Year: 2018

  • [jog-journal] Track Change

    Four months, quintals of biriyani, and almost fainting inside the metro day before yesterday because I darted to catch it and came to a standstill immediately. It took me these to realize that I should take care of my health even if Bangalore isn’t as enticing as Mysore to go for morning jogs.

    There is Jayaprakash Narayan Park near where we stay. It does have some water body inside it, but not a lake. There are brick lanes throughout the park and a sand lane that runs through the perimeter. So, today morning when I woke up at 5:40 after ten minutes of my alarm ringing, I decided that I shall resume jogging. Since I’m not a big fan of the calendar days I didn’t have to wait till new year for making a resolution.

    There was a pup about 2 months old tied to the gate of my neighbour’s house. It jumped up and caught my calf with its tiny paws two days back when I saw it. But today it was sitting still, yet vigilant. The Rajapalayam which roamed third main road was sitting in front of its owner’s gate. The German Shepherd (also known as Alsatian, a fact I came to know now when I searched “difference between German Shepherd and Alsatian”) inside was not near the gate and so didn’t bark at me like it usually does. The obese dog at the corner was walking today, for a change. It usually is always sleeping. Maybe it too had a realization today morning.

    By the time I came back even the two Indian Pariahs right next door were up. And the Pomeranian was walking behind the newspaper boy for getting its well deserved pat. The pup had broken its meditation, raised its paws and reached out as far as the leash would allow it to.

    Did you notice one thing? There were no cats around. I’ve never seen a cat do morning walk. Neither one that actually eats cockroaches. Cats are everything that humans should not be – lazy, selfish, and enigmatic about what their thoughts are. And dogs? Dogs set the ultimate standard that humans should strive to reach – persistent, caring, and down to earth about their feelings. You now know why I love dogs more than cats.

    The primary care fellowship and infectious diseases case based learning series are both set to start in January. I remembered it because just yesterday in JeevaRaksha JALS workshop at NATCON 2018, we met some wonderful young doctors with idealism not lost and that spark remaining in their eyes. Hopefully the day after we will meet again and discuss the heroism of incremental care, the wonderful life without “specializing” and the rat race, and a different style of learning and practising the art and science of medicine.

  • 11 Years of Blogging

    I am on Blogger since November 2007. It is 11 years this month.


    When I began, it was just me exploring the Internet. Everyone was making blogs back then. And I had to make one too.

    I made one. Then I made another, and then another. I have created some 36+ blog on blogger. I made one for my village, for my city, for my school, for my other school, two for my college, one for my university, one for pre-med preparation, one for physiology, one for biochemistry, one for anatomy, one for boss linux, one for scouting, one for APJ Abdul Kalam, one each for all subjects that fascinated me. The vast majority of them are bare barring one or two posts.

    Facebook, Twitter, and others took the crowd away and in turn the publishers. I have written countless posts on Facebook only to lose them all when deleting my account.

    But it wasn’t about the medium. It was about the act. Expression of an opinion. Free speech. Archiving thoughts and information for posterity. In fact, the latter is the philosophy behind my website learnlearn.in.

    Thank you @freephotoscc for sharing these awesome photos on https://freephotos.cc/ for free! šŸŽ

    Blogging helped me develop a perspective on things. It made me think more concretely and in depth about whatever I wrote about. And I wrote about a lot of things.

    It also gave me a rare confidence of accomplishment. I was creating things rather than consuming. And on the internet, the creators are one rung above the consumers. It is this confidence that propels me on a path of building things.

    I am excited about this milestone. And the result is going to be more things from me for you to read.

  • Photograph 51, Bangalore Little Theatre rendition

    In my 6+ years in Mysore, I’ve seen around 6 plays. 2 plays that I don’t remember, and 4 times “Madhyarathriya Thiganegalu” by Rangayana.
    Come my second week in Namma Bengaluru, I witnessed a 1 hour 30 minute spectacle called “Photograph 51” by Bangalore Little Theatre. Oh, where do I start about this heart warming, yet insanely funny and intellectual play?
    The venue was JRD Tata Auditorium. There were scientists and senior citizens taking up majority of the seats. The stage was set as a dimly lit Chemistry lab. The story of Rosalind Franklin.
    “The play is about the race to solve the structure of the DNA and the role of Rosalind Franklin who provided the critical evidence for this. For a long time, she never got the credit and this play highlights her efforts in science at a time when the doors of science were not open for women.”

    The introduction by the director and his daughter set the tone for what was about to come. Photograph 51 is that image of the DNA taken by Raymond Gosling and made the mystical thing a little less mystical.

    As soon as the cast walked on to the stage, the narration started, by none other than the actors themselves. This is one of the many exciting things about the play. There is no narrator. But there are many narrators. And they are all part of the play as well. The narration is sometimes weaved through dialogues. The fourth wall gets breached many times, but what do you call the wall between the narrator and the actor?

    Then there is the wit. If I were to put the play in one genre, I would choose comedy over history, feminism, and science. But it is not a comedy play. The wit never bothered the story. Wit was always self-contained either in soliloquies or in quick exchanges between the actors.

    There is love. There is passion. There is heartbreak. There is reality. This play is a must watch.

    And for that matter, they are performing it one last time on 29th September in Bangalore. Head over to BLT’s website for more information.

  • Understanding the 1/5 Unconstitutionality of Aadhaar and What You Can Do About It Today

    What is the difference between a monarchy and a democracy?

    I am Tipu Sultan. I rule the kingdom of Mysore. I ensure that my kingdom flourishes. In order to ensure that, I will make certain rules. I will punish those who do not follow the rules. Welcome to Mysore.

    We are the people of India. We will decide what happens in India. We will elect representatives among us to make rules for India. We will keep changing these representatives. We will ensure there is social, economic, and political justice; that there is freedom of thought, expression, belief, faith, and worship; that there is equality of status and opportunity among us; and we will promote among ourselves fraternity assuring the dignity of each of us and the unity and integrity of India.

    Which of these places would you want to be born in? Mysore or India?

    I was born in India. I was not born when India was in hundreds of pieces and ruled by different kings. Neither was I born when India was under the British emperor. I was born after Indians came together, said “enough is enough” and claimed India for themselves, and having drafted for themselves the Constitution of India, decided to live by it as a democracy where justice, liberty, equality, and fraternity will prevail. Thank goodness I was born in a democracy.

    Here is a picture of the constituent assembly. Whatever they discussed while drafting the constitution is available on the Loksabha website. Reading through the constituent assembly debates is in my bucket list as well. 

    Anything more than incremental change is hard. Except during revolution. During revolution, change is the norm. India’s independence from Britain was a revolution. Because of our experience with monarchy, we chose democracy as our governing moedel. A strong constitution is fundamental to the survival of a democracy. We drafted a strong constitution taking inspiration from various strong democracies. We set that in stone. We set our democracy in stone.

    The beautiful thing about principles is that well-thought principles rarely need to change. For example, Mahatma Gandhi made truth and non-violence his principles. He could live his entire life on those principles. It is principles that give rise to many of the organizations we see around us. When the principle dies down, the organization too. The way we operate, the rules we follow, the things we do, everything can change. But the principles won’t. Indian constitution defines the principles of our nation. Whatever happens in our country should be in line with the principles laid down in our constitution.

    Think about it for a second. The constitution is the foundation of our democracy. If we do not uphold the constitution, we are destroying our democracy, we are giving up on all the principles that the constitution stands for. Hold that thought.

    The constitution alone is not sufficient to run a country. Which is why the constitution allows for setting up of legislative, judiciary, and executive branches for the democratic government. Legislative to write laws. Judiciary to read laws. Executive to execute laws. (Like Unix file permissions). And there is clear power separation between the branches on who can do what.

    The distinction between branches work well when everyone is doing just what they are supposed to. Law gets passed by legislature that from October 1 people should ride their vehicles on the right side of the road. Police fine or even arrest people who are riding on the left side on Gandhi Jayanthi. They are produced before the court and the court gives them the punishment prescribed in the act.

    Things get murky when the constitution is involved or invoked, though. Vrinda Werkijal who was arrested on October 2nd, goes to the court and says “It is my constitutional right to ride on the road as I please. Rather than punishing me, you should strike down the law that says I can’t ride on the left side.” Then the court would be happy to point out to Werkijal that there is no constitutional right to ride on any side of the road and put Werkijal in jail.

    But, imagine the law was about free speech. Say UP passes a law tomorrow that says people should not use the word “beef” in the state. Abhish Mathew could go to the court even before he gets arrested and argue that the law is against the fundamental right of freedom of speech and therefore should be struck down. Easy peasy.

    Wish everything was so black and white. Many laws are huge. Huge in terms of the components in it. Take Aadhaar Act itself. It has 59 clauses spread over 8 chapters. And many of these are complicated compounded sentences with multiple sub-clauses. When an unconstitutionality claim on such a thing is claimed, it will indeed take months of litigation and thousands of human hours to decide on constitutionality.

    In short, there is only one argument against aadhaar: it ensures surveillance while claiming to ensure welfare and does not even ensure welfare.

    Let us imagine. What does it take to decide on this case? Even for a person who is not influenced by politics and not corrupt, it takes deep and philosophical understanding of:

    • the constitution
    • how surveillance damages democracy or how privacy is important in democracy
    • the disproportionate power that entities with access to big data obtain
    • the technology that is running behind aadhaar
    • the reality of welfare delivery in our country

    Unfortunately, superficial understanding of these won’t do. Someone with superficial understanding would say things like, “hmm, aadhaar will help catch terrorists”, “hmm, we can save money by removing fake accounts in the PDS”, “hmm, you don’t have to worry about surveillance if you have nothing to hide”.

    But if you go read the critiques of aadhaar, you can hear deeper perspectives on how biometric authentication is probabilistic and how arbitrarily a threshold setting configured on a software can either declare you undeserving or deserving for your fundamental rights; on how design choices enabled illegitimate enrollment which has lead to ghosts and fakes in the database – the very thing you set out to weed out; on how democratic voices are stifled in a surveillance state; on why Rajya Sabha is indeed a part of the parliament; and so on.

    Relevant section from Supreme Court judgement on Aadhaar’s constitutionality

    So, why would someone feel like aadhaar is unconstitutional while others don’t? Why is it 1/5 unconstitutional? You know the answer, don’t you?

    If you would like to spend more time crying over spilt milk, read from page 568 onwards of this PDF file.

    What you must do now

    As a citizen of India, it is in your own best interest to ensure that the democracy continues unharmed. The best way to do so is to elect representatives wisely. That is not an everyday choice though. But you do have a choice every day to engage with the government. For example, ministry of electronics and information technology has invited feedback on a draft personal data protection bill. The bill is riddled with issues. First, read analyses of it. Here are a few links:

    Looking at loopholes in sections of the Bill pertaining to data ownership, RTI and more
    Loopholes pertaining to empowerment of children, consent and surveillance State
    Indiaā€™s data protection draft ignores key next-generation rights

    Then, write to the ministry with your comments.
    Through Ministry directly
    Through Maadhyam

    Be a good citizen. Live in a strong democracy.

  • Bridges, bridges, everywhere

    I’m a Bangalorean now. I have a metro card as well. For about a week now, I have been talking to a lot of people and reading (also searching for 1BHKs around IISc). Turns out there are not many secrets in answers to “What to do in life?”

    There were a few points that made sense and helped me gain immense clarity. I’ll list them down.

    Immanuel Kant: Mark Manson’s post on him is a nice read on the kind of moral philosophy that we can have. It is slightly complicated but boils down to “strive to be the best, if not you’re doing injustice to yourself”.

    Remember it was the same idea that propped up earlier with reference to Gita.

    In fact, Priyanka Chopra lists down 12 rules in her breaking the glass ceiling talk which sounds similar as well – be fierce, fearless, and flawed.

    Stoicism: Talking about fears, Tim Ferris made a really nice TED talk on defining fears and defeating them. He gives an excellent tool to practice stoicism. And stoicism is an absolutely useful “-ism” in times of uncertainty.

    Bridges: The place where I have to go to isn’t really somewhere that people frequently go to from my place. Therefore, I have to build a few bridges to that place. The only issue is to differentiate bridges from hangouts.

    Money: There are a few important lessons about money.

    One is that money saved is indeed money earned. If you can decrease your expense, you won’t need a huge income.

    The other is that money created is a measure of value created. If you are building a product and want to know if it really adds value to the world, just count how much money has been generated by the product.

    Integrity: When we talk, we need to walk the talk. This doesn’t mean you stop talking about anything that feels important to you. It means that you should keep pushing. Talk, then write, then do, then do more, then do maximum, and then keep doing.

    Bed bugs: Bed bugs are really pesky pests. Do not try to adjust with such annoyances. Overcome them.

    Failure is not a choice. But success definitely is.

  • What Next?

    I am privileged. I was born into a higher middle class family in Kerala. I have not been discriminated against based on my family’s religion/caste/colour/whatever. I am male. My parents are both alive and work in public sector. I even had access to internet at a very early age. I was allowed and assisted to dream.

    Precious copy of my life plan (written after 10th standard)

    My father is a doctor. I became a doctor. Natural. It was not incredibly difficult. I did not have to fight unfair situations. I had plenty of help.

    I think it is because of my excellent background that I am able to even recognize these privileges.

    Consciously or not, much of my life’s philosophy is influenced by this. My obsession with free knowledge, is a good example. I may not be able to erase the advantages I already have, but I try to avoid relying on them.

    There is no point in beating myself too much either. I am not responsible for my privileges. But I am accountable. Having had all this, if I do not make the best out of them, I am wasting them. When life gives you lemons, make lemonade. But what if life gives you apples?

    I have a few straightforward options.

    • Become a specialist/super-specialist doctor. Work in one or two hospital(s). Make a lot of money. Help a lot of people.
    • Go back to SVYM. Help build a resurgent India.
    • Join some other organization/hospital/research project which can benefit from a clinical doctor.

    None of these are mutually exclusive options either.

    Yesterday I was coincidentally discussing with dad a verse from Gita which has many different interpretations.

    karmaį¹‡yēvādhikārastē mā phalēį¹£u kadācana.
    mā karmaphalahēturbhÅ«rmā tē saį¹…gō.stvakarmaį¹‡ią§·ą§·2.47ą§·ą§·

    Specifically, it is the last part we concentrated on. “You should not not do your duties.” How do you know what your duties are, though?

    Every person plays multiple roles in their lives. They would have multiple roles each inside family, work, society, and any other sphere of their life. There are duties in each of these. Is there any way you can prioritize one above the other?

    I have never been good at prioritizing things in the past. I usually get distracted by the most visible task and forget rest of my duties. I sometimes am able to note them down and come back to them. But this is fixable.

    24 hours is what everyone has per day, on Earth. There are indeed people who get a lot accomplished in that 24 hours. If they can, so can I. I will have to organize my time well and get disciplined. And more importantly, I will have to choose the right commitments.

    That is what we are coming to, aren’t we? Commitments. What are the right commitments for me now? What should I do next?

    I keep reading “A Guide for Young People: What to Do With Your Life By Leo Babauta” now and then. The gist is this:

    The idea behind all of this is that you canā€™t know what youā€™re going to do with your life right now, because you donā€™t know who youā€™re going to be, what youā€™ll be able to do, what youā€™ll be passionate about, who youā€™ll meet, what opportunities will come up, or what the world will be like. But you do know this: if you are prepared, you can do anything you want.

    Prepare yourself by learning about your mind, becoming trustworthy, building things, overcoming procrastination, getting good at discomfort and uncertainty.

    You can put all this off and live a life of safety and boringness. Or you can start today, and see what life has to offer you.

    Lastly, what do you do when your parents and teachers pressure you to figure things out? Tell them youā€™re going to be an entrepreneur, start your own business, and take over the world. If you prepare for that, youā€™ll actually be prepared for any career.

    Is this advice for me? Am I already at that point where I should be knowing what I’ll be doing and who I am? At the end of my final MBBS, I thought the one year of internship will be the time when I finally understand what I will do with my life. But I was wrong. During FHM, I got a few ideas on the kind of life I do want to pursue. I am sure I will not be going back to a university in a few years. And then there are a few preferences.

    I sort of want to do things that create massive impact. That is why I got bored of clinical work. It was the same thing happening every day. Sick patients, some diagnosis, some treatment, some outcome. At the end of the day, not much has changed in the way things are.

    I want to do creative things as well. I do not want to be remembered for things I did. I want to be remembered when people use things I built.

    I love internet. It is a technology that has immense potential. I want to utilize it.

    I love computers. Computers (including the small ones called smartphones) are all over the world. Sooner or later they will take over the world. I definitely want to be a part of this take-over.

    I love teaching and learning. I want to help people learn all they want to. Knowledge should not become monopolized. 

    I believe I am good at a few different skills – programming, writing, clinical care, teaching. I want to do things that utilize all my skills. If I do not utilize all the skills I have, I am wasting those skills. That would be running away from “duty”.

    In fact, I have a few ideas in my mind which are aligned with all these preferences. I want to build free software (free as in freedom) that bring the power of internet and data science to healthcare. I want to enable people (especially the ones in healthcare) to achieve more through the use of technology. I want to make sure this immense power (of technology) does not get accumulated in a few hands. And I want more people like me – I want to ensure there are hundreds of thousands of people with me who do things like me (or better!).

    These can’t happen if I am alone. I need to connect with people. I need to build on collective strength. I already know a few people I would love to work with. Almost all of them are in the Silicon Valley of India. What makes perfect sense for me to do next is – move to Bangalore and start talking to people. That’s what I am going to do as well.