An old patient better than an old doctor !!??

I joined the Goa health services in 1982. I was transferred to Ponda in 1986 and I

have been in Ponda since then. Earlier in the government hospital and now in

Private practice. I have spent nearly forty years in practice at Ponda. 

Young children whom I treated at the beginning of my practice are now grown up adults

and have their own children. They sometimes bring them for consultation. One of my

old patients recently brought her granddaughter and said that I now have the third

generation under my care ! I was overwhelmed by the faith and goodwill. Felt privileged

to have treated three generations and retained the goodwill ! This qualifies me to be

called an ‘old dentist’.  Some people use a better term and say  ‘an experienced one’ ! 

Geeta is one of my very old patients. She has experienced the entire gamut of

dentistry in my clinic. Cleaning, fillings, extractions, root canals, implant and whatnot.

Luckily for me, whatever has been done to her teeth, seems to be fine till now. 

Having undergone such a lot of procedures she is naturally very conscious about

her dental health and consults me at the slightest hint of trouble.

She visited the clinic a few days back saying that she has some unpleasant sensation

in one of her teeth and that she suspects a cavity. She pointed to a place between

two of her upper teeth. I examined the teeth and only found a bit of roughness on the

surface of one of the teeth. I told her that there is no need to do anything immediately

and that we may take a look after six months. But she insisted that I do a ‘filling’ and

cover up the roughness. 

When I started scraping the surface to place a sealant, I found that there really was a

cavity and that the tooth was actually decayed. I continued and completed the filling.

After finishing my work I told her that I was wrong in my diagnosis and that she was right.

I assured her that the cavity has been attended to and there is no cause for any concern.  

She laughed and said “They say that ‘an old patient is better than a new doctor’ isn’t it ?

In my case  an old patient is better than an old doctor too !” 

Bhagavadgeeta’ in Dentistry.

 ‘

The first case of the first day of the new year turned out to be an irritation. We had just opened the door when this patient arrived. She was suffering from pain and swelling associated with an infected grinder tooth. The infection had spread to other places in the face causing difficulty in swallowing the food. She hadn’t eaten anything since last evening. She walked in with difficulty swaying due to weakness and was about to fall anytime. 

That is nothing to be irritated about. I see that quite often in my profession. 

Her husband said that the trouble started a week back and they had consulted another doctor.  Some medicines had been given and she had consumed all of them. But the condition had only worsened. The doctor had continued treating her, injecting and prescribing other useless stuff which made no difference to the condition whatsoever. That was a bit of irritation but not much. I see that too, many times.

The doctor in question has no knowledge of either dentistry or the medicines that he had been prescribing. And these people had persevered with that doctor in spite of the condition deteriorating day by day and had now ended up in my clinic making me responsible for setting everything right. That was the irritation. I was angry with that doctor who had no business treating the case and this stupid patient for having persevered with him. I had just begun to shout at the patient when I remembered the verse from Bhagavadgeeta which I was trying to memorise. 

“ಅದ್ವೇಷ್ಟಾ ಸರ್ವ ಭೂತಾನಾಮ್ ಮೈತ್ರ ಕರುಣ ಏವ ಚ - ನಿರ್ಮಮೋ ನಿರಹಂಕಾರಃ ಸಮ ದುಃಖ ಸುಖ ಕ್ಷಮೀ - ಸಂತುಷ್ಟಮ್ ಸತತಂ ಯೋಗೀ ಯದಾತ್ಮ ಧೃಡ ನಿಶ್ಚಯ - ಮಯ್ಯಾರ್ಪಿತ ಮನೋರ್ಬುದ್ಧಿ ಯೋ ಭಕ್ತ ಸ ಮೇ ಪ್ರಿಯ”

He, who doesn’t hate anyone, who is friendly and kind to everyone, has no ego or attachments, is equanimous and ready to forgive others, satisfied with himself, firm in his beliefs, does everything as an offering to me - is the one dear to me.  

ಯಸ್ಮಾನ್ನೋದ್ವಿಜತೇ ಲೋಕಾ ಲೋಕಾನ್ನದ್ವಿಜತೇ ಚ ಯಃ, ಹರ್ಷಾಮರ್ಷ ಭಯೋದ್ವೇಗೈರ್ಮುಕ್ತೋ ಯಃ - ಸ ಚ ಮೇ ಪ್ರಿಯ. 

He, who doesn’t harm the world and who is unaffected by the ways of the world, not carried away by excesses of emotions - is the one dear to me. 

I told myself “Raghu, try to put into practice what you are trying to study. Don't be angry with that doctor, have compassion towards the patient who is suffering, Don't get carried away by the ways of the world and consider the treatment as an offering to the almighty”. 

I cooled down, examined the patient calmly, did the best I could and regained my peace !

Serendipity 2

 I first attended a serendipity event in 2019 and wrote about it. This is a bit more detailed account.

 

‘Serendipity Arts Festival’ is supposed to be one of the largest arts festivals in India. It is promoted by the Serendipity Arts Foundation. Panaji, the capital of Goa is the usual venue and it happens during November - December every year. It runs for a week and is held at more than half a dozen venues across Panaji. 10 - 15 different programmes everyday from 9am to 10pm. There are workshops, performances, exhibitions and many more events based on Music, Arts, Creative arts, Cooking, Sculpting, Writing, Dance, Traditional art forms and what not. 

We have been attending programmes of our interest since the last three years. I attended a programme named ‘River Raga’ two days back and also yesterday. It is held from 5pm to 6 pm everyday. River Raga is one of our favorites. The venue is a ferry Boat. A platform is made at one end of the deck for the performers and seating is arranged for about 250 people. 

Entry to the ferry starts around 4.30 pm, the Ferry starts sailing exactly at 5pm and the performance begins. It is an enjoyable one hour of sailing on the river Mandovi listening to music while taking in the surrounding sights and experiencing the sea breeze. The ferry docks back at 6pm when the performance ends. 

The first one that I attended was a Carnatic Classical concert by Vidushi Varijashree Venugopal, accompanied on the Mridangam by Vidwan Manjunath. Yesterday it was Pandit Prattyush Banerjee on Sarod accompanied by Pandit Mayank Bedekar, a well known Goan artist on the Tabla. 

There will be many events which are not of my interest but I like the Festival as a whole. I am impressed by the attention to details and the discipline. 

The programmes start and end as mentioned in the list. There are hundreds of volunteers all over the venues who courteously provide information and guide the visitors. There is a continuous free transport service between the venues available for the asking. Most of the programmes are free and open to all. Few with limited seats are ticketed but not exorbitant. Online registration for the programmes is a must. Volunteers at the venue help with registration if one is unable to do it. 

I would love to attend many of the events but can’t make it to all of them because of the distance. Ponda is 30kms from Panaji. We select a few which are convenient. After the ‘River Raga’ yesterday, I also attended a wonderful song and dance performance. 

I noticed that there were many visitors who had come to Goa just for the sake of ‘Serendipity Festival’. December is a busy month in Goa, with Christmas and the crazily crowded new year celebrations dominating the activities. Looks like it is going to be more and more crowded. 

I have posted some related pictures below. The shop is one of the many such shops selling Christmas decorations at the Panaji market. The truck is a mobile toilet truck at one of the venues of Serendipity. By the way, in keeping with my age, I tend to rate a place or an event by the access to and the cleanliness of the toilets. Serendipity gets a distinction here too ! 

Dwelling on Donkey’s milk !

The first food that almost every human tastes is mother’s milk.

Some unlucky human kids survive on formulated milk. In due course,

most of us gradually shift to cow’s milk and remain there.

(‘Cow’ here includes buffalo) Some turn vegans and some leave out

milk in later life but these are exceptions.   

There are some, the most famous being Gandhi, I mean the Mahatma,

who deviated and consumed milk of other animals. Goat in Gandhi’s case.

In the deserts I believe people use Camel’s milk and at higher altitudes

Yak’s milk. One of our poems in the primary section had the lines

“ಸವಿದು ಮೆದ್ದರೊ ಯಾರು ಪೂರ್ವದಿ ಹುಲಿಯ ಹಾಲಿನ ಮೇವನು”. It was  a poem

eulogising ancestors of Coorg people. It means “in the olden days

our ancestors drank tiger’s milk”. But I don't think anyone really

drank tiger’s milk. 

Donkey’s milk was in the news during COVID. For ‘boosting the

immune system’. (A term which I have not been able to understand.) 

And later it caught on as a product rich in vitamins, minerals, proteins,

antioxidants and what not ! I understand bottled donkey’s milk is

available online at a fabulous price. $ 160 - 250 per bottle. Google

says that the cost of a litre of donkey’s milk is between Rs 3000 - 5000. 

I haven’t used it nor have I seen anyone use it. But my senses say

that its benefits are questionable. There are so many weird things in

the world. I have seen people massaging a pralysed limb with pigeon

blood and eating the meat of a Monitor Lizard to revive the same.

Drinking Donkey’s milk may not be as bad as that but probably not

much better. (I will have to swallow my words along with Donkey’s

milk if the scientific world tomorrow hails Donkey’s milk as best !) 

This morning I was walking back home after buying my Nandini Milk

( Brand name of milk produced by Karnataka Milk Federation - assumed

to be cow’s milk). From a side street I heard a loud speaker blaring

“ಕತ್ತೆ ಹಾಲು, ಕತ್ತೆ ಹಾಲು, ಮನೆಮುಂದೆ ಕರೀತದೆ ಕತ್ತೆ ಹಾಲು” (Donkey’s milk,

Donkey’s milk, will milk in front of your house, Donkey’s milk)

As I neared the intersection, I saw a fellow leading a donkey on

the end of a rope. He turned onto the road I was on and walked

ahead of me. The loud speaker was tied to the Donkey’s back.  

A little ahead of us was an elderly gentleman standing in the front

yard of a house. As we neared the house, the donkey fellow went

to the old man and enquired if he wanted donkey’s milk? 

The old man replied in jest  “ಹಸು ಹಾಲು ಕುಡಿದೇ ನಾವೆಲ್ಲಾ ಕತ್ತೆಗಳಾಗಿದೀವಿ ರಾಜಾ.

ಇನ್ನು ನೀನು ಕತ್ತೆ ಹಾಲು ಕುಡಿಸಿದ್ರೆ ನಮ್ಗತಿ ಏನು?” - (even after drinking cow’s

milk we have become donkeys, my dear fellow, what if you make us

drink donkey’s milk ?) And as I got closer, he addressed me

“ಆಲ್ವಾ ಸಾರ್, ಏನಂತೀರ” (Isn’t it sir ? what do you say?) 

I endorsed his words wholeheartedly and walked home laughing

within myself, appreciating his wit. 

(Since I did not have my phone on me, I couldn’t get a picture.

So, borrowed a representative picture from the net)

Magazines and My motherIn

 

This turned out longer than expected, as it happens often with me. Also, I started with something and reached un-intended places. They say the writing gets longer when one is not sure of what one wants to write. That is exactly the case. I keep going wherever my mind takes me. Bear with me. 

One of my cousins, who is a resident of the US, was recently on a visit to her home country, yet again. As is her practice whenever she visits India, she bought Jewels, trinkets, clothes, eatables, artefacts and what not - keeping in mind her son, daughter, husband, friends and relatives who are in the US. Her mother in law, who is 90+, didn’t need anything. She had only one requirement - all the available kannada magazines. I had the privilege of fulfilling her requirement - my gift to her. 

Years back, in every street corner, we used to have a shop selling these magazines along with ‘beedi’ & cigarettes, spiced groundnut, banana, mysore pak, coconut burfi, ‘chikki’ and such other items. Magazines were hung on strings tied to the low roof of the shop, a big bunch of bananas hung in a corner on a rope, cigarettes stacked on a side shelf and sweets displayed enticingly in big glass jars. One oil lamp would be burning all day on a shelf outside and strips cut from the empty cigarette packets would be placed in a box next to the lamp - for the benefit of smokers who wanted to light their cigarettes. 

These shops have dwindled in recent years but some of them still exist. While they sell some of the products named above and other packed snacks, only a few of them keep magazines. One such shop exists opposite the jain temple at fourth block Jayanagar, and from there I could procure all the magazines shown above.  

The last time I bought kannada magazines was about seven years ago. Just before my mother died. My mother was a voracious reader and was always in need of new books and magazines. She had only two requirements. Her medicines and books. I usually purchased her medicines once every fifteen days. On the thirteenth day I would get the first reminder “ಔಷಧಿ ಆಗೋಯ್ತಪ್ಪ. ಇನ್ನೆರಡು ದಿನಕ್ಕೆ ಉಳಿದಿದೆ”. (medicines are over, I have just enough for the next two days) If I failed to buy them, there would be another reminder the next morning. 

I bought Kannada books for her whenever I visited Bengaluru and purchased the weekly magazines at Ponda every Tuesday. We had only one shop selling Kannada, Tamil and Malayalam magazines in Ponda - Goa, and he would get them usually on tuesdays. Sometimes they would be sold out before I reached there and sometimes the magazines did not arrive. On such occasions I got them through my son who attended college at Panaji (capital of Goa) or obtained them from friends who visited Margao, a bigger city twenty kilometers away.  But I did manage to get her magazines for her. 

Apart from the above, my mother did not ask for anything. She had given up wearing jewelry and she did not even go out to buy her clothes.  Either my sister or my wife attended to her necessities. She wasn’t interested in going anywhere or getting involved in anything. Her travel was restricted to Pune, Goa and Chennai where her three children lived. Irrespective of where she was, her routine and lifestyle remained the same. Most of the time she sat by the side of a large window looking at the birds playing on the bushes outside. She chanted her ‘stotras’ in the morning, was reading most of the time and dozed now and then. 

Now, with me nearing seventy, whenever I think of my mother, my thoughts invariably turn towards my future life. What would I do when my body no longer listened to me ? How am I going to cope with the coming years? My wish is that I should live my later years like my mother. With detachment and equanimity.  And if I am lucky, die like her. 

My mother’s death, I mean the way it came about, has left a strong imprint on my mind.  She died not because she had to die, but because she willed herself to die. 

In one of my favorite verses from his Mankutimmana kagga, Sri DVG says  

ಒಂದಗುಳು ಹೆಚ್ಚಿರದು, ಒಂದಗುಳು ಕೊರೆಯಿರದು, ತಿಂದು ನಿನ್ನನ್ನಋಣ, ತೀರುತಲೆ ಪಯಣ 

ಒಂದು ಚಣ ಹಿಂದಿರದು, ಕಾದಿರದು ಮುಂದಕುಂ, ಸಂದಲೆಕ್ಕವದೆಲ್ಲ - ಮಂಕುತಿಮ್ಮ 

(Not a grain more, nor a grain less. Eat your share and get going. Not a second more, nor a second less - these are already accounted for ! Predestined.) 

I agree that every death is predestined. But my mother made it look like she was in control of the event and invited it when she wanted ! She fell and fractured her thigh. She was operated on and was fine. But she did not want the long recuperation. She had had enough of this life.  She willed to die and death came to her ! 

I may sound melancholic writing about old age and death but they are facts of life and one can not run away from them.

Jatasya hi dhruvor mrutyu, dhruvam janma mrutasyacha

tasmad apariharyaarthe na twam shochitum arhasi 

“For one who is born - death is a certainty and so is birth for the one who dies. You are not to lament about the inevitable.” -  is the famous quote from Bhagavadgeeta. 

The magazines which I mentioned above, brought up the memories associated with my mother yet again and the other thoughts tagging on with that memory. Memories of the way she lived and the way she died. Her death, in particular. It has been an answer to many of my questions and at the same time a question which has no answer ! 

(If anyone is interested in the details, please go to www.dentaldiaries.blogspot.com and search ‘The last days of my mother”- Sept 4, 2016)

Melukote re visited

Mysore has always been a favourite holiday destination. I love the city

where I have spent most of my childhood holidays. We were there

recently for a day to visit a relative. It was just an overnight halt and

we intended to return to Bengaluru the next morning. 

We started around ten from Mysore. There was no  hurry to return to

Bengaluru.  So, we decided to take a detour and visit Melukote in

Mandya district. Melukote is famous for the thousand years old

Cheluvanarayana Swamy temple.  The idol is said to have been

installed by Sri Ramanujacharya in 1099.  It is probably the head

quarters of Shrivaishnava community (Iyengars) in Karnataka.  

A kilometer away is the temple of Sri YogaNarasimha swamy,

on a hill. The idol here is believed to be  much older.  Installed

by Prahlada, son of Hiranyakashipu ! 

 

Melukote happens to be the birthplace of Late J Jayalalitha,

ex CM of Tamilnadu and Late Sri Pu Ti Na, - Pu Ti Narasimhachar,

well known kannada poet. 

It was an enjoyable detour. I love the interior roads. The traffic is

thin, and the road  passes through an appealing landscape. It is a hilly

terrain. You find hillocks, green fields, small ponds and bigger lakes.

You have the freedom to stop anywhere you fancy, look around, walk

up to a lake or to the top of a hillock and enjoy the scenery. The trouble

with these roads is that they are usually not well maintained and sometimes

they can be a pain to drive. But this route was a pleasant change. The

landscape was beautiful and the road was good! 

CheluvaNarayanaswamy lives up to his name ! ‘Cheluva’ in kannada

means handsome and the idol is really handsome. I liked the small

temple town, especially the old streets around the temple and the

‘Subbanna mess’ from where we could buy ‘Puliyogare’ and

‘Sweet Pongal’ - our packed lunch. We ate our lunch  in a

beautifully shaded patch on our return journey and returned to

Bengaluru in time for tea !

I have posted some pictures above to entice my friends to visit the place. 

It is not Kashmir but it is a pleasant landscape within reach ! I think the

pictures need no caption. It is easy to recognise the rooftops of the new

Melukote town and the surrounding landscape - as seen from the Yoga

Narasimha temple hill.  The recently painted and neat looking house is

the house of Sri Pu Ti Na, which is now a memorial and the other one is

just a random old house on the temple street. The white and red pillared

structure is another old structure from the same street which has seen

better days and you see yours truly, standing in the outer corridor of the

temple.