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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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The iconic Roger Federer: The Full Measure of a GOAT

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Roger Federer

There is an unending debate about the Greatest of All Time (GOAT) of the global sport of tennis. The debate is on, as to which one is the GOAT of the players of the “Big Three” era. Those three are Novak Djokovic, Rafael Nadal and Roger Federer. All three were very prominent figures in that period. Their intense rivalries pushed the sport to new heights and captivated millions of people in a global audience, thereby significantly increasing tennis’s popularity. However, of the three, Roger Federer was a rather central figure.

Federer’s list of tennis accolades is staggering, and his greatness is often reduced to headlines and statistics: 20 Grand Slam titles, including a record eight Wimbledon singles crowns, 103 Association of Tennis Professionals Tour Singles titles, and 237 consecutive weeks atop the world rankings. He is well-known for his fabulous all-court game, and he is one of only four players to have won a career Grand Slam on three different surfaces: hard, grass, and clay.

His career is marked by remarkable consistency, including reaching 10 consecutive Grand Slam finals and 23 consecutive Grand Slam semifinals. Federer’s game was often described as graceful, effortless, and artistic. His fluid movement, powerful forehand, and elegant one-handed backhand made him a joy to watch for fans worldwide. He redefined modern tennis with his blend of power and finesse. Yet for all that, beneath the elegance of his backhand and the sheen of trophies lies a deeper heritage; one that elevates him from tennis legend to a true Great Of All Time.

Federer views these achievements as milestones, not the destination. He has always emphasised relationships, gratitude, and giving back, values instilled by his South African mother, Lynette, and nurtured over a lifetime of turning success into service. His effortless finesse and mental fortitude created ballet on grass and clay; moments etched forever in sporting memory. But narrowing Federer’s story to courts and scores does him a disservice.

Federer’s South African heritage cultivated a profound connection to the continent. He holds dual Swiss and South African citizenship and has frequently returned to support earlychildhood education via the Roger Federer Foundation, impacting over two million children across Southern Africa. More than just funding, Federer has rolled up his sleeves, visiting rural schools, launching coaching clinics, and advocating for play-based learning. Philanthropy is woven into Federer’s identity just as deeply as tennis. As he once said, “greatness is not confined to silverware; it lives through the lives we touch“.

Among his lesser-known acts of compassion is one of the most profound. It was in 2005 when Federer was fast turning into a tennis sensation, that he found twin infant girls abandoned outside a health clinic during a charity trip to a remote village in South Africa. The man did not walk away. Moved by their vulnerability, he quietly ensured their care and education, funding their essentials through a foundation partner. He did this without fanfare or media attention, and no publicity followed.

Fast forward to July 11, 2025. At a gala event in Geneva celebrating Federer’s stellar career, two young women took to the stage. It was the same pair of South African twins, now in their early 20s, returning to honour the man who saved them.

Rafael Nadal

Novak Djokovic

The sisters spoke with composed gratitude: “We do not remember being abandoned as infants. But we remember being saved. And the man who saved us is sitting right here tonight.”

Then came their own act of generosity. They said, launching a scholarship fund under Roger Federer’s name, to support rural children, “It is dedicated to helping underprivileged children in rural areas gain access to sports and education, the very things Roger had given us. It is our turn to give back, just as Roger gave to us, without expecting anything in return.” A visibly emotional Federer was left speechless before he gathered himself and said in a shaky voice, “I thought I was just helping two lives.

I had no idea they would come back and inspire the world.” That moment, a twin act of kindness born and returned, was described as “grander than all the 20 Grand Slam titles… one of the most powerful moments in tennis history“. That evening rippled globally, it flew virally across social media, confirming that character can outrank championship counts.

Off the court, Federer’s family life is rich and intentional. Married since 2009 to former player Mirka Vavrinec, they have four children: twin daughters Myla Rose and Charlene Riva (born in 2009) and twin sons Leo and Lenny (born in 2014). Their household, brimming with two sets of twins, reflects unity, resilience, and love, values the Father and Mother Federer’s cherish.

If tennis is art, then Federer’s philanthropy is impact. His “Match for Africa” series: exhibition matches featuring Nadal, Murray, and Gates, has generated over 12 million US dollars to support education in Africa. Beyond big events, his foundation has supported earlychildhood programmes in six countries, deployed digital teaching tools and training tablets for educators, and engaged communities and governments to bolster preschool readiness. These are not just token gestures; they are sustained efforts that aim to change systems, not just headlines. He privately supports coaching and education in African villages: a lyrical service that mirrors his gameplay: smooth, reliable, and deeply invested.

In his understated way, Federer has consistently reinforced kindness and integrity. He funds an elderly couple every Australian Open; the parents of his first coach, late Peter Carter, covering flights, hospitality, and box seats, every year, since 2005. Federer has never forgotten the Carter family’s role in his life and career.

These gestures resonate because they are personal, respectful, and ongoing. They speak of a man who remembers where he came from, on and off the court, and who sees grand gestures in the small, consistent acts of humanity.

When discussing Federer as the GOAT, numbers will take you so far. But greatness also measures intangible things: compassion, humility, and legacy. What Federer did for those abandoned twins, and how they returned that grace, reveals more about his character than any gold trophy could. It is easy to point to “trophies won” as the final verdict. But Federer’s life story adds nuance: identity, empathy, and generosity, which truly elevate his accomplishments to a celestial level. His Wimbledon stamps, Swiss coins, and honorary degrees are symbols. The real trophy is the networks of lives he has touched: the rescued twins, African children on new educational pathways, and the families of those who supported him along the way.

Roger Federer’s journey from a junior champion to a record-breaking legend serves as a benchmark for aspiring tennis players and inspires millions around the world to aim for greatness while remaining grounded. In essence, his legacy celebrates not just a phenomenal tennis player but a true sporting icon who left an indelible mark on the game through his achievements, style, character, and humanitarian efforts.

In the court of moral measure, Federer is undisputed. His twin daughters and twin sons will grow up knowing that their father is more than a record-holder. He is a man defined by action. The twins in South Africa, now embroidering his legacy with their own generosity, complete a cycle: champions saved, and champions paid forward.

Yes, Roger Federer is the tennis GOAT. But he’s also the GOAT of genuine kindness, empathy, and impact. That, ultimately, is why the story of greatness cannot, and should not, be limited to statistics alone.

Role models are remembered, not just for what they win… but for the gratitude they inspire, the opportunities they create, and the kindness they live out.

The story of the South African abandoned twins was garnered from the News Arena Network – Geneva through News Arena India on 14th July 2025.

by Dr B. J. C. Perera ✍️
(Tennis Player)

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A book on iconic Sri Lankan poems

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Lakdasa Wikkramasinha

(1941-1978) has been acknowledged as one of the finest Sri Lankan poets writing in English. The Sri Lankan born Booker Prize winner Michael Ondaatje says Wikkramasinha has written “some of the most permanent and iconic poems of this country”.

In a period spanning only thirteen years before his untimely death, Wikkramasinha published six collections of his English poems (and two collections of Sinhala poems as well).

Rage and Heartbreak fulfills the pressing need for a collection of critical writings on Wikkramasinha’s poetry. Essays authored by Gamini Haththotuwegama, Lilani Jayatilaka, Annemari de Silva, Nihal Fernando, Vihanga Perera, Madri Kalugala, Chandana Dissanayake, Nipuni Ranaweera, and George Braine are followed by Indrakanthi Perera’s brief memorial.

Most authors are practicing or retired academics, mainly in English literature. Some are published poets.

Rage and Heartbreak is published by Tambapanni Academic Press and priced at Rs. 3000/.

Vihanga Perera (Ph.D., Australian National University) is an academic and researcher working at the Department of English, University of Sri Jayawardenapura. He is also a poet and novelist, an arts critic, and editor of creative work. He is a recipient of the Gratiaen Prize and the State Literary Award.

George Braine (Ph.D., The University of Texas at Austin) taught English in four countries before retiring from The Chinese University of Hong Kong. He was acquainted with Lakdasa Wikkramasinha in the 1970s.

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Babies made using three people’s DNA are born free of hereditary disease

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Eight babies have been born in the UK using genetic material from three people to prevent devastating and often fatal conditions, doctors say.

The method, pioneered by UK scientists, combines the egg and sperm from a mum and dad with a second egg from a donor woman.

The technique has been legal here for a decade but we now have the first proof it is leading to children born free of incurable mitochondrial disease.

These conditions are normally passed from mother to child, starving the body of energy.

This can cause severe disability and some babies die within days of being born. Couples know they are at risk if previous children, family members or the mother has been affected.

Children born through the three-person technique inherit most of their DNA, their genetic blueprint, from their parents, but also get a tiny amount, about 0.1%, from the second woman. This is a change that is passed down the generations.

None of the families who have been through the process are speaking publicly to protect their privacy, but have issued anonymous statements through the Newcastle Fertility Centre where the procedures took place.

“After years of uncertainty this treatment gave us hope – and then it gave us our baby,” said the mother of a baby girl. “We look at them now, full of life and possibility, and we’re overwhelmed with gratitude.”

The mother of a baby boy added: “Thanks to this incredible advancement and the support we received, our little family is complete.  “The emotional burden of mitochondrial disease has been lifted, and in its place is hope, joy, and deep gratitude.”

Mitochondria are tiny structures inside nearly every one of our cells. They are the reason we breathe as they use oxygen to convert food into the form of energy our bodies use as fuel.

Defective mitochondria can leave the body with insufficient energy to keep the heart beating as well as causing brain damage, seizures, blindness, muscle weakness and organ failure.

About one in 5,000 babies are born with mitochondrial disease. The team in Newcastle anticipate there is demand for 20 to 30 babies born through the three-person method each year.

Some parents have faced the agony of having multiple children die from these diseases.

Mitochondria are passed down only from mother to child. So this pioneering fertility technique uses both parents and a woman who donates her healthy mitochondria.

The science was developed more than a decade ago at Newcastle University and the Newcastle upon Tyne Hospitals NHS Foundation Trust and a specialist service opened within the NHS in 2017.

Graphic showing a red circular representation of an embryo with unhealthy, oval, mitochondria inside that has the nuclear material - a joined pair of circles - removed. The next step is blue representing a healthy donor with healthy mitochondria and their nuclear material is also removed. Step three shows the nuclear material removed in step 1 being placed inside the healthy embryo

There was a case of epilepsy, which cleared up by itself and one child has an abnormal heart rhythm which is being successfully treated.

These are not thought to be connected to defective mitochondria. It is not known whether this is part of the known risks of IVF, something specific to the three-person method or something that has been detected only because the health of all babies born through this technique is monitored intensely.

Another key question hanging over the approach has been whether defective mitochondria would be transferred into the healthy embryo and what the consequences could be.

The results show that in five cases the diseased mitochondria were undetectable. In the other three, between 5% and 20% of mitochondria were defective in blood and urine samples.

This is below the 80% level thought to cause disease. It will take further work to understand why this occurred and if it can be prevented.

Getty Images An orange sausage shaped blob on a blue grainy background
A picture of a mitochondrion taken with a microscope – there are up to half a million in a fertilised egg. [BBC]

Prof Mary Herbert, from Newcastle University and Monash University, said: “The findings give grounds for optimism. However, research to better understand the limitations of mitochondrial donation technologies, will be essential to further improve treatment outcomes.”

The breakthrough gives hope to the Kitto family.

Kat’s youngest daughter Poppy, 14, has the disease. Her eldest Lily, 16, may pass it onto her children.

Poppy is in a wheelchair, is non-verbal and is fed through a tube.

“It’s impacted a huge part of her life,” says Kat, “we have a lovely time as she is, but there are the moments where you realize how devastating mitochondrial disease is”.

BBC/Josh Elgin Kat Kitto, sitting on a grey corner sofa wearing a black vest top, with her daughter Lily who is wearing white. Kat is feeding Monty, a ginger coloured long-haired dog, who is sitting on Lily's legs
Kat Kitto (R) in black top with her daughter Lily and Monty the dog [BBC]

Despite decades of work there is still no cure for mitochondrial disease, but the chance to prevent it being passed on gives hope to Lily.

“It’s the future generations like myself, or my children, or my cousins, who can have that outlook of a normal life,” she says.

The UK not only developed the science of three-person babies, but it also became the first country in the world to introduce laws to allow their creation after a vote in Parliament in 2015.

There was controversy as mitochondria have DNA of their own, which controls how they function.

It means the children have inherited DNA from their parents and around 0.1% from the donor woman.

Any girls born through this technique would pass this onto their own children, so it is a permanent alteration of human genetic inheritance.

This was a step too far for some when the technology was debated, raising fears it would open the doors to genetically-modified “designer” babies.

Prof Sir Doug Turnbull, from Newcastle University, told me: “I think this is the only place in the world this could have happened, there’s been first class science to get us to where we are, there been legislation to allow it to move into clinical treatment, the NHS to help support it and now we’ve got eight children that seem to free of mitochondrial disease, what a wonderful result.”

Liz Curtis, the founder of the Lily Foundation charity said: “After years of waiting, we now know that eight babies have been born using this technique, all showing no signs of mito.

“For many affected families, it’s the first real hope of breaking the cycle of this inherited condition.”

[BBC]

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