Wednesday, March 31, 2010

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

Liz’s Ordeal and Optimistic Attitude Towards Life

After leaving Life Care Hospital, I checked into the Kozar Hotel, close to where Christina lived. My goal was to relax and recover from the stress we had endured over the past week. I needed to distance myself from the relentless wails of ambulances, ferrying those clinging to life or those who had lost their battle. Christina, Liz’s eldest daughter, was a tremendous help, preparing delicious home-cooked meals that were a welcome relief after a week of hospital food that wreaked havoc on our stomachs.
But my primary concern weighed on my mind: how long could I delay the inevitable conversation with Liz about the amputation? Liz’s faith is unwavering, so I used it as a psychological anchor to help her cope with the anxiety. I found novenas and prayers online to keep her occupied, hoping that her prayers might bring some peace. While at the hotel, I tried to distract myself by photographing birds and whatever else caught my eye. Liz seemed fine during the day, with her grandchildren keeping her company, but as evening approached, her discomfort became clear. She struggled to move, and I could see the anxiety she tried so hard to mask with her beautiful smile.
The next day, we were supposed to head back to Abu, but fate had other plans. As I bent down to pour a cup of tea, I felt a sharp pain in my lower back that left me unable to stand. I lay on the bed, with pillows supporting my legs, but the agony was unbearable. I called my doctor, who prescribed painkillers, and Christina, always so kind, brought the medicine and offered to massage my back. I chalked it up to a muscle spasm brought on by stress. By evening, I could move, but the pain lingered, and I dreaded the road trip back to Abu, knowing that every bump would send shockwaves through my spine. Liz’s condition was also deteriorating; her foot could no longer bear her weight, and she needed help just to get to the bathroom.
Surprisingly, our journey back to Abu was comfortable. Jennifer had prepared everything for Liz, with heaters and the soft fragrance of fresh roses filling the cosy room. Liz asked me to spend time with her, but I had to say no. When I got home that night, I found my Basset Hound, Bosky, in awful shape. The maid informed me she hadn’t eaten in three days. I treated her with homeopathic medicine prescribed by the vet, but I couldn’t shake the unease that settled over me. That night, I tossed and turned, feeling feverish and unwell.
On January 31st, I visited my doctor and told him I felt out of sorts. He prescribed medication, suspecting a viral fever. As February began, I shuttled between two houses, with pleasant days giving way to cold nights hovering just above freezing. By February 6th, my condition had deteriorated.
On February 7th, I visited Liz as usual, but Jennifer confided that all was not well. Liz was going through hell, behaving, and saying nonsensical things at night, insisting she wanted to go home. Liz’s delirium frightened Jennifer, but I reassured her it was likely the drugs and heavy sleep aids affecting her mind. Liz’s days and nights were now a cycle of pain, restless sleep, and despair. Her moods swung, each one overshadowed by tears. “I’m so sick and tired of this leg,” she sighed, struggling to sit up on her sore rump. Her frustration and desperation were palpable as the dry gangrene spread on her foot. I knew time was running out—if Liz didn’t agree to the amputation soon, the pain and heavy doses of medication would drive her mad. Her nightmares had returned, haunting her like demons from the past.
The next two days, February 8th and 9th were among the worst of my life. My shivering bouts lasted for hours, and I developed a constant fever. A blood sample was supposed to be taken on the 9th for lab testing, but the technician never showed up. In desperation, I called Dr. Sharma, who instructed me to start malaria treatment. I took the first dose at midnight, with the second due at 6 a.m. My brother-in-law Jimmy and my brother Aubs visited me on the 10th, finding me drained. I asked Jimmy to drive me to Global Hospital for a blood test.
The results were shocking: my ESR was 120, my WBC count had skyrocketed to 18,400, and my urine WBC was over 100/HPF. The doctors diagnosed me with the first stage of typhoid and a severe UTI. I was stunned—I had taken all precautions in Ahmedabad, yet here I was, battling these illnesses. Bedridden, I had to follow a strict regimen of medication and diet. My good friend Mohan was there for me, offering companionship through thick and thin. He and Jennifer kept me updated on Liz’s worsening condition, and my illness only added to her distress. My fever and chills persisted until the 15th, prompting another blood test. This time, the results confirmed malaria, and the doctors gave me painful injections over the next three days.
Meanwhile, more bad news arrived: the vet was out of town, and my beloved Bosky’s condition had worsened. On the morning of the 12th, she asked to be let out early. I was too weak to accompany her, so the maid’s daughter let her out. At lunchtime, I asked how Bosky was, and they told me she was resting under the bushes in front of the house. But when they went to check on her, they found she had passed away. Time seemed to stand still—I was already struggling to recover, and now this. The loss of my beloved Basset Hound hit me like a ton of bricks. I knew this news would devastate Liz, who doted on the dog, so I asked everyone to keep it from her for now. But that evening, in the course of conversation, Jennifer accidentally let it slip, and Liz broke down in tears. Yet, as painful as it was, perhaps it was for the best—at least Bosky didn’t have to endure agonizing days of pain or face the decision to be put to sleep.
By February 13th, a Saturday, Liz’s condition had deteriorated severely. I knew I had to act quickly, but my illness had left me desperate and drained. My friends, doctors spread across the globe, had reviewed all her reports and urged me not to delay any longer. Out of sheer desperation, I dragged myself out of bed and sent an urgent email to our dear friends, the Newnes, on Valentine’s Day. They called me immediately, and Rita promised to be in Ahmedabad by February 18th. I called Liz and asked if she was ready to go to Ahmedabad; Rita would be there for her. Liz, worn out by the pain, was mentally and physically prepared for the amputation. I immediately arranged for the surgery at Life Care Hospital, with the angiography scheduled for February 18th and the amputation the following day. I informed Derek, who confirmed that Rita would leave Mumbai on the morning of the 18th and join Liz that evening at the hospital.
Everything was set for Liz’s departure to Ahmedabad on the 18th. The ambulance would pick her up at 9:30 a.m., with Jennifer and her brother Chirag accompanying her. The evening before she left, I visited her. She burst into tears, and I could see the anguish etched on her face. This would be the first time she went to the hospital without me. Not feeling well myself, I kissed her goodnight and promised to see her in the morning before she left.
The ambulance arrived on time. We carefully carried Liz into it, making her as comfortable as possible. I wished her a safe journey and assured her that everything would work out—that she would come back a happier person. I desperately wanted to go with her, to be there for her, but it would have been foolish. I was still due for more treatments, and in my current state, I would have been more of a hindrance than a help if anything went wrong.





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.