Table of Contents
A physician’s journey through Wardha, Nagpur, Berkeley and Sevagram — across medicine, friendship, idealism, illness, teaching and memory.
Places
Milestones
I · Roots and Shoots
II · The Crucible
III · Arrival in Sevagram
IV · The Inner Circle
V · Print and Practice
VI · Student at Forty-Seven
VII · The Paper and the Digital
VIII · The Administrator's Chair
IX · The Pandemic Years
X · Unusual Patients
XI · A Reckoning at Sixty
XII · Beyond the Stethoscope
13 · After the Chair
Epilogue
Map
Places in the Memoir
A sketch map and interactive guide to the places that provide the backdrop to this memoir.
1957 – 2026
Milestones
Personal and professional milestones across six decades of medicine and memory.
Part I · 1957–1972
Roots and Shoots
A childhood in Wardha: an upper-middle-class home, three schools in three languages, and a year in science college before medicine walked in.
Part II · 1973–1982
The Crucible
Nine years at Government Medical College, Nagpur — MBBS, MD, and an education that went far beyond textbooks, wards, and exam halls.
Roll Number 49
The Boy from Wardha
When Medicine spoke only English
Cycles and the Medico Bus
Hanumannagar Days
Four Who Came the Long Way
Weekends at Shankar Nagar
107 Out of 200
Room 99
Boyd and Barbiturates
Three Buckets of Freedom
Summer of the Cooler and the Lambretta
The PSM Ambush
The Lumbar Puncture I Did Alone
Cricket by Correspondence
Fire in the Side Lab
Tryst with Dr B.S. Chaubey
A Thesis Nobody Read
Poverty of Thoughts
A Box of Books from My Father
Seven Minutes for a Lifetime
Second Prize for Handwriting
Part III · 1982–1985
Arrival in Sevagram
A young doctor comes to a rural teaching hospital on ₹650 a month, planning to stay for a short time — and, almost without noticing, stays on as four decades slip by.
Part IV · Throughout
The Inner Circle
Family: parents, a marriage in 1984, a son and daughter who also graduated from MGIMS Sevagram, granddaughters, three dogs who thought they owned the house, and the home life that grew alongside the hospital years.
Part V · 1985–2004
Print and Practice
Teaching, research, and the slow realisation that medicine is as much about people, place, and trust as it is about disease.
The Kitchen Surgeon
Munjewar and Bijewar
The Major-Minor Notice
The Press Near Rajkala Talkies
We Remember You
Tales from the Typists
The Eighth-Grade Typesetter
Quiz Day on a Shoestring
Meeting Madhu
Bapu Ki Beti, Hamari Behenji
The Belgaum Bond
Missing the Flight to Toronto
Ironing a Dress in Yorkshire
Thirty-Two Theses
The Double-Blind Trial
Amar Jesani and the IJME
The Award I Refused Twice
Part VI · 2004–2005
Student at Forty-Seven
A fellowship at Berkeley: new friendships, a year away from home, a first serious meeting with epidemiology and evidence-based medicine, and the surprise of going back, mid-career, to the student’s side of the desk.
Part VII · 2004–2023
The Paper and the Digital
Trying to build a hospital information system in a place where computers were new and even the electricity could not always be trusted.
Part VIII · 2008–2023
The Administrator's Chair
Thirteen years as Medical Superintendent — buying equipment, calming tempers, counting beds, and facing crises that usually turned up after midnight.
The Reluctant Administrator
Dr. Sushila Nayar: The Colossus of Prerana Kutir
Dhirubhai Mehta: Architect of Growth
P.L. Tapdiya: The Custodian of the Ledger
The Rooms of Metamorphosis
The Deans of Sevagram
The MS Innings
₹13 Lakhs for a Ventilator
The Hundred Square Foot Office
Learning to Sit With Dying
Science Without Sponsors
The Five-Rupee Dignity
Clearing the Corridors
The Graveyard of Paper
A CT in a Village
No Plaque, No Name
The Eyes Behind the Masks
Zero Debt
The Program I Shut Down
The Baby Who Turned Pink
The Barefoot Neonatologist
Two Machines, One Technician
The Cap Limits the Reimbursement, Not the Care
The Art of the Scrub
Chasing the Score in Seven Minutes
The Sanctuary of Twilight
The Library on the Hillock
The Making of a Mural
The MS Office: Full Circle
My Greatest Professional Failure
The Chair That Turns Friends Into Factions
Leaving on My Own Terms
The Sevagram Send-off
Part IX · 2020–2022
The Pandemic Years
COVID-19 reaches Sevagram, and the hospital — and the people who keep it alive — learn what they can bear while trying to practise science in a time thick with fear and rumours: building simple, rational systems of COVID care and resisting the push to use unproven but popular remedies.
Part X · Throughout
Unusual Patients
Clinical puzzles, diagnostic knots, and patients who did not fit inside the neat lines of a textbook case.
Part XI
A Reckoning at Sixty
What four decades in one place can teach about medicine, institutions, and the shape a life may take.
Part XII · Throughout
Beyond the Stethoscope
Other callings and quieter passions: long-distance cycling begun at sixty, reading, learning new technology, a little coding, and slowly letting go of roles once taken to be permanent.
Har ki Doon
Two Days at Sitapur
Monsoon Century-and-Half
The Guangzhou Misadventure
DNF
If It's Not on Strava, It Didn't Happen
Crosswinds and Confidence
Three Hundred, One Shadow
Four Hundred, and a Wall
Ten Thousand Kilometres
The Marwari Gene, Slightly Misdirected
Cricket, and the Crowd
Two Hundred Classmates, Six Hundred Pages
From Stethoscope to Keyboard
The Lecture That Would Not End
Part 13 · 2023–2026
After the Chair
Stepping down after thirteen years, a return to teaching and the bedside, and the quiet archival work — of classmates, founders, and early alumni — that filled the years the administrator's chair once took.
Epilogue · 2026
Epilogue
An ending of sorts: a reckoning, a last walk through familiar corridors, and a look at what remains when the day’s rounds are over.