Welcome to my Blog

A warm welcome to my Blog

I shall post some news of interest to Sri lankans about life in Sri Lanka in the period 1950-1960 mainly. This will feature articles on music, general history and medicine. I am dedicated to humanism and refuse to judge people according to labels they are born with. Their actions and behaviour shall be my yardsticks, always cognizant of the challenges they faced in life.

Showing posts with label Virtual Interview. Show all posts
Showing posts with label Virtual Interview. Show all posts

Thursday, 15 March 2018

Virtual interview- SPL Part 2

The Speedy Virtual Interview Series - Episode 5- part 2
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 Priyani Soysa 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. 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 Susiri Weerasekera, 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 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, Pramilla Senanayake 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. 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 Tissa Jayasekera who received an OBE and the other was Deepal Liyanage (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. Tissa Jayasekera was a Rugby colours man.

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

Sanath: After Priyani Soysa’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 Priyani Soysa 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, Rienzie Arsecularatne, both of whom were State Counsel in the AG’s department. Suhani Arsecularatne 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 Janaka Wijetunga 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. 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 Visakha Vidyalaya. 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 Bandara Panagamuwa 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 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.

Wednesday, 22 November 2017

Speedy Virtual Suri

 Speedy Virtual Interview Series - Episode 4
November 2017
Dr Suriyakanthie Amarasekera
Consultant Anaesthesiologist. Colombo, Sri Lanka
It gives me great pleasure to do the fourth Speedy interview. The last three interviews in order were Cyril Ernest, Zita Subasinghe Perera and Lucky Abeyagunawardena, all of whom have distinguished themselves in their chosen careers. My fourth subject is the charming and accomplished Suriyakanthie Amarasekera.


Speedy: Good morning Suri. Is it alright to call you Suri rather than Suriyakanthie?

Suri: Good morning Speedy. Of course it is fine to be addressed as Suri. In fact that is what I prefer to be called. “Suriyakanthie” is rather a mouthful!

Speedy: Well, that’s a good start! Suri let me commence by asking you to say a few words about you parents and family.

Suri: My parents were both teachers  In fact those of you who are Thomians probably would have been taught by my mother as she was on the tutorial staff at STC Mt Lavinia for over 20 years. I am the 3rd in a family of 5 having an aiya, akka, malli, and nangi.

Speedy: It is quite clear that you grew up in a very supportive family environment. Could I ask you whether your choice to pursue a career in Medicine was influenced by them?

Suri: No not at all. In fact I wanted to be a teacher like my parents. When I was told that I had been selected to the science stream I was upset and I asked my Grade 8 Class Teacher Ms Wimala Jayasekera whether I couldn’t continue to be in the Arts stream. She was very surprised and asked me why I didn’t want to do science as I was good in the subject. When I replied that I want to be a teacher like my parents, she said “so you can be a science teacher” The rest just followed.

Speedy: I am sure Readers would like to know something about your school days. I know that you are an Old girl of Methodist College. May be you have a few amusing anecdotes which you can share with us.

Suri:  Can you remember how we used to carry our school books in rectangular suit cases in those days? One day some of my friends got the bright idea of stacking them one on top of the other as high as we could reach and then pull out the bottom one! Everything tumbled down with a resounding crash while we screamed with laughter! After a repeating this a couple of times we got another crazy idea of pushing hard on the desks in the back row ( the hall had been arranged with desks and chairs in rows for the end of term test ) so that it hits the desk and chair in front and knocks it down causing a domino effect. We were making a big din and laughing when we suddenly spotted the tall figure of our very strict English Principal Miss Grace Robbins watching us from the doorway with stern disapproval, shocked at our un lady like behaviour. Not only were we punished being given detention and “Lines” we were told that we were not eligible to be considered for the coveted Gladys Loos Prize for Good Conduct!   
     
Suri: There is another memory I like to talk about, if I may.

Speedy: Of course Suri. Please go ahead.

Suri: Thanks Speedy. Our School had bi annual fund raising Fairs. There were two during my time .They were called One Thousand and One Nights, and Thousand and Two Delights. I remember that our class was in charge of the Pet Stall one year. We were at a loss to find a name for our stall. Carol Aloysius (who is now a well-known Journalist) who was a class mate came up with the suggestion “Shoori’s Pet Stall making my name sound Arabian ! Unfortunately after one day our teacher in charge thought “ Pashas’s Pet Stall” was more appropriate.

Speedy: Well, you did extremely well in Your A levels and was selected for Medicine at your first attempt and entered the Colombo Medical Faculty before your 18th birthday. In fact, you were the youngest in our Batch and it so happens by a curious coincidence that the person doing your interview was the second youngest and the youngest among boys!

Suri:  Actually Speedy I had got through my O levels in 1958 at the age of 14 and I was in the A Level 2nd Year Class in 1960. My application to sit for the A Level Exam in December 1960 was rejected by the University as the University regulations stipulated that you have to be 17 by the 1st of June the following year. (My birthday is on the 4th of July and I would have been only 16 years and 11 months on the 1st of June 1961) So I had to mark time for one year and sit for the exam in December 1961. Believe me I was very upset.

Speedy: That is remarkable! Then what happened?

Suri: Well, my father knew Prof Hoover (remember him our Bio Chemistry Prof?) and asked him if any concession could be made and could I be given permission to sit for the A Levels in December 1960? I still have the letter he wrote saying it cannot be allowed and that I am far too immature to face the stresses of University life! I fail to understand how he could come to that conclusion never having met me! Thank God I secured a direct entry to Medical School in the I1961 December Exam.

Speedy: OK you entered a bit later than you would have liked but you were still very young when you entered the Medical Faculty. Can you recall your emotions at the time? Were you anxious or scared in any way?

Suri: No not at all, I thought it very exciting. I found the subjects, particularly physiology, fascinating. Having boys as fellow students was of course a new experience. Remember I entered from Methodist College (nick named Methodist Convent) and we were described as being like Perera and Son’s bread!! untouched by human hands!

Speedy: Ha! Ha! I haven’t heard that before.

Suri: What? You must have Speedy!
Speedy: No, that is the truth, never heard that before! Fascinating! Let’s us now hear about your experience in the Faculty years, may be something about your Teachers, your colleagues. I am sure that would interest our Readers.

Suri: The most traumatic experience was of course the cadaver dissections. I remember sitting and staring at the cadaver with my body partner Zita reluctant to touch it till an anatomy demonstrator I think it was Dr L A G Jayasekera screamed at us to get started. I also remember quite vividly the 3rd Abdo Signature by Prof S S Panditharatne that went on and on with seniors crowding round us making us even jitterier, and Dr Panditharatne taking a break to have a smoke while waited nervously.
Physiology was fascinating though some of Prof Koch’s lectures went way above our heads. I clearly remember how Prof Carlo Fonseka began his lecture on Gastroenterology with a poem
“You can do without Sleep what is sleep but reclining,
You can do without Books what are books for but learning,
You can do without Love for what is love but pining,
But show me a man who can do without Dining!
Then there was the unforgettable “Path Cooray” who made us sit according to the merit list at the 2nd MBBS (and not alphabetical order) He had this daunting habit of pointing to you during lectures and asking questions. I got quite fed up sitting under his nose as Number4 and was often pulled up for chatting to number 3, Swyrie. Then in contrast there was Prof H V J Fernando our Forensic Prof who segregated the sexes during lectures for some reason best known to him.

Speedy: What about Clinical teachers?

Suri: As you well know Speedy, we had some amazing clinical teachers.  I remember Dr O R Medonza who would imitate sounds of Heart murmurs in a way you never forget  Lub Tushh… Lub Tushh  ( Aortic Incompetence ) rrrph dub….. rrrph dub ( Mitral Stenosis). 
We were lucky to have teachers like Dr George Ratnavale. I remember how he made Kunasingham walk with a stiff knee and then ask him to walk with a stiff knee and and a foot drop … demonstrating the circumduction of a hemiplegic walk.
How can we forget our beloved Dean “Patchaya”, and his unique lectures “Takarang roofs are hot in sunny weather, noisy in rainy weather”, “scoring a bull’s eye while using a squatting plate ! !.”
We had Surgeons who were legendary. Charming Dr P R Anthonis with his “I shay mish……..”.  I had the privilege of anaesthetising for his operation lists while being a junior anaesthetist. He was unfailingly courteous always letting you know when he had to deviate from the planned procedure and actually asking if it’s OK to take longer!  Dr Noel Batholameuz, a striking figure with a fresh orchid in his button hole every day. I remember taking up a dare to ask him the name of the Orchid one day. After an initial glare at me for being so cheeky, he realised it was a dare and was amused. Dr Misso with whom we did our first surgical appointment was so kind and had a good sense of humour. I remember when I scrubbed for him for the first time in Operating Theatre D, I was so shy that I stood as far away from him as I possibly could. He started whistling a tune. When I did not react he asked “do you recognize the tune?” When I said “Yes Sir, it’s come closer to me”. So why don’t you do it, he quipped!

Speedy: That was most interesting and entertaining. What about your Batch mates?

Suri: Talking of batch mates, our one and only Patas had one goal …. To get all the shy girls to dance! I remember him steering me across the dance floor in King George’s Hall muttering “back side together side, forward side together side!” under his breath. J C was the one who taught us the Cha Cha, and Lareef his own variation the “Off Beat Cha Cha”. I could go on!

Speedy: Anything else we need to talk about as part of your student experience?

Suri: Thanks for giving me this opportunity Speedy. My experiences as a medical student would not be complete without some mention 0f the Student’s Christian Movement. We had a lot of fun - SCM Picnics, Fund Raiser Concerts, going carolling , parties, and Carol Services at Christmas. Patrick Fernando, who was in our senior batch and sadly no more, would play “Christians awake salute the happy morn” on his trumpet to wake up the people we used to visit in the early hours of the morning. We were treated very well by all, particularly some of our teachers who would offer “spiritual” refreshment to the boys.

Speedy: I can just visualise the happy faces, in high spirits!

Suri: You got it! The SCM gave me my first experience in engaging in Social Work. We used to visit the Wanatamulla slums every fortnight, distributing dry rations provided by the CNAPT. Though we were supposed to go in pairs I often found that I had to go alone, but I wasn’t scared because the slum dwellers treated us with respect. It was indeed a novel experience and we were expected to give advice and help to solve marital problems, child guidance, housing problems, livelihood support etc. The end of the year Picnic we organised for the children from the homes we visited was so enjoyable. I remember we took them to the Dehiwala Zoo one year and while watching the Elephant Dance one little girl crept on to my lap, hugged me and said “I wish you were my mother!” I will never forget how moved I was by her spontaneous love.  

Speedy: How wonderful and touching!

Suri: Visiting a Home for the Aged run by the government in Borella was also another activity I engaged in. It was a rewarding experience to interact with these dear old people who had been virtually abandoned by their families. They looked forward to our visits and loved to sing and have a chat.

Speedy: Let us pick up the story from there. Where did you do your internship?

Suri:  My first 6 months was at DMH with Dr A M Mendis and then 6 months Medicine with Dr E V Pieris at GH Colombo. I decided to specialise in Anaesthesia because I found the total commitment to a patient needed in the Operating Theatre very satisfying and the quick responses that are needed very challenging.

Speedy: And then you went to the UK?

Suri: Yes, I resigned from Government Service and went to UK for Post Graduate studies in Anaesthesia in 1975. I got through my Part I in 1976 and the Final Fellowship in 1977. I was very fortunate to secure a Senior Registrar Post in Anaesthesia at Kings College Hospital London and was able to obtain my Certificate of Higher Professional Training by 1981.

Speedy: But you returned to Sri Lanka? 

Suri: Yes, and on my return to Sri Lanka in 1981 I re-joined Government Service and my first appointment was as Supernumerary Consultant Anaesthetist in the Colombo Group of Hospitals for 2 years and then 1 year as Consultant Anaesthetist at Base Hospital Panadura
I was selected as a Consultant Anaesthetist to Sri Jayawardanepura General Hospital Kotte at its very inception in 1985, which post I held till my retirement in 1999.

Speedy: It is great to hear how well you served your Country as a Consultant Anaesthetist.

Suri: Thank you Speedy. I enjoyed my work and found it very satisfying.

Speedy: Could I ask you to comment on our Blog and how useful it has been? At the same time, could you say something about the Batch Reunions?

Suri:  I must confess that I do not visit our Blog too often. Lucky keeps us updated on news so that I feel I am not missing much. However I feel that after this interview I will try to be a more regular visitor.

Speedy: I sincerely hope so Suri. The Blog which was created by our own Lucky and so lovingly managed by him couldn’t survive without our participation and I know that you have a lot to offer. Yes, please do visit it regularly. Now, let us move on to batch reunions.

Suri: The first ever batch reunion in Sri Lanka was organised by just a few of us,  J C, Sura, Lucky and myself. We had to work hard to find contact details of those living in Sri Lanka and we were able to muster only about 18 batch mates. The reunion was held at the Holiday Inn Colombo in 1988.  Since then our reunions have grown and the success of these have been largely due to Swyrie’s efficiency and commitment ably supported by Bala. Getting the participation of our batch mates domiciled abroad took a lot of effort and planning but it has been well worth it. All the reunions have been enjoyable and it has been so heart-warming to catch up with batch mates, some who we have not met in half a century.

Speedy: Now I am aware that you got married to Mahendra Amarasekera in 1972. We would love to know how you met him.

Suri: To be very honest we had each gone through a bad experience and were both rather disenchanted with romance. Our meeting was not at all romantic. We were formally introduced by one of Mahendra’s adopted uncles (who was a good friend of my father). The strange thing is that we found we had so much in common.  We love to sing, dance, we both had a sense of humour and the ability to laugh at ourselves, we love the theatre and we are both devout Christians. Would you believe it we found out that we were both ardent Pat Boone Fans too! The only thing we did not share was my love of reading. Mahendra only reads the Newspaper! So we “clicked “from the very start and I can truly say Mahendra is my Best Friend as well as my Husband.

Speedy: You should write a book about couples “made for each other”! You have now been happily married for 45 years. Congratulations! You have not just your kids Manique and Sean, but grandchildren too.

Suri: Yes we are so blessed. Our daughter Manique who obtained an Honours Degree in IT from Manchester Metropolitan University and a MBA from University of Sri Jayawardanepura, has a 10 year old daughter and an 8 year old son. She has inherited Mahendra’s musical talent. She conducts the Old Girls’ Choir “Metho Cantanti “ and writes music for them.
Most of you have met Sean. Remember how he entertained us at the 40th Anniversary Reunion at Kandalama? Though a doctor by profession, acting and singing remains his first love. He played the title role of Phantom of the Opera last year which ran to full houses at the Lionel Wendt.

Speedy: What a talented pair! Runs in the genes obviously. I know you too have musical talent and was a member of the Moratuwa Choral Society for over 18 years. Tell us something about it.

Suri. Yes, I shall tell you how that happened. When we returned to Sri Lanka in 1981 we were invited to join the Moratuwa Choral Society that had just been formed and was trained by Kala Suri Lylie Godridge. We had practices every Sunday and we used to pick up Lylie who lived just shouting distance away from my home in Dehiwala and drive down to Moratuwa. We sang Spiritual Songs, Easter and Christmas Carols in Churches. We had several Secular Concerts at the Lionel Wendt, and performed on Sawa Sangeetha on TV, had several Radio Broadcasts. We have also performed in other venues in Colombo as well as Kandy, Negombo, and Kurunegala. Our repertoire included music from Mozart, Handel and Bach to Bob Dylan and Cat Stevens, from Negro spirituals to old English favourites.  We also sang perennial favourite sinhala folk songs like Tkiri Tikiri Tikiriliya, Suwanda Rosa Mal Nela, Olu Pipeela, Dhanno Budunge set to exquisite 4 part harmony by Maestro Lylie. We even sang the National anthem with the chorus set to 4 part harmony which sounded great giving you goose bumps!

Speedy: Sorry to interrupt but I must say I really love songs sung in 4-part harmony. They sound so much deeper and resonant.

Suri: I agree. Our most enjoyable production was the “South Town Minstrels” when we sang and danced to Negro Spirituals and Plantation Songs, interspersed with jokes by the “Corner Man” Mahendra. We had our faces painted black, the girls wore colourful skirts and the boys in black and white striped jackets with colourful cumber bands, and straw boaters and canes. We had over 25 shows in and outside Colombo. Our Concerts were held to aid fund raising efforts for worthy causes I remember His Excellency President J R Jayawardena,(who normally has a dead pan face), being the Chief Guest at one show throw his head back and laugh out loud at Mahendra’s jokes. I remember Hon, Lalith Athlathmudali was the Chief Guest at our fund raising effort for the Jaipoor Foot Fund . We also recorded a Cassette “A Decade of Singing” with Spiritual and Secular songs in 1991.

Speedy: I want to now devote some time to your many Professional accomplishments. The list is long and we are truly proud of you. President of the College of Anaesthesiiologists of Sri Lanka in 1996 ,1997, President of the Sri Lanka Medical Association (SLMA) in 2006, Member of the Editorial Council of the Indian Journal of Anaesthesiology and many more. You have a host of Publications in Medical Journals and delivered many keynote lectures.
What was your driving force and how difficult was it for you to combine your career with being a mother and wife? What are your views on how women can be encouraged to contribute to the Community as Professionals on equal terms with men?

Suri: My driving force in my career has been my love for my career as an anaesthetist.  I truly enjoy my work. The privilege I have to care and comfort my patients who are either undergoing surgery or battling life threatening illnesses in the Intensive Care Unit has been truly rewarding. Of course there have been instances of sadness and helplessness when all my best efforts seem to make no difference to the outcome, but I have learned to accept the bad with the good and not feel frustrated.
Combining a full time career with that of a mother was certainly challenging. But I believe that it is the Quality of time you spend with your children that is important. I always tried to get involved and supported whole heartedly all the activities of my children whether it was helping my daughter to obtain her “Wings” as a Brownie Guide, or helping her to get the House corner decorated for the Sports Meet when she was a House Captain or running around getting stage props for Drama productions for my son and helping with costumes, or training him for Oratory Competitions.     
May I take this chance to state that I truly felt very humbled when they elected me to the position of the President SLMA in 2006 only the 6th woman to hold this high office and the 2nd Anaesthetist in 119 years.

Speedy: Apart from your work as a Doctor, you have been a regular contributor to the local Newspapers and your articles are known for the excellent style in which they are written. How did you develop this talent? Did you ever contribute as an Editor at school?

Suri : I think what little skill I have in creative writing has been due to my Mother’s influence. She would often delight us with personalised verses to mark our Birthdays and Wedding Anniversaries. I remember how she wrote a song and made our kids practice in secret and give us a wonderful surprise at our 13th Wedding Anniversary (Copper Wedding) Party.

Speedy: Finally Suri, I know that you are devout Christian and you have always gained strength from your religious beliefs. How big a part did your Faith play in your life?

Suri: I can honestly say that I am what I am today because of the Guidance, Strength and Inspiration I get from my Lord and Saviour Jesus who loves me unconditionally.
I have claimed the promise in the Holy Bible Isaiah Chapter 40vs 31- Many of you may be familiar with it because it was quoted in the film “Chariots of Fire”
“They that wait upon the Lord will renew their strength, they shall mount up on wings like eagles, they shall run and not be weary, they shall walk and not faint“. I had the privilege of stating this on my induction as President SLMA in 2006.

Speedy: And finally Suri, how would you like to describe yourself as a woman, a doctor, a wife and a mother? Can you quote something inspirational for us to conclude this interview?

Suri:  I think that I can describe myself as a woman, a doctor and a mother who is content and has a deep inner Peace and Joy not because I have had a trouble free life, as I have had my share of disappointments and heartbreak, challenges and life threatening illnesses, but through it all I have had the presence of my Friend and Saviour Jesus who is my never failing source of strength and inspiration.
You ask me for a Quote and I can do no better than quote Mother Theresa’s words which have helped me throughout my life.

The Final Analysis
“People are often unreasonable, illogical and self-centred - Forgive them anyway
If you are kind, people accuse you of having selfish ulterior motives – Be kind anyway
If you are successful you will win some false friends and true enemies –Succeed anyway                       
If you are honest and frank people may cheat you – be Honest and Frank anyway
What you spend years in building someone could destroy overnight – Build anyway
If you find serenity and happiness they may be jealous – be Happy anyway
The good you do today people will often forget tomorrow – do Good anyway
Give the world the best you have and it may never be enough – Give the world the best you have anyway
You see in the Final Analysis it is between you and God it was never between you and them anyway”                       

Speedy: Suri, 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.

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