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Friday, April 27, 2018

THE WARRIOR FIGHTS AND SURVIVES IN 1980



An, all pervading gloom.

He lay gasping. Life was ebbing out. I sat next to him, holding his hands. Disoriented, I did not know what was around, let alone the impending doom hiding in the wings, to explode. I believed everything was fine.

Gullible?

I believed he was going to be well. Up and about. As exuberant as ever. For me, he was everything. I had depended on him so much. He held the key to all my queries.

‘Babychayan’, people generally called him.

I addressed him, Papa.

Yes, he was my father.

Chacko.

He battled there, on that dusk.

It began five days from that moment.

The bell rang. It was a call from Anna, one of my innumerous aunts.

“Babychayan is ill. He has been admitted to a hospital at Kanghazha. He requires surgery at once. Babychayan wants it done at your place.”

I was dumbstruck. It was only a week, I had left him sound. I had brought my family home to spend some time with him. We kept him company. The day marked the second year of the departure of Mom. The day that left him a widower.

That left us stranded.

I needed money, leave and a substitute. A procrastinator, I found the role mind-boggling
The boss, with characteristic reluctance, provided a substitute. I hurried to Kangazha. Chandra financed.

It was pathetic to find Papa in the hospital, immobilized by the catheter. Dr.V.Krishnan, wrote the discharge.

“Chacko requires surgery at once. He has an enlarged prostate. We are hopeful it’s benign.”

The shock multiplied.

Calamity.

The night found the three of us, Ravi, my brother had joined us, at the railway station on an endless wait for a train that threatened to arrive at any moment. The journey through the night saw us at my place, the next morning.

“Shall I move? Do you need more room?” I put it to the doctor who came to observe the patient on the final moments. Blissfully, I was unaware of the gravity.

“Be there. Hold on to his hands”, the kind doctor was grim.

The spasms turned violent. The agony uncontrollable. . Papa remained unconscious. He opened his eyes. He was not aware of the bustle where he was the central figure. Key actor.

The screens were placed quietly around the bed. It didn’t signify anything to me. The message was evident to the rest.

Alarmed, a sister brought in the oxygen. She drew the phlegm out. It was blocking the air.

Nothing worked. The patient was a few seconds away fro the moment of truth.

The barrier.

The thin line.

A host of doctors surrounded the bed. The hand that jerked violently all the time, began to show signs of abatement.

He was going to be alright, I thought.

There was dejection on the face of the doctors.

“The heart has stopped.”

“Artificial.”

I was watching a live show.

Unfolding.
“Cardiac arrest.”

The shout.

“Bring the apparatus.”

I was pushed back. The senior resident moved the clothes aside. With precision he was pounding the chest.

A scene straight from a movie.

With great difficulty, a tube was inserted through the mouth. Trachea. Once it was in place, they started squeezing. Each time it was pressed, the abdomen heaved. On release, it shrunk.

Up. Down. Up. Down.

Pendulam.


“Why isn't the patient on  ventilator?” barked the surgeon. He had performed the surgery with precision.

The perfect surgeon.

Safe pair of hands.

Dr.Jekyll and Mr. Hyde.

Renowned.

Reputed.

“Sir, we don’t have the rank”, the doctors with respect.

“The stretcher.”

It was a command.

The patient was at once wheeled back into the theatre from where he was brought  out three hours earlier. In the morning, when they had requisitioned him for surgery, he had declined the stretcher.

“I’ll walk.”

He was in robust health but for the catheter. How fickle life is? One moment, you are wide-awake. Struggle for existence, the next. The greatest asset man has, is his ability to breathe. What a dry log he is, if he cannot.

There we were. We sat on the floor at the entrance to the theatre. Each, lost in thought. There was a flurry of activity. Doctors rushing in. Coming out. Nurses running around.
A cardiologist and a physician- high in hierarchy.

No one knew the status of the patient. No one spoke to us. A forlorn feeling spread across.

Despondency.

“Did Chacko, ever have Cardiac history?” the surgeon beckoned me.

“Not to my knowledge.”

“The ECG was absolutely perfect”, he continued, “His blood vessels are in bad shape. He may not survive beyond 10 P.M.

My spirits sank.

It was 8.30 P.M. The physician came out.

He confirmed the prognosis.


If Papa was going away, we, the living, had to look beyond. Though the patient was yet to give up, we had to think of the arrangements, once he was declared dead. Kunjukunju chettan, an uncle, rushed to the Newspaper. The item must be in the ensuing day’s circulation. An ambulance was needed to take the body, home. Thankachayan, another uncle, arranged it.

We huddled together at the exit. We were the losers. There was nothing to hold on to. Hope withered. We just could not even think of life ahead, without Papa.We were in a daze. We watched silently as the relatives organized ahead. Braced ourselves tot accept the inevitable. Absorb the final blow.

I thought of Reshmi, our sister. I wondered how to get the matter across. There was no way to reach her. The pictures of our family, the happy days we had spent together, the day when I had disappointed him with a lousy academic record, the years I went without employment and could do nothing for the family when they were in dire straits, the vain struggle for Mom, the wild elephant on the highway when he was driving the car with all of us in it - the scenes and many others, vivid, flashed through.

“No, I won’t let him go”, I resolved.
The surgeon came out once again. It was 11 P.M.

“The moment has not come”, he said, “the patient will not see the morrow.”

He seemed dejected.

I sat down. I started praying. In fact all of us there, went on praying.

Silent prayers.

Nothing else to clutch to.

A voice within me.

“If he lives on to 6 A.M  and beyond the next morning,  he is going to survive.”

I went on with my prayers.

“Oh God, please don’t take him before 6 A.M, the next day. Give him just this night. Leave him to us. Please don’t take him.”

Focussed, like a man possessed, I chanted through the night.

11.30 P.M.

The driver of the Ambulance.

“Sir, I have a trip right now. What shall I do?”

“Carry on with, what you have.”

Response.

Resigned.


Kunjukunju Chettan ran to the newspaper.


“Hold the news.”

“Chacko is still alive. Hold it for the next day.”


The doctors poured in and out.

The night went on.

The hospital became a beehive of activity.

It was the busiest hospital in the city.

We watched victims of accidents, brought in. In a trance we saw stretchers, fully covered, pulled across.

Dawn.

There was no word from the Theatre except that the patient was on the ventilator.

Tears rolled out from all of us. We could not stand the agony any more.

The chanting, unhindered.

Life, for the rest of the world, normal as ever.

None of us saw the Physician’s arrival. He came out at 8 A.M.

“The patient has survived till this hour. He has not regained consciousness. He may survive. But in what form or mode, I can’t tell. He may not survive. It’s a cliff-hanger.

The Kaleidoscope.

I ask myself, “What went wrong?”

Money.

Avarice.

Neglect.


Deliberate.

Callous disregard for human life.

One lives by money alone.

“You have no right to be alive, without money.”

“Agony, if you do not pay.”

****
Armed with letter from the Hospital at Kanghazha, we met the Physician. It was addressed to him.

“This requires surgical intervention. Please take him to the Surgeon at once.”

“Admit the patient,” the surgeon, “Surgery required immediately.”


“Ward seven”, the assistants.


We searched out the ward in that labyrinth.

The sister was furious.

“There are no beds here. Where am to put the patient? Get back to the Doctor and ask him to find a bed.”

There was no sympathy.

The patient was in discomfort.

There was the added discomfiture.

The bag.

The ornament.

I left them both at the Ward and ran to the doctor.

“No bed.”

“Bed is there. Get back to the Ward. the sister will arrange.”

It was 10.30 A.M.

Alarmed, I retuned to the sister.

Mad with rage, she shouted.

“I don’t have any bed. Wait here. The doctor will come and provide. I wonder how he is going to source it, here.”


We waited. Papa sat on a stool, a kind soul had lent.

One hour. Nothing happened. Another hour. We saw the surgeon and his assistants trooping in. They were quite busy. They had no time even to look at us.

Three fugitives.

Finally, I took courage.

“Sir, no bed yet.”

“Don’t worry. You’ll have the bed.”

They went away.


The clock swung. It was 1 P.M.

The assistants returned.

We ran after them.


One showed sympathy and concern.

“I’ll do something.”


“I’m hungry.” Papa was indeed hungry. He had had a harrowing time.

Food did not matter to us. A place for the patient was our prime motive.


The surgeon came in again.

“Sir, bed?”

“Don’t worry. You’ll have it.” He went away.


4 P.M. The assistant called out.

“Chacko.”

You have bed. Number 35. Take it at once. Else someone else may have it.”


The moment the bed was occupied, the sister took over. Temperature, blood pressure, medicines, chits for medicines. Tired, we went out for an untimely lunch. A packet was brought in for Papa.


Government Hospitals are always crowded. Specialists are available there. Nowhere else.

The facilities available are never utilized.

Socialism has ushered in an era, where one gets paid for doing no work.

The services are available elsewhere, at a price.


Universal corruption.

The way of life.


All are equal.

Everything is free.

If you do not pay ‘ME’ nothing is available.

You are shunned.

Shunted.

Blood tests.

X-rays.

“Get it from ‘Roja’ clinic. Their results alone are dependable. Don’t go anywhere else. ECG too. But from ‘Shalini’ only.”

“The patient is admitte here. How do we do it?”

“Don’t woryy. Tell the sister. Get a taxi. Take him everywhere. But, for God’s sake get the results fast. Surgery cannot be delayed. Life is at stake.”


A novice, I have never paid any bribe till now. I do not know the art.

Lack of expertise.

“Did you meet the sugeon?” Rajeevan, our neighbour.

“Yes.”

“I didn’t mean that. Have you paid him?”

“No. What do you mean?”

“If you want your father back well you must pay the surgeon his fee.”

“Fee?”

“The bribe.”

“How much?”

“Rs.150 is the current rate. Pay Rs.75 before and the rest on discharge.


I didn’t know where the surgeon stayed. Locating it, I went there with Rs.75.

Dr. Shyamsundar.P.S, MBBS, MS, MS, FRCS.

Consulting time 4 P.M TO 7 P.M.

There was a big crowd. My turn came at 8.30 P.M.

“What’s your problem? What brings you here?” He did not recognize me.

“Chacko. The inpatient. Surgery”, I blurted out.

I placed Rs.75 in an envelope on the table.

A good Samaritan had taught me.


Dr. Shyamsundar suddenly recognized me.

“Yes. Yes. I remember. Don’t worry. Your father is safe in my hands.”

There was a hearty laugh.

Pleased, I returned to the hospital to keep Papa, company.


Wednesday.
The surgery was listed for the next day.

Forms to be filled.

Investigations.

More trips to the clinics, for the disabled.

Preparation of the patient for surgery.

Money changed hands.

The salaried employee did his job.

The clinics ensure prompt payment of commission to the referrers.

Counseling.

Declaration.


Surgery.

The stretcher is wheeled in. The patient exuberant. Full of hope.

“I do not need the stretcher. I’ll march in.”

7 A.M. The theatre closes its doors. The patient is administered sedatives, as prelude to surgery.

The patient is first in the list.

8 A.M. the surgeon goes in. A large crowd waits. A number of surgeries are listed for the day.

“The operation will soon begin,” a resident.

There are thirty of us. Babychayan is well liked by peers and relatives.

9 A.M. the surgeon comes out.

“The surgery will soon take place.”

We settle down.

10 A.M. The surgeon again.
“The surgery will soon take place.”

We are perplexed.

“Rohit, did you pay him.”

Poser from our cousin – Thampy, a doctor in the States, a former student, of the Professor.

“Yes.”

“In our days, this man was reputed, for the money he took.”

“Hmm.”

“If you haven’t, we’ll do that even now. May be, he is delaying, waiting for the pound.”

“I have taken care of that.”

“O.K.”


1.30 P.M. The residents emerge.

“Surgery is over.”


“He is in the post-operative.”

Thampychayan and Renu, my wife, stare at Papa’s fingers.

“Why is it bluish?” she asks.

Thampychayan nods.

He calls in a resident. he too examines it.

“Wheel the patient back to the ward.”

Efficient hands transfer the patient to the stretcher.

“Don’t forget to pay the bearers”, Thampychayan.

“O.K”


The patient is back. The sisters take over.

A string of tubes.

I.V.

Catheter.

A big bottle under the bed to drain off the urine.

“Keep feeding the liquid.”


Commotion.


Papa is restless.

Four sets of hands try to hold him down. He is unconscious.

Yet he struggles.

Thampychayan is concerned.

“The condition is becoming serious.”

I watch him speak quietly to Acha and Johny, my in laws.

Thampychayan goes out.

“Sir, the patient, Chacko, is critical. Please make haste.”

“I have my patients. I’ll come after I finish with them.”

A poor man has a right to his living.


“Sir, the patient you had referred to Dr.Shyamsundar. He is critical. post operative”, the in-laws spoke to the senior physician.

“I have an emergency. A crisis. Will you all wait for me or return tomorrow?”

The response was electric. The patients disbursed.

Dr. Ramachandra Iyer.P.K, MBBS, MD, MD, MRCP picked up Dr. Hari Govind. M, MBBS, MD, MD, DM, Professor of Cardiology. The arrival of the two seniors, professors, created a stir.

Together, the patient was examined.

“The BP has to climb. It’s very low”, they whispered.

Medicines were prescribed. Administered.

Tryst.

“Hold on to his hands”, the resident. Grim.

****

Forty-eight long hours of vigil in front of the theatre.

The patient remained critical.

No contrarians among the eminent.


****

A fighter, he had been through a great deal.

Singapore.

Bombs rained.

Shells blasted.

Scared, he ran and ran, lay flat.

Japanese.

British.

American.

Merciless.

On and on it poured. Engulfed everyone.

Many died violent.
Many maimed.

Survivors waited their turn.


***

As a child, an imminent watery grave stared at him.

***

Wild tuskers let him off.

***

A fall and a slide off a cliff with Mom – he held her all the time - evaded disaster.

***

Strange script.

***

“I never knew of this surgery”, Dr. M.K. Divakaran, the anaesthetist, a friend of Thampychayan.

“Who did it?”

“A PG.”

***

Socialism has ensured a fair deal.

**

“Did you satisfy him?”

“Who?”

“The surgeon.”

“Yes.”

“Presume, you didn’t give Rs. 500, the minimum, I mean his standard.”

“No.”

“That’s why the negligence.”

Thampychayan added, “You know why it went wrong?”

“They started the oxygen very late. He suffered due to insufficiency of oxygen. They ought to have started the oxygen the moment the blue, appeared. it must have happened right when he was on the table. The PG was unaware, inexperienced, to notice it. The surgeon will do his job. Nothing else.”

Specialisation.

Compartments.

Watertight.


“Who’s Rohit?”

A resident, they were all friendly by then, popping out of the theatre.

It was more than two days since we were left in the lurch.

“Will you come with me into the theatre?”

“That’s it”, I thought, “The finis to a badly written script.”

It was 2 A.M.

“I am not sterile. The theatre wear?”

“Don’t bother. Keep away the footwear. Hurry.”


The relatives pushed me in.

There he was, on a bed, wide awake.

“Who’s this?”

“Speak out.”

“Hey, the tube!”

“Take it out.”

“This is Rohit, my son, the eldest.”

“What’s he?”

“He stays in the city. works in an office.”

“Enough.”

“Please go out.”

“Your dad has regained consciousness. He’ll survive.”

“Let him recoup.”

“Thank you,Oh,Lord.”

The exit.

“What happened?”

“Is he in danger?”

Quizzed ten pairs of eyes.

“He’s alright. He’s alive. He’s spoken.”

Smiles.

Weary frames.

Curtains to the long wait.

Future?

Past, a bad dream.

The present, we have.

Much to strive for.

The loser won.

It’s the beginning. Not the end.


Fight.

Fight to win.

Never give up.

Much to strive for. Much ahead.

Hopes, plans for the bright Sun.

Tomorrow.


*******









































 THE WARRIOR

--------------------------

ABRAHAM JACOB, T C 30/211, ASRAMAM ROAD, ANAYARA, TRIVANDRUM – 29

An, all pervading gloom.

He lay gasping. Life was ebbing out. I sat next to him, holding his hands. Disoriented, I did not know what was around, let alone the impending doom hiding in the wings, to explode. I believed everything was fine.

Gullible?

I believed he was going to be well. Up and about. As exuberant as ever. For me, he was everything. I had depended on him so much. He held the key to all my queries.

‘Babychayan’, people generally called him.

I addressed him, Papa.

Yes, he was my father.

Chacko.

He battled there, on that dusk.

It began five days from that moment.

The bell rang. It was a call from Anna, one of my innumerous aunts.

“Babychayan is ill. He has been admitted to a hospital at Kanghazha. He requires surgery at once. Babychayan wants it done at your place.”

I was dumbstruck. It was only a week, I had left him sound. I had brought my family home to spend some time with him. We kept him company. The day marked the second year of the departure of Mom. The day that left him a widower.

That left us stranded.

I needed money, leave and a substitute. A procrastinator, I found the role mind-boggling
The boss, with characteristic reluctance, provided a substitute. I hurried to Kangazha. Chandra financed.

It was pathetic to find Papa in the hospital, immobilized by the catheter. Dr.V.Krishnan, wrote the discharge.

“Chacko requires surgery at once. He has an enlarged prostate. We are hopeful it’s benign.”

The shock multiplied.

Calamity.

The night found the three of us, Ravi, my brother had joined us, at the railway station on an endless wait for a train that threatened to arrive at any moment. The journey through the night saw us at my place, the next morning.

“Shall I move? Do you need more room?” I put it to the doctor who came to observe the patient on the final moments. Blissfully, I was unaware of the gravity.

“Be there. Hold on to his hands”, the kind doctor was grim.

The spasms turned violent. The agony uncontrollable. . Papa remained unconscious. He opened his eyes. He was not aware of the bustle where he was the central figure. Key actor.

The screens were placed quietly around the bed. It didn’t signify anything to me. The message was evident to the rest.

Alarmed, a sister brought in the oxygen. She drew the phlegm out. It was blocking the air.

Nothing worked. The patient was a few seconds away fro the moment of truth.

The barrier.

The thin line.

A host of doctors surrounded the bed. The hand that jerked violently all the time, began to show signs of abatement.

He was going to be alright, I thought.

There was dejection on the face of the doctors.

“The heart has stopped.”

“Artificial.”

I was watching a live show.

Unfolding.
“Cardiac arrest.”

The shout.

“Bring the apparatus.”

I was pushed back. The senior resident moved the clothes aside. With precision he was pounding the chest.

A scene straight from a movie.

With great difficulty, a tube was inserted through the mouth. Trachea. Once it was in place, they started squeezing. Each time it was pressed, the abdomen heaved. On release, it shrunk.

Up. Down. Up. Down.

Pendulam.


“Why have not put the patient on the ventilator?” barked the surgeon. He had performed the surgery with precision.

The perfect surgeon.

Safe pair of hands.

Dr.Jekyll and Mr. Hyde.

Renowned.

Reputed.

“Sir, we don’t have the rank”, the doctors with respect.

“The stretcher.”

It was a command.

The patient was at once wheeled back into the theatre from where he was brought  out three hours earlier. In the morning, when they had requisitioned him for surgery, he had declined the stretcher.

“I’ll walk.”

He was in robust health but for the catheter. How fickle life is? One moment, you are wide-awake. Struggle for existence, the next. The greatest asset man has, is his ability to breathe. What a dry log he is, if he cannot.

There we were. We sat on the floor at the entrance to the theatre. Each, lost in thought. There was a flurry of activity. Doctors rushing in. Coming out. Nurses running around.
A cardiologist and a physician- high in hierarchy.

No one knew the status of the patient. No one spoke to us. A forlorn feeling spread across.

Despondency.

“Did Chacko, ever have Cardiac history?” the surgeon beckoned me.

“Not to my knowledge.”

“The ECG was absolutely perfect”, he continued, “His blood vessels are in bad shape. He may not survive beyond 10 P.M.

My spirits sank.

It was 8.30 P.M. The physician came out.

He confirmed the prognosis.


If Papa was going away, we, the living, had to look beyond. Though the patient was yet to give up, we had to think of the arrangements, once he was declared dead. Kunjukunju chettan, an uncle, rushed to the Newspaper. The item must be in the ensuing day’s circulation. An ambulance was needed to take the body, home. Thankachayan, another uncle, arranged it.

We huddled together at the exit. We were the losers. There was nothing to hold on to. Hope withered. We just could not even think of life ahead, without Papa.We were in a daze. We watched silently as the relatives organized ahead. Braced ourselves tot accept the inevitable. Absorb the final blow.

I thought of Reshmi, our sister. I wondered how to get the matter across. There was no way to reach her. The pictures of our family, the happy days we had spent together, the day when I had disappointed him with a lousy academic record, the years I went without employment and could do nothing for the family when they were in dire straits, the vain struggle for Mom, the wild elephant on the highway when he was driving the car with all of us in it - the scenes and many others, vivid, flashed through.

“No, I won’t let him go”, I resolved.
The surgeon came out once again. It was 11 P.M.

“The moment has not come”, he said, “the patient will not see the morrow.”

He seemed dejected.

I sat down. I started praying. In fact all of us there, went on praying.

Silent prayers.

Nothing else to clutch to.

A voice within me.

“If he lives on to 6 A.M  and beyond the next morning,  he is going to survive.”

I went on with my prayers.

“Oh God, please don’t take him before 6 A.M, the next day. Give him just this night. Leave him to us. Please don’t take him.”

Focussed, like a man possessed, I chanted through the night.

11.30 P.M.

The driver of the Ambulance.

“Sir, I have a trip right now. What shall I do?”

“Carry on with, what you have.”

Response.

Resigned.


Kunjukunju Chettan ran to the newspaper.


“Hold the news.”

“Chacko is still alive. Hold it for the next day.”


The doctors poured in and out.

The night went on.

The hospital became a beehive of activity.

It was the busiest hospital in the city.

We watched victims of accidents, brought in. In a trance we saw stretchers, fully covered, pulled across.

Dawn.

There was no word from the Theatre except that the patient was on the ventilator.

Tears rolled out from all of us. We could not stand the agony any more.

The chanting, unhindered.

Life, for the rest of the world, normal as ever.

None of us saw the Physician’s arrival. He came out at 8 A.M.

“The patient has survived till this hour. He has not regained consciousness. He may survive. But in what form or mode, I can’t tell. He may not survive. It’s a cliff-hanger.

The Kaleidoscope.

I ask myself, “What went wrong?”

Money.

Avarice.

Neglect.


Deliberate.

Callous disregard for human life.

One lives by money alone.

“You have no right to be alive, without money.”

“Agony, if you do not pay.”

****
Armed with letter from the Hospital at Kanghazha, we met the Physician. It was addressed to him.

“This requires surgical intervention. Please take him to the Surgeon at once.”

“Admit the patient,” the surgeon, “Surgery required immediately.”


“Ward seven”, the assistants.


We searched out the ward in that labyrinth.

The sister was furious.

“There are no beds here. Where am to put the patient? Get back to the Doctor and ask him to find a bed.”

There was no sympathy.

The patient was in discomfort.

There was the added discomfiture.

The bag.

The ornament.

I left them both at the Ward and ran to the doctor.

“No bed.”

“Bed is there. Get back to the Ward. the sister will arrange.”

It was 10.30 A.M.

Alarmed, I retuned to the sister.

Mad with rage, she shouted.

“I don’t have any bed. Wait here. The doctor will come and provide. I wonder how he is going to source it, here.”


We waited. Papa sat on a stool, a kind soul had lent.

One hour. Nothing happened. Another hour. We saw the surgeon and his assistants trooping in. They were quite busy. They had no time even to look at us.

Three fugitives.

Finally, I took courage.

“Sir, no bed yet.”

“Don’t worry. You’ll have the bed.”

They went away.


The clock swung. It was 1 P.M.

The assistants returned.

We ran after them.


One showed sympathy and concern.

“I’ll do something.”


“I’m hungry.” Papa was indeed hungry. He had had a harrowing time.

Food did not matter to us. A place for the patient was our prime motive.


The surgeon came in again.

“Sir, bed?”

“Don’t worry. You’ll have it.” He went away.


4 P.M. The assistant called out.

“Chacko.”

You have bed. Number 35. Take it at once. Else someone else may have it.”


The moment the bed was occupied, the sister took over. Temperature, blood pressure, medicines, chits for medicines. Tired, we went out for an untimely lunch. A packet was brought in for Papa.


Government Hospitals are always crowded. Specialists are available there. Nowhere else.

The facilities available are never utilized.

Socialism has ushered in an era, where one gets paid for doing no work.

The services are available elsewhere, at a price.


Universal corruption.

The way of life.


All are equal.

Everything is free.

If you do not pay ‘ME’ nothing is available.

You are shunned.

Shunted.

Blood tests.

X-rays.

“Get it from ‘Roja’ clinic. Their results alone are dependable. Don’t go anywhere else. ECG too. But from ‘Shalini’ only.”

“The patient is admitte here. How do we do it?”

“Don’t woryy. Tell the sister. Get a taxi. Take him everywhere. But, for God’s sake get the results fast. Surgery cannot be delayed. Life is at stake.”


A novice, I have never paid any bribe till now. I do not know the art.

Lack of expertise.

“Did you meet the sugeon?” Rajeevan, our neighbour.

“Yes.”

“I didn’t mean that. Have you paid him?”

“No. What do you mean?”

“If you want your father back well you must pay the surgeon his fee.”

“Fee?”

“The bribe.”

“How much?”

“Rs.150 is the current rate. Pay Rs.75 before and the rest on discharge.


I didn’t know where the surgeon stayed. Locating it, I went there with Rs.75.

Dr. Shyamsundar.P.S, MBBS, MS, MS, FRCS.

Consulting time 4 P.M TO 7 P.M.

There was a big crowd. My turn came at 8.30 P.M.

“What’s your problem? What brings you here?” He did not recognize me.

“Chacko. The inpatient. Surgery”, I blurted out.

I placed Rs.75 in an envelope on the table.

A good Samaritan had taught me.


Dr. Shyamsundar suddenly recognized me.

“Yes. Yes. I remember. Don’t worry. Your father is safe in my hands.”

There was a hearty laugh.

Pleased, I returned to the hospital to keep Papa, company.


Wednesday.
The surgery was listed for the next day.

Forms to be filled.

Investigations.

More trips to the clinics, for the disabled.

Preparation of the patient for surgery.

Money changed hands.

The salaried employee did his job.

The clinics ensure prompt payment of commission to the referrers.

Counseling.

Declaration.


Surgery.

The stretcher is wheeled in. The patient exuberant. Full of hope.

“I do not need the stretcher. I’ll march in.”

7 A.M. The theatre closes its doors. The patient is administered sedatives, as prelude to surgery.

The patient is first in the list.

8 A.M. the surgeon goes in. A large crowd waits. A number of surgeries are listed for the day.

“The operation will soon begin,” a resident.

There are thirty of us. Babychayan is well liked by peers and relatives.

9 A.M. the surgeon comes out.

“The surgery will soon take place.”

We settle down.

10 A.M. The surgeon again.
“The surgery will soon take place.”

We are perplexed.

“Rohit, did you pay him.”

Poser from our cousin – Thampy, a doctor in the States, a former student, of the Professor.

“Yes.”

“In our days, this man was reputed, for the money he took.”

“Hmm.”

“If you haven’t, we’ll do that even now. May be, he is delaying, waiting for the pound.”

“I have taken care of that.”

“O.K.”


1.30 P.M. The residents emerge.

“Surgery is over.”


“He is in the post-operative.”

Thampychayan and Renu, my wife, stare at Papa’s fingers.

“Why is it bluish?” she asks.

Thampychayan nods.

He calls in a resident. he too examines it.

“Wheel the patient back to the ward.”

Efficient hands transfer the patient to the stretcher.

“Don’t forget to pay the bearers”, Thampychayan.

“O.K”


The patient is back. The sisters take over.

A string of tubes.

I.V.

Catheter.

A big bottle under the bed to drain off the urine.

“Keep feeding the liquid.”


Commotion.


Papa is restless.

Four sets of hands try to hold him down. He is unconscious.

Yet he struggles.

Thampychayan is concerned.

“The condition is becoming serious.”

I watch him speak quietly to Acha and Johny, my in laws.

Thampychayan goes out.

“Sir, the patient, Chacko, is critical. Please make haste.”

“I have my patients. I’ll come after I finish with them.”

A poor man has a right to his living.


“Sir, the patient you had referred to Dr.Shyamsundar. He is critical. post operative”, the in-laws spoke to the senior physician.

“I have an emergency. A crisis. Will you all wait for me or return tomorrow?”

The response was electric. The patients disbursed.

Dr. Ramachandra Iyer.P.K, MBBS, MD, MD, MRCP picked up Dr. Hari Govind. M, MBBS, MD, MD, DM, Professor of Cardiology. The arrival of the two seniors, professors, created a stir.

Together, the patient was examined.

“The BP has to climb. It’s very low”, they whispered.

Medicines were prescribed. Administered.

Tryst.

“Hold on to his hands”, the resident. Grim.

****

Forty-eight long hours of vigil in front of the theatre.

The patient remained critical.

No contrarians among the eminent.


****

A fighter, he had been through a great deal.

Singapore.

Bombs rained.

Shells blasted.

Scared, he ran and ran, lay flat.

Japanese.

British.

American.

Merciless.

On and on it poured. Engulfed everyone.

Many died violent.
Many maimed.

Survivors waited their turn.


***

As a child, an imminent watery grave stared at him.

***

Wild tuskers let him off.

***

A fall and a slide off a cliff with Mom – he held her all the time - evaded disaster.

***

Strange script.

***

“I never knew of this surgery”, Dr. M.K. Divakaran, the anaesthetist, a friend of Thampychayan.

“Who did it?”

“A PG.”

***

Socialism has ensured a fair deal.

**

“Did you satisfy him?”

“Who?”

“The surgeon.”

“Yes.”

“Presume, you didn’t give Rs. 500, the minimum, I mean his standard.”

“No.”

“That’s why the negligence.”

Thampychayan added, “You know why it went wrong?”

“They started the oxygen very late. He suffered due to insufficiency of oxygen. They ought to have started the oxygen the moment the blue, appeared. it must have happened right when he was on the table. The PG was unaware, inexperienced, to notice it. The surgeon will do his job. Nothing else.”

Specialisation.

Compartments.

Watertight.


“Who’s Rohit?”

A resident, they were all friendly by then, popping out of the theatre.

It was more than two days since we were left in the lurch.

“Will you come with me into the theatre?”

“That’s it”, I thought, “The finis to a badly written script.”

It was 2 A.M.

“I am not sterile. The theatre wear?”

“Don’t bother. Keep away the footwear. Hurry.”


The relatives pushed me in.

There he was, on a bed, wide awake.

“Who’s this?”

“Speak out.”

“Hey, the tube!”

“Take it out.”

“This is Rohit, my son, the eldest.”

“What’s he?”

“He stays in the city. works in an office.”

“Enough.”

“Please go out.”

“Your dad has regained consciousness. He’ll survive.”

“Let him recoup.”

“Thank you,Oh,Lord.”

The exit.

“What happened?”

“Is he in danger?”

Quizzed ten pairs of eyes.

“He’s alright. He’s alive. He’s spoken.”

Smiles.

Weary frames.

Curtains to the long wait.

Future?

Past, a bad dream.

The present, we have.

Much to strive for.

The loser won.

It’s the beginning. Not the end.


Fight.

Fight to win.

Never give up.

Much to strive for. Much ahead.

Hopes, plans for the bright Sun.

Tomorrow.


*******































 THE WARRIOR
--------------------------

ABRAHAM JACOB, T C 30/211, ASRAMAM ROAD, ANAYARA, TRIVANDRUM – 29

An, all pervading gloom.

He lay gasping. Life was ebbing out. I sat next to him, holding his hands. Disoriented, I did not know what was around, let alone the impending doom hiding in the wings, to explode. I believed everything was fine.

Gullible?

I believed he was going to be well. Up and about. As exuberant as ever. For me, he was everything. I had depended on him so much. He held the key to all my queries.

‘Babychayan’, people generally called him.

I addressed him, Papa.

Yes, he was my father.

Chacko.

He battled there, on that dusk.

It began five days from that moment.

The bell rang. It was a call from Anna, one of my innumerous aunts.

“Babychayan is ill. He has been admitted to a hospital at Kanghazha. He requires surgery at once. Babychayan wants it done at your place.”

I was dumbstruck. It was only a week, I had left him sound. I had brought my family home to spend some time with him. We kept him company. The day marked the second year of the departure of Mom. The day that left him a widower.

That left us stranded.

I needed money, leave and a substitute. A procrastinator, I found the role mind-boggling
The boss, with characteristic reluctance, provided a substitute. I hurried to Kangazha. Chandra financed.

It was pathetic to find Papa in the hospital, immobilized by the catheter. Dr.V.Krishnan, wrote the discharge.

“Chacko requires surgery at once. He has an enlarged prostate. We are hopeful it’s benign.”

The shock multiplied.

Calamity.

The night found the three of us, Ravi, my brother had joined us, at the railway station on an endless wait for a train that threatened to arrive at any moment. The journey through the night saw us at my place, the next morning.

“Shall I move? Do you need more room?” I put it to the doctor who came to observe the patient on the final moments. Blissfully, I was unaware of the gravity.

“Be there. Hold on to his hands”, the kind doctor was grim.

The spasms turned violent. The agony uncontrollable. . Papa remained unconscious. He opened his eyes. He was not aware of the bustle where he was the central figure. Key actor.

The screens were placed quietly around the bed. It didn’t signify anything to me. The message was evident to the rest.

Alarmed, a sister brought in the oxygen. She drew the phlegm out. It was blocking the air.

Nothing worked. The patient was a few seconds away fro the moment of truth.

The barrier.

The thin line.

A host of doctors surrounded the bed. The hand that jerked violently all the time, began to show signs of abatement.

He was going to be alright, I thought.

There was dejection on the face of the doctors.

“The heart has stopped.”

“Artificial.”

I was watching a live show.

Unfolding.
“Cardiac arrest.”

The shout.

“Bring the apparatus.”

I was pushed back. The senior resident moved the clothes aside. With precision he was pounding the chest.

A scene straight from a movie.

With great difficulty, a tube was inserted through the mouth. Trachea. Once it was in place, they started squeezing. Each time it was pressed, the abdomen heaved. On release, it shrunk.

Up. Down. Up. Down.

Pendulam.


“Why have not put the patient on the ventilator?” barked the surgeon. He had performed the surgery with precision.

The perfect surgeon.

Safe pair of hands.

Dr.Jekyll and Mr. Hyde.

Renowned.

Reputed.

“Sir, we don’t have the rank”, the doctors with respect.

“The stretcher.”

It was a command.

The patient was at once wheeled back into the theatre from where he was brought  out three hours earlier. In the morning, when they had requisitioned him for surgery, he had declined the stretcher.

“I’ll walk.”

He was in robust health but for the catheter. How fickle life is? One moment, you are wide-awake. Struggle for existence, the next. The greatest asset man has, is his ability to breathe. What a dry log he is, if he cannot.

There we were. We sat on the floor at the entrance to the theatre. Each, lost in thought. There was a flurry of activity. Doctors rushing in. Coming out. Nurses running around.
A cardiologist and a physician- high in hierarchy.

No one knew the status of the patient. No one spoke to us. A forlorn feeling spread across.

Despondency.

“Did Chacko, ever have Cardiac history?” the surgeon beckoned me.

“Not to my knowledge.”

“The ECG was absolutely perfect”, he continued, “His blood vessels are in bad shape. He may not survive beyond 10 P.M.

My spirits sank.

It was 8.30 P.M. The physician came out.

He confirmed the prognosis.


If Papa was going away, we, the living, had to look beyond. Though the patient was yet to give up, we had to think of the arrangements, once he was declared dead. Kunjukunju chettan, an uncle, rushed to the Newspaper. The item must be in the ensuing day’s circulation. An ambulance was needed to take the body, home. Thankachayan, another uncle, arranged it.

We huddled together at the exit. We were the losers. There was nothing to hold on to. Hope withered. We just could not even think of life ahead, without Papa.We were in a daze. We watched silently as the relatives organized ahead. Braced ourselves tot accept the inevitable. Absorb the final blow.

I thought of Reshmi, our sister. I wondered how to get the matter across. There was no way to reach her. The pictures of our family, the happy days we had spent together, the day when I had disappointed him with a lousy academic record, the years I went without employment and could do nothing for the family when they were in dire straits, the vain struggle for Mom, the wild elephant on the highway when he was driving the car with all of us in it - the scenes and many others, vivid, flashed through.

“No, I won’t let him go”, I resolved.
The surgeon came out once again. It was 11 P.M.

“The moment has not come”, he said, “the patient will not see the morrow.”

He seemed dejected.

I sat down. I started praying. In fact all of us there, went on praying.

Silent prayers.

Nothing else to clutch to.

A voice within me.

“If he lives on to 6 A.M  and beyond the next morning,  he is going to survive.”

I went on with my prayers.

“Oh God, please don’t take him before 6 A.M, the next day. Give him just this night. Leave him to us. Please don’t take him.”

Focussed, like a man possessed, I chanted through the night.

11.30 P.M.

The driver of the Ambulance.

“Sir, I have a trip right now. What shall I do?”

“Carry on with, what you have.”

Response.

Resigned.


Kunjukunju Chettan ran to the newspaper.


“Hold the news.”

“Chacko is still alive. Hold it for the next day.”


The doctors poured in and out.

The night went on.

The hospital became a beehive of activity.

It was the busiest hospital in the city.

We watched victims of accidents, brought in. In a trance we saw stretchers, fully covered, pulled across.

Dawn.

There was no word from the Theatre except that the patient was on the ventilator.

Tears rolled out from all of us. We could not stand the agony any more.

The chanting, unhindered.

Life, for the rest of the world, normal as ever.

None of us saw the Physician’s arrival. He came out at 8 A.M.

“The patient has survived till this hour. He has not regained consciousness. He may survive. But in what form or mode, I can’t tell. He may not survive. It’s a cliff-hanger.

The Kaleidoscope.

I ask myself, “What went wrong?”

Money.

Avarice.

Neglect.


Deliberate.

Callous disregard for human life.

One lives by money alone.

“You have no right to be alive, without money.”

“Agony, if you do not pay.”

****
Armed with letter from the Hospital at Kanghazha, we met the Physician. It was addressed to him.

“This requires surgical intervention. Please take him to the Surgeon at once.”

“Admit the patient,” the surgeon, “Surgery required immediately.”


“Ward seven”, the assistants.


We searched out the ward in that labyrinth.

The sister was furious.

“There are no beds here. Where am to put the patient? Get back to the Doctor and ask him to find a bed.”

There was no sympathy.

The patient was in discomfort.

There was the added discomfiture.

The bag.

The ornament.

I left them both at the Ward and ran to the doctor.

“No bed.”

“Bed is there. Get back to the Ward. the sister will arrange.”

It was 10.30 A.M.

Alarmed, I retuned to the sister.

Mad with rage, she shouted.

“I don’t have any bed. Wait here. The doctor will come and provide. I wonder how he is going to source it, here.”


We waited. Papa sat on a stool, a kind soul had lent.

One hour. Nothing happened. Another hour. We saw the surgeon and his assistants trooping in. They were quite busy. They had no time even to look at us.

Three fugitives.

Finally, I took courage.

“Sir, no bed yet.”

“Don’t worry. You’ll have the bed.”

They went away.


The clock swung. It was 1 P.M.

The assistants returned.

We ran after them.


One showed sympathy and concern.

“I’ll do something.”


“I’m hungry.” Papa was indeed hungry. He had had a harrowing time.

Food did not matter to us. A place for the patient was our prime motive.


The surgeon came in again.

“Sir, bed?”

“Don’t worry. You’ll have it.” He went away.


4 P.M. The assistant called out.

“Chacko.”

You have bed. Number 35. Take it at once. Else someone else may have it.”


The moment the bed was occupied, the sister took over. Temperature, blood pressure, medicines, chits for medicines. Tired, we went out for an untimely lunch. A packet was brought in for Papa.


Government Hospitals are always crowded. Specialists are available there. Nowhere else.

The facilities available are never utilized.

Socialism has ushered in an era, where one gets paid for doing no work.

The services are available elsewhere, at a price.


Universal corruption.

The way of life.


All are equal.

Everything is free.

If you do not pay ‘ME’ nothing is available.

You are shunned.

Shunted.

Blood tests.

X-rays.

“Get it from ‘Roja’ clinic. Their results alone are dependable. Don’t go anywhere else. ECG too. But from ‘Shalini’ only.”

“The patient is admitte here. How do we do it?”

“Don’t woryy. Tell the sister. Get a taxi. Take him everywhere. But, for God’s sake get the results fast. Surgery cannot be delayed. Life is at stake.”


A novice, I have never paid any bribe till now. I do not know the art.

Lack of expertise.

“Did you meet the sugeon?” Rajeevan, our neighbour.

“Yes.”

“I didn’t mean that. Have you paid him?”

“No. What do you mean?”

“If you want your father back well you must pay the surgeon his fee.”

“Fee?”

“The bribe.”

“How much?”

“Rs.150 is the current rate. Pay Rs.75 before and the rest on discharge.


I didn’t know where the surgeon stayed. Locating it, I went there with Rs.75.

Dr. Shyamsundar.P.S, MBBS, MS, MS, FRCS.

Consulting time 4 P.M TO 7 P.M.

There was a big crowd. My turn came at 8.30 P.M.

“What’s your problem? What brings you here?” He did not recognize me.

“Chacko. The inpatient. Surgery”, I blurted out.

I placed Rs.75 in an envelope on the table.

A good Samaritan had taught me.


Dr. Shyamsundar suddenly recognized me.

“Yes. Yes. I remember. Don’t worry. Your father is safe in my hands.”

There was a hearty laugh.

Pleased, I returned to the hospital to keep Papa, company.


Wednesday.
The surgery was listed for the next day.

Forms to be filled.

Investigations.

More trips to the clinics, for the disabled.

Preparation of the patient for surgery.

Money changed hands.

The salaried employee did his job.

The clinics ensure prompt payment of commission to the referrers.

Counseling.

Declaration.


Surgery.

The stretcher is wheeled in. The patient exuberant. Full of hope.

“I do not need the stretcher. I’ll march in.”

7 A.M. The theatre closes its doors. The patient is administered sedatives, as prelude to surgery.

The patient is first in the list.

8 A.M. the surgeon goes in. A large crowd waits. A number of surgeries are listed for the day.

“The operation will soon begin,” a resident.

There are thirty of us. Babychayan is well liked by peers and relatives.

9 A.M. the surgeon comes out.

“The surgery will soon take place.”

We settle down.

10 A.M. The surgeon again.
“The surgery will soon take place.”

We are perplexed.

“Rohit, did you pay him.”

Poser from our cousin – Thampy, a doctor in the States, a former student, of the Professor.

“Yes.”

“In our days, this man was reputed, for the money he took.”

“Hmm.”

“If you haven’t, we’ll do that even now. May be, he is delaying, waiting for the pound.”

“I have taken care of that.”

“O.K.”


1.30 P.M. The residents emerge.

“Surgery is over.”


“He is in the post-operative.”

Thampychayan and Renu, my wife, stare at Papa’s fingers.

“Why is it bluish?” she asks.

Thampychayan nods.

He calls in a resident. he too examines it.

“Wheel the patient back to the ward.”

Efficient hands transfer the patient to the stretcher.

“Don’t forget to pay the bearers”, Thampychayan.

“O.K”


The patient is back. The sisters take over.

A string of tubes.

I.V.

Catheter.

A big bottle under the bed to drain off the urine.

“Keep feeding the liquid.”


Commotion.


Papa is restless.

Four sets of hands try to hold him down. He is unconscious.

Yet he struggles.

Thampychayan is concerned.

“The condition is becoming serious.”

I watch him speak quietly to Acha and Johny, my in laws.

Thampychayan goes out.

“Sir, the patient, Chacko, is critical. Please make haste.”

“I have my patients. I’ll come after I finish with them.”

A poor man has a right to his living.


“Sir, the patient you had referred to Dr.Shyamsundar. He is critical. post operative”, the in-laws spoke to the senior physician.

“I have an emergency. A crisis. Will you all wait for me or return tomorrow?”

The response was electric. The patients disbursed.

Dr. Ramachandra Iyer.P.K, MBBS, MD, MD, MRCP picked up Dr. Hari Govind. M, MBBS, MD, MD, DM, Professor of Cardiology. The arrival of the two seniors, professors, created a stir.

Together, the patient was examined.

“The BP has to climb. It’s very low”, they whispered.

Medicines were prescribed. Administered.

Tryst.

“Hold on to his hands”, the resident. Grim.

****

Forty-eight long hours of vigil in front of the theatre.

The patient remained critical.

No contrarians among the eminent.


****

A fighter, he had been through a great deal.

Singapore.

Bombs rained.

Shells blasted.

Scared, he ran and ran, lay flat.

Japanese.

British.

American.

Merciless.

On and on it poured. Engulfed everyone.

Many died violent.
Many maimed.

Survivors waited their turn.


***

As a child, an imminent watery grave stared at him.

***

Wild tuskers let him off.

***

A fall and a slide off a cliff with Mom – he held her all the time - evaded disaster.

***

Strange script.

***

“I never knew of this surgery”, Dr. M.K. Divakaran, the anaesthetist, a friend of Thampychayan.

“Who did it?”

“A PG.”

***

Socialism has ensured a fair deal.

**

“Did you satisfy him?”

“Who?”

“The surgeon.”

“Yes.”

“Presume, you didn’t give Rs. 500, the minimum, I mean his standard.”

“No.”

“That’s why the negligence.”

Thampychayan added, “You know why it went wrong?”

“They started the oxygen very late. He suffered due to insufficiency of oxygen. They ought to have started the oxygen the moment the blue, appeared. it must have happened right when he was on the table. The PG was unaware, inexperienced, to notice it. The surgeon will do his job. Nothing else.”

Specialisation.

Compartments.

Watertight.


“Who’s Rohit?”

A resident, they were all friendly by then, popping out of the theatre.

It was more than two days since we were left in the lurch.

“Will you come with me into the theatre?”

“That’s it”, I thought, “The finis to a badly written script.”

It was 2 A.M.

“I am not sterile. The theatre wear?”

“Don’t bother. Keep away the footwear. Hurry.”


The relatives pushed me in.

There he was, on a bed, wide awake.

“Who’s this?”

“Speak out.”

“Hey, the tube!”

“Take it out.”

“This is Rohit, my son, the eldest.”

“What’s he?”

“He stays in the city. works in an office.”

“Enough.”

“Please go out.”

“Your dad has regained consciousness. He’ll survive.”

“Let him recoup.”

“Thank you,Oh,Lord.”

The exit.

“What happened?”

“Is he in danger?”

Quizzed ten pairs of eyes.

“He’s alright. He’s alive. He’s spoken.”

Smiles.

Weary frames.

Curtains to the long wait.

Future?

Past, a bad dream.

The present, we have.

Much to strive for.

The loser won.

It’s the beginning. Not the end.


Fight.

Fight to win.

Never give up.

Much to strive for. Much ahead.

Hopes, plans for the bright Sun.

Tomorrow.


*******






































































 THE WARRIOR
--------------------------

ABRAHAM JACOB, T C 30/211, ASRAMAM ROAD, ANAYARA, TRIVANDRUM – 29

An, all pervading gloom.

He lay gasping. Life was ebbing out. I sat next to him, holding his hands. Disoriented, I did not know what was around, let alone the impending doom hiding in the wings, to explode. I believed everything was fine.

Gullible?

I believed he was going to be well. Up and about. As exuberant as ever. For me, he was everything. I had depended on him so much. He held the key to all my queries.

‘Babychayan’, people generally called him.

I addressed him, Papa.

Yes, he was my father.

Chacko.

He battled there, on that dusk.

It began five days from that moment.

The bell rang. It was a call from Anna, one of my innumerous aunts.

“Babychayan is ill. He has been admitted to a hospital at Kanghazha. He requires surgery at once. Babychayan wants it done at your place.”

I was dumbstruck. It was only a week, I had left him sound. I had brought my family home to spend some time with him. We kept him company. The day marked the second year of the departure of Mom. The day that left him a widower.

That left us stranded.

I needed money, leave and a substitute. A procrastinator, I found the role mind-boggling
The boss, with characteristic reluctance, provided a substitute. I hurried to Kangazha. Chandra financed.

It was pathetic to find Papa in the hospital, immobilized by the catheter. Dr.V.Krishnan, wrote the discharge.

“Chacko requires surgery at once. He has an enlarged prostate. We are hopeful it’s benign.”

The shock multiplied.

Calamity.

The night found the three of us, Ravi, my brother had joined us, at the railway station on an endless wait for a train that threatened to arrive at any moment. The journey through the night saw us at my place, the next morning.

“Shall I move? Do you need more room?” I put it to the doctor who came to observe the patient on the final moments. Blissfully, I was unaware of the gravity.

“Be there. Hold on to his hands”, the kind doctor was grim.

The spasms turned violent. The agony uncontrollable. . Papa remained unconscious. He opened his eyes. He was not aware of the bustle where he was the central figure. Key actor.

The screens were placed quietly around the bed. It didn’t signify anything to me. The message was evident to the rest.

Alarmed, a sister brought in the oxygen. She drew the phlegm out. It was blocking the air.

Nothing worked. The patient was a few seconds away fro the moment of truth.

The barrier.

The thin line.

A host of doctors surrounded the bed. The hand that jerked violently all the time, began to show signs of abatement.

He was going to be alright, I thought.

There was dejection on the face of the doctors.

“The heart has stopped.”

“Artificial.”

I was watching a live show.

Unfolding.
“Cardiac arrest.”

The shout.

“Bring the apparatus.”

I was pushed back. The senior resident moved the clothes aside. With precision he was pounding the chest.

A scene straight from a movie.

With great difficulty, a tube was inserted through the mouth. Trachea. Once it was in place, they started squeezing. Each time it was pressed, the abdomen heaved. On release, it shrunk.

Up. Down. Up. Down.

Pendulam.


“Why have not put the patient on the ventilator?” barked the surgeon. He had performed the surgery with precision.

The perfect surgeon.

Safe pair of hands.

Dr.Jekyll and Mr. Hyde.

Renowned.

Reputed.

“Sir, we don’t have the rank”, the doctors with respect.

“The stretcher.”

It was a command.

The patient was at once wheeled back into the theatre from where he was brought  out three hours earlier. In the morning, when they had requisitioned him for surgery, he had declined the stretcher.

“I’ll walk.”

He was in robust health but for the catheter. How fickle life is? One moment, you are wide-awake. Struggle for existence, the next. The greatest asset man has, is his ability to breathe. What a dry log he is, if he cannot.

There we were. We sat on the floor at the entrance to the theatre. Each, lost in thought. There was a flurry of activity. Doctors rushing in. Coming out. Nurses running around.
A cardiologist and a physician- high in hierarchy.

No one knew the status of the patient. No one spoke to us. A forlorn feeling spread across.

Despondency.

“Did Chacko, ever have Cardiac history?” the surgeon beckoned me.

“Not to my knowledge.”

“The ECG was absolutely perfect”, he continued, “His blood vessels are in bad shape. He may not survive beyond 10 P.M.

My spirits sank.

It was 8.30 P.M. The physician came out.

He confirmed the prognosis.


If Papa was going away, we, the living, had to look beyond. Though the patient was yet to give up, we had to think of the arrangements, once he was declared dead. Kunjukunju chettan, an uncle, rushed to the Newspaper. The item must be in the ensuing day’s circulation. An ambulance was needed to take the body, home. Thankachayan, another uncle, arranged it.

We huddled together at the exit. We were the losers. There was nothing to hold on to. Hope withered. We just could not even think of life ahead, without Papa.We were in a daze. We watched silently as the relatives organized ahead. Braced ourselves tot accept the inevitable. Absorb the final blow.

I thought of Reshmi, our sister. I wondered how to get the matter across. There was no way to reach her. The pictures of our family, the happy days we had spent together, the day when I had disappointed him with a lousy academic record, the years I went without employment and could do nothing for the family when they were in dire straits, the vain struggle for Mom, the wild elephant on the highway when he was driving the car with all of us in it - the scenes and many others, vivid, flashed through.

“No, I won’t let him go”, I resolved.
The surgeon came out once again. It was 11 P.M.

“The moment has not come”, he said, “the patient will not see the morrow.”

He seemed dejected.

I sat down. I started praying. In fact all of us there, went on praying.

Silent prayers.

Nothing else to clutch to.

A voice within me.

“If he lives on to 6 A.M  and beyond the next morning,  he is going to survive.”

I went on with my prayers.

“Oh God, please don’t take him before 6 A.M, the next day. Give him just this night. Leave him to us. Please don’t take him.”

Focussed, like a man possessed, I chanted through the night.

11.30 P.M.

The driver of the Ambulance.

“Sir, I have a trip right now. What shall I do?”

“Carry on with, what you have.”

Response.

Resigned.


Kunjukunju Chettan ran to the newspaper.


“Hold the news.”

“Chacko is still alive. Hold it for the next day.”


The doctors poured in and out.

The night went on.

The hospital became a beehive of activity.

It was the busiest hospital in the city.

We watched victims of accidents, brought in. In a trance we saw stretchers, fully covered, pulled across.

Dawn.

There was no word from the Theatre except that the patient was on the ventilator.

Tears rolled out from all of us. We could not stand the agony any more.

The chanting, unhindered.

Life, for the rest of the world, normal as ever.

None of us saw the Physician’s arrival. He came out at 8 A.M.

“The patient has survived till this hour. He has not regained consciousness. He may survive. But in what form or mode, I can’t tell. He may not survive. It’s a cliff-hanger.

The Kaleidoscope.

I ask myself, “What went wrong?”

Money.

Avarice.

Neglect.


Deliberate.

Callous disregard for human life.

One lives by money alone.

“You have no right to be alive, without money.”

“Agony, if you do not pay.”

****
Armed with letter from the Hospital at Kanghazha, we met the Physician. It was addressed to him.

“This requires surgical intervention. Please take him to the Surgeon at once.”

“Admit the patient,” the surgeon, “Surgery required immediately.”


“Ward seven”, the assistants.


We searched out the ward in that labyrinth.

The sister was furious.

“There are no beds here. Where am to put the patient? Get back to the Doctor and ask him to find a bed.”

There was no sympathy.

The patient was in discomfort.

There was the added discomfiture.

The bag.

The ornament.

I left them both at the Ward and ran to the doctor.

“No bed.”

“Bed is there. Get back to the Ward. the sister will arrange.”

It was 10.30 A.M.

Alarmed, I retuned to the sister.

Mad with rage, she shouted.

“I don’t have any bed. Wait here. The doctor will come and provide. I wonder how he is going to source it, here.”


We waited. Papa sat on a stool, a kind soul had lent.

One hour. Nothing happened. Another hour. We saw the surgeon and his assistants trooping in. They were quite busy. They had no time even to look at us.

Three fugitives.

Finally, I took courage.

“Sir, no bed yet.”

“Don’t worry. You’ll have the bed.”

They went away.


The clock swung. It was 1 P.M.

The assistants returned.

We ran after them.


One showed sympathy and concern.

“I’ll do something.”


“I’m hungry.” Papa was indeed hungry. He had had a harrowing time.

Food did not matter to us. A place for the patient was our prime motive.


The surgeon came in again.

“Sir, bed?”

“Don’t worry. You’ll have it.” He went away.


4 P.M. The assistant called out.

“Chacko.”

You have bed. Number 35. Take it at once. Else someone else may have it.”


The moment the bed was occupied, the sister took over. Temperature, blood pressure, medicines, chits for medicines. Tired, we went out for an untimely lunch. A packet was brought in for Papa.


Government Hospitals are always crowded. Specialists are available there. Nowhere else.

The facilities available are never utilized.

Socialism has ushered in an era, where one gets paid for doing no work.

The services are available elsewhere, at a price.


Universal corruption.

The way of life.


All are equal.

Everything is free.

If you do not pay ‘ME’ nothing is available.

You are shunned.

Shunted.

Blood tests.

X-rays.

“Get it from ‘Roja’ clinic. Their results alone are dependable. Don’t go anywhere else. ECG too. But from ‘Shalini’ only.”

“The patient is admitte here. How do we do it?”

“Don’t woryy. Tell the sister. Get a taxi. Take him everywhere. But, for God’s sake get the results fast. Surgery cannot be delayed. Life is at stake.”


A novice, I have never paid any bribe till now. I do not know the art.

Lack of expertise.

“Did you meet the sugeon?” Rajeevan, our neighbour.

“Yes.”

“I didn’t mean that. Have you paid him?”

“No. What do you mean?”

“If you want your father back well you must pay the surgeon his fee.”

“Fee?”

“The bribe.”

“How much?”

“Rs.150 is the current rate. Pay Rs.75 before and the rest on discharge.


I didn’t know where the surgeon stayed. Locating it, I went there with Rs.75.

Dr. Shyamsundar.P.S, MBBS, MS, MS, FRCS.

Consulting time 4 P.M TO 7 P.M.

There was a big crowd. My turn came at 8.30 P.M.

“What’s your problem? What brings you here?” He did not recognize me.

“Chacko. The inpatient. Surgery”, I blurted out.

I placed Rs.75 in an envelope on the table.

A good Samaritan had taught me.


Dr. Shyamsundar suddenly recognized me.

“Yes. Yes. I remember. Don’t worry. Your father is safe in my hands.”

There was a hearty laugh.

Pleased, I returned to the hospital to keep Papa, company.


Wednesday.
The surgery was listed for the next day.

Forms to be filled.

Investigations.

More trips to the clinics, for the disabled.

Preparation of the patient for surgery.

Money changed hands.

The salaried employee did his job.

The clinics ensure prompt payment of commission to the referrers.

Counseling.

Declaration.


Surgery.

The stretcher is wheeled in. The patient exuberant. Full of hope.

“I do not need the stretcher. I’ll march in.”

7 A.M. The theatre closes its doors. The patient is administered sedatives, as prelude to surgery.

The patient is first in the list.

8 A.M. the surgeon goes in. A large crowd waits. A number of surgeries are listed for the day.

“The operation will soon begin,” a resident.

There are thirty of us. Babychayan is well liked by peers and relatives.

9 A.M. the surgeon comes out.

“The surgery will soon take place.”

We settle down.

10 A.M. The surgeon again.
“The surgery will soon take place.”

We are perplexed.

“Rohit, did you pay him.”

Poser from our cousin – Thampy, a doctor in the States, a former student, of the Professor.

“Yes.”

“In our days, this man was reputed, for the money he took.”

“Hmm.”

“If you haven’t, we’ll do that even now. May be, he is delaying, waiting for the pound.”

“I have taken care of that.”

“O.K.”


1.30 P.M. The residents emerge.

“Surgery is over.”


“He is in the post-operative.”

Thampychayan and Renu, my wife, stare at Papa’s fingers.

“Why is it bluish?” she asks.

Thampychayan nods.

He calls in a resident. he too examines it.

“Wheel the patient back to the ward.”

Efficient hands transfer the patient to the stretcher.

“Don’t forget to pay the bearers”, Thampychayan.

“O.K”


The patient is back. The sisters take over.

A string of tubes.

I.V.

Catheter.

A big bottle under the bed to drain off the urine.

“Keep feeding the liquid.”


Commotion.


Papa is restless.

Four sets of hands try to hold him down. He is unconscious.

Yet he struggles.

Thampychayan is concerned.

“The condition is becoming serious.”

I watch him speak quietly to Acha and Johny, my in laws.

Thampychayan goes out.

“Sir, the patient, Chacko, is critical. Please make haste.”

“I have my patients. I’ll come after I finish with them.”

A poor man has a right to his living.


“Sir, the patient you had referred to Dr.Shyamsundar. He is critical. post operative”, the in-laws spoke to the senior physician.

“I have an emergency. A crisis. Will you all wait for me or return tomorrow?”

The response was electric. The patients disbursed.

Dr. Ramachandra Iyer.P.K, MBBS, MD, MD, MRCP picked up Dr. Hari Govind. M, MBBS, MD, MD, DM, Professor of Cardiology. The arrival of the two seniors, professors, created a stir.

Together, the patient was examined.

“The BP has to climb. It’s very low”, they whispered.

Medicines were prescribed. Administered.

Tryst.

“Hold on to his hands”, the resident. Grim.

****

Forty-eight long hours of vigil in front of the theatre.

The patient remained critical.

No contrarians among the eminent.


****

A fighter, he had been through a great deal.

Singapore.

Bombs rained.

Shells blasted.

Scared, he ran and ran, lay flat.

Japanese.

British.

American.

Merciless.

On and on it poured. Engulfed everyone.

Many died violent.
Many maimed.

Survivors waited their turn.


***

As a child, an imminent watery grave stared at him.

***

Wild tuskers let him off.

***

A fall and a slide off a cliff with Mom – he held her all the time - evaded disaster.

***

Strange script.

***

“I never knew of this surgery”, Dr. M.K. Divakaran, the anaesthetist, a friend of Thampychayan.

“Who did it?”

“A PG.”

***

Socialism has ensured a fair deal.

**

“Did you satisfy him?”

“Who?”

“The surgeon.”

“Yes.”

“Presume, you didn’t give Rs. 500, the minimum, I mean his standard.”

“No.”

“That’s why the negligence.”

Thampychayan added, “You know why it went wrong?”

“They started the oxygen very late. He suffered due to insufficiency of oxygen. They ought to have started the oxygen the moment the blue, appeared. it must have happened right when he was on the table. The PG was unaware, inexperienced, to notice it. The surgeon will do his job. Nothing else.”

Specialisation.

Compartments.

Watertight.


“Who’s Rohit?”

A resident, they were all friendly by then, popping out of the theatre.

It was more than two days since we were left in the lurch.

“Will you come with me into the theatre?”

“That’s it”, I thought, “The finis to a badly written script.”

It was 2 A.M.

“I am not sterile. The theatre wear?”

“Don’t bother. Keep away the footwear. Hurry.”


The relatives pushed me in.

There he was, on a bed, wide awake.

“Who’s this?”

“Speak out.”

“Hey, the tube!”

“Take it out.”

“This is Rohit, my son, the eldest.”

“What’s he?”

“He stays in the city. works in an office.”

“Enough.”

“Please go out.”

“Your dad has regained consciousness. He’ll survive.”

“Let him recoup.”

“Thank you,Oh,Lord.”

The exit.

“What happened?”

“Is he in danger?”

Quizzed ten pairs of eyes.

“He’s alright. He’s alive. He’s spoken.”

Smiles.

Weary frames.

Curtains to the long wait.

Future?

Past, a bad dream.

The present, we have.

Much to strive for.

The loser won.

It’s the beginning. Not the end.


Fight.

Fight to win.

Never give up.

Much to strive for. Much ahead.

Hopes, plans for the bright Sun.

Tomorrow.


*******


















































 THE WARRIOR
--------------------------

ABRAHAM JACOB, T C 30/211, ASRAMAM ROAD, ANAYARA, TRIVANDRUM – 29

An, all pervading gloom.

He lay gasping. Life was ebbing out. I sat next to him, holding his hands. Disoriented, I did not know what was around, let alone the impending doom hiding in the wings, to explode. I believed everything was fine.

Gullible?

I believed he was going to be well. Up and about. As exuberant as ever. For me, he was everything. I had depended on him so much. He held the key to all my queries.

‘Babychayan’, people generally called him.

I addressed him, Papa.

Yes, he was my father.

Chacko.

He battled there, on that dusk.

It began five days from that moment.

The bell rang. It was a call from Anna, one of my innumerous aunts.

“Babychayan is ill. He has been admitted to a hospital at Kanghazha. He requires surgery at once. Babychayan wants it done at your place.”

I was dumbstruck. It was only a week, I had left him sound. I had brought my family home to spend some time with him. We kept him company. The day marked the second year of the departure of Mom. The day that left him a widower.

That left us stranded.

I needed money, leave and a substitute. A procrastinator, I found the role mind-boggling
The boss, with characteristic reluctance, provided a substitute. I hurried to Kangazha. Chandra financed.

It was pathetic to find Papa in the hospital, immobilized by the catheter. Dr.V.Krishnan, wrote the discharge.

“Chacko requires surgery at once. He has an enlarged prostate. We are hopeful it’s benign.”

The shock multiplied.

Calamity.

The night found the three of us, Ravi, my brother had joined us, at the railway station on an endless wait for a train that threatened to arrive at any moment. The journey through the night saw us at my place, the next morning.

“Shall I move? Do you need more room?” I put it to the doctor who came to observe the patient on the final moments. Blissfully, I was unaware of the gravity.

“Be there. Hold on to his hands”, the kind doctor was grim.

The spasms turned violent. The agony uncontrollable. . Papa remained unconscious. He opened his eyes. He was not aware of the bustle where he was the central figure. Key actor.

The screens were placed quietly around the bed. It didn’t signify anything to me. The message was evident to the rest.

Alarmed, a sister brought in the oxygen. She drew the phlegm out. It was blocking the air.

Nothing worked. The patient was a few seconds away fro the moment of truth.

The barrier.

The thin line.

A host of doctors surrounded the bed. The hand that jerked violently all the time, began to show signs of abatement.

He was going to be alright, I thought.

There was dejection on the face of the doctors.

“The heart has stopped.”

“Artificial.”

I was watching a live show.

Unfolding.

“Cardiac arrest.”

The shout.

“Bring the apparatus.”

I was pushed back. The senior resident moved the clothes aside. With precision he was pounding the chest.

A scene straight from a movie.

With great difficulty, a tube was inserted through the mouth. Trachea. Once it was in place, they started squeezing. Each time it was pressed, the abdomen heaved. On release, it shrunk.

Up. Down. Up. Down.

Pendulam.


“Why have not put the patient on the ventilator?” barked the surgeon. He had performed the surgery with precision.

The perfect surgeon.

Safe pair of hands.

Dr.Jekyll and Mr. Hyde.

Renowned.

Reputed.

“Sir, we don’t have the rank”, the doctors with respect.

“The stretcher.”

It was a command.

The patient was at once wheeled back into the theatre from where he was brought  out three hours earlier. In the morning, when they had requisitioned him for surgery, he had declined the stretcher.

“I’ll walk.”

He was in robust health but for the catheter. How fickle life is? One moment, you are wide-awake. Struggle for existence, the next. The greatest asset man has, is his ability to breathe. What a dry log he is, if he cannot.

There we were. We sat on the floor at the entrance to the theatre. Each, lost in thought. There was a flurry of activity. Doctors rushing in. Coming out. Nurses running around.
A cardiologist and a physician- high in hierarchy.

No one knew the status of the patient. No one spoke to us. A forlorn feeling spread across.

Despondency.

“Did Chacko, ever have Cardiac history?” the surgeon beckoned me.

“Not to my knowledge.”

“The ECG was absolutely perfect”, he continued, “His blood vessels are in bad shape. He may not survive beyond 10 P.M.

My spirits sank.

It was 8.30 P.M. The physician came out.

He confirmed the prognosis.


If Papa was going away, we, the living, had to look beyond. Though the patient was yet to give up, we had to think of the arrangements, once he was declared dead. Kunjukunju chettan, an uncle, rushed to the Newspaper. The item must be in the ensuing day’s circulation. An ambulance was needed to take the body, home. Thankachayan, another uncle, arranged it.

We huddled together at the exit. We were the losers. There was nothing to hold on to. Hope withered. We just could not even think of life ahead, without Papa.We were in a daze. We watched silently as the relatives organized ahead. Braced ourselves tot accept the inevitable. Absorb the final blow.

I thought of Reshmi, our sister. I wondered how to get the matter across. There was no way to reach her. The pictures of our family, the happy days we had spent together, the day when I had disappointed him with a lousy academic record, the years I went without employment and could do nothing for the family when they were in dire straits, the vain struggle for Mom, the wild elephant on the highway when he was driving the car with all of us in it - the scenes and many others, vivid, flashed through.

“No, I won’t let him go”, I resolved.
The surgeon came out once again. It was 11 P.M.

“The moment has not come”, he said, “the patient will not see the morrow.”

He seemed dejected.

I sat down. I started praying. In fact all of us there, went on praying.

Silent prayers.

Nothing else to clutch to.

A voice within me.

“If he lives on to 6 A.M  and beyond the next morning,  he is going to survive.”

I went on with my prayers.

“Oh God, please don’t take him before 6 A.M, the next day. Give him just this night. Leave him to us. Please don’t take him.”

Focussed, like a man possessed, I chanted through the night.

11.30 P.M.

The driver of the Ambulance.

“Sir, I have a trip right now. What shall I do?”

“Carry on with, what you have.”

Response.

Resigned.


Kunjukunju Chettan ran to the newspaper.


“Hold the news.”

“Chacko is still alive. Hold it for the next day.”


The doctors poured in and out.

The night went on.

The hospital became a beehive of activity.

It was the busiest hospital in the city.

We watched victims of accidents, brought in. In a trance we saw stretchers, fully covered, pulled across.

Dawn.

There was no word from the Theatre except that the patient was on the ventilator.

Tears rolled out from all of us. We could not stand the agony any more.

The chanting, unhindered.

Life, for the rest of the world, normal as ever.

None of us saw the Physician’s arrival. He came out at 8 A.M.

“The patient has survived till this hour. He has not regained consciousness. He may survive. But in what form or mode, I can’t tell. He may not survive. It’s a cliff-hanger.

The Kaleidoscope.

I ask myself, “What went wrong?”

Money.

Avarice.

Neglect.


Deliberate.

Callous disregard for human life.

One lives by money alone.

“You have no right to be alive, without money.”

“Agony, if you do not pay.”

****

Armed with letter from the Hospital at Kanghazha, we met the Physician. It was addressed to him.

“This requires surgical intervention. Please take him to the Surgeon at once.”

“Admit the patient,” the surgeon, “Surgery required immediately.”


“Ward seven”, the assistants.


We searched out the ward in that labyrinth.

The sister was furious.

“There are no beds here. Where am to put the patient? Get back to the Doctor and ask him to find a bed.”

There was no sympathy.

The patient was in discomfort.

There was the added discomfiture.

The bag.

The ornament.

I left them both at the Ward and ran to the doctor.

“No bed.”

“Bed is there. Get back to the Ward. the sister will arrange.”

It was 10.30 A.M.

Alarmed, I retuned to the sister.

Mad with rage, she shouted.

“I don’t have any bed. Wait here. The doctor will come and provide. I wonder how he is going to source it, here.”


We waited. Papa sat on a stool, a kind soul had lent.

One hour. Nothing happened. Another hour. We saw the surgeon and his assistants trooping in. They were quite busy. They had no time even to look at us.

Three fugitives.

Finally, I took courage.

“Sir, no bed yet.”

“Don’t worry. You’ll have the bed.”

They went away.


The clock swung. It was 1 P.M.

The assistants returned.

We ran after them.


One showed sympathy and concern.

“I’ll do something.”


“I’m hungry.” Papa was indeed hungry. He had had a harrowing time.

Food did not matter to us. A place for the patient was our prime motive.


The surgeon came in again.

“Sir, bed?”

“Don’t worry. You’ll have it.” He went away.


4 P.M. The assistant called out.

“Chacko.”

You have bed. Number 35. Take it at once. Else someone else may have it.”


The moment the bed was occupied, the sister took over. Temperature, blood pressure, medicines, chits for medicines. Tired, we went out for an untimely lunch. A packet was brought in for Papa.


Government Hospitals are always crowded. Specialists are available there. Nowhere else.

The facilities available are never utilized.

Socialism has ushered in an era, where one gets paid for doing no work.

The services are available elsewhere, at a price.


Universal corruption.

The way of life.


All are equal.

Everything is free.

If you do not pay ‘ME’ nothing is available.

You are shunned.

Shunted.

Blood tests.

X-rays.

“Get it from ‘Roja’ clinic. Their results alone are dependable. Don’t go anywhere else. ECG too. But from ‘Shalini’ only.”

“The patient is admitte here. How do we do it?”

“Don’t woryy. Tell the sister. Get a taxi. Take him everywhere. But, for God’s sake get the results fast. Surgery cannot be delayed. Life is at stake.”


A novice, I have never paid any bribe till now. I do not know the art.

Lack of expertise.

“Did you meet the sugeon?” Rajeevan, our neighbour.

“Yes.”

“I didn’t mean that. Have you paid him?”

“No. What do you mean?”

“If you want your father back well you must pay the surgeon his fee.”

“Fee?”

“The bribe.”

“How much?”

“Rs.150 is the current rate. Pay Rs.75 before and the rest on discharge.


I didn’t know where the surgeon stayed. Locating it, I went there with Rs.75.

Dr. Shyamsundar.P.S, MBBS, MS, MS, FRCS.

Consulting time 4 P.M TO 7 P.M.

There was a big crowd. My turn came at 8.30 P.M.

“What’s your problem? What brings you here?” He did not recognize me.

“Chacko. The inpatient. Surgery”, I blurted out.

I placed Rs.75 in an envelope on the table.

A good Samaritan had taught me.


Dr. Shyamsundar suddenly recognized me.

“Yes. Yes. I remember. Don’t worry. Your father is safe in my hands.”

There was a hearty laugh.

Pleased, I returned to the hospital to keep Papa, company.


Wednesday.
The surgery was listed for the next day.

Forms to be filled.

Investigations.

More trips to the clinics, for the disabled.

Preparation of the patient for surgery.

Money changed hands.

The salaried employee did his job.

The clinics ensure prompt payment of commission to the referrers.

Counseling.

Declaration.


Surgery.

The stretcher is wheeled in. The patient exuberant. Full of hope.

“I do not need the stretcher. I’ll march in.”

7 A.M. The theatre closes its doors. The patient is administered sedatives, as prelude to surgery.

The patient is first in the list.

8 A.M. the surgeon goes in. A large crowd waits. A number of surgeries are listed for the day.

“The operation will soon begin,” a resident.

There are thirty of us. Babychayan is well liked by peers and relatives.

9 A.M. the surgeon comes out.

“The surgery will soon take place.”

We settle down.

10 A.M. The surgeon again.

“The surgery will soon take place.”

We are perplexed.

“Rohit, did you pay him.”

Poser from our cousin – Thampy, a doctor in the States, a former student, of the Professor.

“Yes.”

“In our days, this man was reputed, for the money he took.”

“Hmm.”

“If you haven’t, we’ll do that even now. May be, he is delaying, waiting for the pound.”

“I have taken care of that.”

“O.K.”


1.30 P.M. The residents emerge.

“Surgery is over.”


“He is in the post-operative.”

Thampychayan and Renu, my wife, stare at Papa’s fingers.

“Why is it bluish?” she asks.

Thampychayan nods.

He calls in a resident. he too examines it.

“Wheel the patient back to the ward.”

Efficient hands transfer the patient to the stretcher.

“Don’t forget to pay the bearers”, Thampychayan.

“O.K”


The patient is back. The sisters take over.

A string of tubes.

I.V.

Catheter.

A big bottle under the bed to drain off the urine.

“Keep feeding the liquid.”


Commotion.


Papa is restless.

Four sets of hands try to hold him down. He is unconscious.

Yet he struggles.

Thampychayan is concerned.

“The condition is becoming serious.”

I watch him speak quietly to Acha and Johny, my in laws.

Thampychayan goes out.

“Sir, the patient, Chacko, is critical. Please make haste.”

“I have my patients. I’ll come after I finish with them.”

A poor man has a right to his living.


“Sir, the patient you had referred to Dr.Shyamsundar. He is critical. post operative”, the in-laws spoke to the senior physician.

“I have an emergency. A crisis. Will you all wait for me or return tomorrow?”

The response was electric. The patients disbursed.

Dr. Ramachandra Iyer.P.K, MBBS, MD, MD, MRCP picked up Dr. Hari Govind. M, MBBS, MD, MD, DM, Professor of Cardiology. The arrival of the two seniors, professors, created a stir.

Together, the patient was examined.

“The BP has to climb. It’s very low”, they whispered.

Medicines were prescribed. Administered.

Tryst.

“Hold on to his hands”, the resident. Grim.

****

Forty-eight long hours of vigil in front of the theatre.

The patient remained critical.

No contrarians among the eminent.


****

A fighter, he had been through a great deal.

Singapore.

Bombs rained.

Shells blasted.

Scared, he ran and ran, lay flat.

Japanese.

British.

American.

Merciless.

On and on it poured. Engulfed everyone.

Many died violent.
Many maimed.

Survivors waited their turn.


***

As a child, an imminent watery grave stared at him.

***

Wild tuskers let him off.

***

A fall and a slide off a cliff with Mom – he held her all the time - evaded disaster.

***

Strange script.

***

“I never knew of this surgery”, Dr. M.K. Divakaran, the anaesthetist, a friend of Thampychayan.

“Who did it?”

“A PG.”

***

Socialism has ensured a fair deal.

**

“Did you satisfy him?”

“Who?”

“The surgeon.”

“Yes.”

“Presume, you didn’t give Rs. 500, the minimum, I mean his standard.”

“No.”

“That’s why the negligence.”

Thampychayan added, “You know why it went wrong?”

“They started the oxygen very late. He suffered due to insufficiency of oxygen. They ought to have started the oxygen the moment the blue, appeared. it must have happened right when he was on the table. The PG was unaware, inexperienced, to notice it. The surgeon will do his job. Nothing else.”

Specialisation.

Compartments.

Watertight.


“Who’s Rohit?”

A resident, they were all friendly by then, popping out of the theatre.

It was more than two days since we were left in the lurch.

“Will you come with me into the theatre?”

“That’s it”, I thought, “The finis to a badly written script.”

It was 2 A.M.

“I am not sterile. The theatre wear?”

“Don’t bother. Keep away the footwear. Hurry.”


The relatives pushed me in.

There he was, on a bed, wide awake.

“Who’s this?”

“Speak out.”

“Hey, the tube!”

“Take it out.”

“This is Rohit, my son, the eldest.”

“What’s he?”

“He stays in the city. works in an office.”

“Enough.”

“Please go out.”

“Your dad has regained consciousness. He’ll survive.”

“Let him recoup.”

“Thank you,Oh,Lord.”

The exit.

“What happened?”

“Is he in danger?”

Quizzed ten pairs of eyes.

“He’s alright. He’s alive. He’s spoken.”

Smiles.

Weary frames.

Curtains to the long wait.

Future?

Past, a bad dream.

The present, we have.

Much to strive for.

The loser won.

It’s the beginning. Not the end.


Fight.

Fight to win.

Never give up.

Much to strive for. Much ahead.

Hopes, plans for the bright Sun.

Tomorrow.


*******


































































Thursday, September 14, 2017

EXIT WEST - A REVIEW OF REVIEWS

' The Hindu' Newspaper of 14092017 from Thiruvananthapuram, Kerala, India had conveyed the news that 'Exit West', a novel by Pakistani author Mohsin Hamid had won a place in the Man Booker Prize shortlist for 2017.

The judges observed that the novel was emotionally intelligent, clear and crisp. Baroness Lola Young, head of the judging panel said that the protagonists were two of the many millions of people ready to sacrifice what they had for what they might gain, even as they recognised what they were losing

Excited by the news I did a research in the Internet to learn more on the novel. What is presented here is from  posts by multiple writers. I am quoting what I have gathered and I am grateful to all those who have posted their reviews. 

Emily May wrote, “When we migrate, we murder from our lives those we leave behind.”
Exit West is a novel published in 2017, written by Pakistani author Mohsin Hamid. This is Hamid's fourth novel.
The novel is about a young couple, Saeed and Nadia, who live in an unnamed city undergoing civil war and finally have to flee, using a system of fictitious doors, which lead to different locations around the globe
Nadia and Saeed meet when they are working students. Saeed is more conservative and still lives at home, as custom generally requires, but the more independent Nadia has chosen to live alone and has been disowned by her parents for doing so. As war breaks out and militants begin attacking the city, the two fall in love. After a random bomb kills Saeed's mother, Nadia moves in with Saeed and his father, despite not wanting to marry Saeed as propriety requires.
As the militants successfully wrest control of the city from the government and violence becomes an every day part of life, Nadia and Saeed begin chasing rumours that there are doors in the city that serve as portals to other locations. Although most of the doors are guarded by militants they manage to bribe their way through a door eventually leaving behind Saeed's father who does not wish to be a burden to them and asks Nadia to promise him never to leave Saeed until they are settled.
The door they go through takes them to Mykonos where they are among many refugees and settle in a tent city. They eventually obtain the compassion of a local Greek girl who has a rapport with Nadia and helps the two go through a recently discovered door which leads to a luxury home in London. Nadia and Saeed settle in the home and eventually they, and other migrants, settle in the home claiming it from its owners.
As more migrants penetrate London, hostility between them and the native-born increase, including attacks and mob rule. The migrants are eventually sectioned off in a ghetto with minimal food and electricity called "Dark London". After a raid to clear out migrants goes wrong, native London decides to try to work together with the new migrants and puts them to work clearing the land for Halo London, a city surrounding London-proper, with the promise that they will be given 40 acres and a pipe i.e. a small plot of land and access to utilities. Nadia and Saeed throw themselves into the work as they feel themselves growing apart from each other.
Although the couple are on a list that puts them among the first to obtain a secure home, Nadia convinces Saeed to leave through another portal and they eventually take their chance arriving in Marin County, California. They find they are generally welcome there and Nadia finds work at a food co-op while Saeed becomes more and more religious. Eventually, realizing that they no longer have any feelings for one another, Nadia leaves Saeed and moves into a room at the co-op eventually beginning a relationship with a cook who works there. Saeed meanwhile marries the native-born daughter of a preacher.
Fifty years later Nadia returns to the country of her birth and meets up with Saeed who offers to one day take her to see the stars in Chile.


Sunday, August 20, 2017

HAVE A HEART TO GIVE - CHARITY - VIEWS AND INITIATIVES OF SHIV NADAR, FOUNDER HCL


“I was more impacted by what you can do, if you do well in education.” Shiv Nadar, Founder and Chairman of HCL and head of Shiv Nadar Foundation explains why he had set up SSN College of Engineering near Chennai in 1996. He has supported 6000 students with over Rs. 65 Crores in scholarships. The doors of the institution are open to deserving school students from rural areas. Janu, who graduated from SSN last year and now working with a multinational company, said she passed out of a government school 150 km from Chennai, a school that did not have teachers for half a dozen subjects.

“I needed a push, I needed some miracle.” recalls Prashant Kumar Dixit, then a school student in rural Uttar Pradesh, who was waiting for a break. Now a second year Engineering student in SSN College, Dikshit’s miracle came in the form of a seven year stint in Vidya Gyan that mentors rural school students with potential to excel through two leadership academies. Vidya Gyan is one of the numerous philanthropic initiatives of Shiv Nadar. Last year alone he has given away Rs.650 Crores to various charitable efforts.

Shiv Nadar does not believe in setting targets for charity, but gets done what needs to be done. He has no annual targets either. According to him charity is not about earning but the heart to give. He asserts, “There are no targets for charity, one only needs a heart to give.”

After taking a step away from running HCL, Shiv Nadar spends most of his time on his philanthropic activities. HCL Samuday, is a five year project where he is focusing on building two model clusters of villages “that are close to perfection” in Hardoi District, Uttar Pradesh, India. A similar effort is also on in Vijayawada, Andhra Pradesh, India with the support of the government.


(Based on an article in ‘BusinessLine’ from Thiruvananthapuram on 02082017) 

Saturday, July 1, 2017

THE BIG TAMASHA



Driving on roads these days is a big tamasha.

As you try to take your car out you find another vehicle parked in front of your gate. You are frustrated. Somehow you manage to locate the owner. The person is angry with you for daring to request him to move the vehicle a bit. He grudgingly gives you some space through which you manage to squeeze your car on to the road. You are not yet on your way. As you move forward there is the lazy cat taking its nap in the middle of the road. It refuses to budge despite the loud horn. You don't like to run over it either. A good lady buying milk from the adjacent shop rushes to carry the cat out of harm. You cannot still proceed. The truck with soft drinks, a number of two wheelers, three wheelers and four wheelers are parked haphazardly.

Dodging them all you manage successfully to shift to second gear. Your travails are not yet over. There is the school van picking up children. Mothers stand in the middle of the road conversing happily with the crew and waving 'bye to children. You reach the main road. The traffic is heavy and no one lets you enter. You put the vehicle into first gear and start crawling. At last a good soul lets you in. The travails persist. You cannot accelerate because the vehicle in front moves at a slow pace. You cannot overtake since there is a steady flow of traffic in the opposite direction. The impatient drivers behind you honk their horns sharply imploring you to lift your vehicle out of the road. In between you find two wheelers roaring past on the right and the left. As a rule overtaking  is carried out through the left. You have the women riders and drivers sticking to the middle of the road at 10 to 20 kmph. You have to manage the dogs on the road as well. Another impediment is the people happily crossing the road or jaywalking totally immersed in their mobile phones. Then we have men and women idling their time rooted close to the omnipresent puddles on the road. Even if you drive very slowly you'll splash dirty water on to the idlers inviting their wrath. Yet another danger that you come across is the girl or woman popping out of her compound all of a sudden on to the road simultaneously tying her hair ignoring the heavy traffic. As you cruise along you hear  a noise of high decibel. Your companion is scared stiff. You would advise her to keep calm for it is nothing and that it is only a ripe coconut falling on top of the car denting it.

If you are able to overcome such minor impediments more are to follow. There are drivers who take their vehicles in a zig zag manner to avoid pot holes popularly known as gutters on the road. They are unpredictable because they are concerned about the welfare of their vehicles alone. The passenger buses move along at a leisurely pace stopping and taking off without any signals. The three wheelers are strange companions on the road. They follow no rules. They would crawl along to pick up passengers. The moment they have a passenger they would race to their destination throwing safety  to the wind. They would take U-turns in the middle of heavy traffic without any indication.

Finally as you reach your destination you come across the security guard who waves you in looking the other way. You'll have a hell of a job avoiding hitting or injuring him and at the same time avoiding crashing  on the outbound vehicle. You heave a sigh of big relief as your vehicle come to a stop. 

Unfortunately  more is in store. You have parked your car under a tree. The watchman rushes in frantically and tells you that in a strong gush of wind a branch of the tree has fallen off  severely damaging the hood of the car. It puts you at your wits end.

Driving indeed is a big tamasha.



Sunday, June 18, 2017

NIGHTMARE


It is a real story that had occurred on 17062017.

The identities of the actors are kept aside  to respect their privacy.

Ravi and Latha are a happy couple who had begun their journey together four decades ago. They have been blessed with four children who are in the medical profession. Both Ravi and Latha had been senior officers with the Government of Kerala. They were leading a quiet life after retiring from Government service.

When Ravi had approached a doctor for a minor ailment they had no inclination that Cancer was about to break into their harmonious life. Though the diagnosis was that Ravi was inflicted with Cancer the doctor had told them that the disease could be contained with a few sessions of Chemotherapy.

Ravi was responding positively to the treatment despite the discomforts. Ravi and Latha had good contacts in the Government and the medical profession. But they never had sought the assistance of any one when they were undergoing the treatment. They were admirably managing the difficult phase themselves.

Ravi had been advised to report to the RCC on 16062017 to undergo certain tests. As usual Latha had accompanied him. Viewing the results the consultant was pleased and had advised the patient to report to the RCC the next day for the final session of Chemotherapy.  They were both happy that the ordeal that had erupted a couple of months ago was about to pass off into history.

They reported at the RCC on 17062017. The twist began here.

The doctor administering Chemotherapy had a look at the case sheet. Ravi and Latha were admonished for reporting for Chemotherapy without ensuring an OK by the Consultant. According to the doctor they had sufficient experience to be aware of the basic requirement. They pleaded with the young doctor to contact the Consultant. It was in vain. They were briskly advised to personally meet the Consultant and obtain the certification.  

There was a hitch. The Consultant was in the fifth floor whereas the administration of Chemotherapy was in the third floor. His physical condition did not permit Ravi move freely around. Fortunately for them they had been accompanied by their granddaughter that day. Leaving Ravi in the waiting area Latha climbed up the stairs with her companion to the fifth floor. But the Consultant they had met the previous day was unavailable. They returned to the young doctor. The doctor was adamant. They had to obtain the certification by the assistant of the Consultant. There was another block. The security guard did not allow them to proceed to the area and meet the designated person. Latha was in tears. She just could not fathom why the people were all callous. At last the security guard relented as they kept on waiting at the gate for one and a half hours seeking his mercy.   They somehow met the  assistant and managed to obtain the priceless OK certification.  Latha entrusted the young girl to hurry and produce the OK to the doctor so that the administration of Chemotherapy would not be delayed any further.

Latha, 73, was tired. She had left home very early in the morning after gulping down a quick breakfast. The tension she had undergone the past few hours had its toll. She felt she could not walk at all.   As she  came slowly down the stairs from the fifth floor she missed two steps. She fell off and rolled down to the landing. She could not get up.

As the RCC was crowded there were people around to lift her up. But she could not walk. She had to be moved to the Emergency on a trolley since there were no wheelchairs.

The doctors at the Emergency found a crack on her knee from the X-ray. They had bandaged it and had advised her total rest for a month.

Ravi and Latha are now two invalids sharing a room. They cannot have visitors since Ravi stands the chance of contracting infection as he has undergone Chemotherapy. Unmindful of the turmoil the young doctor had finally relented with the OK certification in the case sheet. She had followed the procedure thoroughly well. 

It is a nightmare how Ravi and Latha are going to manage their life.

IF ONLY THE DOCTOR ADMINISTERING CHEMOTHERAPY AT REGIONAL CANCER CENTRE (RCC) TRIVANDRUM HAD AN IOTA OF KINDNESS THE NIGHTMARE COULD HAVE BEEN AVOIDED.

Let me sign off with a quote from William Shakespeare's 'As You Like It.'

All the world's a stage, / And all the men and women merely players; / They have their exits and their entrances, / And one man in his time plays many parts,



Sunday, May 28, 2017

STRANGE VISUALS FROM AN AC CHAIR CAR OF INDIAN RAILWAYS


Visuals are normally images, photographs or video footage. The title is disruptive, but eminently well suited for the narration of what I had witnessed in a recent train journey.  The identity of the train cannot be revealed in order to protect the privacy of the actors.

The narrative begins from the moment I had boarded the AC Chair car of the train from a very busy station in Kerala.  Soon after I had settled into my seat I had observed a well dressed woman walking quickly out of the compartment. The train was awaiting the signal to proceed.

As the train began to move I did what I always do when I travel be it the train or the aircraft. I had immersed myself in the book I was reading at that point of time. It is not something special. Most of the travellers do it to while away the time.

The Ticket Examiner came to me after around fifteen minutes of travel to verify the ticket. As he was going through the documents a gentleman opened the door of the Chair Car and stood there without closing the door. He was holding high his child and telling the child to enjoy the cold. Bemused the Ticket Examiner told the gentleman to close the door or else air-conditioning in the compartment would dissipate. The Ticket Examiner moved on since he had to verify the documents of   a long list of passengers. The gentleman stood there without giving heed to the instruction of the Ticket Examiner. He kept on holding the child up without closing the door of the compartment. I was in a seat adjacent to the door. After a while I requested him to close the door as hot air was rushing in. He kept on there playing dumb. Later another irate passenger adjacent to the door told him to come inside and close the door. The gentleman complied with the second request. He came in with the child, closed the door and stood there leaning against the door holding aloft the child.  He remained there for around ten minutes and then went out of the compartment. It was obvious he did not have a valid ticket.

Soon after the Ticket Examiner had gone to the next compartment the woman who had walked out of the compartment stepped in and occupied a seat. Unfortunately for her she had to vacate it as the occupant of the seat was another passenger. She stood there in the compartment leaning against a seat for almost half an hour. At the next station when the passengers in the adjacent seats had left and when no one had arrived to occupy the vacant seats the woman had quietly slipped into one of them.
Meanwhile the gentleman mentioned earlier now came inside the compartment without the child and had occupied another vacant seat.  As the train was stopping at different stations and passengers were boarding and departing the Ticket Examiner made another of his rounds.  The gentleman quietly slipped out of the compartment.

The Ticket Examiner stared at the woman. He asked her why she was sitting there without informing him. She immediately handed over her ticket along with money for upgrading her ticket. The Ticket Examiner issued the receipt.

Soon after the Ticket Examiner had left the gentleman came in again with the child to occupy the seat he had left on the arrival of the Ticket Examiner. Unfortunately a Civil Police Officer was sitting there writing something. The gentleman walked through the aisle and went out through the door at the far end. After a while he returned. The Civil Police Officer had finished his job and had left by then. The gentleman occupied the seat with the child once again and sat there for some time.  He left the compartment after a while and did not return.

The woman too left the train when it stopped at another station.

Though I had been immersed in my book I was enjoying the distractions.