UHKDU Palliative Care Services Unit
By Sajitha Prematunge
Fifty six year-old Somalatha was diagnosed with end stage cancer and was already bedridden by the time she was admitted to hospital. With proper care she was able to walk again and was looking forward to making a secure future for her children. But tragedy struck Somalatha’s family again. After her husband suddenly died of a stroke, she was forced to fend for herself. Soon after her condition worsened. Unfortunately Somalatha didn’t live to see her kids receive scholarships with the help of the dedicated University Hospital, Kotelawala Defence University staff, who cared for her.
Although her name is fictitious her predicament is all too real and thousands like her die annually without vital palliative care they are denied just because they couldn’t afford it. It is true that the Sri Lankan healthcare system is one of the best in the world, in that it is almost exclusively free of charge. But no system is infallible. It is patients like Somalatha who have to bear the brunt of its shortcomings, falling through the cracks of the Sri Lankan healthcare system.
In this light, University Hospital, General Sir John Kotelawala Defence University Palliative Care Services Unit, inaugurate on February 3 should be lauded as a timely intervention, although they had been practising palliative care long before. The UHKDU Palliative Care Services Unit was initiated at a time when repeated attempts to establish such services by various institutions had failed.
“The simple definition of palliative care is to optimise the quality of life of patients and care givers or loved ones, from the moment the patient is diagnosed with a chronic illness. The definition of ‘chronic’ here has wide implications, ranging from terminal cancer, schizophrenia, chronic neurological diseases, motor neuron disease, stroke to multiple fractures. Any of these conditions require palliative care,” said Consultant Oncologist Dr. Sachini Rasnayake.
It is difficult to believe that this personage of slight build heads Palliative Care Services at UHKDU, deftly fielding inquiries of changes to medication, pain management, financial issues and fears of patients, while breaking bad news to patients as gently as possible on an all too regular basis. “The responsibility of the palliative care giver is to uplift lives of the patients physically, psychosocially and spiritually,” said Rasnayake.
UHKDU Palliative Care Services was established with four main goals in mind. The first of which was to appoint a palliative care team. Rasnayake said that having so many expert consultants from different fields within the UHKDU was an added advantage. “A number of consultants volunteered to provide their services,” said a grateful Rasnayake. She opined that this team spirit was vital in establishing palliative care services. “A team of consultant anaesthetists volunteered to conduct a pain management clinic,” said Rasnayake, who pointed out that pain management is key priority when dealing with any chronic illness. “A group of physicians volunteered to attend to medical issues of palliative care patients. Onco-surgeons and the surgical team looks into the surgical aspect of palliative care.” For example, a Percutaneous Endoscopic Gastrostomy (PEG) tube is surgically inserted into a patient’s stomach through the abdominal wall for feeding purposes. “This is much more desirable than the nasogastric (NG) tube. An NG, inserted through the nose, past the throat, and into the stomach, is very uncomfortable for the patient.”
The team at UHKDU has performed the procedure on multiple long term paralysed patients and patients with throat cancers. “Long term bedridden patients require catheter care and may suffer from urinary incontinence, accidental or involuntary loss of urine; or faecal incontinence, accidental or involuntary loss of faeces or flatus.” Rasnayake explained that indwelling catheters could cause a host of other problems such as urinary track infections. “Genitourinary (GU) surgeons are tasked with addressing such issues.” Rasnayake appreciated the fact that the few oncologists at KDU were able to volunteer for palliative care despite their heavy workload. “Palliative care at UHKDU has no designated Medical Officers. But with much difficulty we were able to secure one nurse. The whole oncology team along with the pharmacists are all experts at palliative care and are wholeheartedly supportive of this initiative.” The rest of the palliative care team consists of a dedicated group of psychiatrists, psychologists and ENT surgeons.
Their second goal is to conduct ongoing medical education programmes. She explained that the team, including the supporting staff had undergone training. “By 2022 we hope that the whole hospital staff would be trained in palliative care,” said Rasnayake hopefully. “It’s vital that everyone undergoes training, since every service accompanies a component of palliative care.” Rasnayake informed that virtual teaching clips were used to train and online assessments used to ascertain the success of candidates, validated through a certification process. “If there is one thing we learned from the COVID-19 pandemic, it’s how pragmatic and applicable virtual training is. For example training a whole staff at the same time would mean that they would have to expend vital work hours. But with virtual training clips the potential care-givers can learn at their own pace.” UHKDU, Executive Director and Senior Consultant Psychiatrist, Dr Jayan Mendis was the first to identify the crying need for a palliative care facility within the University Hospital. Mendis reiterated the significance of such an initiative, pointing out that the training students receive at the facility will be crucial.
The third goal is to provide palliative care home visits. Rasnayake explained that such a service would be beneficial to bedridden patients who experience financial constraints. “Unfortunately we still don’t have a free a
mbulance service.” Rasnayake said that while serving in Polonnaruwa the Cyril Dharmawardana Foundation provided an ambulance service free of charge, which facilitated Rasnayake’s travel to distant parts of the country so she could provide palliative care services to patients who could not afford to travel. “With home visits we can address issues such as constipation, administer IV drips, train care givers and optimise the condition of the patient’s accommodation, including lighting and ventilation.”
The fourth goal is to establish a palliative care hospice. “Palliative Care Unit, Karapitiya Teaching Hospital, Onco Sergeon Dr. Krishantha Perera has achieved just this,” said Rasnayake. “There isn’t such a hospital in Colombo.” She explained that a hospice would see to the psychosocial well being of a patient, in a homely environment, providing symptomatic support. Towards achieving their last goal KDU Vice Chancellor Major General Milinda Peiris has announced his agreement to allocate 10 such rooms from the KDU hotel, to extend this facility to short term palliative care patients. “For the first time in Sri Lankan health tourism, UHKDU has introduced the hospital hotel concept,” said Peiris. “Moreover, in an emergency the patient can be transferred to the hospital in less than five minutes.”
Rasnayake informed that a host of other services concerning palliative care is provided in-house by physiotherapists, psychologists and social workers. Providing radiation therapy at the palliative care facility is also in the works. “But to establish such services and facilities we must have the man power and resources,” Rasnayake pointed out. Rasnayake said that manpower, resources and understanding are integral to palliative care, aspects Sri Lanka is lagging behind in, compared to developed countries. “Unfortunately this has not been well communicated to the community. Most don’t know how they can provide such services,” said Rasnayake. She explained that this is the greatest difference between a hospital and a hospice. “At a hospice you can offer your services, clean and wash patients, subject to supervision, and even entertain them. In a hospital there are rules and regulations that prevents this.”
“One doesn’t have to be medically proficient to practise palliative care. Many who’ve had fallen on hard times in their lives later want to help others through such times,” said Oncology Department, Research Assistant, Dr. Sandini Liyanage. Liyanage and her ilk are stuck between a rock and a hard place. “We want to help, but there’s only so much we can do. We can only treat the patient, with chemotherapy or radiotherapy. But a lot more goes on in the patients’ lives. A terminal illness entails a host of psychosocial issues.” For example, Liyanage explained that, from the moment someone is diagnose with stage four cancer, they’ll invariably start to worry about everything from money, treatment to how to educate their children. “They will mentally fall apart.” Liyanage who is volunteering for palliative care service said that the services are available to any patient, although most who currently receive services are oncology patients. “It’s not just about treating the cancer. The families are also devastated. Cancer takes not only lives but a lot of other things from the family the patient leaves behind.”
As medical officers of palliative care those like Liyanage are able to build a complete picture about the socio-economic background of a patient by studying their history. She pointed out that most of the patients who require palliative care services are of lower socio-economic backgrounds, who were struggling to make ends meet when the illness in question exacerbated the situation.
“That’s why communication is vital. Palliative care strives to provide a patient-friendly environment,” said nurse Yashmi Kaushalya. Oncology Department nurse, the only such working full time for the Palliative Care unit, Kaushalya is a far cry from the average nurse. With a temperament befitting palliative care, Kaushalya’s calm and measured speech will no doubt assuage her patients. “As nurses we are required to communicate with patients and family members.” Palliative care nurses must be privy to psychological, physical, socio-economic problems of patients. She opined that palliative care is instrumental in caring for patients who have little family backing.
As a nurse new to palliative care, Kaushalya has not broken bad news to a patient’s family yet, for which she would accompany Rasnayake tomorrow. “It can’t be easy breaking bad news,” admitted Kaushalya. “In fact, our services have a lot more to do with caring for patients psychologically than physically,” said Kaushalya. “This is what makes palliative care nurses different from the average nurse.”
“When the patient does not have money to buy drugs, palliative care ends then and there. Although palliative care has been practised for ages, when social and financial capability is curtailed the quality of service drops. This is why social and economical support is vital,” admitted Rasnayake, who had bought drugs for patients out of her own pocket on several occasions. She reiterated that trust and continuous social care services and above all financial support is imperative for maintaining sustainable palliative care.
Rasnayake is positive that money will not be an obstacle for the continuity of the programme. Cancer Care Association founder and Chairman of the National Authority on Tobacco and Alcohol, Dr. Samadhi Rajapaksa provides much needed support, while Indira Caner Trust Director Dr. Lanka Dissanayake and Cancer Society President Anuja Karunaratne have pledged support for the programme. Rasnayake emphasised the significance of establishing a palliative care trust and a governing body to coordinate funds and all stakeholders, to ensure continued support for patients. Rasnayake appreciated the support of senior journalist and former diplomat late Bandula Jayasekara in making the programme a success.
Rasnayake readily admits that Oncology Department Head, Senior Oncologist Dr. Jayantha Balawardhane is the driving force behind the programme. Balawardhane explained that the main objectives of palliative care is to relieve and comfort patients. He pointed out that palliative care can be conducted in the ward, acute care hospital, palliative care unit or hospice, hostel, nursing home, elders home or one’s own home. “Place is immaterial when it comes to palliative care.” Balawardhane emphasized that pain relief is an integral part of palliative care. “Relieving pain is half the battle in palliative care.” Other discomforts such as bedsores, loss of bladder and bowel control adds insult to injury.
Psychosocial issues such as sense of abandonment, anger, frustration and resentment exacerbate the psychological condition of the patient. “Patients maybe embittered, therefore we must address such psychosocial issues with care,” reiterated Balawardhane. Social abandonment, resulting from stigma, due to myths such as cancer is contagious or associating those undergoing chemo or radiation therapy could adversely affect others, and busy schedules that prevent loved ones from visiting are among the major social issues faced by palliative care patients. “Cosmetic mutilation is also a major issue,” pointed out Balawardhane. Treatment results in hair loss, palloring of skin and weight loss and this contributes to patients becoming social outcasts.
“Palliative care must also respect cultural differences and religious inclinations. For example, one who may believe in reincarnation may attempt to weigh one’s merits and demerits, contemplating on where he or she would be reborn. All this contribute to the suffering of the patient,” said Balawardhane. Quoting from American neurosurgeon, pathologist and writer, Harvey Cushing, Balawardhane said that, “‘A physician is obligated to consider more than a diseased organ, more even than the whole man – he must view the man in his world’, meaning that palliative care is holistic care. Most importantly it should be patient centred, family centred.” Palliative care should be comprehensive, leaving no stone unturned, continuous and proactive, delivered by a coordinated team and subject to regular review.”
The palliative care team consists of nurse, dietician, pharmacist, occupational therapist, paramedical aid, General Practitioner, bereavement support worker, social worker, councillor, domestic care provider and even the funeral director plays a vital role in the team. Palliative care is a support system that facilitates an active lifestyle for as long as medically possible. “This requires a lot of distractions such as games like carom, card or scrabble, listening to music or watching TV.” Palliative care practitioners use their clinical expertise and judgement to anticipate problems and treat them proactively before they manifest. “Integration of psychological, emotional, social and spiritual aspects of care between patient, family and caregivers is imperative to the functioning of the palliative care process,” emphasised Balawardhane.
Palliative care trains the patient to regard dying as a normal process, by improving the quality of life for the remainder, explained Balawardhane. “Quality is subjective, it differs from person to person.” he explained that the care provider must not enforce what he or she assumes as ‘quality’ on the patient and in stead must cater to patient demand. Palliative care promotes a degree of acceptance by the patient and immediate family, regarding the final outcome and assists the patient in the decision-making process that would result in a peaceful and dignified demise. Bereavement support helps loved ones to accept loss and does not abruptly stop with the demise of patient under palliative care. “The objective is to give life to days, whatever the remaining number of days, and not give days to life.”
Dudley Senanayake: some personal anecdotes
Excerpted from the Memoirs of Snr. DIG (Rtd.) Edward Gunawardena
Dudley Senanayake was a truly charismatic leader. By his exemplary behavior he enjoyed the respect of both sides of the House. He always entered the chamber from the main doorway and walked majestically down the aisle to his seat. Almost all Members rose from their seats to show their respect.
He was an excellent debater. If he had to make a speech it was a studied contribution. He never spent his time in Parliament without making use of every minute. If he was not in the chamber he would be in discussion with his colleagues and members of the opposition as well; or he would be in the library or even learning different aspects of Parliamentary procedure from the Clerk of the House.
A remarkable characteristic of Dudley was his ability to concentrate and focus his mind on what had to be done. If he had to attend a function where he had to make a speech, he would prepare his speech in the car with his eyes closed, seemingly but not asleep. When parliamentary sessions were due he would closet himself in his room either at Woodlands or the annexe at Temple Trees for hours, sometimes smoking the pipe as well as cigarettes, concentrating on the agenda for the morrow.
This desire for solitude even led to unpredictable situations. One day during the time of the 1965 budget debate, when I visited Woodlands at about 8 pm. the PM was not in. Carolis, his man Friday, and the sergeant on duty told me that he had walked across to his brother Robert’s for dinner. When I went there I was told by William, the driver, that ‘Hamu’ had driven away alone in a friend’s car that had been parked there. Asked for the description of the car I was told that it was a black Riley, a fairly large vehicle.
Nobody knew where he had gone. It was a tricky situation. But I did not panic because I knew he was a good driver. I put up Robert who was resting. He had seen Dudley driving off. “Dudley likes to walk up and down by the beach. That’s the way he prepares his speeches, Eddie,” were Robert’s words. He also added that Dudley was sure to be in the Kinross area.
I immediately called the Colombo Traffic Branch on my walkie-talkie, got down a patrol car and traveled to St. Peter’s Place. There were no vehicles to be seen down the lane. However turning to Kinross Avenue, a black vehicle was spotted at the end of the road. To my utter relief it was the Riley. Having instructed the patrol leader to call for an unmarked car to be close to the Riley and position the marked car at the top of the lane on the Galle Road, I walked across the railway line to the beach.
In the hazy moonlight I saw the Prime Minister’s figure in the distance. I got close and kept a reasonable distance behind him. He was bare-footed and the bottoms of his trousers were rolled up.
I kept on following him. It was amazing indeed, no one appeared to have recognized him. Approaching Kinross Avenue he stopped by the railway line until a train passed. When he was opening the door of the Riley, I surprised him by saying “Good evening Sir”.
“Ha, How did you know that I was here?”
“That’s my job Sir,” was my reply. With a guffaw he invited me into the car. The drive to Woodlands was smooth. We were talking of many things all the way. When he asked me why I followed him I explained to him that ensuring his safety was my responsibility. I also told him that if he had a flat and had to change a wheel as the Prime Minister, it would be headline news. “There is something in what you say”, was his response.
It was also on this drive to Woodlands from the Kinross beach that Dudley asked me a question the answer to which probably had serious consequences in the UNP. “Gunawardena, what do you think of this man Menikdiwela?” he asked me. Before I could ask him the reason, he said that he thought Joe Karunaratne (his private secretary) needed some assistance.
I knew Menikdiwela as a DRO in the Warakapola area when I was the ASP Kegalle. He was a very down to earth, rustic, betel chewing public servant recruited as a ‘Kandyan’ under the quota system that once prevailed. Backward and taciturn he kept a distance from even the GA and other Kachcheri officers such as the DLO, AFC and even officials of his own rank, the RDO and SSO. But he was a man of the times, with excellent rapport with the ordinary rural folk. Dudley probably wanted my opinion because I was the ASP Kegalle.
I knew Joe Karunaratne also very well. As such I was able to give a full and comprehensive answer to the Prime Minister’s question. I told him that I knew Joe well. Honourable and accepted in the highest circles, his Colombo 7 upbringing was an impediment to empathizing with people that mattered politically, particularly ordinary village folks and the Buddhist clergy. I still vividly remember the words that I used in my reply to the Prime Minister’s question. “Good to have a man like that, Sir. I know Joe well He is not comfortable meeting Buddhist priests and villagers. Menikdiwela is a ‘bulath hapaya’ sort who can handle them. Good fellow to meet the people coming from the electorate”.
The Prime Minister got the reply that he probably liked to have. Menikdiwela was able to thus became close to the top echelons of the UNP. The rest is history.
As a parliamentarian, Dudley not only enriched the quality of debate and deliberation, he epitomized dignity and decorum. His voice was that of a leader. When he spoke there was rapt attention. Seldom was he heckled. He never got angry. He sometimes pretended to be angry in the course of arguments, aggressively walking across the floor of the House was not in anger but for effect. That was his style.
Devastating wit was one of his strong assets. During the debate on the Dudley- Chelvanayakam pact I was seated in the speaker’s gallery following the proceedings. When he was speaking he was interrupted by none other than a respected parliamentarian Maithripala Senanayake. Pretending to be annoyed he stopped speaking, prompting Sir Albert Pieris the Speaker to say “Carry on Prime Minister”.
Dudley laughed and turning to the Speaker said, “Mr. Speaker, the Hon. Member for Medawachiya (Maithripala Senanayake) is Sinhala Only by day and believes in the reasonable use of Tamil by night!” There entire House roared with loud laughter. Maithripala Senanayake was then courting his wife-to- be, Lake House journalist Ranji Handy from Jaffna!
His habits, likes, dislikes and simple ways
Simplicity was the hallmark of Dudley’s life. He was a typical bachelor least concerned about the neatness of the place where he lived. At Woodlands there were only a few basic pieces of furniture. These were generally in disarray. In the drawing room was a dust laden glass cupboard with memorabilia consisting mainly of garlands of artificial flowers and empty gift boxes. The items of value had apparently been spirited away.
After his days work, in the evenings, either at Woodlands or at Temple Trees he liked to be in the bedroom dressed in sarong and bare bodied or in a banian. on numerous occasions he had got me to sit beside him on his bed and go through petitions particularly against the police, a file prepared by Joe Karunaratne. In fact once there was an anonymous petition which said that Edward Gunawardena was a Trotskyite in the University. When I read this out, he laughed and commented, “Who is the undergrad who is not a leftist?”
Dresswise, to office, Parliament and all other formal functions he wore English tussore or drill suits. To have his laundered suit ready was one of Carolis’ main tasks. He was very particular to see that his slightly graying hair was well groomed. As already mentioned Yardley Brilliantine was his hair cream. It was Robert who saw to all these needs. Once a month he took a haircut at the saloon that had been patronized even by his father, Gabriel’s Hair Dressing Saloon, Colpetty. I am not certain whether this saloon exists today. Perhaps the Bally’s Casino building has swallowed up this modest place!
He had a fair collection of Tootal ties. However, he used only one or two of these regularly. These had more of green or brown. Carolis had neatly arranged all his clothes in two wardrobes. His formal wear including socks, underwear and handkerchiefs were in one large nedun almirah. In another large almirah of teak were his bed linen, towels and sarongs. Stacked neatly in one shelf were about 10 — 15 casual shirts he was fond of wearing in the evenings, when he went out for a drive or for golf. He wore only tan leather shoes custom made by the Majestic Boot Works. Carolis was the man who polished these shoes.
As a rule he was up by 6 a.m. Sipping from a large mug of tea prepared by Carolis he would skim the newspapers before going to the washroom. He would take only about 10 minutes for his ablutions, shave and a shower, which he liked cold. Robert once told me that Dudley had been taking cold showers even when he was at Cambridge; and this was probably the reason for his bouts of catarrh.
As a rule he took his lunch and dinner at Robert’s or ate meals sent to Woodlands from his btother’s home. His favourite dishes were curried or baked seer fish and roast chicken, particularly for dinner. He did not take any alcoholic drinks, but was a heavy smoker, mainly a pipe, but smoked cigarettes too. His collection of pipes consisted mainly of Dunhill’s and Peterson’s and although he received from his friends tobacco brands such as Dunhill, Three Nuns and Balkan Sobrani, his preferred brand was the locally made Island Pride. Ardath and Markovich Black and White were his favourite brands of cigarettes.
He was generally healthy and fit but for a chronic stomach problem and occasional bouts of bleeding catarrh. Both Dudley and Robert believed in a body massage about twice a month. Don Thomas the well known masseur whose nick name was ‘pocket Apollo’ regularly visited Woodlands. Don Thomas had been the masseur attached to the Ceylon team that took part in the 1948 London Olympics at which Duncan White won a silver. The physician who attended on the Prime Minister was Dr. Lucian Gunasekera the son of Sir Frank Gunasekera who was physician to D.S. Senanayake.
Dudley was very fond of photography. On all his field trips to see him with a camera slung on his shoulder was a familiar sight. He had several expensive Canons and Nikons. The exposed reels were sent to Lake House for processing. He merely looked at the prints and put them aside. He did not care to preserve the photographs that he took in albums. Nobody really knows what has happened to the thousands of photographs that he took.
He spent quite some time dusting and cleaning the lenses of his cameras which were in almirahs and drawers here and there. Likewise, he spent much time cleaning his smoking pipes too. Sometimes he would get so engrossed in these that he lost sight of even official engagements. One day when he was operating from the annexe of Temple Trees, there were several people seated, apparently to see him. The time was 9 a.m. When I walked in Shantun Abeygoonwardena was on duty as security officer. He told me that the Prime Minister was in his room upstairs doing some work. But I was surprised when I saw that one of the persons waiting to see the Prime Minister was Hector Kobbekaduwa, the Chairman of the Public Service Commission.
I knew Hector well. He was the brother in law of Sydney Ellawala. The latter was a first cousin of Robert Gunasekera, my father-in-law to be. When I was stationed at Ratnapura I used to drop in regularly at Sydney’s on my visits to Balangoda. Hector too was a regular visitor there and it was here that I befriended him, even enjoying bathing together in the cold waters of the Belihuloya. He told me that he had come to hand over his resignation from the Chair of the PSC to the Prime Minster. The time given to him had been 9 a.m.
As it was already past 9 a.m. I hurried upstairs to the Prime Minister’s room. He was standing outside on the corridor looking skywards holding a camera lens to one eye. He had been cleaning his cameras. He was surprised when I told him that the Chairman of the PSC was seated in the lobby waiting to hand over his resignation He did not care to dress up. He asked me to bring him up immediately.
Hector was greeted very cordially and they had a long chat seated close to each other. Apparently he knew Hector well, with Sydney Ellawala being a friend and a staunch UNP supporter.
Dangerous and meticulous work copying Sigiriya frescoes in Bell era (1896)
(Excerpted from Sigiriya Paintings by Raja de Silva, retired Commissioner of Archaeology)
RE-DISCOVERY AND DOCUMENTATION (Early Visits)
The village of Sigiriya is mentioned in the 16th century book of Sinhala verse titled Mandarampura-puvata. From then on, the site seems to have disappeared from the public record until its rediscovery in the 19th century. Major Forbes of the 78th Highlanders and two companions rode from Polonnaruva through Minneriya and Peikkulam in search of Sigiriya, and reached the site early in the morning of a day in April 1831 (Forbes 1841).
They returned to the site two years later and Forbes explored further the cavernous walled gallery on the western side of the great rock, which led towards the summit. Forbes was surprised to observe a durable plaster on the brickwork of the wall, while above the gallery, especially in places protected from the elements, the plaster was seen to be painted over in bright colours. However, he was disappointed and puzzled in not recognizing any representations of the lion, which, according to local lore, gave the name of Sigiri, i.e., Sinhagiri to the rock.
The lion that eluded Forbes was tracked down by the next visitor, who remained anonymous in recording his impressions in 1851 under the title “From the notebook of a traveller” in a magazine known as Young Ceylon. This early visitor described the gallery as a long cavernous fissure, the outer edges of which were deeply grooved and a brick wall raised there, nearly to the roof. The inner surface of the “cave” was described as “covered with a coating of white and polished chunam gleaming as if it were a month old”.
Some of the plaster from the ceiling and the rock side of the gallery had fallen off, but it was noted by the visitor that “there was a profusion of paintings, chiefly of lions, which is said to have given the name of Singaghery, Sihagiri or Seegiry to the ancient site”. No other visitor had reported on these lions.
Twenty four years later, Sigiriya and the paintings were brought to public notice by TW Rhys Davids (1875), formerly of the Ceylon Civil Service, in a lecture given before the Royal Asiatic Society, London. Rhys Davids described his observation, through a telescope, of the “hollow” halfway up the western side of the rock, with its surface covered with a fine hard “chunam” plaster on which were painted figures. He mentioned that the northern (i.e., further) area of the gallery was covered with ornamental paintings (again, to be lost not long after) and thought that a large number of these may have been erased with the passage of time. By the close of the century, when the Archaeological Survey Department (ASD) commenced work at Sigiriya, these paintings had all disappeared.
TH Blakesley (1976) Public Works Department, viewed the paintings from afar in 1875, and reported for the first time on their subject, which he recognized to be female figures “repeated again and again”, showing only the upper parts of their bodies, and richly ornamented with jewellery. The figures (he said) had a Mongolian cast of features. Blakesley also examined the plaster layer adhering to the accessible parts of the main rock, and remarked on the existence of paddy husks in the ground.
Reports of the existence of paintings at Sigiriya had attracted the attention of connoisseurs of art in Sri Lanka and in England, and Sir William Gregory, the former Governor, requested Alick Murray (1891), Provincial Engineer, to attempt to reach the paintings and make reproductions of them. This proposal was sanctioned by Sir Arthur Gordon, the Governor, who gave every encouragement to the project. Murray went to Sigiriya, fired with enthusiasm for this pioneering venture, but was disappointed to discover that the local villagers would have no part of his plans for disturbing the rock chamber which, they imagined, was inhabited by demons. The populace, however, was, persuaded to clear the jungle at the base of the rock in the required direction, while Murray awaited the arrival of Tamil labourers who were urgently requested from South India.
The Tamil stone-cutters (who had no fear of Sinhala demons) bored holes in the rock face, one above the other, into which were fixed with cement, iron jumpers. As they went higher up the rock towards the cavern containing the paintings, the man of the lightest weight had to be selected to bore the holes. After a while, even this labourer found it difficult to ascend higher. He supplicated that if he were allowed three days of fasting and prayer, he might succeed in finishing the task. Murray answered his prayer in the affirmative, thinking that it might lighten the man’s weight and thereby help him to reach the pocket containing the paintings. Once this goal was reached, it was found that the rock floor was at too steep an angle to permit one to stand or even sit on it. A strong trestle or framework of sticks was made and secured to iron stanchions let into the rock floor. A platform was made and placed on the framework to enable one to lie on his back and view the paintings.
On June 18, 1889, Murray made his historic climb into the fresco pocket, and he worked for a whole week lying on his back on makeshift scaffolding to make tracings of six paintings in coloured chalk on tissue paper. The work was done, climbing up and down each day, (as he said) “from sunrise to sunset”, the only inmates of the cavern being swallows who used to “peck at him resentfully”. When his work was reaching conclusion, a few of his friends including SM Burrows, Government Agent, Matale, hazarded the climb to the pocket to visit him, and it was suggested that a memento be left behind. A bottle was obtained and in it were deposited a newspaper of the day, a few coins, and a list of names of friends who had visited him at work. Murray’s party was astonished when a Buddhist monk and a Saivite priest sought permission to enter the chamber, and they were accommodated by Murray. They prayed for the preservation of the bottle, thereby adding solemnity to the occasion of its sealing into the floor with cement – a ceremony that was accompanied by Murray and Burrows singing “God Save the Queen”.
An unfortunate result of Murray’s excellent efforts at tracing the paintings under the windiest of conditions was that, on detaching the tracing papers that had been pasted with gum on the periphery of each figure, an egg-shell thin layer of painted plaster (i.e., the intonaco) also came away revealing a white framework of the layer of ground underneath. Another deplorable result was that a few Tamil labourers had scribbled their names on the painted plaster. The copies made by Murray were stated by Bell to have been exhibited above the staircase of the Colombo Museum.
Murray described the paintings as having been done on the roof and upper sections of the sides of the chamber; that they represent 15 female figures in all, but no doubt many more had existed originally, as traces of them were to be seen. The freshness of the colours (he observed) was wonderful, curiously, green predominating. Each figure was stated to have been life-size and many were naked to the waist, the rest of the form being hidden by representations of clouds. They were arranged either singly or in sets of two, each couple representing (he said) a mistress and a maid.
Access to Fresco Pockets
In 1896, Bell made regular access to the fresco pockets possible by the construction of a vertical ladder of jungle timber from the gallery to the cemented floor that was spread on the sloping -round of the rock cavern 40′ above. The shorter and narrower pocket A was made accessible from pocket B by a floor of iron planks set on iron rods as supports let into the surface of the rock horizontally and grouted in.
The early timber ladder was replaced by an iron wire vertical ladder with safety measures of hoops of cane and wire netting around it in 1896. A spiral staircase of iron steps was constructed in 1938. Another similar staircase was recently constructed by the Central Cultural Fund (CCF) cheek-by-jowl with the earlier construction, and is used as the method of access to the fresco pocket at a point to the south of the original doorway. Visitors now use the old stairway as the exit from the pocket.
Eighty five years ago entry to the fresco pockets was restricted to those who had obtained permits from the Archaeological Commissioner. (AC).
The public has the opportunity of taking their cameras into the fresco pockets, on permits issued by the ASD, and photographing the paintings. No persons are allowed to have their photographs taken in front of the paintings, and at least two guards are stationed inside the fresco pockets as a security measure. No electronic or other flash-lights are permitted in photographing the paintings.
Documentation and Copying of the Paintings
Bell decided to photograph the pockets from a distance at the same elevation, and record the disposition of the paintings within. For this purpose a four inch hawser was let down from the summit to the ground with an iron block tied to the end. Through the block a two inch rope was passed and an improvised chair firmly tied to it, whereon the photographer took his seat. The hawser was then hauled up from the summit, 150 feet up until the chair was level with the pocket and 50 feet clear of the cliff, but due to the force of the wind that caused it to sway in the air, the photographs taken were not clear.
It took DAL Perera, Chief Draughtsman and Bell’s “Native Assistant”, a week to do an oil painting to scale, while perilously suspended in mid-air like the man on the flying trapeze. The painting was later photographed and lithographed to make a plate. From the top of the iron ladder the rock curved inwards for four feet or so to an upward rising floor of pocket B where it was not possible to safely stand or even sit on the smooth surface. As a safeguard at the head of the ladder and along the entire edge of both pockets B and A to the north of it and the ledge between them, iron standards three foot three inches in height, with a single top rail, were driven into the rock Bell stated: “Without such a handrail, a slip on the smooth inclined floor of the pocket would have meant instant death on the rocks fifty yards below.”
In the last week of March 1896, Perera made copies of six paintings in pocket B while being dangerously seated on the sloping floor. In the following year with additional safeguards and working platforms, Perera continued copying the remaining paintings in the two pockets. Bell reported that 13 of the paintings in pocket B could be easily reached from the floor, being painted on the rock wall and the lower part of the oblique roof of the cave, but they were not at one level. It was these paintings that Perera copied in 1896 and 1897 while being uncomfortably perched on the sloping floor of the fresco pocket, which had in 1897 been cemented towards the outer edge.
The painting at the extreme south, i.e., No. 14 and the fragments No. 15, 16, 17, were out of reach and well up on the roof of the pocket. To get at these paintings, it was necessary to construct a “cantilever” of jungle timber, firmly lashed to a stout iron cramp let into the rock floor. To the end of this projection was tied a rough “cage” of sticks, from which uncomfortable and perilous perch Perera made copies of the last and highest figures in pocket B.
It was even more difficult and dangerous to fix a hurdle platform outside the narrow and slippery ledge separating pocket B from pocket A and onwards to the end of this pocket. It took 10 days to construct this stick-shelf (massa). In addition to P iron bars supporting the woodwork, the whole braced strongly to thick iron cramped into the rock, the platform had to be further held up by a central hawser and side ropes, hauled taut round trees on the summit 300 feet up. When finished this improvised platform stood out 15 feet from the cliff.
It took Perera 19 weeks to complete copying the 22 paintings – 5 in pocket A and 17 in pocket B.
The constructional details and measurements given above are intended to serve several purposes: to enable the reader to appreciate the labour and expertise in 1896 exercised by the authorities in setting up the elaborate apparatus for Perera to copy and photograph the paintings – all for the love of preserving our ancient artwork; to appreciate the great care taken by Perera under perilous conditions to make such excellent copies of 22 paintings, now exhibited in the Colombo Museum, which Bell extolled in superlative terms:
“It is hardly going too far to assert that the copies represent the original frescoes as they may still be seen at Sigiriya, with a faithfulness almost perfect. Not a line, not a flaw or abrasion, not a shade of colour, but has been reproduced with the minutest accuracy”. (Journal of the Royal Asiatic Society Ceylon Branch (1897).
The details and measurements are also intended to impress upon readers the magnitude of the feats of our craftsman in ancient times, who constructed broad, long scaffoldings rising to a height of around 400 feet using jungle timber and creepers; and to marvel that the artists painted their subject so well, during a very long period upon multi-layered plaster on the wind-blown exposed rock.
“… And death will have its day” Shakespeare
Hearing of the death of Prince Philip, Duke of Edinburgh, on Saturday April 10 was like losing a family member. I acknowledged to myself that was strange for who are we to the Royal Family – the House of Windsor – not even their Commonwealth subjects now. But there was that transitory sorrow and the desire to listen to the details of his life as presented on BBC, and read about him. I found later that a young Lankan man, now domiciled in the US, felt the same. “I felt sad on hearing he had died, though he lived long enough.”
This direct descendant of Queen Victoria, a Greek Prince, gave up his citizenship and his name and became British. Much of it, as also the proposed marriage to Princess Elizabeth, was maneuvered by his ambitious uncle, Lord Louis Mountbatten. Princess Elizabeth conveniently fell in love with the dashingly handsome Naval Officer, Philip, when on a visit to the British fleet with her father King George VI, the Queen Mother and Princess Margaret. She was 13 when first attracted, and he a mature 19, already in the Royal Navy.
The Netflix film series of the House of Windsor/Mountbatten
I also ascribe his death being like the goodbye of a person known, as I had watched the Netflix film series The Crown which traces the life of the Queen from childhood up with Clair Foy playing the Princess and young Queen and Olivia Coleman playing the aging sovereign, brilliantly. Incidentally Tobias Menzies who played the role of the Duke in series three and four resembled the Prince more than the younger Matt Smith. The Crown is claimed to be true to life and therefore warts being shown, plus of course the incidents that prove the Queen’s regality, constancy, dedication and dealing tactfully with her stubbornly rash sister, five Prime Ministers including Churchill and Margaret Thatcher, when personalities clashed just a wee bit.
And then the annus horribilis – year of disaster and misfortune of family divorces and fire at Windsor Castle. In all these personal and national travails, Prince Philip stood steadily by her side; in public one step behind, and she leaned on him though steely strong herself. She acknowledged this fact and her gratitude to him on many occasions. It is accepted that Philip steered the Royal Family through troublous times. I include here Tobias Menzies’ tribute to the Duke on hearing of his death:
“If I know anything about the Duke of Edinburgh I’m fairly sure he wouldn’t want an actor who portrayed him on TV giving his opinion on his life, so I’ll leave it to Shakespeare. ‘O good old man! How well on thee appears the constant service of the antique world. When service sweat for duty, not for need. Thou art not for the fashion of these times where none will sweat but for promotion, and having that do choke their service up even with the having. It is not so with thee;’” (As You Like It – Orlando in Act 2, Sc 3)
When the Navy Officer Philip was questioned by King George VI, who with his wife did not quite approve of this seeker of their daughter’s hand in marriage due to his penury and family connections to Germany, he promised he would always stand by Elizabeth, care for her and protect her. Which he did. It was no easy task for a strong man to be consort and play second fiddle to the Queen of Great Britain, and far flung Commonwealth countries which accepted her sovereignty. She told her parents she would marry Philip and no other and the love story unsentimentally yet sincerely continued for 70 years.
Poignant and revealing
I remember well the narrative in the series of The Crown of one of his rumoured major discretions. His physio invited him for a weekend party convincing him he was under mental stress and needed relaxation and diversion. Thus while the Queen had to travel alone to Sandringham, he went off with a couple of men for a weekend of golf and drinking. It was on this occasion that Christine Keeler who rocked the political stability of Britain with her ‘charms’, was present. Photographs had been surreptitiously taken and in one, the Prince’s rear view was seen.
Princess Margaret stormed into Queen Elizabeth’s solitary breakfast with the newspaper published picture and said there was no mistaking her husband having been partying. What followed was so revealing. The Queen was devastated emotionally but was completely stoic. She was seated on a window sill in Buckingham Palace when Philip came in. She was aloof. He knelt by her and apologized. Then he sat on the window sill himself. Slowly she moved her hand to his extended arm. And he said: “I promised your father I would care for you? Haven’t I done that all these years?”
He was born in Corfu in 1921. The following year, his father, Prince Andrew of Greece, was banished from the country. The family was taken to Italy on board a British naval destroyer. The baby Philip slept in a cradle made from a box that had been used to store oranges. For the next ten years or so, he lived a peripatetic existence, with no fixed home. His mother, Princess Alice, was diagnosed with paranoid schizophrenia and consigned to a sanatorium. (Later, she sheltered Jews in Athens during the German occupation and was honored, in 1994, as Righteous Among the Nations).
Prince Andrew, the father, exited to Monte Carlo to live with a mistress. He left nothing to his children. Netflix’s BBC-approved The Crown showed that his mother, now a nun, was invited to stay with their family in Buckingham Palace, the move being more Queen Elizabeth’s. He somewhat ignored his mother, who was befriended by Princess Anne. Later, the film shows Philip walking with her to the garden beside her quarters. She died December 5, 1964 aged 84 in Buckingham Palace and was buried in St George’s Chapel, Windsor Castle, and in 1988 in the Church of Mary Magdalene, Gethsemane, Jerusalem.
All four of Philip’s sisters married Germans. One of the sisters died in 1937 with her entire family in a plane crash. He attended her funeral amid throngs of Germans giving the Nazi salute. None of them was invited for his wedding, though his mother was present, later at the coronation of the Queen, dressed in a sort of nun’s habit designed by her.
When the Duke was asked whether he had been traumatized by his fractured upbringing, with so much turmoil, he replied: “My family broke up. My mother was ill. My sisters were married, my father was in the South of France, I just had to get on with it. You do, One does.” However,the Mountbattens in Britain took him over and then his uncle Dickie, Lord Louise Mountbatten, his wife and two female cousins, welcomed him. Lord Mountbatten continued the role of mentor and advisor and later shifted to Prince Charles who was completely devastated when Lord Louis died at the hands of the IRA while sailing.
Gaffes and quotes and doing good
Of course Prince Philip had his quirks, mostly through being frank verbally. Many are the undiplomatic comments of his. “I would very much like to go to Russia,” he said at the height of the Cold War, “although the bastards murdered half my family.” I distinctly heard on TV Prince Philip give vent to annoyance at one of his final public appearances of meeting a special group of soldiers. He and others were seated while all else stood behind. The cameraman was fussing.
Then came Prince Philip loud and clear: “Take that f….. picture!” (The f-word pronounced full).
“That fierce and funny view of the world was at once a boon and a curse. It both stood Philip in good stead and, notoriously landed him in trouble which made headlines and drew accusations of racism. …. There is no denying the pressure was there from the start, long before he was forced to become a liege.” Archbishop of Canterbury, Justin Welby, said: “He consistently put the interest of others ahead of his own.”
In the New Yorker of April 9, Anthony Lane titled his article – ‘Prince Philip‘s death is the last embers of British Stoicism.” Lane wrote: “That is indisputably true and was demonstrated for decades by the sight of Philip patrolling in the slipstream of the Queen, like a frigate in the wake of an aircraft carrier – a step or two behind her, to one side with his hands diplomatically clasped behind his back. To maintain that secondary position without tiring requires a formidable level of self control, especially in a man who had once as a naval officer enjoyed command of a ship. Renouncing his own career in 1951, he was required to kneel before Her Majesty, at her coronation, two years later, and swear to be ‘liege man of life and limb.’”
He was also, considering Prince Charles’ life, too strict in his upbringing of the heir to the throne. By any measure sending him to the Spartan boarding life at Gordonstone, which he had enjoyed but was near traumatic to the sensitive Charles, was a mistake. However, to compensate, as seen in The Crown, he tried to sort things out between Charles and Diana when cracks appeared in their marriage. He spoke to her as a father saying they were both strangers and aliens in the royal family that was so different to other families, but tradition and duty called for restraint, sacrifice and dignity. He had overcome strains and restraints by taking an interest in matters global (wild life), service (his help to young people) and for recreation to polo, after being a good cricketer.
Prince Philip, Duke of Edinburgh, was much more than that. He was an outstanding global figure with peculiarities tempering a stoic, strong personality.
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