Sunday, February 26, 2012

My first ( disaster of a ) dinner party




Living alone in a small town, I was often invited for sumptuous meals  at people’s homes. Being poor at cooking, I used local catering services to return the hospitality. Life followed a smooth pattern until one day, a senior officer insisted that I cook a home meal for everyone. No amount of protests by me or my divulging what a hopeless cook I was would cause him to relent.” Ours is not to question why, ours is to do or die! ” I thought and took up his request. A date was chosen and invitations made.

Being the only other medical officer, apart from the commanding officer (CO), I could not get leave from my morning OPD duties for that date. Also,the CO did not at all seem to share my perspective that the situation fitted the ‘emergency leave’ category. I enlisted the help of two bais (lady helpers) for the cooking.  My Sahayak (male helper) was entrusted with  sprucing up the house and carrying over drinks from the canteen.

On the day of the party, I returned from work in the afternoon to the aroma of cooking and assumed the menu would be mostly prepared . I thought of the special finishing touches I would give. I was in for a rude shock : only two dishes were done; one bai had not turned up at all  and the other had to leave in a hurry as she was urgently needed at home. So there I was, with five hours left to go for a big party with poor culinary skills and no manpower ! Various plan ‘B’s raced through my mind. A cancellation would seem I was evading my social duties. I wondered if I could ask one of the invitees to come and help cook ( their own dinner) but then decided against it. Whereas this practise was acceptable on travel and living shows, in real life it would not go down well at all !

Desperate measures were needed. I explained my predicament to the Sahayak and told him that he had to venture far beyond his normal call of duty for that day. Some time later, I was preparing the gravy and seasoning and the Sahayak, whose only relationship with food so far had been eating it , was cutting vegetables. I tried not to let it perturb me that the vegetable pieces , being so slowly and painstakingly cut by him, were of completely different shapes and sizes or that tiny bits of peel were still sticking to them. I reminded myself that at this juncture our sole aim was just getting food (of any sort) on the table. Anything else was a luxury. I strategically put large quantities of gravy over the vegetables to hide their unevenness.

Later in the afternoon, a dear friend, my CO’s daughter, called to check how I was doing. In the course of describing the reasonably grim situation, I discovered that I had not factored in dessert !  My wise friend had a brainwave which mitigated my feeling of despair. All we needed was a  quick ride into town to pick up fruit and fresh cream -a timeless classic. She soon brought her moped to my house and I instructed  my Sahayak to keep a benign overwatch on the last dish, mutton curry, for the short while I would be away. The reluctant chef was petrified at the thought of being left alone in a kitchen with a simmering dish but I told him the situation just could not accommodate a breakdown on his part. I pointed out to him his robust innings with the vegetables. I told him the tough part was over, now only a delicate flick of his wrist was needed - to turn the burner knob from high to sim after the requisite whistles.  My counselling worked.Thankfully.

We quickly found the fruit and cream but on the way back, luck deserted us as my friend’s moped had a flat tyre. Providentially,a boy she knew lived nearby. I was greatly releived to learn this. She told me however, that she found his attentions unwelcome and  normally went to great lengths to avoid him. I pleaded with her to make the supreme sacrifice of being showered with unwanted attention for the sake of my dinner. Half an hour later, the boy, whose cup of joy had run over ,was dealing with the puncture at an unhurried pace (he wanted his lady-love near him for the longest), my friend was fuming  and I was fretting. The supreme irony was eating the tasty snacks served by his mother even as I worried about my own amateurish  menu.

When we reached back home around 7.00 pm, the first few guests had already arrived. The Sahayak (who was in the loop over telephone) had told them I would be back very shortly and they were wondering about this most unusual welcome. I tried to slip in quietly, but unfortunately, the guests managed to glimpse my dishevelled clothes and the large packages in my hand. I smiled weakly at everyone, murmuring excuses, and they smiled back encouragingly. I changed faster than Superwoman and went to the rescue of the dishes and the chef. My heart sank completely at what I surveyed-the Sahayak had clean forgotten the whistle count and the mutton was in shreds ! I thought the only way out was to give the dish an exotic name and pretend they made it like that in some less-visited country. My brain toyed with names such as ‘Rare fibril mutton venison’and ’gourmet stringy surprise’as I regarded the damaged dish.

During the course of the evening, I alternated between kitchen and drawing room while the guests chatted amiably. My friend helped me cut the fruit and blend in the cream. Finally,the time came for dinner to be put on the table. The women called their little children to eat first. One look at the dishes on the table and the adults quickly grasped the situation. The innocent children however, stared suspiciously at the slightly strange looking food and loudly asked what each dish was. Even after their mothers had somehow correctly identified the base vegetable, and told them the name,they were not easily convinced ! They kept voicing their doubts loudly, despite stern gazes from their parents and my ears kept turning a deeper shade of red. The adults, in contrast, were kindness personified, going about their business of eating very silently, hiding their disappointment  well. I noticed that all took very small portions of everything except the two dishes which the bai had cooked. Many asked for bread alongside, which thankfully, I had.

When the dessert came on, there was a palpable sigh of collective relief.  Everyone was still very hungry and there was nothing that could go wrong with fresh fruit and cream. All heaped their plates high. But they had not reckoned with my persistent streak of bad luck that day. The grapes were sour. The guests laboriously picked small fruit pieces off their plates trying to avoid the grapes, which was rather difficult given the creamy disguise each little fruit  piece wore. Unfortunately for all (by Murphy’s law of disasters - if he has one such) grapes just  happened to be the signature fruit of the dish.

At last the guests left. I imagined hearing hunger rumblings in their stomachs as they said their goodbyes. In silence, I  contemplated the day’s events and the used plates with uneaten grapes arranged along their perimeters. I consoled myself with the thought that the guests had certainly enjoyed each other’s company at least. Life went back to the usual pattern and for a long while no one tried to disturb the system by introducing novel concepts such as home –cooked meals at young officer’s residences!

Thursday, February 9, 2012

Safeguarding our mental health


Dr Anjali Mehta

Defining what really constitutes good mental health is difficult although the meaning is instinctively understood  . It is a state of mind that enables an individual to function efficiently in society. Understanding the complexities of the mind needs a heightened degree of awareness. Mental illness that does not fit into a well-recognised syndrome often goes undiagnosed. Sometimes, the sufferer does not recognise his own affliction though it may be apparent to others.
In the past, mental illnesses were not well documented. People recognised “eccentricities’ in their friends and relatives but were fairly accepting of these and the “eccentric” party usually found at least some support within the ranks of the family. Actually a really thin line separates normal from what lies just beyond it. For example, a person who washes his hands three times daily is deemed hygeinic, but handwashing twenty times daily would possibly come in the realm of obsessive compulsive. The grey area is with handwashing 6-8 times a day. In such a case, must we start to worry that something may be brewing in the brain? Caregivers are often  in a dilemma about how much to let the natural personality develop and what and how much to curb in the child’s behaviour.Many of us are on one side or the other of the active child versus Attention Deficit Hyperactive Disorder debate. There are no easy answers.
Why are we more vulnerable than ever to mental problems ?
The faster pace of life nowadays gives us less time to heal naturally from traumatic events . With families becoming increasingly nuclear and people less tolerant, social isolation makes people more prone to mental illness. People spend an increasing amount of time on their computers but it can’t compare with the warmth of a direct human interaction . The life span of humans has increased and there is a larger population of elderly people. Also, diseases like cancer and AIDS  took the lives of their patients with great impunity earlier but now there are many survivors. However, chronic illnesses cause significant morbidity  and this leads to greater prevalence of sickness related depression. In today’s strife torn world, many children are growing up seeing war and bloodshed all around. This plays havoc with their mental health in the years to come. Also, soldiers who are increasingly being sent on peace keeping missions around the world are prone to post- traumatic stress disorders.
We are susceptible to mental stress at almost every stage of our lives. Right since birth. Psychiatrists have ascertained that  emotional coping mechanisms are formed in the first few years of life. In the school years, shy , affable children are the ones who are the most easly bullied and can be left with long lasting emotional scars. Often the bully himself is riddled with deep insecurities which makes him/her behave thus. Teenage has its quota of confusion, succumbing to peer pressure and experimenting with drugs and alcohol. As adults, the three big areas which may prove challenging are marriage, work and chronic illness. Old age brings loneliness and vulnerability .
Why is mental disease more difficult to diagnose and treat
A mild mental health problem is rather difficult to pick up . It is not very clear where “mood” or “personality” ends and where mental health disorders begin, even for a trained psychologist. A physical disease causes a lump, pain, discoloration or other visible and often quantifiable symptoms. How does one describe a heartache ? And how would a layperson know when natural sorrow has ended and given way to depression? These illnesses therefore simmer under the surface for a longer period than physical ones.
Making a diagnosis is not easy for a psychiatrist . The patient may not want to reveal everything in their history if they feel ashamed of something or they want to impress a psychologist they have developed a rapport with . From another perspective , for a psychologist to deal with confused, irrational ,slow patients usually requires good listening skills and the fortitude of a saint. Drawing out information on the status of the mind is clearly not an easy task.
Assuming the diagnosis is made; cures are not easy. Individual sessions with the doctor are lenghthy and the course of therapy spills into weeks and months, requiring large investments of time and not many patients or even doctors possess the staying power . Cures are not easily attainable : we all know that removing a lump surgically is far easier than changing the way a person thinks.The results are not clearly identfiable though improvement can be ascertained. Relapses occur often.
Mental health, including hospitalisation is not covered by insurance and the cost has to be borne by the patient in totality.
The drugs used in psychiatry often have side effects that may impair a person’s ability to function as they can lead to drowsiness or a dullness of affect.  A patient may have to take these for long periods.

How we can safeguard our mental health

At an individual level
Being proactive :  If we have troublesome physical symptoms such as headache or toothache, we are likely to promptly consult a doctor, but how many of us would consult a psychiatrist that routinely ? Acknowledging that all is not well your mind is fraught with unpleasant social implications . We should learn to pay more attention to our minds also. In fact, a mental health check up should form an integral part of the routine annual health check up offered by hospitals .
Being alert :  A high index of suspicion should be maintained for changes in behaviour or uncontrollable behaviour. For example , sudden onset of mood swings in a person may be attributed by the family to his/her alcohol consumption or lack of professional success whereas it may be a result of a hormonal disorder or a  brain tumour. Likewise, a person’s uncontrolled eating may be attributed to his lack of will-power whereas it may be a hypothalamic disorder.
Mental exercises/meditation:   A sound mind is our most prized possesion, to be guarded well. The buddhists are known to indulge in mental exercises to make their minds strong. Yoga and meditation are effective and healthy ways to lessen stress. We must build in a mental health routine into our daily life just as we build in physical exercise.

At a group level
Mind lifeguards : School consellors or work counsellors, being trained people can pick up subtle mental disease in the group they are in charge of and provide good advice and treatment. They also build in general stress releiving games and activities into the daily routine as a preventive health measure.

Promoting mental health and peace at a social level.
Spiritual groups and other initiatives.  Concious promoting of mental peace is being done by several organisations including  Art of living , Brahmakumaris, Buddhist monks and such like . In a novel development, the Indian army decided to train its army priests to be counsellors .The priests could recognise early signs of depression in those who they came across during daily prayers and also counsel the concerned soldier or officer.
The arts and culture : We know that even the simplest minds do not fail to appreciate the beauty of music and music therapy is much in vogue for several mental disorders. Movies can be used to create awareness amongst people about mental disease and induce more sensitivity in people. Many acclaimed movies on various mental disorders have made a big impact on audiences. A few such are: “A Beautiful Mind” , “ Taare Zameen Par” “ The Prince of Tides” and on a lighter note, the incredibly funny “Analyse This”
To summarise, as far as mental health is concerned,even if we understand it only intuitively we must guard it zealously !