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Doctors of Medicine

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Wondering what this brouhaha was about surgeons of the Lady Ridgeway Children’s Hospital, I asked a physician at the hospital what it was all about – on Monday September 28. Imagine my surprise she did not know even half the story but said there had been a complaint by Prof A H Sheriffdeen which had gone viral on social media. Thus it was not a major happening. Then a signed, collective letter was sent by the Surgeons of the LRH to the President/ Sri Lanka College of Surgeons, to which person and body the Prof had directed his letter of complaint. The surgeons of the LRH concisely explained all that had happened, saying the boy was operated on and went home. The professor’s letter of complaint was emotive ending thus: “I am writing this as therapy for my depression. The foul taste will not go away. As a Medical administrator once said, ‘Patients will die, it cannot be helped!’” In his letter, the Professor does not mention he is writing consequent to a telephone conversation the father of the child had with him; the father being overseas

 

Dedicated doctors of the past

Reading the two letters, I was reminded of all the dedicated doctors my family and I have been medically treated by, family meaning my childhood one and my married family of husband and sons..

Kandy residents of long ago will remember the two doctors who had their clinic at the end of the street along which advocates and proctors had their offices and was fronted by St Paul’s Church. Mrs McGill was the ample nurse in starched white dress and triangular cap. Drs Anthonisz and Winn were Burgher but appeared European in dress and demeanour. People respected them. They charged for drugs (liquid always) dispensed by Pharmacist Talwatte. Grandfather would deliver two bags of the best rice at harvest to their homes.

Forties Kandy had one specialist physician – Dr Somasunderam; and Dr Attygalle was surgeon in the Kandy hospital until in the 1950s smart Dr Ivor Obeysekera swept into town with his wife driving her own car – a rarity then in sleepy Kandy town. Then came GPs and later Gyn and Ob specialist Dr Ariyaman Mendis with his new and, to persons like Mother, radical ideas for women who had delivered babies. No lying in bed for them. You had to get out of bed the next day and bath; help with care of baby; and the new born was given nothing for 12 hours. Mother advised dodging the bath until the ‘kola’ bath was had – seven kinds of leaves boiled and the new mother sponged with the leaves and bathed warm with the water. Heavenly!

The best GP in Colombo was Dr Raffel who was available 24X7: in his clinic in Wellawatte for long hours during the day and on call at night. Getting a general practitioner down to the home to see a patient is a mercy of the past. We now have ‘organizations’ which necessitate annual membership for house calls. This service too is appreciated, though a home call costs anything from Rs 3,000 upwards.

 

Dedicated duo

The doctors Navaratnam living at the bottom of TG Jayawardena Mawata, then Clifford Road, in Kollupitiya, were unique. We adopted them as our family doctors after we took a neighbour’s child who was suffering a fit with high fever. Dr A T Navaratne was home, his wife having gone to deliver a baby. He said he could not treat the child as he was in government service but we could place the kid on the consultation bed to await the return of his wife.

I am eternally grateful to the two of them since they treated us for full fifty years. Dr Vimala was our children’s doctor so she saw them through the triple given to infants and then other shots and colds and coughs and mumps and measles. She even helped with certificates when they applied for higher studies overseas. The doctors charged a very nominal fee and then made it free for all patients. I was bold enough to ask Dr A T why they did not charge from those who could afford it. “We work for a couple of embassies and hotels, so we earn enough.” When he died, Dr Vimala told me, he had no banked money at all.

Dr Vimala was tough, had a couple of stipulations which people sometimes protested against. She was also the recipient of abuse by rabid Sinhalese during times of ethnic disturbance. But never once did they desert their patients or keep their clinics closed. They are both no more and we are so much the poorer, and bereft.

 

Critics

There are those who criticize the specialist doctors of now. Consultation fees are very high, but the hospitals they hold their consultations in take a good slice off. Most do not charge for a second visit if it is within five days of the first and reports have to be shown.

One criticism is that time does not seem to matter to them and patients have to wait very long to consult them. But some of them are thus due to sheer pressure and load of seeing patients. My domestic underwent laser treatment of varicose veins under specialist Dr Caseem. On her post operation visit, we were scheduled to see the doctor at 9.30 pm. We were informed over the phone it would be later, twice, and finally we consulted him close upon midnight. But all was forgiven when he spoke to patient and carer – so considerate and so humane. He is one doctor who deigns to smile at you when he walks in and sees you in the crowd of those waiting.

Another commonly heard grouse is the battery of tests to be done. In long gone days, diagnosis was by examination and the doctor’s skill and experience coming in to play. A recent letter to the editor mentioned that some specialists order tests that cost much but may not be necessary; doctors are believed to get commissions. Hard to believe, but there are doctors, one must admit, to whom money is everything. One instance was when my brother was advised to take a test and the name of the testing doctor specified. Emerging from the consultation room, he approached a hospital official to find out how to channel the doctor for the test. It turned out the recommended doctor was the specialist’s wife and the test exorbitantly high priced. My brother managed very well without that particular test!

Some specialists have a super bedside manner, others do not talk much. But who wants talk when they are so very competent in their diagnosis and treatment.

 I know a pediatrician and a gynecologist – both women – who keep their phones in hand and answer immediately whether they are partying or traveling or with family. Immediate response to the call, even traveling to the hospital where the call originated at any time of night and day. They agree to a trip or day out if no hospitalized patients of theirs are in serious condition or expecting to be confined.

Just as in any sphere of life there are the excellent, the good and the disappointing, the same applies to doctors. However, if a generalization is permitted, I would say most of our doctor are faithful to the Hippocratic Oath they vow to abide by. I am one very grateful woman!



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Features

Acid test emerges for US-EU ties

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European Commission President Ursula von der Leyen

European Commission President Ursula von der Leyen addressing the World Economic Forum in Davos, Switzerland on Tuesday put forward the EU’s viewpoint on current questions in international politics with a clarity, coherence and eloquence that was noteworthy. Essentially, she aimed to leave no one in doubt that a ‘new form of European independence’ had emerged and that European solidarity was at a peak.

These comments emerge against the backdrop of speculation in some international quarters that the Post-World War Two global political and economic order is unraveling. For example, if there was a general tacit presumption that US- Western European ties in particular were more or less rock-solid, that proposition apparently could no longer be taken for granted.

For instance, while US President Donald Trump is on record that he would bring Greenland under US administrative control even by using force against any opposition, if necessary, the EU Commission President was forthright that the EU stood for Greenland’s continued sovereignty and independence.

In fact at the time of writing, small military contingents from France, Germany, Sweden, Norway and the Netherlands are reportedly already in Greenland’s capital of Nook for what are described as limited reconnaissance operations. Such moves acquire added importance in view of a further comment by von der Leyen to the effect that the EU would be acting ‘in full solidarity with Greenland and Denmark’; the latter being the current governing entity of Greenland.

It is also of note that the EU Commission President went on to say that the ‘EU has an unwavering commitment to UK’s independence.’ The immediate backdrop to this observation was a UK decision to hand over administrative control over the strategically important Indian Ocean island of Diego Garcia to Mauritius in the face of opposition by the Trump administration. That is, European unity in the face of present controversial moves by the US with regard to Greenland and other matters of contention is an unshakable ‘given’.

It is probably the fact that some prominent EU members, who also hold membership of NATO, are firmly behind the EU in its current stand-offs with the US that is prompting the view that the Post-World War Two order is beginning to unravel. This is, however, a matter for the future. It will be in the interests of the contending quarters concerned and probably the world to ensure that the present tensions do not degenerate into an armed confrontation which would have implications for world peace.

However, it is quite some time since the Post-World War Two order began to face challenges. Observers need to take their minds back to the Balkan crisis and the subsequent US invasions of Afghanistan and Iraq in the immediate Post-Cold War years, for example, to trace the basic historic contours of how the challenges emerged. In the above developments the seeds of global ‘disorder’ were sown.

Such ‘disorder’ was further aggravated by the Russian invasion of Ukraine four years ago. Now it may seem that the world is reaping the proverbial whirlwind. It is relevant to also note that the EU Commission President was on record as pledging to extend material and financial support to Ukraine in its travails.

Currently, the international law and order situation is such that sections of the world cannot be faulted for seeing the Post World War Two international order as relentlessly unraveling, as it were. It will be in the interests of all concerned for negotiated solutions to be found to these global tangles. In fact von der Leyen has committed the EU to finding diplomatic solutions to the issues at hand, including the US-inspired tariff-related squabbles.

Given the apparent helplessness of the UN system, a pre-World War Two situation seems to be unfolding, with those states wielding the most armed might trying to mould international power relations in their favour. In the lead-up to the Second World War, the Hitlerian regime in Germany invaded unopposed one Eastern European country after another as the League of Nations stood idly by. World War Two was the result of the Allied Powers finally jerking themselves out of their complacency and taking on Germany and its allies in a full-blown world war.

However, unlike in the late thirties of the last century, the seeming number one aggressor, which is the US this time around, is not going unchallenged. The EU which has within its fold the foremost of Western democracies has done well to indicate to the US that its power games in Europe are not going unmonitored and unchecked. If the US’ designs to take control of Greenland and Denmark, for instance, are not defeated the world could very well be having on its hands, sooner rather than later, a pre-World War Two type situation.

Ironically, it is the ‘World’s Mightiest Democracy’ which is today allowing itself to be seen as the prime aggressor in the present round of global tensions. In the current confrontations, democratic opinion the world over is obliged to back the EU, since it has emerged as the principal opponent of the US, which is allowing itself to be seen as a fascist power.

Hopefully sane counsel would prevail among the chief antagonists in the present standoff growing, once again, out of uncontainable territorial ambitions. The EU is obliged to lead from the front in resolving the current crisis by diplomatic means since a region-wide armed conflict, for instance, could lead to unbearable ill-consequences for the world.

It does not follow that the UN has no role to play currently. Given the existing power realities within the UN Security Council, the UN cannot be faulted for coming to be seen as helpless in the face of the present tensions. However, it will need to continue with and build on its worldwide development activities since the global South in particular needs them very badly.

The UN needs to strive in the latter directions more than ever before since multi-billionaires are now in the seats of power in the principle state of the global North, the US. As the charity Oxfam has pointed out, such financially all-powerful persons and allied institutions are multiplying virtually incalculably. It follows from these realities that the poor of the world would suffer continuous neglect. The UN would need to redouble its efforts to help these needy sections before widespread poverty leads to hemispheric discontent.

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Features

Brighten up your skin …

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Hi! This week I’ve come up with tips to brighten up your skin.

* Turmeric and Yoghurt Face Pack:

You will need 01 teaspoon of turmeric powder and 02 tablespoons of fresh yoghurt.

Mix the turmeric and yoghurt into a smooth paste and apply evenly on clean skin. Leave it for 15–20 minutes and then rinse with lukewarm water

Benefits:

Reduces pigmentation, brightens dull skin and fights acne-causing bacteria.

* Lemon and Honey Glow Pack:

Mix 01teaspoon lemon juice and 01 tablespoon honey and apply it gently to the face. Leave for 10–15 minutes and then wash off with cool water.

Benefits:

Lightens dark spots, improves skin tone and deeply moisturises. By the way, use only 01–02 times a week and avoid sun exposure after use.

* Aloe Vera Gel Treatment:

All you need is fresh aloe vera gel which you can extract from an aloe leaf. Apply a thin layer, before bedtime, leave it overnight, and then wash face in the morning.

Benefits:

Repairs damaged skin, lightens pigmentation and adds natural glow.

* Rice Flour and Milk Scrub:

You will need 01 tablespoon rice flour and 02 tablespoons fresh milk.

Mix the rice flour and milk into a thick paste and then massage gently in circular motions. Leave for 10 minutes and then rinse with water.

Benefits:

Removes dead skin cells, improves complexion, and smoothens skin.

* Tomato Pulp Mask:

Apply the tomato pulp directly, leave for 15 minutes, and then rinse with cool water

Benefits:

Controls excess oil, reduces tan, and brightens skin naturally.

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Features

Shooting for the stars …

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That’s precisely what 25-year-old Hansana Balasuriya has in mind – shooting for the stars – when she was selected to represent Sri Lanka on the international stage at Miss Intercontinental 2025, in Sahl Hasheesh, Egypt.

The grand finale is next Thursday, 29th January, and Hansana is all geared up to make her presence felt in a big way.

Her journey is a testament to her fearless spirit and multifaceted talents … yes, her life is a whirlwind of passion, purpose, and pageantry.

Raised in a family of water babies (Director of The Deep End and Glory Swim Shop), Hansana’s love affair with swimming began in childhood and then she branched out to master the “art of 8 limbs” as a Muay Thai fighter, nailed Karate and Kickboxing (3-time black belt holder), and even threw herself into athletics (literally!), especially throwing events, and netball, as well.

A proud Bishop’s College alumna, Hansana’s leadership skills also shone bright as Senior Choir Leader.

She earned a BA (Hons) in Business Administration from Esoft Metropolitan University, and then the world became her playground.

Before long, modelling and pageantry also came into her scene.

She says she took to part-time modelling, as a hobby, and that led to pageants, grabbing 2nd Runner-up titles at Miss Nature Queen and Miss World Sri Lanka 2025.

When she’s not ruling the stage, or pool, Hansana’s belting tunes with Soul Sounds, Sri Lanka’s largest female ensemble.

What’s more, her artistry extends to drawing, and she loves hitting the open road for long drives, she says.

This water warrior is also on a mission – as Founder of Wave of Safety,

Hansana happens to be the youngest Executive Committee Member of the Sri Lanka Aquatic Sports Union (SLASU) and, as founder of Wave of Safety, she’s spreading water safety awareness and saving lives.

Today is Hansana’s ninth day in Egypt and the itinerary for today, says National Director for Sri Lanka, Brian Kerkoven, is ‘Jeep Safari and Sunset at the Desert.’

And … the all-important day at Miss Intercontinental 2025 is next Thursday, 29th January.

Well, good luck to Hansana.

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