Skip to main content

Chance, Destiny and Design

Compared with several tragedies claiming far more lives, the recent accidental crash of an air-ambulance killing several of its occupants and 3 residents has occupied a disproportionate chunck of media attention and evoked strange emotions from citizen.
At the heart of the issue is the human tragedy of a 20 year old young IIT aspirant boy suffering from acute liver failure whose chances of pulling through without a liver transplantation were minimal, and who was being air-lifted to a premiere hospital in Delhi for this heroic and costly treament. What adds to the sense of tragedy is that in a desperate bid to save thier dying son, the family had staked all their fortunes into his treatment (cost of air ambulance Rs 3 lac, cost of liver transplantation at Apollo hospital Rs 21 lac), and sent a young healthy cousin accompanying Rahul in the plane, who died as well, doubling the family’s toll.
Was Rahul, in hindsight, destined to die at this young age? He seems to have been unlucky on several counts: he was among the rare 1% (chance) to come down with hepatitis from every 100 who get exposed to the virus (A or E) that spread in summer months through water or food. He was further extremely unlucky to be among the rare 2% (chance) of young people who slip into liver failure and coma while suffering from hepatitis, from which 98% recover spontaneously.
And at the very last, when the family was striving desperately to save Rahul, his death while being air-lifted seems most unusual (one in a million chance) as civilian air-ambulance crashes are extremely rare, making the “Theory of Chances” look unconvincing.
Also, each desperate attempt by Rahul’s family to change the course of events seemed to have led to further losses. Apart fom Rahul’s cousin, another 7 people, mostly young with their own aspirations and futures, and unconnected with Rahul, died with him. These were 2 young doctors and a male nurse working in the emergency services of Apollo Hospital, Delhi, 2 pilots and 3 women living peacefully in their Faridabad homes, till Rahul’s fate got entwined with theirs.
When too many rare events occur in a cluster, and seem to defy the laws of chance, two lines of explananation begin to emerge: a “Conspiracy theory” in the West and the role of “Destiny” in the East.
While a “conspiracy” theory, in this case, would hardly have any takers even amongst the die-hard paranoids, most would invoke the role of “Destiny”, an ill-understaood phenomenon that accounts for whatever occurs beyond the fringes of chance.  “Destiny” cannot be explained it by the laws of science known to us today. When it begins to touch our lives, we often realize that it usually defies logical deductions, and often seems to have a design and a regulatory force that shapes it. Some may call this cosmic force, God.
As published in HT City (Hindustan Times) dated 29 May, 2011.

Comments

Popular posts from this blog

Food Fads in Liver Disorders

In an attempt at trying to do well to those they love, spouses and parents often enforce diets on patients of liver diseases that often turn out to be detrimental. The commonest food fad is pale insipid boiled cabbage being doled out to nauseous patients suffering from hepatitis that makes them puke even more.  The liver, in a way, is a buzzing manufacturing unit that requires lots of energy to keep its multiple functions going. And it derives all this from the food we eat. During disease, such as during an attack of jaundice, when many of the liver cells get killed, the liver attemptsdamage control by trying to regenerate quickly. For its cells to multiply however, it requires a generous supply of energy that comes from carbohydrates, and protein, the building block for its cells and tissues. Boiled green vegetables unfortunately have neither of these. Hence the situation often progresses to that of a starved liver unable to recuperate due to cut-off food supply.

Bad Dreams, Disturbed Sleep

  A good night’s sleep, so essential to rest your body and mind, and restore ‘energy” and vitality, is becoming a casualty for many these days. Last week a 58 year old lady complained that she woke up with a startle in the middle of the night dreaming of “drugs”, something she had never been exposed to all her life. Another reported a nightmare in which he felt someone was “strangulating” him by tightening something around his neck, till he woke up feeling choked! Yet another reported dreaming that he was in an ICU of a hospital with PPE draped figures surrounding his bed while he was being prepared to be hooked to a ventilator. Bad dreams can be disturbing to say the least. One wakes up with a startle or in sweat, feeling disturbed and uneasy, and feeling drained. The mood in the morning is usually uneasy and snappy. Creative thinking has usually gone for a toss…postponed to yet another day when one feels more cheerful and positive.   Several factors could be contributing to “

The Doctor’s Dress

The familiar white coat worn by physicians as their distinctive dress for over 100 years, has started generating  murmurs  of controversy. It is not uncommon to find the blood pressure to be higher when measured by a white-coat-wearing-doctor in the hospital or clinic than the readings obtained at home by relatives.  This is due to the anxiety that the white coat and the hospital setting evokes in patients, and has been termed “White Coat Hypertension”. Mature clinicians often routinely subtract a few points from these measurements when entering records in case charts or calculating the dose of anti-hypertensive medications to be prescribed. The white coat scares children too.  Kids often express their dislike for this dress by crying and screaming and by denying access to their bellies or chest for examination by paediatricians in this attire. Many pediatricians across the world have folded up their white coats and taken to informal colourful dressing to get closer to thei