Friday, December 26, 2008

Street Dogs

Kakinada or for that matter any city/town/village in India has a verify basic connection with the staple of the urban fauna, the stray dog, so too here in KKD, in my life. 

You always wonder why there are street dogs that colonise every corner in your colony. In all the places I have lived in KKD or for that matter India, we had our regulars. They mark their territory, have a strict hierarchy and always suffer a shortage of bitches on heat. That something that amazes me. Are all the strays born on the streets male? You always see so many males fighting after one scared little female. I mean even those dumb second-in-line know that it is the alpha male that will get dibs anyway. The irony is that thats what we humans may be reduced to as well if some of the skewed sex ratios in India are any indication. God! Thats horrendous even to imagine.

In first year I stayed in an apartment building right opposite the mens hostel. In those days before the RMC became Raju's principality, the hostel was a shaggy wreck of ruins and the pavilion and crciket grounds next to it, a depository for refuse of the sorrounding residential colonies. And to this added were the slums of people who served the menial errands of the babus in the apartments. At this time, it was not uncommon to see the wall-less hostel grounds turn into the scene of the latest street fight for control of sniffing rights and pee poles. These dogs fought great battles all over and the land switched control all too often. The terrace of the cricket pavilion became a place from where the sentinels of the ruling pack kept an eye on their human subjects and gathered intelligence on the next showdown.

The canines often were too busy with their garbage hunting and reckless feuding to care about their bipedal neighbours. But the dark of the night brings out the fear in even the most ruthless dogs and thats when you are left to question the evolutionary hierarchy. Dogs are even more fierce when they are scared. Not something evident in humans. In school there would be a pyramid in science textbooks depicting the plant, herbivore, carnivore hierarchy and apparently on top was the human who far exceeded most other creatures in the consumption of vast portions of the spectrum of the food chain. I dont know what Darwin would say, but why does a steet dog on an empty road in the middle of the night give me the shits? Then you learn the rules of the game: when faced with the prospect of passing a fellow carnivore with surprising well preserved dentition that never seems to need a root canal or a polishing, never make eye contact and walk away from it and at no point let your body language convey confrontation. 

And then the little bastards run after your bike. You are on Cinema road at 12.30 in the night, it is kind of hard to decide what justified the 30 rupees you spent on that movie plus the 5 rupees on parking plus the usual drinks and snack. A good hundred. God! you think. How much worse can the movies get? And this insightful soliloquoy you hope to end in deep slumber is broken by a pack of bored quadrupeds that have been craving a run. They run after you like there's no tomorrow shaming your 150cc excuse for a motorbike. Often you outlast them but every once in a while one unlucky chap gets his pants ripped or worse.

In the first couple of years we only drank bottled water. The empty bottles would just keep piling in our flat. Not knowing what better to do on slow Sunday afternoons, we figured out a way passing time with our four legged friends. Fill half the bottle and aim right next to the dog and watch it bark its brains off looking around like the aliens had just landed. Stupid fun!

The dogs of the Gandhinagar neighbourhood that I moved to in second year were a different lot. Jump the gates, dig through the garbage and if you see a human, run! That was pretty much the operational code out there. Next to the apartment was a sizeable trapezium of gated land. And keeping with tradition even this open plot was the garbage dump of the nearby houses. Whatever it was you just tossed it over the wall. I did that too till it was later bought and a house was built.

In the middle of my midnight routines on the phone I could hear squeals. They werent very distant but it was surprising that I could hear those pathetic cries over the downpour outside. I leaned risking the rain from my balcony to see what it was. In the darkness I could barely make out the figures but it was puppies. A bitch had just delivered in this safe walled compund and probably had gone off to feed itself and these pups were left in the open in the pelting rain. When it rains hard in KKD its not pleasant. You dont want to dance like they do in the movies. And these things were probably a few days or may be even hours old. 

Consulting my partner in crime who herself had a pet dog about the situation I stood there wondering what could be done. My mother always would say that even though the pups are cute you shouldnt touch them till they are cared for by their mother for a couple of days. Apparently you left behind a scent and the mother would never touch the pups again. So here was my problem: pups in the rain, a mother that may be on its way back to the pups, a girl on the phone who cant stop sympathising with painful squealing, and me, wanting to help and score points with the lady.

So I got off the phone, went downstairs and from the compound wall strained to see for any signs of what could be my ticket to a rabies vaccine. Then I jumped. On the otherside those forsaken pups squealed louder as they saw me approach scaring the hell out of me. I was drenched in a minute and now didnt know what the hell I set out to do. I wasnt going to risk transferring the pups one by one to a sheltered corner and in the process deny their mother or deny my mother. Luckily there was a huge palm leaf nearby which I propped up against the compound walls in the puppy corner. You should have been there. The squeals almost stopped that very instant and those furballs started to grunt, snuggle or even purr. I jumped back satisfied yet doubtful of the consequences. 

It was all win-win. I got my brownie points and the next morning saw the sucklings being fed.

Wednesday, December 17, 2008

And The Stories Begin

Six years. Thats a pretty long time. And the funny thing is offlate many things i say start with a constant reference to this period.

I am going to tell you about my experiences in Kakinada and my world there. As when things come to my mind I will tell you about them. I dont think I will be going in any particular order, chronological or otherwise. Its just a way for me to chronicle the details of a place, of a life I learnt o love. These stories just happened and some of them are still happening. 

Someday when I am a retired old man I hope to be able to look back, read and reflect over some of the best formative years.

Kakinada. Rangaraya Medical College. Six years.

Tuesday, February 05, 2008

First Day In The New World

fateful days those were. i was making choices by the minute. what college to go to? where to stay? who to stay with? all these questions were answered soon enough.

october 26, 2002. after having registered the previous day at the administrative wing of the college, i walked in with a neatly pressed attire, top to toe not costing more than rs 700 (i was told expensive clothes attract the wrath of the seniors). the first class in my medical life was physiology. the class was full. the year had already been a week underway. friends were made, gangs formed. i stagger to the men's end of the gender-segregated class and make myself comfortable in the first bench, alone. enter tutor. she was this rotund woman who stood at the mike but forgot what it was for. she kept yelling to make sure she was heard at the other end of the campus. as attendance was being called, one guy sitting behind me tapped my shoulder and asked if i had a place to stay. i didnt like him, instinctively. i lied that i was living with an uncle and didnt intend to room with anyone. and an hour passed. i had fresh new notebooks to make notes in and i wrote everything, in the best handwriting i could. after all this was medicine, defining moments of the man i were to be.

soon enough the class dispersed only to file into another nearby building for the anatomy lecture. i walked in late and found a seat in a corner next to the window. the tutor there yelled too but this time with no mike to assist. i wrote and i wondered. i didnt know anything of what was going on. this was a general anatomy lecture and a glance around the hall had people bobbing their heads up and down, studiedly jotting down things they apparently understood. freak! what was i to do. the week i missed started seeming like a year. and at the end of it all, one guy went up with a copy of grey’s anatomy and asks a doubt regarding endarteries. holy crap!

classes are done for the day. i walk out and dont know my left from right. no way to know where my grandparents were. they had been on the hunt to find me accomodation. i wasnt going to stay in the mens hostel. i take an auto ride to subbiah hotel and get an ac meal. something that would anger my grandma later. i always wondered why. they too ate the hotel.

later that afternoon, my grandparents showed me the setup. the crib, pad, den, whatever was to be. it was five rooms end to end. three rooms, a kitchen and a bathroom. my possessions now included a mattress, a plate, a glass, a tube light and a ceiling fan along with my suitcase.

later they got onto a bus at balaji cheruvu off to samalkot. it was a sunday afternoon. the roads were empty. it was the october heat. i forgot to ask my grandparents where i now lived. i didnt know who to ask for what and where. i walked. i walked all afternoon looking around at small shops and torn down posters of x-rated movies. where have i landed myself?

the next couple of days i would walk a circuitous route to college and lock myself up when i wasnt out for food. i would read newspapers, three or four years old, which i had borrowed from the owners to spread on the dusty shelves. hours at end i wouldnt talk to anyone. everyday was an ordeal. always lost my way and too proud to look foolish if i asked, i would walk till i found familiar surroundings and eventually get home.

october 29, 2002. physiology hall. the other nri i knew walks in. abhishek, a kid from hyderabad sharing the first bench experience with me, and i walk up to raj c. wassup!

days pass.

Friday, November 02, 2007

Twist With Destiny

...and then there was light!

well cliched start? any story has to have a beginning and no matter what you may try it will end up sounding dumb. no frills. the story goes thus.

march 27, 2002. in the living room of my flat in salmiyah(that's in kuwait for those of you who didnt know), amidst raging tempers were being made certain choices which were forever going to change what i was to do. so here i was at the crossroads. finished school and now what? i had just finished the boards and had to choose. was it to be engineering, medicine or a friend interest in economics? well the applications had gone out to the american universities and there was nothing much to hear for sometime to come. so it was iit or manipal or some government college in andhra pradesh. and every once in a while the prospect of st stephen's in new delhi. in the heat of the argument about whether i was to choose electrical engineering or applied physics, or whether it was going to be madras or bombay, i burst into tears. it had been close to four years since i gave up the unmanly act of crying in front of others. but hell, here i was trying to choose things i didnt want to do. i want to do medicine and medicine only. i am not going to apply anywhere else, i yelled. and with that came to an end prospect of any other college anywhere.

march 29,2002. rohit came by place just as i was about to go buy some toothbrushes
and stuff from the co-op. we talked and ate at burger king. nothing much left to say. i probably was the first one to pack my bags and leave town, though not for college.

april 2002. at the kakatiya academy in hyderabad for a short term training course, i met some people who would one day become some of my closest buddies. it was great time of careless existence.

july 18, 2002. this day i gave up my chance to attend the 5th best medical college in india. manipal. i had friends going there. i wanted to go there. but holding that $18000 draft in my hands while my father told me he would support me in any decision i made, i told him to fax manipal that i wasnt going to be joining their college.

mind you this day, this moment of my life should be red flagged. dad was in favour of
rmc and had enough doctors backing him up that it was the right thing to do. i was 17, $18000 was a lot of money and i had no strong reasons to opt for manipal. so i played safe, went with daddy's word. dont blame me. i saved him $45000 in the deal.

the next three months were torture. i had friends going to colleges which if listed would inspire a copyright suit from the usnews rankings. i mean here we had stanford, princeton, columbia,uiuc, austin and the likes. i still didnt know which college i was going to. i was waiting for the notifications appear in the papers regarding admissions into government medical colleges under the nri quota in ap. and it was last week september by the time i saw it.

october 22,2002. it was 7 in the morning and i was already at the office of the dir. of medical education, the venue for our counselling as they called it. i was going to be allocated my placement this day. but 7 am? well it was good time for me. if you are indian and may be hindu with parents who do astrology stuff you would know. anyway it was one of the longest days of my life. after hours of waiting, fighting, fidgeting, small-talking, i was finally given my seat in rangaraya medical college, kakinada. it was my first choice and i was ranked third among the nris so it didnt take long.

destiny had been twsited. i never had imagined even for a second as a joke that
i would be doing medicine in india, leave alone kakinada. the following days were all about packing, shopping and briefing. my dad had a lot to talk about before i went off to, where was that, kakinada.

october 25, 2002. vishaka express arrived on platform one of samalkot railway station. and there to attend college in a town still 15 km away, alighted a simple soul in the company of his grandparents.




Friday, July 28, 2006

Long hours

life is crawling too fast. it now seems like a remix of several tracks. downtempo/lo-fi with psytrance. some moving too fast and others too slow. sometimes leaves you wondering what is to come of all this.

over the past few weeks, sold my laptop for paltry sum and got my self a decent desktop computer with the regular. looks like a pentium d 2.66 ghz 1 gb ram 160 gb hard drive and a dvd burner. the best part is the 17" lcd i got from samsung. stunning. i was and am really happy. at first thought it was too big but got used to it now. it is good. through with my first dvd worth of downloads. lots of good music. can't really get over armin van buuren's state of trance episodes and some really good chill out and lounge music. its just awesome. in rock, got this album caled the carnival of rust by the poets of fall. decent piece. looking desperately for an album by aphelion called amethystium. some great tracks on there.

almost through with pediatrics rotation. the last two days left and i have already taken my ward exam. if there was something worse than pathetic, it was me. had a tough time. barely into final year and the professor expected me to know all way more than what i did. he wanted the entire history of renal disease right there in front of him. anyways the cat got my tongue and the dog my pride. i just sat there as he just went on and didnt utter a single word. well may be i would have done better if it was later on in the year when i was through with a major portion of the texts. it is obgyn for me next and hope to make good use of that. better than what i have done so far.

sprained my right ankle really bad. soft tissue injury plus some joint effusion was what my professor finally arrived at after considering intially a fracture base of fourth metatarsal. painful. been out of action for a week now. oh that fateful saturday when we decided to kick around with the ball. anyways it is rest for a couple of weeks now. just when i thougth people were finally catching onto the sport i liked.

there is finally a mcdonald's in hyderabad. after several years, the grease-burger-famished can now find salvation. i am waiting to gorge that junk. going there next week. visit family and spend sometime there.

Tuesday, June 27, 2006

Problems galore

ICMR Studentship Protocol

Protocol for ICMR Short term Research Studentship

Study of Electrolyte Imbalances in patients undergoing treatment for cardiovascular diseases

Cardiovascular diseases are one of the leading causes of mortality among populations of all countries of the world. The heart continues to bear the brunt of changing lifestyles with trends only showing a decline in healthy living. Though modern medicine has been successful in controlling diseases like rheumatic heart disease and bacterial endocarditis through proactive community based interventions and advent of newer drugs, the focus has now shifted to the modern epidemics of atherosclerosis, coronary heart disease, myocardial infarction and stroke. The emphasis on cardiovascular medicine and its implications is ever increasing in the search for novel drugs and treatments that can alleviate disease and improve prognosis for patients with these life-threatening conditions. Newer treatments are being developed by the day and present universal hope to both patients and doctors. But as with most therapeutics, the accompanying disturbances in the internal milieu of human physiology are not completely understood. Latest research continues to shape treatment protocols as a result of past experiences with the newer drugs. In this study an attempt is made to understand the imbalances in the all-pervasive electrolyte equilibrium in the body occurring as a result of medical intervention in cardiovascular disease.

Aims & Objectives
To study the levels of various electrolytes in patients undergoing treatment for cardiovascular diseases.
To study and correlate these levels with any predisposing factors present in these patients.
To find, if any, the impact of this electrolyte status on the outcome of treatment and prognosis for the patient.

Material and Methods

A sample of 50 patients admitted to the cardiology and medicine wards for cardiac ailments will be studied over a period of 2 months. A standard pro forma will be designed to elicit the necessary information like age, sex, occupation, education, habits like drinking and smoking, emotional stress factors etc and all the relevant information. All the routine investigations will be studied in addition to the serum electrolytes, which include serum Na+, K+, Ca++ and Mg++ etc.

Type of Study

The study proposed is a Clinical study.

Analysis & Implications of Study

Many of the drugs used in treating cardiac disease work directly through interference with cellular electrolyte transport systems. For example digoxin works by increasing the intracellular Ca++ thus enabling the positive inotropic effect while furosemide increases loss of Cl- anions to enable diuresis. In this study, an attempt is made to correlate the change in levels of some electrolytes with that of others and their bearing on the overall progress of disease as well as treatment. The data collected will be subjected to suitable statistical analysis with an attempt to identify, if any, departures from the normally electrolyte changes. Any changes thus found will suggest scope for further research to understand possible treatment modifications that will preserve electrolyte balance.

Saturday, March 25, 2006

Moblogging

feels good. my first post with my new o2 xda mini. got to get used to the tapping though.