Human rights issue – Families Matter

Hundreds of times, in waiting rooms outside Intensive Care Units I have looked into the eyes of sons and daughters, spouses and partners of patients, held their hands and said, “We did all we could. I am so sorry for your loss.”

When Saagar died, no one looked into my eyes and said that to me. They had not done all they could for him. The hospital carried out a sham investigation, a futile exercise in ‘being seen’ to be doing the right thing.

The GMC found everything to be hunky dory. The doctors ‘looking after’ Saagar had done their jobs to perfection. Just too bad the patient was dead. They did not deem Saagar’s case worthy of an investigation. GMC’s role in its own words:

We work to protect patient safety and support medical education and practice across the UK.”

The Coroner’s report shone some light on the holes in Saagar’s care. It clearly pointed out the things that South London and Maudsley (SLaM) Hospital got wrong.

  1. There was a general failure to identify the diagnosis on the discharge summary from the Home Treatment Team to the GP.
  2. There was a general failure to communicate thoroughly enough with the parents about the relapse symptoms, what to watch out for and where to go for help in the future.

Last June, I wrote to the CEO of SLaM, requesting an update on the changes that had been made in his organisation in response to the Coroner’s findings above. He said someone would get back to me and I heard nothing. This June, I sent him a reminder and again he said someone would get back to me and I am still waiting.

What are my rights as a parent? Is this too much to ask?

What were Saagar’s rights as a young man with a mental illness?

Are our lives not as important as anyone else’s? Black or white or brown? With Cancer or Diabetes? Or Bipolar Disorder?

Everyone deserves to be heard and seen. With respect.

It’s not charity. It’s a human rights issue.

Ref: Learning from deaths: Guidance for NHS trusts on working with bereaved families and carers

The man who loved yellow.

He dropped out of the security of an Engineering Course to enrol into the futility of a dance school. He carved his way through sheer hard work from a humble home in the north-east of India to the flashing lights at the heart of Bollywood. He personified simplicity. He had no god-fathers in this brutal industry known for its nepotism and ruthlessness. He stood on the sheer credibility of his talent.

Stars, moons and aliens took up a lot of space in his head. He spent hours on his beloved telescope which he called his ‘time-machine’.  He made new friends, kept old ones and his humility through the fame and the wealth of stardom. He stayed true to himself and his name which meant ‘Peaceful’.

His charm and talent won hearts all around. His youthful portrayal of his love of cricket came through in his films ‘KaiPoChe’ and “M.S Dhoni, the untold story“. But the media gave him a hard time as they saw him as an outsider. Of journalists he said, “First they’ll ignore you, then they’ll laugh at you and then they’ll fight with you. Right now, they’re laughing at me.”

Not anymore. Bollywood is in a state of shock. On the 14th of June 2020 Sushant Singh Rajput ended his life at the age of 34. It seems he had been on treatment for depression for the past 6 months. Police is frantically interviewing multiple people to establish a ‘cause’ for his death.  

Film contracts falling through? Not enough new offers of interesting roles? Disparaging remarks made by influential bitchy colleagues? Being bullied and ignored? Financial difficulties? A painful break-up? The death of his mother at the age of 16? The death of his young manager, Disha Salian 3 days prior to his? Unmet parental expectations? Inadequate treatment for Depression? Migration away from home? Loneliness? Stigma of having a mental illness? Not knowing how to ask for help? Being a man?

All of the above.  

RIP Sushant.

PS: India has the highest suicide rate in South-east Asia: 16.5 suicides per 100,000 people

Food, water, shelter and clothing.

That’s what it’s all about. Isn’t it? Our most basic needs.

For some, who were comfortable, these basics are threatened in the current climate. For some they have constantly been under threat. For the lucky ones, all is well. For now.

The fact remains that food needs to be grown by someone. Seeds need to be sown and nurtured. Given the right amount of nutrients, sun and water. Given time to mature and then harvested. Like Midas, even if everything else was made of gold, we could not eat it. Even if we put hundreds of satellites in space, we need our basic needs met.

Over the past few months I have appreciated growing a few things from seed. Sunflowers, mint, coriander and sage. Not enough to keep me alive but enough to give me a smug feel of being someone who grows stuff. I have little trays laid out by the windowsill and they fill me with pride each day they reach out for the sun, a few millimeters more than yesterday. What must it be like to be a real farmer!

In India, more than 11 thousand farmers ended their lives in the year 2016. Too much rain. Too little rain. Aberrant weather. Poor quality seeds. Exploitative middle men. Illness in the family. Monsanto. Easy access to pesticides. False promises of relief measures, incentivising a farmer suicide. The government promises money but fails to deliver again and again. It then blocks articles and videos that try to make this information public.

Kheyti is an organisation that helps small farmers design and implement low-cost farming interventions. “Greenhouse-in-a-Box” is a low-cost greenhouse bundled with end-to-end services. This greenhouse fits in 2-5% of a small farmer’s land, protects crops from environmental risks and grows 7 times more food using 90% less water.

This prolonged lockdown is going to affect many individuals and small businesses. Many are starting to worry about their very basic needs. Uncertainty, insecurity and the feeling of being stuck is rising everyday. Helplines are receiving more calls. Food banks have had to expand beyond capacity. The indirect and unintended consequences of the pandemic might be worse than the direct and predicted ones. As incomes fall away, despair in our communities will rise further.

Each of us needs to think of one person we know whose income might be affected by this and call them. We need to think of one person recently bereaved and call them. Not text. Not e-mail. Phone call. Speak. Directly. Ask questions. Connect, have a chat, come up with ideas and creative answers. Signpost to resources. Reassure. Give hope. Together, figure it out.

This too will pass but before that it will test us. All of us.

Kooth Infographics – suicidal thoughts rising. Highest in the Midlands.

Kooth Week 10 COVID infographics

Freedom on a page

Writing is a friend. It sustains. It slowly pushes open the rusted, jammed doors of many hearts and allows for the gaping wounds in there to heal. Over the last few weeks it’s clear that it is not just possible but fun, to attend and host meetings remotely. Despite challenges, it can be enriching. A wise man/woman has identified 3 things one needs, to get through a day :

  1. Someone to love.
  2. Something to do.
  3. Something to look forward to.

No wonder people are gardening, baking, embroidering and doing various things, spending time or connecting in creative ways with people they love. We have been setting one episode of ‘The Crown’ as our carrot, to look forward to at the end of a long ‘working from home’ day. I have been writing some poetry and dreaming of putting a book together and getting it published some day. There goes my Ego …. again!

This seems like a good time to do something new. I would like to invite you to write with me. To connect with your hearts and bring a blank page to life. To find your own expression and share other people’s worlds through their words and prose. We would call ourselves “Freedom on a page”. In this time of partial captivity, this title seemed appropriate. If you have other suggestions, please bring them to the group. We would meet every Tuesday morning for an hour and a half – between 9 and 10.30 am on Zoom. We would write as much as we like during the week but have 200-300 words to read out to the group. If you would much rather only listen, that’s fine too. Join in. Don’t think so hard that you talk yourself out of it. You have done that before. Haven’t you? 😉

If you would like to join, please

(1) e-mail me at kidsaregifts20@gmail.com by Saturday, the 23rd of May. If you’d like more time to decide, take that time and send me the e-mail when you are ready.

(2) familiarise yourself with Zoom (https://zoom.us/) and download it on your computer/phone. It is free and easy. You can switch the video off if you don’t want to be seen. You can participate by writing on the ‘chat’ if you don’t want to speak.

I will send you an invite by e-mail on Monday, the 25th. I will start the meeting 15 minutes before 9 am, UK time (GMT+1) on Tuesday, the 26th of May and wait for you. Then we’ll see what happens. I have never done this before so I am a little bit nervous too. Shall we write about what ‘Freedom’ means to you? Feel free to pick any other subject. I look forward to this adventure. Depending on how you feel, we can continue to ‘meet-up’ every Tuesday.

Try it. Magic happens when the naked tip of a pen meets a nude blank page. The fingers holding that pen are deeply connected to the real you. So are the fingers typing on your keyboard.

Freedom on a page

Feathers fall from heavens like rain

A splash of sun-rays on the pavement lifts dust

Fills my senses with petrichor

The romance of which dances

In every gap, crack and crevice

I float up with the fragrance

And glide along the tops of trees

Breathe in bliss, touching green

Everything IS, as it IS

Watching its own ISNESS

Wrapped in a melodious silence.

This must be it

One moment of being fully alive.

— — — —

Let’s not … go back to ‘normal’.

Toilet signs designed by young people at Orygen. Australia. (https://oyh.org.au/)

When I first came to the UK, I thought of myself as nothing more than a human being, a doctor, a mother. I came here with one suitcase full of books, inappropriate clothes and lots of dreams. Over the years, slowly, through events good and not-so-good, I was made aware that I was a ‘female doctor from ethnic minorities’. Others may see me thus but I still see myself as a human, a doctor, a mother.

Before our world was invaded by a microscopic organism, we were divided. Identity politics dominated all conversations. ‘Vegans’ wanted to convert me to their religion. ‘Vegetarianism’ just wasn’t good enough. Fingers were being pointed at seemingly evil ‘middle aged white men’, as if they were all the same. I found myself defending them in public as I am on the inside. I am married to one of the nicest of them. The ‘transgender’ community was making its presence felt in a big way. The BME and the LGBTQ++ and the sexists and the racists, the liberalists, the socialists, the nationalists and the list is endless … were firmly rooted in their fenced off, defensive little territories.

Then came the virus and we were all united in the knowledge that we were fragile creatures and we needed each other to survive. We needed to look after ourselves and each other, in ways that were more meaningful and different from before. We learnt that the mind needed as much attention if not more, than the body. We found out that we are related to everyone else on the planet whether we liked it or not. We needed to rise above our little ‘Me. Me. Me’ voices and make decisions in favour of what was good for everyone.

We found out that small things are big things. My lovely neighbour, M, left a bunch of flowers outside the door for me every week. I arranged those flowers the best I could and sent her the pictures. I wrote hand-written letters to friends from my childhood with whom I was starting to lose connection. I discovered the joy of sleeping for a few nights in a row without setting the alarm. Si and I discovered the joy of being in the house together for days, doing normal things – baking, gardening, meditation, going for a walk, reading, watching ‘The Crown’.

I say, let’s not go back to our ‘normal’ divisions and our frantic passions. Let’s take this opportunity to re-invent ourselves and the way we meet the world. Let’s not be driven by our fears and insecurities but by a sense of deep connection with ourselves, each other and the planet. Let’s take this new learning into the world we want to live in. It’s up to us.