God Posts

Stephen Hawking “Brief Answers to the Big Questions”

Our future is a race between the growing power of our technology and the wisdom with which we use it. Let’s make sure that wisdom wins. 

Renowned cosmologist Stephen Hawking in his posthumous publication Brief Answers to the Big Questions addresses some of the questions he must have been asked perennially. “Is there a God?”. “How did it all begin?”, “Can we predict the future?”, “Is time travel possible?”, “Will artificial intelligence outsmart us?”, or “Will we survive on Earth?”

With a calm tone he makes it very clear that he is only interested in finding a rational framework to understand the universe. It is this rational tone with which he contemplates the big questions. When he discusses time travel he makes it seem like a perfectly acceptable question to answer. His logical explanation that just nudges the boundary of the known does not rule out the possibility of time travel according to “our present understanding”. He is unafraid to challenge knowledge as known today and to be constantly curious — a trait he attributes all humanity with. But he does caution humans with the exponential growth that technological advancement has brought, much of which he had never dreamed he would witness in his lifetime! Every chapter in this book is a crisp attempt at answering these questions.

It is befitting that a scientist and a thinker like Hawking is now buried in Westminster Abbey between two of his heroes — Sir Isaac Newton and Charles Darwin.

Brief Answers to the Big Questions is a stupendous book for it will make one think — a lot! Don’t miss reading this book.

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18 Oct 2018 

“With the End in Mind: Dying, Death and Wisdom in an Age of Denial” by Kathryn Mannix

Bereaved people, even those who have witnessed the apparently peaceful death of a loved one, ofen need to tell their story repeatedly, and that is an important part of transfering the experience they endured into a memory, instead of reliving it like a parallel reality every time they think about it. 

And those of us who look after very sick people sometimes need to debrief too. It keeps us well, and able to go back to the workplace to be reqounded in the line of duty. 

….

Cognitive therapist and palliative medicine pioneer Kathryn Mannix’s With the End In Mind is a collection of medico-narrative stories which focus on the stages of dying. Usually the stories focus on terminally ill patients as it is in such scenarios the patients and their families are anxious and fearful of impending death. The stories are based on decades of her experience with the NHS in UK. They are stories which work equally well as case studies and for the benefit of getting the point across well at times Dr Mannix has clubbed together experiences of more than one patient in one narrative. These are grouped in sections such as “Patterns”, “My Way”, “Naming Death”, “Looking Beyond the Now”, “Legacy” and “Transcendance”.

The stories included in the volume are extraordinary. It is not only the magical quality to the storytelling of experiences while sitting by a patient’s deathbed but it is the calm sense of peace and kindness that pervades every single story. Undoubtedly the crippling anxiety that grips every patient and their families as death approaches has its impact on the families. Every one has a different response mechanism in managing the situation. These may be defined by an individual’s choice of the cultural codes of behaviour they have learned to adopt while processing the dastardly news. The stories are about the experiences of all ages of patients including those who have died in hospitals or those who have died at home surrounded by family. It is always the conversations about dying with every person and their caregivers that may never be easy but has to be conducted.

Notice how often you hear euphemisms like ‘passed’, ‘passed away’, ‘lost’, in conversations and in the media. How can we talk about dying, plan our care or support those we love during dying, theirs or ours, if we are not prepared to name death?

There are many conversations recounted that are memorable for demonstrating to a lay person and the medical professional that certain bedside manners with a large dose of humility, patience, honesty, level headedness, cultural sensitivity, and empathy are required when on a death watch whether offering solace to keening mothers who have lost their babies or even the elderly.  There is one particularly straightforward conversation the “leader” ( head of the hospice where Dr Mannix worked as a young physician) had with a WWII French resistance woman called Sabine who wears her Resistance Medal and who withstood the terror of war and yet was afraid of death. She was an elegant eighty-year-old inmate who was always well mannered and well turned out. Kathryn Mannix was a young trainee in the new speciality of palliative medicine. Her trainer was the consultant in charge of the hospice who had a good rapport with Sabine as he was bilingual and would at times converse with her in French. So when he decided to have the conversation about dying with her in the presence of the nurse to whom she had confided her fears and the young physician Kathryn Mannix, no one was prepared for how the conversation would develop. For the young Kathryn Mannix this particular episode was transformative and has lived with her throughout her career as if on a cinema reel. It formed the basis of her future practice, teaching her to be calm in the face of other people’s storms of fear and “to be confident that the more we understand about the way dying proceeds, the better we will manage it”. She realised over decades of clinical practice that:

The process of dying is recognisable. There are clear stages, a predictable sequence of events. In the generations of humanity before dying was hijacked into hospitals, the process was common knowledge and had been seen many times by anyone who lived into their thirties or forties. Most communities relied on local wise women to support patient and family during and after a death, much as they did ( and still do) during and after a birth. The art of dying has become a forgotten wisdom, but every deathbed is an opportunity to restore that wisdom to those who will live, to benefit from it as they face other deaths in the future, including their own. 

It is curious that Dr Mannix refers to the “art of dying being a forgotten wisdom” as coincidentally historian and chronicler of Delhi and accomplished Urdu translator Rana Safvi mentioned that she has read an account of daily life within the Red Fort during Mughal times where existed a category of women called khair salla waaliyan. They were employed in the Red Fort presumably by the noble families. Their job was to look after well being of the family. They weren’t necessarily nurses or care givers but who could make people feel good.  She thinks their job was to look after the emotional well being of the people being left behind the dying person. None exist now. It is only the professional mourners like the rudalis who continue to exist in Indian society.

[bwwpp_book sku=’97815011732400000000′]

Preparation for death is culturally specific too as with the Swedish ‘Döstädning’, or ‘death cleaning’ which is the focus of Margareta Magnusson’s The Gentle Art of Swedish Death Cleaning discussed beautifully in Christina Patterson’s essay “The ‘new hygge’: downshifting for death“. Journalist Arifa Akbar in her interview with Dr Mannix asked a pertinent question noticeable by its absence in the book itself:

AA: The people whose stories you tell in the book do not ever talk about God or an afterlife. Did you edit out these discussions? (You have said that you didn’t want to discuss religion in the context of end-of-life as it can be polarising and unhelpful.) Could you say if some patients do talk about this aspect and if it is helpful to them?

KM: People’s spirituality manifests in different ways. Where this is a religious faith, then people do discuss God and their hopes, anxieties and desires for an afterlife, as well as measuring their personal worth against the constructs of their faith. I’ve met people hopeful for heaven, fearful of hell, anticipating reincarnation, angry with God, or leaving their fate entirely in Divine hands; I’ve met people with no belief and at peace with the idea of oblivion, and others feeling sad at the ending of self-awareness; I’ve met people who have lost their longstanding faith in the face of the perceived injustice of illness; I’ve met people who discover a faith amidst the emotional storms of terminal decline.

Dr Mannix offers some thought provoking options to initiate conversations about dying as well as a way for the mourners to come to terms with their grief such as death cafes where people in similar situations could gather and share their experiences. She also provides template of a letter with possible points to consider for having a conversation about dying. She shares a list of resources that can be considered to prepare for this ultimate stage of life and recommends watching Australian intensive care specialist Dr Peter Saul’s TED Talk “Let’s Talk about Dying” ( Nov 2011). She also acknowledges Dr Atul Gawande’s books too.

With the End in Mind is a devastatingly powerful book of which extracts must be made available freely. It is certainly a book to be read cover to cover and take its learnings to heart, make them your own.  Persuade those who are anxious about the deteriorating health of their loved ones to read it. It is going to be a near-impossible task, but try nevertheless.  It is unsurprising that this book is on the Wellcome Book Prize 2018 longlist. Well deserved recognition!

Kathryn Mannix With the End in Mind: Dying, Death and Wisdom in an Age of Denial ( William Collins, an imprint of HarperCollins Publishers, London, 2017. Pb. pp.340 Rs 599 

12 March 2018 

 

Khushwant Singh. Two books. Two publishing houses – Penguin and Aleph

Khushwant Singh. Two books. Two publishing houses – Penguin and Aleph


Khushwant Singh. Two books published in quick succession by two publishing houses. Both books have been written when, “according to traditional Hindu belief, in the fourth and final stage of life, sanyaas. …At ninety-eight, I count myself lucky that I still enjoy my single malt whiskey at seven every evening. I relish tasty food, and look forward to hearing the latest gossip and scandal. I tell people who drop in to see me, ‘If you have nothing nice to say about anyone, come and sit beside me.’ I retain my curiosity about the world around me; I enjoy the company of beautiful women; I take joy in poetry and literature, and in watching nature… I have slowed down considerably in the past year. I tire more easily, and have grown quite deaf. These days I often remove my hearing aid…and I find myself relishing the silence that deafness brings. As I sit enveloped in silence, I often look on my life, thinking about what has enriched it…My life has had its ups and downs, but I’ve lived it fully, and I think I have learnt its lessons.”

Khushwantnama is a collection of reflections. Honest, Straightforward. Crisp. Acerbic. Tongue-in-cheek. Ruthless. The essays range from being a “Dilliwala”, the importance of Gandhi, what religion means to Khushwant Singh ( ” It is not God who created us, but we who created God. I am an agnostic. However, one does not have to believe in God to concede that prayer has power.”), on writing, on watching nature, on poetry especially Urdu poetry and Ghalib. The essays I have read over and over again have to be on the business of writing, what it takes to be a writer and dealing with death.

In his reflections upon writing and dealing with publishers, Khushwant Singh does not mince any words. Having written many books, his experience was that he never had any trouble finding a good publisher. But now “the whole business resembles a whorehouse. Publishers can be compared to brothel keepers; literary agents to bharooahs (pimps) who find eligible girls and fix rates of payment; writers can be likened to women in the profession. Newcomers are naya maal ( virgins) who draw the biggest fees for being deflowered. Advance royalties being these days run up to Rs 50 lakh, sometimes even before a word of the projected work has been written. Advances offered to authors in India are often higher than those offered in America or England or in any other European country. But they are offered only for works in English, not for works in our regional languages.”

And his advice on what it takes to be a writer. “Along with hard work, read whatever you can– whether it’s the classics or fairy tales or even nonsense verse. Reading will make you capable of distinguishing between bad and good writing. There is no substitute for reading. This is also the only thing that expands your vocabulary.”

This has to be read along with The Freethinker’s Prayer Book a collection of quotes that he gathered from his reading and many visitors. He maintained many notebooks. The best of these have been published in this beautiful volume. Quite literally from the cover onwards with its Sanjhi artwork of the tree of life to the text within. It is a book that you will want to dip in often.

In Swahili there is a saying that when a person dies it is equivalent to the loss of a library. These books exemplify that it certainly holds true for Khushwant Singh. I have enjoyed reading these books and keep them on my writing desk. Buy these books as companion volumes.

Khushwant Singh Khushwantnama: The Lessons of my Life Viking, Penguin, New Delhi, 2013. Hb. pp. 190 Rs. 399

Khushwant Singh The Freethinker’s Prayer Book and some words to live by Aleph, New Delhi, 2013. Hb. pp. 190. Rs. 495

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