Opinion
Illness and Consciousness – A personal experience
In the absence of such studies, the result is a heavy reliance on signs (lab reports, ECG, cardiogram, scanning, X-rays, etc.,) while downplaying symptoms. The doctors spend more time studying the reports rather than talking to the patient. The net result is that the hospitals are treating illnesses rather than patients. This also makes a good business opportunity for private hospitals in testing and treatment.
By Dr. Gamini Kulatunga
I had a slight fall at home with no injuries. But momentarily I lost my memory and I could not recollect how I fell. This condition is called ‘transient global amnesia’ caused by a sudden disruption of blood flow to the brain. While recovering from this ‘transient ischemic attack’ (TIA), I have been pondering over the experience I had, as a patient, with medicine and treatment, from an engineering perspective.
The diagnosis of a disease is based on objective and subjective aspects namely, signs and symptoms. The signs are quantitative and generally assigned values by the doctor whereas, the symptoms are mostly qualitative descriptions given by the patient. The weights given to signs and symptoms play a vital role in the diagnosis.
Most of the time, the patients do not distinguish the difference between cure and treatment as these terms are considered as synonyms by the non-medical personnel. A treatment is something that healthcare providers do for their patients to control a health problem, lessen the symptoms or clear it up. A cure is when treatment makes health problem go away and it’s not expected to come back. There are idiopathic diseases with unknown aetiology for which cures are replaced by treatment.
In my case, the troponin, an enzyme present in the blood, which indicates plaque formation in arteries and the ECGs showed signs of a mild heart attack. But, I have had a thickened heart muscle called Hypertrophic Cardiomyopathy (HCM) for a long time and I also take treatment for a mild kidney malfunction. These two factors, too, contribute to high troponin level in the blood. There were no other signs in the echo-cardiogram to justify further investigation.
I was to be sent to the ICU for monitoring but as I did not feel that ill, I asked the doctor to send me to a room with emergency facilities. The doctor asked me why I was reluctant to and I said the stress of spending a night in the ICU may trigger a heart attack. I was vindicated by the ECGs taken before and after admission to the hospital. The ECG on admission showed an abnormality which was not there before and after.
When I met the cardiologist, later, he said without an angiogram a definite opinion cannot be given but he asked me to see him in six months’ time. This I took as a green light and I ignored the reference to do an angiogram.
Back at home convalescing, I feel dizzy at times. My blood pressure was measured at home, while lying down and seated, which showed a drop in pressure when the position is changed. I was advised to change my postures very slowly to avoid dizziness and the symptom is called Benign Paroxysmal Positional Vertigo (BPPV).
I am taking things easy and resumed my gentle Tai Chi exercises that concentrate on relaxing muscles to allow body fascia to come into full operation. I feel a remarkable change of interconnectedness of the body and I keep wondering whether it is my experience or belief. David Chalmers in his book “The Character of Consciousness” explains this entanglement. I think it is a moot point to seek the difference as Harvard Medical School Guide to Tai Chi describes how effective motor-imagery is. Further, Bruce Lipton’s “Biology of Belief” describes how placebos and nocebos affect us.
As a mechanical engineer, I imagine the heart as a positive displacement diaphragm pump assisted by the calf muscles acting as a peristaltic pump (it is called the second-heart). The two pumps work as constant volume devices subject to compliance to accommodate slight changes.
The factors that influence blood flow are: volume, pressure, compliance, viscosity, blood vessel length and diameter.
The governing equation is: Volume per beat V = ΠΔPr4/8ƞλ
∆P – pressure difference, r – radius of blood vessel, ƞ – viscosity and λ – length of blood vessel
My speculation, not based on any medical literature, as a mechanical engineer is as follows.
In my old age of 78, the pumping system will be de-rated due to deterioration of the two pumps, the four heart valves, non-return valves in the veins and numerous blood vessels spread all over the body. The lymphatic system has no independent circulation system but makes use of the blood circulation system.
As a result, if less blood flow takes place, the pressure will drop or the viscosity will increase. Generally, then a blood thinning drugs is administered. To accommodate less flow, the blood vessels could reduce their diameter by building up plaque which consists of fat, cholesterol (a substance needed by the body to build healthy cells), cellular waste products, calcium and fibrin. To clear the pathways normally, cholesterol reducing drugs are administered or in the extreme cases, stents are inserted. By-pass surgery is also common in the case of a blockage in the heart. But food control, exercise and relaxation would reduce the inflammation of the inner artery walls.
The body’s homeostasis properties may reduce blood vessels’ diameter, by depositing plaque, if compliance cannot cope with it. The heart may also have redundancy built-in to find alternative pathways in case of a restriction.
More importance must be given to seeking the connection between consciousnesses and functioning of the body’s organs. Psychoneuroimmunology is one such attempt but by and large, placebo and nocebo effects are considered epiphenomena that hinders drug testing. This is the result of heavy dualism still pervading science, despite quantum behaviour. At present, consciousness is treated as a mere epiphenomenon of the brain belonging to pseudoscience. The micro-physical laws need to be expanded to cover psychophysical laws.
In the absence of such studies, the result is a heavy reliance on signs (lab reports, ECG, cardiogram, scanning, X-rays, etc.,) while downplaying symptoms. The doctors spend more time studying the reports rather than talking to the patient. The net result is that the hospitals are treating illnesses rather than patients. This also makes a good business opportunity for private hospitals in testing and treatment.
This is not a critique of the medical care I received, at a private hospital, which was very good. It is more or less my views on what has to be done to improve patient care.
Notes:
Systolic blood pressure is defined as the pressure exerted on the artery walls by the heart. But the measurement is taken when flow stops. This is the maximum pressure that the heart can produce and not the system’s pressure.
The systolic pressure varies with age. At 40 years the average pressure for men is around 110/68 mm Hg and it goes up to 133/69 at around 60 years. These figures are based on statistical studies and individuals could be at the ends of the bell-curve.
The pulse rate in adults remains in the range of 60 to100 beats per minute without much variation with age. However, it varies with bodily changes. If the pulse rate remains constant it is an indication that the heart is not responding to signals from the body, which is not a good sign.
The blood vessels and the diaphragm are pliable and could accommodate slight variation in capacity. The system acts as a surge chamber to even out the pressure waves.
Homeostasis of the body would keep the volume flow the same by accommodating high pressure by restricting the flow through plaque formation on the inner walls of the blood vessels. Unnecessary intervention, through drugs and surgery, may tip the balance with unwanted complications.
Opinion
War with Iran and unravelling of the global order – II
Broader Strategic Consequences
One of the most significant strategic consequences of the war is the accelerated erosion of U.S. political and moral hegemony. This is not a sudden phenomenon precipitated solely by the present conflict; rather, the war has served to illuminate an already evolving global reality—that the era of uncontested U.S. dominance is in decline. The resurgence of Donald Trump and the reassertion of his “America First” doctrine reflect deep-seated domestic economic and political challenges within the United States. These internal pressures have, in turn, shaped a more unilateral and inward-looking foreign policy posture, further constraining Washington’s capacity to exercise global leadership.
Moreover, the conduct of the war has significantly undermined the political and moral authority of the United States. Perceived violations of international humanitarian law, coupled with the selective application of international norms, have weakened the credibility of U.S. advocacy for a “rules-based international order.” Such inconsistencies have reinforced perceptions of double standards, particularly among states in the Global South. Skepticism toward Western normative leadership is expected to deepen, contributing to the gradual fragmentation of the international system. In this broader context, the ongoing crisis can be seen as symptomatic of a more fundamental transformation: the progressive waning of a global order historically anchored in U.S. hegemony and the emergence of a more contested and pluralistic international landscape.
The regional implications of the crisis are likely to be profound, particularly given the centrality of the Persian Gulf to the global political economy. As a critical hub of energy production and maritime trade, instability in this region carries systemic consequences that extend far beyond its immediate geography. Whatever may be the outcome, whether through the decisive weakening of Iran or the inability of external powers to dismantle its leadership and strategic capabilities, the post-conflict regional order will differ markedly from its pre-war configuration. In this evolving context, traditional power hierarchies, alliance structures, and deterrence dynamics are likely to undergo significant recalibration.
A key lesson underscored by the war is the deep interconnectivity of the contemporary global economic order. In an era of highly integrated production networks and supply chains, disruptions in a single strategic node can generate cascading effects across the global system. As such, regional conflicts increasingly assume global significance. The structural realities of globalisation make it difficult to contain economic and strategic shocks within regional boundaries, as impacts rapidly transmit through trade, energy, and financial networks. In this context, peace and stability are no longer purely regional concerns but global public goods, essential to the functioning and resilience of the international system
The conflict highlights the emergence of a new paradigm of warfare shaped by the integration of artificial intelligence, cyber capabilities, and unmanned systems. The extensive use of unmanned combat aerial vehicles (UCAVs)—a trend previously demonstrated in the Russia–Ukraine War—has been further validated in this theatre. However, unlike the Ukraine conflict, where Western powers have provided sustained military, technological, and financial backing, the present confrontation reflects a more direct asymmetry between a dominant global hegemon and a Global South state. Iran’s deployment of drone swarms and AI-enabled targeting systems illustrates that key elements of Fourth Industrial Revolution (4IR) warfare are no longer confined to technologically advanced Western states. These capabilities are increasingly accessible to Global South actors, lowering barriers to entry and significantly enhancing their capacity to wage effective asymmetric warfare. In this evolving context, technological diffusion is reshaping the strategic landscape, challenging traditional military hierarchies and altering the balance between conventional superiority and innovative, cost-effective combat strategies.
The war further exposed and deepened the weakening of global governance institutions, particularly the United Nations. Many of these institutions were established in 1945, reflecting the balance of power and geopolitical realities of the immediate post-Second World War era. However, the profound transformations in the international system since then have rendered aspects of this institutional architecture increasingly outdated and less effective.
The war has underscored the urgent need for comprehensive international governance reforms to ensure that international institutions remain credible, representative, and capable of addressing contemporary security challenges. The perceived ineffectiveness of UN human rights mechanisms in responding to violations of international humanitarian law—particularly in contexts such as the West Bank and the Gaza Strip, and more recently in Iran—has amplified calls for institutional renewal or the development of alternative frameworks for maintaining international peace and security. Moreover, the selective enforcement of international law and the persistent paralysis in conflict resolution mechanisms risk accelerating the fragmentation of global norms. If sustained, this trajectory would signal not merely the weakening but the possible demise of the so-called liberal international order, accelerating the erosion of both the legitimacy and the effective authority of existing multilateral institutions, and deepening the crisis of global governance.
Historically, major wars have often served as harbingers of new eras in international politics, marking painful yet decisive transitions from one order to another. Periods of systemic decline are typically accompanied by instability, uncertainty, and profound disruption; yet, it is through such crises that the contours of an emerging order begin to take shape. The present conflict appears to reflect such a moment of transition, where the strains within the existing global system are becoming increasingly visible.
Notably, key European powers are exhibiting a gradual shift away from exclusive reliance on the U.S. security umbrella, seeking instead a more autonomous and assertive role in global affairs. At the same time, the war is likely to create strategic space for China to expand its influence. As the United States becomes more deeply entangled militarily and politically, China may consolidate its position as a stabilising economic actor and an alternative strategic partner. This could be reflected in intensified energy diplomacy, expanded infrastructure investments, and a more proactive role in regional conflict management, advancing Beijing’s long-term objective of reshaping global governance structures.
However, this transition does not imply a simple replacement of Pax Americana with Pax Sinica. Rather, the emerging global order is likely to be more diffuse, pluralistic, and multilateral in character. In this sense, the ongoing transformation aligns with broader narratives of an “Asian Century,” in which power is redistributed across multiple centers rather than concentrated in a single hegemon. The war, therefore, may ultimately be understood not merely as a geopolitical crisis, but as a defining inflection point in the reconfiguration of the global order.
Conclusion: A New Era on the Horizon
History shows that major wars often signal the birth of new eras—painful, disruptive, yet transformative. The present conflict is no exception. It has exposed the vulnerabilities of the existing world order, challenged U.S. dominance, and revealed the limits of established global governance.
European powers are beginning to chart a more independent course, reducing reliance on the U.S. security umbrella, while China is poised to expand its influence as an economic stabiliser and strategic partner. Through energy diplomacy, infrastructure investments, and active engagement in regional conflicts, Beijing is quietly shaping the contours of a more multipolar world. Yet this is not the rise of Pax Sinica replacing Pax Americana. The emerging order is likely to be multilateral, fluid, and competitive—a world in which multiple powers, old and new, share the stage. The war, in all its turbulence, may therefore mark the dawn of a genuinely new global era, one where uncertainty coexists with opportunity, and where the next chapter of international politics is being written before our eyes.
by Gamini Keerawella
(First part of this article appeared yesterday (08 April)
Opinion
University admission crisis: Academics must lead the way
130,000 students are left out each year—academics hold the key
Each year, Sri Lanka’s G.C.E. Advanced Level examination produces a wave of hope—this year, nearly 175,000 students qualified for university entrance. Yet only 45,000 will be admitted to state universities. That leaves more than 130,000 young people stranded—qualified, ambitious, but excluded. This is not just a statistic; it is a national crisis. And while policymakers debate infrastructure and funding, the country’s academics must step forward as catalysts of change.
Beyond the Numbers: A National Responsibility
Education is the backbone of Sri Lanka’s development. Denying access to tens of thousands of qualified students risks wasting talent, fueling inequality, and undermining national progress. The gap is not simply about seats in lecture halls—it is about the future of a generation. Academics, as custodians of knowledge, cannot remain passive observers. They must reimagine the delivery of higher education to ensure opportunity is not a privilege for the few.
Expanding Pathways, Not Just Campuses
The traditional model of four-year degrees in brick-and-mortar universities cannot absorb the demand. Academics can design short-term diplomas and certificate programmes that provide immediate access to learning. These programmes, focused on employable skills, would allow thousands to continue their education while easing pressure on degree programmes. Equally important is the digital transformation of education. Online and blended learning modules can extend access to rural students, breaking the monopoly of physical campuses. With academic leadership, Sri Lanka can build a reliable system of credit transfers, enabling students to begin their studies at affiliated institutions and later transfer to state universities.
Partnerships That Protect Quality
Private universities and vocational institutes already absorb many students who miss out on state admissions. But concerns about quality and recognition persist. Academics can bridge this divide by providing quality assurance and standardised curricula, supervising joint degree programmes, and expanding the Open University system. These partnerships would ensure that students outside the state system receive affordable, credible, and internationally recognised education.
Research and Advocacy: Shaping Policy
Academics are not only teachers—they are researchers and thought leaders. By conducting labour market studies, they can align higher education expansion with employability. Evidence-based recommendations to the University Grants Commission (UGC) can guide strategic intake increases, regional university expansion, and government investment in digital infrastructure. In this way, academics can ensure reforms are not reactive, but visionary.
Industry Engagement: Learning Beyond the Classroom
Sri Lanka’s universities must become entrepreneurship hubs and innovation labs. Academics can design programmes that connect students directly with industries, offering internship-based learning and applied research opportunities. This approach reduces reliance on classroom capacity while equipping students with practical skills. It also reframes education as a partnership between universities and the economy, rather than a closed system.
Making the Most of What We Have
Even within existing constraints, academics can expand capacity. Training junior lecturers and adjunct faculty, sharing facilities across universities, and building international collaborations for joint programmes and scholarships are practical steps. These measures maximise resources while opening new avenues for students.
A Call to Action
Sri Lanka’s university admission crisis is not just about numbers—it is about fairness, opportunity, and national development. Academics must lead the way in transforming exclusion into empowerment. By expanding pathways, strengthening partnerships, advocating for policy reform, engaging with industry, and optimizing resources, they can ensure that qualified students are not left behind.
“Education for all, not just the fortunate few.”
Dr. Arosh Bandula (Ph.D. Nottingham), Senior Lecturer, Department of Agricultural Economics & Agribusiness, Faculty of Agriculture, University of Ruhuna
by Dr. Arosh Bandula
Opinion
Post-Easter Sri Lanka: Between memory, narrative, and National security
As Sri Lanka approaches the seventh commemoration of the Easter Sunday attacks, the national mood is once again marked by grief, reflection, and an enduring sense of incompleteness. Nearly seven years later, the tragedy continues to cast a long shadow not only over the victims and their families, but over the institutions and narratives that have since emerged.
Commemoration, however, must go beyond ritual. It must be anchored in clarity, accountability, and restraint. What is increasingly evident in the post-Easter landscape is not merely a search for truth, but a contest over how that truth is framed, interpreted, and presented to the public.
In recent times, public discourse has been shaped by book launches, panel discussions, and media interventions that claim to offer new insights into the attacks. While such contributions are not inherently problematic, the manner in which certain narratives are advanced raises legitimate concerns. The selective disclosure of information particularly when it touches on intelligence operations demands careful scrutiny.
Sri Lanka’s legal and institutional framework is clear on the sensitivity of such matters. The Official Secrets Act (No. 32 of 1955) places strict obligations on the handling of information related to national security. Similarly, the Police Ordinance and internal administrative regulations governing intelligence units emphasize confidentiality, chain of command, and the responsible use of information. These are not mere formalities; they exist to safeguard both operational integrity and national interest.
When individual particularly those with prior access to intelligence structures enter the public domain with claims that are not subject to verification, it raises critical questions. Are these disclosures contributing to justice and accountability, or are they inadvertently compromising institutional credibility and future operational capacity?
The challenge lies in distinguishing between constructive transparency and selective exposure.
The Presidential Commission of Inquiry into the Easter Sunday Attacks provided one of the most comprehensive official examinations of the attacks. Its findings highlighted a complex web of failures: lapses in intelligence sharing, breakdowns in inter-agency coordination, and serious deficiencies in political oversight. Importantly, it underscored that the attacks were not the result of a single point of failure, but a systemic collapse across multiple levels of governance.
Yet, despite the existence of such detailed institutional findings, public discourse often gravitates toward simplified narratives. There is a tendency to identify singular “masterminds” or to attribute responsibility in ways that align with prevailing political or ideological positions. While such narratives may be compelling, they risk obscuring the deeper structural issues that enabled the attacks to occur.
Equally significant is the broader socio-political context in which these narratives are unfolding. Sri Lanka today remains a society marked by fragile intercommunal relations. The aftermath of the Easter attacks saw heightened suspicion, polarisation, and, in some instances, collective blame directed at entire communities. Although there have been efforts toward reconciliation, these fault lines have not entirely disappeared.
In this environment, the language and tone of public discourse carry immense weight. The framing of terrorism whether as a localized phenomenon or as part of a broader ideological construct must be handled with precision and responsibility. Overgeneralization or the uncritical use of labels can have far-reaching consequences, including the marginalization of communities and the erosion of social cohesion.
At the same time, it is essential to acknowledge that the global discourse on terrorism is itself contested. Competing narratives, geopolitical interests, and selective historiography often shape how events are interpreted. For Sri Lanka, the challenge is to avoid becoming a passive recipient of external frameworks that may not fully reflect its own realities.
A professional and unbiased approach requires a commitment to evidence-based analysis. This includes:
· Engaging with primary sources, including official reports and judicial findings
·
· Cross-referencing claims with verifiable data
·
· Recognizing the limits of publicly available information, particularly in intelligence matters

It also requires intellectual discipline the willingness to question assumptions, to resist convenient conclusions, and to remain open to complexity.
The role of former officials and subject-matter experts in this discourse is particularly important. Their experience can provide valuable insights, but it also carries a responsibility. Public interventions must be guided by professional ethics, respect for institutional boundaries, and an awareness of the potential impact on national security.
There is a fine balance to be maintained. On one hand, democratic societies require transparency and accountability. On the other, the premature or uncontextualized release of sensitive information can undermine the very systems that are meant to protect the public.
As Sri Lanka reflects on the events of April 2019, it must resist the temptation to reduce a national tragedy into competing narratives or political instruments. The pursuit of truth must be methodical, inclusive, and grounded in law.
Easter is not only a moment of remembrance. It is a test of institutional maturity and societal resilience.
The real question is not whether new narratives will emerge they inevitably will. The question is whether Sri Lanka has the capacity to engage with them critically, responsibly, and in a manner that strengthens, rather than weakens, the foundations of its national security and social harmony.
In the end, justice is not served by noise or conjecture. It is served by patience, rigor, and an unwavering commitment to truth.
Mahil Dole is a former senior law enforcement officer and national security analyst, with over four decades of experience in policing and intelligence, including serving as Head of Counter-Intelligence at the State Intelligence Service of Sri Lanka and a graduate of the Asia Pacific Center for Security Studies in Hawai, USA.
by Mahil Dole
Former Senior Law Enforcement Officer National Security Analyst; Former Head of Counter-Intelligence, State Intelligence Service)
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