Thursday, January 17, 2019

Speedy Dialogue ND


THE SPEEDY VIRTUAL INTERVIEW SERIES
Speedy Dialogues
Episode 2, January 2019
Speedy with Nihal D Amerasekera

On, “If we could turn the clock back Profession wise” and “what the Blog means to us”



I hope readers will warm towards my latest idea. I plan to discuss various topics with friends who volunteer. The topics are wide open. Please come up with suggestions.This is the second in the series with my great pal ND. The first was with Zita.

Speedy: Good morning ND (still used to calling you ND!)Thanks for agreeing to take part in the second of my dialogues series.

ND: My pleasure Mahen (as I call you now). It appears to me you've had a wonderful career in medicine with position, prestige and all the other trappings of a successful NHS consultant. Academically you have achieved your goals. If you were given one wish to improve your professional life what would it be? If given another chance to live your life would you choose a different path? Please explain

Speedy: A tough one. I know of course that this is entirely a hypothetical question and I shall do my best to answer it. I think you know my general view that I do not usually go back in time and reflect on what other path or paths I may have taken as the story is written and the drama enacted. But sticking to the point and moving on, you were fairly specific. You said “If you were given one wish to improve your professional life what would it be? Would you choose a different path?” The difficulty in tackling it in this manner is that it is hard to separate my professional life from my personal life. Accepting this caveat, I have two things in mind. Firstly, this nagging feeling somewhere in my subconscious that I had the ability and desire to continue to serve my country of birth professionally, but did not do so. Although I started on that journey and progressed well, I paused and chose a different direction for personal reasons most people are aware of. But I am not certain in my own mind whether my motives are genuinely “patriotic” or “personal”. I was only the second Neurologist in Sri Lanka and setup a Neurology Unit in Kandy and if I stayed behind, I know that I would have advanced that Unit and built it up to a Centre of Excellence. Whether it was that (service) or the knowledge that I would have become a well-known and hopefully well respected Professional in Sri Lanka (personal) is something I really don’t know, perhaps a bit of both.  Secondly, the pride and joy my parents would have experienced to see that happen, but denied to them, bugs me a bit. Pleasing my parents always pleased me too. I don’t dwell on it and it is truly well behind me. It was not a wrong path but a different one. I don’t like looking at the rear-window mirror.  The satisfaction I have with the knowledge that I have succeeded here in the UK as you observed, and my conscious view that I am just one actor in this vast Human stage and my strong secular belief in humanity sans labels, sustains me.

What about your own experience ND?

ND: I joined radiology at the beginning of its computer era and grew up with its rapid advances. The digital age transformed radiology as a profession. I love computers and learnt programming, building websites and image manipulation. I would have preferred to have done a degree in IT and being involved in designing the next generation of MRI and Computer Tomography. Don’t get me wrong I enjoyed patient contact and my journey in the caring profession but my heart was elsewhere.

Speedy: I am glad you did and in fact I know you did!

ND: You know Mahen, if I’m given another life I probably would not study medicine. When the time came to select a profession I had little knowledge of what careers were available. There was very little advice from the school and those around me. As I have said before IT would be high on my list. I never knew journalism was a profession and that would be a consideration too. Perhaps financially I wouldn’t have been better off as an IT guy or a journalist. There are many pitfalls being a journalist in Sri Lanka as a few have disappeared into white vans!! Being a journalist in the developed world is tremendously competitive and is pretty hard work. IT is a well-established and well-remunerated profession nowadays.

Speedy: Most interesting. In my case, I never regretted doing Medicine and I suppose I am lucky to feel that way. I can however, share with you what other Profession I might have chosen, if I had a chance to press the rewind button. I would have liked to be an Architect or a Designer of some sort! Creative art, music, constructions in my imagination are so attractive to me. Also being a realist, being and Architect/designer would also have given me a reasonable basic income.

In your case ND, there is no doubt about your literary talents. You write beautifully and have an excellent command of the language. I have no doubt whatsoever that you would have succeeded as a Journalist.

ND: Thank you for your kind words.  In a way I am not surprised by your revelation as you undoubtedly have tremendous artistic talents. In modern parlance a multi talented polymath. With your musical talents you would have reached those dizzy heights.

Speedy: That is praise indeed and I know you well enough to know that you mean it.

ND: Indeed I do. Coming back to Medicine, I found the study of medicine a hard grind. From the GCE until the end of the postgraduate exams I was poring over books. Studying so much and spending so much time seated in a chair indoors is not the youth I wanted. We have just one life to lead. I spent my teenage years studying when I should have been enjoying nature, playing sports, chasing girls and just doodling. I am a born dreamer and would have loved to have spent more time meditating in monasteries, enjoying the freedom of the open spaces and living in a wilderness practicing yoga. Astrology and Palmistry have been in my family for generations. I appreciated its intricate logic and learnt the craft for some time until my medical studies had to take precedence. I loved the good life too and would have enjoyed spending evenings at Donovan Andree’s Coconut Grove jiving and gyrating to his live band. I would have loved to play a musical instrument and be a part of an orchestra or even be in a teenage boy band.

In the bruising 5 years in medical school I was treated like a kid and never enjoyed it. I am a sensitive chap and felt the heat more than most!! As I see it now, there are better ways to learn a trade and earn a living. The path to journalism and IT are much shorter and I could have easily accommodated my other interests, pursuits and fascinations. I don’t feel bitter about the past but now that I’m older and wiser, I realise the career path I chose didn’t suit my psyche. We are asked to choose our careers when we are so young and know basically nothing about them. That’s all in the past. Medicine has given me a decent income and an insight into human life in all its forms and an opportunity to help those in need. I look back a happy man and don’t wish to fan the fumes of discontent. One great advantage in studying medicine is that I now understand my body, how it works and how and why it goes wrong not being totally at the mercy of my GP. It is harder for doctors to fob me off.

Speedy: As you say, it is now all in the past and I am glad you don’t have any bitterness and you recognise and appreciate the plus factors of being a doctor.

ND: Mahen, it is now your turn for a topic.

Speedy: Ok ND, here goes. It is over 50 years since graduation. The "flock" has diverged and diversified and formed a whole new world of contacts and friends. Those with common interests or similar pathways, especially geographic, kept in touch with each other, but did lose contact with many. Our Medical Undergraduate time is in the dim distant past. Bearing this in mind, does the Blog serve a useful purpose?

ND: Indeed, it is hard to believe that 50 years have passed since our dispersal after the finals. The 5 years in the faculty were tough but we formed wonderful friendships. These bonds we made in our youth had a certain closeness which is hard to replicate in later life. This makes the blog invaluable to help bring friends together and also share our life’s experiences. Although we speak of the silent majority, many silently read the blog without commenting. Now the Blog is a part of my life I cannot imagine a world without it. As they say “You Don't Know What You Have Until It's Gone”. There are times I like to take a break from the Blog to return with fresh enthusiasm.

Speedy: It’s nice to hear that ND. I am so happy that I have done my bit to help Lucky maintain the Blog. As for Medical Faculty days, I regard that time as very special. I grew up from a “boy” to a “man” and learnt so much about life and people. I made many friends and keep in touch with a fair number. Although I haven’t kept in touch with some, whenever I meet them so many years later, I just pick up from where we left. That is the beauty of friendship. The Blog has also enabled me to rekindle so many old friendships and to reminisce on those days of a mixed bag of hardship and fun, gives me enormous pleasure. The Blog is now a central part of my life. I do wish more would contribute but then we all have wishes, don’t we!

ND: Mahen, you’ve been a great help to Lucky who has done a marvellous job to keep the batch together. The Blog is now a repository of memories and a wonderful collection of music, art and poetry. It is hard work maintaining a Blog. I manage a website for my old school and know the work involved. They need constant care and attention which is euphemistically called ‘housekeeping’.

I would like to pick up on your thread about patriotism and working in Sri Lanka. We have covered this issue in the past. I belonged to the minority in our batch whose ambition was to be a DMO far from the madding crowd. But unforeseen events in my life changed all that. I don’t feel unpatriotic. Also I’ve done more than the 5 year requirement to work in SL. After I qualified in Radiology I returned to Sri Lanka to speak with the Senior Radiologist in Colombo to ask of the possibilities of joining the health service. He was frank with me and gave me the true picture which didn’t appeal to me. The political turmoil in the country at the time would have discouraged the boldest. I have served humanity in the best way I could. I’m happy the way life has panned out for me.

Speedy: Would you have been happy as a DMO?

ND: Who knows? I could have become an alcoholic like some did or become a famous Director of Health Services. But realistically and most probably I would have ended up somewhere in between. I like these hypothetical questions. It makes me happy about where I am in life now. After all it is happiness we are looking for at this stage of our lives.

I certainly do look back on my life, mostly with joy, as things could have gone horribly wrong but good fortune was on my side. I do miss my friends who grew up with me.There is also my inability to be with my parents in their hour of need. Reneging on my parental obligations bothered and bugged me for years. This too I have come to terms with, calling it the ‘awesome force of destiny’ for want of a better explanation. Destiny is a concept that many dislike. Away from science there are some things that don’t have proof which should not be cast aside as rubbish. We have finite minds and knowledge. Is this the arrogance of the so-called intelligentsia to take the moral high ground? I do respect those who cannot accept my point of view.  This is a general statement and not a personal dig at you, Mahen. I have enormous respect for you as I have said many times on this blog.

Speedy: No worries ND. As I have commented before on the subject of patriotism, I shall only say one thing about it. Do not be judgemental and try and appreciate that the journey of life is a very complex one and that variations in individual circumstances affect decisions we make on so many aspects of our life.

On destiny and fate, you know my views of course and in fact Zita and I had a stab at it in our dialogue. I personally find it very difficult to subscribe to the view that our life events are predetermined.  This implies some sort of extremely potent external Force. Belief in destiny can also stultify your drive and ambition but I would be the first to admit that we really don’t know how many things operate in this Universe and all we can do is to form a view after examining the evidence as we see it. As we mature, we begin to realise the truth of that famous Einstein statement, “The more I learn, the more I realise how much I don't know.”

ND: Very true, and I also noticed that with the passage of years my mind is less malleable than in my youth and I have learnt a lot about myself and about life. It is different in day to day life when we are constantly changing and accommodating.

Speedy: That was a good coffee table chat to be shared with our colleagues. My thanks for joining me ND and I say “long live the Blog”! Let us hope our colleagues enjoy reading this and come out with their own experiences. I am certain it would make fascinating reading.

ND: Thank you for accommodating my views which are rather Bohemian, nonconformist and unconventional. I admire your patience to accept my multiple requests to change and modify the text and image. I enjoyed the dialogue immensely and would recommend my mates to take the plunge without hesitation.

41 comments:

  1. Having watched from the sidelines when Episode 1 was exposed for comment, mainly because the subject didn't appeal to me, I felt more comfortable in making a genuine comment on Episode 2.

    Just a word or two about the manner of Speedy's presentation to begin with. I must confess that I was a bit confused at the outset when I found it difficult to clearly identify who was interviewing whom! But that was soon sorted out when I realised that it was done by design by the two primary actors Speedy and ND. In fact, I found that it added more interest to the whole episode.

    On the subject itself, I already knew too well the circumstances that compelled both Speedy and ND to change gears midway in their professional careers. Just to elaborate on it a little more, I was quite aware of the justifiable reasons why ND switched over from Haematology to Radiology and why Speedy changed his specialty from Neurology to Geriatrics/Gerontology. That of course was mainly through personal communications. At the same time, I couldn't help but suspect that Speedy chose this subject for Episode 2 because he himself and ND engaged in such career changes at some time! As for the fact that computer knowledge/IT being closely linked to modern Radiology is too well known. I am personally aware of how some local specialists/consultants threw in the towel purely because they felt uncomfortable in learning the basics in computer knowledge/IT when the latter came to be closely tied to their own knowledge of the specialty which soon became outdated. Independent observers were witness to how a thriving and lucrative private private plummeted almost overnight!

    I for one do not believe that medical doctors cannot pursue their interest in personal hobbies such as music or art. We have seen so many of them excel in such fields (examples are too numerous to mention). In reality, we need not go too far having already listened to Speedy's own creations in music.

    In concluding this long comment, I must add that I am moved by the tributes paid to me by the two main actors for my role in the blog and how it has helped to keep our batch together.

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  2. Lucky
    You are right about the format: Mahen correctly called it a dialogue. It is not and interview. As we all know the latter is a one way conversation. A dialogue gives each of us and also the readers the opportunity to get an insight into our thoughts and lives. I never found it intrusive at any stage. Mahen conducts it ethically, honestly and as a friend. There are so many interesting topics to discuss that we had to stop to spare the reader a discourse too long.

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  3. Agree with ND. Perhaps it is misleading to include my "Dialogue series" under the banner of "Speedy Virtual Interview Series" but the reason for that is because I wanted it to come within the umbrella of my "conversations" idea and any search on keywords would bring up the whole series.

    The idea really is to invite readers to share their own experiences and of course it goes without saying that they should be aware that this is not a private site and they should exercise some care when they comment, for their own Peace of mind.

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  4. I enjoyed reading the dialogue between two highly qualified in the realm of Medicine and would like to express my belief in so called"Destiny".I,am sure,according to Astrology,individual's destiny(daiwaya) is already written,at the time of birth.I heard from reliable sources and through my own experience;there is lot of truth in Astrology.I remember Rev Narada telling at one of the sermons that he delivered to us about his experience,when he visited India. The Indian sooth sayer was very accurate in telling the names of his parents and some other thing that turned out to be true.From a humble beginning,I entered the Medical Faculty and Qualified as a doctor.It happened to be the first child to enter medical school from my village.Villages used to say that"Maha Brahma",the creator has engraved the destiny in ones forehead.One of my muslim friends told me "Allah" does the same thing.I am aware that we should not mince religious believes and make the discussions,mundane.
    I left SriLanka,after 10 yrs of service,as I was able foresee the bleak future.I did not want to end up as a glorified Administrator at the Head Office.Prospects for MRCP,FRCS,MRCOG were bleak for a person who was stationed at Godforsaken areas.

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    1. As a regular reader of the Blog, you know my views on this and I just cannot accept that we are all actors on the World stage performing to a script that is already written. From a scientific viewpoint, there is no doubt that the course of some aspects of your life are influenced by factors which you inherit,such as genetic disorders and genetic tendencies. There is also no doubt that environmental factors affect us and broadly speaking, although there is no fixed path that we follow, there are "tendencies". We also know from Physics that the Sun will die in I think another 400 Million years. To summarise, I can accept there is a certain direction in which our lives and that of the Universe will follow but it is not immutable. If life is totally scripted, what is the point of striving, working hard, doing good things and avoiding bad things? After all, it is already determined!

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  5. There is some truth in What Sumathi says. Take the situation today in SL. MRCP, FRCS, MRCOG are dime a dozen. Most new graduates are shying away from them. On the contrary, lot of them want to take up other specialties.

    Even during our time, very few of these "general" specialists were outstanding and did well in the private sector, post retirement. This was specially so if they failed to get local PGIM qualifications such as MD, MS etc. They could never end up in the teaching hospitals. I know of one batchmate who never did any research, never got any papers published in journals and didn't pass the local PGIM exams (hence could not get a Consultant post in the NHSL, formerly known as the General Hospital, Colombo), but nevertheless was an MRCP. Since retirement, that person didn't have any private patients and depended solely on the lowly government pension.

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  6. Lucky and Sumathi
    Thank you for your comments. Examinations now are a distant memory. What is uppermost in our minds must be issues on health. That takes me to the issues of Destiny, Astrology and Palmistry. Whatever they say we must look after ourselves in the best way we can. Skepticism and uncertainty will always remain and that is healthy too. I wonder if you would study medicine in your next life assuming there is one!! There is so much info on careers now to help you decide or confuse you more.

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  7. Nihal mentioned how he had little knowledge as to how to make an educated, enlightened carrier choice before university .This is something I have given much thought to over the years and then when my children were studying pre- uni. I realized how deficient our education system was in advising and guiding you at that stage in life there being hardly anyone to help you in making wise carrier choices that suited your abilities .I am glad this point came up because if it still prevails on the island then changes have to be made to improve the system thats was so deficient and bring it up to modern standards.
    I first came across this when my eldest child was two years from entering university.I sat her down with my younger daughter and and told them , just because I am a physician and most of my friends are too do not think that you guys have to be the same to make a living . Thing are different in this country unlike back on the island you can choose practically any carrier and as long as you worked at it you will do well . They did not at that stage want to do medicine, as they had seen my working hours.
    The schools here have a student counsellor whose duty is to speak to EACH student individually, go through their grades, likes and dislikes, strengths and weaknesses and advise and guide them through to university.
    Nihal , my eldest was very good in her english and wanted to be a journalist , so entered the university with the strongest english department in the country, worked in the campus newspaper from the first year , but took her science courses too in case a switch had to be made. She detested the deadline- and the frantic effort involved that came before the newspaper went to print, and also realized working under that much pressure at lower incomes was not for her. She stayed with medicine, graduated with an English major, and the sciences, entered medical school. Since then she specialized , did research , and is in the sub-speciality lecture circuit. English came of great use, in the lectures as well as being on the editorial staff of the sub-speciality journal etc.
    Coming back to Nihal and the grind of medicine, I think we studied for example ,too much detailed anatomy etc. At 2nd MB level did we need all the little details of the petrous temporal bone and this is only one example. That should have been for the guys aspiring to be ENT surgeons, and no one told us do not waste all that time over it.

    You are funny Nihal in regards to an otherwise serious matter, the fate of journalists in the island. It really is a shame what came out of it.
    ia

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  8. Couldn't agree more with you Indra.I can remember that I was advised to pursue "Science" rather than "Arts" because there were very little opportunities in Arts to get a "good job", whereas Science could help you to become a Doctor or Engineer. The only 4 careers (or jobs as were usually referred to), were Doctor, Engineer,Lawyer or Accountant)! Both my elder brother and I were good in Maths and both fancied becoming Engineers but my Mother thought I would be a good Doctor as I was very patient by nature and loved reading. As I and my brother were in the same class (in Upper V at Royal after a double promotion which I accepted and my brother was advised to refuse in the previous year),I didn't want to be stuck with him all the time and was happy to follow my Mother's advice.I never yearned for a career as a Doctor. I had no idea what being a doctor meant apart from admiring my GP and also Dr Oliver Medonza whom I had seen as a patient. We had no advice of any sort from the school. I think my story is not unique. In those days, we had no idea of career paths available and most parents wanted their children to enter University and then hope for the best.

    As for our curriculum, you are absolutely right. A lot of stuff we were made to learn had no real bearing on preparing ourselves to become doctors and the way we had to learn Anatomy is a good example. I still feel that a good basic knowledge of Anatomy, Physiology and Biochemistry forms a solid foundation and bemoan the fact that some Universities in the UK do not provide that.

    As for Journalism, I don't think it ever crossed my mind, safe or not!

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  9. As for the Professions with reasonable living and security of a job were,Medicine,Engineering,Law and Accountancy.Things may have change over the years.Journalism is a very powerful weapon that can make or break Governments,bring Politician down to Earth.Like any other speciality,one has to shine well to become a top class journalist.
    Indra is right,American system with regard to career advice is excellent.I,really have no idea how it operates in the rest of the developed world.I am sure,Japanese are very clear in all aspects of technology.They may have a similar system to that of USA.
    Sri-Lanka has a long way to go.

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  10. I am so pleased this really has become a chat over a cappuccino at Starbucks by several in our batch. It is different when one is retired and dream in his/her armchair of what should have been. The Medical course is most certainly less onerous now. In the UK the knowledge of anatomy of some of the graduates is a mere fraction to what we learnt. I recall teaching a radiology registrar how to do a hysterosalpingogram. When I told him the pool of contrast was in the posterior fornix he asked me what is that? I told him I could find the place with my eyes closed. I did blush profusely when I realised what I had said.
    To move on swiftly, my son learnt anatomy at Cambridge in exactly the same way I learnt with esoteric and abstruse details which I still believe is pointless. One redeeming grace was that at Cambridge they are given an extra year to get a degree in a subject of your choice. So they must learn in a year what others do in 3 years. My son chose Anthropology which he enjoyed immensely and still does.
    Post graduate medical exams too have changed. Many say they have been made easier and fairer. I never found them easy. I followed the MRCP course done by MH Pappworth which some of my clinical teachers had done before sitting the exam. He was old but a wily fox and knew the exam procedure and tricks inside out. I needed all the help I can get!!
    As Exams go the radiology FRCR is the toughest exam I've ever sat. It is a long 5 years apprenticeship. The pass rate was notoriously low and was a frightening experience. Hence the graffiti in the registrars toilet - Xray is a 4 letter word.

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  11. Nihal,
    The first time I ever faced a multiple choice examination paper was at the ECFMG for which I did not read. But then it was soon ( months ) after our final MBBS.
    But the most searching and difficult exam was the FLEX ( federation of licensing examinations ) the exam that needed to be licensed in a state. It was the same paper for each state though ,but the pass fail rate varied slightly in different states.
    The test extended to two or three days and there were MCQ papers morning and
    evening, and very searching in the sense the papers tested one on every aspect of medicine, from genetics, embryology, ecg's,blood gases, X-rays, surgery, ob-gyn. ,pediatrics,biochemistry etc. The paper itself was unique and clever with some questions and answers , where the answer was hidden behind ink that could be erased, but an answer that led you to another question on the same subject and so on.
    It was in a sense more difficult than the speciality board examination, because in the latter one was tested in more familiar territory.
    I think the MCQS were fairer, more searching and eliminated the human element and its fallibility involved in the examiner looking at the answers.

    Hey, guys I personally find Starbucks great for students who want to stay up- it is a bit strong.
    ia

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    1. Indra
      I do agree with you entirely about MCQ. They are a fairer way to assess ones knowhledge. Many of the British PG exams have gone that way but some have preserved a bit of the essays. I have no knowledge of British medical school exams at present. MCQs are the right way forward.

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  13. Hey,Indra,ECFMG was the exam,I never sat.I heard that candidates were allowed to sit in their Final Year,rather than waiting for Graduation.During my OPD work in Anuradhapura,several Peradeniya Graduates,sat for ECFMG.The exam fees were somewhere to the tune of Rs.80.00 and the form had to be signed by a JP.There were enough lawyers,known to me in Anuradhapura,but my destiny stop me thinking of sitting the Exam.There was no one to induce me to attempt,as I was patriotic and stayput and serve the Country.It was my destiny(Daiwaya-Daiwam).If,I were to migrate to US,I would have done better.

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  14. The advantage of MCQ is that a wide range of topics can be covered and unlike essay questions, the ability of the candidate to express themselves in written language negated. I am a fan of MCQ because it is good for standardising and is fair. It also reduces the chances of candidates preparing themselves for examinations by going through past papers and predicting questions. I am also believer in trying to make examinations as far as possible a way of testing the candidate's knowledge and encouraging students to master the subject rather than become exam-savy.If Universties do not encourage that, true learning does not happen and students become robots studying just to pass exams. That is why I also favour summative assessments with only a relatively less importance given to the Finals."Learn - don't cram" should be the motto.

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  15. Here Mahen, you deserve a scone for that answer.
    ia

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  16. Indra,I don't know how it is with your Sri Lankan colleagues in the US, but here in the UK, the vast majority of children of parents who are doctors tend to drift towards Medicine as a career.Is this parental influence, direct or indirect, or a better understanding of what it means to be a doctor? Prestige? Views of colleagues would be interesting.

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  17. The first generation parents from the Indian subcontinent tend to want their children to study medicine. I know of some who forced children which finally resulted in them giving up their course to follow personal choices. I gave mine a free choice and one chose medicine after much deliberation. He is happy with his choice. I like the American system when the choice to study medicine is done after an initial degree when they are much older and hopefully wiser.

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  18. As for the Sri Lankan colleagues in the USA I really do not know what kind of a dialogue went on between the children and their parents. There are quite a few families where one or two of the children have become physicians. There may have been parental encouragement in some or all, tough to say. Sri Lankans I think prefer their children doing medicine , a conservative but save choice. I have also seen quite a few and this includes friends who are physicians where the children tried to enter medical school , but failed to and ended up switching carriers.however there are quite a few lawyers among the Sri Lankans next generation. I can answer your question from my experience though . My wife told them she would like them to go to medical school. There however was no pressure to do so but to keep in mind. I as I said earlier in the dialogue we felt they were capable of doing well in any chosen field, probably even better than in medicine. The eldest as I said earlier wanted to be a journalist ( was very good in her English, in high school ), but changed her mind to Medicine. Quite happy with it as she does a combination of clinical medicine with procedures, clinical research and part time administrative work in global health9 research here too ), which involves traveling. Her patients are all referrals- GI, there are no night calls and she enjoys the global health aspect of the job too. She likes what she is doing.

    The younger child wanted to do marine biology about which we knew little , but did not discourage her . She was good in her sciences and that was a reason for the choice.We figured she will work it out between the school and herself. Eventually she switched to medicine too- clinical, research and administrative. I influenced her thinking however in her choice of speciality but reasoning out with her.
    The degree before the Medical degree in the USA,I think makes them more mature in making carrier choices.They also have a basic grounding in several other areas of study, english, calculus, computer sciences etc so they have safety net and are more confident .
    Mahen & Nihal, while discussing educational aspects of our experiences it may help if we had an insight into what goes on in that little island and see if we can come up with suggestions?

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    1. ND, Mahen, Lucky, Indra and Sumathi, I have followed the 'dialogue' and comments with great interest. The conversation zigged and zagged like all animated conversations do. The only things missing were the coffee and the scones. It is fun to fantasize about alternate career choices. I think I wanted to be a doctor ever since I was very young. It may have had something to do with the fact that I read many books that romanticized doctors, and also knew several family friends and neighbors who inspired and influenced me. In my early years we lived next door to Dr. L.O. Abeyratne and his family, down 5th Lane, Kollupitiya. He had retired from LRH at the time, but saw private patients at home. He and his wife were the kindest gentlest people, and I saw how they treated their patients. (Their son Michael, was a medical student at the time.) I also think that we had more inspiring science teachers than those teaching the 'arts' subjects at the time, at LC. My first 'hands on' experience came when my veterinary surgeon uncle allowed me to assist in suturing the lacerated ear of a dachshund. I realized that I was not fazed by blood and guts! My choice of pathology as a speciality was a bit of a compromise, but I have absolutely no regrets. As I delved more and more into the field, I found it fascinating. I enjoyed the 'detective' aspect of it, trying to get to the root of the patient's illness, even though I did not interact directly with the patients.
      I wonder what I might have done if I had been unsuccessful in getting into Medical College. I had thoughts of architecture, like Mahen. Then again, if I had all the money in the world and had been born in Italy rather than Sri Lanka, I might have chosen to be a professional auto racer!

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    2. Cor Blimey Srianee, as they say here! We would have had a Danica Sue Patrick from Sri Lanka! Amazing that both of us thought of being an Architect. My younger son would have liked to have been a Formula 1 driver I am sure, although he has never told me that. He has a Nissan ZX sports which he just adores. He takes it to Germany to race on one those tracks (with a group of friends who also have sports cars) you can use (can't recall the name but you must know what I mean - could be Nurburgring ).

      Sticking to fantasies, I would have loved to be in a big Country Mansion in England as the Lord with big gardens, massive library, snooker room, butlers and maids and of course a gorgeous wife. This is fueled by my love of PG Wodehouse.I never wanted to be a lawyer or politician and never thought of taking to robes!

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    3. I did partially realize my fantasy when I bought myself an Alfa Romeo (silver, two seater, convertible!) in 1989. It wasn't very powerful, but was a lot of fun to drive, on perfect "Alfa Days." I drove it in a few timed rallies, which were fund raisers, and thoroughly enjoyed the experience. We had to part company when I downsized, because my present abode does not have a garage. I didn't sell it though, but had it shipped to Germany, where it occupies my son-in-law's garage, and gets driven in the summertime. Crazy, isn't it?
      Your fantasy is interesting too!

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  19. I didn't try to push mine in that direction either Indra and both ended up in IT. I probably had indirectly influenced them in that direction because they grew up with computers at home, from Sincair ZX to BBC, Amstrad, Sirius etc. My nephew did a degree in Polymer Chemistry and didn't have the foggiest idea of career opportunities. He came to stay with is for a while and I introduced him to a Pharmaceutical rep and he liked that type of job, took it up and today he is an European Regional Director for a big Pharma firm based in the UK, and he is English! I find it quite interesting to be curious about how people choose their careers and of those I know, very few had a clear idea of which to pursue when they were young. One of my Sri Lankan colleagues who is a Neurosurgeon, always wanted to be a Surgeon and in fact a Neurosurgeon. One of my Nursing Officer's son, wanted to work in a Ski Resort all his life but was firmly told by his parents that there was no future in it and he became a Doctor. Then he applied to a Ski resort as a Medical attendant. He went there and eventually gave up being a doctor and became full time Ski Instructor. Awesome force of destiny? Who knows!

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    1. Mahen and Indra, I believe very strongly that no parent should force their child to follow a certain predetermined career. That can only backfire! My daughters had no interest in following careers in Medicine. (Their dad and I were fine with that.) Perhaps they got an overdose of 'medical conversations' at home. They both followed their own interests and obtained PhDs in Structural Biology and Art History. That did not mean that they were going to stay on the same track for the rest of their lives. The research scientist got tired of basic scientific research and transitioned into web design and became a project manager in that field. Now she is transitioning into data analysis in the same company, because she hates wasting her time at meetings! She likes the fact that she can now work from remote locations. I like the fact that maybe she can visit me more often! The art historian ended up in Germany (AFD!) and juggles many roles. She translates texts (many art and art-related) from German to English, teaches English to German business people and in her 'spare' time sings with a cover band! I sometimes envy the fact that they are able to swerve their career path when needed. That was impossible to do in Medicine.

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    2. I do envy your kids. What a great choice of work and the ability to change and move around. I would love to meet all of them- curiosity, knowledge, analytical thinking, history, love of art forms.. aaah! How wonderful

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    3. Thanks Mahen. Who knows? It could happen...

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  21. Srianee, I am happy to see the carrier choices your daughters made. Amazing. That is something I find amazing about the educational system in the US. Our younger daughter did a science major and an art history minor , interned at the Metropolitan museum of art, before on her own deciding on medicine and then immunology.The system here allows it.
    I wish we did not have to study so much chemistry , physics, zoology and botany in HSC 1&2 and instead were thought some finance. We did not have computer science then.
    ia

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    1. Indra, It is true that our educational choice was somewhat narrow. The schools have a much broader range now in Sri Lanka, and the students have more choices. (I'm learning this from the younger members of my family.) Now that we are retired, perhaps we can spend time studying some of the topics that we never had a chance to study!

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  22. Comment on the blog following Mahendra/ Nihal conversation:

    This is Zita. I like to say to Nihal and Mahendra: By your fascinating conversation you both have taken us your batch mates and other readers of our Blog on an enlightening journey through your professional and personal lives encompassing your dreams and passions as doctors. While there’s so much rejoicing over what you accomplished, naturally there’s also a roller coaster of doubts wishes and conflicting emotions which flood one at the near-end of a professional life but with quite a good span, I hope, of retired life to look forward to where you embark on other pursuits, which had to be kept ‘at bay’ during a life of work. You have given us a masterful piece of writing of the highest order. I am truly proud to be ‘one of the fold’ and not merely an onlooker. You both prove beyond doubt that you are ‘top of the tops’, the pick of the best and I know I speak for all when I wish you both and your families the best that life has to offer and that each day will bring you joy. (I have not yet read the other comments yet). I am dazzled by admiration of you both.

    Zita

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    1. Zita
      Thank you for you kind comments, most generous as always. In retrospect we all have had a long journey. What I have achieved is my destiny as my ambition was to be a DMO faraway. I am just an ordinary guy writing to while away the time in retirement. Look forward to one of our London meetings with Mahen as we did in the past and it would be lovely to see Joe. Take care and keep well.

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    2. This is from Zita
      Nihal, fate took you away from your intention to be a DMO far away. But just look at how beautiful and productive your life has been! We as your colleagues see only a part of it. So we can imagine the true magnificence of it all. And you can still engage in your IT ambitions! Good Luck! Zita'

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    3. Zita
      This is indeed a chat over a coffee. What a great idea to have a dialogue rather than an interview. As the winter hits us hard and we in the UK get hemmed in our homes this is an opportunity to communicate with friends. The Blog is our Starbucks.

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  23. Very kind and generous of you Zita. You are one of our blog stalwarts and make our efforts worthwhile. Thank you and maintain your good cheer and thoughtfulness.

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    1. Comment from Zita
      Mahendra, you know very well the respect and admiration we your batch mates and friends all have for you, me in particular. And I think your musical career is fast unfolding! Zita'

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  24. What was the benefit of studying and dissecting the earthworms alimentary canal, the sharks 7th and 9th cranial nerves just to mention a few , far better and useful would have been some finance, economics etc.
    ia

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  25. Indra,few of us lament over the misjudgements in the past.Could it be our destiny(Karma),to end up in different corner of this planet.

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  26. Decisions, decisions. Good to see you regularly on the BLOG. You are a hard worker and a good man. That is the most important thing. And you have done well in your own way and I bet done a lot of good to others as well.
    ia

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