Categories
Interview

In Conversation with Adam Aitken

Poet, creative writer and teacher Adam Aitken talks about cross-cultural identity, and the challenges of travel, writing, and belonging with Keith Lyons.

Adam Aitken

Adam Aitken is a London-born teacher and writer with a PhD in creative writing. He migrated to Sydney after spending his early childhood in Thailand and Malaysia. His poetry and prose have been widely anthologized. He has published poetry, chapbooks, essays on Asian Australian literature, book reviews, and was co-editor of Contemporary Asian Australian Poets. The story of his mixed heritage is featured in his creative non-fiction work One Hundred Letters Home. In this exclusive, he shares about the challenges of writing, identity and place.

You were born in the UK and have spent most of your adult life in Australia but tell us about your early childhood in Thailand and Malaysia.

It was a very happy childhood, and I was spoilt by everyone, except my mother, who was chronically anxious every time my father appeared. I was unaware of it at the time, but they were not happy together. I remember my fourth birthday in Birkenhead Liverpool. Then we moved to Southeast Asia. In Thailand, my father was almost always absent. I had good schooling in Kuala Lumpur, at a Catholic pre-school run by the Good Shepherd order. I remember my first day, I was illiterate in prayers and scared of the large carving of Jesus crucified and bleeding from his crown of thorns. Around seven, I went to an international school in Bangkok, which was great except for the bullying I received from an American kid. After he hit me on the head with his sneaker, I reported him, and he was publicly shamed. There are few worse things you can do than insult someone with your shoe, especially by touching the head.

What was your experience like moving to Australia when you were still young? How did your sense of identity or homedevelop?

Worse, the racism in Perth was total, violent, totalitarian. Teachers were complicit. Nothing was done about it. My brother and I were once howled out of the school as we went home. I am afraid that when I talk about the worst aspects of ‘Whiteness’, I remember that time. My father was again absent, unable to get a job he liked and implicated in a civil adultery case involving another couple. We left for Sydney after a year. My poem ‘The Far East’, is an attempt to record that kind of trauma.

When did you first discover that you liked writing creatively, and in particular, writing poetry?

About aged 14, after six years living in Sydney, I started to enjoy my English classes. I had a fabulous teacher Rick Lunn, who I think became a successful sci-fi writer. I will never forget the magic of listening to ‘The Rime of the Ancient Mariner‘. After that I had access to David Malouf’s library in Sydney, when we stayed at his flat for a few months. I discovered the alternative reality that books provide. I bought a typewriter and enjoyed the process of typing on paper. A few years later I attended a poetry reading at Exiles Bookshop in Sydney and was enchanted by the strange glamour and seriousness of the writers. Martin Johnson, John Forbes, Gig Ryan, John Tranter were all there.

What early recognition or encouragement meant you saw being a writer as a career option?

At my primary school, I wrote a poem about a forest walk we did, and on seeing a sea eagle, and that was read to the whole class. At high school in Sydney, a poem or two made it into the school magazine. I think the English Master also recognised me and encouraged me. I was lucky to grow up in a time when creative writing was still valued but not necessarily seen as a vocation for which tertiary qualifications were essential, but at Sydney University, I enjoyed lunchtime poetry workshops when there were no creative writing courses to do at all. I met practising writers in a very informal atmosphere and so ‘being a poet’ seemed a comfortable choice. My mentors were real writers but there was no pressure of assessment. The goal was to get poems into magazines. This happened when I was in 3rd year. I had great lecturers who loved poetry. I was published in Southerly. I featured in an issue of Chris Mansell’s Compass. It was a thrill to have a few pages in a well printed and produced ‘zine. I also read at what was then the largest reading in Sydney, The Harold Park Hotel. Probably Sydney’s most dynamic place at the time, and since.

How did you develop your mastery of the craft, own voice and style?

I baulk at this question as I am not sure how I can define my voice or style. Certainly, early imitation of other poets, practice and attention to poetic technique (metaphor, simile etc.) helped me develop the craft. Listening to poetry out loud helps. Revising and trying out new versions. It’s like writing music. I also have a very good ear for languages so pick up stylistic and prosodic patterns quite quickly. I listened to early advice about metrics and line endings and spent a lot of time reading traditional verse and learning the metres and forms (ie. sonnets), even though I don’t apply them much these days. Writing ‘in the style of’ is an enjoyable exercise and imitating others is fun, even though it can be unoriginal. I tend to allow a line or sentence to suggest its own metrics, then use that to write a draft. I am very much more into allowing content to dictate form.

What do you think is unique about your work, that makes it distinctly yours?

In terms of the questions of form and craft, I don’t think there are many Asian Australian poets who had a traditional training in English Lit, augmented by Modern American literary influences (like the Imagists, Ezra Pound, and the New York School). I was there in the early days of postmodern theory. I was starting out during the ‘Poetry Wars’ in the ‘seventies. I also studied linguistics and became an English language teacher. I was there in the heady days of the Sydney early ’80s. I think this gives me a kind of technical awareness of language and grammar, form and genre.  I am probably one of most well know of migrant poets for having been recognised since then. I was fortunate to not have to work so much and so I had plenty of time to develop my craft. On a personal level I don’t know many other Australian poets who have had my parents who were literary enthusiasts, and both culturally eclectic. Of course, Thai heritage has given me a lot. Few Asian Australian writers have had a childhood like mine, or possibly the eclectic experience of reading as I have had. I don’t know of any Asian Australian writer who has explored their cross-cultural heritage as I exhaustively as I have in both poetry and memoir.

How do you communicate through poetry something very personal, to an audience that is on the outside?

I received a ‘New Critical’ dogma about the poem being an impersonal object, but it did not stop me reading Sylvia Plath or Frank O’Hara. I begin by thinking about how the personal could be interesting to someone I don’t know. Attend to the particulars and details of the personal, and to avoid sentimentality.   Be as brave as possible as to the trauma of an experience and celebrate the positive. My own preference is to avoid histrionic outbursts, something a learned writing my memoir. Again, the particulars and exactitude of description work better than bare statements. I do still hold to the dictum of showing, not telling.

One of the characteristics of your work is attention to detail. Does that start with being observant and taking notes? How do you then find the most poignant moments or parts?

I often know I have a poignant subject, but often writing leads you to it. The previous answer is relevant here also. I don’t do a lot of notes, but I do a lot of drafts that grow into larger structures. What seems poignant early may pale into insignificance later, so I do a lot of revisiting of old notes and drafts. I often take note of dreams and reflect on what they might mean. I have always been interested in painting, photography, and films, (which I studied at Uni) so I do spend a lot of time thinking about what is ‘in the scene’, what the detail is, how close ups and panning work, what a montage is. As a child I liked to look through microscopes at insects. As far as grammar in concerned, I am fascinated by how grammars work in other languages, and in the etymology of words.

How do you go about writing a poem?

Again, often I start with a fragment, a line, a phrase, and go from there. Sometimes, I set out trying to describe a scene, a photo, a painting, an experience of looking, whether that be looking at a film or a view. Interior monologue or talking to myself and putting thought onto a page helps. I occasionally address a theme, most often at the instigation of a journal issue callout. I also have a long running series of satiric poems written in the character of an avatar, though I sometimes doubt that these amount to anything lasting.

Is poetry about finding meaning and making sense, or looking at something from different perspectives?

The Cubist method has a lot going for it, and I don’t really make the distinction between making sense and the various means we use to perceive of something. I do struggle with the fragmented poem that does not seem to find meaning, that I can’t find the sense in, or that lacks context, a heritage, a precedent in a more powerful text. But that is part of the job, to struggle towards meaning, using what is at hand.

How different is it writing an essay or review, does it use a different part of your brain or a different process?

Well, audience and purpose are more important in an essay, though not as important as I often thought.  A review should help a reader decide whether to go and read the text, and I am pragmatic about this. I find writing essays almost impossible now, because I don’t have the patience and attention span needed. Essays and reviews (arguably) have strong generic patterns to follow, whereas I write poetry without constraining myself too strictly to generic considerations. Long forms are exhausting, and my eyesight is deteriorating and so long sessions at the computer are unpleasant.

If the financial rewards from writing arent great, does being a writer mean you have to hold a day job’ or other income streams (teaching) to enable you to write?

I have always earned most of my income from teaching English as a Foreign Language, but since COVID, I live on savings. In the space of my career, grants and prizes have only amounted to about a year or two of an average income salary. I admire my peers who are full time creative writing academics but still manage to produce books in between the admin and marking. I’ll be taking up a Visiting Writer job in Singapore in 2024, and I am very much looking forward to that.

How useful have awards, being shortlisted for prizes, and residencies been to your progression as a writer? What specific things have been springboards into new worlds?

Apart from allowing me to take time off from the day job, residencies and grants have helped me to keep going and to believe in myself and has added some motivation for many in the community of like-minded poets where I live now. It is interesting to follow up on what writers have written after a stint in Rome for example.

Residencies help you reside for a longer time than average in places that you can explore. The most difficult residency I have had was probably the Paris Studio, even though I found writing time. I was overwhelmed by ‘Paris’ as a grand subject and theme and had to learn to look for the personal relevance and the original detail again. My stint as Visiting Writer in Hawai’i was powerful, as I had to rethink my use of English and my relationship with the local scene. Working with creative writing students there taught me a lot and brought me into a new way of writing that was alive to vernacular American and local patois.

Certainly, winning a postgraduate award to do a doctorate in creative writing cemented my self-belief while giving me four years of income and time to write my memoir and a thesis on hybridity and cross-cultural desire as a theme in Australian writing. My most productive period was funded by an Australia Council grant that allowed me to live and write for a year in Cambodia. While time and freedom to read and write is unarguably valuable, it allows writers to defamiliarise their surroundings.  I was challenged to really question my own privilege as a w\Westerner, and as a relatively wealthy Asian Australian living in a poor country. I was already familiar with the history of the region, but the time there allowed me to have encounters with the real actors (and their descendants) in that history.

How has travel in Asia reinforced/challenged your sense of self and personal/national identity? Do you feel like an Australian, or more of a global citizen?

Travel always brings up questions of where you come from, and where you are headed, but most importantly you begin to situate your identity across a range of places. I am talking about Thailand and France, which have personal family ties. I have spent a lot of time learning French and Thai, in order to be able to feel more at home with people in these places. I feel more intimate with these regions, but not at all with places like the UK, where I was born. Obviously, Sydney is my home, and Sydney is not Cairns or Melbourne, places with which I have a lot less intimacy. I think Sydney was once more of a community, but almost none of my closest university friends live here, and a lot of writers I know have moved elsewhere.

I don’t believe that I personally can embody the concept of a Global Citizen, which is a fiction unless you are rich enough to be able to go where-ever you like and whenever you like and can afford to live anywhere.

I recently flew back from Bali, and the crowd at Denpasar airport were for the most part Australians — somewhat diverse, but also unfamiliar to me, people who would probably not want to hang out with me!

In your memoir One Hundred Letters Home what did you learn about your parents and yourself?

I learned that having intended to explore my mother as the leading agent in our lives, I became drawn into my relationship with my father. He took over the book as a subject, and I learned how complex he was. I learned also that there was a whole stretch of his life that were off limits to me, and I didn’t know enough to write about them. I learned that writing about parents can be a frustrating way to get to learn about yourself. I did learn a lot about my own attempts at identity transformation, I mean the attempt to ‘become a Thai man’. The book is self-analysis, though I did not intend it to be limited by that theme. I think I learned more about intergenerational trauma that is specific to Australian men who were born last century, and of course, more about ways of writing about the father-son relationship that move beyond Freud.

I also learned a lot about my father’s ancestry, that he was descended from an Army family, even though he had been an anti-Vietnam war Moratorium activist. I learned how his branch of the family had been rich, but that a lot of the wealth had never come done to him. I learned that I am the descendant of the founder of Victoria Brewery, or VB. I also learned that my great-grandfather was a survivor of Gallipoli and the Western Front. My father never told me any of this. I also learned that my maternal great-grandfather had been a Protestant Minister of the Australian church, and that he was a pacifist and a teetotaller.

How does writing challenge the status quo/ colonialism/ stereotypes? Was your first poetry collection seeking to challenge Marco Polo’s narrative?

Writing should, in some aesthetic way ‘contaminate’ the status quo, while calling out the conditions of oppression. Naming the invader, and resisting is the intention. Methods can vary from diction and descriptions of outright violence to underhand subversion. Poison the invader’s food, dress as them, but turn it to your advantage. My first book Letter to Marco Polo was a way of putting together poems about foreign travel, as I had spent a year in Thailand and the title of the book seemed obvious after I had written the poem that goes by that title. I liked the casual postcard style of address, – ‘Dear such-and-such the natives do this and that…’  Then it was easy to parody the renaissance ‘travel’ genre (which is a fantasy genre for sure), and it felt like a duty to write my own questions of travel, and to add ‘reality’ to the encounter by re-casting the traveller’s gaze as that of a lost son returning to his ancestral home. My encounters with my mother’s family were life-changing and Letter to Marco Polo was a snapshot into that encounter.

John Kinsella has commented on how my recent poems enact the colonial voice in order to undermine it, which seems paradoxical. He refers to these lines in Revenants (2022):

I read my father’s letter on Hong Kong,

how he loved it:

the heat, the beer in bottles, the tailoring, the freedom.

I imagine him reading Somerset Maugham

with the temperature at 105.
Waited on by one silent Chinese boy (sic)

who lights his cigarettes.

Eastern food, and chopsticks.
If you cant use them you cant eat!

Dense traffic and ceaseless din.

John Kinsella saw me draw attention to colonialism through citing Maugham, and quoting his and my father’s language, only to undermine it, which is a form of irony. John explains it better than I can:

“He contests the language of bigotry (always seeking to ‘centralise’ itself) through the ‘borrowed’ or ‘quoted’ language, as he does through the evocation of a bigoted colonialist and lauded British writer such as Maugham. A colonial positioning takes place and then is undone. The aligning of ‘tailoring’ and ‘freedom’, and the lighting of the cigarettes in the arrangement of master and mastered is painful and unaugmented. It is what it is. The chopsticks line is configured against the Western cliché of density and noise. This weaving of the marginal into the central dialogue of colonial behaviour and colonial imposition is polysituated into the fact of inheriting the array of experiences and impositions, and acting and enacting out of conflicting experiences. Aitken’s poems de-centre racist discourse. They break the binaries. That is not to say that Aitken is aligning his voices as either ‘subaltern’ or ‘master’, but rather attempting to deconstruct the language of such experience without owning that experience.”

It makes some sense to think of this approach as a tactic of mimicry and soft parody, I suppose, rather than a didactic approach.

Whats your process for bringing together work created in different places — such as in Revenants —  to create something that is linked and unified?

I had originally intended to put together poems only situated in France, but then I found I wanted the poems situated in other places.  Early drafts did not achieve much linking and unification, but Giramondo’s editor Lisa Gorton and I worked through drafts to find something more or less unified. What were unifying tropes were linked to how my father’s travel and my own were comparable: we had both travelled to Asia. We were both foreigners in alien territory and I wanted the book to work on one level as an elegiac dialogue with my father who died in 2017. Memory and the return and siting/sightings of the spirit, of the revenant, were emplaced, embodied and situated, and every place in Revenants has some allusion to the idea of a return of the past. In a way I am mining a post-romantic pantheism. Or perhaps, it’s the spirit, or mana, or the Dreaming (though I am wary of appropriation here!)One can return to a place and feel the past come back through that place, just as one can read a poem and it evokes their presence by quite simply addressing the dead. I speak to the tombstones; I tell my monsters to go away; I speak to my father as if he were listening etc. Of course, in the end the book is tonally and stylistically consistent despite the intertextuality. The unity has to do with editing, the order of the poems, and compression of the lines themselves. I use quoted material economically, but there is quite clearly a ‘lyrical’ pulse to the whole collection.

What are you working on next?

There are the dramatic monologues I have collected over the last 11 years, but also more poems that did not fit into Revenants, but still seem to have legs.  I have just returned from three months travel in Thailand, Malaysia and Bali, and I haven’t really written anything related to that yet. I spent time in around 35 hotels, so this suggests a framing device and maybe a new title.

For aspiring writers, whats your advice?

I have often felt like giving up, but I remind myself that not writing is like death. Persistence but also having a supportive network, especially if you are putting together a book. It’s very important to have trusted readers who are also critical. I don’t react so much to unhelpful reviews these days, though I asked ChatGPT what adverse criticism my poetry has generated and it listed ‘overly experimental’, obscure’ and ‘difficult’. I have always fretted about not connecting with readers, but there are readers for all kinds of poetry these days. My advice is read a lot.

There’s more information on Adam at https://adamaitken.wordpress.com/

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Keith Lyons (keithlyons.net) is an award-winning writer, author and creative writing mentor, who gave up learning to play bagpipes in a Scottish pipe band to focus on after-dark tabs of dark chocolate, early morning slow-lane swimming, and the perfect cup of masala chai tea. Find him@KeithLyonsNZ or blogging at Wandering in the World (http://wanderingintheworld.com).

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PLEASE NOTE: ARTICLES CAN ONLY BE REPRODUCED IN OTHER SITES WITH DUE ACKNOWLEDGEMENT TO BORDERLESS JOURNAL. 

Click here to access the Borderless anthology, Monalisa No Longer Smiles

Click here to access Monalisa No Longer Smiles on Kindle Amazon International

Categories
Essay

Taiping of the Raj Era

Travelogue & Photographs by P Ravi Shankar

Lotuses in Taiping

We were traveling at over 140 kmph. The train felt stable and comfortable. We were just entering the state of Perak, just north of Selangor state in Malaysia. Perak means silver in Bahasa Melayu. Getting out of Kuala Lumpur (KL) was slow with several stops for signal clearance and the train was now making up for lost time. The Electric Train Service covers the distance between Bandar Tasik Selatan and Taiping in around three hours and ten minutes. The train is an electric multiple unit and accelerates and brakes quickly.

My friend, Binaya and I were on the evening train to Butterworth scheduled to reach Taiping at 9.22 pm with a bunch of students. We were making excellent speed. Watching the progress on Google Maps reminded me how far we had come technologically. We pulled into the new Taiping railway station only about two minutes behind schedule. The creation of the railway line right to the Thai border was a major technological achievement and the electrified line offers quick and reliable transportation. The old railway station was next door and we resolved to come visit this heritage property during our stay.

By the time we reached the hotel, it was after ten at night and our first task was to grab some dinner. We thought the huge shopping malls would offer us some choices. A chain restaurant called Nasi Kandar Pelita was open. We ordered rice with chicken curry and vegetables there. While waiting for the food, we noticed they had a website giving the origin of the name — nasi kandar. This was the name given to hawkers who would walk through the streets, door to door, bearing rice (nasi), vegetables, curries and meats in vessels suspended on a yoke (kandar). Eventually many of these hawkers settled down and opened their own stores.

Old lores always interest me. I tried researching the name of the town. The name is said to be derived from two Chinese characters, tai (great) and ping (peace). The discovery of tin in the nineteenth century attracted immigrants from China. For several years, there was a bitter war between rival factions. The colonials eventually restored peace and named the first capital of the state of Perak.

Taiping was among the first town established by the British in Malaysia and was near important tin mines. The first railway was constructed to transport tin ore to the coast. The abandoned tin mines were converted in the 1880s to Malaysia’s first public gardens. The gardens have a well-earned reputation of being well-maintained.

We started by visiting the Taiping War Cemetery. Over 800 soldiers, who lost their lives during World War II, are commemorated here. We visited the Burmese pool and slowly walked back to the Lake Gardens. The area was vast, the sun was becoming hot, and I was soon tired. The garden, spread over 64 acres of land, is famous for the rain trees and angsana trees. Many poems have been written about the splendid rain trees. After wandering through the gardens, we took a ride to the Perak Museum. The museum is the oldest in Malaysia and was founded in 1883 by the British resident, Sir Hugh Low. The museum mainly concerns itself with natural history and the history of the area. There are some excellent assembled animal skeletons. The museum is located in a heritage building opposite the Taiping goal. There are four galleries, Nature Gallery, Cultural Gallery, Indigenous People Gallery and a Temporary Gallery.

 The sun had grown very warm, and the weather was humid throughout our stay. Taiping is famous as the place with the highest rainfall (over 400 cm) but we did not see much of a downpour.

Dataran Warisan

In the evening we went to the Dataran Warisan Taiping, the main public square. The land and district office across the square is a heritage building completed in 1897. Across the street was a lively market with many photo opportunities. As one of the first towns to be established by the colonials, Taiping has several other old institutions including the King Edward VII school and the St George’s institution. Our dinner was again at Nasi Kandar Pelita.

The Taiping Zoo was our primary focus the next morning. The zoo was established in 1961 and is the oldest zoo in the country. The zoo is spread over 36 acres and has over 180 species of animals. We opted to walk around the different enclosures. The orangutang were a major attraction as were the tigers and the giraffes. Animals have enough space to move around, and care has been taken to recreate their natural habitat as much as possible. The zoo also conducts a night safari with animals seen in lighting that replicates natural moonlight. We debated whether to take the night safari, but we did not have our own vehicle and we were not sure if taxis would still be operating at 11 pm when the safari ends. Discretion won and we stayed back in our hotel. 

 After the zoo we went to the Lake Gardens in Kamunting. The gardens are still being developed. The Lotus flowers growing in muddy water are a major attraction at both lake gardens. In the evening, we went to the old railway station and were glad we did. The first railway in Malaysia was built in 1885 to the port of Kuala Sepatang to transport tin. The current old station was built in 1893. The old signalling equipment and the old photographs transport you back in time. Most of the station has been transformed into cafes. We had a wonderful cendol[1] at one of the cafes. Binaya was reminiscing about his university trip to Melaka. The girls in his student group had cendol while he stuck with watermelon juice. We also had a roti tisu [2]at one of the stalls and bamboo puttu[3]. Puttu never fails to transport me back to Kerala.

We were taking a bus to KL next morning. We went to the bus station at Kamunting but our bus was around twenty minutes late. The ride along the expressway was smooth as highways in Malaysia are excellent. We had spent a delightful three days in the oldest town in Malaysia with several firsts to its credit. The town is not on the circuit of most tourists but is well worth a visit due to its historic attractions, old architecture, the lake gardens, the zoo and the friendly people!  


[1] Iced dessert

[2] Sweet flatbread from Malaysia

[3] A South Indian food made of portioned rice and sweet or savoury filling

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Dr. P Ravi Shankar is a faculty member at the IMU Centre for Education (ICE), International Medical University, Kuala Lumpur, Malaysia. He enjoys traveling and is a creative writer and photographer.

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PLEASE NOTE: ARTICLES CAN ONLY BE REPRODUCED IN OTHER SITES WITH DUE ACKNOWLEDGEMENT TO BORDERLESS JOURNAL

Click here to access the Borderless anthology, Monalisa No Longer Smiles

Categories
Slices from Life

The Death of a Doctor

By Ravi Shankar

Zhi-Khro mandala, a part of the Bardo Thodol’s collection, a text known in the West as The Tibetan Book of the Dead, which comprises part of a group of bardo teachings which originated with guru Padmasambhava in the 8th Century. Courtesy: Creative Commons

My friend, Dr Ramesh Kumaran first shared the shocking news with me on WhatsApp. Along with a recent photo, the caption mentioned ‘Mourning the sudden and untimely of our dear Joseph Francis (6th batch). May his soul rest in peace. 6th October 2022.’ I felt sick in the pit of my stomach. This was the first mortality among our MBBS batch mates. One of our friends died when he was studying for MBBS, but he had left the course and was suffering from a prolonged illness. Some of our batch mates had close encounters with death during the ongoing COVID-19 pandemic.   

I was reminded of my own mortality and the fact that we often forget that our time on earth is limited. None of us know when exactly or how we will die. This I believe is a good thing. Movies have explored the sad state of people who knew or supposed they knew when and how they would die. Humans stride through life assuming their immortality. We kill fellow humans indiscriminately. We learn to hate each other. We pursue wealth and power. When we leave our material existence on Earth, we can take none of the accumulated wealth and power with us. The ancient Egyptians believed otherwise and buried their Pharaohs with all they would need in the afterlife. Ordinary people had no such privileges. We do not know much about the afterlife. Here science ends and we enter the realm of religion.

I facilitated a module on Death and Dying for medical and other students and our ignorance about death is profound. Modern medicine has the motto of preserving life regardless of its quality. We have not been trained to let go and make a person’s remaining time on Earth worthwhile. This is slowly changing but change is slow. We do not live life assuming that any moment can be our last on Earth. The Tibetan Book of the Dead (Bardo Thodol) tells us to live each moment in a spiritually fulfilling manner and mentions that we all have the potential to break free from the cycle of reincarnation and become spiritually enlightened beings.

I first met Joseph when I joined the Men’s hostel and the undergraduate medical (MBBS) course at Thrissur, Kerala, India. Our seniors were prowling around our floor abusing us and one of my friends was crying as he had just been forced to take off his moustache. Ragging still exists in India and students who were abused by their seniors wait for the new intake to take revenge. You are not able to take revenge on the powerful, so you take out your anger on the powerless. We see this all around in the modern world.   

Joseph stayed in a room near mine, and we became friends though not extremely close. One of the things I still remember about him is that he used to write with a fountain pen and used black ink. Even in those days when writing was still common most of us used ballpoint pens. He had impeccable handwriting. Joseph was always a perfect gentleman and willing to help others. I believe we did a few of our internship postings together. We collaborated on skits and other presentations during the college day celebrations. I still remember our college trip to Trivandrum Medical College for the Intermedicos festival and we stayed and slept in the badminton court inside the Men’s hostel. Life was simpler in those days. We were beginning to see the end of the MBBS doctor and specialisation, and super specialisation was becoming common. I feel this is a sad development and an MBBS doctor is competent to treat most illnesses. In fact, evidence shows that most illnesses can be handled by a trained paramedic. In most European countries, care is mostly delivered by general physicians while in the United States care is mostly provided by specialists. The amount spent and the health status of these countries/regions tell their own story.  

During those days, failure in MBBS examinations was common. Anatomy at the end of the first MBBS and Medicine at the end of the Final MBBS had the maximum casualties. Grading was arbitrary and there were no clear rubrics to guide the scoring. I was lucky to have squeaked through the anatomy dissection and the medicine courses. Joseph was unlucky and mentioned this often as due to his failures, he could not appear for the entrance exam of PGIMER[1], Chandigarh, one of the top postgraduate institutes in the country. One could not appear for the entrance exams failing the MBBS. A lot of effort has gone globally into changing the assessment system in MBBS and making it fairer and more objective.

Joseph used to join us for an occasional game of basketball. I next met him at Ollur, near Thrissur, when I was doing my post-graduation. St Vincent de Paul hospital was a multi-specialty hospital. I had come down to Kerala for a few days and stayed with Job and Joseph, both medical officers with who I shared a large apartment.

Over the years I lost touch with Joseph, and I next interacted with him in 2018 when I joined a WhatsApp group of my classmates. Joseph was very active in the group and was working as an anaesthesiologist in the United Kingdom. Many of my batchmates were working in National Health Service (NHS) and they often would mention how the NHS is being steadily starved of funds. The COVID pandemic hit the medical community hard. Doctors in practice seem to be especially vulnerable. We discussed this and postulated that it could be because they are exposed to repeated doses of the virus in high concentrations from multiple patients. Many doctors had lost their lives; many others I know were in the Intensive Care Unit for prolonged periods of time. Two of my classmates in the UK had serious illnesses requiring hospitalisation and prolonged intensive care.       

I next interacted with Joseph when I was unable to make a bank transfer to the UK to pay for membership fees of a professional organisation. The transfer was not going through and eventually, I asked Joseph if he could do the transfer from his account in the UK, and I would deposit the money in his account in India. He readily agreed. Joseph was always very helpful. During the last two years, I have lost several friends. Two academic collaborators, one in Malaysia and the other in Yemen passed away. Colleagues I knew in Nepal died due to COVID complications.

Death can be a celebration of a person’s life. An Irish wake is one last party to honour the deceased. Unknown diseases plagued the Irish countryside causing a person to appear dead. Hence a person would be waked in the deceased’s home for at least one night. I had the exact fear while certifying death. What if the person then woke up and disputed my certification? I was very careful and meticulous while writing out a death certificate.     

These deaths have underscored my own mortality. As someone once said, death and taxes are inevitable. Accepting one’s own mortality and coming to terms with our eventual demise makes you aware of the folly of chasing power and glory and can contribute toward a gentler, more decent world. Climate change is a testament to human greed and folly. We are still uncertain how liveable Earth will be during the next hundred years. As Mahatma Gandhi said, we can satisfy human needs, but we cannot satisfy human greed!  

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[1] Postgraduate Institute of Medical Education and Research

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Dr. P Ravi Shankar is a faculty member at the IMU Centre for Education (ICE), International Medical University, Kuala Lumpur, Malaysia. He enjoys traveling and is a creative writer and photographer.

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