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	<title>ShahidulNews &#187; medicine</title>
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	<description>Musings by Shahidul Alam</description>
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		<title>I am going to Die on Monday at 6 15 pm</title>
		<link>http://www.shahidulnews.com/2011/11/23/i-am-going-to-die-on-monday-at-6-15-pm/</link>
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		<pubDate>Wed, 23 Nov 2011 07:59:58 +0000</pubDate>
		<dc:creator>Shahidul Alam</dc:creator>
				<category><![CDATA[Human rights]]></category>
		<category><![CDATA[People]]></category>
		<category><![CDATA[Death]]></category>
		<category><![CDATA[euthenasia]]></category>
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		<category><![CDATA[survivors]]></category>
		<category><![CDATA[terminal illness]]></category>

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		<description><![CDATA[Subscribe to ShahidulNews When Marc Weide&#8217;s mother who was 65 was diagnosed with terminal cancer, she chose euthanasia. Here, we publish his shockingly frank diary of her final days Monday February 11 2008 5.30pm: Dad is bent over the toilet &#8230; <a href="http://www.shahidulnews.com/2011/11/23/i-am-going-to-die-on-monday-at-6-15-pm/">Continue reading <span class="meta-nav">&#8594;</span></a>]]></description>
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<!-- END --><a href="http://thegoodnewsplus.com/content/i-am-going-die-monday-6-15-pm">When Marc Weide&#8217;s mother who was 65 was diagnosed with terminal cancer, she chose euthanasia. Here, we publish his shockingly frank diary of her final days</a></h4>
<h3>Monday February 11 2008</h3>
<p>5.30pm: Dad is bent over the toilet bowl with a brush in his hand and a scowl on his face. I walk up to him. &#8220;Shall I give you a hand?&#8221; Dad begins to snicker, abandoning any attempt to make sense of the situation. We stand shoulder to shoulder with our backs to Mom, who paces around the patio with a newly fitted catheter in her hand.</p>
<p>The catheter has been put in by her nurse, Marianne to enable her doctor, who will be with us in half an hour, to give Mom a lethal injection. But instead of having a moment of peace with us, as Marianne suggested, Mom demands that we clean the toilets. Both upstairs and downstairs.</p>
<p>My brother, Maarten, is sitting on the edge of the bathtub, staring out of the bathroom window.</p>
<p>&#8220;Imagine,&#8221; he mutters. &#8220;Her last hour, spent like this.&#8221;</p>
<p>This is the Netherlands, where voluntary euthanasia is permitted, as well as physician-assisted suicide. This is the day my mother has chosen to die, and the toilets need to be spotless.</p>
<h3>Three months earlier</h3>
<p>I&#8217;m on a writer&#8217;s retreat in the UK, where I have been living for the past three years. I&#8217;m working on my novel when my mobile phone rings. The display shows it&#8217;s Maarten, calling from the Netherlands. Mom&#8217;s test results have come back.</p>
<p>&#8220;It&#8217;s secondary cancer in her lungs.&#8221; He pauses. &#8220;They think she&#8217;s got two to six months left.&#8221;<br />
<span id="more-10952"></span></p>
<p>I phone Mom. She talks without interruption, barely taking breath, about quitting her job just two months before her retirement, about what might have happened if she had not had that innocent-looking polyp removed from her womb, about why the doctors had not investigated her lungs earlier.</p>
<p>The prognosis is she could live another year if she undergoes chemotherapy. But she won&#8217;t. &#8220;I&#8217;m not going to go bald,&#8221; she says. &#8220;I don&#8217;t ever want people saying, &#8216;How sad, that beautiful hair all gone.&#8221;</p>
<p>When I phone again, she sounds as if she doesn&#8217;t have time to talk.</p>
<p>&#8220;I&#8217;m arranging my cremation.&#8221;</p>
<p>&#8220;Oh &#8230; &#8221;</p>
<p>&#8220;Yes, the text for the card, the location, the flowers, the coffin &#8230; I&#8217;m really busy.&#8221;</p>
<p>Dad, Maarten and I do not seem to be part of the equation.</p>
<h3>Late January 2008</h3>
<p>Dad phones. After two and a half months, Mom is deteriorating rapidly. She suffers from headaches, sickness and loss of coordination. She takes a fall while Dad is having a shower. When she has a shower, half the bathroom floor gets flooded.</p>
<p>Two days later, brain metastasis is confirmed. Mom is hospitalized and given drugs to repress the inflammation, but they will only remain effective for a week or two.</p>
<h3>Friday January 25</h3>
<p>Maarten picks me up from Schiphol airport in Amsterdam and we drive to meet Dad at the hospital. We all go upstairs together.</p>
<p>Mom is sitting by herself at a table near the window as we enter. She throws us a tearful smile. &#8220;My boys,&#8221; she says, as Maarten and I give her a hug. &#8220;To think that this all started in that bloody womb of mine &#8230; but I am glad I had it, to bear you two.&#8221;</p>
<p>The hospital staff all do a great job and Mom seems content with her care. After two hours with us, though, she becomes more demanding. She asks Dad to put things into her bag, then take them out again. She snaps when he can&#8217;t find her mobile phone.</p>
<p>When the palliative care coordinator, Carola, comes in to discuss the option of home care, I take Dad outside. &#8220;Dad, I&#8217;m wondering &#8211; here, Mom is in the capable hands of staff whose authority she accepts. At home, she&#8217;ll just try to be the boss.&#8221;</p>
<p>&#8220;Hmm. You may be right,&#8221; says Dad. We walk back, just as Mom is asking Carola whether home care really does not include vacuuming.</p>
<p>When I repeat my concerns to Maarten, though, he is adamant: &#8220;She ought to come home. It feels more natural if she dies there and I want to be around her for a bit. I don&#8217;t want to drive to this depressing hospital every day and leave her alone at night.&#8221;</p>
<p>And so the question is settled. The four of us will go home together on Monday.</p>
<h3>Saturday January 26</h3>
<p>In Dad&#8217;s study, I find a draft version of a mourning card saying &#8220;bye dear&#8221;. My name is on the card, along with my brother&#8217;s and Dad&#8217;s. These are meant to be our words, but I have had no part in writing them and I struggle with the bottom line: &#8220;We prefer not to receive telephone calls, visitors or flowers.&#8221;</p>
<h3>Monday January 28</h3>
<p>After arriving home with Mom, we struggle to share a harmonious moment. She asks again if we&#8217;ve thought about what we are going to say at her funeral. When I answer that I haven&#8217;t, Mom insists that time is short. I should look at her &#8220;expression of wish&#8221; statement &#8211; her wish to die. It needs editing. I go upstairs to the study.</p>
<p>The statement begins: &#8220;I, Mieneke Weide-Boelkes, am terminally ill.&#8221; It ends: &#8220;As soon as this medication loses its efficacy I request euthanasia.&#8221; Dad joins me and reassures me the text has genuinely been written by Mom.</p>
<p>I start editing. Then Mom calls from downstairs. &#8220;Weren&#8217;t you going to make dinner?!&#8221;</p>
<p>I go downstairs and start cooking with Maarten. Anything for a quiet life &#8230; because that is how it&#8217;s always been and now is not the time to change it.</p>
<p>When dinner is ready and I go to fetch Mom and Dad, I find them sitting in our bedroom with a man I have never seen before.</p>
<p>Mom introduces me to the doctor, Martin. He is holding the statement I have just edited, but all I can think is how he got in so quietly and why Mom and Dad have not bothered to let us know he is here.</p>
<h3>Wednesday January 30</h3>
<p>8.15am: Maarten has a run-in with Mom. He asks what on Earth she is doing with the Hoover at &#8220;stupid o&#8217;clock&#8221; in the morning. Mom does not appreciate being spoken to like that.</p>
<p>Things still simmer at breakfast. Mom finds fault with all the shopping we bought the previous day: the gouda cheese is too soft, the bread too sweet and why is there fruit juice in her fridge?</p>
<h3>Monday February 4</h3>
<p>We are just about to have lunch when Mom, who has been complaining about headaches this morning, gets up from the table. Tearfully, she shuffles to the kitchen sink. &#8220;I am so sick of it,&#8221; she says, &#8220;so sick.&#8221; She begins to make retching noises.</p>
<p>As Dad gets closer, Mom begins to thrash around. &#8220;It&#8217;s starting again!&#8221; she cries. &#8220;Call a doctor, quickly!&#8221;</p>
<p>Maarten manages to calm her down a little. Dad picks up the phone to call the doctor. Mom wants to go back to the table, but I take her upstairs to bed.</p>
<p>A moment later we hear feet shuffling down the stairs. The door opens and Mom appears. &#8220;I&#8217;m sort of OK now,&#8221; she says.</p>
<p>She has just sat down when the doctor arrives. As he sticks his head round the dining-room door and sees Mom sipping coffee, his face is all surprise.</p>
<p>So this is the moment Mom has specified: initial symptoms back; medication losing its effect.</p>
<p>The doctor says euthanasia can take place next week. Another doctor first needs to verify, though, that Mom cannot be cured, that her wish to die has been consistent, and that her suffering is unbearable.</p>
<p>Martin is convinced of the first two conditions but not of the third. If Mom is too energetic to stay in bed, then how is her suffering unbearable?</p>
<p>Mom puts her coffee down. &#8220;Well, I have to die anyway, don&#8217;t I?&#8221; Then she asks us what we think.</p>
<p>I interrupt: &#8220;It should be your own decision. None of us is to say anything.&#8221;</p>
<p>But Mom struggles to say she wants to die. Eventually I say, &#8220;I think what she finds unbearable is not so much her pain and sickness, but the fear of it getting worse and of losing control.&#8221;</p>
<p>When Martin is finally satisfied that Mom wants to end it, he agrees to contact the second doctor. He leaves with an empathetic nod to us all.</p>
<h3>Thursday February 7</h3>
<p>I wake up in the middle of the night. Mom is standing in our bedroom. She opens a drawer and takes something out. She shuffles items across the desk until she is pleased with their arrangement. Then she leaves, quietly closing the door behind her.</p>
<p>It is at least the third time she has been busy tidying up our room that I&#8217;ve seen this evening.</p>
<p>Mom&#8217;s youngest sister and her husband are visiting today. Everybody sits at the dining-room table with drinks and nibbles. Mom is giving an animated demonstration on how to polish silverware with her special gloves.</p>
<p>Then the secondary opinion doctor phones to say he will be with us in 10 minutes. There is a brief panic. Mom wants to change into her nightwear and get into bed before the doctor arrives, but we persuade her otherwise.</p>
<p>The doctor speaks privately with Mom in the dining room. After he leaves, Mom looks decisive. She says it was &#8220;a very good talk&#8221;, but does not give any further details.</p>
<p>Later, when the guests have gone, Dad tells me that the doctor asked him to leave the room. &#8220;Yes,&#8221; Mom interrupts, &#8220;the doctor had to ascertain if I was not being forced into euthanasia.&#8221;</p>
<h3>Friday February 8</h3>
<p>Doctor Martin is due to come in the afternoon to discuss further plans, but I do not see him. My brother has to fill me in over the phone because I am staying at a friend&#8217;s after a fight with Mom.</p>
<p>Over the last week or so, she has been complaining about my shoes and the damage they do to her floor and has been badgering me to buy a new pair at her preferred shop this weekend.</p>
<p>&#8220;Mom,&#8221; I say, &#8220;I was planning to stay with some friends this weekend.&#8221;</p>
<p>&#8220;Oh, were you!&#8221; she snaps. &#8220;And who has got more priority then, your friends or your terminally ill mother?&#8221;</p>
<p>I decide to go sooner rather than later. But Mom pursues me as I get my things. &#8220;Why don&#8217;t you stay with your friends next week, when I&#8217;m dead? You&#8217;ll have all the time in the world then!&#8221;</p>
<p>&#8220;I was planning to spend time here, with Dad.&#8221;</p>
<p>&#8220;Oh no you won&#8217;t,&#8221; she says. &#8220;When I&#8217;m dead, it&#8217;s just going to be your dad and me here. I don&#8217;t want you and Maarten around. And anyway, you don&#8217;t do diddly squat &#8230; &#8221;</p>
<p>I lose my self-control. I shout and swear at her and storm off in a rage.</p>
<p>Later, at my friend Petra&#8217;s, I get a phone call from Maarten about the outcome of the doctor&#8217;s visit. Mom&#8217;s death has been scheduled for Monday February 11, at 6.15pm.</p>
<h3>Sunday February 10</h3>
<p>Mom&#8217;s sisters and their husbands are there for a last family dinner, together with Dad, Maarten and me &#8211; wearing my expensive new pair of shoes. Mom, even more energetic than the week before, decorates the table lavishly.</p>
<p>My uncles shake their heads with incomprehension. As Mom shows off her china plates, my aunts have distracted looks on their faces.</p>
<p>Whispering to Dad and me in the hallway, they struggle to understand why Mom is choosing to die the next day when she is bouncing around like a 40-year-old instead of a terminally ill 65-year-old. But there is also shock at her fixation on material objects and the little interest she shows in how the people around her actually feel.</p>
<h3>Monday February 11</h3>
<p>Again, I wake up early when Mom comes into the bedroom. It is disturbing to see her take the stones and shells from the windowsill and place them on the desk. She had only moved them on to the windowsill the previous morning.</p>
<p>Mom leaves and comes back again three times. After the last visit, I can hear she is hoisting the vacuum cleaner up to the attic. It is just after 6am.</p>
<p>It is the start of an increasingly mad day, during which Mom hoovers the whole house and does six loads of washing (one of which consists of a single white shirt). She scrapes all the woodwork on the outside of the house clear of moss and cleans the windows.</p>
<p>After breakfast, I find Dad fuming after Mom has given him grief for not ironing fast enough. I ask him if it helps to see her as a mental patient instead of his wife. He grumbles.</p>
<p>I think of what was said the night before, about Mom&#8217;s relative physical fitness and her obsession with material objects and cleanliness. I feel an increasing tension as the day progresses and I still don&#8217;t know whether it is going to be Mom&#8217;s last.</p>
<p>I overhear Mom&#8217;s conversation with the flower shop. After the crematorium confirms the date of her funeral, she phones to order flowers for her coffin. It is an hour and a half before the nurse comes to put the catheter into Mom&#8217;s hand.</p>
<p>6.15pm: The doctor arrives shortly after the scene with the toilets. Mom greets him, then disappears upstairs, saying, &#8220;Best let me potter for a bit.&#8221; Nobody sees her for another 20 minutes.</p>
<p>&#8220;Does it happen at all that people pull out at the last minute?&#8221; I ask.</p>
<p>&#8220;Yes,&#8221; Martin says. &#8220;Quite often I go home again and a new appointment is made. But in many cases the patient passes away between visits.&#8221;</p>
<p>When Mom comes back, listing things she has put in bags and boxes, Martin gently interrupts her: &#8220;Can I just ask you something? Is there still a lot you feel you need to do?&#8221;</p>
<p>&#8220;Yes,&#8221; she says, &#8220;I mean no. I&#8217;m just nervous.&#8221;</p>
<p>&#8220;I can always come back later if you are not ready,&#8221; says the doctor.</p>
<p>Mom sits down and listens to the doctor. Then she takes a deep breath and says, &#8220;OK. I am ready.&#8221;</p>
<p>At 7pm, with my father, brother and me around her bed as well as Martin, who has given her the injection, Mom goes to sleep.</p>
<h3>Saturday February 16</h3>
<p>People at funerals often say that the deceased would have approved of the ceremony. In my mother&#8217;s case, she had literally approved everything &#8211; the music, the flowers, the guest list and the restaurant we went to afterwards.</p>
<p>My main regret is that there were such clashes between us in the run-up to her death. Perhaps if we had challenged Mom more over the years, keeping her ever-increasing demands in check, we could have been at peace as a family, instead of at war over shoes and toilets, right to the bitter end.</p>
<p>We all need to be sensative to someone who is terminally Ill. Although it may be hard for all of us as we all will struggle in the end, both patient and family and friends, we need to honor the wishes of our loved one.</p>
<p>The only thing missing here was prayer and love abounding. I missed seeing any hugging or love being shown from either direction.</p>
<p>If you have a loved one who is terminal, you can never give them too many hugs or words of encouragement. Don&#8217;t be afraid to tell them you are committed to loving them until the very end, or you don&#8217;t know how you will live without them.</p>
<p>Anger is a natural feeling for both the terminally Ill and their friends and family. All feel they have been cheated and are looking for who to blame. Even when you don&#8217;t feel they deserve it, because of their behavior, continue to hug them, and encourage them. Sometimes they just need to be held and if they begin to cry just keep holding them in silence. You&#8217;re just being there for them will help!</p>
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		<title>The light on the rooftops</title>
		<link>http://www.shahidulnews.com/2010/11/21/the-light-on-the-rooftops/</link>
		<comments>http://www.shahidulnews.com/2010/11/21/the-light-on-the-rooftops/#comments</comments>
		<pubDate>Sun, 21 Nov 2010 05:10:17 +0000</pubDate>
		<dc:creator>Shahidul Alam</dc:creator>
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		<description><![CDATA[Subscribe to ShahidulNews Choto Khalu (little uncle) was the likeable sort of uncle you could tease, and tease him we would. About being the fashionable one in the family. About using a knife and fork, when the rest of us &#8230; <a href="http://www.shahidulnews.com/2010/11/21/the-light-on-the-rooftops/">Continue reading <span class="meta-nav">&#8594;</span></a>]]></description>
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<p><em>Choto Khalu</em> (little uncle) was the likeable sort of uncle you could tease, and tease him we would. About being the fashionable one in the family. About using a knife and fork, when the rest of us would use our hands. About insisting on the interior décor in his house being just right. About his fancy stereo set. About being a dandy.</p>
<p>We were scared of <em>Choto Khala</em> (little aunt) when we were kids, and were surprised when we saw pictures of her, all trendy and hip, with her braided hair in front, sometimes on a bicycle. The outgoing young woman in the photographs didn’t seem as scary as we had imagined. My uncle enjoyed music, fine food, photography, reading, and their life seemed much less mundane than ours. We would giggle at how ‘modern’ this couple was. A word that had risqué overtones in those days.</p>
<p><em> </em></p>
<figure id="attachment_9015" aria-labelledby="figcaption_attachment_9015" class="wp-caption aligncenter" style="width: 610px"><em><a href="http://www.shahidulnews.com/wp-content/uploads/2010/11/choto-khalamma-khaluabba-2411-600-pix.jpg"><img class="size-full wp-image-9015" title="choto khalamma khaluabba 2411 600 pix" src="http://www.shahidulnews.com/wp-content/uploads/2010/11/choto-khalamma-khaluabba-2411-600-pix.jpg" alt="" width="600" height="450" /></a></em><figcaption id="figcaption_attachment_9015" class="wp-caption-text">Choto Khala and Khalu in their Banani flat. Shahidul Alam/Drik/Majority World</figcaption></figure>
<p>He was my <em>Abba’s</em> (dad’s) best friend. Marrying my mother’s younger sister, was perhaps a way to strengthen their friendship, but this fashion conscious young man also had an eye for good looks, and had chosen well. They were the perfect couple. They lived in Azimpur 66A, we were on the floor above, Flat 66C. Besides using their garden to raise my chicken, ducks and turtles, wandering through their flat on the way to the garden, was a treat for a young boy. Even in those low income days, <em>Choto Khala</em> and <em>Khalu</em>, found ways to make their modest home stand out from others. My special treat was to listen to “The Laughing Policeman” on his fancy stereo set.</p>
<p>As one of the few Muslims who had made it to Calcutta Medical College, their friendship went back a long way. <em>Choto Khalu</em> had sought out my dad, known for his academic brilliance. They had crossed over in 1946 to Mymensingh, gauging the scene well to leave the day before the riots, and had taken up teaching together. Partition followed and they never went back. As young professors, my dad, the studious academic, and my uncle the debonair doctor, must have made quite a pair. Both couples went to Britain for further training. My dad stayed back to teach upon return. My uncle made a return visit to Newcastle to complete his PhD.</p>
<p><em>Choto Khalu</em> was easily the more outgoing of the two. Abba concentrated on his research, developing Monsur’s Media (named after him), and setting up the School of Tropical Medicine. <em>Choto Khalu</em> meanwhile became president of the Pakistan Medical Association and the Commonwealth Medical Association. He had been awarded the <a href="http://www.gkbd.org/aboutus.htm">Gonoshasthaya Kendra (GK)</a> Medal for the “Favourite Teacher” in 2007.</p>
<p>On hearing of this death, the founder of <a href="http://www.gkbd.org/aboutus.htm">GK</a>, <a href="http://en.wikipedia.org/wiki/Zafrullah_Chowdhury">Dr. Zafrullah Chowdhury</a> commented, “Professor SIMG Mannan holds many laurels for teaching a most difficult subject &#8211; anatomy with great ease and humour. He is the first Asian whose name is recorded in the medical bible Grey&#8217;s Anatomy for his discovery of pascinian corpuscles. Yet he would always advise us to read Last&#8217;s Illustrated Anatomy as it would be easier for us to grasp. His refrain with us was ‘serving humanity is much more important than the nitty-gritty of anatomy.’</p>
<p>It is ironic that the Bangladesh Medical Association in 1991 cancelled the membership of Professor Mannan, an erstwhile President of the Pakistan Medical Association and the Commonwealth Medical Association because of his participation in the formulation of the National Health Policy of 1990. His call for universal coverage of health care and the prohibition of private practice by government employed doctors to be compensated by 200% increase in salaries and extension of retirement age to 60-65 years was the cause of this wrath.</p>
<p>He knew all his students by name and attended to each student&#8217;s needs and difficulties. Great loss for me personally.&#8221;</p>
<p>My interactions with <em>Choto Khalu</em> involved kibitzing their bridge games, occasionally discussing poetry, and at a later stage, photography. His backlit black and whites were no accidental family snap shots. While others in the family valued fame and success, it was he, who was curious about my work and appreciated the craftsmanship. When the Royal Photographic Society made me an honorary fellow, it was <em>Choto Khalu</em> who reminded everyone of what an honour it was. An artist trapped in a scientist’s body, he continued to indulge in non-material pursuits that his peers found frivolous. He insisted there was more to life than mere living.</p>
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<figure id="attachment_9016" aria-labelledby="figcaption_attachment_9016" class="wp-caption aligncenter" style="width: 487px"><a href="http://www.shahidulnews.com/wp-content/uploads/2010/11/choto-khalus-family-4109.jpg"><img class="size-full wp-image-9016" title="choto khalu's family 4109" src="http://www.shahidulnews.com/wp-content/uploads/2010/11/choto-khalus-family-4109.jpg" alt="" width="477" height="600" /></a><figcaption id="figcaption_attachment_9016" class="wp-caption-text">Choto Khalu (2nd from left) with his father and siblings. His mother was behind the screen. Photographer anonymous.</figcaption></figure>
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<p>Apart from when <em>Abba</em> died, it was over a photograph that I saw him grieve. Taking down an old framed image from the wall, he shook as he said, “She was alive then. But couldn’t be in the photograph. She was there, standing behind the curtain. Had I been more aware, I would have dragged her out, to be photographed with the rest of us. She had never been photographed.” His mother died when he was eight. Still never photographed.</p>
<p>It was the day before Eid that Rahnuma and I went to visit them. Rahnuma had carefully chosen the books for them. <em>Choto Khalu</em> kept talking about the books, about how much he would enjoy them. Taking us by turn, he took us to their little verandah. “See when the late afternoon light hits the rooftops. When that slanting light hits the edges. Just before the sun sets. That’s when I stand here watching the light. The road in front with all those trees. It must be so wonderful to walk through. They are so lucky, the ones who live in the house with the slanting tiled roof. I wonder who live there. Have never seen them on that lovely roof.” Even at 93, the joy of life had never ebbed.</p>
<p>Ignoring Rahnuma’s pleas that I was getting too fat, he insisted on me eating the sweets that we had brought. Then he spoke about the light again and how much he’d enjoy the books.</p>
<p>Unusually for them, they came out to the lift, both waving as the gates began to close. Rahnuma and I looked at each other and said nothing. It was the following night, on Eid, that my sister Najma, rang to say he’d been taken to the hospital. They were already there when I arrived in the morning. It was a different <em>Choto Khalu</em>. One with pipes and catheters and strapped to monitors. A body stuck to machines had replaced my uncle. I would go to see him late at night. It was after visiting hours, but the hospital staff didn’t mind. I would just be with him on my own. Stroking his forehead, waiting for a sign. He was too far gone to respond, but I felt he knew. The doctor on duty asked who the decision maker was. I knew what that meant. I spoke to my sister, and we agreed to have a ‘meeting’ in the morning. She later rang back to say, perhaps we wouldn’t need to. In the morning she rang to confirm that we didn’t.</p>
<p>It was still morning, but many people had already dropped in as he lay in the coffin in their flat in Banani. Old doctor friends, students, family. I remembered feeling proud when people like the former Bangladeshi president Badruddoza Chowdhury and other prominent doctors mentioned they had been mentored by <em>Abba</em> and <em>Choto Khalu</em>. Today when the ex president came to pay his last respects, all he did was to call us together to lead us in prayer.</p>
<p>Tonight, as I look out of my window to see the orange moon, and call Rahnuma over to see it, I wonder if <em>Choto Khalu</em> is watching the moonlight dancing on the rooftops. I have a feeling he is.</p>
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		<title>Doctoral Complicity in State Terror</title>
		<link>http://www.shahidulnews.com/2009/11/11/doctoral-complicity-in-state-terror/</link>
		<comments>http://www.shahidulnews.com/2009/11/11/doctoral-complicity-in-state-terror/#comments</comments>
		<pubDate>Wed, 11 Nov 2009 15:59:36 +0000</pubDate>
		<dc:creator>Shahidul Alam</dc:creator>
				<category><![CDATA[Bangladesh]]></category>
		<category><![CDATA[Governance]]></category>
		<category><![CDATA[complicity]]></category>
		<category><![CDATA[corruption]]></category>
		<category><![CDATA[hippocrates]]></category>
		<category><![CDATA[journalist]]></category>
		<category><![CDATA[medicine]]></category>
		<category><![CDATA[negligence]]></category>
		<category><![CDATA[politics]]></category>
		<category><![CDATA[Rahnuma Ahmed]]></category>
		<category><![CDATA[state]]></category>
		<category><![CDATA[torture]]></category>
		<category><![CDATA[Violence]]></category>

		<guid isPermaLink="false">http://www.shahidulnews.com/?p=6485</guid>
		<description><![CDATA[By rahnuma ahmed I take liberties with English language as I write &#8220;doctoral&#8221; to indicate the complicity of doctors and hospitals, both public and privately-owned ones, in short, the Bangladesh medical establishment&#8217;s actions which aid and abet state functionaries who &#8230; <a href="http://www.shahidulnews.com/2009/11/11/doctoral-complicity-in-state-terror/">Continue reading <span class="meta-nav">&#8594;</span></a>]]></description>
			<content:encoded><![CDATA[<h2>By rahnuma ahmed</h2>
<p>I take liberties with English language as I write &#8220;doctoral&#8221; to indicate the complicity of doctors and hospitals, both public and privately-owned ones, in short, the Bangladesh medical establishment&#8217;s actions which aid and abet state functionaries who have committed acts of terror—whether those in the police force, or RAB (Rapid Action Battalion), or in any of the military intelligence agencies, such as the DGFI (Directorate General of Forces Intelligence)—to cover it up.</p>
<p>Doctoral, as an adjective, refers to a doctorate, the highest degree awarded by a university. But as a transitive verb, as in<em> doctoring</em>, it means to change something in order to make it appear different from the facts. From the truth. In other words, to deceive.</p>
<p>Is that what doctors did in the case of Anu Muhammad? Did they doctor the facts to cover up marks of police brutality? Anu, a well-known and widely-respected public intellectual and activist, also a professor of economics, was <a href="http://www.newagebd.com/2009/sep/03/front.html#1">brutally attacked by the police on September 2</a>. Did they also doctor the facts in the case of F M Masum, crime reporter of this daily, who was <a href="http://www.newagebd.com/2009/oct/23/front.html#3">tortured by RAB officials</a> just because he had asked them why they were beating up a woman? Did doctors in either, or both cases, work <em>against the good of their patients</em>, in violation of their Hippocratic oath? Did they utter or write down words, undertake actions that  were <em>not to the best of their ability</em>, ones that were intended to make grievous injuries appear harmless? Ones that prolonged their patients injuries instead of helping them heal?</p>
<p>Is medical ethics taught in the medical colleges? Do students see their teachers practise it?</p>
<h2>Pretty Packaging Outside</h2>
<p>I was busily working on my manuscript—the reason for having been absent from the pages of New Age for the last three months—when my mobile beeped: `Anu and other tel-gas cmttee leaders beaten up by police.&#8217;</p>
<p>I called and was horrified to hear that the police had targeted him, had charged at his head with batons, an attempt foiled by brave young members of the National Committee to Protect Oil, Gas, Mineral Resources, Power and Ports. <a href="http://www.thedailystar.net/newDesign/news-details.php?nid=104194">They had borne the brunt of the attacks as he fell down on the street</a>. The thousand strong procession was heading toward Petrobangla headquarters—in Anu&#8217;s words, <a href="http://www.shahidulnews.com/wp-content/uploads/2009/09/Anu-Muhammad-Interview-23Sept.pdf ">&#8220;a multinational company base that no longer represents the wishes of the people&#8221;</a>—to protest against the government&#8217;s decision to award three offshore blocks to international companies.</p>
<p>Anu had been rushed to Dhaka Medical College Hospital, the nation&#8217;s most reputed public hospital. His legs were X-rayed before being put into plaster casts. We need to carry out other tests, said the doctors, as he lay on a trolley. But since the hospital was overfull and there were no empty beds, said Anu, my family and friends took me to Square hospital instead. They knew it was expensive, but a recent health insurance policy was expected to cover the costs. He added, they were concerned about whether I had suffered any internal injuries.</p>
<p>So, I prodded him, how was the treatment at Square? It is a hospital that is owned by the Square Group; Tapan Chowdhury, the managing director of the group was the power and energy adviser to the military-installed caretaker government (2007-2008); the hospital, as its website advertises, is affiliated to hospitals abroad (<a href="http://www.squarehospital.com/">USA, India, Singapor</a>e). You had no broken bones, so why is it taking this long to heal, I asked. And I saw all these hotshots flocking to the hospital to see you, <a href="http://www.bdnews24.com/details.php?id=141835&amp;cid=2">Khaleda Zia, government ministers</a>. Why, I believe, even the health minister, an orthopaedic surgeon, went to see you, no? Yes, that was the problem. What on earth do you mean?</p>
<p>Well, you see, at Square they carried out a lot of tests, blood, urine, ultrasound, CT scan, but no one did a physical examination of my feet, legs, no one looked at the bruises, pressed or poked to see where it hurt, whether I could move my toes, during the four days that I was there. Yes, they changed the DMCH plaster casts, I was upgraded to fiber optic casts, they look prettier, but no physical examination was done.</p>
<p>And then, the health minister Dr Ruhul Haque came to see me on the 5th. I was planning to leave the hospital the next day, which I did, but the impression I had gotten from my doctors was that my legs would need to be in casts for a month or more, that I would need to come for regular check-ups. But the very next morning, after the health minister&#8217;s visit, the same doctor who had said I would need them for a month, came and got rid of them. And then, all these doctors disappeared. Very mysteriously.</p>
<p>The hospital issued a discharge certificate, it says, I had &#8220;improved satisfactorily.&#8221; I don&#8217;t know which tests demonstrated that. It also said I should use a walking stick. But that was pretty absurd, since I couldn&#8217;t stand up for the briefest of seconds. Not for a good fortnight after I left Square.</p>
<p>And what happened after you went home? Well, I couldn&#8217;t move, the pain got worse. Luckily, a doctor friend of mine dropped in regularly, he showed me some physiotherapy exercises, he told me how to move my body, how to avoid putting weight on my feet. You mean to say he did what the doctors at Square should have done? Anu grinned, but the smile didn&#8217;t quite reach his eyes. And I hear there was pus?  Oh yes, my feet were heavily bruised because the police had kicked at my feet with their boots, they had nearly jumped on my feet, so they were all swollen. And then, another doctor friend got hold of two orthopaedic surgeons. They were pretty shocked when they came and examined me. They prescribed antibiotics immediately, which gradually got rid of the swelling and the pus, and that intolerable pain. If it hadn&#8217;t been for them I definitely would not have recovered as I have, now.</p>
<p>While listening to Anu, I riffled through his medical file, looking at his discharge certificate, his blood reports, other reports. A line caught my eye, Thank you for being with Square. Yes, I thought, but <em>is</em> Square with its patients?</p>
<p>Pretty packaging outside. Ugly politics inside.</p>
<h2>Discharged in the Middle of the Night</h2>
<p>F M Masum, crime reporter, New Age was tortured by RAB officials, first at his home, and then later at RAB-10 headquarters. Not only had he protested, he had <a href="http://www.thedailystar.net/story.php?nid=110968">dared to ask RAB officials to speak civilly</a>. As they should, being employees of the state, paid by the public exchequer. In exchange, they barged into his house, beat him up, blindfolded him, rubbed salt into his wounds. <a href="http://www.shahidulnews.com/breaking-news/">The torture grew worse, said Masum, when I showed them my ID card</a>. According to them, Nurul Kabir had made things difficult for them. They had &#8220;suffered&#8221; because of his outspoken views, that&#8217;s how they put it.</p>
<p>After Masum&#8217;s release was finally secured an excruciating ten hours later, with the intervention of the home minister, his colleagues took him to the DMCH. It was nearly midnight. Were you examined? Well, the DMCH X-ray machine was out of order so I was taken to a private lab, we returned to the hospital with X-ray and CT scan reports. And then? They said, everything was fine and I could be taken home.</p>
<p>Even though you were covered with torture wounds? Even though your body and feet were swollen? Even though you were said to be in severe pain and should have been examined for internal injuries? Well, yes.</p>
<p>Masum was admitted to the <a href="http://www.bdnews24.com/details.php?id=145483&amp;cid=2&amp;aoth=1 ">Dhaka Community Hospital at Maghbazar Railgate the next day</a>. And how are you now? I asked. Well, my feet still hurt a lot. And your ears? Oh, it&#8217;s much better now. Once the blood clot has completely dissolved, the ENT specialist said he&#8217;ll be able to examine and see whether my eardrum has suffered any rupture.</p>
<p>But DMCH has had courageous doctors too. I remembered Dr Shamsul Alam, professor of surgery, who accompanied communist leader Ila Mitra to Calcutta in the mid-50s. She had been imprisoned, tortured and raped by the police after the Tebhaga movement flared up with <a href="http://www.thedailystar.net/magazine/2004/12/01/retro.htm">peasants demanding two-third share of the produce from their landowners</a>. While serving a ten-year prison sentence she had fallen ill, had been hospitalised. Embarassed at street protests at home and outrage abroad, the Pakistan government released a weak, frail and emaciated Ila Mitra on parole, agreeing to let her go to Kolkata for better treatment. `But your khalu had to pay the price,&#8217; his widowed wife reminded me. `They transferred him to Chittagong. They didn&#8217;t give him the promotion that was due.&#8217; There are still a few left, I thought, as I remembered the words of gratitude Bidisha (ex-wife of former president Ershad) had written of Dr Afzal of Bangabandhu Sheikh Mujib Medical university where she had been hospitalised. She had been remanded, and <a href="http://www.newagebd.com/2008/nov/24/edit.html">allegedly tortured by DGFI officials</a>. Hospitals too, since Dhaka Community Hospital had admitted Masum, and had continued to treat him despite receiving intimidating phone calls.</p>
<p>I am sure there are other instances too. But the rest? Too busy doctoring to be real doctors.</p>
<p><a href="http://www.newagebd.com/2009/nov/09/edit.html#2">Published in New Age, 9 November 2009</a></p>
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