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Going through Colombo Medical School

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Colombo Medical College

Some real-life experiences

I am looking at the events of the 20th century with 21st century spectacles. Hence there are no hard feelings or anger except a fervent hope the situation has changed for the better.

My first introduction to the Medical Faculty was on registration day. It started with virtual ‘road blocks’ by seniors to round up the freshers. This was the beginning of the rag to usher in the new recruits and introduce them to a new brand of nastiness, a tradition that has prevailed since the very beginning of the institution.

This infamous ritual has become more outrageous with time. This kind of harassment went on for a further fortnight after we joined. What an introduction to a supposed sanctuary of like-minded scholars!! As I look back this behaviour was accepted by many of the staff in the Faculty and it was even encouraged by some of them.

It is the responsibility of the Vice Chancellor to stamp out ragging unless he too condoned it. Ragging has caused the death of students at Peradeniya University. I hope it is not a part of the faculty calendar anymore. I admire the stance taken by a student, Buddhadasa Bodhinayake, who stood up to those bullies and took no part in this pointless ritual.

We should move to a system available in most British universities where there is a freshers’ week. During this time there is an organized period of induction by the management and the senior students to help the newcomers to settle in.

Anatomy was taught and the dissections were done in a building that was euphemistically called the ‘Block’. Although I loved the study of anatomy, life in the Block was a nightmare. There was this need to learn the subject in such great detail which when we look back now was totally and utterly pointless. Thankfully, Dr Leicester Jayawardene was kind and reasonable.

The rest persisted in making the weekly signatures a stressful ordeal. Some tutors even enjoyed the humiliation they caused the hapless students who sat in a circle. We were surrounded by our peers waiting to grab any pearls of wisdom or to laugh at their mistakes. There was much giggling at the sarcastic comments by the tutors. That was indeed the circle of death.

Physiology and Biochemistry were taught and administered well. Prof Koch, Prof Hoover and Carlo Fonseka helped to bring some sanity onto an otherwise manic two years.

As we moved on to the third and fourth years, we gained confidence. The third year without examinations was a shelter from the turmoil and strife around me. During our holidays Nalin Nanayakkara and I went on a motorcycle journey to the central hills on his impressive red Moto Guzzi. It was a most memorable journey that will remain with me forever.

After the Block the subjects we studied seem more relevant. Prof GH Cooray, Prof HVJ Fernando, Prof Kottegoda, Prof. Chapman, Prof Abhayaratne and Prof Dissanayake were great teachers who treated the students with kindness. I admire them greatly and remember them with much affection.

Anatomy Block

In the third year we started clinical work with the stethoscopes round our necks. Whether we needed them or not it never left our collar. My first clinical appointment was with Dr Thanabalasunderam. He was a superb teacher and one of the best. He made us work hard and taught us well. His fine approach to clinical problems and their solutions has remained with me ever since.

I am ever so grateful to the Visiting Physicians of the Ragama section of the GHC for teaching me medicine. Dr Wijenaike, Dr Medonza, Dr DJ Attygalle and Dr Ernie Peiris were excellent teachers. Despite their busy schedule of ward rounds, clinics and private practice they found time to teach us clinical methods. They took great trouble to find ‘interesting patients’ with multiple clinical problems. Their efforts bore fruit as many of their students went on to be consultants in various fields of medicine with great distinction, both at home and abroad.

The surgeons who constantly deal with blood and guts had a macho image. Of the surgeons, one who will remain nameless, commanded and demanded respect. Once he was most annoyed, I didn’t stand up when he walked past me near the operating theatre. I really thought he would assault me as he raised me up by my shirt collar with my feet dangling in the air. Need I say more about such behaviour. Despite this he was a good teacher.

Dr Anthonis showed great kindness to his patients and taught his students well. Dr Niles was kind to us all and a fine tutor. His clinical classes were full of humour. He had this great ability to see the funny side of day-to-day clinical problems. It was like being at a comedy show. Darrell Weinman, the neurosurgeon, was a superb teacher. He had a special room for his ward classes which was always full to capacity. He was a showman ‘par excellence’ and taught us the whole process from history taking to examination, diagnosis and treatment with great aplomb. He was a kind man. I will not forget the concern he had for his patients.

Our clinical professors were good clinicians. They were committed to making certain that we learnt our trade well before being released to the general public. Some of their teaching methods were archaic and depended on creating an aura of fear. In the process they humiliated students and at times reduced them to tears. This was totally and utterly repulsive and unacceptable.

The total of four months I clerked with two of the professors of important subjects may have reduced my life span by a good few years. The verbal abuse and insults were relentless and damaging. Some say they would never have studied without this strict regime – now that is what I call “nonsense”. Prof Navaratne, was a notable exception. He was a kind person and never showed anger to his students. We were never terrorized or intimidated by him or his department. Didn’t we study surgery and pass the exams??

All through the five years in medical school there was this aura of fear that pervaded the corridors, wards and lecture theatres. Such an atmosphere of terror was created by a small minority of teaching staff. It amounts to bullying and psychological vandalism. This should not be tolerated in any institution. I do not think this goes on now in medical education in Sri Lanka.

Those who were bullied had no one to turn to. They were unable to complain about their ordeal. We felt nothing would be done about it even if we complained. There was always the distinct possibility of victimisation. In their fields, both professors were extremely clever and able doctors. Bullying in Universities is a recognised problem worldwide and it requires the Institution to take necessary action.

To me personally, at times, the stress that prevailed was unbearable and took its toll. Bullying destroys morale. I was at my wits end not knowing how to cope with this constant battering on a daily basis. I seldom spoke about my inner feelings. It wasn’t something I could discuss with my friends or even my parents. The result was anxiety, distress and the loss of confidence in my own ability which lasted all through my years in medical school.

I was reticent while presenting ‘clinical cases’ in the ward and at examinations where I performed poorly. It wasn’t until I emigrated to the UK that I regained my confidence. My bosses treated me with kindness and respect. They appreciated my hard work. Thankfully I enjoyed success at examinations and had a rewarding career in Radiology.

The nightmare that began as I started in the Block ended the day I passed the finals in June 1967. The relief was almost palpable. I still look back on those years with trepidation but harbour no grudges. I sincerely hope things have changed for the better.

I lament that in real life, unlike in fairy tales, stories do not always have happy endings. Thankfully, I have not been scarred for life for those traumatic five years in medical school. We were all in it together. Some withstood the pressures much better than others. What stood me in good stead was the camaraderie that existed and the friendships that I made during those gruelling years. So much time has now passed that I can maintain an emotional distance from the turmoil of the past.

By Dr Nihal D Amerasekera  ✍️



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US’ drastic aid cut to UN poses moral challenge to world

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An UN humanitarian mission in the Gaza. [File: Ashraf Amra/Anadolu Agency]

‘Adapt, shrink or die’ – thus runs the warning issued by the Trump administration to UN humanitarian agencies with brute insensitivity in the wake of its recent decision to drastically reduce to $2bn its humanitarian aid to the UN system. This is a substantial climb down from the $17bn the US usually provided to the UN for its humanitarian operations.

Considering that the US has hitherto been the UN’s biggest aid provider, it need hardly be said that the US decision would pose a daunting challenge to the UN’s humanitarian operations around the world. This would indeed mean that, among other things, people living in poverty and stifling material hardships, in particularly the Southern hemisphere, could dramatically increase. Coming on top of the US decision to bring to an end USAID operations, the poor of the world could be said to have been left to their devices as a consequence of these morally insensitive policy rethinks of the Trump administration.

Earlier, the UN had warned that it would be compelled to reduce its aid programs in the face of ‘the deepest funding cuts ever.’ In fact the UN is on record as requesting the world for $23bn for its 2026 aid operations.

If this UN appeal happens to go unheeded, the possibilities are that the UN would not be in a position to uphold the status it has hitherto held as the world’s foremost humanitarian aid provider. It would not be incorrect to state that a substantial part of the rationale for the UN’s existence could come in for questioning if its humanitarian identity is thus eroded.

Inherent in these developments is a challenge for those sections of the international community that wish to stand up and be counted as humanists and the ‘Conscience of the World.’ A responsibility is cast on them to not only keep the UN system going but to also ensure its increased efficiency as a humanitarian aid provider to particularly the poorest of the poor.

It is unfortunate that the US is increasingly opting for a position of international isolation. Such a policy position was adopted by it in the decades leading to World War Two and the consequences for the world as a result for this policy posture were most disquieting. For instance, it opened the door to the flourishing of dictatorial regimes in the West, such as that led by Adolph Hitler in Germany, which nearly paved the way for the subjugation of a good part of Europe by the Nazis.

If the US had not intervened militarily in the war on the side of the Allies, the West would have faced the distressing prospect of coming under the sway of the Nazis and as a result earned indefinite political and military repression. By entering World War Two the US helped to ward off these bleak outcomes and indeed helped the major democracies of Western Europe to hold their own and thrive against fascism and dictatorial rule.

Republican administrations in the US in particular have not proved the greatest defenders of democratic rule the world over, but by helping to keep the international power balance in favour of democracy and fundamental human rights they could keep under a tight leash fascism and linked anti-democratic forces even in contemporary times. Russia’s invasion and continued occupation of parts of Ukraine reminds us starkly that the democracy versus fascism battle is far from over.

Right now, the US needs to remain on the side of the rest of the West very firmly, lest fascism enjoys another unfettered lease of life through the absence of countervailing and substantial military and political power.

However, by reducing its financial support for the UN and backing away from sustaining its humanitarian programs the world over the US could be laying the ground work for an aggravation of poverty in the South in particular and its accompaniments, such as, political repression, runaway social discontent and anarchy.

What should not go unnoticed by the US is the fact that peace and social stability in the South and the flourishing of the same conditions in the global North are symbiotically linked, although not so apparent at first blush. For instance, if illegal migration from the South to the US is a major problem for the US today, it is because poor countries are not receiving development assistance from the UN system to the required degree. Such deprivation on the part of the South leads to aggravating social discontent in the latter and consequences such as illegal migratory movements from South to North.

Accordingly, it will be in the North’s best interests to ensure that the South is not deprived of sustained development assistance since the latter is an essential condition for social contentment and stable governance, which factors in turn would guard against the emergence of phenomena such as illegal migration.

Meanwhile, democratic sections of the rest of the world in particular need to consider it a matter of conscience to ensure the sustenance and flourishing of the UN system. To be sure, the UN system is considerably flawed but at present it could be called the most equitable and fair among international development organizations and the most far-flung one. Without it world poverty would have proved unmanageable along with the ills that come along with it.

Dehumanizing poverty is an indictment on humanity. It stands to reason that the world community should rally round the UN and ensure its survival lest the abomination which is poverty flourishes. In this undertaking the world needs to stand united. Ambiguities on this score could be self-defeating for the world community.

For example, all groupings of countries that could demonstrate economic muscle need to figure prominently in this initiative. One such grouping is BRICS. Inasmuch as the US and the West should shrug aside Realpolitik considerations in this enterprise, the same goes for organizations such as BRICS.

The arrival at the above international consensus would be greatly facilitated by stepped up dialogue among states on the continued importance of the UN system. Fresh efforts to speed-up UN reform would prove major catalysts in bringing about these positive changes as well. Also requiring to be shunned is the blind pursuit of narrow national interests.

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Egg white scene …

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Hi! Great to be back after my Christmas break.

Thought of starting this week with egg white.

Yes, eggs are brimming with nutrients beneficial for your overall health and wellness, but did you know that eggs, especially the whites, are excellent for your complexion?

OK, if you have no idea about how to use egg whites for your face, read on.

Egg White, Lemon, Honey:

Separate the yolk from the egg white and add about a teaspoon of freshly squeezed lemon juice and about one and a half teaspoons of organic honey. Whisk all the ingredients together until they are mixed well.

Apply this mixture to your face and allow it to rest for about 15 minutes before cleansing your face with a gentle face wash.

Don’t forget to apply your favourite moisturiser, after using this face mask, to help seal in all the goodness.

Egg White, Avocado:

In a clean mixing bowl, start by mashing the avocado, until it turns into a soft, lump-free paste, and then add the whites of one egg, a teaspoon of yoghurt and mix everything together until it looks like a creamy paste.

Apply this mixture all over your face and neck area, and leave it on for about 20 to 30 minutes before washing it off with cold water and a gentle face wash.

Egg White, Cucumber, Yoghurt:

In a bowl, add one egg white, one teaspoon each of yoghurt, fresh cucumber juice and organic honey. Mix all the ingredients together until it forms a thick paste.

Apply this paste all over your face and neck area and leave it on for at least 20 minutes and then gently rinse off this face mask with lukewarm water and immediately follow it up with a gentle and nourishing moisturiser.

Egg White, Aloe Vera, Castor Oil:

To the egg white, add about a teaspoon each of aloe vera gel and castor oil and then mix all the ingredients together and apply it all over your face and neck area in a thin, even layer.

Leave it on for about 20 minutes and wash it off with a gentle face wash and some cold water. Follow it up with your favourite moisturiser.

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Confusion cropping up with Ne-Yo in the spotlight

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Ne-Yo: His management should clarify the last-minute cancellation

Superlatives galore were used, especially on social media, to highlight R&B singer Ne-Yo’s trip to Sri Lanka: Global superstar Ne-Yo to perform live in Colombo this December; Ne-Yo concert puts Sri Lanka back on the global entertainment map; A global music sensation is coming to Sri Lanka … and there were lots more!

At an official press conference, held at a five-star venue, in Colombo, it was indicated that the gathering marked a defining moment for Sri Lanka’s entertainment industry as international R&B powerhouse and three-time Grammy Award winner Ne-Yo prepares to take the stage in Colombo this December.

What’s more, the occasion was graced by the presence of Sunil Kumara Gamage, Minister of Sports & Youth Affairs of Sri Lanka, and Professor Ruwan Ranasinghe, Deputy Minister of Tourism, alongside distinguished dignitaries, sponsors, and members of the media.

Shah Rukh Khan: Disappointed his fans in Sri Lanka

According to reports, the concert had received the official endorsement of the Sri Lanka Tourism Promotion Bureau, recognising it as a flagship initiative in developing the country’s concert economy by attracting fans, and media, from all over South Asia.

Nick Carter: His concert, too, was cancelled due to “Unforeseen circumstances

However, I had that strange feeling that this concert would not become a reality, keeping in mind what happened to Nick Carter’s Colombo concert – cancelled at the very last moment.

Carter issued a video message announcing he had to return to the USA due to “unforeseen circumstances” and a “family emergency”.

Though “unforeseen circumstances” was the official reason provided by Carter and the local organisers, there was speculation that low ticket sales may also have been a factor in the cancellation.

Well, “Unforeseen Circumstances” has cropped up again!

In a brief statement, via social media, the organisers of the Ne-Yo concert said the decision was taken due to “unforeseen circumstances and factors beyond their control.”

Ne-Yo, too, subsequently made an announcement, citing “Unforeseen circumstances.”

The public has a right to know what these “unforeseen circumstances” are, and who is to be blamed – the organisers or Ne-Yo!

Ne-Yo’s management certainly need to come out with the truth.

However, those who are aware of some of the happenings in the setup here put it down to poor ticket sales, mentioning that the tickets for the concert, and a meet-and-greet event, were exorbitantly high, considering that Ne-Yo is not a current mega star.

We also had a cancellation coming our way from Shah Rukh Khan, who was scheduled to visit Sri Lanka for the City of Dreams resort launch, and then this was received: “Unfortunately due to unforeseen personal reasons beyond his control, Mr. Khan is no longer able to attend.”

Referring to this kind of mess up, a leading showbiz personality said that it will only make people reluctant to buy their tickets, online.

“Tickets will go mostly at the gate and it will be very bad for the industry,” he added.

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