Only one race.

You are not your body. Who you are has nothing to do with how you look.

You are not your mind, your thoughts, your feelings or your memories. All those things are aspects of you but they are not you. They change from moment to moment. Thoughts come and go. Feelings mould. Thousands of old cells are shed and replaced by new ones every second.

During my training to be a doctor, I had to dissect a human body. It was an enlightening experience. On my first day at medical school, it was a shock – the massive Anatomy hall reeking of Formalin, 12 metallic rectangular tables, each occupied by a horizontal human form covered with a white cotton sheet. 4 students in alphabetical order, to a table/ body. All different but more or less the same, students and bodies. Mine was a dark skinned, muscular young man in his thirties. I wondered how he had landed up on this table in the heart of Punjab when he clearly belonged somewhere else. I wondered what his story was.

As I carefully peeled the skin off, a pale yellow silky layer unraveled itself. I peeked at the next table and it was the same. And the next and the next. Men and women, old and young, squat and fit, brown and black. Whatever on the outside, were the same just underneath.

We laugh and cry the same salty tears, we feel the same love, we yawn and sneeze and hiccup and breath the same way. We all are distinct and yet, more or less the same. We are all made up of a substance called ‘love’. We carry the whole Universe inside of us.  We are bundles of boundless cosmic energy. Our bodies are vehicles for us to experience this Earth and for this fantastic energy to express itself. Let us not allow anyone to tell us how we should look, as their vision may be limited. Be fully expressed. Don’t let their limitation be yours. You are whole and complete, just the way you are, no matter what anyone says. Don’t let anyone let you love yourself any less than one thousand percent. Your love and compassion for yourself is the source of all joy for all humanity.

Just as black people are so much more than just black and homosexuals are so much more than just that. And Saagar was so much more than just a handsome brown young man. Underneath, we all are human. We have the privilege of coming from the most gorgeous star. Our numbers are higher than ever before and our potential as a race is the highest it has ever been. At a time when we need more cohesion between humans than ever before, we are building divisions all over the world – us and them. Be it the colour of our skin, our religious convictions, our gender, our choice of sexual partners or our private medical choices. We need bridges, not walls. We need to see ourselves in others and them in us – vulnerable, tough and unique at the same time. Everyone. Absolutely everyone.

I say to all you planning and scheming and dreaming, defending, proving, and justifying, laughing, crying, and feeling people, wanting love and understanding, offering love and understanding people:

 “You be me.  I be you.  They be us. We be them. All be one. Love be all. All be love. Only love. Get down on it.”

One moment on a Friday morning.

Time is a scaffolding. Not the real thing. A construct. A transactional entity. An illusion. A convenience. A cage.

The Time is always Now.

Right now I hear Si pottering in the kitchen downstairs.

Michael, his friend is waiting in his car outside the front door. The engine is whirring, parked slightly to the left of the middle of the road with just enough space for passing cars to slide past.

My second cup of tea is waiting. Steaming.

The sunshine had penetrated many curtains to reach the park across the road.

The wind is gently encouraging the trees to wake up and dance.

The indoor plants watered this morning are feeling fresh. A large green Poinsettia (from last Christmas) on my left and a pink orchid on my right.

The ‘to-do’ list is staring at me from the far side of my table, feeling left-out. My Mind is pulling hard at me, trying to get me out of writing, into ‘doing stuff’. I am watching it. It looks like a toddler yanking at her Mum’s dupatta pleading for attention.

Black and green bins are lined up in tidy rows on the pavement along both sides of our street, waiting to be emptied. Five years ago, when the bin-collection day changed from Tuesday to Friday, I immediately thought I must tell Saagar. Then I remembered. Now, I think of him when I see the bins. I recall us putting the bins out together. In the Now. I feel that memory become a twinge in my chest. Sometimes, it becomes a cloud in both my eyes.

Now, I hold him in my heart on Fridays and every other day. He lives in me. Speaks through me. Sees the world and keeps me calm.

The neighbour’s son’s school bus stops at the same spot every day. He boards it wearing his yellow anorak every day. He sits at the same seat every day – by the window on the left, second row from behind.

The world goes on and I go on with it, carrying you in me. Loving you. Keeping you alive.

Fresh off the boat

Twenty-two years ago, when I first landed in the UK, I arrived as a qualified anaesthetist. I didn’t think of myself as a ‘female doctor’. I did not classify myself as one from the ‘ethnic minorities’. Both of those things were incidental to the fact that there was a job to be done and I could do it well, even if it was in a completely different setting, four and a half thousand miles away from home, at Antrim Area Hospital, Antrim, Northern Ireland. I was nervous but being from an army family, I was accustomed to moving every couple of years from one state of India to another (states as different as Punjab and Bengal), making it my own, learning from a different way of life and moving on to the next. I was sure of my ability to adapt.

My belongings comprised of a family photograph in a silver frame, a suitcase, mostly filled with books and two hundred pounds in cash. From the window of the plane I could see forty shades of green, in a mesmerising patchwork across the fields and hills of Ireland. The sky was the deepest, most startling blue. My heart was up in my throat with the excitement of living and working in a country where everyone was educated (why wouldn’t they be if education was free?)  and well-mannered (why wouldn’t they be if everyone was well looked after by the Government?)

One of the secretaries from the Antrim Area Hospital, Mary, very kindly came to receive me at the airport. The drive from Aldergrove Airport to the hospital was like gliding through a picture postcard. After Delhi, I could fully appreciate the wide golden-green expanses gleaming in the sunshine with not one human being in sight. When I complemented Mary on how gorgeous her country was, she was perplexed, “Really?”

Saagar was 5 years old then. He had stayed back with his dad. My plan was to find my feet and have him join me as soon as possible. I wanted to get my post-graduate exams within one or two years and go back to work in India. In the next few months, as I settled into my job, I acquired a cheap second hand Renault 19, found a family home and an appropriate child-minder. In the tea room of the hospital, the nurses would tell me about their families and ask me about mine. When I told them that I had a 5 years old child back home, they would say, “How could you leave him there?” I didn’t know what to say to that.

I still don’t.

No caller ID.

Soon after lunch one Saturday, my phone went. “No Caller ID”.

‘I am James Eames from the New World Building Society’s fraud investigation team. There have been some suspicious dealings with your debit card recently. So, I am calling to ask if you’ve given your card details to anyone lately?’ spoke a smooth cultured voice.’

“Hi. Let me think. On Monday I had an e-mail from DVLA saying I needed to update my card details to pay the road tax in time. So, I did.”

‘Right. So, that’s how they’ve got you. But, don’t worry. I have been doing this job for the last 17 years and I get to work every day, including sometimes a Saturday morning just so I can help people.’

“A bit like me then. For years I worked at least 2 weekends every month.”

‘So, I am just going to send you a text message with a code, just to verify your identity. When you get that could you read out your code to me?’

“Yes. Sure.”

‘So, I see that you have recently made a few purchases from Argos.’

“No. I have not.”

‘Ah. It must be them. We are liaising with the police to get to the computers they are using and that’ll help us catch them. So, don’t worry. This is very helpful. Could you read out the code to me?’

“Yes. It is ——.” I feel so stupid. How could I trust a random e-mail like that? I checked the site and it looked so proper – just like a government website.”

“They are very clever. You must check the sender’s e-mail address by pressing reply. You should also look out for e-mails claiming to be from DPD and Royal Mail.”

‘Gosh. It must be hard for you to keep ahead of the game with this kind of fraud, especially nowadays when everyone is banking on-line. It’s just a battle of wits. Isn’t it? And they are so smart. These youngsters.’

“Yes. We must stay sharp and we have very good security systems in place. So, that helps. I see that you move money regularly to Tina. When was the last time you did that?”

‘About 3 months back.’

“Can you trust her?”

‘Yes. Completely. She’s been a friend for 10 years.’

“Saagar?”

‘Yes. He passed away a few years ago.’

“Oh. So sorry! It seems these guys have set up a standing order in Tina’s name for 2000 pounds.”

‘Can’t you stop them?’

“Yes. We are working on that. In the meantime, can you ask your friend Tina if she has received the money? We might need to close your account and set up a new one for you.”

‘I’ll try.’ I go downstairs to get the handset of the landline and call her.

“Hi Tina. So sorry to bother you. Do you have a few minutes to speak? My bank is on the phone with me trying to sort out some stuff I need your help with.”

She confirms that she has got 2K from me. I am relieved as I know she will help me sort this out.

“Dr Mahajan, do you have a card reader?”

‘Yes.’

“Okay. If you get that and put your card in, I will give you a number to enter. Remember not to speak out your pin aloud please.”

‘Why do I need to do this?’

“To make sure that your card still works for you. If you put your friend Tina on the phone with me, I shall guide her on how to transfer the money back to you.”

Text from Tina – I just got 8,000 from you! Something is wrong. I am worried.

‘Tina says she has got 8,000 from me. I don’t even have that much money in my account. How are they doing this?’

“They might have moved money around from your savings etc. Don’t worry. Put her on the phone with me and I’ll take care of it. I have 17 years of experience in this kind of thing.”

I give Tina’s phone number to James.

I text her: James is trying to help us. He’ll call you soon. Please talk to him. Thank you!

She replies: Send me a picture of your card and I’ll transfer the money.

I do that.

James calls back, “Has she moved the money?”

‘She’s doing it. Please wait. There is no need to rush her.’

“Can you really trust her?”

‘Implicitly. She is highly talented and very hard working. She doesn’t need to cheat anyone.’ I say.

“I found her to be quite difficult. I am trying to help but she is being obstructive.”

‘Well, she has every reason to not fully trust you. You’ve only spoken with her for a few minutes. I have been speaking with you for nearly an hour now. So, it’s easier for me than for her to place her trust in you.”

“That’s right. I didn’t think of that. I can learn a few things from you. Are you doing something nice this weekend?”

‘Gosh! This is so nerve-wracking! Thank God I have a singing lesson in a little while. That’ll help calm me down. Thereafter I might watch a film on Netflix. Do you have a recommendation?’

“Yes. ‘The invisible Guest’ is in Spanish and it’s excellent.”

‘Ok. Thanks. I can recommend ‘Malcolm and Maria’ for you. It’s different. Intriguing. When do you finish work?’

“7.30 pm. I’ll probably get a pizza and watch the football.”

‘Great. Have fun when you get there. What happens now?’

“Can you check if Tina has moved the money?”

‘I don’t want to be so pushy. Let me send her a text.’

Any luck? I ask her.

She replies: I am on the phone with my bank. Nearly there.

Thanks Tina.

“Shall I log into my account and see if the money has come back?”

‘No. We are working on it. So, you won’t be able to access it now.’

“Okay. I am really tired now. Can we please finish this call? I am sure she will move the money back to me.”

‘I am tired too. Shouldn’t take long now.’

Text from Tina: That guy called you was fraud because when you just put your card in your card reader, just then was transferred money. 8000. He give me other account numbers. But I move money to what you give me.

“How do I know that you are calling from New World?”

‘Can you read the name of the sender of the texts?’

“Yes. They are from New World.”

‘That is your proof. That cannot be faked.’

More codes arrived, the card reader was used a couple more times. Finally, James was happy. He said it was all sorted. Gave me a reference code and signed off.

Later on when Si came home, I told him all about it and we looked at those text messages from New World. Each of them said –

“Never share this code with anyone. Only a fraudster would ask for it.”

I held my head in both my palms and broke into a sweat.

Once my breath returned, we phoned the fraud squad at New World and they told me that all the money that had been transferred out had been moved back into my account. A few purchases were attempted which did not get through:

JD Sports.

Fancy shoes.

Pizza.

(PS: Based on true events)

Same story

“Three weeks before that day he was at a bridge and he called his friend who called the police. They came out but just told him to call the GP. One week before that day he called another friend saying he had a panic attack. The friend picked him up. Four days before that day they told the GP what was happening. She gave him a prescription for anti-depressants and said it would take 3 weeks for a referral. 4 days later my brother was dead. At no point did anyone tell the family.”

That day was sixteen days ago.

I wonder if anyone sat down with him to listen to what was going on with him. Two friends, one GP and the Police – none of them could put him in touch with his life and keep him safe. Yes. Ultimately it is up to him but I wonder if he was told that it might be helpful to get in touch with his sister, his brother, his mother, his father – the people who had known him all his life. That he could choose someone who he had a deep connection with, someone he trusted, and let them know how fragile he was at present. Someone who truly cared.

I wonder if you’ve seen this recent advert from St John’s ambulance where a dad is desperately trying to save his son. It encourages lay people to learn First Aid, in case of a physical health crisis. It’s a good one.

Save the boy”

Let’s put this in the context of doctors not knowing how to give First Aid to someone in a Mental health crisis.

The police not knowing that this is life-threatening, that there are resources in addition to the GP, like A&E, Maytree, Papyrus, Samaritans, CALM, their community, their family.

The GP not knowing that this is life-threatening, that there are things in addition to antidepressants that help, like having a proper conversation, exploring the suicidal ideation, informing them that it would be in their best interest if they included a family member or a friend of their choice in their care, giving them details of helpful Charities, giving them compassion and hope, drawing up a Safety Plan, getting in touch with the local Mental Health Crisis Team and  being aware that antidepressants can make things worse for young people in the short term.

Over-medicalisation of suicidal thoughts and behaviours in a setting where most medics are uneducated and unsupported in managing these crises.

Save the boys and girls by insisting on education for all professionals in medicine, nursing, law-enforcement, prison service, youth services, social work, for schools universities, hair-dressers, cab-drivers, students, parents, teachers, managers and everyone else is the only way to get it right – A multi-agency approach to Suicide Prevention.

In the USA, ‘legislation’ was recognised as essential to Suicide Prevention(SP) in 2012. At present, 10 states have legally mandated training for all health care professionals.

ASIST Training (Applied Suicide Intervention Skills Training):