As part of our training in our final year MBBS we had a residential posting in Obstetrics. Where it was mandatory for us to conduct 20 normal deliveries and maintain a diligent record. This was to give us a hands on experience of the child birth process. It was a real eye opener.
In Obstetrics there is an adage, “what begins in the night, ends in the night”. Most of us were conceived in the night so we also chose to enter this cruel cold world in the night or in the wee hours of the morning. Unless it was a planned Caesarean Section, then it’s according to the convenience of the Obstetricians. There are also the ‘Mahurat Caesars’, where an auspicious day and time is chosen after consultation with an astrologist or priest. It is believed that the day and time of the birth determines the future. So being born on an auspicious day and at an auspicious time, would give the child a head start in life.
In order to be available 24 X 7, we were allotted two rooms just above the labour room, one for the boys and one for the girls. At some recent past this must have been one single room but then was divided into two by constructing a wall in between which stopped short by a foot from the ceiling. Possibly there may have been some difficulty laying the bricks up to the ceiling. This gave a convenient gap in which an electric bell was affixed, which was audible to occupants of both rooms. The bell was connected to the labour room and as soon as a lady in labour was admitted, the nurse would ring the bell and the residents of the rooms would turn by turn descend down and take down the details of the lady and monitor her progress until she delivered.
This was our first experience of sleep deprivation and most of us would be going down muttering under our breath, as to why this innocent soul chose this unearthly hour. Sometimes the nurses were charitable and told us to go back to sleep as the lady is not in advanced labour. They would call us when she’s ready to deliver. Others would play by the rules which say we should monitor the lady until she delivers. The labour room which wore a desolate look during the day, was chock a block with ladies in various stages of labour. As the auspicious moment for each lady approached the contractions of the uterus became more frequent. Each contraction was associated with pain and every lady began remembering their mother and their God. So on one bed you had a lady screaming with each painful contraction, ‘Andavane Muruga!’, or just ‘Muruga!’ Muruga referred to Murugan or Kartikeyan, son of Shiva and Parvati and brother of Ganesh, who is revered in South India. ‘Andavane Muruga’ roughly translates into ‘Oh Lord! I believe in you!’ But Muruga in Hindi means a Cock! As in Rooster and not what you’re thinking. Pun unintended! The next bed you had a lady wearing a hijab and shouting ‘Allahaa’! When repeated over and over again, it sounded more like ‘La la laa’. The next bed you had a lady shouting ‘Yeshu Swami’! All the major religions of India represented in one room and all entering into this world in a similar manner. In other words we are equal in birth and in death.
Then as the appointed hour drew nigh, it was heralded by an increased intensity of screams and supplications to the Almighty. Indicating an increased frequency of labour pains. To determine the stage of labour a pelvic examination was done by a resident. Two gloved fingers, the index and the middle finger were introduced in the vagina and the effacement and dilatation of the cervix or in plain English, how much the mouth of the uterus had opened and stretched thinly over the baby’s descending head, was assessed.
There would be a bulge of the amniotic membrane over the advancing head in what is called fore water. This was ruptured by the resident, an ARM or artificial rupture of membrane to speed up labour. We hear it often in movies or serials, “My water just broke!” Indicating an imminent delivery. Then the lady was transferred to the labour table.
The labour table as one layman commented resembled a medieval torture table! Often seen in places like the Tower of London. There are stirrups to string up and part the legs and the foldable lower part of the table, allowing the buttocks to be at the edge. The student was seated on a stool between the parted legs, wearing cap and mask, gloves and a plastic apron hands placed in the classic catching stance of a fielder, waiting to catch the child. A resident would be standing behind and guide the student. Cheer leaders consisting of student nurses and staff nurses, lined up on either sides, cajoling her to bear down. The chorus they chanted in Tamil was “Mukh Ma! Mukh Ma! Viraday Mukh Ma! Vellilay pon madari Mukh Ma! Which roughly translates into “Bear down! Bear down like when you go out to defecate!” Meanwhile the others would massage the abdomen and apply pressure on to fundus of the uterus to stimulate it to contract. If the lady so much as to dared to scream in pain, she would be rewarded with a slap and an admonition, “chumma kataaday!” or don’t shout unnecessarily. Definitely shades of medieval torture or police third degree.
But I have worked in the extreme South, Central and North of India and have found similar rituals, transcending cultures and languages. When I was doing my bond in Maharashtra, the cheer leaders used to chant, “Laga! Laga! Laga!” Roughly the same meaning only for in a different language and it used to sound like “Lagalagalagalagaaa!”, in one breath.
Then came the stage of the ‘crowning’ of the head! The head would emerge from the vaginal verge and the verge would form a ‘crown’. The resident directing the student from behind would ask him or her to take the episiotomy scissors and make a radial cut on this crown at the 7 o clock position. This was to give space for the head to come out and avoid haphazard tears of the vagina. One consultant once opined “I prefer using a scalpel as invariably the scissors are blunt”. However one question always troubled me as to how he managed to avoid incising the crowning head.
Then the head of the child emerged and once mouth of the child was visible, suction was given to remove any secretions in the throat and nose. The head is caught by passing the index and middle fingers of both hands on either side of the neck and applying traction downwards and out comes the child. Then the child is held upside down and suction to his mouth and nose is given. The child is initially patted gently all over to encourage him to cry, but if it doesn’t cry then the pat becomes akin to a slap. Next the student is supposed to tie the umbilical cord in two places with a sterile thread. Then cover the tied area with the left hand and severe the cord using a cord cutting scissors with the right hand. The idea of covering was to prevent blood splattering around as the cord becomes engorged. I once didn’t cover and the spray hit a senior nurse’s hat. Least to say she was not amused and if looks could kill I would have fallen dead on the spot. The student would then have to wait to deliver the placenta, examine it to determine if it was complete or some part remaining which could cause a post partum bleed. Then along with the help of the resident the student was taught how to suture the episiotomy wound. This was our first exposure to suturing and therefore was very exciting. The residents mainly females varied from having a motherly attitude to being impatient or being an outright bitch. One of the nicer ones encouraged me and praised my suturing, she also prophetically said “you will become a surgeon!” God Bless her!
The child meanwhile is wiped and cleaned by another team of nurses, an identification band is placed on the child’s wrist to prevent a mix up and wrapped in a blanket. A paediatrician examines the child for any congenital anomalies.
I once read that the famous cricketer Sunil Gavaskar got exchanged at birth and was almost being taken by the wrong set of parents but was saved by an observant relative and the correct child was given to the parents. Otherwise he commented he would have been a fisherman rather than a cricketer.
The next step is the child is shown to the mother and she is asked what sex did she hope for? The mother invariably gives a diplomatic answer and then the child’s genitalia is uncovered to reveal the sex of the child. Mother being a mother accepts the child whether boy or girl but the relatives waiting outside may not be so altruistic.
During our COP or Community Orientation Program, we stayed in a Village Mottupalayam for 15 days and interacted with the villagers. There was one family which had 3 daughters, the first was named ‘Tamilselvi’ or pride of Tamils. When the next girl was born they named her ‘Ventam’, meaning ‘don’t want’, hoping that God would get the hint but when the third girl was born there was mourning and chest beating. They realized God does not take subtle hints so she was named, ‘Inniki pothum’, or enough is enough!
Now I know why it’s called labour! Maybe fulfilling the Biblical prophecy by God to Eve for the original sin, “I will make your pains in childbearing very severe; with painful labour you will give birth to children Genesis 3:16
The Greek hero Hercules was given 12 labours by King Eurystheus as penance, but I think all of them paled in comparison to what a woman faces.
My appreciation to all the women of this world for all you have to face in life but still emerge smiling.
Category Archives: Uncategorized
Murder of a model!
The papers few days ago blared the murder of a model in Chandrapur. Her mutilated body was found abandoned on the roadside and police identified her, based on the tattoos on her body. Her boyfriend was the prime suspect for the murder. He is the son of an alleged drug peddler from the Gittikhadan area in Nagpur. When he was picked up by the police, he denied any involvement, as it’s customary but on further interrogation confessed to the murder. His motive was jealousy as the girl was also seeing other men and was procrastinating in typing the knot with him. A very common story of LSD, love, sex and dhokha (धोखा). Add to it some intoxicants and it adds up to a catastrophic cocktail.
But how do I figure in this story?
You will understand once you read on.
I am in charge of a surgical unit in our hospital and by rotation we are on call for emergencies on Sundays. And that particular Sunday was one such Sunday.
The day began as a relaxed day, getting up late, watching TV and chilling. when I get a call from my resident informing me about two emergencies which presented in the casualty. The first was a case of acutely inflamed appendix or appendicitis.
The appendix is a finger like pouch attached to the beginning of the large intestine. It is believed to be a vestigial organ and was earlier useful for digestion of complex carbohydrates like cellulose. But since we stopped eating grass way down the evolutionary chain it shriveled up. It also believed to harbour the ‘good bacteria’ which help in digestion. But sometimes it’s lumen gets blocked with a faecolith (hard piece of shit) or or an ingested seed or sometimes worms, causing it to swell up and become inflamed. This condition is known as appendicitis and the treatment is surgical removal of the inflamed organ before it swells up so much that it burst discharging the contents of the large intestine into the peritoneal cavity.
The other was a case of torsion testis in an engineering student.
The testis or balls as it’s colloquial known as is suspended in the scrotum like a bell and it’s clapper. The clapper being the testis hence in Hindi it’s also colloquially called ‘ghanta’ (घंटा) or bell. The suspensory cords contains the artery veins, spermatic cord and surrounded by a muscle called the cremasteric muscle, whose function is to pull the testis upwards in response to a stimulus. This stimulus could range from stroking the inner aspect of the thigh, called the cremasteric reflex to straining during defecation or vigorous coitus. If the testis is loosely suspended in scrotum, it could cause a twist on the cord and testis, cutting off the blood circulation to the testis. Imagine if one’s balls get twisted the agonizing pain which would ensue. On a lighter note it reminded me of of our Hostel Days in Christian Medical College, Vellore. We had our own campus terms and one of them was ‘kottais’. In Tamil kottai meant seed, but in campus lingo with the added ‘s’ to indicate it’s plural, it meant ‘balls’. Then it was further abbreviated and you need not say the word, just hold your hand hand up as if you are holding a cricket ball and give it a twist in an anticlockwise direction or a torsion. This would convey a painful message, ‘kottais’ or ‘balls’ to the intended person. Returning to the present this is a real emergency because if not corrected within 6 hours the testis would become gangrenous and have to be removed and the double whammy is gangrenous testis secrete antibodies against the testicular cells and can destroy the opposite testis too. I instructed my residents to inform the anaesthetists and post the patient for surgery ASAP and I would be coming for the surgery. So I embarked on a medical mission of mercy driving down the 15 kms to the hospital. Now along the way there was a large gathering of people blocking one lane of the road. It looked like there might have been an accident and the crowd was gathered to display their protest. There was a security guard posted by the under construction Metro project, who directed me to use the other lane. Sensing there was a tense situation brewing but there was also an emergency, I took the risk. As I came close to the crowd there were burning tyres strewed on the road leaving just enough space for me to squeeze between the crowd on one side and the tyres. There was also a two wheeler coming from the opposite end and both of us reached this narrow patch. I stopped to permit him to cross but he rather than crossing, stopped his motorcycle and was peering curiously into the crowd trying to figure out what was happening. I made the mistake of tapping my horn and immediately the crowds attention turned towards me. A visibly emotional and agitated looking youngster separated from the gathering and stood in front of my car and bent down. I braced myself for a rock to smash my windshield to smithereens. Instead he pulled one of the burning tyres and placed it under my car. Luckily there was a sensible elder who came immediately removed the tyre, pacified the youngster while indicating to me to scram! I immediately drove out of the danger zone and reached the hospital. The operations went off successfully the twisted testis of the teen could be salvaged and the inflamed appendix was removed in the nick of time. Only the next day did I find out what the gathering was all about. The murdered model lived in that locality and her body had been brought home in preparation for the last rites. The gathering was of the mourners. The former boyfriend and perpetrator belonged to a different community so the gathering was taking communal hues. Definitely what the boy did was wrong and no one has the right to snuff out anyone’s life. But senseless violence would be counterproductive. Quoting Gandhi, “an eye for an eye makes the whole world blind
Repairing an iPhone, the saga
I have an iPhone 5s bought in 2014 when it was the latest. It had been functioning satisfactorily until this August. I was traveling and in order to charge it I had to balance it precariously on top of a switch board. Needless to say it fell flat on it’s face twice. After that it began freaking out, the touch screen would not respond and it became difficult to take calls. On examining it in the sunlight there was a hairline crack on the screen. Being an Indian and not believing in the ‘use and throw’ policy of the west I took it to the authorised Apple Service Centre. It was an impressive place with service technicians sitting in a row across the table to customers, who where telling them the problem with their phones. The technicians would nod sympathetically.
There were plenty of glamorous faces waiting for their turn. In order to get an appointment with a technicians I had to get a token from a machine at the entrance. It spat out a slip with a number printed on it . When my turn finally came I found myself sitting across a young man wearing the mandatory Apple tee shirt. I told him my problem and he nodded sympathetically. Then he gave me a solution, “most probably the display is damaged” he said.
I felt like kissing him for his brilliance.
“You can leave the phone and we will have to send it to Bangalore for diagnosis”.
Sounded okay so far to me so I nodded.
Then came the double whammy, “In case the display has to be changed it will cost you ₹14000/-” he said.
“Can you say that again!” I said not really believing my ears. He smiled and patiently repeated himself. I immediately picked up my phone and thanked him profusely for his time and politely enquired whether I owed him anything for the consultation, which he graciously declined. I also asked him how much I would get for a buy back offer, to which he referred me to sales department. There I discovered I could get a princely reduction on the purchase of another model of ₹2000/-.
Now what to do with the phone was the question. Repair would cost 14k and exchange would get me 2k, choice between the Devil and the deep blue sea.
So I decided to take a second opinion. Gym trainers are the people to get the best advice. They deal with a cross section of people. One of them advised me to go to the electronic market in front of Shani Mandir and seek the repair shop of an individual. He apparently was very famous and everyone knew him.
Shani Mandir is very congested area and parking is a nightmare. I decided not even to attempt parking there and instead parked at least half a kilometer away and walked into the market, feeling happy getting some more mileage on my fitness tracker.
He did turn out to be a well known person because on enquiring I was told to walk down a particular lane and his repair shop would be at the end. The problem was there two repair shops at the end of the road and since I only knew the name of the person it was difficult for me to decide which was the correct shop. I also didn’t feel like barging into a shop and enquiring whether it belonged to the person as they would definitely be rivals. So I went to a neighbouring shop dealing in electronic parts and asked him. I was surprised when he claimed to be totally oblivious of such a person. So I entered one of the shops and saw the person behind the counter was a Sardar. Wrong shop I thought and immediately made an exit. Then I went to the next shop and was relieved to find the name of the owner written in small print on the board.
On entering the store I was surprised to find that they also had a set up in a similar to the Apple service center, albeit on a smaller scale. The person manning the counter asked me the problem and went further than sympathetically nodding, he expertly removed two screws at the base of the mobile then with a metal spatula he levered the display off. First time I had seen the inside of an iPhone. I could make out the black battery in an interior coloured black. I remembered Steve Job was particular that the inside should also be as presentable as the outside.
Again the diagnosis was a display problem and that it had gone into an automatic mode. You press one app and another is activated.
“The display may have to be changed” he said. “Okay!” I replied and waited for the whammy. “Original display will cost ₹3000/- and first copy will cost ₹1500/-“. I was a little amused with the terminology. There are degrees to duplicates, first degree and so on. I remember shopping for fake Swiss watches in Dubai. The shopkeeper refused to say fake, “It’s a replica Saar!”, they were Malayalees.
I was tempted to ask how much a 3rd or 4th copy would cost.
He went on to say that they will get back to me once they determine that the display has to be changed. Then I was given a sketch pen and asked to sign on the screen, presumably to prevent any replacement.
Two days later I got a call saying the display needs to be changed and I foolishly opted for the original. The phone came back as good as new. I have put it up for sale on OLX but the replaced ‘original’ display is eating my profit margin ☹️. But every cloud has a silver lining and at least it’s better than the ₹2000/- buy back.
The pig party!
There were many pets in Men’s Hostel, when we joined one of the seniors had kept a monkey in appendix. Favourite ragging question was “what does he feed his monkey?” The answer was bananananaa.” Which had to match Beethovan’s Symphony which began with a ‘Tanananaa’.
There was a cat christened Thomas, named after it’s owner but it came to along with anyone who fed it. We used to use Thomas’s services to rid of the lizards in our rooms. Just bring him to your room and tap the wall with a stick, above where the lizard is perched. It would race down in the opposite direction and Thomas would pounce and grab it with his paws and swallow it whole. One of our Super Seniors decided to test the 9 lives of Thomas by throwing it down from the Supertop. Thomas landed on his feet and limped away. He had now 8 lives remaining!
Our juniors bought two Yorkshire Piglets from RUHSA. They were very cute with pink skin. They were Christened ‘Coccus’ after a Professor of Microbiology, Grace Koshy and Pulli after the Principal the great Benjamin Pulimood. These names were written on there bellies in bold writing. They were let free in the enclosure behind the kitchen in Men’s Hostel and the Thambis fed them all the left overs and vegetable peels. Within 6 months time they grew to 200 pounds, which speaks miles about the Hostel leftovers.
Now we come to the sad part, as the pigs had been bought by contribution amongst the juniors with profit on their minds. One of them had to be sacrificed to realise the profits. A professional butcher was brought from town and I think Coccus was the first one to go. The meat the enterprising juniors sold to lot of staff and with the proceeds bought what else but booze and organised a pig party on Appendix terrace. The menu was pig, fried, boiled, grilled and curried. I had the privilege of being invited to this party and throughly enjoyed. Luckily no one ended with ‘Pig Bel’. I was not there to know about the fate of Pulli, however I learnt that RUHSA got smart after that and refused to part with their Piglets.
Batch of 1978, for Alumni Magazine
We are the Batch of 1978 or also known by the acronym ‘BOSE’. Every batch in CMC is unique and we are no less as I will elaborate further in this article.
Our entry into the haloed halls of the Christian Medical College, Vellore was on the 17th of July 1978. In the centre the Janata government was in power. The first non Congress government to rule India since independence. The Prime Minister was Mr. Morarji Desai an ardent advocate of temperance, vegetarianism and auto urine therapy. His famous treatise to this form of treatment describes his early morning walk in his lawn barefooted, allowing the dew to percolate into his system through the soles of his feet. Then going to the squat toilet and cupping his palms for a perfect ‘mid stream clean catch’ of the first urine of the day and drinking it directly from his palms. There must be something in this therapy because he lived to the ripe age of 99.
The Health Minister, Mr. Raj Narayan was a former wrestler turned politician who was dubbed as a ‘giant slayer’ because he defeated Mrs. Indira Gandhi in her pocket burrough of Raebareilly. He left his mark on Vellore by donating the famous ‘white elephants’, one which was parked outside CHAD and the other outside RUHSA. Some of you may remember them as large white mobile clinics with the basic facilities installed in them. However they were mostly unsuitable for the rough and narrow rural roads, hence were mostly parked. Because of their size and colour and of course utility or rather lack of it, they got the apt moniker of ‘White Elephant.
The state was ruled by the AIDMK party and the Chief Minister was a former film star, who had many monikers one of them ‘Makkal Thilagam’ or people’s King, Maradurur Gopalan Ramachandran Menon or MGR. He had instituted the mid day meal scheme for school children which was very successful. He again was an advocate of temperance and hence Tamil Nadu was a dry state when we joined. If you wanted to drink you had to go to Chitoor or buy army canteen booze from ‘Devil’. The Devil incarnate was the friendly neighborhood illegal booze seller who would come knocking on your door with a Hercules XXX army rum bottle inside an army stocking, “Saar Rumm wanum Saar!” and he would pull down the stocking just enough to display the label on the bottle.
There was also an Amma near Otteri who distilled some real vile, vomit green stuff. Stored in a matka and dispensed in old bottles. We had a New Year’s party with that vile brew and needless to say some vomited, some passed out, some became emotional and confessed their undying love for a class girl. One continued to vomit the next day and was admitted in the hospital with Hepatitis A. Luckily no one was condemned to a life with a white cane!
MGR also declared the year we joined that medical education should be in the Tamil language. When a team of medical teachers approached him and tried to explain the logistic difficulties, especially translating all the text books into Tamil. He retorted by producing an ancient Sidda treatise and said “If in ancient times it could be written in Tamil, why should it be a problem now?”
There was a lot of apprehension especially amongst the non Tamil speakers but luckily enough it remained a politician’s election promise and like all election promises it was never seriously followed through.
Let me elaborate some points of our unique points.
1. We were the first batch to have the fee hike to ₹3000/-. The Batch of ’76 paid ₹800/- and the Batch of ’77 paid ₹1500/- but it was doubled for us. I believe it still remains frozen at that princely sum. Though inflation has eroded its royal sheen and made it a more plebeian figure. Our seniors used to refer to us as the 3000 batch and they protested on our behalf even before we had joined. Nice of them because they were not affected.
2. We were the last Batch at least the men to face the 3 days initiation ritual. After our Batch the administration put their foot down and banned the 3 days initiation. It started with the ‘Last Supper’ and ended with the Ducking in the pond. During those 3 days there were no classes and mornings started with group exercise, roll in the mud and getting ducked after appealing to God for rain. The rest of the day was spent in amusing our fagmasters and in the evening amusing the Hostel.
3. We had the least number of intra class fixtures or fixtures per say. Whatever fixtures intra or inter class took place, happened at the very end. Of course with some exceptions. You knew when someone was fixed when the Watchman came shouting down Edward Gault drive, “So and So Saar! “ and So and So would peek out of his room, “Enna Watchman?” “Phone call Saar!” And the Hostel will reverberate with shouts of “De! De! Steady So and So.” Then he would begin to spend a large amount of time on the other side of the road. In SA Hall, in the library and of course in the bushes. We had a Principal who would go for a nightly constitutional along with a 6 battery torch and shine it into the bushes. Took pleasure in being a killjoy.
4. We were the last Batch to write the first year exam. The Batches after us never faced the fear of getting failed on a whim of a teacher and the prevailing 3 strikes and you are out rule. All of you may not know that in those days the rule was if you failed 3 times in the first year then you had to leave the course. After the first year you had the freedom of failing as many times as you wished. There were some who took their time leaving. Uptil that time only one person had managed to fail thrice and coincidentally he was from my home town of Nagpur.
5. The first Batch to have the women bused back to the safe confines of Women’s Hostel during our COP (Community Orientation Programme) in Mottupalayam rather than stay in the village. Because in the previous Batch 90% got fixed during the COP. The administration thought there’s too much Kaadil in the village air so segregation of the sexes was safer. The boys spent the nights sleeping on the floor in a thatched hut and had Kullu and Kalli for dinner while the girls had the luxury of their Hostel rooms and saapdu. We had a Bridge playing set in our class and JP was an ardent Bridge player. He used to land up after dinner to play bridge with them. One of the boys got disturbed by the lights and talking in our hut. He got up to agitate and reached for his spectacles but when he put them on, he saw JP and immediately went back to sleep, with his back turned to the players.
We were supposed to go around the villages sing health education and awareness songs in Tamil composed by Mardmuthu the Tamil communicator in Chad. They were mainly about measles vaccination. We were supposed to bathe the children and apply anti scabies ointment on them in that way educate the villagers on prevention. Then we had to go from house to house interviewing people and collecting data as per a proforma. The questions included their opinion on the medicinal herbs, ‘Sotkataray and Nochuthorai’. I recently discovered one of them is Aloe vera. We also made a soakage pit by digging a hole in the ground and filling it with broken pieces of bricks. This overflowed on the first day of use. We used a cement outline of a squat toilet placed over a pit, surrounded by burlap as toilets. Once our sojourn was over the cement slab removed and the pit was filled up with mud. We tested the purity of well water by a Horrocks apparatus. And when the girls had left swam in the same well in our birthday suits until we discovered that there were snakes in the well. All this was to lead by example. Hopefully we were good examples!
6. We were the first Batch to stage a march past during our first term Biostatistics exam.
Biostatistics was not a University subject but since it was considered useful for us in the future, especially if we planned to do research. It was taught as an additional subject. We were all provided a pink coloured book with ghostly white illustrations on the cover as a course book. My book was disfigured by a class mate by writing the moniker of a class girl on every page and the cover. He presumed I was in love with. I won’t reveal the name suffice to say we were in that precarious age when we were in love with the idea of being in love.
The lectures were pretty boring and as I remember they were held in the biostatistics department near the library. Dr. P.S.S. Sunderao and his minions would teach us the ‘measures of central tendency’. These were really beyond me and only B. Venkatesh appeared to be comprehending. No wonder he did research on ‘The gateway theory of pain’, during MBBS and now of course has many papers to his name.
The motto of CMC was corrupted by our seniors from “Not to be ministered unto, but to minister”, to “Not to be conned but to con”. And our seniors were very serious about this ministry. Before the terminal exams we were told by our seniors that it is a tradition not to complete the biostatistics exam and to wear fancy dresses, submit your papers early and have a march past in the SA Hall. Each ace con senior would give his spin to what earlier batches had done. One said “we all chanted biostatistics F.O. as a marching beat!” And of course the term tradition was mentioned a number of times. We by then were used to the fact that tradition had an important role in the CMC.
During one of the terminal examinations I think it was Chemistry the Second Seniors came marching up the steps of the SA Hall in a single file, they marched along the balcony facing Women’s Hostel, chanting loudly “left-right” and then turned right, again right, then left and out via the staircase to the library.
The biostatistics exam was the last exam after which we were going home for the first time since joining CMC. We prepared ourselves for the exam by wearing lab coats. Many carried alarm clock in their pockets which was set to ring within 15 minutes of the start of the exam and further 15 minutes intervals. There was a litter of kittens in Men’s Hostel, probably Thomas the mascot of Men’s Hostel had fathered them. He was called Thomas because he was supposed to belong to a senior of the same name and he proved that cats have 9 lives by surviving a fall from the Supertop with only a mild limp. A Super Senior had thrown him in a fit of frustration.
Another classmate put one of the kittens in his lab coat pocket and also wore the lab coat along with the hanger, so you could see the hook protruding out behind his neck. Another classmate had a pair of stripped knee length stockings which he wore displaying the stripes prominently.
Now the exam started and the silence was punctuated by the shrill sound of an alarm clock. The invigilator, a relatively junior person did not know what to do. He would go up to the person and note down his name. Then the final alarm clock went off and then most of the boys submitted their answer papers and assembled near the staircase. After we had assembled in adequate numbers we marched down the same route as our seniors did, circumambulated the hall, chanting, “Biostatistics F.O.”. The invigilator noted down as many names as possible and chose the tallest and most prominent, as the ‘leader’. ‘Leader’ was written against his name.
Then we all went back to the Hostel and had a good laugh. Meanwhile Andrew from the Principal’s office, more popularly known as Vice Chancellor came beaming down the Gault drive. “Dr. Job wants to see all of you Saar.”, he said with a smile. Immediately we all ran helter-skelter, I remembering exiting Men’s Hostel via a gap due to a missing bar in the bogs. In first year I was thin enough to squeeze through the gap, final year I was too big. We decided to go to the Katpadi station and wait for our respective trains.
During the holidays a letter arrived addressed to my father from the Principal’s office, stating broadly, “Do you know your ward was involved in an incident of indiscipline and the authorities take a very serious view of this.” My father being a principal himself knew boys will be boys and laughed it away. He however penned an appropriate reply stating that I had received the necessary dressing down from him.
On returning to college after holidays we were all summoned to the Principal’s office. I remember my inquisition with Dr. C.K. Job. He minced no words and came straight to the point, “why did you do it?” I mumbled something vaguely about being told it’s a tradition. “Tradition!” he said almost having an apoplectic fit, “do you know this is the first time such an incident has happened!”
7. We were the last Batch where the administration permitted a large number of us including yours truly to be provisionally admitted despite our mark lists not being available. They gave us 15 days time and I suspect it was more due to sympathy for ‘Terry’ Tee Seng Kiong because he had secured admission in 1977 but had to leave because his Malaysian school certificate was not recognized by Madras University. He went to Trivandrum and appeared from 12th from there but like me his results were not declared when we appeared for interview. The next year anyone not having their marklist was shown the exit and the next on the waiting list was called. So you guys narrowly missed not having the BOSE in it’s present composition.
8. We joined at a time when there was a change of Principals. DR. A.S. Fenn the outgoing principal was easy-going but the incoming principal Dr. C.K. Job was strait laced. He also believed in a strict curfew time of 12 midnight for the girls, because “after 12 passions would rise.” I wonder whether the word passions was used euphemistically. He was not in favour of ‘Discos’ which had become another tradition post any party. The parties were also more frequent. After each batch giving the Freshers a welcome party, the Freshers were supposed to give a return party. He stopped the return parties cutting down on the number of parties. The parties consisted of activities to get to know each other and also party games like ‘shrinking islands’ designed bring people real close…… in proximity at least. During the last half an hour of the party, the lights were dimmed and the music played loud and the dancing began, which was frequently interrupted by an emissary from the Principal’s office.
9. We had 3 Sunils in our class, Sunil Agarwal, Sunil Datta and Sunil Thomas Chandy. Sunil Agarwal was called Dariwallah Sunil by Dr. Theodore due to his hirsute appearance. Dr. Theodore or Teddy as he was popularly known taught us Zoology. Whenever chick embryo was mentioned he would say “This reminds me of Chickmagalur and the impending bye elections from there. Hopefully Mrs. Gandhi will win.” Mrs. Indira was standing from the safe constituency of Chickmagalur. Anthonysamy or popularly known as Botanysamy taught us, what else! Botany. Dr. James Verghese who taught us Chemistry was Jimmy but Dr. Rose who taught us Physics remained Dr. Rose. Mrs. Rose or Ma Rose taught us English.
10. We had 6 Johns in our Batch, John Mathew, John Christo, John Alexander, Sajiv John, Philipose John and Jones (Johns) Kurian. They inhabited the block John of Men’s Hostel along with the other John’s of Men’s Hostel and the John was just nearby.
11. We must be only Batch who had a Sri Lankan Tamil, who neither sang nor played a musical instrument and what is really sacrilegious, did not play cricket.
12. Needless to say we never won an interclass music competition. So in our final year we decided to give the bathroom and wannabe singers a chance. Lacking in talent, ‘kaaykoo’ songs were chosen like Dr. Freud, the words of the song went like this,
“ Oh it happened in Vienna, not so very long ago,
When not too many folks were getting sick
That a starving young physician tried to better his position
By discovering what made his patients tick
Oh, Dr. Freud, oh, Dr. Freud
How I wish that you’d been differently employed
For the set of circumstances sure enhances the finances
Of the followers of Dr. Sigmund Freud
He forgot about sclerosis, but invented the psychosis
And a hundred ways that sex could be enjoyed
He adopted as his credo, “Down repression, up libido”
And that was the start of Dr. Sigmund Freud “
Then for the Gumbal there was Changiz Khan. I am sure you don’t want to know the lyrics because it went like” Ohhhf! Aaah!…. Chang! Chang! Changiz Khan” and in the rest in gibberish.
During the impact in first year we spoofed on the fact that superheroes wear their underwears over their tights. This looks cool in comics but in real life it looks, to put it politely comic!
The men’s hostel had a co-operative store where you could buy the essentials and one of them were, underwear/jocks/jattis/chaddis! The ones popular in our times were manufactured by the TTK conglomerate under the brand name of Tantex. Keeping in mind the taste of the people who liked to add colour even in to their inner wear which was not normally displayed. It came in a rainbow choice of colours, a veritable VIBGYOR!
Since these unmentionables could not be washed by the dhobi. The risk of contacting the ‘Dhobi’s itch’ and having and irresistible desire to scratch there. Hence they were washed in the sink of the bogs and strung out to dry in front of the room. Seven different colours for seven days of the week. Some however extracted extra mileage from the them by wearing them inside out.
Getting back to the Impact, one of our classmates noticed an Indigo jock strung outside a class mate’s room in the slums. By frequent washing the indigo had faded to a purple. Architang! The idea of the Ghost who walks in purple Tantex jocks was born. He borrowed the jocks from the owner who lent it without even giving a thought as to why would anyone want to borrow jocks!
The Impact began with a darkened stage and a prop on stage, then suddenly out jumped a figure from behind the prop. He was a masked man, wearing purple tights and over the tights he wore ‘purple Tantex Jocks’ and he was none other than the ‘Ghost who Walks’ Phantom. He danced a jig singing “Devil O’ my Devil, where the Hell are you my Devil” (Devil is Phantom’s Dog sorry wolf, by the way, not to be mistaken for the other Devil). He really made and impact.
We followed tradition to the hilt by climbing every mountain surrounding CMC. First was the pimple called college hill, then Toad Hill and finally Kailash. The Kailash marked an unique adventure in the life of one of our classmates. He did not wake up in time to join the gang. When he got up he hired a bicycle from Bagayam and cycled to the base of Kailash hoping to catch up with the rest of the gang. Then he began his solo ascent up Kailash and got completely lost. He had not carried anything with him hoping to catch up with the gang, so he was dehydrated and hungry. He spotted a grazing cow and was so desperate that he attempted unsuccessfully to drink milk directly from the udders. He was really in a desperate shape when a good Samaritan in the form of a Cattle Herder picked him up and carried him on his shoulders to his hut and lay him down on a cot. Our friend had limited knowledge of Tamil and could only mumble to the herder, “Passi! Passi!”, miming the act of eating with his left palm and right hand. The good Samaritan shared with him their humble repast and helped him get back on the road to the base of Kailash.
The men had superior numbers and hence voting powers and since there were no fixtures we were not influenced by the residents of the other side of the road. This voting power came in handy when the venue of class picnics had to be decided. Pondy was a very popular choice with the men for obvious reasons and unpopular with the women for the same reasons. The men prevailed due to superior numbers.
It was during a picnic in Pondy the choice of which the girls opposed vehemently but lost in the hand count. The day was spent on the beach wetting our toes and we split in the evening going to various restaurants for dinner. Two of our classmates went to a Vietnamese restaurant for dinner and consumed 250 ml of Old Monk Rum between the them. They returned to the parked Silver and Blue bus early and waited for the rest of the crowd to return. One felt nauseous and suffocated inside the Silver and Blue and the other had dozed off. Waking up his sleeping friend he told him that he was going to the roof of the bus to get some fresh air. The drowsy friend mumbled incoherently his consent. So he climbed onto the roof and lay down taking in the fresh sea air and fell asleep. Next thing he remembers is being woken up by a classmate and being “We have to go, everyone was searching for you.” On climbing down he discovered what had transpired, when everyone had returned they found him missing and no one knew where he was. There was a desperate manhunt until his friend woke just long enough to tell them that he was sleeping on the roof.
Getting lifted!
Tradition is considered important in Vellore and the seniors take on the responsibility of educating the gullible juniors about the traditions. The graduating interns during graduation day entertainment, gave their own spin to the CMC Motto “Not to be ministered unto, but to minister”, modified to “Not to be conned but to con”. And ‘Ace Cons’ abounded in the corridors of Men’s Hostel. ‘Getting lifted’ was supposed to be one such tradition and the intricacies of this tradition were taught to the juniors.
One day while returning from SA Hall I saw a large gathering of my classmates in a slum room. Curious to know what was going on I entered the room. Two of my classmates were sitting on the floor facing each other with their knees flexed in front and a group trying to persuade a classmate to be part of this challenge. “What challenge?” I asked. “Well” said a spokesperson for the group “_____ says he can lift 3 people together.” Pointing to a not particularly muscular or bodybuilder type person in the room, who nodded in acknowledgement when I looked at him. “And we are trying to persuade _____to take up the challenge.”
Well their powers of persuasion seemed to work especially when one member of the group vouched that he had been lifted and it was an amazing experience. So now to take the challenge _____ was supposed to recline on the folded knees of one of the people sitting on the ground while the person at the foot end sat between his folded knees facing him. The person on whose folded knees _____ was reclining then passed his hands under his armpits, around his shoulders and clasped his fingers behind his neck in a ‘full Nelson’ wrestling grip. The person at the foot end put his arms around his thighs and clasped his hands. Then the lifter stood over him and with all theatrics of a weight lifter about to lift a heavy barbell he bent down and unbuttoned his trousers. The lifted went into spasms akin to tonic, clonic contractions in a grand mal seizure but was pinned down at the shoulders and the thigh, only movement possible was arching his pelvis upwards making the job of the lifter easier. The lifter with more theatrics pulled down his underwear to expose his now shriveled frightened member and it’s two crouching sidekicks. Now the lifted tried spitting unsuccessfully in the direction of the lifter and followed it up with some bleepable expletives. The lifter produce a wooden foot ruler and measured the size of the already shriveled member, loudly announcing the figure, there was booing and someone said “he’s brought down the class average.” Then the lifter using the ruler lifted the member along with it’s sidekicks till it pointed skywards to a cheering audience. “See! I’ve lifted 3 people.” he said though the comparison left a lot to imagination.
Now the lifted was released and as you can imagine, he was furious. After quickly regaining his modesty he could not decide on whom in the gathering to vent his fury. He spotted the person who had vouched that being lifted was an amazing experience. He slapped him and said “I’ve got nothing private left!”
This quote has gone down in posterity and is forever remembered by our batch.
The 1971 Indo-Pak War through the eyes of a child!
An ugly girl!
“There are no ugly girls just girls who don’t know how to look beautiful.” I read this statement long ago before the dawn of social media, I was not convinced about the veracity of the statement then but now with the explosion of social media and the democratization of digital devices, every girl with some idea of make up and camera angles can post glamorous pictures of herself.
Courting Arrest!
“I have an arrest warrant in your name.
Imagine if these words are spoken to you despite you being a law abiding citizen. Okay I may have broken some traffic signals unwittingly but no serious misdemeanour.
But these exact words were being spoken to me.
How did this happen? Let me fill you a bit about the history behind it.
I teach in a medical school and devote my evenings to a charitable trust hospital. I have worked there for the past 20 years and I have developed a loyal patient base.
Mondays are normally very busy days in the hospital. There is a tall stack of out patient cards on my table arranged in order of who came first and I examine the patients in that order.
One such busy Monday I was examining a patient and a young man barged into the room. Taking him for a patient trying to cut que, I admonished him for his lack of etiquette and patience. I firmly told him to wait for his turn. He tried to say something in his defense but I was peeved and cut him short. He gave up resisting and meekly retreated and I went back to examining patients completely forgetting the incident.
After I had finished seeing all the patients, he again opened the door and politely asked permission to enter, which I responded to the affirmative. He looked like the garden variety of patients I see regularly, except for being tall and well built. He must have been in his twenties with short hair combed sensibly.
He approached my desk with a piece of paper in his hand and very apologetically proffered the paper to me and said “Sir! I have an arrest warrant in your name!”
Surprisingly it did not alarm me rather it sent me into a state of déjà vu!
I have been through this before!
I had a flashback to my days as an overworked surgery resident in Ludhiana Punjab.
I had the good fortune of being in Punjab during it’s most disturbed period in history. There was a violent separatist movement going on. I will not go into the politics and justification behind these movements, suffice to say ‘today’s terrorist could be tomorrow’s freedom fighters’. Depending on whose side you are on.
It could be considered as mixed fortune because you had to duck bullets whizzing by and bombs exploding all around you. There was the division number 3 Police Station near the hospital which was a favourite place to plant a bomb. There was Fieldganj vegetable market where we did our vegetable shopping where motorcycle borne terrorists opened fire randomly into the crowd. There was the RSS Shakha assembling in a park in Kidwai Nagar and terrorists opening fire on them.
But every cloud has a silver lining and I could help the innocent victims and also gain experience treating trauma patients. I’ve seen bullet injuries of almost every part of the body. I will spare my readers the gory details. Since I left Ludhiana I have not treated a single bullet injury case.
It was bad luck for the innocent victims who was the common man trying to eke out a living.
Not all the trauma could be blamed on terrorist, there were a fair number of personal vendatta cases. Fights between neighbors and familes turning violent, Bride burning and other domestic violence.
Along with the treatment we had to do the paperwork. An FIR (First information report or FIR) to be filled and sent to the neighbouring police station, informing them that such a case has been admitted. The Police would come to take a ‘statement’ from the victim, but before taking a statement they would ask a resident to certify whether the patient was fit or coherent enough to give his or her statement. The resident had to sign on the Police records stating whether the patient was fit or unfit.
After the statement was taken the police would make another visit and ask for an injury report. This again was provided by the residents, certifying that he had examined the patient and the injuries were listed, with the dimensions. The mode of injury were mentioned, i.e. blunt trauma, sharp object or penetrating. Finally the type of injury, whether it was simple, grievous or dangerous to life. All this would be part of the police record.
The consultants studiously avoided getting involved in the paper work though they were active in the treatment. Later the readers will realize why.
Not all cases would reach the courts, they would be settled amicably by the concerned parties. However if it did reach the court then the Judge after sifting through the paperwork done by the police, would issue summons to appear as expert witness to whoever had certified the fitness or issued the injury report or had his signature on any paper in the police records.
These summons had to be personally served to whoever it was intended. The job was given to a constable of the Punjab Police. He would personally roam the entire hospital ferret out the concerned resident and hand him the summon. The residents would warn each other about a summon waiting to be served so hide! Sometimes you could see a resident running with the cop in hot pursuit waving the summon in his outstretched hand and shouting “Haanji Daktar Sahab!” (Loosely translated to Attention Doctor Sir). Sometimes when confronted face to face with the cop, the resident would deny that he was himself. But police being police would establish his true identity and serve the summon. An acknowledgement was taken on a carbon copy of the summon. Surprisingly the cops were very indulgent and took it like a game in good humour. All the straight faced denials of not being yourself was met with a smile and an expression which said “I’ve heard that one before.”
The summon itself is the most ambiguous document. All it said was that you are requested to appear in the court of the honourable Judge so and so in so and so court on so and so date to be witness to State vs so and so and to top it all it will be written in Gurmukhi! We were clueless to which of the scores of patients we have seen did it pertain to.
Why was there so much reluctance to attend court? Because it was the most boring and fruitless thing to do, the whole day was wasted. If it involved a visit to the local court then it would be okay but victims came from all over Punjab. I’ve attended the courts in Ferozepur, Fazilka, Faridkot, Pathankot, Bathinda, Batala, Dhariwal, Kapurthala, Khanna, Moga, Malerkotla and many more. I leave home early in the morning catch a bus either from the bus adda or Samrala Chowk, which was a major intersection. This is when I realized that Punjab is not a very big state, divided by Radcliffe’s arbitrary line during the partition and then Haryana and Himchal were carved out of it during the reorganization of states on linguistic lines. So with a 3 hour bus ride you can reach most major towns in the state.
On reaching the destination, I had to catch a cycle rickshaw and tell him to take me to the ‘kaccheri’.
On reaching the court I had to find the courtroom of the Honorable Judge who had issued the summons. The courts are rabbit warrens with rooms built at random. Originally they were built by the British but after Independence with the rising population came an increase in court cases and a requirement for more space. So courtrooms were built without much prior planning.
Once you find the courtroom and enter the scene is the same in all courts. A bailiff guarding the entrance and hailing out the witnesses to be hazir or present whenever there case comes up for hearing. The Judge sitting on his desk perched up high above everybody else, looking totally bored with the proceedings around him. He is flanked on one side by the clerk who is checking the list of cases to be heard for the day and giving the bailiff instructions on who to hail. And the stenographer typist who is vigorously typing the proceedings of the cross questioning of a witness going on in front of the judge. Behind them are benches and chairs arranged in two rows with a narrow aisle separating them. Lawyers and their clients, police men and undertrials and others whom I presume were relatives occupy the chairs with an expression of disinterest.
I go to the clerk and meekly hand him my summon, he looks at me suspiciously and checks the summon with the list in front of him and then smiles at me. “Tussi Daktar ho?” (Are you a Doctor?) he asks in Punjabi. To which I answer in the affirmative. “Tussi baith jao, twada case chheti ho jayega” (you sit down, your case will be taken up soon) gesturing to the rows behind. I find an empty place and unfold a newspaper and begin to read, immediately the bailiff admonished me and tells me that reading is not allowed in the courtroom, all attention has to be directed to the proceedings. So I watch the proceedings, every lawyer entering the court will turn and face the judge and give a ceremonial nod in a show of respect. I suspect it actually supposed to be a bow but got abbreviated with time. The judge is busy with some paper work while the witness is being cross questioned by the two lawyers. The proceedings are being typed by the stenographer typist. When they finish the paper is first handed to the judge for his okay and then to the witness to sign.
Then I’m called to give witness, they have taken into consideration that I’ve come from a distance and I’m a busy doctor and allowed me to cut que.
The Judge asks me, “do you take an oath to tell the truth?” Not asking me to place my hand on any holy scripture, unlike in the films. Though I suspect this also got abbreviated. I nod to which he says “answer my question!”
I say loudly “I do!” Then he indicates to the lawyer representing the state to take over. The lawyer hands me a stack of documents tied onto a cardboard base with a red tape (the phrase ‘red tape’ originated with this practice). I untie the tape and go through the documents. It consists of photocopies of the hospital in patient records, the injury report and the fitness certificates, the discharge summary. Finally I get to know which case it was. It was when I was posted in neurosurgery and a lady was brought who had been brutally hit on the head with a ‘gandasa’ by her husband. She must have really served him a bad meal! A gandasa is an agricultural implement used in Punjab, it consists of a long stick, often as long as the user with a blade at the end, akin to a long axe. There was a deep gash on the scalp and the underlying skull bone above the left eye was shattered. Obviously she was in no condition to give her statement on arrival so my unfit certificate was in the records. She had to be immediately operated where the shattered pieces of bone were removed along with most of the left frontal lobe of the brain. She survived and recovered. Frontal lobes were removed in the early part of the 20th century as a routine to treat extremely violent mentally ill patients without causing major disabilities except for subtle personality changes, like not understanding relationships, boastful behaviour and urinating in public! I suppose the last disorder would not be considered unusual in India. A famous case was that of Rosemary Kennedy sister of John F. Kennedy or JFK. However the surgery was unsuccessful and the procedure left her with the mental capacity of a 2 year old child and incontinent.
So then the State lawyer asks me which documents bear my signature? I point out to the injury report, the fitness certificate and the discharge card. The lawyer begins to dictate ‘my statement to the typist’, “It is true that the documents numbered so and so bear my signature and have been prepared by me then he asks me to dictate out the injury report and at the end adds “the contents are true and prepared by me.” Then my typed statement is handed to me and I’m asked to sign. I try reading it but he tells me “don’t bother reading just sign it!” I protest saying they are a lot of spelling errors in the statements. He says “doesn’t matter just sign it!” rolling his eyes skywards in exasperation.
Now is the turn of the defense lawyer to cross question me, he starts off with “Doctor are injuries like these possible with a fall from a staircase?” I say “technically it’s possible but she would have to land on her head over a sharp object.” The defense lawyer cut me short and said “just answer yes or no!” To which I meekly said “yes!” and typewriter clattered almost in unison with my response. Then he asked “Doctor can you give me the definition of coup and countrecoup injury?” Now though I understood the mechanism of coup and countrecoup injuries when suddenly asked to give the definition I began to fumble with the answer, to which he cut me short and said “that’s enough!” And another typed statement was placed in front of me to sign without reading.
Coup and countrecoup injuries are as a result of the brain floating in cerebrospinal fluid, coup injury is at the site of impact and countrecoup injury is on the other side due to the brain moving within the skull and hitting the inside. This apparently was a favourite question lawyers would ask especially in head injuries cases to demonstrate the inadequacy of the doctor.
After the signing was over the judge said “you are now excused Doctor.”
To which I said “what about the travel allowance which the court is supposed to pay me?”
To this the Judge said “do you really need the money Doctor?” A rhetorical question, but then playing by the earlier rule laid down by the State, I said “yes!” After all that money has been set aside for this purpose and if I don’t claim it someone else would. So the Judge hands me an attendance certificate and another letter for the amount and tells me “go collect the money from the Naazar.” My next job is to hunt out the Naazar’s office in that rabbit warren. When I finally reach the Naazar’s office I’m told he has gone out to an unspecified destination for an unspecified length of time. I’m welcome to wait for his return. I decide to head back home because if I wait for too long I would not get a bus back. Because of the disturbed situation in Punjab, buses did not ply after sunset and it was risky to travel in the night.
So having gone through this fruitless exercise and also having to pay for the excursion obviously I was not too enthusiastic about accepting another summon.
So after a couple of more visits to the courts I also became a seasoned summon dodger avoiding the constable if possible but more often than not he was successful in serving me the summons.
Then came next stage when despite being served the summon I would not appear in court, either due to work load or due to lethargy or just that it slipped out of my mind.
So then what happened?
I would be served another summon for the same case and yet another. Sometimes after the first non attended summon the matter would get settled either amicably by both parties or another resident whose signature is also on the records would attend court and identify my signature and certify that the documents are true.
However there were the cases in which the differences were irreconcilable and there were no other signatures on the records except mine and I did a hat-trick in non appearance. Then again a constable would hunt me down in whichever corner of the hospital I am in. He would approach me beaming from ear to ear and greet me “Sat Sri Akal Ji Doctor Sahab!” To which I would respond in a similar manner. Then the constable would say, “Assi arrest warrant le ke aye si, twade naa da.” (I have brought an arrest warrant in your name).
This jolted me for a moment.
“Tussi court aye nahi teen vele iss liye” he added. (You didn’t appear in court 3 times that’s why).
So then I imagined I would be handcuffed and maybe read the Miranda Rights like in Hollywood movies
1.You have the right to remain silent and refuse to answer questions.
2. Anything you say may be used against you in a court of law.
3. You have the right to consult an attorney before speaking to the police and to have an attorney present during questioning now or in the future.
4. If you cannot afford an attorney, one will be appointed for you before any questioning if you wish.
5. If you decide to answer questions now without an attorney present, you will still have the right to stop answering at any time until you talk to an attorney.
6. Knowing and understanding your rights as I have explained them to you, are you willing to answer my questions without an attorney present?
However this is India and the main difference is that in India any statement or confession made to the Police is inadmissible in a court of law.
Anyway it was only me dramatising my situation using my fertile imagination.
Going back to reality I asked now what am I supposed to do? To this he replied “this is a bailable warrant and you just sign here and I will post your bail. But if you don’t appear in court subsequently a non bailable warrant will be issued.”
That was a relief for me and I quickly signed wherever he told me to and since I couldn’t read Gurmukhi I didn’t have the faintest idea on what I had signed on. By the way Punjabi has two scripts Gurumukhi which literally means the words of the Guru which was developed Guru Angad Devji the second Guru of the Sikhs. All the Holy literature of the Sikhs is written in Gurmukhi. Then there is the Shahmukhi script which is in the Arabic-Persian script and used by the Punjabi Muslims mainly across the border.
On asking around I discovered this form of arrest was fairly routine. Almost every resident has had an arrest warrant in their name. I asked another senior what would happen if I still didn’t go? He replied “Nothing! You’ll just get another and another ad infinitum, until you attend.”
So I realized I was in good company of jail birds though none of us had seen the inside of a jail or that matter the inside of a police station.
Then I began to wonder about the legal implications of this ‘arrest warrant’. As I understood if you are served an actual arrest warrant you would have to go to the police station and obtain bail for which a surety amount is posted. This warrant was more like a threat to frighten you into attending court. It would look bad for the police and the judiciary to arrest an innocent doctor for just not appearing in court!
But I took no chances and avoided any further ‘arrest warrants’ being served.
Mr. K. P. S. Gill was the Director General of the Punjab Police, he is credited in bringing the terrorism in Punjab under control but he was also accused of human rights violations. The Police were in total control and even having a pillion rider on your two wheeler was not permitted after sunset. If you were caught having a pillion rider and did not stop when the police stopped you, they had full right to open fire. Because motorcycle borne terrorists with the pillion rider shooting was the modus operandi of the terrorist.
We once had to attend a party in the other side of town. Only one of us had a motorcycle and 9 had to attend. So the solitary motorcycle made multiple trips ‘triple seated’ trying to avoid the police barricades. I was lucky to make it to the party and back. But the last trip got caught and the driver was slapped so hard he had a swollen face. So it was better to remain in the good books of the police.
After finishing my MS I returned to my home town Nagpur but my past life or more specifically my signatures continued to haunt me. One day I was resting at home when the domestic help told me that someone has come to meet me. I go downstairs and there is seated a familiar sight, a constable of the Punjab Police. He jumps to his feet and salutes me then greets me in a very familiar manner “Sat Sri Akal Ji Doctor Sahab!” I return the niceties and then comes another familiar statement “Twade vaste assi arrest warrant leke aye si!” (I have brought an arrest warrant for you). I inwardly groan and ask him to show me the papers. Looking at the papers I realise how much the Police have to work. Warrants have been issued for 3 ex residents. One lives in Pitthoragarh Uttarakhand, the other lives in Allahabad but now shifted to USA. The warrant is for an assault case in Malerkotla for which I have already been twice. I accept the warrant and get bail and promise insincerely to attend the court in Malerkotla. And before leaving he gave me a veiled threat, “if you dont come this time we will return with a fauj and arrest you!”
Malerkotla formerly a princely state was incorporated into the state of Punjab. It is in the heart of Punjab and has a Muslim majority but is an island of communal harmony.
The roots of communal harmony date back to 1705, when Sahibzada Fateh Singh and Sahibzada Zorawar Singh, 9 and 7 year old sons of 10th Sikh Guru, Guru Gobind Singh, were ordered to be bricked alive by the governor of Sirhind, Wazir Khan. His close relative, Sher Mohammed Khan, Nawab of Malerkotla, who was present in the court, lodged vehement protest against this inhuman act and said it is against the glorious tenets of Quran and Islam. Wazir Khan nevertheless had the Sahibzadas tortured and bricked into a section of wall while still alive. At this the noble Nawab of Malerkotla walked out of the court in protest. Guru Gobind Singh on learning this kind and humanitarian approach and blessed the Nawab of Malerkotla with his Hukanama and kripan. In recognition of this act, the State of Malerkotla did not witness a single incident of violence during partition.
But it’s a long journey from Nagpur to Malerkotla so I decided to take the risk of a fauj descending on me and arresting me. It’s been 17 years now and the fauj hasn’t turned up!
Back in Nagpur I treat quite a few cases of violence especially in the charitable hospital where I work and of issue injury reports.
And returning to the present, the arrest warrant which was being served to me pertained to a unique case of domestic violence with reversal of roles.
Now being much older and wiser I told the plain clothes cop to go ahead and arrest me. He was very apologetic and said “how can I do that?” So again I sign wherever required to prove I was arrested and received bail on the spot and with assurance I would attend the case the next day.
The case was that of a young couple who had an intercaste marriage against the wishes of their parents. But very soon there was a falling out between the two. Now allegedly the wife hired goondas to bump the husband off. They attacked him one evening in a lonely spot and stabbed him on his back. Luckily it was not fatal and the knife had not penetrated deep enough to cause serious damage. I sutured the wounds and discharged him within a day. The police came for the injury report which I issued. Then the matter went to the ‘fast track’ court and I was issued a summon. I attended the summon in the fast track court. This court is housed in what used to be the MLA Hostel. On reaching the court I found it empty except for the clerk and stenotypist. They informed me that the judge has gone to attend a workshop so they will be no hearings today.
Some months later I got another summon for the same case. Again I went to the fast track court and again was greeted by an empty court and this time the judge was on leave.
Subsequent summons I ignored and now comes the arrest warrant which is being served to me!
So I attend the hearing the next day, this time the judge is present and asks the defense lawyer to cross question. To this the accused lady stands up and says “I have done law so I am going to defend my own case!” The accused is an attractive slim young lady, stylishly dressed in black pants and a white shirt. Not looking at all like a seasoned criminal capable of giving out supari.
The judge asks her if she has a bar council registration to which she replies no. Then the judge says she cannot represent herself. He requests her former lawyer who is sitting in the benches to take her case and he refuses. So again the court is adjourned till she finds a lawyer to represent herself.
Few months later I get another summons for the same case. This time both the judge and a lawyer representing her are present. During my cross examination the defense lawyer finds a discrepancy in the discharge card. The date he was operated and the date he was assaulted don’t match. This card was filled by a junior doctor who made an error in the dates. Due to this discrepancy she is granted bail.
The judiciary system is famous for being notoriously slow. They say justice delayed is justice denied. Because of this comes the rise of the vigilante form of justice.
A famous case is that of a 2004 incident which occurred in Nagpur which created national headlines known popularly as the ‘Akku Yadav’ case. In August 2004, Bharat Kalicharan aka Akku Yadav a murder and rape accused was being led to the courtroom by the police for a hearing when a group of women attacked him in the court premises with knives, sticks and stones. The police were mere spectators, not anticipating such a vicious attack by women. The women killed Akku Yadav and the attack was so vicious they even emasculated him.
What drove ordinary women to such extent you have to know the history of Akku Yadav. He was a local goon terrorizing the Kasturba Nagar slums in Nagpur. He felt every young girl was fair game and no one dare raise any objections due to fear. The Police in their wisdom preferred to turn a Nelsonian eye towards his activities.
He was arrested couple of times for charges ranging from rape, murder or intimidation however was released due to lack of evidence. No one dared to come forward to give witness against him.
So finally the women of the locality, totally disgusted with his activities took the law in their own hands.
My connect with this incident was the main accused and leader a young girl in her twenties was my patient. She was a student of Hotel Management and had an attack of acute appendicitis. I had operated on her and she had recovered. She hardly appeared to be the type of person who would commit such a crime. Dressed like all students do with tee shirt and jeans. Never found her behaviour to be particularly aggressive. Happy with my treatment she brought other members of her family to me with various problems. Her brother was being treated for severe depression and ultimately committed suicide and her father was no more. She had declared to me that she was interested in serving society and did not want to get married. A few months before the incident she came to me saying after the surgery she has gained weight around the abdomen due to which she is getting rejected for jobs in Hotels and felt the surgery had something to do with it. I reassured her that surgery had nothing to do with the weight gain. Possibly because she was now pain free she was eating more. Then couple of months later the incident occurred which caught national headlines and reported on national TV. Initially I was not aware about her involvement but few days later the papers reported that this lady was arrested for being the leader along with her photograph. Later on she was acquitted for lack of evidence. Same story no one came forwards to bear witness against her. If you ask the any of the people in the locality she is a heroine who managed to rid the locality of a menace. The property values in the locality shot up within a year with the end of the Akku Yadav reign. People felt safe.
She is still my patient and I operated on her mother barely two months ago. She has done well for herself establishing a computer training school and a charitable trust as well as having a job in the airport. I have asked her details about the events but obviously she is not forthcoming with it. She claims a biopic is being made on her life and she is under contract not to reveal the details to anyone.
One of my friends told me his father gave him sound advice. “Never get into a legal dispute with anyone and drag him to court, because that’s a Chakravuha, you know how to get in but you don’t know how to get out. Instead haat paar jod lo aur maafi maang lo” (Apologize with folded hands). And further advice his father gave him was, “Kaale coat aur saffed coat se hamesha dur raho” (keep a wide berth from the black coats and white coats, i.e Lawyers and Doctors. Jesus Christ when he was crucified, along side him were crucified a thief and a murder. Someone wrote, “if he were to come down again this time it would be a lawyer and a doctor!”
The art of stabbing! Back stabbing excluded.
Now at that time I was a mere MBBS with limited experience, I showed the case to the Surgeon. He noticed that the swelling was pulsating and on listening with his stethoscope over the swelling he could hear the sound of turbulent flow of blood which is called a bruit. The diagnosis was a pseudo aneurysm as a result bleeding in the depth of the buttock from a punctured large blood vessel. An aneurysm is an abnormal dilatation of a blood vessel, whereas a pseudo aneurysm mimics an aneurysm, but it’s as a result of injury to the wall of a vessel. Blood flows out into the surrounding tissue and creates a false dilation of the vessel. In retrospect I have to doff my hat off for the surgeon for being observant and making an accurate diagnosis, in absence of any diagnostic tools. Those were the days when an x-ray was the only diagnostic tool. The case could have been misdiagnosed as an abcess as a result of infection from the puncture wound. In which case the treatment is an incision and drainage. Incising over the pseudo aneurysm would have resulted in a torrential haemorrhage and even death due to exsanguination. The surgeon had recently completed his degree and was enthusiastic. He planned exploring and staunching the bleed.
The case was posted for surgery. An incision along the iliac crest or the border of the bone shaping the buttock and divided gluteal muscles or the muscles comprising the buttock. A whole lot of clots were encountered which were cleared. Then torrential bleeding from a blood vessel lying deep to the bone was encountered. The gupti had managed to pierce the three gluteal muscles in the inner and inferior quadrant and injured a vessel emerging from the sciatic notch, a recess in the pelvic bone through which blood vessels and nerves emerge. Try as we could but we were unable to catch the bleeder as it retracted behind the sciatic notch. Meanwhile the patient went into shock due to loss of blood. The assistance of a senior surgeon was sought, the senior decided to approach the bleed from the abdomen. So the gluteal region was packed and the patient repositioned and the lower abdomen opened. There the bleeder was caught just near the sciatic nerve, a main motor nerve supplying the leg and tied. It was far from an easy job but in the end the patient survived to fight another day with two surgical scars, one on his buttock and the other on his abdomen. He also had a foot drop, or a weakness in the foot due to some fibres of the sciatic nerve getting caught in the ligature. A small price to pay. Quoting Bailey and Love, “A living problem is better than a dead cert.”
Looking back it doesn’t seem like the attacker intended to kill the victim, he chose a well padded area which in most circumstances would have required nothing more then stitches and maximum hit the iliac bone. However he struck just a little lower and that made the difference.