Vite Vine

Darling Saagar,

You learnt your English in the UK from English-speaking people. I learnt it in fits and starts from Hindi/Punjabi/Bengali-speaking folk in India. It was not a surprise that you were only 10 when you took it upon yourself to start correcting my English. All the time.

“Saagar, please would you close the vindow?”

“The parent’s meeting is on Vednesday. No?”

“Where does the best Vite Vine come from?”

You would be all over the floor. What was funny? These were simple questions. In Hindi, there is an equivalent for ‘v’. None for ‘w’. The sound of ‘w’ is learnt. I learnt it and can apply it to everything except nouns. Must be a genetic aberration. I had a huge sense of achievement when I made you laugh, given my sense of humour was nothing compared to yours.

Other words that I spoke wrongly were – rebel (re-bell), adolescence (a-doll-essence) and such.

Sometimes I knowingly uttered incorrect sentences, so you could correct me, playing with your predictable pleasures.

“Bought a really nice t-shirt today.” you said.

‘What colour?’

“Not ‘what colour’ Mamma. It’s ‘which colour’.”

‘Ah. Right. What colour?’ I asked again with a crooked smile.

Rolling-up your eyes, shaking your head from side to side.

“Parents!”

Laughter.

We’re in lockdown at present, Saagar. Long story! I can’t help thinking how fab it would be to have you home. We would have so much time together to try new recipes, to exercise and laugh, play carom and do some gardening, relax and watch funny cat-videos and so on…

Time … tic-toc, tic-toc … gone forever.

My mind plays silly monkey-tricks with me. The rascal. I watch it. Holding my own, I am not getting carried away with it. I am being the witness (vitness).

You are here, with me always.

I love you.

Yours,

Mamma.

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.

India – talking Mental Health.

Asian countries account for more than 60% of world suicides.

According to the WHO, in the year 2016, suicide was the most common cause of death in the 15-39 age bracket in India, the highest in the South-East Asian region. India’s own official statistics, which map the number and causes of suicides in the country, have not been made public for the last three years, hindering suicide prevention strategies and efforts to implement the WHO’s recommendations in this regard.

In 2014, the WHO released a report with a series of recommendations for successful suicide prevention. It proposed a public health model for suicide prevention, consisting of four steps:

  • Surveillance
  • Identification of risks and protective factors
  • Development & evaluation of interventions
  • Implementation

India has not progressed beyond the first step. Lack of political will, social stigma and inadequate mental health awareness in the general and medical communities contribute to the continuous rise in the death rate of young people by suicide in India.

A Junior Doctors World Congress was held at my alma mater, Christian Medical College Ludhiana in April 2019. Si and I ran a Mental Health Workshop that was attended by 75 medical students from India and the wider South and South East Asia region. 

Motivated by this event, some students have established community mental health support networks and mentorship programmes at their respective institutions.  I am impressed with their passion to make a difference.

Here is an example:

Early March I was back in Delhi and was honoured to be invited by Shruti Verma Singh, the founder of a Youtube channel, Zen-Brain.com. She is determined to increase the emotional awareness in India and does it gently, through a series of interviews. We met one afternoon to talk about Saagar. I hope her work will help wake up the government, break social stigma and drive understanding and compassion.

A phone call.

Last week we got a call to assess a patient for a possible transfer to ITU. Our team of three anaesthetists went along with all our kit and PPE. From a distance, he didn’t look too unwell. And he looked young. I hoped he wouldn’t need too much intervention. We donned out protective equipment and looking like aliens, entered his cubicle. I checked his name and date of birth. He was born in the same year as Saagar. After making a quick assessment, we decided that his breathing needed support. We spoke to him about getting him off to sleep so that we could place a tube in his wind-pipe and assist his breathing. We explained to him that we would transfer him to ITU for further care.

By this stage he was shaking, his eyes swollen with fear. He asked to make a call to his mum. We stood back while he called her. He held the phone to his left ear while oxygen hissed through his face mask. We waited, watching his face slowly relax, his fear melting into tears that dripped down his cheeks. After what seemed like a long time, he said bye to her, told her he loved her, composed himself and said he was ready to go to sleep.

It was like watching the dance of life and death. Love and separation. Help and helplessness. I was grateful and pleased that this mum and this son could connect at this crucial time.

Saagar didn’t have this luxury. He didn’t get to call his mother. No words of comfort fell into his ears. No tears of relief spilt from his eyes. Nobody offered him their understanding. I felt sorry for his mother too. She didn’t have a chance to say good-bye, to tell him that she loved him, that she would pray for him and that she wished him the very best.

When there is political will, governments can bring countries to a shrieking halt, the world can come to a stand-still.

When it is a physical illness, millions of pounds can be spent in seconds. New hospitals can be erected within weeks. Multiple trainings can be put in place for the front-line staff. Awareness campaigns are everywhere. What to do, what not to do, repeated endlessly. Retired doctors can be redeployed. National economies can be allowed to crash. Everything else can be put on hold.

When it is a mental illness, there isn’t enough money. There isn’t enough time. Not enough people. Very little expertise. No effective awareness-raising campaigns. No appropriate spaces. Not enough beds. Not enough research. The bottom-line is that there just isn’t enough respect for the fact that people with mental angst suffer the same, if not worse than those with physical ailments. That on many occasions they too, die alone.

 Its about Respect and Political Will.

Storyless

The spring knows not.

I need my story.

Who am I without it?

It’s a habitual place.

A refuge.

Something I can lean on and hide behind.

This is my story. This is me.

Is it? Really?

Am I not more than the way I have been taught to respond and speak and act?

More than the stories they told me and I tell myself?

Am I not a mysterious, wondrous creation of the galaxies?

Am I not more than a feelings-crunching machine?

An events-processing factory?

Like all other life forms, am I not designed to evolve through challenges.

Adapt. Learn. Grow?

Processing kills it. My creativity.

Thinking locks me up. In familiar prison cells.

Who I am

flies, flows, dances, melds and reaches out with all its arms.

It knows not what it is.  

Like the ocean knows not how deep it dives.

Like the sky does not care how far above the planets it stretches.

Like the day knows not the secrets that will unfold as it extends into time.

Like the stars twinkle on, oblivious of how many eons pass them by,

Which telescope catches them, which doesn’t.

Like the spring knows not where its flowers will grow.

Like the river sings along, not knowing who will drink from it or

The apple tree that offers all to friends and strangers and

Stands. Story-less.

Who am I?

I am. I am. I am.

Thank you, Rumi.

Welcome, unexpected visitor.

The Guest House

This being human is a guest house.
Every morning a new arrival.

A joy, a depression, a meanness,
some momentary awareness comes
as an unexpected visitor.

Welcome and entertain them all!
Even if they’re a crowd of sorrows,
who violently sweep your house
empty of its furniture,
still, treat each guest honorably.
He may be clearing you out
for some new delight.

The dark thought, the shame, the malice,
meet them at the door laughing,
and invite them in.

Be grateful for whoever comes,
because each has been sent
as a guide from beyond.

  • by Jalaluddin Rumi.

Nowhere to go.

On the 9th of March, I reached Melbourne for the second leg of the Churchill Fellowship. I had been looking forward to it for ages and just couldn’t wait to get started. I had the taken the whole month off. Despite the long journey I didn’t feel any fatigue. My AirBnB was homely and comfortable. After a good night’s sleep, I was ready for work.

The Beyond Blue Office was easy to find. After a brief introduction to the team, we all went out to get coffee together. I was already one of them and the coffee was great. The following days flew past with meetings, interviews, presentations and briefings. A trip to Headspace. Despite some background murmurings of a virus, I was having the best time, learning and exchanging thoughts and ideas. Then Australia closed its borders. Meetings and conferences started getting cancelled.

On the 16th, I took a return flight to London.  My trip shrank from 3 weeks down to one. I had to miss Sydney altogether. Now, I am back here with a blank diary for 2 weeks and I am loving it. I have volunteered myself to work and I am on standby.

I can now research and look up things I’ve been meaning to for a long time. I can clear out one cupboard every day and get rid of stuff I don’t need or use or get joy from. Unclutter and create space in my house and my head. I can go to bed without setting an alarm. That pile of unread books that’s been sitting atop my table, feeling ignored and giving me dirty looks, can now be tackled.

Part of me is rushing in to fill the time with a list of a hundred things to do but I am consciously slowing down. Having an easy routine. Fitting in things I love doing, like arranging flowers. Making time for friends. Cooking. Walking. Not getting hooked to the media but keeping an eye. Writing hand-written letters to loved ones. Sitting still. Enjoying our home. Truly appreciating the weirdness of our cat, Milkshake. Cherishing having breakfast, lunch and dinner with Si as he works from home.

Simplify. Make easy. Make plain.

The Way Back – supporting attempt survivors – an idea worth adopting.