Category Archives: Health and Medicine

No One’s Perfect, not Even Indian Girls (updated)

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Listen, my children to your Akka so old,
For she has a story, which today should be told.

Once upon a time, well over a decade ago
Akka received a call from a voice whispering lowÂ…

“Help. Oh my GodÂ…I don’t know what to doÂ…”
“Wait—Gigi? What’s happening to you?”

“Anneka, I can’t take it anymore; I just want to dieÂ…”
“Shhh, stopÂ…you’re a devout Catholic, I know that’s a lie.”

“WhatÂ…no smile? That’s hilarious, G. Laugh.”

But my own laugh faltered and fell back in my chest,
This was no cry for help, this didn’t feel like a test.

“Anneka, I love you, please always remember that,”

“You stupid bitch Geee, stop, take that back!”

“I won’t let you say Good-bye, this isn’t the end,
I refuse to let you take away my best friend.

I know you feel like you are already dead,
I know about the demons in your heart and your head.

But please, don’t do this, it’s a permanent answer
To a temporary—

She sobbed, “This is worse than cancer,”

“At least then people would feel sorry for—”
“Screw them, and if they judge youÂ…well, fuck them more.
I know; they and your past are impossible to ignoreÂ…


But I also know that I’ve never met anyone with a purer heart,
That you are spun from light and goodness, unlike this tart.

Gigi, where are you, I’m already in my car
Damnit, this is Davis, you can’t be that farÂ…”

“No, please, don’t. I’ve been enough of a burden to you—”

“Gee, I swear to God, I’m going to find you and slap you.”

“Anneka, please don’t hate me for what I’m about to do,
Promise me you’ll forgive me, I’m so sorryÂ…I love you.”

Click.

“GIGI!” I screamed in to an ominously silent phone,
yanking the german car she loved over to the shoulder, alone.

Redial, redial, redial, at least twenty times
Tachycardiac beats and my breath form rhymes. Continue reading →

Live Longer, Smell Worse [Was: Pour Some Haldi On Me]

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“Tasty curry might have a fringe benefit,” headlines USA Today… today. The article is more specifically about the reported health benefits of turmeric. It’s not exactly a scoop, as a scientific paper on the topic was published two years ago and picked up by Manish in this January 1, 2005 post. Still, given the attention span of the typical USA Today reader (and who is that reader, anyway, other than the nameless masses of khaki-panted, cellphone belt-clipped, laptop warriors waking up each morning in the Marriotts of the land?), I suppose it’s information worth recycling from time to time. Plus we get a heart warming story to go with it:

Then Jayne took an Indian cooking class that emphasized fresh vegetables and curry spices.

She began to whip up an Indian dinner once or twice a week — and soon she noticed she wasn’t always looking for a late-night snack. And the curry in the food offered her a bonus: It seemed to ease the pain and swelling in her joints.

“I have arthritis,” says Jayne, 55. “But I’m moving better now.”

Preliminary research suggests Jayne may be right. A study in the November issue of Arthritis & Rheumatism suggests turmeric, one component of curry spice, almost completely prevented joint swelling in rats with arthritis. Other studies have suggested that the spice could protect against diseases such as heart disease, cancer and Alzheimer’s…

Tipster Adi points us to the article as picked up on the news aggregator site RedOrbit.com, where we get the benefit of reader comments. Made-up Indian names, comparisons of desi food to the excrement of various animals, and discussions of desi body odor and penis size are all on the menu. I won’t reprint any of it here but those of you who think racism against desis is no big deal might find it instructive to take a look.

Meantime, pass the lime pickle.

Continue reading →

The neurosurgeon more powerful than Cheney

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Yesterday Siddhartha informed us all of the first Indian American governor to ever hold office in the U.S. (even if it will only be for a few days). It is a proud step forward. I mean, the only powerful desi politician right now is Bobby Jindal, and we all know there are mixed emotions regarding him. The situation in New Jersey got me thinking as to whether or not there is any other back door action to be taken advantage of out there. Can us desis (who often face an electability hurdle because of the pronunciation of our names and our brown faces) get our hands on the levers of power by “non-traditional” means instead?

As most of you are aware, South Dakota’s senior senator, Tim Johnson, fell ill a couple of weeks ago:

In Washington, D.C., on December 13, 2006, during the broadcast of a live radio interview with WNAX radio in Yankton, South Dakota, Johnson suffered bleeding in the brain caused by cerebral arteriovenous malformation, a congenital problem that causes enlarged and tangled blood vessels. He underwent surgery at George Washington University Hospital to drain the blood and stop further bleeding. Johnson’s condition was critical after the surgery. Johnson’s physician, Admiral John Eisold, said that day that “[i]t is premature to determine whether further surgery will be required or to assess any long-term prognosis.”

As of December 28, 2006, Johnson remained hospitalized in George Washington University Hospital. According to a neurosurgeon on the hospital’s staff, Johnson was being weaned from the medication used to keep him sedated, and he was opening his eyes and responding to his wife. [Link]

Johnson’s health is critical to the balance of power in our country. The Senate has 49 Republicans, 49 Democrats, and two Independents that caucus with the Democrats. This equates to a 51-49 majority for the Dems. If Johnson is permanently incapacitated then the Republican governor of South Dakota can appoint someone to fill the vacancy. He will most definitely appoint a Republican. Thus, we will be at 50-50 again and Vice President Cheney (a.k.a. Lord of the Sith) would become the tie-breaking vote. The Republicans would then control the Senate as before the recent election. Enter Dr. Vivek Deshmukh:

The surgery on Johnson was performed by Dr. Vivek Deshmukh, a neurosurgeon with special expertise and subspecialty training in cerebrovascular and endovascular neurosurgery, the statement said. The surgical team included Caputy and Dr. Anthony Venbrux, director of cardiovascular and interventional radiology. The surgery was a success, the statement said. [Link]

“Senator Johnson is sedated to allow his systems to rest and recover from the hemorrhage, and we anticipate no further tests or procedures in the near future,” neurosurgeon Vivek Deshmukh said in a statement issued by Johnson’s office.

“This is expected to continue through the holidays,” Vivek added. [Link]

Here is what I am slowly leading to. Rather than trying in futility to get desis to win political office, maybe we should try a more circuitous approach to the problem. Can anyone contest that Dr. Deshmukh is currently the most powerful man in America? What I am advocating is that we encourage young desis to perhaps go into non-traditional fields like medicine. We might be able to make more of a political impact that way.

Continue reading →

Oh, All Right. But You Asked For It

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READERS are blowing up the tip line asking us to cover the story below. Here’s a sampler:

  • “Where to even start?”
  • “I think the title says enough”
  • “I think this one is fairly obvious”
  • “interesting/ridiculous contrasts between public health awareness vs. outrageous journalism”
  • “I think it’s pretty self-explanatory why this is interesting. Scientific fact? Post-colonial subjugation through emasculation? What do desi women (or gay men) think?”

You asked for it. And here it is, via the BBC:

A survey of more than 1,000 men in India has concluded that condoms made according to international sizes are too large for a majority of Indian men. …

Over 1,200 volunteers from the length and breadth of the country had their penises measured precisely, down to the last millimetre.

The scientists even checked their sample was representative of India as a whole in terms of class, religion and urban and rural dwellers.

The conclusion of all this scientific endeavour is that about 60% of Indian men have penises which are between three and five centimetres shorter than international standards used in condom manufacture.

This news is the top item in William Saletan’s science round-up this morning in Slate, which offers a translation of the key finding for any macacas that aren’t down with the metric system:

Thirty percent of Indian men are 1 inch short, and another 30 percent are 2 inches short.

Cue up another round of outrage, snark, statistics, exotification and sundry manifestations of sexual anxiety. As you can see, two of the tipsters left comments questioning the reporting of this story. Media hype? Colonial plot? Lou Dobbs?

Speaking of sexual anxiety: For those of you who read this site because you are considering becoming involved with a diasporic macaca, I would caution that you not jump to any conclusions about his member until you’ve had a chance to inspect it for yourself. Emigration leads to changes in diet and other health factors, which results in changes in body type. Just because your macaca’s grandpapa might have had a teeny weeny doesn’t mean your wholesome, corn fed, suburban cul-de-sac raised American desi shares the predicament. Whew!

Discuss. [Previous Sepia jimmyhat analysis here.] Continue reading →

India in Focus on World AIDS Day

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THE VIRUS. The fever. The disease. The cocktail. The alphabet soup. The death. By any other red ribbon or name, today is December 1, World AIDS Day, and much of the day’s significant news on the topic comes, for better or worse, from India. (Photo: “An Indian sex worker wears AIDS symbols as she takes part in a rally in Siliguri,” AFP via Yahoo! News.)

aidsday06.jpgFor better, former US president Bill Clinton announced yesterday in Delhi a deal to dramatically reduce the price of effective treatment for children with HIV/AIDS. Among other things this is a fascinating example of a new approach to achieving health outcomes that combines public action with market tools. With funding from five countries, three European and two South American, the foundation has negotiated volume discounts on behalf of 40 destination countries. Thanks to the bulk purchase, the Indian generic manufacturers Cipla and Ranbaxy can sell single-pill tri-therapy drugs at 460 for a whole year’s supply. So the $35 million put up by France, Britain, Norway, Brazil and Chile ends up going a long, long way. $35 million! That’s NOTHING. Imagine if, say, the United States tossed in a little spare change from its daily Iraq expenditure. Grrrrr…..

Anyway, here’s a news story with details:

Only about 80,000 of the 660,000 children with AIDS who need treatment now get it, the United Nations AIDS agency estimates, and half the children who do not get the drugs die by the time they turn 2 years old. The United Nations Children’s Fund, or Unicef, has described children as the invisible face of the AIDS pandemic because they are so much less likely than adults to get life-saving medicines. …

Cipla and Ranbaxy Laboratories, Indian generic drug manufacturers, will be providing pills that combine three antiretroviral drugs into a single tablet, a formulation that is easier to transport, store and use than multiple pills and syrups. The combination tablets also need no refrigeration, an important advantage in poor countries lacking electricity, and can be dissolved in water for babies and infants too young to swallow pills.

Sandeep Juneja, the H.I.V. project head for Ranbaxy, said in a telephone interview that the company was able to provide the lower prices because of the larger volume of sales and because the Clinton Foundation, buying on Unitaid’s behalf, would consolidate many small purchases. He explained that the market for pediatric AIDS drugs was relatively small, fragmented and spread thinly across many countries.

“It would be a nightmare handling those small orders,” he said.”Imagine 40 to 60 countries buying a few hundred bottles individually, with no way to predict how many bottles would be needed.”

The new prices for 19 pediatric AIDS drugs are on average 45 percent less than the lowest rates offered to poor countries in Doctors Without Borders’ listing of AIDS drug prices, and were more than 60 percent lower than the prices the World Health Organization reported were actually paid by developing countries, the foundation said.

On the other hand — and here’s the “for worse” part — even the most abundant supply of inexpensive drugs can’t overcome poor distribution networks and, even worse, bonehead ignorance, especially when it comes from the people in charge of administering AIDS programs. Here’s a horror story this week from rural Gujarat: Continue reading →

The cost of illness

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A friend working in public health once told me that while mortality rates were highest in Africa, morbidity rates (the rate of non-fatal illness) were highest in India. If I remember correctly, she told me that this had to do with relatively high rates of innoculation – which cut all the nasty childhood diseases that lead to low life expectancy at birth – but a poor health system over all.

While I’m not sure if this is still true, what I do know is that getting sick is expensive, anywhere. Consider the impact of illness on financial health in the USA:

50 percent of all bankruptcy filings were partly the result of medical expenses… Every 30 seconds in the United States someone files for bankruptcy in the aftermath of a serious health problem. [Link]

And this is even though “68 percent of those who filed for bankruptcy had health insurance” [Link].

If illness wipes out the savings of relatively high (by world standards) earning Americans, you can imagine what it does to the poor in India. While the cost of medical care is cheaper in absolute terms in India, it is still a large share of already meager resources. Couple that with lost earnings, and the impact can be dire.

About one-fourth of hospitalized Indians fall below the poverty line as a direct result of their hospital expenses, according to a 2002 World Bank report. Many people take out steep loans or sell their homes in order to pay. And for the poor, losing even a day’s wages while waiting in the hospital can be devastating.

“A health event is a bigger risk to farmers than an unsuccessful crop. Once they sell their land or livestock, they become indentured laborers. That takes a generation to fix,”… [Link]
Continue reading →

The World Is High, Not Flat

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akhil bansal.jpg The Philadelphia Inquirer has the first in a series of articles about an illegal prescription drug network that was busted in 2005, as part of “Operation Cyber Chase.” The ringleaders of the network were the Bansals, a family based in India, though part of the business was run out of a warehouse in Queens.

Here’s how the business worked:

Akhil [Bansal] oversaw the family’s North American operations, shipping roughly 75,000 pills a day via UPS. In a little more than a year, the network had smuggled 11 million prescription tablets to more than 60,000 American addresses, an operation that grossed at least $8 million. These numbers did not include the steroids or the kilo shipments of the tranquilizer ketamine, a club drug called “Special K.”

The family’s Internet business represented a dark slice of the global economy so new, and so widespread, that national governments were still struggling to understand it, let alone police it.

Laws were vague, outdated, inconsistent. Technology – new medicines and ways to deliver them – was outpacing regulation. (link)

Unlike Operation Meth Merchant, where a number of the defendants pleaded guilty because they were going to be deported anyway, these guys clearly knew exactly what they were doing, and what they were doing was definitely illegal. In contrast to Operation Meth Merchant, which disproportionately targeted Indian immigrant store clerks, I’m not at all bothered at the take-down of the Bansals — they deserve to be in jail. Rather, it’s an intriguing case study that shows yet again how India’s entry into the globalized, internet-based economy goes well beyond the rosy picture suggested by talk of outsourcing and call centers.

At the same time, I don’t think the Bansals are especially “evil” for smuggling imitation prescription drugs, though it’s definitely dangerous for these drugs to be floating around. (According to NPR, at least one person died after purchasing drugs from a website based in Mexico.) If anything, the Bansals were evil because their business was based on spam, which wreaks havoc with email and is the bane of many a blogger’s existence. Continue reading →

"Just say NO" says Sanjay

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As election day nears we notice that one of the most polarizing of ballot issues is back. No, not gay marriage and not stem cell research. I am talking about that licentious girl Mary Jane.

With a measure to legalize the possession of up to one ounce of pot on the ballot in Colorado and a measure to allow the regulated sale of marijuana and the possession of up to an ounce in Nevada, Tuesday could be the first time voters in any American state have embraced an end to marijuana prohibition. At this late juncture, most polls are painting it as an uphill fight, though organizers have reasons why they believe the polls may be off. The odds are looking better in Nevada than Colorado.

The only state in which marijuana possession is legal is Alaska. There, it was the courts, not the voters, who made the decision. [Link]

Maybe its inevitable that we will have to legalize marijuana in order to reduce our out of control prison population. However, that still doesn’t make smoking pot ok in my opinion. As South Asians, where can we go for advice if tempted (especially you younger readers)? Fortunately our community has a doctor we can trust. He’s a Michigan grad and has an all-American smile to go with his neurosurgeon creds. Let’s see if Dr. Sanjay Gupta has any advice for us before we go into the booth:

… marijuana isn’t really very good for you. True, there are health benefits for some patients. Several recent studies, including a new one from the Scripps Research Institute, show that THC, the chemical in marijuana responsible for the high, can help slow the progress of Alzheimer’s disease. (In fact, it seems to block the formation of disease-causing plaques better than several mainstream drugs.) Other studies have shown THC to be a very effective antinausea treatment for people–cancer patients undergoing chemotherapy, for example–for whom conventional medications aren’t working. And medical cannabis has shown promise relieving pain in patients with multiple sclerosis and reducing intraocular pressure in glaucoma patients.

But I suspect that most of the people eager to vote yes on the new ballot measures aren’t suffering from glaucoma, Alzheimer’s or chemo-induced nausea. Many of them just want to get stoned legally. That’s why I, like many other doctors, am unimpressed with the proposed legislation, which would legalize marijuana irrespective of any medical condition.

Why do I care? As Dr. Nora Volkow, director of the National Institute on Drug Abuse, puts it, “Numerous deleterious health consequences are associated with [marijuana’s] short- and long-term use, including the possibility of becoming addicted…” [Link]

I am totally against drug use (unless its in a dark jungle in Peru under the watch of a trained Shaman). Its amazing how many people think that its okay to drive stoned even if they would be against driving drunk. In any case, please consider Sanjay’s advice before the election on Tuesday.

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Sepia Mutiny Good for Mental Health

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I recently learned that people that are more in attune with their ethnic identity are also less prone to mental health issues.

Ethnic pride can help teenagers maintain happiness when faced with stress, according to a new study by a Wake Forest University psychologist published in the October issue of Child Development. […] Those with higher ethnic regard rated their daily happiness level higher.

“Adolescents with a high ethnic regard maintained a generally positive and happy attitude in the face of daily stressors and despite their anxious feelings,” Kiang said. “So, having positive feelings about one’s ethnic group appeared to provide an extra boost of positivity in individuals’ daily lives.” [link]

Despite integration being healthy, segregated local communities and same culture friendship groups are common. A previous study reported that traditionalism was more common among women but this study did not explore the relation with mental distress or health.33 Traditional friendship choices may minimise the stress related to facing new dress, beliefs, diets, attitudes, religion, and lifestyle. […] Bangladeshi and South Asian pupils with integrated friendship choices had lower levels of mental health problems than white pupils. [link]

So…the way I see it… Sepia Mutiny helps people of our ethnic identity with being more in touch with issues around the South Asian American diaspora. I would even propose that people that, oh say, click the refresh button repeatedly for www.sepiamutiny.com may actually not be psychotic, but actually exemplifies exceptional mental health. Additionally, reading Sepia Mutiny will make you happier.

Sadly, the South Asian American community is still a little confused on how they identify their racial identity here in America. Historically, the U.S. Court Ruling for ethnic individuals from South Asian since the 1920s has gone from: Hindu to Caucasian to Non-white to White and finally to Asian Indian.

The confusion goes much deeper into the self-identification of the South Asian American community – according to research around the 1990 Census, the first time Asian Indians were given a separate identity, we see the following.

When all Asian Indians from the 1990 census sample are considered, regardless of age or household status, and the children of all Indian household heads are included as well regardless of their reported ancestry and birthplace, 83 per cent of this sample of 7,758 describe themselves as South Asian. Among the US-born segment of this sample, however, only 65 per cent use a South Asian term. Instead, 25 per cent of the second generation is identified as `White’ , and 5 per cent as `Black’ . [link]

Allright… So maybe not everybody in our community is as in touch with with their ethnic identity as most of the people that read this site. 25% of South Asian Americans think of themselves as white, for goodness sakes. Granted this was taken back in 1990, and I firmly believe that 9/11 and the years after have significantly changed racialization in this nation. All the same, there are people in our community confused with their racial categorization. So it seems… Sepia Mutiny is additionally providing a service to this 30% identity confused population to further decrease their identity confusion.

I had no idea that SM was providing such a service – shouldn’t the government be funding us for providing this kind of service for society? Seems like we here in the bunker could use a new and improved tagline to reflect these results: Sepia Mutiny: Decreasing your confusion, increasing your happiness, integrating friendships, and lowering mental health issues.With the simple click of the refresh button!

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Rajarshi "Tito" Mukhopadhyay

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Until recently, most of what I knew about autism came from Rain Man. I was surprised to learn, therefore, that a desi is one of the most famous people with autism in the world. Tito is rare – he is both highly autistic and highly articulate. He can explain himself and his behaviors to doctors, thus providing a window into a condition that is still poorly understood:

Born and raised in India, Tito speaks English with a huge vocabulary. His articulation is poor, and he is often hard to understand. But he writes eloquently and independently, on pads or his laptop, about what it feels like to be locked inside an autistic body and mind…

“I’ve seen Tito sit in front of an audience of scientists and take questions from the floor,” said … an autism expert at Cambridge University. ”He taps out intelligent, witty answers on a laptop with a voice synthesizer. No one is touching him. He communicates on his own.”… [Link]

Tito is one of the most famous individuals with autism in the world, perhaps even more famous than Dr. Temple Grandin:

Several of his poems were published in the National Geographic, the New York Times and Scientific American have published feature stories on him, and BBC has aired an Inside Story documentary about him. His book, Beyond the Silence, which contain writings from when he was between eight and eleven years old, covers the first part of his life story and a special selection of his philosophical texts that were featured on BBC. [Link]

In fact, he’s so prolific that I’m surprised he doesn’t have a blog:

”I need to write,” he said recently, scrawling the words on a yellow pad. ”It has become part of me. I am waiting to get famous.”… [Link]
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