Saturday, January 27, 2018

Sri Lankan cardiologist honoured in Australia

From today's The Island newspaper


 

article_image
Dr Kumar Gunawardane (right) and Mrs. Gunawardane after the award.

A Sri Lanka-born cardiologist, Dr Kumar Gunawardane, has been bestowed the most prestigious award - CONSULTANT EMERITUS by The TOWNSVILLE HOSPITAL AND HEALTH SERVICE BOARD.

The presentation was made by the Minister for Health, Queensland, Dr. Steven Miles at a glittering staff excellence award ceremony. This was attended by many local dignitaries including the state and federal parliamentarians and the Mayor of Townsville Cr Jenny Hill.

Dr Steven Miles also presented a floral bouquet to Mrs Shirani Gunawardane honouring her selfless contribution to her husband’s career.

Dr Gunawardane’s initial cardiology training was with Dr Ivor Obeysekare and Dr N. Walloopillai at the General Hospital, Colombo. Subsequently, he worked as Registrar in the Newcastle-Upon-Tyne Regional Cardiac Service UK and the Prince Charles Hospital in Brisbane, the leading cardiothoracic institution in Queensland.

He assumed duties as Director of Medicine at the Townsville General Hospital in 1982. This is the premier public tertiary care facility in North Queensland and also the main teaching hospital for the James Cook University Medical School which is on site. He is an Adjunct Associate Professor of the JCU.

The citation was by Dr Ryan Schrale a young Interventional Cardiologist colleague.

Dr Gunawardane had a highly distinguished 33-year service to the Townsville Hospital and Health Service as a Consultant Physcian and Cardiologist. He demonstrated the highest levels of leadership and professionalism throughout his medical career including an 11-year tenure as Director of the Department of Medicine (1982-1993) and also four years as the Director of Cardiology (2002 -2006). He was also the Chair of Cardiac Services for part of this time. For many years he was a member of the Statewide Cardiac Advisory Committee.

Dr Gunawardane’s career has spanned decades of major advancement in the understanding of and treatment of cardiac disease; throughout this time he spearheaded introduction of modern cardiology at the Hospital. He staffed the Coronary Care Unit single-handedly for 12 years - probably a unique record for Australia. He established local treatment protocols in conformity with national and international guidelines.

He also single-handedly established Echocardiography in North Queensland. For the first eight years, he performed and interpreted all echocardiograms personally without the assistance of sonographers or cardiac scientists. Dr Gunawardane, through a commitment to continuing professional development and improvement of services, undertook a sabbatical training year in USA. (1988/89).

He worked with another distinguished Sri Lankan Cardiologist, Professor P. A. N. Chandraratne, who was the Deputy Chief of Cardiology at the University of Southern California Medical School in Los Angeles. This allowed Dr Gunawardane to establish advanced echocardiography techniques to North Queensland including trans-oesophageal and stress echocardiography.

Dr Gunawardane demonstrated outstanding leadership during the establishment of the Cardiac Unit. The establishment of the unit faced stiff competition from competing centres Cairns Base Hospital and a proposal from the Princess Alexandra Hospital Brisbane. He made a compelling and effective application to the selection committee headed by Dr Graeme Sloman, Director of Cardiology at the Royal Melbourne Hospital. He carried the day and was the sole cardiologist in the planning Northern Regional Health Authority Committee reporting to the Director General of Health.

Throughout his career Dr Gunawardane has had an abiding commitment to teaching. From 1982 onwards he was a Senior Lecturer of the University of Queensland and subsequently was Senior Lecturer and Associate Professor of Medicine at the JCU. He taught medical students, junior medical staff both basic and advanced trainees, allied medical staff and also medical practitioners in Townsville and outreach areas. Some of these trainees have gone on to become outstanding Consultants including two current Professors of Medicine.

Owing to the national recognition of the Townsville CCU, Dr Gunawardane participated in ground breaking international cardiovascular trials, the results of which still shape our current practice. The most notable were ISIS2 (International Study of Infarct Survival -2), the first trial which conclusively proved the effectiveness of thrombolysis and aspirin in the treatment of heart attack.

LIPID (Long term intervention with Pravastatin in Ischaemic Disease Trial), proving statins reduce heart attacks and vascular events. CURE (Clopidogrel in Unstable Angina to prevent Recurrent Ischaemic Events)

Dr Gunawardane also participated in JCU, QUEENSLAND and NATIONAL major collaborative studies some of which were presented internationally. He has published many manuscripts in peer reviewed journals.

In recognition of his services and achievements Dr Gunawardane was awarded a Fellowship of the Royal Australian College of Physicians (FRACP), Fellowship of the American College of Cardiology (FACC), Fellowship of the Royal College of Physicians Edinburgh (FRCPE) and the Fellowship of the Cardiac Society of Australia and New Zealand (FCSANZ).

Sunset – Nature’s art with a message and more technical details

 The subject of Sunsets has evoked so much interest and generated many comments from the "regulars", that I thought of publishing an article by ND followed by a useful link sent in by Rohini Ana.

At the end of ND's article, I have given the link that Rohini had sent.


Sunset – Nature’s art with a message
By Nihal Amerasekera

I have often wondered why sunsets being a natural phenomenon which occurs everyday evoke such intense passion and emotion amongst us. Is it the crimson glow that mesmerise us ?  But we don’t pine for the day that’s gone!! The combination of the sun, the clouds and their reflection on the water gives the sunset a magical status.  I am reminded of Rabindranath Tagore’s poem “Stray Birds”

Clouds come floating into my life,
no longer to carry rain or usher storm,
but to add colour to my sunset sky.”

Something to remember when we behold those enchanting sunsets.

The sunset is transient . Although unfailingly regular its never the same in appearance even at the same venue. So much like our own lives changing from day to day and from year to year, sometimes the clouds hiding the beauty within.

Sunset ushers in the end of the day and the end of our toil. It brings on the silence of the night and the peace that comes with it.  During my sojourn in Arabia I found the Muhsin’s  evening call for prayer hypnotic, as the sunset across the ever changing sand dunes. I grew up living opposite a church in Nugegoda. Every evening at 6 pm the church bell rang rhythmically and gave us kids a clue it is time to get ready to find refuge in our homes. This reminds me of Gray’s Ellegy written in a country Church Yard (1751).

The curfew tolls the knell of parting day,
The lowing herd wind slowly o’er the lea,
The ploughman homeward plods his weary way,
And leaves the world to darkness and to me.

In the tropics, sunset also energisers hordes of mosquitoes to torment us in waves!! But worldwide it is a busy time for thieves and burglars to earn their living. Despite its beauty Sunset has its drawbacks.

I am born a dreamer. Once it nearly cost me my life. I was living at the Jeewaka hostel in 1966. After a long afternoon study, I walked to the Colpetty beach with Sanath de Tissera, to sit on a rock and watch the sunset. We often talked about things spiritual to relax and unwind. As darkness fell we started to walk back, deep in thought. When I was about to cross the railway line, my friend pulled me back with great force - and I saw the train go whizzing past me. I could feel the warmth of the steam and coal and was just inches away from certain death.

It must be the diurnal variations caused by our hormones which make us more serene and emotional past sunset and a lot more amorous and sensual too. With all its beauty, sunset ushers in a seedy aspect to life and none more graphic than the wartime music of Marlene Dietrich which was a popular when WWII was raging. The song ‘Lili Marlene’ conjures up images of a young lady waiting under a gas street lamp for her Army lover to return.

Underneath the lantern
By the barrack gate
Darling I remember
The way you used to wait
'Twas there that you whispered tenderly
That you loved me
You'd always be ………
My Lili of the lamplight
My own Lili Marlene

Everything that has a beginning also has an end. For the light of the day, sunset is its end. Sunset is a reminder for us all of our own mortality and also a memory of all who have gone before us. It enlightens us to use our time wisely and to keep our thoughts calm and peaceful. These are our sunset years. The simple thought that we leave this earth as we came, with nothing, appeals to our generosity and altruism.

I recall with much nostalgia the sunset at Angkor Wat and its thousand year old temple now being restored by the Cambodian government. Gordon’s Bay sheltered by the Helderberg mountains in Capetown provides a wonderful vantage point to watch the sunset knowing well there is no land beyond its horizon before the South Pole. South America is like no other place on earth for its climate, mood and landscape. Sunsets across the breath-taking landscape of the Atacama desert and that across the Magellan straits in Punta Arenas in Chile will remain with me forever. I have kept the best for the last. The sad story of the Taj Mahal has resonated through history and its magical beauty fails to hide its grief and torment. The sunset beyond the Yamuna river with the Taj Mahal as a back drop is a sight fit for the Gods.

The link that Rohini had sent.



PAT BOONE - BEYOND THE SUNSET - sent in by Zita

As Zita has suggested, please listen to this while reading the posts on Sunset.







Friday, January 26, 2018

Sunset from Beautiful New Zealand (Auckland) - Creative Spot from Rohini Ana .








An Ode to the Blog

By Nihal (ND) Amerasekera

This is a corollary to what Mahendra has written with such elegance. I will reiterate what I had said before on this blog – Friendships are natures great gift to the human race. Ones made in our youth had a certain closeness which we could never replicate later on in life.  Even now those friendships remain close despite the passage of years and the oceans that separate us. They seem priceless and have lasted a lifetime.”  Despite all this our lives have moved on in a myriad of ways and in multiple directions sometimes even without our knowledge. We all have changed mentally and physically to become different people. This makes it more interesting to meet many years later if we accept things have changed. While some of us remained in Sri Lanka others have dispersed far and wide and we have acquired the characteristics and the psyche of our adopted country. This I am sure is evident whenever we meet at reunions. For good reason I am not a great fan of reunions but appreciate its value as so many do. I have enjoyed enormously the company of my medical school friends when we have met at the London reunions. There was that emotional element of nostalgia which was the main driving force. Although they live so near to me, we haven’t kept in contact by phone or seen any of them ever since. This fact can both support and dispute the worthiness of reunions.

 As Shakespeare has said in Julius Caesar there is one person I know who has remained as ‘constant as the northern star’ and he is Mahendra Gonsalkorale. I am certain he would refute this but I mention it as a compliment. When I speak with him the years simply melt away to return to the noise and the din of the Faculty Common Room of the 1960’s.

To meet together as a group in medical school for 5 years was a chance meeting and perhaps our destiny. I think of it no more than that. There were some whom we met on a corridor or a lecture room and became friends for life. There were a few whom we met in our formative years we learnt to avoid. That experience would be common to anyone attending any institution anywhere in the world. During reunions our emotions take over and before we say our goodbyes we plan our next reunion. But infact our lives don’t revolve round reunions as so much goes on in between. We do have our own lives. This is different for those living in Sri Lanka as there are so many of them concentrated in Colombo where space is never a problem and fine catering services are just a phone call away. They are like one family, all have remained close for so many years and have grown up together since medical school.

The loss of friends due to death is inevitable but when they have been close like ‘Claude’ Bernard was to me it leaves an echoing void that cannot be filled. But we all have learnt to accept that and move on as our time will come. So many from our batch have now departed this world. May they find Eternal peace.


Now I come to the Blog which for me is the mainstay, the pillar and the centrepiece of our batch. I have the ability to keep in touch with everyone at anytime. I can say what I like without using profanities. I can write as much or as little as I like. Amazingly when I write to someone on the blog the image I have of the person is what I hold from medical school days. There are the regulars who prop up the blog, the infrequents who enlighten us and the intermittents who mesmerise us. They all provide an invaluable service and long may it continue. Importantly it is a free service for us through the kind courtesy of Lucky Abeygunawardene who has managed it with such meticulous care. It is a labour of love. Reunions will come and go and have their place in our psyche but for me personally for its mere presence 24X7 and ease of use I value the blog more than anything else.

Thursday, January 25, 2018

Sunset at Galle Face

In response to Speedy's request, I wish to post these photographs that I took with my cheap digital camera (in contrast to Indra's and Speedy's near professional job with sophisticated cameras) on 24th September 2017 for another purpose.








More on Sunsets

Close on the heels of Indra Anandasabapathy's post on "Sunset in Florida", we have more on the same subject.

Zita Perera Subasinghe says:

"Sunset is always a beautiful sight. Here we have sunset from two parts
of the World – Southend on Sea and Beruwala in Sri Lanka.

Winter Sunset by Michael Stringer

I want to share the above photo of a Winter Sunset in Southend on Sea as photographed by my friend and former colleague Michael Stringer. Photography is one of his many interests and each of them he does to a very high standard.

My friend and Batch colleague Mahendra Gonsalkorale has added this beautiful sunset at Beruwala. 


 
Sunset at Beruwala, Sri Lanka by Mahendra Gonsalkorale

To accompany this scene of beauty and serenity I would like to add the following You Tube tune which seems a fitting piece".

Zita


"Beyond the Sunset" (Billy Vaughn)
Click on the link for the audio.




Blog Administrator's note:  

Speedy (as we call Mahendra), had taken this beautiful photograph of the Beruwela sunset on the South Western coast when he was on holiday in Sri Lanka earlier this month.