Tag: power

Pashchimavaahini – Part Deux

I’ve twice written here about Pashchimavaahini – that part of the river Kaveri near Seringapatnam where it flows west. I had once written about it immediately following my first visit there. And I had written about it once again last year when I had disccussed the economics of the place. So over the weekeend I had to go there again, for the second time in two and a half years. In order to do the ritual that is associated with the place – which is to immerse ashes of the dead.

A few pertinent observations from the trip:

  • The place has lost the economics of the food. They probably didn’t want “casual travelers” to come and eat there, or maybe they overestimated their own monopoly power, but the lunch is priced at Rs 70 now. Quality has also dropped – sambar was watery and vada not fried properly. (I’d recommend you to read the death markets post I’ve linked to above before reading on).
  • To put this pricing in perspective, I must mention Kamat Upachar, a restaurant between Channapatna and Maddur. They have a breakfast buffet for the same price! And the buffet includes a choice of juices, bread, idli, vada and dosa, and you can eat as much as you want.
  • This time the shastri we engaged was peaceful. We included an “all-inclusive” price and told him we’ll give only small change as daana
  • I told the shastri to do the minimum possible rituals and told him that I’m doing these things becasue they “need to be done” and not due to some special religious intent. He agreed and kept his word, as he quickly took me through the most basic rituals.
  • When I was away and in the river taking bath, the shastri told one of my uncles that I’m the types that would’ve dunked ashes online if that were an option.
  • I had made it clear to my relatives that I find most of the post-death rituals extremely depressing and so I didn’t wnat to engage in anything beyond the most basic stuff. This meant that at the end of yesterday’s rituals I’d to discard my procedural “tools”. The “paatrams” were given as a gift to the shaastri. The sacred stone was thrown backward in the river. And when I was bathing after the rituals, I let the river wash away the highly starched procedural dhoti

    Once that was done, I uttered a silent apology to the river for polluting it

  • Having been through all this once before, I knew what to expect and so was completely in control of the situation. This helped me manage my relatives better and have my way.
  • Having my way meant occupying the relatively comfortable front seat in the sumo while my senior citizen uncles struggled in the back due to lack of leg space. “This is even worse than an aircraft”, a former-HAL-employed granduncle told the driver
  • To help ease the situation for myself and distract myself, I live-tweeted the journey. And to further distract myself, I tried to tweet like Tharoor.
  • There was a fair bit of pollution involved in the ceremonies. A fair bit of plastic was used, and all got dunked into the river. Extremely sad stuff but I couldn’t really do anything.
  • I wonder why the urn of ashes is thrown backwards into the river. You stand on some rocks facing away and then chuck the thing backwards. I wonder what the significance of this is.
  • Looking at the general crowd there, I was wondering if death is a profitable business.

Hospital Issues

There is one thing that I haven’t managed to understand about Indian hospitals – it is the dependence on patients’ attendants. Every patient is required to have an attendant next to him/her all the time. In case the attendant is going out, he/she has  to literally take permission from the nurses. Full time, it is the attendant’s job to monitor the patient and alert hte doctors/nurses in case something goes wrong. And the main job of the attendant is to bring medicines.

Yeah, you heard that right. Most hospitals here have attached pharmacies, and the usual practice is for the doctor/nurse to scribble down a prescription which the attendant has to fulfil from the hospital’s own pharmacy. I find this practice weird and ridiculous, and wonder why the hospital cannot short-circuit the attendant’s role and then finally bill the medicines to the patient along with the rest of the bill.

Over the last couple of weeks when my mother has been in ho0spital, I’ve found myself being woken up at all times – including 1 am and 5am to go get stuff from the pharmacy. Sometimes it’s been as trivial as a syringe. Usually it’s a much longer list. Such a long list that given the crowd at the pharmacy, it’s impossible to check if the pharmacist has given you everything he’s billed you for. And in the wee hours of Tuesday morning when there was an emergency and my mother had to be shifted to intensive care, the first thing the people there did was to give me an extra-long list of stuff to get from the pharmacy. This was at 3am.

I wonder why this practice came about, and why it still exists. Is it to facilitate easy transfer pricing for the hospital? Is it t give some sort of transparency to the patient about the medicines being given to him? If the latter, can’t the patient just sign on the prescription authorizing the hospital to procure the stuff from the pharmacy? And given the monopoly power that the hospital’s pharmacy has, service is usually slow and inefficient, thus leading to long queues. And in such scenarios, it’s not easy to actually check if you’ve received everything you’ve paid for. And on top of this, you have the hospital giving multiple prescriptions for the same non-consumable thing, maybe just hoping you don’t notice.

And then there is this thing about the attendants. Thankfully we have enough extended family here in Bangalore that it isn’t hard to find volunteers to do vigil at  the hospital when I’m away at work or other things. But what if we were in a place with no relatives around? Or if the patient were living alone in the particular city? How would the hospital handle this? Would they make the patient himself run around to get medicines?

Whenever I think about these things I tend to get extremely pissed off. The hospital has been otherwise good. The nursing staff are all very nice and never crib. The hospital is maintained extremely well and is clean in most places. There are enough duty doctors at all times. And then they expect an attendant to be with the patient. And the expect the attendant to run around all the time to fetch stuff from the hospital’s own pharmacy.