Table of Contents
A physician’s journey through Wardha, Nagpur, Berkeley and Sevagram — across medicine, friendship, idealism, illness, teaching and memory.
I • Roots and Shoots
II • The Crucible
III • Arrival in Sevagram
IV • Widening Horizons
V • Student at Forty-Seven
VI • The Paper and the Digital
VII • The Administrator’s Chair
VIII • The Pandemic Years
IX • The Inner Circle
X • Beyond the Stethoscope
XI • Unusual Patients
XII • Reflections
Epilogue
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
Arrivals by Detour
Weekends at Shankar Nagar
The First MBBS
Life in the Boys' hostel
Boyd and Barbiturates
Shadows of 1975
Summer of the Cooler and the Lambretta
Teachers, Terrors, and a Quiet Triumph
Internship in Yavatmal
Internship in Bhadrawati
The House Officer
Tryst with Dr B.S. Chaubey
Residency: The Grind
Poverty of Thoughts
Residency: The Mastery
The MD Trial
Life in the PG Hostel
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 · 1985–2004
Widening Horizons
Teaching, research, and the slow realisation that medicine is as much about people, place, and trust as it is about disease.
The Kitchen Surgeon
The Rhythm and the Record
Taking the Helm
The Press Near Rajkala Talkies
The Bulletin Years
Tales from the Typists
The Institute’s Biography
Quiz Day on a Shoestring
The Art of the EBM
Bapu Ki Beti, Hamari Behenji
The Belgaum Bond
The McMaster Calling
Sevagram in the UK
Labours of Love
The Double-Blind Trial
Amar Jesani and the IJME
The Awards Paradox
Part V · 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 VI · 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 VII · 2008–2023
The Administrator’s Chair
Fourteen years as Medical Superintendent — buying equipment, calming tempers, counting beds, and facing crises that usually turned up after midnight.
The Reluctant Administrator
The Colossus of Prena Kutir
Dhirubhai Mehta
The Custodian of the Ledger
Three Rooms, One Hospital
The Deans of Sevagram
Playing the MS Innings
The Numbers Game
The Hundred Square Foot Office
Three Rooms Where I Changed
Science Without Sponsors
The Price of a Prescription
Clearing the Corridors
The Graveyard of Paper
A CT in a Village
The Architecture of the Heart
The Miracle in the Village
The Summit of the Mountain
The Shadow on the Summit
The Origami of the Heart
The Lifeline in the Machine
The Shield of the Poor
The Art of the Scrub
Chasing the Score in Seven Minutes
The Art of the Gentle Goodbye
The Sanctuary of Twilight
The Library on the Hillock
The Making of a Mural
The MS Office: Full Circle
The Emergency Room Paradox
The Diminishing Likeability Quotient
Leaving on My Own Terms
The Sevagram Send-off
Part VIII · 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.
The Phantom and the Anatomy Hall
The Battle for the Medical Soul
The War Room
The Oxygen Crisis
The Architecture of Care
The Heavy Toll
The Epidemic Within
The Anniversary Reflection
Standing in the Storm
The Studio and the Stethoscope
The Digital Resistance
The Poet as a Shield
The Lessons of the Storm
Part IX · 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.
The Patriarch
The Silent Weaver
The Final Lesson
Graceful Exit
The Custodian of Stories
Jiji
The Operating System
The Godhuli Bela Wedding
Ashwini Arrives
Amrita Arrives
Akhtar's Auto
Guidance Point
The Sevagram Symphony: A Monsoon Wedding
Amrita and Sahaj: A Sevagram Story
Amrita's Gold
The Canine Coup
Joyful Chaos
The Three Departures
Part X · 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
Monsoon Century-and-Half
The Guangzhou Misadventure
The Brevet That Broke My Confidence
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
A Life in Books
Cricket, and the Crowd
Two Hundred Classmates, Six Hundred Pages
Part XI · Throughout
Unusual Patients
Clinical puzzles, diagnostic knots, and patients who did not fit inside the neat lines of a textbook case.
Part XII ·
Reflections
What four decades in one place can teach about medicine, institutions, and the shape a life may take.
Part · 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.