| A FEW MONTHS after I took over
the jungle hospital, I discovered I had earned a nickname. Like most nicknames,
I only learned it by chance.
It came to my notice when a Santal postal runner, clad in a few yards of khaddar (homespun cotton) and jingling bells to ward off panther, arrived breathless on my verandah. Bespattered with dust and perspiration, he laid down his spear to deliver a letter addressed simply to the 'Eye-maker'. It was a pleasant sign of approval and acceptance. A few days later, he handed me another, addressed to the 'High Priest" a title which showed no tendency to stick.. Today, as I walked over to the operation
theatre, I was ambushed by a crowd of patients who closed in behind me,
so that I led a procession, and felt like the Pied Piper of Hamlyn.
Passing under the central tower
that was the main entrance to the hospital, I found a buffalo had left
natural evidence of its recent presence; but just as I was about to step
aside, a woman rushed forward and scooped it up for fuel with her bare
hands.
And so it went on all morning. One was not keeping good time if the rate was less than ten eyes an hour. When patients mounted the tables,
it was often the climax to many months of planning, saving, and hope. To
some in addition, it seemed a religious pilgrimage to a Christian medical
shrine. Some assured me they would pray for my long life and that I would
have many male heirs. Others, deeply moved, beat themselves on their chests,
invoking the shades of their ancestors. All, child-like in trust, made
excellent patients. A local anaesthetic was dropped into the affected eye,
which permeated its interior microscopic cells, making possible a painless
operation, as well as co-operation from the patient when asked to look
in various directions. The opaque cataractous lens which was the cause
of the blindness lay deep behind the pupil and iris of the eye, and with
delicate precision and finger-tip concentration had to be 'coaxed' forward
through the pupil before it could be extracted. One kept alert too for
any unexpected movement by the patient, or even in the vicinity. Today
I was just in time to side-step a tackle round the ankles by an old woman
who threw herself at my feet calling me 'God'. Later in the morning, a
well-dressed Brahmin innocently lifted an instrument from my aseptic tray
to inspect it, and when I told him it would have to be re-sterilised, he
was indignant: "I, a Brahmin, unclean?" After each operation, I held up
my hand before the patient's eyes, so that he might see at once his years
of darkness were ended. Tears of gratitude and emotion flowed down the
cheeks of relatives, calling on the Hindu God Vishnu the Preserver for
his favour. On their discharge from hospital two weeks later, many travelled
to the nearby holy Hindu city of Deoghar to make flower offerings before
the god's image. I gave to many the tiny pea-like lens I had removed from
his eye, which he later wrapped carefully in a scrap of cloth to take back
to his home village. Its display there might send another score of blind
the following year. Meanwhile, eyes were being bandaged, and advice being
given on post operative care that would have sounded odd in a normal hospital:
"Take goats' milk for four days, and don't pour water on your head (the
Indian method of washing). But oil may be rubbed on it." Very occasionally
the morning routine of cataract operations could be dramatically interrupted
and one had to be ready for anything. Once the queue of patients outside
rushed the Santal door-keeper and broke in. I was caught with a tiny ophthalmic
scalpel inside an open eye. Slipping the instrument out and grasping my
patient's hand with a word of reassurance, I directed a minor engagement
to restore order by evicting the intruder. I asked my patient to repeat
the name of Sita Ram - an extremely useful beneficent deity who always
acted as a sedative.
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