Monday, April 24, 2023
Dharamshala-Call of the Hills
Tuesday, January 17, 2023
Nashik Nephrology Nutrition by Mrs. Nephrology
Nashik is a holy city surrounded by 9 hills(nav shikar).
River Godavari originates here and blessed is this city with no traffic jam. Vehicles flow as smooth as the waters of Mama Godavari
Lord Ram laid his fathers King Dashrath ashes here in Ram kund. That gives us reason to pollute the Godavari ghat with holy refuse of flowers, lamp wicks, mud lamps ( a man was drowning his loved one’s plastic spectacle case
Panchavati along Godavari is dotted with temples that devotees are spoiled for choice. And insta lovers for gram worthy pictures. Amol did flex his photography muscles and the clear winter blue skies lent the photos a quality that dirty reality could not betray
Naroshankar and Kapaleshwar were some that we visited
Divine Spouses and children were also covered
Pagdi Ganba |
Karthik Swamy temple by the Nattukottai Chettiyars- we happenstanced to visit this temple drawn mainly by the Tamil inscriptions and we lucked out with Lovely Prasadam in the form of masala rice , sundal and panchamrudham
Hanuman in various sizes stood guard along the ghat
KalaRam- Black stone idols of Ramayana trio and their faithful Hanuman in a magnificent black edifice. The loud crowds outside and the peaceful and serene inside is stark and striking.This black temple sucks all the negativity and we left the place reenergised
Kala Ram’s Kala Hanuman |
GoraRam- A teakwood marvel that houses the holy quartet in white marble and hence the name
Sita Gupha - crazy queues for an underground tunnel that sheltered Sita from danger while her men went hunting and gathering. she got abducted by Ravan here and Amol refused to let me go shopping alone citing this 7000 years ago saga of wife disregarding husband’s plea. Well I gave in and dragged my feet back to Hotel Express Inn.
Hotel Express Inn is this big hotel with a skywalk and a spirited capsule lift that never reaches the destination floor.
It also has an open air swimming pool with icy waters. When asked the pool attendant why was the pool not temperature controlled, his pan faced answer was to write it in the suggestion book. Also when asked who can swim in this ice bucket challenge like waters , his answer was simple. People who know to swim.
This was enough to egg me on while Amol stretched on the pool deck quoting there is no shame in quitting. I swam if only to prove a point to Mr panfaced potbellied pool attendant because the minute he was adequately impressed with my “swimming” I hoisted myself out of the pool on my hands gracefully with a jump. He was still watching.
What followed after being underwater in single digit degrees Celsius temperatures and next 30 minutes was cyanosis, hypothermia, shivering and a real threat of rhabdomyolysi and hyperkalemic cardiac arrest, Amol’s repeated “I told you so”
Sarafa |
To recover from this near death experience I did Sarafa- Old jewellery bazaar of Nashik where I indulged in retail therapy and Amol indulged me and Tibetan market- A Kannada speaking salesman sold me a Chinese puffer jacket in a Tibetan stall. And the Alibaba Chinese food stall served noodles in large portions to resemble the nav shikhars of Nashik. 2 adults and 7 hungry yet sceptical street dogs just about managed to finish 1 special Alibaba noodles.
Pandavleni caves- Early morning walk up 205 stairs amply rewarded by the cool mountain air and picturesque views of the city. The caves are a treasure and well maintained .
Jain mandir- sandstone wonder |
The Jain Mandir - A 5 km walk on the expressway and a sandstone chiseled beauty, ornate, detailed Shwetambar Jain Mandir treat awaits us. They are very prickly about photography so this serene place can only be experienced
Scene 2- Nephrology act 1
Disclaimer- I am a Cardiac Anesthesiologist with special interest in Nephrology and in a Nephrologist
A senior Nephrologist Dr Bharat Shah said meetings are more of family gatherings in the garb of academics. And Nephrology tribe are academic domestics. They mix both well , care for both with equal elan and families of nephrologist are always well turned out. Post Covid there was a lot of catching up to do- nephrology and otherwise.
SRNMCON 2023 was hosted by Dr Chafekar, propelled by the SGPGI show of strength for late Dr Anita Saxena, and the academic brilliance of all the Nephrology biggies. Dr Chafekar had an event of this scale organised to the T just like him, always well turned out in his crisp suits. Ably complemented by lovely Madam Chafekar whose hospitality was larger than her farm house where she hosted 50 delegates impromptu and impeccably. Nashik’s chill, Maharashtra cultural dances, toasty bon fires, delegates dance performances will be fondly remembered in Nephro nutrition circles
Trimbakeshwar visit-
One of the 12 jyotirlings and a must visit. It was supposed to be enabled by the local organisers but miscommunication and unpreparedness for the crazy crowds that our populous country can churn up on Sankranti day had 14 delegates stranded in various degrees of “anger to helplessness” spectrum. With the setting sun our hopes dimmed Dr Shrimati pulled a miracle that night and all of us had Darshan of the Mahadev. A mumma nephrology, a senior citizen touched Dr Shrimati’s feet for her feat. It was magical, divine, humbling all at once- Just like Nashik
Trimbakeshwar by the day |
The night of a miracle |
Sunday, January 15, 2023
Unhooking
“As hard it is to raise them, it is harder to let go” said Twinkle Khanna about parenting
So true
I bid Adi goodbye on 30 October 22. The next 30 days I have been an emotional wreck. I devoured literature on how to fill my empty nest, self help books to combat anxiety
Phone calls lasted at least for an hour till Adi complained I am eating into his study time. I am sure it is just to get me off his back that he has resorted to key words like studying, seminars, submissions.
Two months down- 3 upper respiratory infection and 2 cycle falls resulting in 2 torn shirts- distressed denims for real, bald patch on the scalp, a badly done crew cut to compensate, scars on the wrists and elbows and a cycle that looks frozen in a funny yoga pose.
Technically in a Technical institute but mine looks like in cadet in the Defence Academy down to the sunburn, grime and uniform ( denim on denim as distressed as denim can get in every video call and visit)
After Karan Johar made K3G, every Indian mom has imagined family reunions with helicopter whirring, SRK long double breasted jacket flapping, Jaya Bhaduri’s heavily sequinned saree fluttering. I am no exception
Reality check- Parents annoyed by waking up at 3 am for a 60 minutes ride to catch the son before he runs off for class and the ward not woken up completely and hence not in best behaviour. A hug if lucky and a smile if time permits.
Long distance parenting sucks. I shoot 3 questions a minute and Adi doesn’t like to be rushed. End result- Love all -mostly the Tennis kinds
The umbilical cord was never cut. Now it has just been stretched 600kms along the west coast. Unhooking is my new responsibility, and I will get there gradually one deep breath at a time.
Saturday, October 22, 2022
Doctors as ‘Board parents’
Doctors children have a statistically higher likelihood of turning into
successful and productive members of the society. I am yet to come across an
article, forget a study, that describes
the anguish of doctor parents before they launch their children in this so
called successful orbit.
From the time man left the cave and started to live in civilised societies, family structure has varied greatly and in some ways been the same. Hunter became breadwinner and gatherer became homemaker in the current times. But Doctors are a different tribe. Doctor couple parents have seamless borders in both professional and homemaking departments. When the lady of the house is on duty the man fills in without hesitation. And when the man takes a sabbatical, the lady runs the family without anyone feeling the crunch. What transpires between these role reversals is one of those Ekta Kapoor's K series drama, but that is for another day.
Parenting is a full time job. So essentially we work 3 jobs at once.
Doctor, Spouse and homemaker, Parent
One spouse easily fills in for each other as much as sanity and strength
in the sinews allows to keep the wheels of this 3 wheeler vehicle running smooth.
Doctors
study diseases . Corollary to this should be that Doctors should be free of
pathos. Our patients view us from this maxim. We need to be available for them
as empathetic humanoid Doctors without need for food ,sleep or even pee breaks ALL
the time.
We sign
up for love and friendship for eternity,
not for internship rotation posting in each department for 6 months . But marriage lands us in one dull department
of housekeeping, kitchen and transport for perpetuity.
Parents
decide to have children , so they might as well work hard at it : think the
children.
Self love-
A new concept to keep ones happiness pot full to spread cheer around
We get no
discount from any of the 3 bosses for the taxing jobs we keep. This self love
just makes our guilt pot full.
Most doctor
couples get by , face different challenges posed by our 3 bosses with the same
bravado that we possessed when we showed up for our anatomy to surgery vivas.
Just when we think we are getting better at steering this 3 wheeler smoothly
the child turns teen.
Hormone and
academics don’t mix well . We have gone through it, studied it and vowed that we
will make it easy for our child. Society is watching us. Judging their succesful
respectable peers . Can we replicate superior academic accolades in our children? Giving into pressure is not
our style. We just work harder.
Indian
academic calendar from 10 standard board exams till getting into 1 year of college
is so hectic that medical college rigors feel like a refreshing spa. Each year
10 lakh students answer board exams.
Lines
blur, most of us are looking for a Chaurasia or a Cunningham of parenting
teens
Parents should be
friendly not friends. Child will open up to friendly parents. What we end up is sharing like friends and letting out information that
can and will be used against us, when it hurts the most.
When authoritative parenting becomes Authoritarian
no one knows. Plus, giving up the authority,
wisdom, and experience that comes with being a parent in order to be liked by
your kids makes it difficult to raise healthy and competent kids
We come to a head when the choice
needs to be made.
Choose the boss-career/housekeeping and spouse/child
And no one has it all or gets it right. We just go through the motions. There are as many doctor couples who chose permissive parenting over authoritative parenting. Robert Frost to be quoted, “The road though as for that the passing there, had worn them really about the same.”
Doctors put their careers on hold for the 2 + years and channel all their energies into cracking the academic behemoth. Some move closer to better institutes to maximize chances of better results while minimizing all avenues for adult sanity as distance from comfort zone and home increases. Self love is just a myth now. We relive our boards experience and are left wondering if it is worth it. All Doctors can vouch for peace and quiet only in their OPD or OT (in my case). We give it up in the name of Board Parenting. Child care leave granted for the government Doctors is diligently availed and utilised. Others work around this too.” Take your child to work”, was our modus operandi.
Having done professional courses ourselves we set ourselves on the path of action replay, only this time 3 decades later. Late nights, long hours on the desk, mugs of Maggi and coffee indulgences all become part of the “accompany the child while he studies” regime. Our social circle expands to parents who have gone through this before. All help and every help is sought . Eat healthy, Exercise to keep mind sharp and look good when you eventually land in college, Drink lots of water are advice we dole out in copious amounts to be met with equivalent disgust from the exam going party. Internet and electronic device policing turns us from Amma Daddy to Fallen Angels and finding nefarious activities from Doctors to Detectives. Spiritual , Grandparental , Psychiatric help buckles before the joys of world wide web for the child. All we have in defence of our excesses is the lame ,”you will know when you have a child of your own”
There are numerous helplines for children and career counselling. No one to address the angst of a Doctor parent who wants to just be good at all 3 jobs. When a Doctor parents child does well it is just a line in the news paper and a under –the- breath mumbling of the child at congratulatory events. If you read in between the lines there are tomes of unread pages of grit, grime , guilt. \
This article is my tribute to all the Doctor couples before us and after us who choose this path of Board parenting. My heart goes out to all of us. We have run the 1000 days marathon , all the while saving lives, posting happy Facebook pictures and making memories sometimes too scared to share. My gratitude to the help that always streamed in when in a tight spot.
Tuesday, September 13, 2022
A Road trip & JEE results
Adi and me were skeptical, hypercrtical and voiced our displeasure but Amol promised that this curated road trip would win us over. And boy! a mini paradise just 6 hours from home was found.
After the first day of Ganesh Chathurti welcome home lunch , we 3 joined by Shiva, with snacks stuffed to the boot sped off on Mariamma ( A white BMW christened JOY drove herself from the showroom into a tree- so she became a blue BMW, now Mariamma)
Amboli Dattatreya temple |
We drove through Inuli ghat with a drizzle and reached Amboli before nightfall. Other than waterfalls( which we were stricly forbidden from entering by Amol) and annoying monkeys(1 even climbed over Mariamma and tried to get in through the sunroof for some chakna and proceeded onto loot another 3 cars under our watch)
Monkey on Mariamma's sunroof @ Amboli |
Amboli has not much to offer. 20 years ago I have been gastrnomically traumatised by misal in Amboli. I wanted to turn things around this time . But only masala Maggi and anda Maggi was on offer ,and, this Maggi took a good 10 minutes to make. While waiting for the sous vide Maggi I found a leech on my leg. Though Amol insisted it was not a leech, and Adi snubbed me for wearing my shortest shorts, others sat up with legs folded on the chair, just in case. I gave out the ," this trip was a bad idea and I told you so "vibes. Amol desperate to please lit up a tissue paper bonfire in our Air B&B accommodation. A couple of gramable photos and rounds of playing Uno , we set out to check our first results of the night.
Tissue paper bonfire |
NEET had put out their answer key and A had scored a decent score to get into GMC. We were pretty chuffed and went to bed hoping for similar results in JEE.
Early morning we set out for Kolhapur Mahalakshmi, only after a sumptuous brekie prepared by Adi and a dozen photos at the MahadevGad viewpoint.
Mahadevgad point -Amboli |
Kolhapur had so many sarvajanik Ganapatis and in such vibrant colours. We reached in time for a fuss free darshan and mahaprasad for lunch. And I had the first brush with the spicy food of this part of culinary world. It was more of a skirmish but I survived . I also concluded that their water is also spiced and made sure we gave a heads up to all the stays from here on, to keep the food bland. With this standing instruction food only singed the tongue but rest of the oropharynx and nasopharynx was spared. Shiva our MBA graduate pointed at how 'Kolhapur' is used and overused as a brand label. Kolhapur chai, K - bhel, K-mutton....K was prefixed to all and sundry. K was actually was a detour for us, I was too nervous about the JEE results( I am speaking for myself here because the boys hid their fears very well), so I thought paying obeisance to the divine mother of fortune will be a good sign before we check THE results.
Kolhapur Mahalakshmi Temple |
K-Ganapathi |
Amol planned the sunset from Ajinkyatara fort. The climb was cobbled and steep. Lots of marathon runners scaled the fort with ease but our German engineered marvel was left grunting and groaning. When we finally reached the views were sublime, washed sepia with the setting sun but the anxiety about getting Mariamma down that murderous fort safely, did spoil the moment for all of us. But technology more than covers up goof ups by technology. We got some great photos and the smiles did hide our fears well. Sab Maya Hain.
Sunset @ Ajinkyatara fort |
We reached Khaas plateau by night fall. Khaas plateau has been on my bucket list from the time Facebook has been influencing our holidays. Some hotel booking goof up landed us in this overpriced , understaffed shanty of an accommodation. Amol let off some steam by firing the person responsible but it was more out of the anxiety of what was to unfold that night on the computer screen. A quick bite on that deserted plateau was made remotely bearable by Adi's ingenuity with food and Shiva's gift with people The weather also turned a bit weird and it started to rain adding misery to the musty rooms and 4 kindred JEEvathamas.
There was a chill in the air and in my spine. My finger tips were frozen. Adi and me decided to sit out on this one( while watching Koffee with Karan) and asked Amol and Shiva to check the results in the other room. In a blink Amol was back and said the results were no good and Adi had scored 1 in the Maths section. The first reaction as expected, I started mouthing words of pseudo encouragement and said it would all be ok. But I could feel different parts of my body kind of collapse into a heap. while the head and neck was just about to cave in, Shiva stormed in and said that the option in Adi's paper and the answer key are in a different order and we have to match them to get the score. I picked myself up and slumped in front of the computer in the other room. Shiva and me began the count now by properly matching the options. We got a grand total of 4/60 in Math paper 1. Now IITB that set the paper had a qualifying criteria of minimum 10% in each subject including both paper 1&2 and a total aggregate of 35% . So we had to score 12/120 ie a minimum of 8/60 in paper 2. While I am bad at numbers I dont know how I computated this so fast. Under pressure my brains works to autodestruct faster. All the while, my logorrhea was if it was so bad for Adi it would be bad for all too. Paper physics and chemistry was ok and for paper 2 we decided to check math last. Manhoos Math. Math in paper 2 had 3 section. Adi had scored 8 in section 1, taking the total to 12 already. We did this mini jig that we have scored the qualifying marks. Section 2 was a -1. Words cant describe what cortisol and norepinephrine was doing to us. If I had been held at point blank range maybe this is what it would feel. Section 3 unfolded like the first 5 minutes of any bond movie. High octane scenes, many building and bridges razed to the ground but Mr Bond walks out hot in his tux with small cut lip. Math totalled to 15/120 and JEE advanced score totaled to 138/360. . When I announced to Adi that we have qualified and we may still go to IIT he just had a blank stare. I think more in his sleep than out of shock . Senior A just said we will go to BITS Pilani to do computer science. I slept soundly because my sympathetics had completely emptied and I felt nothing.
Next day my logorrhea continued. I kept asking A how was he so brave to go in for paper 2 when in paper 1 he scored only 4 in Math. He only asked for no further discussions on THE paper. Senior A drew his flow charts. I am yet to find some use for these flow charts but they are comforting for sure. Amol's flowchart always ends with a happy ending.
Flowers of Khaas |
Not so Khaas , Khaas plateau flowers had still not bloomed. Like all things on FaceBook , reality looked like the Adhaar card photo. Most flowers I had seen on our Dabolim plateau in our backyard. Shiva clicked some photos, Amol feigned enthusiasm, Adi surprisingly was unperturbed( he was still planning on best meal plans)
Khaas plateau |
Thorseghar water fall was just as disappointing as Khaas but we had some of the best pics here.I think it was the law of averages working here.
Thousands of windmills, slowly moving, eerie up close but spectacular from far just like all things beautiful in life. Chalkewadi windmill farms drive was the highlight of this road trip
We drove to Koyna dam through bad roads and worse emotions. But Koyna changed all that. We had this room with an eye level view of the dam, shimmering sun on the dammed waters(we couldn't capture its magnificence in a cam), food that didn't burn, bon fire by the night, early morning walk to the waterfall that Amol actually let us in, A thousand pictures by our really sweet guide who called rainbow "rambo" and birds "buds".
one of the 1000 waterfall pictures |
Khaas was washed over with expectations while Koyna unexpectedly lifted our spirits. Expectations are always a bummer. Buddha and Vedas and Amol have been preaching it. But when did I listen to anybody.
Mariamma jostled for space with big trucks on big 4 laned dusty roads to take us to Panhala. Panhala was my first brush with Maratha history 15 years ago and the guide then made an impact with his passionate rendition of the Baji Prabhu Deshpande's valour ,it left me with goosebumps. Many Maratha forts later, Panhala remained my first M-fort love. This time the guide could speak only Marathi, and our only Marathi speaker Amol couldn't make much of it. He was mouthing Shivaji like Alia's Shiva in Bhramastra. When an experience is extraordinary never reattempt to recreate it. Also Shiva landed in fresh dung and before we found water to clean it , it started to rain and we did not even get a decent pic of my favourite character BPD.
Panhala fort |
A hasty photo with BPD |
To make up, we saw Paavan Kind, the narrow gorge where BPD stood guard till the canon shots were fired, signaling Sivaji's safe arrival . Goosebumps were back again, partly with the ergonomics of the gorge and how brave he was, partly with the wildlife we encountered on the Amba Ghat. Thick fog where visibilty was zilch, an overzealous Maruti 800 who honked Mariamma down to overtake, a Gaur grazing in the wild who could take both of us down put together and no network meant we could be circling these Ghats forever.
Pavan Kind |
Gaur- wild bison |
By the last few photons of sunlight we did find our accommodation and network returned to bring us some cheer. Adi's coaching institute was asking names of students scoring above 140. Bar was dropped from 200. We all hugged and breathed a small sigh of relief. Rounds of snacks, Uno, Ludo, pandra rassa. bakri n mutton later Shiva and me again checked from the official answer key. But only Math. Why? IDK. It was tedious to match answers, disappointing to relive those horrible chapters like surface tension, collision, to give away marks to negatives because Adi had marked 1 extra option correct in multiple correct questions etc. So our calculated total was unchanged at 138. Return of network brought in fellow students marks too.
See sawing emotions and a 4 hour pee holding, non stop drive belted us back to Goa in good time for Ganpati Visarjan. I prayed fervently to the good Lord to have Adi visit him next year Chaturthi from an IIT
Ganpati Visarjan
We headed back home and for the first time Adi matched his answers with the official answer key and with some bonus marks the score came to 142. Not all was lost, there still was hope. I attributed it to Boomer prostrating in front of our Gods while Adi was at it into the wee hours of the night. We had atleast made the cut off set by the coaching institute. The trip too exceeded expectations .
Post edit-
September 11,Sunday 10am
JEE advanced results were to be declared. We were all plastered to our beds just hoping the moment would pass. Finally Amol’s breakfast bells in his stomach could not be ignored anymore and we all ate previous night’s Mohan’s leftovers. Adi and me quietly exited while Amol started to punch in the details to fetch the results. Shiva stayed on to help as always. I could hear Amol curse like Captain Haddock downstairs and then a loud cheer. Adi & me ran down the stairs together and Amol said we were CRL AIR 1734. His next words while hugging Adi was “WE ARE GOING TO IIT BOMBAY”
Our total went up to 150( 🙏 to K - Mahalakshmi, Ganba, boomer, hills of Satara)
IITB- 2022 JEE advanced paper setters had dropped qualifying marks to 4.4% & aggregate to 15.8% , it was historically the toughest paper till now and the marks vs ranks were skewed the most but Adi walked out of it like Mr. Bond dusting his tux, shaken not stirred, dapper as ever.