Ratnottama Sengupta talks to Ruchira Gupta, activist for global fight against human trafficking, about her work and introduces her novel, I Kick and I Fly. Click here to read.
The White Lady by Atta Shad has been translated from Balochi by Fazal Baloch. Click here to read.
Sparrows by Ihlwha Choi has been translated from Korean by the poet himself. Click here to read.
Tagore’s Dhoola Mandiror Temple of Dust has been translated from Bengali by Mitali Chakravarty. Click here to read.
Pandies Corner
Songs of Freedom: What are the Options? is an autobiographical narrative by Jyoti Kaur, translated from Hindustani by Lourdes M Supriya. These narrations highlight the ongoing struggle against debilitating rigid boundaries drawn by societal norms, with the support from organisations like Shaktishalini and pandies’. Click here to read.
Ratnottama Sengupta travels back to her childhood wonderland where she witnessed what we regard as Indian film history being created. Click here to read.
Aditi Yadav explores the universal appeal of the translation of a 1937 Japanese novel that recently came to limelight as it’s rendition on the screen won the Golden Globe Best Animated Feature Film award (2024). Click here to read.
Love is a many splendoured thing and takes many forms — that stretches beyond bodily chemistry to a need to love all humankind. There is the love for one’s parents, family, practices one believes in and most of all nurtured among those who write, a love for words. For some, like Tagore, words became akin to breathing. He wrote from a young age. Eventually, an urge to bridge social gaps led him to write poetry that bleeds from the heart for the wellbeing of all humanity. Tagore told a group of writers, musicians, and artists, who were visiting Sriniketan in 1936: “The picture of the helpless village which I saw each day as I sailed past on the river has remained with me and so I have come to make the great initiation here. It is not the work for one, it must involve all. I have invited you today not to discuss my literature nor listen to my poetry. I want you to see for yourself where our society’s real work lies. That is the reason why I am pointing to it over and over again. My reward will be if you can feel for yourself the value of this work.”
And it was perhaps to express this great love of humanity that he had written earlier in his life a poem called Dhoola Mandirthat urges us to rise beyond our differences of faith and find love in serving humankind. In this month, which celebrates love with Valentine’s Day, we have a translation of this poem that is born of his love for all people, Dhoola Mandir. Another poet who writes of his love for humanity and questions religion is Nazrul, two of whose poems have been translated by Niaz Zaman. Exploring love between a parent and children is poetry by Masood Khan translated from Bengali by Fakrul Alam. From the distant frontiers of Balochistan, we have a poem by Atta Shad, translated from Balochi by Fazal Baloch, for a fair lady — this time it is admiration. Ihlwha Choi translates poetry from Korean to express his love for a borderless world through the flight of sparrows.
Suzanne Kamata writes a light-hearted yet meaningful column on the recent Taylor Swift concert in Tokyo. Aditi Yadav takes up the Japanese book on which was based a movie that won the 2024 Golden Globe Best Animated Feature Film Award. Sohana Manzoor journeys to London as Devraj Singh Kalsi with tongue in cheek humour comments on extracurriculars that have so become a necessity for youngsters to get to the right schools. Snigdha Agrawal gives us a slice of nostalgia while recounting the story of a Santhali lady and Keith Lyons expresses his love for peace as he writes in memory of a man who cycled for peace.
In reviews, Somdatta Mandal has explored Tahira Naqvi’s The History Teacher of Lahore: A Novel. Srijato’s AHouse of Rain and Snow, translated from Bengali by Maharghya Chakraborty, has been discussed by Basudhara Roy and Bhaskar Parichha has reviewed Toby Walsh’s Faking It: Artificial Intelligence in a Human World. News and Documentary Emmy Award winner (1996) Ruchira Gupta’s daring novel born of her work among human traffickers, I Kick and I Fly, has been brought to our notice by Sengupta and she converses about the book and beyond with this socially conscious activist, filmmaker and writer. Another humanist, a doctor who served by bridging gaps between patients from underprivileged backgrounds, Dr Ratna Magotra, also conversed about her autobiography,Whispers of the Heart — Not Just a Surgeon: An Autobiography, where she charts her journey which led her to find solutions to take cardiac care to those who did not have the money to afford it,
We have fiction this time from Neeman Sobhan reflecting on how far people will go for the love of their mother tongue to highlight the movement that started on 21st February in 1952 and created Bangladesh in 1971. Our stories are from around the world — Paul Mirabile from France, Ravi Shankar from Malaysia, Sobhan from Bangladesh and Ravi Prakash and Apurba Biswas from India — weaving local flavours and immigrant narratives. Most poignant of all the stories is a real-life narrative under the ‘Songs of Freedom’ series by a young girl, Jyoti Kaur, translated from Hindustani by Lourdes M Supriya. These stories are brought to us in coordination with pandies’ and Shaktishalini, a women’s organisation to enable the abused. Sanjay Kumar, the founder of pandies’ and the author of a most poignant book about healing suffering of children through theatre, Performing, Teaching and Writing Theatre: Exploring Play, writes, “‘Songs of Freedom’ bring stories from women — certainly not victims, not even survivors but fighters against the patriarchal status quo with support from the organisation Shaktishalini.”
While looking forward in hope of finding a world coloured with love and kindness under the blue dome, I would like to thank our fabulous team who always support Borderless Journal with their wonderful work. A huge thanks to all of you from the bottom of my heart. I thank all the writers who make our issues come alive with their creations and readers who savour it to make it worth our while to bring out more issues. I would urge our readers to visit our contents’ page as we have more than mentioned here.
An introduction to Ratna Magotra’sWhispers of the Heart: Not Just a Surgeon (Konark Publishers) and a conversation with the doctor who took cardiac care to the underprivileged.
“I slept and dreamt that life was joy. I awoke and saw that life was service. I acted and behold, service was joy?”— Tagore, Whispers of the Heart: Not Just a Surgeonby Ratna Magotra
“There are at least five estimates of the number of poor people in India, which put the number of poor in India between 34 million (equivalent to the population to Kerala) to 373 million (more than four times the population of West Bengal). This puts the number of the poor between 2.5% of the population to 29.5%, based on different estimates between 2014 and 2022.”
How are the healthcare needs of the poverty stricken met in a country with a vast number who are unable to foot their daily food, housing, and potable water needs? This has been a question that confronts every doctor in cities where labourers who build housing for the middle class are themselves homeless just like the street side immigrants who beg. Even dwellers of shanties that spring up around colonies of the well-to-do to provide informal labour to the affluent are hardly any better off. Few in the medical profession move towards finding solutions to bridge this gap.
Dr Ratna Magotra, who moved from Jammu to find a career in healthcare in Mumbai, is one such person. Recently, she wrote an autobiography which has consolidated the work being done by cardiologists to bridge this gap. In her book, Whispers of the Heart: Not Just a Surgeon, while identifying this divide, she writes: “Poverty, inequality, deficient primary healthcare, unequal access, and the escalating commercialisation of medical care were causing an angst that I found difficult to make peace with. As medical practitioners, our expertise lies in providing treatment, but we often overlook the broader social factors underlying ill health. It might escape the attention of a surgeon performing intricate heart surgery that a child who survived a complex heart surgery could succumb to diarrhoea due to the lack of access to clean drinking water. Issues like malnutrition, skin infections, superstitious beliefs, and poverty may be the harsh realities in the patient’s actual living conditions beyond the confines of sanitised medical environment. /Medical training, regrettably, seldom includes the connection between poverty and disease.”
The land reforms laws that followed post-Partition[1] led to her family losing their wealth. But Magotra bears no ill-will or scars that have crippled her ability to contribute to a world that needs to heal — of taking healthcare to those who can’t afford it. She starts her biography with vignettes from her childhood: “I recall that the agricultural land we owned in our village in Jammu was considered very fertile with the best Basmati rice grown there. Though I was very young, I have faint memories of the house amidst lush paddy fields and a small stream that we had to cross to enter the village. It was very close to the international border between India and Pakistan. The way my mother was respected reflected the high esteem that villagers had for my father. Though their tenant status had changed to that of being landowners, the villagers visited the house as they did before and received generous gifts from her. /They would indulge us children with home-made sweets made of peanuts, jaggery and spices. Rolling in heaps of post-harvest grains piled up in open fields was great fun.”
She lost all that and her father. But with supportive family and friends, drawn to healthcare, she became a doctor in times when women doctors were rare. If they at all specialised, it was mainly in gynaecology. She chose cardiac surgery trained in UK and US. She made friends where she went and with a singular dedication, found solutions to access the underprivileged. She elaborates: “The quantum leap in India’s healthcare sector occurred during the 1990s following the economic reforms and the liberalisation of the economy. The end of the licence raj system facilitated the imports of advanced technology and medical equipment. Specialists, who had long settled abroad, began contemplating a return to India.”
While she attended an International Course in Cardiac Surgery at Sicily to update her skills, she tells us: “During our interactions, some German surgeons raised questions about the rationale behind a developing country like India engaging in an expensive speciality like cardiac surgery. I realised how biased opinions can be formed and spread, though rooted in ignorance. /By this point, however, I had grown accustomed to explaining the paradox — why it was essential for India to advance in specialised care alongside its priorities in basic healthcare and poverty alleviation.”
She cites multiple instances of cases that she dealt with from the needy rural population, for who to pay prohibitive costs would mean an end to their family’s meals. Magotra writes, “I had seen numerous poor heart patients who suffered not only from the ailment itself but also from financial burden of the treatment. The medical expenses incurred for a single family member affected the well-being of entire household, depleting their limited resources and savings. Unfortunately, medical education does not include health economics as a subject. As a result, doctors, especially specialists, trained in a reductionist approach to diseases tend to move away from a holistic perspective. They readily embrace new technological advances, often neglecting proven and cost-effective treatment options. This, in turn, drives up healthcare costs and makes it unaffordable for the common man.”
Living through a series of historical upheavals, she brings to light some interesting observations. She came in contact with Jinnah’s personal physician while looking for a placement in Mumbai. There she mentions that many wondered if the Partition of India could have been averted if this doctor had shared the information that Jinnah had limited life expectancy as he had advanced tuberculosis. She has lived through floods in Mumbai and riots and wondered: “I was staring at the blood on my clothes, which had come from multiple patients. In that quiet moment, I couldn’t help but wonder if there was a ‘test’ to distinguish between a Hindu blood and a Muslim blood.” She joined the anti-corruption movement started by Anna Hazare and fasted! She has travelled and watched and collected her stories and she jotted these down during the pandemic to share her world and her concerns with all of us. In the process, recording changes in health care systems over the years… the historic passing of an era that documents the undocumented people’s needs.
Dr Ratna Magotra
An award-winning doctor for the efforts she has made to connect with people across all borders and use her experience, she talks to us in this interview about her journey and beliefs.
What made you write this book? Who were the readers you wanted to reach out to?
I had asked myself the same questions before I started and even while I was writing: Why and for whom?
Some younger friends and family members would find the anecdotes and stories, I would relate to them from time to time, interesting. They would often prod me to write about these. People, situations, my travels to places — not the usual popular tourist destinations, invoked further curiosity in them to know more about my life. As such I like to write my thoughts (usually for myself) and have been contributing small articles to newspapers, magazines, and Bhavan’s Journal for their special Issues. The pandemic provided me an opportunity to contemplate further when I seriously considered about writing an autobiographical narrative.
As I progressed with my account, I envisaged a wider readership outside the medical community as multiple facets emerged about places, people and events of varying interests.
What were the hurdles you faced while training as a doctor — in terms of gender and attitudes of others?
Fortunately, I can’t recall any specific hurdle or adverse experience because of my being a woman. Studying for MBBS degree at Lady Hardinge Medical College (LHMC), made it a normal affair as LHMC was an all-women medical college.
The struggle that I faced in getting PG admission in Bombay also had nothing to do with gender. The problem was being an outsider in Bombay when number of seats were limited. Students from local medical colleges and rest of Maharashtra had first preference for selection to PG courses. Anyone in my place would have had to go through a similar grind as I did.
Once PG admission was secured, it was smooth sailing through training and working alongside male colleagues! I asked for no concessions being a woman and worked as hard as they did or may be little more. We had a very close and harmonious working relationship with healthy mutual respect leading to lasting friendships.
What made you choose cardiac surgery over other areas of specialisation?
The decision to become a doctor and a surgeon was firmed very early in life. Interest in Cardiac surgery was acquired much later when I started working with Dr Dastur in Bombay. Seeing and touching a beating heart was fascinating and at the same time very challenging at that time. I was tempted to take it up for further specialisation. And yes, it was a very glamorous specialty at that time with names like Denton Cooley[2] and Christiaan Barnard [3]making waves in mainstream conversations!
Cardiac surgery was perceived by some as the forte of the rich, but you have shown how many villagers also had the need for the same specialised care. So, what was it that made you realise that? What could be seen as the incident that made you move towards closing social gaps in your horizon?
Heart disease affects the rich as also the poor. In fact, in earlier times when lifestyle diseases were not as common, it was the poor who suffered more from many afflictions including heart disease. Rheumatic heart disease was the bane of the underprivileged, living in overcrowded spaces with repeated streptococcal throat infections that eventually ravaged their heart valves. Congenital heart disease was common though not diagnosed as often. While the rich and affluent could afford to travel abroad to get treatment, in turn costing precious foreign exchange to the nation, others had to make do with whatever was available. Indian surgeons stretched their resources, skills and imagination to fill the gaps in the infrastructure.
Working in teaching hospitals, I saw the suffering and helplessness of the poor from very close. Inadequacies in healthcare stared at us every day. Moreover, those days cardiac surgery was being performed only in 4-5 teaching hospitals in the country.
I tried looking beyond the patient, connecting their illness with the social and economic environment they came from. Their personal courage, resilience and faith in overcoming difficult moments of life stirred something inside me. One such incidence involved a patient, Ahir Rao, from interiors of Maharashtra. His surgery at KEM and my subsequent visit to his home opens the chapter on ‘Reaching the Unreached’ in my book.
Ironically flip side of development and changing economic status, is that lifestyle diseases like hypertension, diabetes and heart disease are affecting less affluent even more. Lack of awareness about diet, and rapidly adopting urban fads have changed the rural-urban spectrum of heart disease.
The prejudices and biases of the developed countries influenced many in the country also to question a developing country like India from investing in super-specialty like cardiac surgery instead of focussing on providing basic amenities to the people.
It was amusing to see the BBC presenters asking the chronic questions as recently as the landing of Chandrayaan on moon in August 2023 — whether India should have space missions? Persistence of same mind set exposed their ignorance about the benefits the technology and the science bring to common man as also reluctance to accept the progress India has made!
How did your travels to other countries impact your own work and perspectives?
Traveling is a great education to broaden one’s horizon. My travels in India and to different countries contributed towards my personal growth by helping me connect to the geography, nature as also the people belonging to different cultures and sensibilities. Different foods, attires or attitudes but with one common underlying bond of humanity with similar aspirations.
Professionally, going to advanced centres exposed me to a work culture that was very different from ‘chalta hai’[4] attitude back home. Staying ahead with the best research, better working conditions, new technology were just the stimulants I needed in doing better for our patients.
There were many people you have mentioned who impacted you and your work. Who would you see as the persons/organisations who most inspired and led you to realise your goals?
I owe so much to so many people, whom I met at different stages of my life and who influenced my thinking, values and my work. It is difficult to pick one or two, however, if asked to narrow down to three or four most important individuals, these would be my mother and Prof Rameshwar in early years, and Dr K. N Dastur in my professional choice and career. However, biggest influence in my later life has been my Guru, Swami Ranganathananda — who imparted the wisdom of practical vedanta giving ultimate message of oneness and freedom of thought and action for universal good as propagated by Swami Vivekananda.
Why did you join Anna Hazare and his organisation? How did it impact you? What were your conclusions about such trysts?
I had heard of Anna Hazare as an anti-corruption crusader and had met him once at his village while accompanying Dr Antia. It was very admirable the way he had motivated the village people to participate voluntarily in the economic and social development making Ralegaon Siddhi a model village. This simple rustic person could stand up to the high and mighty and often made news in local newspapers; the politicians took his protests seriously at least in Maharashtra. When India Against Corruption (IAC) came into existence in 2011, I didn’t think twice before joining the unique coming together of civil society to fight corruption in the highest corridors of power. I was personally convinced that corruption had eroded and marred the dream of India keeping the common people poor and backward even as the corrupt flourished. As an individual, one could not do much beyond complaining and paying a price for a principled life. It required the civil society to stand up collectively to oppose the corrupt who were (are) actually very powerful!
There was nothing personal to gain by joining the protest but only lend my voice to the common objective of checking, if not eradicating, the menace of corruption.
The experience, highs and lows of the movement form a chapter in my book. The movement becoming political and losing the momentum of a countrywide movement was a big disappointment.
What would be the best way of closing the divides in healthcare?
There has been some forward movement in healthcare at grass root levels in last two decades or so. These gains need to be streamlined as at present we have islands of excellence with vast areas of dismal healthcare — the imbalance needs correction.
Increased spending by the State for healthcare, forward looking national health policy keeping in mind the diverse needs of such a vast country, rural urban realities are the way forward. Investment in medical and nursing education, primary health care, paramedics, rational use of appropriate technologies — all these need to be considered in totality and not in isolation.
Lot of the healthcare work is bridged by NGOS as per your book. Do you think a governmental intervention is necessary to bring healthcare to all its citizens?
My narrative belongs to the eighties and nineties when NGOs were vital in taking basic medical services to remote places where none existed. These organisations did a herculean task and several continue to be a significant provider even as the governments, both at the Centre and State level, have initiated many schemes that include healthcare besides general rural development. I personally think that the NGOs too need to retune their earlier approach of being stand-alone providers seeking funding from government and foreign donors to remain relevant. NGOs, though a vital link between the governments and the communities, have traditionally taken adversarial position to the governments. While keeping their independence of work, maybe they should strive to avoid duplication of services; provide authentic data, and create awareness. These along with constructive criticism and cooperation would benefit the communities and the stakeholders alike. Health education, women empowerment, strengthening the delivery of healthcare integrated with holistic rural development are best done by NGOs working at ground level.
What reform from the government would most help bridge these gaps and can these reforms be made a reality?
The question has been partially answered as above. Increase in budgetary allocation and intent are the prime requirement with focus on nutrition, clean drinking water, sanitation (end of open defecation, provision of toilets, is a major reform) and clean cooking fuel impact public health at grassroots substantially, especially that of women and children. These alone should reduce the load of common diseases and prevent 70 to 80 percent of maladies in a community. This is similar to what Dr Antia used to advocate — “People’s health in People’s hands”. No medical specialists are required, and community health workers would be fully capable of taking care of routine illness. The gains would need to be evaluated periodically to see the impact by way of reduced infant mortality, maternal health, reduction in school dropouts and increase in rural household incomes. Use of technology is an important tool to connect the masses with healthcare centres for more advanced care.
More thought is necessary for specialist oriented medical care. I am aware that we have some very wise and thinking people at the top deciding on national medical policy that should actually map the number of specialised centres and the doctors in each specialty and super specialities (SS) required over say next 10 years. The number of training programmes should be tailored accordingly. It is saddening to know that so many seats for post-doctoral training continue to remain vacant. It is specially so in surgical SS like cardiovascular, pediatric, and neurosurgery that are seeing less demand with interventional treatment making roads in treatment.
The change in the attitudes of administration as also the medical community is important. The benefits should be harvested with honest appraisals for course correction where needed for better planning in consultations with doctors, civil society, and the NGOs working in the rural areas.
Another idea close to my heart has been to motivate or even incentivise the senior medical practitioners to serve the rural areas for 2-3 years prior to their retirement from active service. They would carry experience and wisdom to manage medical needs even with limited resources as compared to enforced bonds for fresh graduates who are short of practical experience, anxious about their future and that of the families. Seniors on the other hand have fulfilled their responsibilities and may be really looking forward to satisfaction of giving back to the society. Having secured their future and relatively in good health, can be very useful human resource for the governments and the communities. This should be entirely out of volition and not under any pressure from the authorities.
Now that you have retired, what are your future plans?
Life is unpredictable at my age. I would, however, wish to remain in reasonable health to be able to be a useful citizen. I have no firm plans and will go where the life takes me like I have done so far.
I am aware that the age would no longer allow me to continue with specialised and highly technical profession I am trained for. Modern communication has narrowed the distances and made it possible to stay connected. I should be satisfied if I can provide any meaningful inputs, retain the attitude of service and remain contended in my personal being.
A conversation with the author,Afsar Mohammed, and a brief introduction to his latest book, Remaking History: 1948 Police Action and the Muslims of Hyderabad. Click hereto read.
A conversation with Meenakshi Malhotra over The Gendered Body: Negotiation, Resistance, Struggle, edited by Meenakshi Malhotra, Krishna Menon and Rachana Johri and a brief introduction to the book. Click hereto read.
In His Unstable Shape, Rhys Hughes explores the narratives around a favourite nursery rhyme character with a pinch of pedantic(?) humour. Click here to read.
Mother & Child by Jamini Roy (1887-1972)Mother and Child by Picasso (1881-1973)
‘Victory to Man, the newborn, the ever-living.’ They kneel down, the king and the beggar, the saint and the sinner, the wise and the fool, and cry: ‘Victory to Man, the newborn, the ever-living.’
This is the month— the last of a conflict-ridden year— when we celebrate the birth of a messiah who spoke of divine love, kindness, forgiveness and values that make for a better world. The child, Jesus, has even been celebrated by Tagore in one of his rarer poems in English. While we all gather amidst our loved ones to celebrate the joy generated by the divine birth, perhaps, we will pause to shed a tear over the children who lost their lives in wars this year. Reportedly, it’s a larger number than ever before. And the wars don’t end. Nor the killing. Children who survive in war-torn zones lose their homes or families or both. For all the countries at war, refugees escape to look for refuge in lands that are often hostile to foreigners. And yet, this is the season of loving and giving, of helping one’s neighbours, of sharing goodwill, love and peace. On Christmas this year, will the wars cease? Will there be a respite from bombardments and annihilation?
We dedicate this bumper year-end issue to children around the world. We start with special tributes to love and peace with an excerpt from Tagore’s long poem, ‘The Child‘, written originally in English in 1930 and a rendition of the life of the philosopher and change-maker, Vivekananda, by none other than well-known historical fiction writer, Aruna Chakravarti. The poem has been excerpted from Indian Christmas: Essays, Memoirs, Hymns, an anthology edited by Jerry Pinto and Madhulika Liddle, a book that has been reviewed by Somdatta Mandal and praised for its portrayal of the myriad colours and flavours of Christmas in India. Christ suffered for the sins of humankind and then was resurrected, goes the legend. Healing is a part of our humanness. Suffering and healing from trauma has been brought to the fore by Christopher Marks’ perspective on Veronica Eley’s The Blue Dragonfly: healing through poetry. Basudhara Roy has also written about healing in her take of Kuhu Joshi’s My Body Didn’t Come Before Me.Bhaskar Parichha has reviewed a book that talks of healing a larger issue — the crises that humanity is facing now, Permacrisis: A Plan to Fix a Fractured World, by ex-British Prime Minister Gordon Brown, Nobel Laureate Michael Spence, Mohamed El-Erian and Reid Lidow. Parichha tells us that it suggests solutions to resolve the chaos the world is facing — perhaps a book that the world leadership would do well to read. After all, the authors are of their ilk! Our book excerpts from Dr Ratna Magotra’s Whispers of the Heart – Not Just A Surgeon: An Autobiographyand Manjima Misra’s The Ocean is Her Titleare tinged with healing and growth too, though in a different sense.
The theme of the need for acceptance, love and synchronicity flows into our conversations with Afsar Mohammad, who has recently authored Remaking History: 1948 Police Action and the Muslims of Hyderabad. He shows us that Hyderabadi tehzeeb or culture ascends the narrow bounds set by caged concepts of faith and nationalism, reaffirming his premise with voices of common people through extensive interviews. In search of a better world, Meenakshi Malhotra talks to us about how feminism in its recent manifestation includes masculinities and gender studies while discussing The Gendered Body: Negotiation, Resistance, Struggle, edited by her, Krishna Menon and Rachana Johri. Here too, one sees a trend to blend academia with non-academic writers to bring focus on the commonalities of suffering and healing while transcending national boundaries to cover more of South Asia.
That like Hyderabadi tehzeeb, Bengali culture in the times of Tagore and Nazrul dwelled in commonality of lore is brought to the fore when in response to the Nobel laureate’s futuristic ‘1400 Saal’ (‘The year 1993’), his younger friend responds with a poem that bears not only the same title but acknowledges the older man as an “emperor” among versifiers. Professor Fakrul Alam has not only translated Nazrul’s response, named ‘1400Saal’ aswell, but also brought to us the voice of another modern poet, Quazi Johirul Islam. We have a self-translation of a poem by Ihlwha Choi from Korean and a short story by S Ramakrishnan in Tamil translated by T Santhanam.
Our short stories travel with migrant lore by Farouk Gulsara to Malaysia, from UK to Thailand with Paul Mirabile while chasing an errant son into the mysterious reaches of wilderness, with Neeman Sobhan to Rome, UK and Bangladesh, reflecting on the Birangonas (rape victims) of the 1971 Bangladesh Liberation war, an issue that has been taken up in Malhotra’s book too. Sobhan’s story is set against the backdrop of a war which was fought against linguistic hegemony and from which we see victims heal. Sohana Manzoor this time has not only given us fabulous artwork but also a fantasy hovering between light and dark, life and death — an imaginative fiction that makes a compelling read and questions the concept of paradise, a construct that perhaps needs to be found on Earth, rather than after death.
The unusual paradigms of life and choices made by all of us is brought into play in an interesting non-fiction by Nitya Amlean, a young Sri Lankan who lives in UK. We travel to Kyoto with Suzanne Kamata, to Beijing with Keith Lyons, to Wayanad with Mohul Bhowmick and to Langkawi with Ravi Shankar. Wendy Jones Nakanishi argues in favour of borders with benevolent leadership. Tongue-in-cheek humour is exuded by Devraj Singh Kalsi as he writes of his attempts at using visiting cards as it is by Rhys Hughes in his exploration of the truth about the origins of the creature called Humpty Dumpty of nursery rhyme fame.
Poetry again has humour from Hughes. A migrant himself, Jee Leong Koh, brings in migrant stories from Singaporeans in US. We have poems of myriad colours from Ryan Quinn Flanagan, Patricia Walsh, John Grey, Kumar Bhatt, Ron Pickett, Prithvijeet Sinha, Sutputra Radheye, George Freek and many more. Papia Sengupta ends her poem with lines that look for laughter among children and a ‘life without borders’ drawn by human constructs in contrast to Jones Nakanishi’s need for walls with sound leadership. The conversation and dialogues continue as we look for a way forward, perhaps with Gordon Brown’s visionary book or with Tagore’s world view of lighting the inner flame in each human. We can hope that a way will be found. Is it that tough to influence the world using words? We can wish — may there be no need for any more Greta Thunbergs to rise in protest for a world fragmented and destroyed by greed and lack of vision. We hope for peace and love that will create a better world for our children.
As usual, we have more content than mentioned here. All our pieces can be accessed on the contents’ page. Do pause by and take a look. This bumper issue would not have been possible without the contribution of all the writers and our fabulous team from Borderless. Huge thanks to them all and to our wonderful readers who continue to encourage us with their comments and input.
Here’s wishing you all wonderful new adventures in the New Year that will be born as this month ends!
Title: Whispers of the Heart – Not Just A Surgeon: An Autobiography
Author: Dr Ratna Magotra
Publisher: Konark Publishers
A noteworthy incident occurred at Northcote Nursing Home that garnered attention in my favour. Dr L.H. Hiranandani (widely known as LH), was an acclaimed head and neck surgeon. He was known internationally for his expertise in performing radical neck resections and for the remarkable speed with which he conducted surgeries. He wielded significant influence in both medical and social circles, and routinely performed surgeries on his private patients at Northcote.
One day, a highly distinguished lawyer from Madras (Chennai) underwent a neck cancer operation at Northcote, with me assisting LH during the procedure. As was his practice, LH completed the surgery swiftly and left for his clinic. Meanwhile, the patient had been transferred to his private room, while I was tending to my remaining duties on the floor. As part of my routine, I made rounds to check on the patients who had undergone surgery.
Upon entering the lawyer’s room, I was taken aback by the sight of him struggling to breathe. His hand felt cold and clammy, and his pulse was feeble. Although he remained conscious, he appeared extremely restless even as I tried to reassure him. It became evident that he was choking, and I realised that unless something was done, his life would slip away. Unfortunately, I was uncertain about the specific course of action needed to save him. While the nurse had attempted suction and increased the oxygen supply through a face mask, these measures appeared ineffective. The patient’s breathing grew shallower, and his lips and nails began to turn blue. It became increasingly obvious to me that blood clots were obstructing his airway, and simply increasing oxygen flow would not suffice. Private patients received distinct treatment compared to those in public hospitals. In this setting, resident doctors were not authorised to make decisions independently and were required to follow the consultant’s instructions.
Unfortunately, I couldn’t afford the delay involved in contacting the consultant, as the process would have entailed routing the call through the telephone exchange, involving operators at both ends and resulting in a significant loss of valuable time.
I recalled reading about tracheostomy (creating an opening in the windpipe) during my undergraduate studies, though I had never witnessed the procedure being done (ENT surgeons usually performed tracheostomies). Acting on instinct and without hesitation, I reached for a scalpel from the emergency tray and made a decisive incision in the middle of the patient’s neck. There were substantial blood clots surrounding and compressing the trachea. As soon as this pressure was released, there was a dramatic transformation in the patient’s condition, and his breathing improved considerably. I carefully removed the blood clots both from within and around the trachea using suction before inserting a tracheostomy tube. To my immense relief, there was significant improvement, and the patient’s lips and nails regained their natural colour. He was soon breathing comfortably, and so was I. Assured of his well-being, I promptly requested blood from the blood bank and decided it was time to inform LH, the operating surgeon.
The patient had stabilised, narrowly escaping from the clutches of death. Now, I had to confront the repercussions of my actions because I had essentially performed a minor operation without obtaining permission from the consultant. Additionally, I had neither informed the patient’s family about the procedure, nor had I obtained their written consent. The list of mistakes was growing longer, and LH’s reputation in the city was significant enough to potentially impact my future prospects in Bombay.
In the midst of this emotional turmoil, I made a call to LH. His clinic was situated near the Regal Theatre, in close proximity to Northcote. He arrived swiftly at the hospital. LH was known for his predilection for taking the stairs rather than the elevator, and I could distinctly hear his brisk footsteps and booming voice as he inquired, ‘What happened? Who did this?’ I, as the sole resident doctor and with no alibi, not that any was necessary, stood there, anxious and unsure of what would transpire next.
When LH entered the room, the lawyer, now fully conscious and aware of the ordeal he had gone through, managed a weak smile. I expected LH to explode, and I stood there with a numb mind, waiting for the inevitable. To my astonishment, LH rushed towards me and, to my surprise and that of others, nurses and hospital personnel gathered there, embraced me in his characteristic, effusive manner. He repeatedly and profusely thanked me for displaying presence of mind during the crisis, which could have cost the lawyer his life. He appreciated that his patient had been saved. Overwhelmed with relief, I could have collapsed, but there was still work to be done.
The patient was swiftly transported to the OR, where we located and ligated the bleeding vessel responsible for the incident. We also revised and secured the tracheostomy, this time by a qualified ENT surgeon, LH himself. Subsequently, the patient was shifted to his room. As he was leaving, LH discreetly handed me an envelope in my hands containing crisp currency notes. Sentimental as I was, I left the envelope and its contents untouched for several years. I knew that two lives had been saved that day!
Word of the incident spread quickly to Nair Hospital, where LH held an honorary professorship in ENT surgery. Several consultants from Nair Hospital, who regularly operated at Northcote, inundated me with congratulations. I had every reason to be pleased. The incident had generated immense goodwill.
(This excerpt from Dr Ratna Magotra’s ‘Whispers of the Heart – Not Just A Surgeon: An Autobiography’ has been published with permission from Konark Publishers, New Delhi)
About the Book
This book provides a captivating glimpse into the journey of a cardiac surgeon, illuminating the story of a small-town girl who, as an outsider, struggled to get a foothold in an intensely competitive field. Her eventual triumph serves as a poignant representation of an earlier generation of Indians post-Independence, showcasing their resilience through both triumphs and tribulations.
Throughout the narrative, the author shares her personal philosophy on the practice of medicine and addresses the evolving landscape of societal norms, encouraging readers to pause and reflect. While she doesn’t make exceptions for being a female cardiac surgeon in a predominantly male speciality, her narrative serves as a powerful source of motivation for women aspiring to break barriers in any field.
This book also sheds light on the transformation of healthcare in contemporary India, with the author playing a significant role in its development. Additionally, it delves into facets of her life beyond the medical realm, including her enriching travels and impactful social activism.
About the Author
After completing her MBBS at Lady Hardinge Medical College in New Delhi, Dr Ratna Magotra pursued Master’s degrees in general surgery and cardiothoracic surgery from Bombay University (now known as University of Mumbai) while working at BYL Nair Hospital in the city. She further honed her skills through training at Guy’s Hospital in the UK and the Texas Heart Institute in Houston, USA.
Dr Magotra’s illustrious career led her to become a professor and head of the Cardiovascular and Thoracic Surgery Department at the prestigious GS Medical College and King Edward Memorial Hospital in Mumbai. Despite her demanding role, she remained committed to issues beyond medicine, both as a department head and as a practising paediatric cardiac surgeon. Her outstanding contributions to the field have earned her numerous accolades, including the Lifetime Achievement Award from the Indian Association of Cardiovascular-Thoracic Surgeons in 2017, a testament to her exceptional expertise.
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