EVENING SURGERY was an oriental
Durbar at which both new and old patients were seen, and never lacked in
variety and excitement.
Last night, when I arrived I found
my Santal orderlies coping with a leper, a eunuch dressed in woman's clothes,
and a wealthy merchant who had disguised himself in simple peasant's clothes
to escape a fee. Naturally the three patients were not feeling too friendly.
My orderlies had spotted the merchant by his well-fed paunch and smooth
skin, and exposed the deception with good humour.
Although the poor were treated
free, a khairat or 'contribution' was asked from those who could afford
it, and a fee from the well-to-do. The amount of this was often argued,
which I found embarrassing until I learnt that bargaining was common ritual
in the East.
The oriental habit of imposing on
an eye surgeon is in fact a very ancient one. It is related that a tenth
century Arab eye surgeon was approached by a patient with cataract, who
offered him a minute sum, pretending it was his whole fortune. Unfortunately
the patient's girdle broke and the ground was strewn with gold pieces.
It is recorded that the surgeon, Ibn Wasif, 'drove the liar from his house'.
The surgery building was small,
with a single verandah which was always crowded. Two Santal orderlies acted
as door-keepers and two more took down rough medical histories in advance.
Owing to the large number of Indian languages, these had sometimes to be
obtained through a chain of several interpreters. A fifth tested the soundness
of rupee coins, an almost universal custom in India as counterfeits were
common.
A
frequent cause of confusion among women patients was that they often gave
different names each time they reported. The first time it might be 'Wife
of Moti', the second time 'Mother of Ram', and after that 'Mother of ...
' any child that came to mind, which made card-indexing impossible. Symptoms
were often oddly described. 'My stomach speaks' (with a wealth of mimicry)
indicated a stomach complaint. 'I can see only four annas', meant poor
sight (there being sixteen annas to a rupee). Appetite was accurately indicated
by flexing the right thumb and placing it on the right palm in varying
positions to show the amount of rice they were capable of eating (eaten
by hand).
Prescribing of medicines too was
adapted to local conditions. Doses were marked on bottles with gummed-on
strips of notched paper, and doses of dangerous drugs were kept small as
patients might decide to quaff off the lot in one gulp to accelerate the
cure. Advice like 'three times daily after meals' was useless, as they
probably had one meal daily and no watch, so recommended times were often
indicated by probable positions of the sun. It always intrigued me to watch
an Indian peasant drink his medicine from a brass vessel without letting
the vessel touch his lips - he tilted his head back and it was over in
a moment. It was both an art and a cleanly habit, where it might be the
only drinking vessel in the family.
When half-way through this evening
Durbar, and having at last convinced the eunuch of the impossibility of
spare parts, I heard a sudden commotion outside. Clearly something unusual
had occurred, and when I went out to the verandah to investigate, found
a bullock cart loaded with some half-dozen young women in bright saris,
but with faces carefully veiled, and all chattering excitedly. They appeared
to be in charge of an elderly woman, her teeth stained red with pan, whose
masterful demeanour made me think of Chaucer's Wife of Bath. She explained
that each girl had a disfiguring white scar over the pupil of one eye,
which was proving an obstacle to their marriage, and that the exorbitant
dowries were being demanded by the prospective bridegrooms' families on
account of this 'defect'. She had heard that an operation could remove
it and, although she did not say so, it might be cheaper in the long run.
On examination it was found that the eye scars were the result of healed
ulcers and could indeed be 'painted out'. The condition was one which today
could have been treated by a corneal graft. After excision of the offending
scar, a clear section of cornea (the front window of the eye) taken from
the eye of a recently deceased person, would have been grafted in its place.
But at that time the operation had not been devised, nor would it have
been possible to do it in the jungle hospital. In the present cases, the
white scars were first carefully scarified under a local anaesthetic and
painted out with gold chloride, which soon changed to a black oxide, thus
making the scars invisible. Whereupon the chattering prospective brides
returned to their homes to resume their matrimonial angling with new zest,
increased confidence and enhanced value.
Only the failing daylight brought
the 'Doctor's Durbar' to a close. As I prepared to leave, an Indian troubadour
- an itinerant professional storyteller - asked permission to tell his
tale against a back-cloth of rose red tropical sunset. It was an epilogue
on the old topic of the vanity of worldly riches. A certain king of India,
who had vast wealth and a beautiful palace, was one day visited by a Hindu
ascetic who bade him turn from earthly vanities to spiritual things. Now
the king was in fact a wise and good ruler, caring for the poorest of his
subjects, so he replied: 'Have you seen the wonders of my palace?' When
the ascetic said 'No', the king ordered that he be shown them, but he first
put into the ascetic's hand a gold cup filled with sacred Ganges water,
charging him to carry it with him, and if he spilled one drop, he would
be executed. When the ascetic returned, the king asked, him if he had seen
the wonders of the palace. 'No, my Lord', replied the ascetic, 'for I gave
all my attention to watching the sacred water.' 'Even so it is with me',
rejoined the king, 'I see not all those earthly vanities, my whole mind
being given to higher thoughts.'
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