The Stethoscope and those memories of a lifetime
By Dr
Nihal D Amerasekera
“If you cry because the sun has
gone out of your life, your tears will prevent you from seeing the stars.”―
Rabindranath Tagore
My early
childhood was spent in Nugegoda. I stayed with my grandparents smothered with
love and affection. My father was helping to grease the wheels of the government
far away from the Metropolis. My grandpa was an apothecary caring for the sick
and the suffering. He was often seen leaving the house with his stethoscope.
Whenever I fell ill he used this instrument to listen to my chest. I was simply
fascinated and intrigued by this device with its brown tubes and black bell. These
are my earliest recollections of an awesome instrument that changed the way
doctors diagnosed heart and lung disease.
Laennec painted by ND |
The stethoscope has become a talisman and so much of a part of every doctor. The word stethoscope comes from the Greek words stethos, meaning chest, and skopein, meaning to explore. The amazing story of the invention of this astounding instrument is steeped in history.
Laënnec spent several years trying to perfect an instrument and decided on a hollow wooden tube that amplified the sounds. This became the forerunner to the modern stethoscope. Doctors used wooden tubes as stethoscopes until the latter half of the 19th century. It took many more years to develop the modern bell and diaphragm type of stethoscope. In 1861 an Irish physician named Arthur Leared created a binaural model with two earpieces on the ends of stiff metal tubes. In 1862, George P. Camman of New York perfected the design using flexible tubes with smaller ear connections.
After I
entered the faculty of Medicine in Colombo, I learnt the inherent magic of this
device and how to use it as a diagnostic tool. No other symbol so strongly identifies a doctor than a
stethoscope. In Sri
Lanka the
device became an icon of intellect and skill. Hence, doctors enjoyed great
esteem from the public. Some of this adulation filtered down to medical
students. Even as a student I took great pride in displaying my stethoscope
prominently. I had it round my neck on my long walks in the hospital wards and
corridors. This self-assured hubris among medics have now waned. The
stethoscope is ubiquitously used in hospitals and surgeries by many different healthcare
workers.
After I ended my professional life, there is always an irresistible desire to return to my roots. As a Diagnostic Radiologist, I never used a stethoscope. Now, when I see a stethoscope, it takes me back many decades to the time I spent with my grandparents. It is now a symbol of my childhood more than my profession. This transports me back to Nugegoda and those happy years.
![]() |
My grandparents |
Nugegoda then was a sleepy little town that prided itself on its peaceful ambience. People were charming, friendly and helpful. They were religious and converged on the temple and the church for refuge and direction. The landscape was green and its beauty touched us with grace. The mornings were magical as the dew on the grass shone brightly. The shady streets were lined with tall flamboyant trees. The town was a paradise for birds. There were vast stretches of uncultivated green land through which ran a few narrow dusty gravel roads. There were hardly any cars. Heavy commerce and trade hadn’t arrived here yet. There was no large industry in and around Nugegoda and jobs were scarce.
As darkness
descended hundreds of bats took over the skies. I still recall how quiet and
dark the nights were. We heard the eerie croaking of frogs and the din of
crickets. The fireflies always remind me of Nugegoda of the 1950’s. It was only
the rumblings of the Kelani Valley trains that punctuated the silence. There
was no respite from the mosquitoes that tormented us every night.
My grandpa
was a softly spoken, quiet, noble man from Kandy. From the time I can remember
he had grey hair. He took life easy but worked diligently. The locals knew he
was a medical man and came to him at all hours for help. He was much more, a
philosopher, an expert in country lore, an amateur astrologer and an old
character of a type that was endangered and nearly extinct. He was not
interested in money except the bare minimum to sustain his family. The people
respected him enormously and he relished the adulation.
My grandma
was a qualified nurse in the Mold of Florence Nightingale. She was kind and
caring and grew up in Ibbagamuwa near Kurunegala. Grandma was a sprightly,
intelligent woman with lots of courage and foresight. She helped to drive the
family forward through uncertain times.
Time passed
swiftly and relentlessly. The ravages of time affected my grandparents. In the
autumn of their lives, they had the respect and love of the extended family. As
their eyesight and hearing gradually failed, they were mostly confined to
home. Whenever I visited them, I saw their decline. They had a huge repertoire of
old family stories and amusing anecdotes which they shared on our visits.
Grandma kept touching mementoes of our family, like photographs and paper
cuttings, which she cherished immensely. To her every photo spoke volumes.
Their end
came peacefully. Grandpa passed away aged 89. I was then in London and felt the
loss deeply. After his death, for grandma life became an ordeal. She led a
quiet life and remained fit but frail. I have often seen her sitting alone
wrapped in her own thoughts. Memories of the past stared at her from every
room, as did photographs and family occasions. The great void in her life could never
be filled. Grandma passed away at the age of 86 years. They both served their
communities with pride and worked for the Health Service with dedication and
devotion. I will always remember grandma’s diligence, energy and enthusiasm and
grandpa’s calm, reflective kindness. To me it was an end of an era.
More than
seven decades have passed since I first set foot on Nugegoda. During the past
50 years I have lived in the UK and visited Sri Lanka occasionally. On a visit to
Nugegoda in 2012, the changes that greeted me were astonishing. Our former house
didn’t survive the wrath of the bulldozers. It was demolished and became a car
park. The town is now bustling and busy. Prosperity
has come to the town with better shops, fine supermarkets, wider roads, modern
communications and good transport. Bristling billboards and signposts line the
roads. Many of the old
houses have been pulled down. The few that remained look like relics from a
lost civilisation. The nouveau riche preferred to live in large, detached
houses, behind high walls and security gates.
Urbanisation
of a town is inevitable but seemingly it has taken place randomly. Nugegoda has
experienced a devastatingly rapid, unsympathetic expansion. The industrial and
residential areas are mixed with office space. There is no designated green
belt to preserve as an area for peace and relaxation. The result is a cauldron
of light, noise and environmental pollution, a serious health hazard. This is
what remains of the once austere, puritanical Nugegoda of the fifties. Its past
elegance lay buried under layers of asphalt and concrete.
I have
rambled on and revived ancient and half-forgotten memories of a town with its
own personality, heart and soul. Although the magic of the old Nugegoda still haunts me, the loveliness and enchantment of that peaceful town I knew is now a distant memory. Within the time frame of a single generation, it has changed
beyond recognition. It hurts when I think about its former glory and the people
who made it so special.
I have painted
a portrait to honour and respect Dr. Rene Theophile Hyacinthe Laënnec for his brilliant
and important invention. The Stethoscope transformed healthcare. But I dedicate
this narrative to the memory of my grandparents. They both gave me life and
hope. It is only now I realise the depth of their influence on my life. Their
love, warmth and encouragement will never be forgotten.