Wednesday, March 7, 2018

The Speedy Virtual Interview Series - Episode 5 - Part 2

(Virtual Interview conducted by Mahendra (Speedy) Gonsalkorale)

March  2018

Professor  Sanath P Lamabadusuriya
Emeritus Professor and Consultant Paediatrician. Colombo, Sri Lanka

Speedy: Welcome again Sanath for the Final Part of the Interview.  We reached the point where you got through Part 1 of the MRCP. Was that the time when you decided to pursue a career in Paediatrics?

Sanath: No, I made my choice for a career in Paediatrics when I got the post of Lecturer in the Department of Paediatrics.

Speedy: I see. And while in that post, you were awarded a Colombo–Plan scholarship?

Sanath: That is correct, and this enabled me to proceed to the UK for post graduate studies for a period of two years.

Speedy: I see. And you told me that about this time you had a most interesting experience prior to leaving for the UK. Could you tell us about it?

Sanath: Yes Speedy, this really happened. In late 1971 (year of the first JVP uprising) I decided to have my palm read by one Dr. Kingsley Goonetilleke, who had an office at Galle Road Ratmalana. At that time I had long hair and a beard. After parking my Triumph Herald car some distance away and wearing a pair of rubber slippers and an unbuttoned shirt, I walked into his premises. After accepting a payment of 10 rupees, he daubed my right palm with India ink, got an imprint on a sheet of white paper and started reading. When he asked for my profession I replied that I am a bank clerk. Then he told me that it could not be true and unless I assisted him, he would not be able to give an accurate reading. When I replied that I was a doctor, he said that I have to be doing something more than treating patients. When I asked him what he meant, he replied that I have to be teaching, doing research or both. (He was “spot on” as I was doing all three as a lecturer).I kept quiet and he went on reading saying that I am due to proceed abroad fairly soon and after a few years that I would return single and get married to a person known to my family. At that time I had never met my future wife Buddhika, He went on to mention that I would become a professor before my 40th birthday. (It was not possible at that time because both PriyaniSoysa and Herbert Aponso were due to retire in the early 90’s). After I returned at the end of 1974, I went through a marriage arranged by my parents. Buddhika’s father and my father were cousins, hailing from the same village called Pahalagoda in Tangalle.

Speedy: That is quite an amazing story Sanath! Has this influenced your views on palmistry and horoscopes?

Sanath: I do not have fixed ideas about both topics. However, my personal experience which I related just now has swayed me towards being a believer.

Speedy: Quite understandable. This shows how people approach these matters and how personal experience influence belief. Just out of interest, why did you consult this person?

Sanath: My father used to dabble in astrology as an amateur and he had dealings with Kingsley Goonetilleke. That may be the reason why I consulted him. However, the palmist did not ask for my name and he did not know my identity.

Speedy: Cultural influences do play a big role in our belief systems. I quite appreciate that.
And then you went to the UK.

Sanath: Yes, in late December 1971, I boarded a BOAC flight and arrived in London. I was allowed only GBP 2.50 as foreign exchange and spent most of it drinking Scotch whiskey on board. When I arrived at Heathrow, I had only 50 pence in my pocket! I followed a course in Child Health at the Institute of Child Health, University of London, which had been arranged by the British Council. I passed the DCH (London) exam without much difficulty. I was given a monthly allowance of GBP 72.00 and lived in a bed-sitter at 58, Hermiston Avenue. N8. I travelled by bus to the tube station at Finsbury Park and got off at Russell Square.

Speedy: You were just a clinical observer or were you actually doing clinical work?

Sanath: No my scholarship did not give me a clinical position and I was rather bored following this course. I contacted the British Council and informed them that as I wanted practical clinical experience before sitting for the exams, I would like to do a job in the NHS. They told me that I would have to find a job on my own and when I find one, to inform them so that they would stop my monthly allowance. I applied for a few posts and was successful in getting an SHO post in neonatal paediatrics at the Whittington Hospital in North London.

Speedy: This must have given you valuable direct clinical experience.

Sanath: Yes it did and I was also able to save some money and go to France for a short holiday. I went by train to Paris, crossing the English Channel in a hovercraft.

Speedy: I remember doing that journey with Patrick Fernando who is also sadly no more. We crossed the channel by ferry. Please tell us about your stint at Whittington Hospital

Sanath: I started work at Whittington Hospital on the 1st of April 1972 and worked for six months until the end of September 1972. I was on call every other night and when on call worked continuously from 8.00 am to 4.00 pm on the following day. I was provided with free hospital accommodation, subsidised food, free phone calls, free laundry services and free beer in the doctor’s mess! As I did not have to spend for transport I saved a lot of money from my monthly salary of GBP125.00. I purchased a Ford Anglia car for GBP 60.00. During this time I passed the MRCP (Part 11) examination at my first attempt. I also associated closely with SusiriWeerasekera, who was a SHO in orthopaedic surgery at the same hospital.

Speedy: Was it all work while you were in the UK?

Sanath:  Fortunately not Speedy! In the summer of 1972, I went on a driving and camping holiday with Bertram Nanayakkara in his Volkswagen Beetle. We set off from London to Dover and crossed the English Channel to Calais. We drove to Paris and camped in a campsite in the north of Paris. These campsites had all the facilities. Then we drove to Lyon and Interlaken in Switzerland, our next camping site. We visited Geneva, Zurich and Berne and drove to Vienna where we visited two castles (Schonbrunn and Belvedere), and then drove to Munich to see the Olympic village about two weeks before the 1972 Olympic Games. I took over the wheel and I was able to exceed 80 mph, which Bertram could not! On the autobahn, another car overtook us and one of the blacks in that car started gesticulating at us for apparently no reason. We crossed the border at Arnheim in Holland towards twilight and when we returned to the car after the immigration check, we discovered that our camping equipment had disappeared together with the roof rack! Then we realised how I was able to exceed a speed of 80 mph and why the occupants of the car that overtook us, gesticulated (they would have witnessed the roof-rack being blown away). We drove back to a police station in Germany to report our loss so that we could claim insurance. We drove to Amsterdam through Rotterdam and parked our car close to the railway station so that we could attend to our ablutions. We spent the rest of the nights in our car as our finances were exhausted. From Amsterdam, we drove to Brussels, visited the Golden Square, saw the Mannequin Pis and returned to London through Calais and Dover. During the trip Bertram was teasing me about the inexpensive Kodak Instamatic camera I was using with magicubes, in comparison to his much more expensive Canon camera. After the trip, Bertram sheepishly asked for copies of my photographs as his camera had not functioned at all during the entire trip!

Speedy: The exuberance of youth! Bet you couldn’t do that now! What followed the Whittington job? Presumably, your scholarship time was not exhausted?

Sanath: Yes, I had I had plenty of time left, as I had obtained both DCH (London) and MRCP (UK) within six months of arrival. After completing that, I had one of two choices; either I could apply for a registrar’s post in the NHS and earn more money or revert back to the scholarship allowance and pursue research.

Speedy: I know what you decided but what drove you to pursue the research option?

Sanath: As I was single I had no one close to advise me. But I chose the research option because I was already an academic and involved in a bit or research before I arrived in London. (Fortunately, I opted for the latter and this happened to be one of the most important decisions I have made in my life). My position was as a research fellow in paediatric gastroenterology at the Institute of Child Health, London. My supervisor was John Harries who was a Senior Lecturer. Others in the department were Professor Otto Wolff, June Lloyd (who later became a Baroness), Audrey Fosbrooke and David Muller.

Speedy: Could you please talk about your research experience?

Sanath: My first research project was to assess the usefulness of the Xylose Tolerance Test as a screening test for coeliac disease. My findings were different to the hitherto published work as I found it too unreliable to be used as a screening test. Subsequently, other studies proved that I was correct. Later I got on to bile salts; to find the effects of unconjugated bile salts and mixtures of bile salts and lipids on the small intestinal function and structure. The experimental model was the Wistar rat. I sacrificed well over 700 rats for my research. I had to obtain an animal licence from the Home Office to carry out the dissections. I used to present my research findings at meetings of the Paediatric Research Society, Medical Research Society and the European Society for Paediatric Gastroenterology, in different centres in England as well as in Helsinki and Verona.

Speedy: Great stuff! Did this research lead to a research Degree?

Sanath: Not unless I registered for one. In fact, after a few months my supervisor inquired from me whether I would like to register for a research degree and if so a minimum of two years was required. As I had started research on the 1st of September 1972, I needed an extension of leave as I came on two years leave which would be over at the end of 1973. I applied for an extension and with great difficulty, I was able to obtain an extension of one year.

Speedy: Was this a paid job or purely Honorary?

Sanath: This was Honorary and I had to revert back to my scholarship allowance. During this time I had reverted back to my bed-sitter at Hermiston Avenue and was stretched for finances. Fortunately, PramillaSenanayake introduced me to the Southern Relief Service based in Crystal Palace which was a locum service for GPs on leave. I was provided with a chauffeur-driven radio car to visit patients in their homes. I was paid GBP 1.50 per hour and worked from 9.00 am to 7.00 pm, on Saturdays and Sundays. I earned GBP 30.00 per weekend to supplement my scholarship allowance. (I worked really hard, seven days of the week, without a break.)

Speedy: That must have been really tough but it must have also been a life saver! You must be very grateful to Pram.

Sanath: Indeed I was.

Speedy: Did you do more trips to Europe?

Sanath: In the summer of 1973 I went to the Scandinavian countries on another driving and camping trip with Bertram. We sailed from Harwich to Hamburg and visited Copenhagen, Malmo, Jonkoping, Stockholm, Oslo and back to Copenhagen, Hamburg and Harwich. Both these trips to the continent were really enjoyable and we used a book called “Europe on 5 dollars a day” which was quite handy.

Speedy: And back to work! How long did it take you to complete your PhD?

Sanath: I obtained the PhD (London) after 2 years and 3 months of research and returned home at the end of 1974, after completing the study leave. I was the first clinician to obtain a research degree in Sri Lanka.

Speedy: The first Sri Lankan Clinician to obtain a Research Degree! I wasn’t aware of that. Congratulations!

Sanath: Thanks Speedy.

Speedy: As you said, you came back to Sri Lanka. Were you tempted to stay on in the UK?

Sanath Speedy, the country was going through difficult times; however, I was keen on returning so that I could be with my parents who were both quite old by then.

Speedy: That is a very honest and frank answer. Tell us now about what you did after returning to Sri Lanka.

Sanath: Soon after I returned, I won the George Wickramasuriya prize which was awarded for research in paediatrics and obstetrics and gynaecology; I shared the prize with Professor S.S Ratnam from Singapore. I resumed work at LRH and Colombo Medical Faculty for a monthly salary of Rs.900.00. There was no private practice but the income was sufficient to lead a comfortable life as I was single and living in Wellawatte with my parents. As it took one year for me to get a car permit, I travelled by bus to LRH and the bus fare was 25 cents. I had lunch in the Senior Common Room which cost Rs. 1.60. On two days of the week, rice was not available and we ate manioc, sweet potato or string hoppers (during Mrs Sirimavo Bandaranaike’s regime). When the sea baggage arrived, it included a bicycle and I cycled to work.

Speedy: This was a time of great political change in Sri Lanka. Can you give us the background on which new Medical Faculties sprung up?

Sanath: During this time, some opposition members of parliament made speeches in parliament saying that if and when they come to power, they would abolish standardisation at the University entrance examination. When JRJ romped to power in 1977, they had to honour their promises. When standardisation was abolished, it was found that relatively more Tamil students would be entering the two medical faculties. As this was politically not acceptable, more Sinhala students had to be admitted. Then it was found that the number of slots available in Colombo and Peradeniya were insufficient to accommodate the increased intake. In 1978 two new Faculties of Medicine were created in Ruhuna and Jaffna. When the posts were advertised I applied for Ruhuna and was selected (I was the only applicant).

Speedy: We shall discuss your family at a later point but suffice to say at this point that you married Buddhika, who is sadly no more with us, in February 1976.

Sanath; Yes, I did and we had a very happy time together till she passed away in November 2013.

Speedy: We were all saddened to learn of her illness and your loss.

Sanath: Thanks Speedy. We have to accept these inevitabilities in life and just do our best to get on with it.

Speedy: A courageous and realistic attitude. Let us get back to the next stage in your life.

Sanath:  In 1979 when Buddhika was granted her Post Graduate study leave, I took sabbatical leave and assumed duties as locum Consultant Paediatrician at Pilgrim Hospital , Boston, Lincolnshire and Buddhika joined me later. When my leave was over in November 1979, I returned home. I assumed duties at Ruhuna on the 1st of September 1980 as the Founder Professor. (Palmist KG’s second prediction was proved correct because when I assumed duties in Ruhuna, I was 37 years old).

Speedy: Sanath, you have achieved a lot in your long and illustrious career. Is it possible to single out any project which gave you the most satisfaction?  

Sanath: My most satisfying professional project is the Sri Lankan Cleft-Lip and Palate Project of which I was the co-director together with Dr Michael Mars, who was a Senior Registrar in Orthodontics at the Hospital for Sick Children, Great Ormond Street, London. When I was in Galle, in 1982, Michael contacted me and invited me to join in a research project. There was a controversy in the West about the restricted growth of the middle third of the face (maxilla) in patients who had been operated at the conventional time for a cleft palate. The dilemma was whether it was due to an intrinsic bone defect or iatrogenic, due to surgery. To resolve the issue a population of patients was required who were born with such defects and who had not received surgical treatment, at the conventional time. As such patients were not found in the West, he wished to know whether such patients are found in Sri Lanka and if so whether I would like to participate in a project to resolve the issue.. As I sent a positive reply he visited Karapitiya on a pilot trip with a maxillo-facial surgeon, David James. I collected about 30 such patients of different ages. They took plenty of photographs, dental casts and lateral X-rays of the skull using a cephalostat. They wished to come again. My reply was that they are welcome but if they come again the patients also should benefit. Michael inquired from me what facilities could be provided for surgery. As the hospital at Karapitiya was not built as yet only the one at Mahamodera was available. I told him that I could provide a theatre table, lamp, oxygen cylinders and nothing else. Later he managed to raise funds and arrived with a surgical team which comprised of plastic surgeons, anaesthetists, ENT surgeons, orthodontists, speech therapists, theatre nurses, dental nurses and a paediatrician. They were from the UK and Norway. About 30 crates of equipment were airlifted containing surgical equipment, anaesthetic equipment, drugs, IV fluids, theatre boots, gloves, gowns, dressings etc.

Speedy: This shows how determined you are when you pursue something close to your heart. How did you set about recruiting patients?

Sanath: I managed to collect hundreds of patients from all over the country by advertising through the media.They were prioritised and only patients with un-operated cleft lips and/or palates were selected. Many investigations such as dental casts, speech recordings, photographs, nasendoscopies,  psychometric assessments, audiometry etc. were performed. Medical students acted as interpreters. Surgery was performed during the night as that that was the only time a theatre was available at Mahamodera. Over the years there were three surgical expeditions, each visit for two weeks and over 700 patients underwent successful surgery without a single mortality. There were several other visits for follow-up. Although the country was going through a civil war the recall rate was high from all over the country. The project resulted in many research degrees, scientific papers, lectures, orations etc. It also created the largest data base in the world for un-operated cleft lips and palates.The final verdict was that the poor growth of the maxilla was due to the timing and quality of surgery. As a result of these findings, the cleft palate services in the UK were re-organised.

Speedy: Did it receive a lot of publicity?

Sanath:  There was a lot of publicity in the local media. The BBC made a film of the project titled “When to Mend Faces” and it was telecast on Channel 4 of British TV and Rupavahini. This film won an award as well. After viewing the film an anonymous person donated GBP 200,000.00 to develop speech therapy services in Sri Lanka. At that time we had only one speech therapist and she was in the private sector. As a result of this donation a diploma course for speech therapy was set up in the University of Kelaniya and currently, there are over 70 speech therapists distributed all over Sri Lanka. In recognition of my contribution to the project, Her Majesty Queen Elizabeth 11 conferred an MBE to me in 1992. Currently, I am the only Sri Lankan domiciled in Sri Lanka to receive a Royal Honour.

Speedy: A stunning achievement. Your MBE was well deserved. I am not aware of any in our Batch who figured in the Honours list although two of my classmates at Royal received Honours. One was TissaJayasekera who received an OBE and the other was DeepalLiyanage (known as Dai now) who received an MBE.

Sanath:  Both of them are domiciled in the UK. I remember Deepal. His brother Sunil was a boxer and a Rheumatologist. He was senior to us. TissaJayasekera was a Rugby colours man.

Speedy: When did you become Professor of Paediatrics in Colombo?

Sanath: After PriyaniSoysa’s retirement, I assumed duties as the Professor in September 1991. (Again I was the only applicant) The Colombo Medical faculty changed its curriculum drastically getting rid of the 2nd and 3rd MBBS examinations and replacing these with modules and streams. I was appointed as the Chairman of the Clinical Stream for the new curriculum. Ten members of the academic staff, including me, visited the University of New South Wales to undergo training for this major step. I changed the evaluation process in paediatrics by giving 40% of the final mark for continuous assessment (done in a very objective manner) during the Final Year Professorial appointment and holding the clinical examination at the end of the appointment. The students were very pleased with the change.

Speedy: You became more involved with Medical Education and was elected Dean in 2002. How did this come about? Did you have some ideas which you wanted to put into practice?

Sanath: I was elected as the Dean for a three-year term of office. I was contested by Rezvie Sherriff whom I beat very comfortably. During this time I made a professional visit to Bhutan and agreed to admit about five Bhutanese students per year. Each student had to pay a course fee of USD 10,000.00 per year, which was paid by the WHO. Since then many Bhutanese students have graduated from our medical faculties. I also trained a Bhutanese paediatrician. I am very proud to say that there wasn’t a single strike by the students, academic or non-academic staff during my tenure of office.

Speedy: Keeping focused on Medical Training, how did you become involved in the Post Graduate Institute of Medicine (PGIM)?

Sanath: The predecessor to the PGIM was the Institute of Post Graduate Medicine (IPGM) whose Director was Professor KN Seneviratne. I was appointed as the Secretary to the Board of Study (BoS) in paediatrics. Later the IPGM was abolished and the PGIM replaced it. I was a member of the BoS in paediatrics from its inception until I was appointed as its Chairman in 1991 when I returned to Colombo. I was the chief examiner for both the DCH and MD examinations. I continued in that position until I retired in 2008. I brought in many reforms in the training programme and was instrumental in creating sub-specialities. I was a member of the Board of Management of the PGIM for many years in the 1980s, 1990s and until 2008.

Speedy: These were all groundbreaking initiatives. You also held many positions in various medical associations. Just to mention a few, you were the President of the Galle Medical Association in 1990- 1991 and the President of the Sri Lanka Paediatric Association in 1993 and President of the SLMA in 2011. You were a member of the Sri Lanka Medical Council for many years. You became the country representative of the South Asian Paediatric Association and culminating as the President of the Asia Pacific Paediatric Association (APPA) from 2007 to 2010. These are notable achievements.

Sanath: Thank you. Yes, I felt greatly honoured. You mentioned the APPA, and the academic sessions of APPA were held in Colombo at the BMICH in 2007, during the war. However it was very well attended. I served in the Standing Committee of the International Paediatric Association (IPA) for many years. I was honoured as “Outstanding Paediatrician of Asia” by APPA in 1997, when the sessions were held in Hong Kong. When I was President of APPA I was invited to deliver Guest Lectures in several member countries of the region. Just to complete my International profile, I was awarded many short-term WHO fellowships and was a member of several WHO committees. I was a member of the WHO Immunisation Practices Advisory Committee (IPAC), based in Geneva, for three years and currently am a member of the International Technical Advisory Group (ITAG) based in New Delhi.

Speedy: And in 1989 you were awarded a prize for Social Paediatrics jointly by the WHO and International Paediatric Association (IPA). What was the nature of this award?

Sanath: This was a travelling fellowship worth USD 10,000.00 and I spent two months in the Chinese University of Hong Kong and one month in the Chulalonkorn University in Bangkok, Thailand.

Speedy: Sanath, there is one more thing which brought you a lot of Media attention. I am referring to the Professor PriyaniSoysa Medical Malpractice case. If you don’t want to discuss that please let it go.

Sanath: Speedy, I am quite happy to discuss it. Let me outline the case. In May 1992 I was contacted by my former RC classmate Shibly Aziz, to take over the care of the daughter of a colleague of his, RienzieArsecularatne, both of whom were State Counsel in the AG’s department. SuhaniArsecularatne was warded at Nawaloka Hospital, under the care of Prof. PS. She was being treated for rheumatic chorea for over a month by PS. I disagreed with the diagnosis as I detected that Suhani had very brisk knee jerks in addition to the choreiform movements. As I suspected a brain tumour, I requested for a CT scan of the brain, which revealed a brain stem glioma, which proved to be inoperable. After Suhani passed away a few months later, Rienzie filed a case against Priyani and was found guilty in the District Court but was acquitted in the Appeals Court on a technical issue. This was a landmark case in the annals of legal history in Sri Lanka and received very wide publicity in the media. I gathered that this case is quoted very often during lectures for law students, both in the Law Faculty as well as at Law College.

Speedy: Sanath, we know a lot about you now but as I indicated earlier, would you mind telling us something about your own family, about your wife and your children?

Sanath: I am happy to do so. Of course, I am proud of my professional achievements but I am even more proud of my own family. As I already indicated, I married my wife Buddhika, in February 1976 at the Holiday Inn Hotel in Colombo. Our batch-mate JanakaWijetunga was the best man. Buddhika was a Peradeniya graduate. At that time only 75 guests could be invited and only a wedding cake and a soft drink could be served. However, at the home-coming held at my home in Wellawatte plenty of friends and relations were invited and plenty of food and drinks were served. Buddhika returned home after obtaining the MRCP (UK) and was appointed as OPD physician at Karapitiya. Later she assumed duties as Visiting Physician, Homagama Hospital and retired as OPD physician, National Hospital. She was a very kind hearted individual who helped many relatives who were less well off. She was also very spiritual minded and attended dhamma talks and participated in many meditation retreats. She accompanied me on my numerous trips abroad. Unfortunately, she was diagnosed to have ovarian cancer in November 2011 and survived only for two more years.

Speedy: Yes, when we learnt about it, we felt a lot of sadness.

Sanath: Thank you Speedy. I had a lot of support from family and friends for which I will always be grateful. We had three lovely children who are all doing well I am happy to say.

Speedy: What is your spiritual side Sanath? Are you religious? What makes you tick?

Sanath: I am not the temple-going type and I don’t believe in rituals. I feel that by doing an honest job of work very diligently, one acquires merit.

Speedy: Thank you very much. I hope it wasn’t an intrusion! Do tell us about your children

Sanath: Not at all. Regarding my children, our elder son Shamin was born in November 1976. He attended Richmond College, Galle and later Ananda College, Colombo where he represented the school in chess and badminton. He later entered the Colombo Medical Faculty and captained the University chess team and was awarded colours. After graduation, he specialized in rheumatology and is currently working at the National Hospital. He is also very spiritually minded and attends dhamma talks frequently.

Speedy: Taken after the mother!

Sanath: Indeed. Our second son Harshan was born in January 1979. He attended Richmond College, St, Thomas’ (Mt. Lavinia) and Royal College. He did not like the way he was taught and we had doubts whether he would enter a university. We purchased a coconut estate in Weerapokuna so that one day he would be able to live off the land.(By the way, as yet, Harshan has not visited the estate!)  However, there was a dramatic change in his career when I went to England with my family on sabbatical leave in March 1996. He used to play scrabble in school and represented Royal College at scrabble as well as the country. In England, he participated in numerous tournaments and won many awards. He was invited to appear on the popular Channel 4 TV programme, Countdown and became the runner-up. Later he won the British National Scrabble title and represented his adopted country as well. He attended Stenning Grammar School and obtained five A’s at the London A level examination. Later he entered Cambridge University and moved to Oxford for the clinical studies. Currently, he is working as a consultant paediatrician in Swindon Hospital. He married Michelle Gunasekera in 2011 and became a father last November. Last year he became runner-up at both the World Scrabble championship and British national championship after resuming playing scrabble after an absence of many years. Michelle is a registrar in nephrology in Oxford.

Speedy: I recall Harshan’s Scrabble achievement and in fact, there is a post on our Blog about it from Lucky on 27th August 2017. I find it fascinating to listen to how your son changed over the years.

Sanath: Yes, it was a great relief when he became more keen on his studies. My daughter Dilusha was born in January 1983 and studied at Ladies College and VisakhaVidyalaya. She graduated from the Colombo Medical Faculty, topping the batch with a first-class scoring 4 out of 5 distinctions at the final MBBS examination and winning eleven gold medals. She easily outshone her father who also topped his batch but obtained only 2 out of 3 distinctions and a second class at the final examination.

Speedy: Wow! That is an amazing record. You must take some credit for it Sanath, I am sure genes had something to do with it!

Sanath: I don’t know about that!  She married Upul Wickramarachchi and is currently in Norwich on postgraduate study leave. Upul is a research fellow in cardiology in Norwich. Dilusha delivered a son (my first grandchild) in June last year.

Speedy: Sanath, what have you done since retirement from your post? 

Sanath: My children have advised me to enjoy life by travelling. I embarked on an Alaskan cruise in August 2016 and a Baltic cruise in August 2017, both of which I enjoyed very much. As the Rajarata Medical Faculty is short of staff, I volunteered to teach there and was appointed as a Visiting Professor in April 2015. I visit Anuradhapura, Monday to Friday alternate weeks. The students are very appreciative of my decision as they are aware that I turned down three invitations from SAITM, to join it. (Logistically and financially,I would have been better off at SAITM) Last year the Vice-Chancellor of the Sabaragamuwa University, Professor Sunil Shantha, invited me to be the consultant for the establishment of a Medical Faculty in Sabaragamuwa. This faculty would be located in Ratnapura and 75 students would be admitted this year. Currently, I am the Chairman of the Meththa Rehabilitation Foundation which was founded by Dr B. Panagamuwa. I am also the Chairman of the Board of Trustees of the Children’s Convalescent Home in Thalagolla, which was founded by Professor C.C. de Silva in the early 1950s.

Speedy: Sanath, you mentioned the Meththa Foundation. You are probably aware of the fact that the SLMDA (Sri Lankan Medical and Dental Association in the UK), of which I am an active member, strongly support Meththa and we have raised considerable sums of money for it. Dr BandaraPanagamuwa who leads Meththa is a member of the SLMDA.

Sanath:  Yes, I am aware of that and welcome your support wholeheartedly.

Speedy: With your long and distinguished career which is by no means over, have you got any advice for young doctors who are just embarking on a career?

Sanath:  I always advise the students to spend more time in the wards rather than in the library, so as to acquire clinical skills, which I did as a student. As I am totally against strikes, at every opportunity, I advise them against strikes as it is the poor people who suffer during GMOA strikes.

Speedy: That is very good advice. Well, Sanath, we have travelled far together in our two interviews and now I like to conclude this virtual interview. Your story is also one that covers a period common to all of us who graduated about the same time and has rekindled so many pleasant memories. What you have achieved is something we are all very proud of. It has been an immense pleasure to journey through your life and I wish to thank you for agreeing to feature in the Speedy Interview and wish you all the best for the rest of your journey.

Sanath: Thank You. It has been a pleasure and privilege.


Monday, March 5, 2018

Saturday, March 3, 2018

50th Wedding Anniversary of JC and Sura

I remember very well the day JC and Sura got married 50 years ago. Sura and I were co HOs in a ward at Colombo South Hospital. Being a close friend of the couple, I simply had to attend the wedding. I think it was Upali Wijeratne's wife Padmini who covered up for us.

The venue was 8 Degrees North, the floating restaurant managed by Cinnamon Lakeside Hotel. The function was held on the upper deck as the guests floated across the Beira Lake.

JC and Sura had invited a few friends and relatives. The friends were JC's old Royal College buddies and a few of us from the Medical School batch. I have given below, two pictures from the enjoyable event.





Friday, March 2, 2018

The Speedy Virtual Interview Series - Episode 5 (Part 1)

(Virtual Interview conducted by Mahendra (Speedy) Gonsalkorale)

March  2018

Professor  Sanath P Lamabadusuriya
Emeritus Professor and Consultant Paediatrician. Colombo, Sri Lanka

Note from me: I have decided to publish the interview in 2 parts to do justice to this important interview. Although some of the reminiscences are rather long, they cover a period so relevant to us and so likely to rekindle our own experiences that I decided to minimise editing as far as possible although Sanath very kindly gave me a free hand to do so. Part 2 will be published very soon.


 It gives me great pleasure to do the fifth Speedy interview. The last four interviews in order were Cyril Ernest, Zita Subasinghe Perera, Lucky Abeyagunawardena and Suriyakanthie Amarasekera, all of whom have distinguished themselves in their chosen careers. My fifth subject is the charismatic and most distinguished Paediatrician, Prof.  Sanath P Lamabadusuriya, a batch mate who has reached the pinnacle of success in his field.

Speedy: Good morningSanath. I would like to call you Sanath in this interview although we are much more accustomed to calling you Lama.
Sanath: Good morning Speedy or should I call you Mahendra? I don’t mind being called Lama but I would prefer Sanath.
Speedy:I don’t mind either and for some I shall always be Speedy, to others Gonsal or Mahendra. It really depends on the stage of my life when I entered their lives.
Sanath: OK then, I shall call you Speedy and you will call me Sanath.







Speedy:Agreed! Let us get down to business Sanath. I always like to start my interviews by requesting the subject to share some memories of early childhood, family and circumstances. Would you mind talking firstly about your parents?

Sanath:I was born on the 30th of December 1942 in the De Soysa Maternity Hospital . I was delivered by an uncle of my mother, Professor George Wickramasuriya (father of Paediatrician, KamalikaAbeyratne), who was the first Ceylonese  Professor of Obstetrics and Gynaecology,
My father was Muhandiram Alexander Sirisena Lamabadusuriya and he hailed from Pahalagoda, Tangalle. My mother was Frances BeatriceWickramasuriyaand she was from Matara.I had three elder sisters, Dilsiri, Lakshmi and Chitrika, the elder two of whom qualified as Arts graduates and the third as a Pathologist.

Speedy: What about your early schooling, any amusing anecdotes?

Sanath: My earliest memory is my first day in school, which was Alethea School, close to 42nd Lane,Wellawatte, where I grew up. On the first day of schooling, I remember crying a lot. In January 1948, I entered the Royal Primary School (RPS) and on the first day my teacher (Mrs. Peiris), asked me to sing a song; I asked her, in which language I should sing and she replied that it was my choice. I sang “BaaBaa black sheep have you any wool” and I sang the same song for a second time in October 1962 when I was ragged by a senior student when I entered the Colombo Medical Faculty! We had four parallel classes at RPS, two for the Sinhala medium, and one for the Tamil medium and one for the English medium, 35 students in each. I used to travel to school in a rickshaw accompanied by an Ayah during the first few years and later on, in the school bus.

Speedy:Any special recollections of your days at Royal Primary?

Sanath: The headmaster at RPS was AF de Sa Bandaranaike and I won the class prize in my first year and thereafter the class prize or the prize for general knowledge (for the 2nd place), every year.MahendraCollure was the other regular winner alternating with me.Amemorable teacher was HP Jayawardene, who was our class teacher in 1953. He divided the class into two groups, Parrots and Woodpeckers. Each day one of us had to bring some flowers and he would give marks, which was added on to Parrots or Woodpeckers, displayed on a small blackboard, hung on the wall .We had to polish our desk top every term and he would give marks depending on the shine. There were regular “Do You Know” contests between the two groups. There were sporting events at the end of each term. HP Jayawardenepunished students by spanking the buttocks with a ruler. As I was in the front row, he borrowed my ruler and when he broke it one day, he promptly replaced it. By the end of the year I used more than dozen rulers, but replacement was not a problem for him because he was in charge of the bookshop! We used to play a lot of soft ball cricket and marbles during the intervals. Often my school bag which was a suitcase was used as a substitute for the wicket.

Speedy: You went on from RPS to Royal College, Colombo and as you know I too went to that exemplary school.

Sanath: Yes Speedy, I did know. In fact Daya, your brother was with me at Royal College.Admission to Royal was by passing an entrance exam.At the end of 1953 all of us sat for the Royal College (RC) entrance examination and 75% of us were admitted to RC. All those who failed were admitted to Thurstan College (without sitting for another exam), which was situated next door. The results of this exam were announced over the public address system, by the Headmaster and there was a lot of tension awaiting the results.
In January 1954 we entered RC and we were joined by another 35 students who had been successful at another entrance examination. They came from schools such as St. Thomas’ Preparatory School, Kollupitiya, ThurstanCollege , Ladies College etc.

Speedy: Did I hear you correctly when you said Ladies College? How come?
Sanath: Yes Speedy. That is because Ladies College, Lower School, was a mixed school at that time.

Speedy: I see. I too followed the path in this way from St Thomas’s Prep School, Kollupitiya. I am therefore a hybrid!
Sanath: You are forgiven!Again I won the class prize during my first year. I witnessed a Royal -Thomian cricket match for the first time that year, which was played at the Oval in Wanathamulla.I still have very vivid memories of the giant scoreboard, covered with ivy.

Speedy: The Royal-Thomian cricket match is a key event of course. Would you like to share some of your recollections with our readers please?
Sanath: Yes of course! Our team was captained by T Nirmalingam and the result was a draw. After that I have witnessed every Royal -Thomian cricket match, without a break, unless I was out of the country.  In 1997 I came for the match from England. The first result I witnessed was in 1964 when we lost. Shaw Wilson captained our team and PremalalGoonesekere(younger brother of my second brother –in –law)captained the winning team. In 1969, I witnessed our first victory when our team was captained by EardleyLieversz. Two of my classmates captained the team (SS Kumar in 1962 and Darrell Lieversz in 1963 ) From 1957 onwards we used to parade the streets in an old “croc” which happened to be a hearse from the Highlands Funeral parlour in Maradana. There was plenty of singing within this “old croc”. Often we used to get in to scrapes with the police. Once when we were stopped by the police, we managed to get off because the IGP’s son was in our croc, (Sunanda whose father W Abeykoon was the IGP at that time). At the end of 1957, all of us (140) sat for the 4th Form examination and I came first in that exam and was awarded the Mudliyar Tudor Rajapakse Memorial Prize, whichwas a book voucher for 100 Rupees, a lot of money at that time. The Old Boy’s prize awarded to the second placed studentwas won bymy friendChannaRatnatunga (who later distinguished himself as Prof of Surgery at Peradeniya). Channa and I had parallel careers until he entered the Peradeniya Medical Faculty after passing in all four subjects, whilst I failed in Zoology and had to follow a six months course in the Science Faculty in Colombo. As the buildings were not ready at Peradeniya, that batch, which was the first Peradeniya batch, eventually qualified in January of 1967 while we qualified in March 1967. My father, who was a strict disciplinarian, faulted me for failing in one subject but I had the last laugh when I told him that if I had passed in all four subjects he would not have had me in his house for five years!
When I won the Rajapakse prize my father was overjoyed and he offered me whatever I wished for. I asked for a bicycle and I remember visiting Hunters in Pettah and choosing a Raleigh bicycle with all the possible accessories (gears, dynamo, speedometer, bell, stand etc)! This bike was envied very much by my friends who wanted free rides!

Speedy: Could I ask you about your teachers at Royal and how much you were influenced by them?
Sanath: Some of our memorable teachers at RC were, Elmo St, E de Bruin, EC Goonesekere, VijiWeerasinghe ,Thambapillai, Arulpragasam (who taught us Physics), “Zoo” Gunda(Guneratna, who taught us Zoology), “Cos” Dias (who taught us Botany) and Muthukumarana (who taught us Chemistry). I am sure I was influenced by them in a positive way. We were privileged to have one microscope for each student for our practicals (after I entered the University  I realised that some of  our batch mates who studied in some outstation schools had to share one microscope with the whole class and therefore the University entrance examination, which had practicals, was not a level playing field).

Speedy: Any particular experience that stands out in your memory of school days?
Sanath: I can think of one which I recall fondly.In December 1959, the Historical Association of our school organised a tour of India. About 30 of us with two teachers boarded a train at the Fort railway station and embarked on this tour. At Thalaimannar we boarded a ferry and landed in Danushkodi in South India and boarded another train. We travelled to Madras (Chennai), Calcutta (Kolkata), New Delhi, Saranath, Buddha Gaya and Agra. We spent most nights in various schools or in the railway carriage. Ken Balendra, SidathJayanetti, NilkamalSeneviratne,SrinathJinadasa,Rudran, LalithSenanayake and Dudley Fernandowere in our group. After three weeks of extensive travel, we got off the train at the Fort railway station. This trip cost us Rs. 200.00 and another Rs. 200.00 for pocket expenditure. (Indian rupee was equal to a Ceylon rupee).

Speedy: You mentioned the late SidathJayanetti and you probably know that “Sigar”, as he was popularly known was my first cousin and Ken Balendraof course married Swyrie(who thus proved she had a lot of good sense by marrying a Royalist)!

Sanath: Yes, I knewSigarwas your cousin and I agree with you about Swyrie’swisdom!Sigar used to play the piano accordion in our old croc.

Speedy: I too used to play the piano accordion at Batch “do”s and my piano accordion was presented to us by Sigar’s father, KMD Jayanetti, my mother’s brother.
Sanath: Yes I do recall you playing the piano accordion in our Final Year trip.

Speedy: Do you still maintain connections with Royal College, your old school?
Sanath: Yes I do in many ways. Those who entered RC in 1954 formed the 54 group. This group has been meeting every year without a break since the mid-sixties. Earlier we used to meet on the Friday night of the Royal-Thomian cricket match and latterly for lunch on Sunday during the same week-end. The usual venueisAna Wimaladharma’s residence at Barnes Place. These re-unions are very enjoyable and every year few of our members from overseas also joined. Until we reached our 60th birthday, it was a stag affair but from then onwards our wives were invited as well. In March 2018 as most of us would be 75 years old, we are planning a grand re-union
Last year I was invited by the President of the Royal College Doctors Association (I happen to be one of the Patrons), to deliver a lecture about a carrier in medicine because the students opting for biology were dwindling. I gave a power-point presentation to Grade 11 students at the Navarangahala. I recollected my very first visit to the premises with a lot of nostalgia.

Speedy: I suppose the next chapter in your life must be entering the Medical Faculty. I know it was very competitive.  How difficult was it?
Sanath: Hard work is always rewarded, don’t you agree?I sat for the University entrance examination in December 1960 and was successful, by passing in three of the four subjects, as mentioned earlier. The six months course in Zoology was a relaxed affair with only two lectures and practical classes for a week. I made a lot of new friends who had entered from other schools such as SenarathJayatilleke (St. Anne’s Kurunegala), Bertram Nanayakkara (St. Peter’s), IndraAnandasabapathy (St. Peter’s), Lucky Abeygunawardene( Ananda) etc.
After passing in Zoology we had to wait until next October to enter the Colombo Medical Faculty in 1962. In the intervening period most of us worked in the Employees Provident Department (EPF Dept.), of the Central Bank, located in the YMBA building in the Fort. We were paid the princely sum of five rupees per day, Monday to Friday. Every Friday evening; each of us received five crisp five rupee notes for which we waited eagerly. Then we used to walk to Main Street and purchase a pair of shoes or a shirt etc. Five rupees went a long way because the bus fare from Wellawatte to Pettah was only 25 cents and lunch 50 cents. We had a jolly time working in the bank.

Speedy: We are now going to talk about our batch and some of your recollections.
Sanath: In the medical faculty, in our batch there were about 150 of us and approximately about a hundred were boys. There were 33 old Royalists, belonging to four different batches at RC (i.e. those who entered grade 6 in 1951,1952,1953,1954 and 1955). This was because at that time four attempts were allowed at the University Entrance examination.

Speedy: I remember very well the big change from school to University. Some became hostellers and others had to find their way daily by bus or other forms of transport. We had a fair number who had motor bikes or scooters. How did you get there?
Sanath: I came on a scooter.This is how I got it.As I wanted a motor scooter very badly, I wrote a letter to my father to convince him about the advantages of having one, such as saving transport time and devoting it to studies. Reluctantly he gave in and in 1962 I purchased a Vespa motor scooter for Rs 2050.00 (The number was 4 Shri 955). I used it for about 8 years and sold it for Rs. 10,000.00 and bought my first car, a Triumph Herald for Rs. 12,000,00. This car would you believe it, was sold later for Rs.17,000.00 when I went abroad in December 1971!

Speedy: The magic of monetary depreciation! Incidentally, my first car was also a two-tone Triumph Herald, which I bought from my brother when he sold it before going to England.
Sanath: How interesting. They were good cars and quite in demand at the time.

Speedy: Scooters and motor bikes always bring memories of the now famous “Law-Medical Invasion”. What are your recollections Sanath?
Sanath: We were in the “Block” as you know Speedy, and most of the boys got into trouble at the Law-Medical. We had street parade on scooters, motorbikes and a truck, wearing black shirts displaying “skull and bones”. The truck invaded Devi BalikaVidyalaya at Castle Street and also the RC grounds at Reid Avenue, during the Royal-Trinity cricket match. Bertram Nanayakkara’s motor bike appeared on the front page of the Sunday Times, invading the RC grounds. For this misadventure an inquiry was conducted by the Dean, Professor OER Abhayaratne. Most of us were suspended for two weeks.During the inquiry, few of us owned up for invading the RC grounds. When the Dean asked us why we invaded the grounds, I said that I could not see the score-board properly from the boundary line and I wanted to check the score from the umpire! The Dean retorted that I was the inquisitive type! Few others also gave some similar lame excuses. Our senior batch punished us by subjecting us to a second rag.

Speedy: You may or may not recall that I was one of the people who owned up and caused some consternation in “Patchaya’s” mind because my standing up meant that there was one extra person and how do you explain that? I said that the photograph showed JC Fernando in his scooter and as I was the pillion rider, I was obliged to stand up and be counted. So much for youthful honesty! I remember the second rag too. I was so annoyed, and frightened! I am passionately against rags!
Moving on, please tell us about your experiences in the Faculty.

Sanath:So many! Talking about our teachers, in the “block we had excellent teachers such as Hoover, Lester Jayawardene, Carlo Fonseka, “Bull” Seneviratneet al.During the third term of our second year we had pre-clinical classes on Saturday mornings. Our group was fortunate to have these classes with four excellent clinicians/teachers, namely Drs. WickremaWijenaike and George Ratnavale and Professors Milroy Paul and Fonseka.

Speedy: We were indeed fortunate to have such excellent teachers, a fact acknowledged by many who have contributed to this Blog. Please go on.

Sanath:At the 2nd MBBS examination I managed to pass at the first attempt.
Speedy:If I may interrupt you Sanath, you did very well. As for me, this was a minor glitch in my career as I got referred in Anatomy. I knew I was going to fail during the Viva with Prof Waas who told me “Be careful not to stain your tie as you may need it again”; as I leant forward over a dissected corpse after feeling more and more tense as I knew it wasn’t going too well!
For the benefit of readers who may not know the system, this marked the division of our original entrance batch to two groups, as those referred had to re-sit and fall back 3 months. Thus your group eventually “passed out” (my English colleagues are always amused at our use of this phrase which usually means “fainted”!) in March and we had to wait 3 months longer.
Do carry on.

Sanath:Our first surgical appointment during the third year was with Dr. Clifford Misso and the first medical appointment with Dr. WickremaWijenaike. As already mentioned, we had excellent clinical teachers such as Dr, RS Thanabalasunderam, Ernie Peiris, Oliver Medonza, DJ Attygalle, RP Jayawardene, JR Wilson, Noel Bartholomeusz, PR Anthonis. Niles, Jayasekera, ATS Paul et al.
During the third MB course too we had excellent teachers such as Professors Gerry Cooray, Stanley Dissanaike and Drs. NDW Lionel, MrsYoganathan and NandadasaKodagoda. At the 3rd MBBS examination, I passed with 2nd class honours obtaining distinctions in Public Health and Parasitology
Speedy:Well done indeed! What about the Final year and clinical exposure?

Sanath: Our final year Professorial appointments were rather strenuous. On the first day of the Paediatric appointment, Professor CC de Silva, conducted a class on infant feeding and wheeled in a trolley full of empty milk cans! (How things have changed over the years with emphasis on breast feeding!).Dr. Oliver Peiris who was a Senior Lecturer was an excellent teacher. Other outstanding clinical teachers during our final year were Professor T. Visvanathan and Dr. WJ Gomes.

Speedy: You excelled academically as is very evident. Are you a Sportsman too?
Sanath: Not really.During the student days I played a lot of billiards and in our Final year I was the runner-up to KithsiriWimalaratne. After graduation I joined the Health Department Sports Club at Castle Street and continued to play billiards. I won the billiards title at the club, the very first year that I participated. Later I represented the Health Department Sports Club in billiard and snooker tournaments together with Halim Sheriffdeen, Narendra Wijemanne and one other.

Speedy: I am aware that you distinguished yourself as a student and topped the Batch in the Finals. Can you recall those achievements?
Sanath: That’s true and I was chuffed. At theFinal MBBS examination in March 1967, I topped the combined order of merit obtaining a 2nd Class and distinctions in Medicine and Obstetrics and Gynaecology. Russel Paul came second.

Speedy:Moving on to the postgraduate scene at the time, in our days, there were only two faculties of Medicine, just Colombo and Kandy, and Sri Lanka still did not produce enough doctors. When you passed out as we say in Sri Lanka, what was the scenario for the new graduates?
Sanath: This was a critical period. The first Peradeniya batch graduated in January 1967 and after completing the internship, were not offered employment by the Ministry of Health (MoH) and were offereda monthly allowance of Rs. 400.00 and advised to attach themselves to a GP to be trained in General Practice. As this created an uncertainty, most of the new graduates started sitting for the American ECFMG qualifying examination, which nearly all passed very easily, including me. Then some applied for jobs in the US and that was the catalyst for the brain drain. By the time we completed our internship all of us were employed by the MoH.

Speedy:Yes, I recall that period vividly when so many went to the USA. What about your internship?
Sanath:I did my first 6 months of internship with Professor K Rajasuriya and Dr. Oliver Peiris. My co-intern was Russel Paul, who shared a room with me in the Main Quarters at the General Hospital, Colombo. In our quarters we had a very enjoyable time playing poker at every opportunity. I spent the next six months of my internship with Dr. PR Anthonis which I thoroughly enjoyed. On the very first day, he asked me why I had come to work with him and I replied that although I had obtained a distinction in Gynaecology and Obstetrics, I preferred Surgery. At the end of the appointment he asked me whether I would like to specialise in surgery.My reply was that I did not mind surgery but that I would prefer to work with my brain rather than be a manual worker! During the internship he used to invite me to assist him in the private sector during the evenings. There was a memorable trip to his wife’s ancestral residence in Kitulgala, which was next to the rest house. The American HOPE ship had berthed in the Colombo harbour during this time and some of the American surgeons visited the General Hospital to observe Dr. Anthonis in the theatre and were amazed by his skills. On few occasions, I visited the HOPE ship and assisted their surgeons.

Speedy: What can you recollect about your post-internship period?
Sanath:After completing my internship I spent nine months at the Chest Hospital, Welisara. During this time the posts of Senior Lecturer/Lecturer in the Departments of Pathology and Paediatrics were advertised in the Daily News and I applied for both. At the pathology interview which was held first, Professor Gerry Cooray told me that I should apply for a clinical post based on my MBBS performance. My reply was that I had applied for paediatrics as well, but this interview preceded the other one. To this day I am thankful to him because if he selected me, I would have been bored stiff working as a pathologist!-(With due apologies to my sister Chitrika who is a pathologist.) At the paediatric interview, Professor PriyaniSoysa was not happy that I had not done paediatrics for my internship. My reply was that as I had done medicine for the first six months, I could not combine paediatrics with it. (Priyani knew it was a rather hollow answer but the others were satisfied.) On my way out Mr. Walwin de Silva, Vice-Chancellor, who chaired the panel asked me “who plays more billiards, my son or you?!”.Walwin de Silva was  our batch mate Sunil’s  (Sunna’s) father.

Speedy:The time comes now when you needed to obtain your postgraduate qualifications. As you know, it used to be necessary to proceed to the UK to sit for the MRCP Part 1 exam and I think 1971 was the first time it was held outside the UK.
Sanath:  Indeed. I was among 60 candidates who sat for the MRCP Part 1 examination in 1971 held in the Colombo Medical Faculty. There were two people dressed in a full suit, the British Councillor and one of the candidates. It was a three hour paper of 60 MCQs with five responses in each. Sharp on time the Britishsupervisor opened the package (at the same time as in London), and distributed the question papers. The first person to leave the hall was the local candidate wearing a suit (I have not seen him since then!).The next person to leave the hall was me, after about one and a half hours (I did not answer all the questions). The very next morning I recalled all the 300 questions and gave it to my friends who were sitting for it next year. It was like gold dust because there were no question banks at that time. Later the billiards marker in the students’ common room got hold of it, made copies of it and sold those for a very handsome profit! I did pass this exam I am happy to say.

Speedy: Sanath, it has been an immense pleasure to journey through your life and I look forward to the second part which will start with your voyage to the UK for further studies and all your considerable achievements in your Professional career since then. I would also like to talk to you about your own family and pose some philosophical questions to you to give us an insight into how you approach life with all its trials and tribulations.
Sanath: Thank You. It has been a pleasure talking to you Speedy and I look forward to the second part.