Features
Begining my nursing career and some of my early patients

Excerpted from Memories that linger…. by Padmani Mendis
Early on in the year that I started nursing, an epidemic of Poliomyelitis or polio had occurred across the United Kingdom. It had left very many people with varying degrees of paralysis in different parts of the body. The paralysis in polio followed no pattern. It would affect muscles scattered all over the body; anywhere on the trunk or chest or arms or legs. Polio damaged the nerves of the body that made muscles work. When muscles were paralysed, a person could not move the joints served by those muscles.
Many who were more severely affected had come to the ROH for rehabilitation. Looking to the future, however, polio immunisation had come and this would be the last such epidemic in the UK.
Mrs. Wilson was one of the first patients I met who had been part of the epidemic. She had all parts of her body affected and could move no part of it. She could not even breathe on her own. To enable her to breathe, she had been placed in what was called an “Iron Lung”. Because of this, she was nursed in a separate room but had to be under constant observation. A nurse was allocated to visit her room at regular intervals. Mrs. W’s iron lung was the first and last such machine that I had seen.
It was a large machine that covered most of her body. It used a negative pressure to pull her chest out. This would draw air into her lungs. Then pressure would be released and the air would be pushed out of Mrs. W’s lungs. Mrs. W’s head was outside the machine so she could be fed. There were holes on the sides of the machine through which we could carry out nursing care. In the same way, she would have daily physiotherapy too.
Between breaths, Mrs. Wilson communicated with us in a whisper. So we could have some sort of conversation. I don’t think iron lungs are in use any more. They have been replaced by modern “respirators” or “ventilators” which use a different mechanism called positive pressure.
During the time I was in the same ward as she was, Mrs. W’s husband and two young children would visit her on Sundays and spend time with her. The children were quite young and could be seen playing outside the ward. We knew that Mr. W. had employed a nanny to look after the children.
After I left Woodlands I heard that Mr. W. had divorced his wife and married the nanny. Her family no longer came to see her in hospital. I followed her condition. Mrs. W. never recovered the use of any of her muscles. She remained in the iron lung until she died of a lung infection about a year later.
A Pause to Fast Forward with Technology
This was Mrs. Wilson, dependent on an iron lung, confined to a hospital bed and requiring total nursing care. The memory of an exceptional lady very early on in my journey, circa the year 1959. To fast forward now, passing through the next three decades and more of my journey, to another individual called Adolph I was fortunate to know. He was as severely affected by polio as Mrs. Wilson was. Not able to breathe by himself. Not able to move his body except for his fingers,
I met Adolph as a young man, a little younger perhaps than Mrs. Wilson. Adolph lived in a comfortable apartment together with his partner. I was so fortunate to have been invited by this couple I had made friends with to spend time with them when, on my journey, I stopped over in their city in Northern Europe. Adolph had the use of an electric wheelchair fitted with buttons on the arm of the chair; buttons that he could press with the little movement he had in his fingers and use the chair in just the way he wanted to.
To me these advances were miraculous. His chair was so designed as to be able to accommodate and transport a specially designed ventilator to help him breathe. This ventilator Adolph had to have with him 24 hours a day – the technological advance of the iron lung that kept Mrs. Wilson alive in her bed. Such was the construction of the chair and the ventilator that when required, which was every few minutes, Adolph could breathe for a short while and then take a break for a few minutes. A never-ending cycle to ensure that Adolph had access to the essential respiratory function that kept him alive. And which enabled him to carry on a lively discussion and intensive debate, to read aloud and teach, to lead a full and active life.
Adolph had a full-time job with regular hours of work. Disability advocacy was part of his job. He had a specially designed vehicle in which he was driven to wherever he wanted to go. He had an assistant who would drive his vehicle. This assistant was there also for Adolph and his personal needs and to maintain his home – to get him in and out of bed and in and out of a bath (with the use of an electric chair-lift), in and out of his vehicle, prepare his meals, do his laundry, and write his communications.
Getting to know Adolph was for me a truly amazing opportunity. One of the most vivid of the memories I have with him is of my first visit to his home. With the press of a button Adolph opened the lift door. With the press of another, Adolph led us into the lift. With the third press, he led us out of it – and then the wonder of it for me. With the next press his front door opened and all the lights of his apartment came on.
All these had been made possible by an individual who knew his rights, appropriate technology and a welfare state that acknowledged that all its citizens had the same rights to the best quality of life and a state that ensured it.
As a citizen of his country and because of his disability, Adolph was entitled to the apartment, the chair, the helper, the job, and to the other requirements he had. These were his rights as a citizen. It was the responsibility of the state, to have them met by the City Council serving the area in which his home was located.
In the course of his work Adolph was also required to travel abroad on occasion. This he did with his partner, his chair, his ventilator and all. And airlines were required to accommodate and meet the requirements necessitated by his disability. A truly amazing individual I was honoured to know, together with a charming partner.The changing world of disability. And within that, changing experiences for me. Now memories.
Annie
Annie was one of those patients who had a profound impact on me. I was doing my first night duty when Annie came into my life. I had been placed on the Private Ward which consisted of about twelve separate rooms. The Night Sister was known to be a bit of a snob. We all knew that she selected with care those nurses who she would put in the Private Ward. Those selected were always from a certain background. They would have paid for their education and attended a well-known school. She had obviously found out that I qualified in both areas even though it had been in faraway Ceylon.
The Private Ward was next to Ward Seven which was a short-stay Female Ward. Joining the two was a single room which belonged to Ward Seven. As she briefed me for my first night on duty, Night Sister said to me, “Nurse Padi, you have been given another job to do. You will look after Annie who is the patient in that end room belonging to Ward Seven. Annie needs special care and we think you can give her that.” During the day, Annie was the responsibility of Ward Seven. At night, she was mine.
Night Sister took me aside to brief me further in relative confidentiality. I learned that Annie was thirteen years old and had “sarcoma” or bone cancer. She had secondary tumours all over her body. She was in pain all the time. She was sedated heavily in an attempt to make her comfortable; she was almost always asleep, but there was a limit to that and she still felt intolerable pain; so much pain that she would not move, as a result of which Annie had bedsores on many parts of her body; so much pain that she did could not bear to be touched.
Because of all this, Night Sister told me she must be turned over in bed every three hours; and at least four nurses were required to do that in a way that would cause the least discomfort to Annie. Night Sister would send me three colleagues from other wards to help me turn Annie every three hours.
And so it was with much trepidation that I walked into Annie’s room that night. My colleagues had arrived at the pre-arranged time and we set about our task as gently as we could. Before entering her room, we had arranged between us how we would do that.
On removing the especially light covering sheet Annie’s eyelids fluttered, that was her only response. What we saw was a little girl who looked no more than eight or nine years old in age and in size. It appeared as though her illness had caused Annie to shrink. She was rolled into a ball and would not open her eyes when I addressed her and told her softly what we were going to do.
The sheets she lay on were soaked with the discharge from her bed sores. They smelled bad. We lifted her gently to change her sheets and then lay her down on her other side.Soft moans and groans from Annie turned into a crescendo of ear-wrenching screams as soon as she felt our hands on her. And then when she was back down on the bed, when she was free of our hands, she returned to the soft moaning and groaning. This three times a night, night after night.
Night Sister had told me when she briefed me the first time that the doctors did not expect Annie to live through that night. She told me this using other words every night for the next ninety nights. This routine of turning Annie continued on every one of those nights. And on those nights, as I had with Fernao and with many other patients, I spent as much of the little free time I had sitting by Annie’s bedside, talking to her or singing softly to her. And every night I was drawn closer to Annie in her unceasing and increasing pain. And then, during the last night of my three-month spell, Annie passed away.
I was devastated. I could not stop crying. Why tonight? Why could she have not lived another night? Everybody in the hospital came to know of my reaction and many shared my sorrow. I could not be comforted. So much so that Matron sent for me. She was gentle with me. She told me it would be best if I took my two-week summer vacation sooner than planned. She said a break from the hospital routine would do me good.
Features
The US, Israel, Palestine, and Mahmoud Khalil

By Uditha Devapriya
If last year proved anything, it was that given a choice between international law and domestic pressures, the US political establishment will give way to the latter. Hence the Democrats, led by Kamala Harris, articulated the need for a two-state solution for Palestine and Israel – Harris spoke vaguely of the Palestinians’ right to their own future and land – yet belied it all by promoting Israel’s right to self-defence.
One can argue that Joe Biden, easily the most pro-Israel of recent Democratic US presidents, set the stage for this situation. But it was taken to its logical conclusion by Harris and her campaign. Barring a few exceptions like Ilhan Omar and Rashida Tlaib, who were badmouthed by Democrats and demonised by Republicans, there was very little condemnation of Israel’s violations of international law in Gaza and the West Bank – violations which continue today and have accelerated because of the sense of impunity that Jerusalem was bound to receive under a hardcore, right-wing Republican administration.
The situation has worsened since then. But in trying to make sense of what has happened, I think we are trying to fit a square peg in a round hole.
The Trump administration operates on a logic of its own, and any attempt to make sense of it or rationalise it, to justify it or counter it, would be rather fruitless. For instance, it came to power on a platform of “absolute” free speech. Those who contend that this contradicts the government’s crackdown on pro-Palestinian students and intellectuals should realise that Trump and his supporters have reserved for themselves the power to define and set limits on such abstractions.
When Vice-President Vance, in his remarks in Munich last month, implied to his European audience that the region should be more tolerant of free speech, we need to understand that Vance’s, Trump’s, and the modern-day Republican Party’s framing of free speech differs from the ideals of the Enlightenment. This free speech is unquestionably right-wing and politically incorrect. Thus Trump, speaking to reporters during a meeting with the Irish Prime Minister, stated that Chuck Schumer, one of the most pro-Israel Senators and the highest-ranking elected US Jewish official, had “become a Palestinian.”
On the face of it, this was a slur, and Democrats and Jewish advocacy groups – including the Anti-Defamation League – were quick to point it out. Yet to try holding Trump to account over such remarks would be to hold him up to standards neither he nor his administration feel are applicable to them. When the White House, namely the President’s press secretary, speaks of USD 50 million of US foreign aid being diverted to “fund condoms in Gaza”, one is either outraged or intrigued enough to know more, particularly when someone like Elon Musk amplifies it on his platform. Yet when, weeks later, at a White House briefing attended by Elon Musk and his son, Musk backs away and admits that “some of the things that I say will be incorrect”, they are both investing themselves with a sense of invincibility and passing the onus of proving them wrong to the journalists and media that they themselves accuse of being biased against them.
In other words, the Trump administration is having the cake and eating it too – rather apt, considering how it prides itself on its disruptiveness, its sense of chaos. As far as Israel and Palestine is concerned, of course, there is no ambiguity: this is without a doubt the most pro-Israel administration in recent US history, and there is hardly any US official who would beg to differ with Israel’s actions.
While right-wing commentators like Tucker Carlson and Candace Owens have spoken sympathetically about Palestinians – with Carlson decrying Israel’s activities and Owens questioning why US policy is kowtowing to Israel and Zionism – they are the golden exception to the dismal rule. Even Ann Coulter, the grande dame of US conservative politics, who infamously told Vivek Ramasamy to his face that she would not vote for him because he was Indian, questioned whether arresting student activists without proof of crime would infringe on First Amendment rights.
That sentiment has been echoed elsewhere. The arrest in question, of Mahmoud Khalil, has provoked much disgust and revulsion. Set against the backdrop of its gutting of foreign aid, scholarship, and exchange programmes, the Trump administration is now framing citizenship in the US as a privilege, not right. One can counter this by stating that immigration to the US, and gaining citizenship there, was never easy. But beyond any other administration in recent memory, Trump and his fellow-travellers have succeeded in both accusing previous governments of relaxing immigration rules and letting criminal elements in and weaponizing immigration law to achieve its domestic and foreign policy agenda.
To their credit, the Democrats while in power never went beyond arresting protestors – though that in itself raised eyebrows and had implications for civil liberties and freedoms. Perhaps because they saw themselves as the “party of rights”, they were careful, even within the restricted space they were operating in, not to invoke every other law and interpretation of it in the way the Trump administration is doing now.
It is becoming clear that Donald Trump is aligning his foreign policy with his domestic agenda – and that Israel, which has since at least the 1970s become a crucial part of that agenda, has taken centre-stage in a way Ukraine and Russia have not. For better or worse, this will define the course of US domestic politics and foreign relations for the next five years, and it will meet with the resistance of US courts and judges, every time the administration invokes laws and legal provisions to achieve its America First agenda.
Uditha Devapriya is a regular commentator on history, art and culture, politics, and foreign policy who can be reached at udakdev1@gmail.com. Together with Uthpala Wijesuriya, he heads U & U, an informal art and culture research collective.
Features
Cutbacks in two countries

Yes, you have guessed right. One of the two countries is the United States of America where cutbacks or reduction in spending and increase in tariffs is the order of the day promulgated by President Donald Trump who appears to consider himself king; his porohithaya Elon Musk dictating terms to him. His aim is to make America great again (MAGA) but his maga or path is actually making the rich in the US richer and making life more difficult for the ordinary US citizen with housing and food increasing in prices.
I feel I must explain what cut backs and cutbacks mean. The two word phrase is used as a verb while the one word is a noun.
Among several cutbacks “President Trump has signaled that next set of agencies on the chopping block, as his administration looks to cut down the size of the federal government agencies that serve wide ranging roles in the government, from addressing homelessness to funding libraries. One of these is the Institute of Museums and Library Services (IMLS) that funds grants to libraries and museums across the country. The group EveryLibrary – a nonprofit that has advocated for public library funding and fought against book bans – decried the looming cuts to the agency, arguing that IMLS is statutorily required to send federal funds to state libraries based on an Act passed by Congress.”
The present president is so very different to previous presidents like Jimmy Carter who initiated the first White House Conference on Library and Information Services (WHCLIS)
which took place in Washington DC in November1979. It was such a boost to libraries and spread of information and improvement of education all round as noted by a delegate to the 1979 and 1991 conferences in the White House: “a strengthened and increasingly dynamic role for citizen-trustees in guiding library development; the emergence of citizen leadership across the nation, spearheading a new synergy within the library profession: the concept of partnership –building as a means to advance the library agenda; and the use of information as the power to promote increased productivity, economic growth and enhanced quality of life for all citizens.”
The National Commission on Libraries and Information Science (NCLS) was an agency in the US government between 1970 and 2008. The activities of the NCLS were consolidated into the Institute of Museum and Library Services (IMLS) as an independent agency of the US federal government established in 1996. It is the main source of federal support for libraries and museums within the US to advance, support and empower them. Now they are to be stymied by law. “It marks the next step of the administration eliminating government entities Trump deems ‘unnecessary’ and it follows weeks of the Department of Government Efficiency, helmed by Elon Musk, slashing entire agencies, cutting off funds and instituting mass layoffs of federal workers.”
A Sri Lankan woman with a doctorate in Library and Info Science, living in Singapore, co-heads a unit in the American Library Association (ALA). She comments the IMLS was doing great work in disbursing grants to libraries and librarians to explore uncharted territories such as the use of AI. Trump clipping its wings to decrease federal expenses is a disaster, she opines.
Another agency on the chopping list of Trump and Musk is the US Agency for Global Media, which supervises US government funded media outlets globally including the Voice of America (VOA). Trump being a big critic of this agency is well known.
On Wednesday 19th, I heard a video clip with Fareed Zakaria speaking on cuts on research in universities which he termed Trump’s “fury on academia” which is making drastic cuts on research funding and other funding to State universities in a bid to stop federal spending. Zakaria said that the US had 72% of the world’s best 25 universities. Also quoted was J D Vance who said: “We have to attack universities. University professors are our worst enemies.” (When the VEEP says such, an echo to Donald Musk, I wonder how his wife, an Indian intellectual reacts.)
Proved without doubt is what Sashi Tharoor said while on a visit to the US. He had met and spoken with the Presidents Bush; Clinton and Obama who showed personal mannerisms that distinguished American Presidents. They had statesmanlike gravitas “which I find totally lacking in this gentleman.” Referring to Trump with apologies for an Indian MP commenting thus. Personal not politics, he added.
All this is the bad news of this article. Considering Sri Lanka, we are so fortunate to have sensible persons as head of government and most ministers. You can bet your last thousand rupee note on our government not stinting on essentials like educational institutions and education; bankrupt though we be.
Vetoing excessive use of IT Now for the good news, at least to traditionalists and those averse to, or afraid of too rapid advancement of Information and Communication Technology (ICT). We of the Baby Boomer Generation 1946 – 64, even Silent Gen 1928-45, Generation X 1965 -80 are somewhat aghast at how readily, almost frantically, all ICT is grasped and incorporated in business, commerce, even education.
In Sweden they are cutting back drastically on use of electronic devises in schools: “Teachers all across the country are placing new emphasis on printed books, quiet reading time, handwriting practice and devoting less time to tablets, independent online research and keyboarding skills. The return to more traditional ways of learning is a response to politicians and experts questioning whether Sweden’s hyper-digitalized approach to education, including the introduction of tablets in nursery schools, had led to a decline in basic skills. Sweden’s minister for schools, Lotta Edholm, who took office 11 months ago as part of a centre-right coalition government, was one of the biggest critics of the all-out embrace of technology. “Sweden’s students need more textbooks. Physical books are important for student learning.”
So very true, I echo. Not just theoretically but from experience.
We of the school generation of more than half century ago learned in the pirivena style of teaching and learning, where teaching was all important and learning left much to the child’s inclination. Competition was less then and parents left their kids to study at their own pace. By ‘pirivena style’ I mean the teacher teaches (or lectures) and students absorb the imparted knowledge or often fritter their school time away. But from that generation emerged experts in various fields, some of whom made their name overseas too: doctors, astronomers, economists et al.
Education is of course much better and will certainly bring better results if there is insistence on student learning undertaken by each student. Guidance is necessary hence the need for good teachers. The project method of teaching and learning (names of teaching systems would have changed with time) was an excellent way of getting knowledge across to the child. The teacher outlines a subject area, say countries of the world, and gives detailed outlines of what is needed to be found. Students, singly or in groups, work in the library with reference books and write out reports on the country he/she/they were assigned. Submitted reports are edited by the teacher, rewritten, read out by the leader of each group or individual student, and kept available in class. Thus students engage in self-learning and share their knowledge so the entire class knows about the assigned countries. Of course now it would be internet etc that is consulted by the students, but following Sweden’s example, insistence on consulting printed books too needs to be done; and writing.
I heard a British educationist who said she was of the opinion that going back to traditional methods of education in schools is a must since research has proved that IT learning fell short of what education should be. So two of the three traditional Rs should be brought back to importance and incorporated in school education. This is particularly advisable in poor countries like Sri Lanka. We know how some students – less financially able, living in remote areas – were drastically affected during Covid times when teaching was on-line.
I left teaching long ago. Sure the Education Department of Sri Lanka has incorporated new methods of teaching. Good to hear more on this subject.
Features
FUNNY THINGS HAPPENED AT GUY’S HOSPITAL, LONDON

The General Elections were drawing near. There was concurrently a disturbing trend manifesting itself. A vociferous group were demanding that the elections be postponed for a further period, because the government was unable to complete its “progressive” social and economic programme, due to reasons beyond its control such as the insurgency of 1971. the oil price hike, the food crisis and so on. These arguments were patently absurd. The government had already extended its term of office by two years consequent to the introduction of the new constitution.
Now, a group of people were orchestrating a campaign for a further extension. At various public meetings where the Prime Minister attended, members of this group raised their voices and demanded a further extension of time. It appeared to take the form of a popular agitation exerting pressure on the government. No doubt, various persons holding similar views would have been speaking to the Prime Minister personally about the same issue. The whole thing seemed well orchestrated.
It was in this context that one day, she asked my opinion about the matter. I replied that I had always spoken absolutely frankly to her on any and all matters, and in the same spirit all I could say was that any attempt to extend the life of the government would be a total disaster, both for herself and the country. I went on to speak about her considerable achievements, as the world’s first woman Prime Minister; probably also as the first woman to be leader of the opposition in a parliamentary democracy, Head of the Non-Aligned Movement; honouredby the ILO, by their invitation to her, to deliver the keynote address at one of their inaugural sessions; honoured by the FAO by the award of the CERES medal in recognition of her personal and successful leadership of the food production drive consequent to the difficulties of 1974/75; honoured by the United Nations by their invitation to her to deliver the keynote address, at the first UN Conference on Women and Development and other achievements. \
Then I told her that if elections were not held at the proper time, the position in the country could get unmanageable, and she would face the charge of destroying democracy in Sri Lanka. I had to be hard, because it was evident that many people had created for her, some kind of fantasy world, and she was getting confused. As was customary, she listened to what I had to say with grace and thanked me for being candid. Then she said, “l have asked WT also, and he said the same thing.”
That was the Prime Minister. She was always prepared to listen to different views, after which, she made up her mind. The dose of reality administered by WT Jayasinghe and myself, two public servants who had nothing to do with politics, would no doubt have helped her to take the final decision of holding elections.
Dealing with political personalities
Before I get to the election itself, I wish to refer to one or two other matters. One of the more important of these relates to some of the political personalities I had to work with, other than the Prime Minister. These included the Minister of Trade, Mr. TB Illangaratne; Mr. Hector Kobbekaduwa, Minister of Agriculture and Dr. Colvin R. de Silva, Minister of Plantation Industries, among others. My dealings with Mr. Maithripala Senanayake, I will refer to separately.
The fact was, that at some time or other one had to deal with practically all members of the Cabinet, since all of them had some business to transact with the Prime Minister’s Office at various times. Some of the ministers I have mentioned had more to do with us, both because of their seniority and the sensitive and important nature of their portfolios. My policy was equal attention and equal treatment for everyone. The internal politics between them did not concern me; neither did the state of relations between the parties in the coalition.
These were political issues that had to be resolved at other fora. I saw my job as attending fairly and diligently to any request or advice sought. There was a creative element in this, because, knowing the prime minister’s mind on many matters I was at times able to steer ministers and others away from courses of action which could have negative consequences. Therefore, many ministers dropped in to discuss some sensitive matter or sometimes to seek advice how best to handle a given situation with the prime minister.
They knew that they could repose trust in the confidentiality of such conversations. At the same time, when I thought that the prime minister had to be briefed on some developing situation, I always said openly that I would have to do so. In some circumstances, the relevant minister and I. only discussed a suitable approach. I did not view my duty to the prime minister as one entailing the carrying of tales or the retailing of gossip and rumours.
However, whenever relevant, gossip and rumours were checked out, because beneath them could lie some real problems. Occasionally, when something was beyond our competence to check, and if it looked important enough the prime minister was briefed. This approach begot a great deal of trust and confidence, so much so that on one occasion, Dr. Colvin R. de Silva told me that he as well as others in the LSSP were extremely sorry that I would not be available for appointment, when a vacancy occurred in the post of Secretary, in the Ministry of Communications, a ministry then held by Mr. Leslie Goonewardena, a senior LSSP minister. In his booming voice, he paid me the compliment of saying that they were not only looking for a secretary but also “a man.”
Besides dealing with ministers and government personalities, the secretary to the prime minister had also to deal with many opposition personalities. They received the same treatment as anybody else. If a request was valid, one worked to grant it. If in a particular instance, politics were proving to be an irrelevant and extraneous factor, one proceeded to remove it. Sometimes, this necessitated talking to the prime minister, and if she too were inclined to see only the politics, one analyzed the issue and pointed out that politics had no relevance to the issue, and that in her position she had to do the right thing. All this meant extra work and effort, but I considered it as part of a duty that had to be performed.
In this context, I was able at times to resolve genuine problems faced by opposition MP’s and personalities such as Mr. R. Premadasa, Mr. Gamini Dissanayake, Mr. Lalith Athulathmudali and others. My belief was that the prime minister’s office of a country should act fairly and justly on all matters referred to it subject to overall government policy. When the occasion so demanded, my endeavour was to point out that irrelevant or extraneous considerations could not be the foundation of good policy. They could be petty revengeful acts, harassment or abuse of power, but never policy, and it was my firm belief that those at the helm of affairs of a country should always distinguish between these.
All these meant an addition to an already nearly crippling workload. There were even times when one continued to work when one had fever, in order to meet impending deadlines. Indeed, there were a few occasions during the seven years I held this post, that when I eventually reached home in the night my temperature had risen to over 104°F.
(Excerpted from In Pursuit of Governance,
autobiography of Dharmasiri Peiris,
Secretary to the Prime Minister)
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