by Dr Nihal D Amerasekera
I am writing this as a septuagenarian. Having worked most of my professional life in England my thoughts are coloured by the laws and healthcare in the UK. The fundamentals and the basic principles of my message will ring true wherever in the world one lives.
“Media vita in morte sumus” – In the midst of life we are in death. This is the first line of a Gregorian chant circa 1300. This rings true now as it did all those years ago. Presently we battle through our lives in the midst of Covid-19. For septuagenarians like myself, in the autumn of our lives, there are many other pitfalls that lurk just around the corner.
At any age we all lust for longevity. Although we all will face it someday, our aversion to talk about death is universal. This is partly due to the fear of the unknown and also not wanting to tempt fate. During my childhood grim legends abounded and tales were told of death, devils and the darkness of hell. These daunting images continue to colour my thoughts even now. It is true there is little point in talking about death when we are young and healthy. The scene changes irrevocably when we become septuagenarians. This is the time to bite the bullet and face reality while still able to enjoy the good life.
Life expectancy has risen considerably in our lifetime. Perhaps, professionally, we have helped to make this happen. In the United Kingdom the life expectancy for men is 79 and for Women 82. Living longer has many benefits. It is indeed so wonderful to see our own grandchildren grow-up and perhaps also to see their children too. But there is a price to be paid while the years take their toll on us. The sudden deaths that took away our parents and our grandparents don’t happen anymore. We just live longer.
Our bodies continue to wither away as the years pass. A fistful of tablets and an earful of advice keep us going. The joints continue to creak and the back aches as we trundle along. I can feel the gradual decline and the loss of energy as the months pass. I am not as steady on my feet as I was last year. Gravity is gradually trying to take over when I walk or try to maintain my erect posture for long. These issues that are rather trivial now will only get worse with time. If I live long enough I will need help for walking, feeding and ablutions. This may be with a carer at home or in an institution. This requires careful thought and judicious planning.
Life must have an end. A rapid exit is everyone’s dream. Unlike for the previous generations the end for us may not be swift. Cancers or degenerative nervous diseases like strokes, dementia and Parkinsonism are some of the common ways to exit this world. Departing this life is never pleasant. Then again we will need help in the way of a carer or be confined to an institution. These issues need careful planning now when we are compos mentis. Importantly the family should be consulted. They must be aware of our choices that may have significant financial implications. We must remember it is their pain and burden too. They must have the information to discuss with us the feasibility of our plans.
To plan ahead we must make an informed choice. For this the doctors must provide us with the information with frankness and honesty. Thankfully, in the new millennium, the conceit and the patronising pomposity that existed in the medical profession has large melted away. This has resulted in far better rapport between the doctor and the patient. When confronted with a terminal illness we need to know the prognosis, the positive and negative implications of treatment and also of having no treatment. Before making a choice It is essential to weigh up the implications of a range of alternatives, some of which may be “off the menu”.
It is wise to leave written instructions as to our care including treatments we do not want to have. This is legally binding and is called the Advance Decision to Refuse Treatment (A living will). I know some have instructions not to be resuscitated. Some want all treatment stopped including antibiotics. We can also allow someone else to make the decisions for us when we can’t. This is called the Legal Power of Attorney. Some cancer patients do not want any treatment. They do not wish to prolong life not wanting the stress and struggle of radiotherapy and chemotherapy and its many unpleasant side effects. It is imperative the doctor should discuss the quality of life on treatment. Many others show great resilience and courage in continuing and completing the treatment schedule and we respect their choice.
If terminally ill I should have the right to end my life. This issue has come into prominence in the UK in several high-profile cases of Motor Neurone Disease and Multiple Sclerosis that reached the Supreme Court. Adequate safeguards must be built in for this. In the UK there has been a shift in common morality for euthanasia and assisted suicide both of which are illegal under English law. Some go to Dignitas in Switzerland, a place for assisted suicide, to end their lives. Ending one’s life is a last resort. The National Health Service provides good palliative care as well as providing psychological, social and spiritual support.
The answers to the many questions that arise and the solutions to the many problems that surface will vary according to our personal circumstances. It is paramount that the wishes of the patients and their relatives are respected. I am merely raising awareness to a common problem we will all face sooner or later. As I write I know of 90 year olds, like Queen Elizabeth II and the Duke of Edinburgh, who are still smiling, enjoying life and their families. But they are no doubt in the minority. Some still cling to the old fashioned, laid-back and carefree mindset “Que sera sera” – Whatever will be will be!! This may just leave our loved ones in the dark about an issue which may be long and protracted and financially draining.
Making that final journey to exit from this world is something we must all do in the fullness of time. This challenging journey may take from a few days to a few months. Professional medical input is vital during this period to remain free of pain and to receive psychological and physical support. We must leave behind the sadness and regrets of the past, taking with us only those happy and joyful memories. In the lonely waking hours one may wish to walk with God for comfort and support or focus the mind on meditation and mindfulness. Some receive comfort from the “Mozart effect” of listening to soothing classical music. There is a lot of helpful advice available from professionals, carers and institutions to reach that final destination with dignity.
As much as there is no holding back the night, there is no hope of a second dawn. I feel we leave this earth never to return again. I seek the wisdom of that great Roman Poet Horace “NON OMNIS MORIAR” (Not all of me will die). Our children and grandchildren are shaped by the genes they inherit from us. They smile and laugh like us and even may think like us at times. They will carry our baton into the future.
For septuagenarians, their minds are much calmer now. There is no burning ambition or desire to chase money or position. We have done our caring for our progeny. Once we have made our choices for our parting it is so important to return to our regular routine. It serves no purpose to dwell on death and dying. We will deal with it when it comes. It is so true we will not pass this way again. So enjoy the beauty of nature, the charm of the countryside and seeing the birds and the bees. The company of family and friends will continue to bring us joy. It is only then we can dare to sing that famous song “Que sera sera” .
Here are my best wishes for a happy and peaceful journeys end.
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Islamophobia and the threat to democratic development
There’s an ill more dangerous and pervasive than the Coronavirus that’s currently sweeping Sri Lanka. That is the fear to express one’s convictions. Across the public sector of the country in particular many persons holding high office are stringently regulating and controlling the voices of their consciences and this bodes ill for all and the country.
The corrupting impact of fear was discussed in this column a couple of weeks ago when dealing with the military coup in Myanmar. It stands to the enduring credit of ousted Myanmarese Head of Government Aung San Suu Kyi that she, perhaps for the first time in the history of modern political thought, singled out fear, and not power, as the principal cause of corruption within the individual; powerful or otherwise.
To be sure, power corrupts but the corrupting impact of fear is graver and more devastating. For instance, the fear in a person holding ministerial office or in a senior public sector official, that he would lose position and power as a result of speaking out his convictions and sincere beliefs on matters of the first importance, would lead to a country’s ills going unaddressed and uncorrected.
Besides, the individual concerned would be devaluing himself in the eyes of all irrevocably and revealing himself to be a person who would be willing to compromise his moral integrity for petty worldly gain or a ‘mess of pottage’. This happens all the while in Lankan public life. Some of those who have wielded and are wielding immense power in Sri Lanka leave very much to be desired from these standards.
It could be said that fear has prevented Sri Lanka from growing in every vital respect over the decades and has earned for itself the notoriety of being a directionless country.
All these ills and more are contained in the current controversy in Sri Lanka over the disposal of the bodies of Covid victims, for example. The Sri Lankan polity has no choice but to abide by scientific advice on this question. Since authorities of the standing of even the WHO have declared that the burial of the bodies of those dying of Covid could not prove to be injurious to the wider public, the Sri Lankan health authorities could go ahead and sanction the burying of the bodies concerned. What’s preventing the local authorities from taking this course since they claim to be on the side of science? Who or what are they fearing? This is the issue that’s crying out to be probed and answered.
Considering the need for absolute truthfulness and honesty on the part of all relevant persons and quarters in matters such as these, the latter have no choice but to resign from their positions if they are prevented from following the dictates of their consciences. If they are firmly convinced that burials could bring no harm, they are obliged to take up the position that burials should be allowed.
If any ‘higher authority’ is preventing them from allowing burials, our ministers and officials are conscience-bound to renounce their positions in protest, rather than behave compromisingly and engage in ‘double think’ and ‘double talk’. By adopting the latter course they are helping none but keeping the country in a state of chronic uncertainty, which is a handy recipe for social instabiliy and division.
In the Sri Lankan context, the failure on the part of the quarters that matter to follow scientific advice on the burials question could result in the aggravation of Islamophobia, or hatred of the practitioners of Islam, in the country. Sri Lanka could do without this latter phobia and hatred on account of its implications for national stability and development. The 30 year war against separatist forces was all about the prevention by military means of ‘nation-breaking’. The disastrous results for Sri Lanka from this war are continuing to weigh it down and are part of the international offensive against Sri Lanka in the UNHCR.
However, Islamophobia is an almost world wide phenomenon. It was greatly strengthened during Donald Trump’s presidential tenure in the US. While in office Trump resorted to the divisive ruling strategy of quite a few populist authoritarian rulers of the South. Essentially, the manoeuvre is to divide and rule by pandering to the racial prejudices of majority communities.
It has happened continually in Sri Lanka. In the initial post-independence years and for several decades after, it was a case of some populist politicians of the South whipping-up anti-Tamil sentiments. Some Tamil politicians did likewise in respect of the majority community. No doubt, both such quarters have done Sri Lanka immeasurable harm. By failing to follow scientific advice on the burial question and by not doing what is right, Sri Lanka’s current authorities are opening themselves to the charge that they are pandering to religious extremists among the majority community.
The murderous, destructive course of action adopted by some extremist sections among Muslim communities world wide, including of course Sri Lanka, has not earned the condemnation it deserves from moderate Muslims who make-up the preponderant majority in the Muslim community. It is up to moderate opinion in the latter collectivity to come out more strongly and persuasively against religious extremists in their midst. It will prove to have a cementing and unifying impact among communities.
It is not sufficiently appreciated by governments in the global South in particular that by voicing for religious and racial unity and by working consistently towards it, they would be strengthening democratic development, which is an essential condition for a country’s growth in all senses.
A ‘divided house’ is doomed to fall; this is the lesson of history. ‘National security’ cannot be had without human security and peaceful living among communities is central to the latter. There cannot be any ‘double talk’ or ‘politically correct’ opinions on this question. Truth and falsehood are the only valid categories of thought and speech.
Those in authority everywhere claiming to be democratic need to adopt a scientific outlook on this issue as well. Studies conducted on plural societies in South Asia, for example, reveal that the promotion of friendly, cordial ties among communities invariably brings about healing among estranged groups and produces social peace. This is the truth that is waiting to be acted upon.
Pakistan’s love of Sri Lanka
By Sanjeewa Jayaweera
It was on 3rd January 1972 that our family arrived in Karachi from Moscow. Our departure from Moscow had been delayed for a few weeks due to the military confrontation between Pakistan and India. It ended on 16th December 1971. After that, international flights were not permitted for some time.
The contrast between Moscow and Karachi was unbelievable. First and foremost, Moscow’s temperature was near minus 40 degrees centigrade, while in Karachi, it was sunny and a warm 28 degrees centigrade. However, what struck us most was the extreme warmth with which the airport authorities greeted our family. As my father was a diplomat, we were quickly ushered to the airport’s VIP Lounge. We were in transit on our way to Rawalpindi, the airport serving the capital of Islamabad.
We quickly realized that the word “we are from Sri Lanka” opened all doors just as saying “open sesame” gained entry to Aladdin’s cave! The broad smile, extreme courtesy, and genuine warmth we received from the Pakistani people were unbelievable.
This was all to do with Mrs Sirima Bandaranaike’s decision to allow Pakistani aircraft to land in Colombo to refuel on the way to Dhaka in East Pakistan during the military confrontation between Pakistan and India. It was a brave decision by Mrs Bandaranaike (Mrs B), and the successive governments and Sri Lanka people are still enjoying the fruits of it. Pakistan has been a steadfast and loyal supporter of our country. They have come to our assistance time and again in times of great need when many have turned their back on us. They have indeed been an “all-weather” friend of our country.
Getting back to 1972, I was an early beneficiary of Pakistani people’s love for Sri Lankans. I failed the entrance exam to gain entry to the only English medium school in Islamabad! However, when I met the Principal, along with my father, he said, “Sanjeewa, although you failed the entrance exam, I will this time make an exception as Sri Lankans are our dear friends.” After that, the joke around the family dinner table was that I owed my education in Pakistan to Mrs B!
At school, my brother and I were extended a warm welcome and always greeted “our good friends from Sri Lanka.” I felt when playing cricket for our college; our runs were cheered more loudly than of others.
One particular incident that I remember well was when the Embassy received a telex from the Foreign inistry. It requested that our High Commissioner seek an immediate meeting with the Prime Minister of Pakistan, Mr Zulifikar Ali Bhutto (ZB), and convey a message from Mrs B. The message requested that an urgent shipment of rice be dispatched to Sri Lanka as there would be an imminent rice shortage. As the Ambassador was not in the station, the responsibility devolved on my father.
It usually takes about a week or more to get an audience with the Prime Minister (PM) of a foreign country due to their busy schedule. However, given the urgency, my father spoke to the Foreign Ministry’s Permanent Sectary, who fortunately was our neighbour and sought an urgent appointment. My father received a call from the PM’s secretary around 10 P.M asking him to come over to the PM’s residence. My father met ZB around midnight. ZB was about to retire to bed and, as such, was in his pyjamas and gown enjoying a cigar! He had greeted my father and had asked, “Mr Jayaweera, what can we do for great friend Madam Bandaranaike?. My father conveyed the message from Colombo and quietly mentioned that there would be riots in the country if there is no rice!
ZB had immediately got the Food Commissioner of Pakistan on the line and said, “I want a shipload of rice to be in Colombo within the next 72 hours!” The Food Commissioner reverted within a few minutes, saying that nothing was available and the last export shipment had left the port only a few hours ago to another country. ZB had instructed to turn the ship around and send it to Colombo. This despite protests from the Food Commissioner about terms and conditions of the Letter of Credit prohibiting non-delivery. Sri Lanka got its delivery of rice!
The next was the visit of Mrs B to Pakistan. On arrival in Rawalpindi airport, she was given a hero’s welcome, which Pakistan had previously only offered to President Gaddafi of Libya, who financially backed Pakistan with his oil money. That day, I missed school and accompanied my parents to the airport. On our way, we witnessed thousands of people had gathered by the roadside to welcome Mrs B.
When we walked to the airport’s tarmac, thousands of people were standing in temporary stands waving Sri Lanka and Pakistan flags and chanting “Sri Lanka Pakistan Zindabad.” The noise emanating from the crowd was as loud and passionate as the cheering that the Pakistani cricket team received during a test match. It was electric!
I believe she was only the second head of state given the privilege of addressing both assemblies of Parliament. The other being Gaddafi. There was genuine affection from Mrs B amongst the people of Pakistan.
I always remember the indefatigable efforts of Mr Abdul Haffez Kardar, a cabinet minister and the President of the Pakistan Cricket Board. From around 1973 onwards, he passionately championed Sri Lanka’s cause to be admitted as a full member of the International Cricket Council (ICC) and granted test status. Every year, he would propose at the ICC’s annual meeting, but England and Australia’s veto kept us out until 1981.
I always felt that our Cricket Board made a mistake by not inviting Pakistan to play our inaugural test match. We should have appreciated Mr Kardar and Pakistan’s efforts. In 1974 the Pakistan board invited our team for a tour involving three test matches and a few first-class games. Most of those who played in our first test match was part of that tour, and no doubt gained significant exposure playing against a highly talented Pakistani team.
Several Pakistani greats were part of the Pakistan and India team that played a match soon after the Central Bank bomb in Colombo to prove that it was safe to play cricket in Colombo. It was a magnificent gesture by both Pakistan and India. Our greatest cricket triumph was in Pakistan when we won the World Cup in 1996. I am sure the players and those who watched the match on TV will remember the passionate support our team received that night from the Pakistani crowd. It was like playing at home!
I also recall reading about how the Pakistani government air freighted several Multi Barrell artillery guns and ammunition to Sri Lanka when the A rmy camp in Jaffna was under severe threat from the LTTE. This was even more important than the shipload of rice that ZB sent. This was crucial as most other countries refused to sell arms to our country during the war.
Time and again, Pakistan has steadfastly supported our country’s cause at the UNHCR. No doubt this year, too, their diplomats will work tirelessly to assist our country.
We extend a warm welcome to Mr Imran Khan, the Prime Minister of Pakistan. He is a truly inspirational individual who was undoubtedly an excellent cricketer. Since retirement from cricket, he has decided to get involved in politics, and after several years of patiently building up his support base, he won the last parliamentary elections. I hope that just as much as he galvanized Sri Lankan cricketers, his political journey would act as a catalyst for people like Kumar Sangakkara and Mahela Jayawardene to get involved in politics. Cricket has been called a “gentleman’s game.” Whilst politics is far from it!.
Covid-19 health rules disregarded at entertainment venues?
Believe me, seeing certain videos, on social media, depicting action, on the dance floor, at some of these entertainment venues, got me wondering whether this Coronavirus pandemic is REAL!
To those having a good time, at these particular venues, and, I guess, the management, as well, what the world is experiencing now doesn’t seem to be their concerned.
Obviously, such irresponsible behaviour could create more problems for those who are battling to halt the spread of Covid-19, and the new viriant of Covid, in our part of the world.
The videos, on display, on social media, show certain venues, packed to capacity – with hardly anyone wearing a mask, and social distancing…only a dream..
How can one think of social distancing while gyrating, on a dance floor, that is over crowded!
If this trend continues, it wouldn’t be a surprise if Coronavirus makes its presence felt…at such venues.
And, then, what happens to the entertainment scene, and those involved in this field, especially the musicians? No work, whatsoever!
Lots of countries have closed nightclubs, and venues, where people gather, in order to curtail the spread of this deadly virus that has already claimed the lives of thousands.
Thailand did it and the country is still having lots of restrictions, where entertainment is concerned, and that is probably the reason why Thailand has been able to control the spread of the Coronavirus.
With a population of over 69 million, they have had (so far), a little over 25,000 cases, and 83 deaths, while we, with a population of around 21 million, have over 80,000 cases, and more than 450 deaths.
I’m not saying we should do away with entertainment – totally – but we need to follow a format, connected with the ‘new normal,’ where masks and social distancing are mandatory requirements at these venues. And, dancing, I believe, should be banned, at least temporarily, as one can’t maintain the required social distance, while on the dance floor, especially after drinks.
Police spokesman DIG Ajith Rohana keeps emphasising, on TV, radio, and in the newspapers, the need to adhere to the health regulations, now in force, and that those who fail to do so would be penalised.
He has also stated that plainclothes officers would move around to apprehend such offenders.
Perhaps, he should instruct his officers to pay surprise visits to some of these entertainment venues.
He would certainly have more than a bus load of offenders to be whisked off for PCR/Rapid Antigen tests!
I need to quote what Dr. H.T. Wickremasinghe said in his article, published in The Island of Tuesday, February 16th, 2021:
“…let me conclude, while emphasising the need to continue our general public health measures, such as wearing masks, social distancing, and avoiding crowded gatherings, to reduce the risk of contact with an infected person.
“There is no science to beat common sense.”
But…do some of our folks have this thing called COMMON SENSE!