctor said with a smile. 
Dr. Rajkumar was really surprised at the intelligence of the lady who picked up his word that for diabetics using excess sugar is like poison and used the weapon on her husband to make him tow her line. 
“You are such great couple; you should talk and come to an understanding.  As alcohol is not good for health, try to give it up Narayana. Her diabetes is under control.  Don’t worry.  Use these medicines regularly, Bhagyamma.  Be happy”.
As he was talking he finished writing his prescription.
“Fine, Saar.  I rarely drink in excess.  Give her some medicines to be active and healthy.”

“I already wrote.  If you don’t drink, and listen to her she will oblige you”, doctor handed the prescription to Bhagyamma. 
 Bhagyamma walked out with a smile and Narayana followed her.  

Saturday, March 8, 2014

Wednesday, January 15, 2014

Dream - Reality - 2

I don’t think there will be any person who had never experienced dreams in their sleep.  We dream of our fears, our aspirations and some are unexplainable.  I do dream many times, sometimes nightmares, some pleasant ones and some predictions which I could only understand retrospectively.
In the early days of my practice as obstetrician, I had a patient who had a complication of delivery.  It was her first delivery.  Delivery of the baby was smooth.  After the delivery placenta should be expelled within half-an- hour, the maximum period.  As the placenta was not expelled spontaneously I sedated the patient and tried manual removal.  It was adherent to the uterus.  I separated it and removed from the uterus.  When I examined I found that part of placenta – a cotyledon was left behind.  I tried my best to remove it manually under deep sedation but was not successful.  As it was a bit of placenta and more than 80% was removed and there was no bleeding I put her on further medication to not have any bleeding and contraction of uterus which incidentally can help in separation and expulsion of the retained bit.  To prevent any infection I also put her on antibiotics.
The retained placental bits when small are expelled spontaneously and without much problem.  Sometimes it can get infected and patient may have fever and excessive bleeding.  For first 24hrs I waited hopefully, praying god, that it is expelled.  Patient was continuously monitored for any problematic symptoms. After a day I started getting worried.  With increasing time the possibility of complications also increase.  I was remembering all the complications I have seen and read during the course of specialty education.  I was scared of surgical intervention in the immediate postpartum period for fear of infection and bleeding.  I wanted to consult my professor and take her opinion as to the management.  The whole of second day I was just thinking of my professor and when to meet her and request her guidance. 
It was more than 48 hrs and patient was quite normal but has not expelled the retained bit.  That night I could not sleep with anxiety.  I was just thinking about how to manage it.  Continuous monitoring of the patient was getting on my nerves.  Then I saw my professor and I explained her problem.  She said, “Don’t worry. She will be alright.  Nothing will happen”.  Then I woke up and realised it was a dream. 
That morning after examining patient I decided to meet my professor who is also a resident in the same city.  In the morning when I went to see the patient she said, “Doctor, in the morning I expelled a big clot”.
“Really? How big was it?”  I asked. 
“This much”, she cupped her hand and showed me.
“Was there any excess bleeding”
“No, it was normal”.
I examined her and found that uterus was appropriate to the period of postpartum and everything else was normal. 
I was relieved and thanked my professor for her reassurance in the dream and spontaneous expulsion of the bit. I kept her for another day and sent home.
She came for follow up after 2 weeks and found to be absolutely normal.

(In those days ultra sound scanning was not available in our city).