“Yes Madam, can you tell me what is wrong with the baby?” I looked up at the enquirer, wondering who was it that spoke in English. “May I know who you are?”, I asked in the local language.
I was at the
NICU counselling room of the hospital where I was a resident. In a government hospital, which catered to
the poorer sections of the society, rarely would anyone hear a patient or his
relatives talking in English. So rare, that the patient would be referred to as
the ‘English speaking patient’ or the ‘English party’ from admission till
discharge, albeit with a bit of sarcasm. The speaker was a young man in his
twenties, wearing a white t-shirt and jeans, and a sunglass hung from his jeans
pocket, just enough to be identified. I sighed. Another one of those t-shirt-jeans-sunglass-English
machan!! I knew what was to follow!
Do not mistake
me, not that talking English was a problem, just that it was very rare and
largely not required. Doctors from other states like me, made it our priority
to learn the local language so that we can communicate with the patients
effectively and understand them well. We used to sit in busy OPDs with a
notebook having all the essential words in the local language and English- a
tiresome exercise in the beginning, but slowly we ditched our notebooks and
spoke the language well enough to ask, understand and reciprocate. So, when
such doctors learn a new language without flaw, and hear a patient or patient`s
relative whose mother tongue is the same language respond to them only in English,
it gets on their nerves. Knowing English gave the patient an aura of importance
among the less fortunate multitudes in the wards – it was like a halo of
superiority seen only by the fellow patients and patient`s relatives. Many a
time, the ‘English Party’ assumed a certain level of self-VIP-ship and
expected VIP treatment. They believed
that speaking English automatically ensured better treatment, which was
definitely a wrong notion.
Of course, they
are not to blame. Despite gaining independence, India is still under the colonial
rule when it comes to language. By default, Angrezi is glorified, and a person
not having a hold on the language is depreciated. This would sound a bit
hypocritical to be told by a blogger using English as the medium to communicate,
but forgive me, English wasn’t my forte always. It is a language that I
acquired, nourished and blossomed. When I changed school from state syllabus to
ICSE syllabus in middle school, I was teased and put down for my lack of
mastery over the language and suboptimal pronunciation. An avid reader, I
lavished on whatever I could get hold of in English, and slowly the standards built
up. Over time, it became one of my primary languages of verbal communication,
and the main language on paper. I guess the pressure and competition around me
made me capture it readily and pushed me to excel. And the race has not slowed
down; fluency in English is one of the major job criteria anywhere in India.
It’s a proud moment for parents to declare that their children do not know
their mother tongue, but is fluent in English. Anywhere and everywhere, a
person speaking English naturally assumes more importance than the non-fluent
speaker. The same attitude continues when someone is a patient in a hospital as
well.
Back in my
residency days, it was a common sight to see villagers bringing their
city-dwelling near/far relatives to shoot a few arrows in English and catch the
unsuspecting doctor by surprise. And invariably all these ‘English machans’(the
name I gave them) wore white t-shirt and blue jeans, and a vast majority of
them had a pair of sunglasses barely hidden but revealed enough to be seen. May be it was a desperate try to fit in. The poor native language speaking patients
used to watch the machan speaking in English with pride and awe. Some couldn’t help
a smirk at the sight of the machan surprising the doctor and getting even with
him/her. With experience, we learned to curb our shock and surprise at suddenly
being caught unaware. On a lazy and relatively free day, we would respond
normally and repeat all that we told the parents in local language to the
machan in English. On a busy and tiring day, we had two ways to retaliate. One
was to continue speaking in the local language, despite strong provocation by
machan to change the medium of communication. The other was to throw at them
the ‘ash-push’ English, with superior vocabulary and fake foreign accent,
provided you were well versed with it. It was one of those days and I decided
on the latter. I had already explained to the baby`s parents in detail about
the condition, course and plans for the baby.
“Madam, I am
short of time, I want to know Pooja`s baby`s condition!”, the machan standing
in front of me demanded in a threatening voice and fluent English.
“I would be much
obliged if I could know your name and relation to the baby”, I started with a
fake and honey-sweet smile.
“Govind. I am
his uncle.”
“Oh well, Mr
Govind! Let me begin with a word of approbation for being the supercalifragilisticexpialidocious
uncle of a remarkable baby. He was regrettably born as a preterm baby with
inadequate lung surfactant and hence, increased surface tension which causes the
alveoli to collapse and cause respiratory distress. We had appraised your baby
with unambiguous respiratory scores and found that he needed artificial lung
surfactant. After instilling surfactant in the requisite doses and later
providing him continuous positive airway pressure, we have been able to alleviate
his distress. Currently he is on oxygen via nasal prongs and he will be weaned
off it soon. His feeding is being assessed, and as per his suck-swallow
co-ordination, we have been pleased to initiate him on gavage feeds. We will be
conducting a screening echocardiography shortly to assess his cardia. His
improvement has been apposite and prompt and we hope for an expeditious
recovery and discharge!”
“
Ahhh….well….yes I understand…Thankyou…”
I enjoyed
hearing the threatening tone of his voice change to one of dismay and defeat. I
enjoyed his confused and lost countenance.. I enjoyed seeing him struggle to
explain to the parents the ‘verbal cholera’ that he just heard. I enjoyed
seeing my intern`s jaw drop in shock. Yes, I enjoyed it all. I basked in the
glory of my quick and easy success in the ‘English skirmish’. My heart swelled
with happiness at having won the war of words.
It was not
until much later that all of it came back hitting hard. How narrow-minded of me
to engage in a needless duel with an unsuspecting lad. I was conscience- stricken by my blinkered
attitude. It took these people a lot of effort and boldness to come out of
their villages and survive amidst the cut-throat competition and fast-paced
life in the city. Learning English would not have been easy for them. Having a
platform to show-case their hard-earned English fluency was a bonus. And it
wasn’t wrong on the part of the poor patients to think that patient care will
escalate with a few darts in English. Everyone glorified English and
English-speaking individuals around them!! I was ashamed of my immaturity and
bigotry.
There is something
to learn from every encounter and every situation in our lives. Some experiences
wilt our prejudices and fractionalize the sand castles that we build in the
air. Some tear us down and break our heart, but we come out a better and
stronger person. And then there are those that spark joy and breathe
refreshment into our mundane lives. Somewhere distant in time, a few of these
memories barge in when we least suspect them, and stay put to be ruminated
upon, dissected carefully by our minds, and influence our character and disposition.
And this was one such reminiscence, that brought about a discourse containing a
thousand-odd words and a million-dollar lesson.
“You never really understand a person until
you consider things from his point of view…until you climb into his skin and
walk around in it.”
Atticus
Finch
(To Kill a Mocking Bird, Harper Lee)
Nice one angel.. although I have never tried that sort of an explanation about a patient, I have always felt like it. It is true about the cut throat competition the villagers face - I have seen a few even paying “English speaking outsiders” to get the VIP treatment! A long and hard day at work will always stretch you to meet people like this at your breaking point. Nevertheless, God’s Grace comes through in the end. :) keep writing!
ReplyDeleteThanks a lot #drawingdisciple. Yes it very challenging at time , and only Gods grace can help us sail through. Thanks for reading, do read, share and follow. 😊
DeleteApt writing dear
ReplyDeleteThanks a lot didi 😘
DeleteNicely written,
ReplyDeleteThanks a lot...do continue to read, share and follow.
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