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Friday, March 30, 2018

little blue pill



20 years back Pfizer the multinational pharmaceuticals hit a jackpot
Serendipity selects its rewards with no criterions but pure luck.
The chemical molecule called Sildenafil citrate was one of the several research molecules in the pipeline for Pfizer.
Millions of dollars are spent on three or more phases of meticulous laborious long clinical trials of several molecules by these companies with deep long pockets and one in say ten could
 be accepted one in hundred can make profit but only one in a million should hit the jackpot .
Sildenafil was more intended for pulmonary hypertension chronic lung and cardiac failures as it dilated blood vessels increasing vascularity and oxygenation and better cardiac output.
Now dilatation of blood vessels in male sexual organ produces erection and this was a side effect only but then this was something desired by the male population for aeons as a fantasy need and also by the female population depressed and dejected by universal flaccidity.
All the mumbo jumbo herbs ,amulets ,mantras ,grandmas cures concocted, conning medicines made more money to its makers instead of raising the spirits and organs of the men who swallowed them 
And then comes this short sweet potent dynamite raising dead objects in perfect salutes 
Suddenly Pfizer knew it was going to shake the world nay raise the worlds nether masculine regions and thus bring in zillions of dollars .
The little blue tablet Viagra became just that.
Urologist’s pulmonologists who generally prescribed them became as popular as film stars 
After all it was non biblical resurrection of faded hopes.
Actually India brought a slew of over counter ones with names like
Cadevra 
this was a misnomer as cant associate erection to cadavers can we ?
Maybe they meant even raise the dead’s .
And thus two decades has passed since countless homes had bouncing beds
Invigorated spirits maybe thousands of toddlers populated the earth due to those pills
God himself should have wondered if Pfizer was competition

Monday, March 26, 2018

Mattancherry

Mattancherry

Mattancherry in Cochin was and is a cauldron of variety .
It has history in its very dust .
From Gowda saraswat brahmins fleeing from cruel  invaders like Tipu sultan to jews doing the same from universal persecution the tiny royal kingdom of Cochin was filled woth pockets of these communities .
The last of the jew having left to the promised land we still have a big number of konkanis .
Muslim colonies rising from migration and conversions
 tamil brahmins who migrated from tamilnadu in search of jobs .
Gujuratis Rajasthanis mostly jains who came to conquer the trade in the narrow streets of Cochin
A small group of Marathi brahmins .
All of them spoke a medley of languages had an array of tradition customs and living style that it added beauty to its rich tapestry .

The picture shows the  Dutch palace which strangely was  presented by the  Portugese  to the Maharaja of Cochin
Later renovated by the Dutch 
The Dutch palace has a qauint temple of the royal family and a temple in its opposite side .

The turrets of the famous Jewish synagogue are seen reflected in the sunlight

When we came to cochin in 1987 we stayed for a year in Mattancherry .
Everything was available from fresh fruits vegetables stationary grocery excellent vegetarian restaurants the very famous Rehmaniya restaurant with its celebrity chef founder kaayikaan .
I remember the small neat hotel filled to brim
We used to buy parcel as eating there was a bit crowded .
Kaayikaan himself stood shirtless like a pillar taking the orders and instructing his waiters to get them fast .
The air had an aroma of fine biriyani not available anywhere
Years later his children would start an upmatket version in downtown Ernakulam but that would not come near the kaayikkaan original .
There also was a humble homely veg restaurant where its one waiter chef owner took orders made the dosa and served you with elan and it tasted divine .
Many offices godowns were in mattancherry and it was very busy
Nearby Fort cochin sold frolicking fresh fish pulled in chinese nets.




















Wednesday, March 14, 2018

Abdullah

Abdullah is a grabdfather though not very old
Hes more known as uncle .
Hes the all time help available in our medical oncology OP.
Abdullah is always smiling ready to do any job people ask  him to .
I had never seen him angry or depressed  in thesefive years iam here .
Heshard working active always on move guy .
Hes a good friend to me .

Boatman Md Syedi

Mohammed Sayidi is my friend
I always call him when i take people for Brunei river cruise in motor boat .
He not only knows right spots to see the proboscis monkeys he takes us around in a relaxed way at oppurtune time and place for fotos hes safe intresting conversationist and ends with a water tour of kampong ayer water village
I would recommed Mohammed to anyone
Just ask for him in the jetty

Proboscis monkey

The Proboscis monkey (nasalis larvatus )is a rare dwindling speices of monkey found in mangrove forests in Borneo island which is north of Singapore.
Borneo island is a huge rainforest island in eqautorial waters .
Large swathes of forested Indonesia some parts of Malaysia of Sabah Sarawak states and the small  country of oil rich Brunei .
If one goes in a motor boat in Brunei river from yayasan jetty in downtown Bandar to the not very far mangrove forests one can see them on tree tops .
Best time is morning and evening when they come out to feed .
During the hot humid daytime they probably rest .
They are so named because of the fleshy long nose shaped like a proboscis which incidentally is an antennae ..to probe..as nosy as your neighbour .
They have a large compartmentalised stomach with cellulose lined cavities in order to digest tge 95 % leafy diets .
Hence most have huge bellies
The posterior is red with a long thich tail .
They grow in 4 years live upto 20 years .
Our boatman took us to two good places sort of enclaves into mangroves cut the engine
The eerie silence of the jungle was only disturbed by the calls of a bird the flutter of wings of migratory birds the swish of something slimy and swift in the dark waters a scurry of a squirrel on a tree and then we saw them perched on top of trees eating the leaves like gluttons .
The first foto is from net tks
Rest by me the best i could take .
On return we went through the famous Kampong Ayer or water village with houses hospitals police statikn schools mosques and fire tenders .
And thus i sighted my last proboscis monkey in Brunei

Friday, March 09, 2018

Music Therapy

Good music has always been known to touch the soul .
Its proved by some that plants grow well,cows yield more milk and pregnant women listening to soulful music have a benifit to thier infants .

Music is said to change climates certain ragas sung with emotion even bring rains .
Its also known music helps in healing

But saying all this to me music is complementary to treatment and not a substitute .

Singer Yesudas is a great believer in musics influence to good health

And so it was in 2002 or so when working in Lakeshore hospital Kochi in medical oncology with the team of Dr V.P.Gangadharan I wanted to try it with patients undergoing chemotheraphy .
Generally they go through a lot of side effects like nausea vomitting loss of appetite lack of sleep pain etc though these days they are much less with good medications .
So with the nod of Dr VPG  who arranged for a good audio set to be installed .
I got old hindi malayalam songs from my CD collection .
One of our patients with gastric ca who had completed treatment had presented me with his singing in a CD as he was a singer
I used that too .
The volume was low and we switched off TV in the hall .
Most patients i found preferred old malayalam songs as they knew it well .
After a month or so i did a questionarre survey and found most felt less stressed with less symptoms .
Though it wasnt a serious study i did present it in national conference in palliative care in Tata cancer centre Mumbai .
But people shouldnt take it that music alone will heal
No
It helps for the medicine to be effective too

Thursday, March 08, 2018

Women

On this day meant for women i give my greetings to all women .
Woman and man are like ying and yang .
God made both as symbiotic forces .
No need to determine who is stronger than other they just fill in with thier strengths and weakness.
To me women are good friends and beautiful people whoever wherever and whatever be thier age .
I have tenderness and love to girls as i have to my daughter .
I have friendship and respect for women for thier hard work and sincerity
I have gratitude to women like to my mother .
And i have affection and love to my wife .

I hate those who abuse misuse exploit insult and dominate women 
Many times women are more dedicated less corrupt and definitely less lazy than men.
Before i get accusations of flattery and acriminations of treachery and oppurtunism from my male brothers i just want to tell definitely i grade women a notch more than man .thats contradicting what i said earlier but adhu anganayaanu bai as they say in malayalam thats the way its brother ..
I dedicate this day to the three women in my life 
My mother ..my wife ..and my daughter 
..
Happy womens day

Sunday, March 04, 2018

Short story

It was dusk
The chill was in the air
The birds were homing in
In the hall among the antiques it was quiet
Dusk isnt dark though
It was bright enough
Waiting to him was routine
Patience is hallmark of his profession
He would wait for the kill
No sense in hurrying things up
The pleasure was in the waiting
The actual moments were momentary
In the split of a second it would be over
A flash and thats it then its the past
How many had he seen
From childhood
Honed in the  streets of Chennai later Cochin and then here in Sicily
To become the honcho
The man who mattered
His virtue was patience
Be it in the wild suburbs of mumbai
Or in the dark streets of old Delhi
Or in the dreary cold of snowy Srinagar
He had waited
Amongst the minars of Hyderabad
Or the desert dunes of Bikaner
Bobbing on a camel
To the tunes of a folk song he waited with bated breath
The leapords the cheetahs the tigers the lions they all wait for the bait
They are not in a hurry
So is Hari
Never in a hurry waiting for his pizza in Sicily
Waiting for his masala dosa in Chennai
Waiting for his prawns coconut in Cochin
Waiting for his Biriyani in Paradise in Hyderabad
Waiting for that kabab in Karims
Waiting for mutton rogan ghosh in cold Srinagar
Waiting jalfreizi jaipuri in Bikaner

I waited and it came and i ate
End of story guys
Go to sleep

Harimohan

Happy Holi

How will happy holi be wished by different people....
Modiji...bhayon aur  behnon its holi and it starts now wait for my speech at 8pm

Sashee tharur ....kaleidoscopic mushroom clouds defies mushroom pasts of aninhilation to cattle class contemplations .

Kamal hassan ..being an athiest doesnt deny God in red hues wives in purple orgies dancing to dravidian tunes hey Raam .

Rajneekanthaan ...nothing is holee to me to think so is a folly .

Chidu .cayman islands is where the dough is black in colour where karthi is keerthi .

MM singhu ..silence is colourful happy holy madam

Sasikala..being holi in jail beats acting holy in Appolos

Trade union leader in malluland..we look red but get green

Rahula beta..mum is the word holier than thou

Laloo ..cows put cowdung with fodder but lallo takes fodder and makes color holy

Mayamwati...dalits holi is reserved to be the most colurful .

Mamtaaaaa .rohingyaas need a holi too modi needs only trolee

Kejooriwallam ..holi cough is neither odd nor even

Sonia romanova ...Italian colors are like pizza toppings indian like dipping ketchups

Nations  Daaamaad ...my lands are like colours of a rainbow  infinite

Kerala politician modi denies colour to kerala we manage in kanoor

T nadoo politician falling on feets is best way to be holee

Mulayam beta holy bhaang is all we need

Yogi adityaaaa holy cows shit color you see

Yoga purush swami ramdev..crooked eyes shows patamshalees in colour

Nityaananda swami..i see colours all days why be holi

Harimohan
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