I never desire a kingdom.

One day one Politician friend of mine Sh. Rajdev Singh visited me in my clinic with his ailing neighbour and told me to help and treat free of cost, although his neighbour was  a useless, worthless and helpless man, he was good for nothing  in his opinion which he whispered into my years. I told him, “Look here, gentleman, no person is as bad that his life should be neglected.

People say that the cost of life even of the worst of the worthless persons is never less than a lakh of rupees and I personally believe that the cost of life of a kind and helpful person like you is more than a crore of rupees.”

Mr.Singh is a very jovial fellow, he always keeps on smiling and cracks jokes at times. He remarked, “Doctor, you do not know the cost of life of Doctors who are not only kind and helpful but sincere, sympathetic and economical like you is always more than a million dollars.”

Another gentleman Sh.A.K.Jha, a senior officer in the state government who was awaiting me in my clinic for treatment supported Mr.Singh in Toto. Mr.Jha told me, “Doctor when I am all okay I feel jealous of you because I have a bigger car, a bigger bungalow and a much higher scale than you even then when I stand before you I find myself much smaller”.

Mr.Jha continued, “whenever I fell ill I always found you as a good clinician but very recently when my son was very serious and hopeless, strangely enough, whenever I needed your help and presence, I always found you on my back with a touch of love, a few words of sympathy, assurance and very seldom with a change with costlier medicines & costlier test. It is strange to find that you are a man with a few words, a physician with a few medicines and a surgeon with a few instruments. It is peculiar that you always prescribe effective, safe and economical drugs. You never go by skillful advertisement and appreciation by the agent. Now I have started believing that God is nothing extra than doctors like you.” I told him, “this is nothing but it speaks of the height of your greatness and simple mindedness.”

One robust layman Kalu Yadav a dreaded name in Diara was in the clinic for the treatment of his ailing wife who was listening to these talks. He failed to hold his tongue and interrupted in between, “Doctor, now only I could understand why people are mad after the life of Doctors. Had I known it earlier, I would have been a far richer person by now. It exited a great laughter and I could not but order for tea for all, in spite of the strict order of my wife – “No tea in the clinic” as my blood sugar runs unstable and I have been forced a fixed tea-quota.

Everybody was rejoicing at tea while I became sentimental and became silent. Tears welled up in my eyes. Mr.Singh remarked, "Doctor why are you so moved.”

Only a few lines my tongue could utter.

I have yet to improve a lot.

May God bestow upon my fingers the power of healing,
So that I maybe of some use to the useless, of some worth to the worthless and of some good for the good-for-nothing.
If this happens then only the purpose of my taking birth as a man and also being a doctor are served.
I dont want to make myself a heartless, money- making- machine by cheating ignorant and innocent people.

I want to be called the doctor of the poor, doctor of the commons.
I never desire a kingdom.

A few of my experiences with Extra-Pyramidal syndrome

I was a house-surgeon in medicine in P.M.C.H. under Dr. B.Dhar, a great man in medicine. Unfortunately he left India for Great Britain and settled there long years ago. Dr. S. N. Arya was junior to him and both were working in the same ward.

Once, Dr. B.Dhar admitted one case in the ward.  Dr. S. N. Arya examined the case and said politely, “sir! this case seems to be extrapyramidal syndrome”. If my diagnosis will be correct I will take a four-ana-coin from you.” Dr. Dhar agreed and gave him a four-ana-coin.

On this grand success we requested and rather compelled him for a grand tea-party in the college canteen. Soon after the round was completed, we left for tea-party and enjoyed a lot.

About twenty years back I was posted in Sadar Hospital Saharsa. One day coming after Ward-rounds, I saw a big crowd in the Deputy-Superintendent’s Chamber. All doctors and staff were present there surrounding a patient, son of the Medical Officer-In-Charge, Bariyahi, Kahra PHC.

The patient was standing with his tongue protruding out with salivation. All the doctors were silent-expectators with a blank look and speech round.

In those days many experienced Surgeons & Physicians who were M.D., M.S., MRCP & FRCS were there at Sadar Hospital Saharsa. The hospital looked like and gave the pleasure of a tiny medical college, the P.M.C.H. of Koshi. We had occasional healthy discussions over some interesting patients.

I asked, have you taken Siquil?’’ The patient nodded his head and said, ”Only one tablet sir.” I said, ”I have made my diagnosis.” Then,  Dr. Sarawgi bounced on me and said, ”Doctor you have just come and didn’t examine the case  even for a second and say that I have made my diagnosis. Do you think diagnosis a joke? This is a very complicated case of medicine.” Dr. Sarawgi was an M.R.C.P having hot temperament and was senior to me. I replied him, ”Sir, this is a case of Extrapyramidal Syndrome”. “You are a surgeon how you could say that”, Dr Sarawgi said as if he was the only authorized person to diagnose the difficult cases. He did not know that medicine is never taught. One learns it if he has interest in medicine and he didn’t know the line of Sushruta, the father of modern surgery – that a man can’t be a true surgeon without the knowledge of medicine.

There has never been a greater teacher than a keen interest.

You can’t limit medicine by your degree alone. Keen observation is also a very important thing which counts.

I am a peace-loving person and believe in simplicity. I said very politely, ”Sir, protrusion of tongue after taking even a single tablet of Phenothiazine group of drugs is a definite sign that patient has developed extrapyramidal syndrome.” “Even one tablet!” Dr.Sarawgi remarked, As if one tablet was not enough in his opinion. I told if the patient is hyper-sensitive or the patient is de-hydrated due to repeated vomiting or he has kidney failure. Sir the steel man, master of judo karate, Bruslee of Hongkong died of taking a single tablet of analgesic. All doctors present there agreed with me and called a very brilliant spot-diagnosis by Dr.Jha. Dr.K.S.Mishra (M.D.) and Dr.R.P.Yadav (MS, FRCS) were very happy and congratulated me like anything.

Very recently I was sent for to see a very critical patient in a junior doctor’s clinic and examined the case and asked the doctor “which drug have you given?” The doctor told about all the drugs and Serenace (haloperidol) - Antipsychotic drug 1 ample i.m. injection b.d for three days. I stopped all drugs and prescribed a few ones and whispered in the doctor’s ear, “It is all due to your drug Serenace. It is Extrapyramidal Syndrome.”

Recently I stayed with a close friend of mine at Sahibganj due to some personal work. A boy in his neighborhood used to come and go time without numbers. I asked about him as he seemed a mental case. They said, “He is under treatment of a Psychiatrist at Ranchi.” I found tremor in his fingers, rigidity of limb muscles and Akathecia (means the patient wants to move, can’t stay at one place). I said he is suffering from Extrapyramidal Syndrome due to Antipsychotic drug.

History taking is not so simple as it looks, if the patient is not educated, intelligent and co-operative it becomes rather tedious to take correct history. The patient makes his own diagnosis and tries to co-relate things in his own way. Many patients do not feel the importance of giving correct history especially the drug history because such a good and costly drug cannot do harm in his opinion. Only wise and experienced doctor can get correct history by asking twisted question. Even doctors ignore that such a common drug can cause any harm.

They think some big and common disease like the police who always think of some noted and listed criminals for any mischief in his area.     Another misguiding feature is high fever which leads and compels us to diagnose encephalitis.

In children the heat regulating Centre is not well developed and if there is malnutrition then the heat regulating Centre virtually leaves to work. So, any change in temperature due to any simple infection and reasons leads to hyperpyrexia, convulsions, stupor and coma and compels us to diagnose encephalitis.

Some time we search our lost spectacles and we have to search the whole house. Better we close our eyes and look and see where I have used it the last moment and where I could have left it. Things become easy if we think with close eyes for any diagnosis. The great philosopher, John Hemphered has said, “Eyes do not see which mind does not know”.

I have seen the cases only on the T.V. flashes and the epidemic of encephalitis is happening continuously for more than 15 years, and on repeated culture no virus is seen. This epidemic is being repeated not only at Muzaffarpur but at many places in India which compelled me to think about drug disaster - Phenothiazine disaster like Thalidomide Disaster in West Germany and Great Britain in the year 1960-61. Not easy to diagnose and much more harder to eradicate in the present  scenario where (a) New drugs introduction in the market is so easy (b)The pharmaceutical companies are growing like wild fire. (c) Quackery is so prevalent and has become a good source of earning and honour. (d) All drugs are available without prescription. (e)Corruption is on its top. (f) Administration is deaf and dumb. If you look carefully and take the history properly about 30% cases admitted in medical colleges are due to iatrogenic (due to drugs and doctors) causes.

These types of cases where diagnosis seems to be at fault should be flashed in detail on TV Channels so that doctors sitting at a distance should use their discretion and make a common and correct opinion after discussion among themselves.

Drugs and Encephalitis

The epidemic of encephalitis is being repeated every year, not  only at Muzaffapur but at many places in India. The govt and the health authority are sitting tight, only because they say its viral encephalitis and viruses are never found in the culture. They should take lesson from the history  , about fifty  years back there was an epidemic of phocomelia in west Germany. Phocomelia means sealed extremities, it is a congenital deformity. Until 1961 the public took a largely romantic interest in development and introduction of new drugs.

In 1961 a major breakthrough did occur, a man discovered that introduction was more hazardous then he has previously believed, the thalidomide disaster aroused public opinion, forced government to intervene in the process of drug introduction and all concerned with this process got a salutary shock , our attitude to casual use of drugs.Drugs can never be the same since thalidomide.

I feel there maybe some error in the new drug introduction in the market. Most west German clinic had no cases for 10 years since 1959 , in 1959 in 10 clinics 17 were seen, in 1960 126, in 1961 477.The outbreak seemed confined to Germany and this steady increase made a virus infection such a s rubella seem unlikely as a cause. Radioactive fallout was considered and so was X-ray exposure of the mother,hormone, food, food preservative and contraceptive.

One doctor investigating his patient retrospectively with a questionnaire found that 20% reported taking  thalidomide in early pregnancy. He questioned the patients again and then 50% admitted taking it. In our day to day practice we find that patient seldom speaks the truth, they focus on different point because they think this was not the causative factor, so taking proper history is not always possible. In 1961 in a paediatric conference somebody whispered that an unnamed drug can be a causative factor and all conscious doctor started looking at the past drug history of their patient. In a series of 46 cases of phocomelia, it was found that 41 mothers had certainly taken thalidomide and of 300 mothers of normal babies none had taken thalidomide between the 4^thand 9^th week of pregnancy.

So we must think of some drugs and probably they are some tranquilizers and anti-psychotic drugs.  

Milk as immunisation media like Polio Oral Vaccines

It is said that in area of Koparia, district Saharsa, and in the adjoining area of Dhamara , district Khagaria, known as Farkia, there flows a river of milk. Here humanisation of milk is done by wise local people and by simple manoeuvre. People use to de-cream milk by an ordinary machine and make the milk-consumption disease free. Fat is not good for health and creamed milk causes disease like hypertension, diabetes, gall bladder disease, heart disease & thousand and one diseases arising from diabetes and hypertension. Then an equal amount of water is added. Addition of water is a must as it makes the milk more agreeable and easily digestible.This process is known as humanisation of milk. This gets the density of dairy milk very close to human milk. The most important thing which is not known to many is that water enhances the power of milk, wine & homeopathic medicine. 

They strongly feel that the milk can be dispensed with but not water. In their opinion, water is life not milk.

Water may be pure or impure doesn’t matter much but impure water, especially of the river Koshi and Bagmati, which comes directly from the Himalayas, is preferred on scientific grounds.

First, impure water of river contains minerals in its pure and original form like sodium , calcium, potassium, Magnesium & iron etc and trace element like Iodine, Copper, Zinc,  Manganese, silicon etc which are essential for good health, and in particular , for glazing skin, glazing eyes, glazing & dark hair and good muscle tone. The recent advancement in medicine speaks that American scientists are trying to treat people by introducing bacteria and viruses instead of antibiotics (see last page Hindustan dated 03 nov 04) in diseased human being. But this is the Practice in Koparia and Dhamara for many-many long years with very good results. The Ganges River contains a virus called Bactero-Phage which kills other bacteria. When river- viruses are there in the body, no other viruses can find an entry because they form an antibody known as interferon which is inhibitory to other viruses. The Bacteria & Virus also works something like oral-polio-vaccines. This makes our body immune to many a diseases .This process is called competitive inhibition. The bacteria and viruses which enters our body with the milk keep our immune system on the alert and at work.

The impure water of the river fortifies milk with vitamins and amino acids which are the bio-product of aquatic plants and animals and after decomposition of dead body of pet animals thrown for final disposal. The Earth is the only planet   where the amino-acids are found in its soil, not only that, everything that we see around us has evolved from the earth.

The river water also contains extracts of medicinal plants as water flows through the forest on the Himalayas, where medicinal plants are in abundance and hence it enhances the manlihood & longevity of man. Water also flushes the kidney and keeps it fit to work. No drug is better than water in its anti-carcinogenic effect and acts like a real anti-oxidants. Thus it enhances the Vitamins and minerals content of milk at no extra cost.

Secondly, several rare strains of viruses and bacteria are added into the milk with the water which works like vaccines to the user against so many diseases.

Over and above, it widens the scope of immunisation and gives a lead for further research in this direction. The days are not very far-off when medical science will come up with a new idea to immunise people with the help of milk and milk producing animals & lactating mothers as a media for immunisation. Vegetables & fruits are already in the fray. Now this type of milk is ready for distribution among hawkers. If the hawkers wants to enhance the power of milk further, if need arises, they add more and more water. Actually, they follow the principle of homeopathy in increasing the power of milk. They can go to add as much water as found in Mother’s milk and fat level is almost made the same. Now this milk is called Modified Humanised Milk.

But fastidious and fashionable mothers don’t be tempted too much and never go for this modified humanised milk or any other costliest brand of milk available in the market as no milk or food can compete with mother’s milk for your neonates & babes.

 Breast feeding is useful not only for your children but also for yourself, as it protects you from breast cancer, gives you mental satisfaction, improve mother and son relationship, helps you to maintain a womanly charm and glamour and also adds up to a good body texture in general and in particular maintains the shape, size & contour of your breast till late in old age. It also lessens and lightens the financial load of a person who is financially crippled & handicapped or believes in honest labour. Please, do see that your neonates are fed the colostrums, the thick yellowish milk secreted from breast after every delivery, the colostrums is very rich in gama-globulins, the immunoglobulins. Which gives your baby resistance to fight against many diseases; if you want your child may not need anti-biotic for whole of its life like your fore fathers & wild animals.

I would like to draw the attention of the scientist world over, who are mad at searching the medicine against the dreaded disease like AIDS, towards colostrums and request them for fishing out active principles against AIDS, likely to be present in colostrums. If it happens to be so our Koparia and Dhamara will march ahead to the area rich in Uranium & Thorium, due to heavy production of animal colostrums.  

When the laymen of Dhamara & Koparia can make modified, fortified & humanised milk why can’t our scientist fish out something new from this bonanza, the colostrums for the ailing humanity. There is nothing like impossible in the dictionary of the brave .Everything is there on earth; Man has only to keep on searching & thinking.

The people fed on Humanised milk don’t suffer from diabetes mellitus, hypertension, anaemia, coronary thrombosis, cerebral thrombosis & cerebral haemorrhage .Our thanks goes to their pious profession but government turns a deaf ear to them except one honourable & learned M.P. Shri Dinesh Chandra Yadav who has thought of in this direction and built a rest house at saharsa only for milk hawkers.  

The Bharat Jyoti Award

When they called me "Living God!!"

Back in 1994, a  bus load of Sikkimese pilgrims met an accident.I was Incharge of Medical hospital Sakra.

                                

The Epidemic of Encepahalitis at Muzzafarpur: An Itrogenic disease -An Extrapyramidal Syndrome

Virus has no affection neither for the poor class of children nor for Muzaffarpur. Viral  epidemic involves generally vast areas. Very Recently in the past Bangladesh conjunctivitis involved many provinces and countries .

This type of epidemic at Muzaffarpur has occurred many times in the last 15 years  and everytime blood samples were sent to specialized centres at distance places. But never came to be positive, which proves that it is not encephalitis.

I have had just a glimpse of few cases on television. And I strongly  believe that these are the cases of Extrapyramidal syndrome. Due to the toxicity of antiemetic, the phenothiazine group of drugs. And can be called as a Phenothiazine disaster.

The Phenothiazine comprises some of the most widely used tranquilizers such as Chlorpromazine, Promazine, Triflupromazine, prochlorperzine, perphaenazine, fluphenazine, thoridazine, trifluoperazine. In addition of sedative effects of the group of drugs they have a number of other actions, so that derivatives of these compounds are used as antiemetic and antihiatamines.

Side effect of Phenothiazine are frequent and often very serious may prove to be fatal. All of them may cause cholestatic jaundice, agranulocytsis, Convulsive seizures, tremors, orthostatic hypotension, skin sensitivity reaction, mental depression and disorder of the extrapyramidal motor system known as extrapyramidal syndrome and have been relatively more pronounced. Several type of extrapyramidal  syndrome have been noticed but the cases of Muzaffarpur are concerned with muscle spasm and dystonia, taking the form of

1.       Involuntary movement of the face

2.       Protrusion of tongue

3.       Oculogyric crises

4.       Dysphagia

5.       Torticollis

6.       Rectrocollis

7.       Tonic spasm of the limbs

And are confused with encepahalitis and meningitis, if the neck muscles are soft encephalitis, if the neck muscles are stiff meningitis.

Mind u even a single doze of phenothiazine derivatives can cause

1.       extrapyramidal syndrome

2.       jaundice and hepatic coma ( liver failure)

and both can simulate Encephalitis.

Diagnosis lies only in taking proper history of taking antiemetics & knowledge of extrapyramidal syndrome. Tests are done only to exclude meningitis and encepahalitis.

One great philiosopher has said that – “ eyes don’t see what the mind doesn’t know.”

Shushrutha, the father of modern surgery has written in sanskrit that a man cannot be true surgeon without the knowledge of medicine and a man cannot be a true  physician without the knowledge of all the disciplines of medicines.

Please look into what happens, poor children suffer from the problem of round worm manifestation and their  abdomen are rather filled with round worm which causes many medical and surgical problem in our day to day practice. When poor children run and play in the scorching sun and eat unripe lichi and mango which are acidic in nature. ( Muzaffarpur  is known not only in India but in the whole world for its Lichi and mangoes.) it not only increases the peristalsis of G.I.T  but also irritates the worms and they become mobile and try to find way out through the anus and the mouth and this causes attack of diarrhoea and vomiting and they get dehydrated very soon. Then they are brought to quacks and medical shops for treatment. They give them antiemetics and story of encephalitis begins. Then they visit some doctor at local hospital for excessive vomiting and they repeat the dose of phenothiazine and the condition is so worsened that they are left with no other option other than the Sadar hospital or medical college hospitals. Bruce Lee, the steel man, father of Jeet kunido of Hong Kong died of a single dose of analgesic what to talk of poor children. Bihar has also topped the list in Misusing drugs.  Here everybody is a doctor himself and there is an open market for medicine.You can have any medicine from any counter.

 The Phenothiazine group of drugs cause toxicity even in a single dose but in presence of dehydration and malnutrition it becomes very very toxic resulting in the features of extrapyramidal syndrome.which is not easy to diagnose even for the bald-headed physicians  what to talk of surgeons and others.

It is worth noting that in dehydration &in renal failure the normal therapeutic dose of drug becomes very very toxic and much more hazardous.

Round worms can alone create encephalitic feature, cough fever and dysphagia are also due to round worms-broncho-pneumonia.

Froth coming out of mouth is due to the development of pulmonary oedema and is taken as omen of death and is caused by excessive infusion and is a very serious medical emergency.

As heat regulating centres in kids are not well developed and children are also malnourished so even low grade pyrexia is converted into hyperpyrexia with convulsions  and simulates encephalitis.

A)     Heat strokes can simulate encephalitis

B)      At first look any convulsive fever is thought to be encephalitis.

C)      Repeated convulsion without fever due to round worm is wrongly taken as epilepsy.

It is true that Children tolerate trauma well but the things that they are intolerant to are

1.       Water and electrolyte imbalance & dehydration

2.       Over hydration

3.       Overmedication

All serious patient don’t always require costly medicine and too much of I.V. Infusion but what is required is your full attention, keen observation and full dedication.

At the end of 18^thcentury there was a flu epidemic in England. Doctors prescribed paracetamol to every patient, paracetamol is also euphoric and promotes a sense of well being in every patient. So many patients continued taking paracetamol even after their full recovery.After a lapse of month there was another epidemic of kidney failure. After the discovery of the underlying reason, sale of the drug without proper prescription  was banned. This type of epidemic never repeated in England.Here in India Quacks are rampant and there is no restriction in the sales of drugs.

Even doctors can't believe and realise that a drug can cause an epidemic,what to talk to people in general, in 1960-61 in West Germany an outbreak of Phocomelia occurred. Phocomelia means “seal extremities” it is a congenital deformities in which the long bones of the limbs are defective and substantially normal or rudimentary hands and feet arise on ,or nearly on the trunk, like the flipper  of a seal.

In a series of 46 cases of phocomelia it was found that 41 mothers had certainly taken thalidomide and of 300 mothers with normal babies none had taken thalidomide in between 4^thand 9^th week of pregnancy. Doctors found the root cause of phocmelia as the use of thalidomide as a sedative and hypnotics by the mothers. The West German health ministry estimated that thalidomide caused about 10000 birth deformities in babies, 5000 of whom survived and 1600 of whom eventually need artificial limbs. In Britain there were at least 600 live births of malformed children of whom about 400 survived. In 1960-61 it had become evident that prolonged use of thalidomide had caused phocomelia, hypothyroidism and peripheral neuritis. And hence the government ordered for withdrawl of this drug from the market. In West Germany from Nov 1961 and in Britain from Dec 1961. This type of epidemic of phocomelia never occurred after withdrawl of Thalidomide.  

The old Man & family planning

Oh God!

Thy sea is so vast and deep

And the old man’s boat so porous,

Grown perilously pervious

His rudder is completely worn-out.

The tide is unkind

And unfavourable.

The sun has set and

Darkness has prevailed.

His destination is

Still so far away

Far beyond the horizon.

His eye sight is already weak

And his muscles has gone

Sluggish and exhausted

He’s been sailing too long

Since the dawn, all along.

The peace of his mind

Is drying up,

And his patience

Giving way,

A storm is feared.

He feels

Depressed and defeated.

He is afraid,

His heart may sink

Before his boat capsizes.

There in his boat are left,

Young children, their ailing mother,

His eldest daughter and a jobless son.

His eldest daughter

Married earlier

Looks morose and

Feels marooned.

The cheer and pleasures

Of the whole family

Has gone to the winds.

This has told much

Upon the mental health

Of his better-half.

For the last few years

She has been ill of rheumatoid arthritis

And rheumatic carditis.

She has become listless,

Indifferent to things,

And looks unmoved.

This heckles him too much

For no fault of the poor old man.

He heaves a deep sigh

And wants to speak something

As his lips tremble,

But his tongue does not permit.

His eyes

Fail to control

The tears

Welling-up in both his eyes

The poor old man feels himself

So unlucky that

He has no place to weep.

The old man compares

Blessed are those

Who have a place

Where they can talk openly

More blessed are those

Who have a place

Where they can laugh freely

The most blessed are those

Who have a place

Where they can weep bitterly.

Blessed are those

Who have an earning son

More blessed are those

Who have an obedient son

The most blessed are those

Who have no son but daughters.

Blessed are those

Who have a beautiful wife

More blessed are those

Who have an earning wife

The most blessed are those

Who have a dedicated wife.

Blessed are those

Who have a beautiful lady as wife

More blessed are those

Who has a beautiful  lady as a friend

Or  a cordial boss

The most blessed are those

Who have even a simple lady

As their true well-wisher.

Blessed are those

Who are busy without business

More blessed are those

Who are busy under compulsion

The most blessed are those

Who are busy in their choicest jobs.

The old man finds himself no-where.

He turns his face

And looks behind

To the sea

And gets lost.

The old man remembers

The blooming days

Of his wife

After marriage.

He fails to believe that

She is,

That very young lady

Smiling and dancing

Chirping and twittering

Flapping and fluttering

Around him

In his courtyard

Like a Khanjan bird

A seasonal, Siberian bird

Which comes only once

For a short while

In the coldest days of winter

And deserts the place

With the change in temperature

Here now,

It is too hot

Even dark local crows

Find it hard

To put up with this temperature

The children are quite ignorant

Of the imminent dangers.

They are enjoying the tide

Which takes his boat very- high

And takes it down very- low

They are thrown in a world of gaiety,

At times,

They burst into laughter

And look towards him,

The old man has nothing

But to join them

With a sardonic smile.

The children have

Tremendous confidence in him

And hence,

When he is there on the rudder

They go dauntless  and carefree.

The children never realise

He has grown old & weak.

The old man is completely helpless.

He does not want them

To disappoint or disturb

Nor to disclose and divulge

His apprehensions

Or any such feelings

To any one of them,

In any way,

Now any more.

When dejection prevails

He feels the absence

Of his two sons

Who are

Grown­-up, robust,

And veteran-sailors,

Have already sailed-on

Separately,

With their new boats,

In different directions,

Leaving behind

The frail and the feeble,

The haggard and the haggish

To their own fate.

Even then,

He is apprehensive,

And prays for their safe arrival,

For he knows

That their wives

Who acts like compasses

For their new boats

Are beautiful, fashionable,

Up-to-date in manners, and

Up-to-the-mark in behaviours,

No doubt,

But seldom give

Correct direction.

The old man is okay

If his sons are okay.

His heart melts through his eyes

And his tongue goes unfounded

When memory unfolds

The pages

Of the childhood

Of his two daughters

Married happily with their husbands

At a very far distance.

They have vacated his house,

Have yet to vacate his heart.

Time is a unique factor.

It has transformed

His sweet home

Into a lifeless house

And his sweet memories into tragic ones.

One of his sons is

Heartless and jobless

Adds nothing but weight

To the old man’s boat

And prays for his early but safe departure.

The son’s eye are

On his hard earned gratuity

And a job

On compassionate ground.

The old man fears

And comes to realise

In the last

Had he adopted family-planning

In his adulthood

He would have been

A far happier person.

He takes a vow,

Catching both his ears

That in his next birth

He will never marry

If compelled to do so

He will go for family-planning

Not after two or three

But certainly after one

Which the old man prays for

A female child & thinks

As need based

And a vital issue

Not out of jokes

And requires

Attention and appreciation

Of junior generation and officials concerned

The old man regrets

To think of His vast creation

Which in the old man’s opinion

Is totally needless and purposeless

And he feels His creation

As the single blunder

Committed by Him

The old man expresses his own feelings

And he wants Him

Only to stop this

Vicious–cycle of birth

And explosion of population

In no time

Without fail

As it is much more

Than too much.

The old man finds

Little difference

Between dowry deaths

And death before retirement.

Money is everything

For his son like many others

Who are potential criminals

In the guise of gentlemen.

The old man becomes restless

To know

There is no effective act

Like dowry act and

No effective cell

Like Harijan cell

For dejected, dismayed

And disabled pensioners.

The pensioners are known

As senior citizens

But only in name

They are treated something worse

Than B-grade citizens

In his own government

While in chair

He used to think that

He was the government

In his own office

Where he had his monopoly

In his home

Where he was the monarch,

Among his hangers-on

He was much sought after

And for whom

He did commit every mischief

But today in their eyes

He is good for nothing

He has been degraded to zero

As if his name were

Thrust into the list

Of persons awaiting death

But the old pensioners

Are helpless.

They have nothing left

Except appreciating

And praising their sons

And daughters-in-law.

The old man expects

From none but the government

To look and see

Its legal liabilities

But the old man regrets to see the chaos

Prevailing in the government.

Heads are headless

Bases are baseless

Brains are chairless

Money matters

And still reservation prevails

His people are leaving him

One by one

There is none

To help and appreciate

His feeling and tone

He is alone.

The line “aekla chalo”

Which commands

“Don’t bother and never look behind

Be bold, and keep on going

Go ahead and go alone”

Comes to his mind

He is impetuous and impious

Impish and imperious

Indecent and indecorous

Hence he feels at soul

He really does not deserve

Divine help

Nevertheless,

At the fag end of his voyage

He surrenders himself completely

Before God

With both his hands-up

Praying,

God alone can bless him

With a new

Vision and virtue

Vigour and vitality

Needed to sail across

But he wants to be helped

Only when a storm comes,

Till then

He wants Him

To let him sail on

Until his voyage

Ends.

Work is Worship

 Lord Krishna said,’’I neither dwell in mandir-masjid nor in your puja-archana.

But I do dwell in honest and sincere labour,

I am work.Honesty & sincerity are my two wings.

I am there in your heart when you work whole-heartedly,

I am there in your mind when you work mindfully.

But I always dwell in working hands & advancing legs.

I dwell in the house where females are loved,

Respected and protected from foetus to the grave.

I never dwell in the soul of saints,Priests & in my worshipers.

Search me in the tears of the aggrieved ,the thirst of the thirsty,

The hunger of the hungry and the need of the needy.

I dwell in the beauty of arts, the mystery of science,

The true tones and tunes of music, flow of emotions & flight of  thoughts  in literature.

I don’t dislike yoga,but I do believe in karma -yoga,

I neglect him who neglects his duty.

I keep his fate hanging in the  balance who leaves his work pending  for tomorrow.I am duty.Promptness & punctuality are my two legs.

I am allergic to a delay & fail to tolerate wastage of time.

I am time..i am limited.I never repeat.Use me or lose me.

I am in the root of all destruction & devastation of lazy, dishonest,insincere,greedy,unkind & untruthful people.

I am destruction & devastation.

If you are single-minded to achieve me, work sincerely & achieve the Perfection of your work.I am there to receive you.

I am perfection.

The easiest & the simplest way to achieve me is through love ,respect,dedication

& sacrifice. i am love,I am dedication, & I am sacrifice.”