Persistent Nausea

What causes nausea?  I am aware of two reasons.  You may have eaten something that had its inedibility masked by strong flavours or there is a mismatch between sensory input from two of more organs - as happens in seasickness.

I feel quite nauseous these days, do you too?  What may be the reason?

For sure there is a terrible mismatch between the gloomy signals that we get from managing our own budgets and affairs, and the incessant chatter of relentless progress, investment pouring in, the globe fawning to us and a certain face staring at you from all the directions seeking your acquiescence, and whose intent gaze you cannot avoid at any place or time.  There is absolutely nothing that confirms your feeling of gloom except what you feel in your guts.  Any voices that once provided a confirmation have gradually been muffled into total silence.  Is it this terrible and stark mismatch that make you and me nauseous?

Or is it something that we have eaten? A forbidden fruit, lured by painstakingly applied colour and fragrance to mask its real ones that could have warned us?  And having ingested it we are not unable to get it out of our system, and hence the persistent nausea.

Think hard and find a cure lest this permanent nausea should kill you by making it impossible for you to ingest anything healthy that is good for you.

Organ Donation

 Being advanced in age, I often think of organ donation as an act of compassion. However what deters me is the thought that it might go to a corrupt and powerful person who can easily pull strings in a system that isn't exactly known for its uprightness, instead of to a more deserving recipient. This will be an unethical act and I wouldn't want to be a party to it.

In my opinion, a person who wants to pledge organ donation in his lifetime should be allowed to specify eligibility criteria for the ultimate recipient. Such an instrument should be legally binding on the deceased's legal heirs too. That will rule out any chance of influence or money entering the picture.

As the time available for selecting a recipient is short in case of cadaver donation, a prospective donor should be encouraged to give multiple criterion and also a negative list if he wishes to. For example, if I were to opt for donation, I wouldn't want my organs to go to a politician wielding power unless I have explicitly named him in my criteria list.

In case a person dies intestate in this matter, the right to choose a recipient must remain with his legal heirs.  It cannot be given to a system known for its callousness. If money or influence has to enter the picture, let the benefit go to the heirs rather than a corrupt official.

A Piece Of Good News Amongst A Storm Of The Bad.

My sister-in-law's son-in-law, we call him Ashu, has made a full recovery from the dreaded Covid.  A CT scan had shown him with a count of 20, a cause for immense worry.  Ashu lives in N Delhi and works in the Medical Equipments industry.  He is an energetic young man with an entrepreneurial bent of mind.  He had set up his own business from a scratch and had received an award for entrepreneurship from the Times of India.  The business, unfortunately, died down in the aftermath of demonetisation and GST, and he was forced to take up a job once again.  Currently he is the sole breadwinner in the family and supporting his mother-in-law and father-in-law too.  And so there was a palpable gloom in the family that deepened as his scan revealed less than hopeful prognosis.

Ashu has shared with me his treatment regimen, which I feel compelled to share with everyone.  Of course I have no medical qualification to recommend it to others but am still sharing it in the hope that this may form a starting point when a Covid patient or a caregiver discusses a line of treatment with a qualified doctor.

His successful treatment is based on a regimen recommended by some doctors and shared on Facebook.  I am providing a link to one of these videos at the end of this post.

These doctors ask to mark the day of start of symptoms including fever as day one.  In most cases, the fever should go away on day 6th necessitating no further treatment.  However if the fever persists or worsens, they recommend a heavy dose of methylprednisolone - 40  mg twice a day for five days, an anticoagulant, such as Apixaban 5mg, to be taken once a day, and nebulisation with Formoterol Fumarate and Budesonide mixture TDS and SOS.

Initially Ashu was given steriod but in a very low dose of 4 and 2 mg.  When he went to another doctor who subscribed to the regimen mentioned above, he increased the dose to the level recommended in the videos.  It is now three days after Ashu went off the medication and he is feeling absolutely fit and fine.  He maintains that with all his problems in breathing, had he gone to a hospital to be put on oxygen, the result would not have been a happy one.  He also practised proning and steam inhalation to relieve the symptoms.

It is important to add that Ashu doesn't have any history of diabetes and hence this line of treatment did not present any complications for him.  However, as steroids are known to raise sugar levels, diabetics must mention the fact to their doctor and must abide by their advice.

Ashu also tells me that doctors normally use the tradename Medrol for the steroid and because of this the drug has disappeared and is available in the black market at 100 times the printed price!  Though the same drug from different companies and with different tradenames is available at the normal rate but doctors and pharmacists are failing to suitably advise the patients in the matter.  In case the drug is not available in the required strength, multiple tablets with lower strength can be taken to make up the dose.

I must emphasize that I have no medical qualifications and have narrated this case merely for information of my readers.  They must not follow this line of treatment without consulting a qualified doctor after disclosing all their existing ailments to him.  It can be fatal for diabetics to go for it without the recommendation and supervision of a doctor.

Here is the link to one of the videos that I had mentioned.

Yet Another Obituary!

 Yesterday, the day started out well and the pal of monotony was broken by messages from some old and dear friends. Two of them called too and we had longish voice chats that cheered me up and, hopefully, the other side too.  However as my wife and I were going to call it a day after dinner, the bolt from the blue came.  My cousin called and enquired if I had received the bad news.  When I replied in the negative, he broke the news of the death of a nephew, my elder sister's eldest son, at the hands of the dreaded virus.

It is the kind of news that makes one go numb both in the limbs and the mind. Everything is frozen to a standstill in that moment.  Then, gradually, a door opens in the mind letting in a swarm of memories, like furious bees, and the mind flails around, stung by them, till it drops down in sheer exhaustion.  The cycle repeats itself, mercifully in diminishing intensity and finally it all dies down and sheer stupor prevais.

An analogy arises in the mind.  I am at the head of a queue for check-out and someone far behind me loses his patience at my slowness in proceeding and jumps the queue.  It leaves me with the feeling that I used to get in my younger days when I had a recurrent nightmare which will leave me paralyzed and unable to breathe and just as I got to the verge of desperation, I would wake up perspiring with a jolt and a sharp breath. I despair at the curse of having to watch someone to go, when it should have been the other way round.

There was a long age gap between my elder sister and me.  My nephew, his pet name was Guddu, was born in my parents' home when I was in the tenth standard and about 13 years of age.  I vividly recall my brother-in-law visiting us and beaming with pleasure as he held Guddu.  Guddu had inherited the firmness and some of the strictness of his father and in him I saw an image of my brother-in-law.  Both my elder sister and the brother-in-law had passed away a few years ago.

Guddu was being attended upon in the hospital by his wonderful son, an MBBS, who insisted upon remaining in the hospital clad with an PPE all the time!  And though the exhaustion and utter lack of sleep were getting to him, he sounded happy at his dad's improvement only a couple of days ago.  And then everything fell apart.

Guddu is survived by his son, wife and two daughters.  My heart bleeds as I pray for them to be given the strength to bear this terrible loss.  Dear Guddu, may you find peace and love as you are united with your parents. Hari Om Tatsat.

Two Obituaries

Six is a small number, and thus the rule of six degrees of separation  suggests that no one is too far removed from another person in this world. Yet, when Covid struck last year we knew few victims that were separated from us by two or three degrees or less.

This year it has menacingly closed in on us.  It has struck some near and dear ones, and some fatally too.

On 16th I lost my Bhabhi, elder cousin's wife, to this terrible contagion.  Both Bhaiya and Bhabhi had taken their first dose of Covishield and were staying confined to home.  They had fever a few days later but tested -ve for Covid.  Even as the fever was subsiding a little, their oxygen level dipped a little and then some more.  It took major efforts by her daughter and son-in-law, both doctors, to find them beds with oxygen in a Covid facility.  Despite all these valiant efforts and the best medical care, Bhabhi succumbed to the disease.

Bhabhi's son, my nephew, working with Intel in Bangalore, had flown down to Lucknow soon after getting the news of their affliction.  He is deeply attached to his mother and it is difficult to fathom the shock that he experienced.

Added to this loss was the inability to conduct a normal dignified funeral because of the regulations and crowded cremation facilities.  No family member could be in attendance at the funeral except her son and son-in-law.  The subsequent rituals were also shortened to a Shanti Path at an Arya Samaj facility.

Bhabhi was a simple woman of my generation, always smiling and caring.  She loved light reading and afternoon siestas.  She was rooted in tradition, always dressed in a saree, and never took to the salwar suit that other ladies in the family had adopted.  She was very fond of Dahi and sometimes we joked that it was because she hailed from the village Chakdahi.  It is so difficult to believe that this dreaded disease snatched her away from us in one fell swoop!

She will be fondly remembered and missed, always.

_______________________________________________________________________

Two weeks have passed since we lost Bhabhi, while Bhaiya remained hospitalised.  Extreme care was taken not to break the news to him and fend off his queries about her with concocted responses.

His condition kept fluctuating and he had to be shifted to the Ram Manohar Lohia hospital four days ago as the facilities at Vivekanand Hospital came under pressure because of large addition of Covid patients.  He succumbed today.

Even as the memories of our shared childhood in the joint family of my father and his brother keep flooding my mind, the cruel fact of his death at the hands of this dreaded disease keeps jolting me into this dreadful present.

We studied at the same Government school in Faizabad.  He was a bit of a star there as he was a good cricketer and had played at the district level.  However our middle class compulsions to focus on studies to the exclusion of everything else, weaned him away from cricket.  He had an athletic build and was the tallest person in the family and stopped just shy of six feet.  I am sure that had he followed his interest, he would have gone a long way.

We were all science students, and I vividly remember an incident when he happened to bring a small chunk of sodium and put it in water as I watched from the side.  It erupted and some debris reached his eyes.  Fortunately it didn't cause any damage.

He started his career in the Intelligence Bureau and later, like many others in government jobs, moved to Central Bank of India as a Vigilance Officer.  He was an absolutely upright and straightforward person.  After retirement sometimes he used to share with us his encounters with top management and union leaders.  He never yielded to pressures and was both respected and feared.

Like my father and chacha, Bhaiya too lived in a joint family with his elder brother.  The eldest one, Bade Bhaiya, had passed away four years ago after fighting a resurgent metastasised cancer.  He had been a bit lonely since then.  He also developed a severe problem in his knees which kept worsening as he kept delaying the knee replacement.  This made him sedentary and his fitness level had dropped too.

He had planned and managed a tour for the whole family in March 2020 to Dudhwa National Park.  The entire family had a good time and enjoyed the trip.  No more than a month ago, we were planning a trip to some place in MP.   As we struggle to come to terms with his death, I recall this memory and it fills me with a sense of disbelief.

It is a deep shock for me, and I can only imagine the pain that my nephew and niece must be experiencing having lost both parents in a fortnight!  We are dumbfounded at two from our immediate family being cruelly snatched away by a disease that we had been mocking only a month ago and believed that it had gone away!  My niece and her husband, both doctors, did their absolute best to get him all medical facilities that he needed.  But doctors can only fight illness, not death.  We owe a deep debt of gratitude to Dr Virendra Sharma, my niece's husband.

Do say a prayer for the departed souls and also a prayer for us whom this bereavement has left heartbroken.

Born As A Diaper

At times I feel that we are all born as diapers.  I do not use that word in any derogatory sense but because of the properties that make a diaper useful, properties that a sponge or plain cotton wool obviously don't have.

A lot comes our way after we are born, in the form of language, culture, traditions et al.  If we were like a sponge or cotton wool, we could easily wring out whatever we didn't want after we grew up.  But being like a diaper, we internalise and solidify it; it becomes an inalienable part of us.

Not only this, we human diapers have an additional property.  Those with the same absorbed contents tend to stick together while showing no such affinity to other diapers with different absorbed contents.  This is a feature that the inanimate diapers don't have.

There are those, both amongst scientists and artists, who feel a sense of deep alienation because they somehow have been able to rid themselves, in varying degrees, of the absorbed contents and hence the ability to stick to others too.  This could be viewed as a defect or an evolution depending on one's inclinations.

Do you think it would be better if we were born like cotton wool, with an ability to wring out the bulk and hopefully the spots too?  Only then we could come somewhat close to saying with Kabir, "Daas Kabir jatan se odhi, jyon ki tyon dhar deeni chadariya."

Sanjay Dubri Tiger Reserve

 Continued from my earlier post.

Our visit to Sanjay-Dubri Tiger Reserve was planned on the next day after our arrival at Parsili.

The resort had arranged for the vehicle and requisite permits from the forest department and requested us to be ready to depart at 6 am.

As it had rained during the night and was raining again in the morning, we had doubts about our proposed safari materialising thinking that the tracks must have become muddy and slippery.  However, we found the jeeps waiting for us at the appointed time and the driver allayed our apprehension.  We had hired two jeeps each having seating for 6 visitors plus a guide and the driver.

The entrance to the reserve is 15 kilometres from the resort and the place is called Chamradol.  The area near the resort is called Baradol.  The nomenclature has distinct casteist connotations.  The road goes through farmlands and you find some small villages alongside as you approach the entrance.

At the entrance formalities were completed and each jeep was assigned a guide.  Thus the final cost per vehicle comes to ₹4480, comprising of permit cost ₹1500 plus jeep hire cost of ₹2500 and guide fee of ₹480.

The guide talked of a peripheral and a core zone as we entered the park and the jeeps entered the shallow stream of Banaas and crossed over.  I think the two zones perhaps refer to the Sanjay National Park and Sanjay-Dubri Wildlife Sanctuary.

It was early morning and pretty cold and a little windy in the jungle area.  We were not carrying woollens but face masks took the sting away by protecting the nose and most of our faces.  As the sun gradually rose and shone, it became very pleasant.  The air was very fresh and invigorating.  We didn't find any mud on the tracks despite the rains in the preceding night.

The guide pointed out to large number of Sal and Tendu trees around us.  The Tendu leaves are used in beedis and the Sal or Sakhu is considered valuable as a building material and for furniture.

The jungle abounded with deer of various variety, Neelgai and langoors.  The guides also drew our attention to certain birds here and there.

Everyone was filled with anticipation as the guide pointed out that we were in the core zone and there was a possibility of sighting a lion.  He showed us some pugmarks and also a heap of tiger poop but the search for the tiger kept proving futile.

On the way we met some security people and learnt that a tigress had laid a litter and was hiding with the cubs somewhere.

We kept moving on with the dry leaves on the track pressed by the vehicles shining with a metallic glint in the sunshine.  The guide ultimately blamed our failure to see a tiger on the rains last night and drove us to one of the watch towers.  We climbed to the top of the tower and had an aerial view of the forest all around us.  The guide pointed out that part of it extended into the neighbouring state of Chhattisgarh.

We roamed around for some more time and decided to call it quits when it was almost 10:30 in the morning.  The vehicles took us back to the resort where we had a hearty breakfast which the resort was considerate enough to serve despite the timing being over.

We took note of the fact that we were only 100 kilometres away from Bandhavgarh National Park, but decided not to overshoot our plans and kept it as our next destination whenever the time came.