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Wednesday, March 31, 2010

Liz’s Ordeal and Optimistic Attitude Towards Life Mt.Abu

After leaving Life Care Hospital I checked into the Kozar Hotel close to where Christina lived. I wanted to just relax and recoup from the strain and stress that we had been through over the last week. I wanted to be away from the sounds of the mournful ambulances that made their way around the clock, either saving precious lives or returning with those unfortunate ones who did not make it through their ordeals. Christina, Liz’s elder daughter was a big help, she took the trouble to prepare sumptuous meals for us and it was a real pleasure to eat food from home. For one week we had lived on food that tore at our innards.



My concern now was, how long could I avoid the inevitable, of making Liz see that the only answer to her prayers was an early amputation. Liz is a firm believer in her religion and I used this as a physiological leverage to ease her anxiety. I search the internet for novenas and prayers on my mobile so that she could occupy herself in praying, and hoping that everything would work out for the best. While in the hotel I passed my time taking some shots of birds and whatever caught my fancy. Liz seemed okay all day long as she had her grandchildren for company, but as it neared dinner time I noticed her becoming uncomfortable, she tried to make it to the loo but could not manage by herself and had to be helped. I could read the anxiety in her face, even though she tried to hide it with that beautiful smile of hers.


The next day we were to drive back to Abu but providence had other things in store for us. I had bent down to pour myself a cup of tea and found I could not stand up as I had acute pain in my lower back. I shuffled to the bed and sat down, I then lay on my back with my legs drawn up with the help of pillows. The pain was intense if I tried to move, I phoned my doctor who prescribed some pain killers. Christina brought the medicines and volunteered to massage my back. I figured it was just some muscular spasm caused by my tense state of well being. I took the pain killers and hoped everything would be okay. In the evening I felt much better I could move about but the pain was bad. I was dreading the journey by road back to Abu, as I knew the slightest jolt would send shivers down my back. Liz’s condition also seemed to be taking a turn for the worse. Her foot could not take her weight and she had to be helped to the toilet.


Our journey to Abu was fairly comfortable, Jennifer had the place all laid out for Liz with heaters and the soft aroma of fresh roses wafted through the cosy room. Liz wanted me to also bed down there but I had to decline as I had to get home and get our house back into ship shape and prepare for the coming session of our students. That night when I got home I found my Basset Hound ‘Bosky’ in a bad shape, she was not well and the maid at home told me she had not touched food for the last three days. I treated her with the homeopathic medicines prescribed by the vet. I did not sleep too well that night, I tossed and turned and felt very uncomfortable, I could feel a fever coming on.


On the 31st of Jan, I paid my Dr. a visit and told him I felt like a fish out of water. He prescribed some medication and told me it probably was viral fever. During the first week of Feb, I shunted back and forth between the two houses. The days were quite pleasant but the nights were cold, the temperature hovering just above the 0omark. My condition had turned worse by the 6th Feb; I phoned Dr. and told him that I was now being plagued with heavy bouts of shivering so once again my medication was changed.


On the 7th of Feb when I visited Liz, as usual, she seemed okay, but Jennifer told me that all was not well. She said that Liz was going through hell and that she was behaving very strangely, and at night she was saying things that made no sense, she kept rambling that she wanted to go home. Her strange behaviour began to scare Jennifer; I told Jennifer it must be the drugs and the heavy sleeping doses that must have made her delirious. Liz’s days and nights were now filled with pain, fitful slumber and anguish. She displayed a variety of moods each over shadowed by tears. “I’m so sick and tired of this leg of mine,” she sighed, struggling to sit up on her sore rump. I could feel her frustration and desperation now as the dry gangrene began to manifest itself in her foot. I knew time was fast running out for Liz, if she did not go in for the amputation her heavy doses of painkillers and the pain itself would drive her berserk. Liz’s nightmares had returned to haunt her like some demon from the past.


The next two days i.e., the 8 and 9 Feb were the worst days of my life. The shivering bouts that came on lasted for an hour or so each time, I began to run a constant temperature. A sample of my blood was to be collected on the 9th to be taken to the lab for investigation, but the lab technician did not turn up. Out of desperation I phoned Dr.Sharma and told him of my dilemma, he instructed me to start on the treatment of malaria immediately. I took the first dose bang at mid-night, as the second dose would have to be taken at 6 in the morning. My brother in law Jimmy along with my brother Aubs had come to visit me on the 10th, I was like a washed out rag. I asked Jimmy to drive me to the Global hospital for a blood test.


My E.S.R had gone to 120 and my W.B.C count had shot through the roof 18400, my urine WBC showed more than 100/HPF. My doctors’ prognosis was “Ains seems like you have the 1 stage of Typhoid and heavy UTI”. To say I was shocked would be an understatement. I had taken all precautions while in Ahmedabad and here I was being diagnosed with UTI and typhoid. I was now restricted to my bed and had to follow a strict regime of medication and diet. Mohan, a good friend and companion was there for me. He kept me company through thick and thin. He and Jennifer kept me informed on Liz’s condition. Her condition had gone from bad to worse, and my falling ill had made it even more of a hell for her. My temperature and my rigors continued till the 15th hence I went in for another blood test. My blood test now showed that I had malaria, for which I was now given some painful shots in my rump over the next three days.


There was more bad news on the horizon, the vet was out of station and my basset had taken a turn for the worse. On the morning of the 12th she asked to be let out early in the morning, I was far too weak to accompany her so the maid’s daughter let her out. At lunch I asked how ‘Bosky’ was, they told me she was resting on the leaves under the bushes in front of the house. I then instructed them to give her some water. When they went to her they found that she had passed away. Time stood still, here I was fighting to get well and then this, even a ton of bricks could not have had so bad an effect on my psyche as the passing away of my beloved female Basset. I knew this would have a disastrous effect on Liz as she doted on this dog of ours. I asked all to keep this under wraps and not to let Liz know of if at this time, but that evening in the course of conversation Jennifer blurted it out and Liz burst out crying, anyway everything happens for the best. It could have been worse if the dog had gone through agonizing days of pain and a decision to put her to sleep physically.


Day 13, Saturday, Liz’s condition was now real bad, I knew I had to do something soon, I was desperate as my sickness had bogged me down and I had to take a decision right away. My friends, who are doctors, spread over the globe, and who had been through all her reports advised me not to delay any longer. Out of sheer desperation I dragged myself out of bed and banged a mail to my dear friends’, the Newnes on Valentine’s Day. They phoned me immediately and said Rita would make it to Ahmedabad any time after the 18th Feb. I phoned Liz and asked her if she was ready to go to Ahmedabad and that Rita would be there for her. Liz who had had enough of the pain over the last fortnight was mentally and physically prepared to go in for the amputation. I immediately phoned Life Care Hospital and made all arrangements for Liz’s operation. The angiography of both her legs was slated for the 18th Feb to be followed by the amputation the following day. I rang and told Derek that everything was set up. He said Rita would leave Mumbai on the 18th morning and join Liz in the evening at Life Care Hospital.


I had made all arrangements for Liz’s departure for Ahmedabad on the 18th. The ambulance would pick her up at 9.30 in the morning. Jennifer and her brother Chirag would be accompanying her in the ambulance. The evening before she left I dropped in to see her, she burst out crying and I could see the anguish written all over her face. This would be the first time she would be going to the hospital without me. As I was not feeling too well I kissed her goodnight and promised to see her in the morning before she left for Ahmedabad.


The ambulance came at the scheduled time. We carried Liz into it and made her comfortable. I wished her a safe journey and told her not to worry everything would work out and she would come back a happier person. I wanted to desperately go with her to be there for her but it would have been sheer stupidity as I was still due my pokes and I would probably have been more of a hindrance than a help if anything happened to me.






Liz’s right foot August 2008




The same foot Feb 2010 Life Care Hospital





Sunday, March 28, 2010

“Takayasu Arteritis” rises from its slumber Mount Abu.

"Takayasu Arteritis" awakens from its coma.

Liz, my bitter half, who had contracted this "pulseless disease” in the year 2003, lived a normal life until a year back. I noticed things were not going right for her when she began to sprout huge blister-like sores on her right leg where her toes had been amputated at the beginning of her ordeal. I also noticed a discolouring of her left leg along with these blisters. Our family Dr. on being appraised of her condition, treated her with a course of antibiotics. He had a blood test done to see if any additional complications had taken place in her blood chemistry. All seemed well.

The antibiotics did help for a short period, but things did not seem right. I questioned Liz on many an occasion if all was well. She always responded with an affirmative answer, but in my heart, I knew all was not what it seemed. I’ve always been a keen observer and realised that Liz was like a drowning person, grabbing at straws. Her composure had undergone a drastic change. Here in India, we have a host of soothsayers and godmen who think they have a solution to every problem that God may throw at us poor mortals. I tell you they never miss an opportunity to capitalise on any such situation and Liz, out of sheer desperation, resorted to help from one or two of them. I am certain that the disease in her blood vessels has worsened, causing new symptoms like sores and discoloured feet.

There is, as far as I know, no known way to cure Takayasu’s Arteritis. Her treatment from 2003 till last year seemed to indicate that the disease was under control and that it had burnt itself out, but that was not the case. 
Liz sensed something was wrong when the chilly weather in December aggravated her ailment. She would rub her legs at night. The evidence revealed that the illness, which had been dormant for seven years, unexpectedly resurfaced and affected her.

Why this dreaded disease that seemed to be under control raised its ugly head is anyone’s guess. Was it the cold winter situation that helped to trigger it, or did Liz stop her medication in between? Or ageing? Whatever the cause, Liz would now have to undergo several investigations. Liz, who avoids going to the hospital like the plague, had no choice. Our family physician, Dr.Sharma, recommended us to ‘Life Care Hospital’. Liz left for Ahmedabad on the 16th to meet her younger daughter Jennifer, who was to return from a brief holiday from Shillong. I was to join them on the 18th of Jan to celebrate Keith's birthday. I took Liz to the hospital on the 16th to have a Doppler test run on her leg. Someone had recommended Dr Samir Dhani for Liz's treatment, so I reached out to him. He informed me of her prognosis. Liz's health was deteriorating. Some damage had occurred to the capillaries that had been feeding and keeping her right foot alive for years. LDr. Samir Dhani, who was recommended to me, informed me that Liz's foot would have to be removed.

 My heart sank as I knew I had not prepared Liz for this ‘amputation’. How was I to break this news to her?




The Doppler test conducted on 16 Jan 2010



The Doppler reports made out by Dr.Darshan

Prognosis of Dr.Sameer Dani




rang Dr Dushyant on the 18th of Jan and set up an appointment for her admission to Life Care Hospital. I had appraised Liz on her condition and said she needed hospitalization. She went into depression and began to sob. She did not want her leg amputated. I assured her no one would amputate her leg without her consent. I told her they would run some exclusive tests on her to determine the condition of her leg and her overall state.


They admitted Liz to the hospital on January 20th. She remained there for a week, being pumped with IV medicine day and night and having numerous blood tests performed on her. A team of experts came to see her to assess her condition. It had been a long and exhausting week for everyone present. She did not experience the excruciating agony she had been experiencing previously when on medicine. On the 26th, she was given another Doppler test to evaluate if her foot had improved after all the medicine she had received.

While she was in the hospital, I gently informed her that it would be best if she prepared herself for an amputation. I called her mentor, Dr. Anandan in Chennai, and asked him to help her see the light. I enlisted the help of my other friends and her older daughter to psychologically prepare her for the trauma. She was sick of being in the hospital and wanted to go home. I prepared her discharge papers and planned to take her home, but before I did, I left I spoke with Dr. Dushyant and informed him that I would be back soon with her for the amputation since there was no other option than for her to suffer through the agony of dry gangrene.
Her Doppler, done the day before her discharge on the 26th, revealed just a little improvement over the previous Doppler test. I knew it was curtains for her right leg and that it would only be a matter of time before Liz realised it would be better to get rid of it than to live through the excruciating agony that the pain would cause her.









Wednesday, March 17, 2010

Mount Abu Birds Phase VI

Green Munia place Kumurwada

Lal Munia



Taken on our mulberry tree in the garden



Feeding on the mulberries


Extremely rare to see them


Seeing them after Eons hope their presence advocates good monsoons




Female


Lal Munia female




Indian Silver Bill


Yellow Footed Green pigeon


Better camouflaged than the chameleon


How many of them can you spot?


Marsh Sandpiper


Marsh Sandpiper


Jungle bush Quail


Is it that bad?


You don’t love me anymore?


Tuesday, March 16, 2010

Mount Abu heading for a HOT and DRY summer



A fiery Sky is it an omen of things to come

Looks like the end of our winter



Yesterday was an extremely hot day; the hottest we have faced so far this year. Looks like winter has departed and we now have to prepare for the summer. This summer is going to be a challenge for us Abuites as we have to survive on a dwindling supply of water. At the moment we are supplied water after every three days, I believe this can be extended to a supply after four days depending on our resources.


This year even before the advent of the summer Abu’s atmosphere is full of small flying insects (gnats/fruit flies) , these normally herald the oncoming of summer, this year they have come in hordes a month well in advance . I’ve never seen so many moths plague Abu as of these last few days. What do these signs signify?? Global Warming? Or something more ominous?

An Abu Tale, that launched thousands of Furry tails


Squikie On the look out

In the early sixties Mount Abu had no squirrels it was always thought that that the height of Abu and its cool climate did not sustain the squirrel. Squirrels were brought to Abu in the early sixties by the Abu Road boys who lived below Mount Abu. These squirrels’ were brought as personal pets by the A.I boys of St.Mary’s School.


I had a pet squirrel while I was in school; I had named him Barry, but this guy was nothing like our Princy Barry. He was a cute and loving chap who loved to cuddle up against my belly button inside my shirt. Squirrels can recognize their owners by their body odour and by their voice; they do not take to strangers, if strangers try to handle them they end up getting a sharp nip by these critters. My Barry had learnt to be more sociable as he had no problem making himself at home in the pockets of my class mates.

Keeping squirrel as pets in a boarding school was an abs NO NO situation. So to counter this we gradually set these loving and precious pets free by teaching them to live in the trees behind the school. The Squikies as fondly known by the Marian would look forward to our daily visit after our lunch and tea breaks for the tit bits that we would smuggle out for them. Over time these tame squikies would move away from the school vicinity during the mating season and over the years they adapted to the climate and today Abu has squirrels by the thousands.

A family of squirrels watching a rock snake that had come to devour them


The vigilant mother who kept the snake at bay


This little guy rescued by my niece Inno

He is now back in the wild but does pay them a visit every afternoon for his tit bit
 along with his new found mates

Wednesday, March 10, 2010

Forest Fire from the Funeral Pyre Mount Abu

The Orange coloured Temple down below from where the fire originated

I was busy photographing the Lal Munia (Amandava amandava) , when I received an SOS phone call from my daughter Jennifer around 11.45 am from St.Mary’s School. “Dad the forest along Tiger Path is on fire.” I bade adieu too my shooting of the Lal Munia and headed for the school.


On my way I passed the Abu Fire fighting Truck heading back for more water, the scene around the school was quite chaotic as it was around lunch time, vehicles that had come to deliver lunch for the day scholars had to move further down towards Paddy Bridge to avoid the spreading forest fire along the main school road.

When I reached most of the undergrowth has almost burnt itself out .The thick bellowing smoke fanned by the strong breeze was quite nerve racking and suffocating. I did manage to take some video shots of the aftermath of the fiery destruction caused by the fire.

While talking to the locals I learnt that this fire originate from the FUNERAL PYRE further down the valley near a temple where the “Thakurs” have their burning ghats . A Thakur from a nearby village was being cremated at this place (God rest his soul) when a strong gust of wind caused the fire from the funeral pyre to set some bushes on fire in the immediate vicinity, before anyone could do anything the fire spread like all Hades had broken loose and within moments the fire raced fed by the dry undergrowth towards the Tiger Path behind the school. The schools authorities must have acted swiftly as the fire brigade some local water tankers and hose pipes from the school were all thrown into action to stop the spread of this freak forest fire.

The Thakurs from the Hatamji village came out in large numbers and set to making fire breakers leading to their village, people from all walks of life began landing up some to photograph the scene, others to give a helping hand and the school bearers parted with some of their precious saved water to help stop the spread of the fire towards the school.
This year the forest is in a bad way due to the drought conditions and low humidity in the atmosphere only hope there is no repeat of forest fires like we saw in 2009. Should there be a repeat it will be devastating for this Eco-Sensitive Zone.


Along the Tiger Path road

Pockets like these keep flaring helped by the breeze



Real Sad

Hope it is contained and does not spread towards Spongie


Wonder if this beautiful nest gets spared !

I know I have been off the web for a long time as misfortune visited me not once but twice this year will give you feedback as soon as my frame of mind returns back to normal.