The
Hippocratic Inspiration For Bollywood
It was an afternoon -
evening in between times call from my dear friend Sushanta asking me to write
something for our forthcoming and very ambitious project entitled 'URULI'
, the dedicated ‘magazine’ being prepared to be published during the
Durga Puja 2015 at Bengaluru by our very own and beloved Assam Association
Bangalore...I also knew that much water had flown in this regard and it was a
sensitive topic to broach to Sushanta whether we should call it a magazine or
just a souvenir ... the dominating thought and consensus amongst the wise
counsel agreed to it being called a 'magazine' ... so when i was asked and
subsequently given the topics of health and travel to write on ... it was a
pleasant surprise and yet a very big responsibility to make a slightly esoteric
topic like 'health' interesting, enriching, invigorating and
fulfilling...nevertheless here is a humble effort from my end and hope you
enjoy the read ...
One of the most
fascinating aspects of being a doctor is the unsaid oath that we as doctors
globally take of ensuring the most ethical treatment protocols are followed as
and when we treat a patient ... this is what is globally called the
'HIPPOCRATIC OATH' ... however, in India medical science has been very
successful in straddling the celluloid screens with some very memorable and
also hilarious outputs over the years ... truly time and
again Bollywood does seem to get inspired from Hippocrates or to put
it simply from Medical Science.
One of my first memories
of how a film made against the backdrop of medical science became
a blockbuster is that of the magnum opus called 'ANAND' (1971)... while
everybody remembers the melodic singsong way in which Rajesh 'ANAND' Khanna
calls Amitabh Bachchan 'Babu Moshai' I am sure many would not remember the
dreaded terminal disease Anand is diagnosed with in the film ... any guesses
folks ??? In the film itself Anand himself is heard explaining his disease and jokes about
the name that, “kisi viceroy ka naam lagta hai. aadmi vividh
bharati par announce kar sakta hai.”... the name being
'LYMPHOSARCOMA OF THE SMALL INTESTINE' , a type of abdominal cancer to put it mildly and
simply.
So was
the fancy sounding form of cancer just thrown in for the purposes of character
development? Or was it perhaps actually the name of a disease Hrishikesh
Mukherjee, who was a Chemistry major student, stumbled upon by chance many
years ago as a chemistry student? Whatever the reason, clearly no one on their
crew knew the correct pronunciation of the word or the following it would
develop. The tragic diagnosis then took on a cult status in Bollywood movies,
memorable for its almost bizarre obscurity, and became de rigeur for anyone needing a terminal disease.
It resurfaced most memorably in the smash-hit comedy Munna Bhai, MBBS (2003) about a Bombay thug-turned
doctor who fights for the life of a patient with none other than…you guessed
it, lymphosarcoma of the intestine ! Surely,
this was a nod to the original “patient-doctor” film Anand.
Now where Bollywood takes a leap of another kind
is making the disease a most dreaded and terminal type which is far from the
reality. There’s probably a reason why you haven’t heard of lymphosarcoma
of the intestine in real life. A 1922 paper that discussed three cases of
the disease in-depth in Annals of Surgeryremained
the definitive word for many years. The paper described it as an extremely rare
and obscure condition about which current knowledge was lacking (this was well
before the age of DNA). Also discussed is how towards the end of the illness,
the patient presents with severe constipation or vomiting—both unpleasant
effects that Mukherji failed
to include (they probably would not have gone over
well on screen).
Nearly 100 years later, the term “lymphosarcoma”
is obsolete–by definition all neoplasms of the lymphoid tissue are cancerous
and simply termed “lymphoma.” So what was perhaps once called the mysterious
lymphosarcoma of the intestine is now recognized as intestinal non-Hodgkin’s
MALT B-cell lymphoma. Still, this particular form of non-Hodgkin’s lymphoma occurs
infrequently (only 8% of B-cell lymphomas), but retains a good prognosis if a
particular chromosomal mutation does not occur. It can be caused by chronic
inflammation from the bacteria H. Pylori, in which
case, antimicrobial agents could cure you. Unfortunately
for Anand, H. Pylori would not be
discovered until 1982. Still, surgery and chemotherapy were available options
for these patients, neither of which seemed to have been advised for Anand. For
him, lymphosarcoma of the intestine remained an unavoidable death
sentence. I know there too much of medical jargon I have used in the para
above ... well that's just to say that misinterpretation of a medical condition
to create a melodrama is not always advisable.
And now you’re saying, so what? So Hrishikesh
Mukherji made melodrama from an obscure fatal disease and didn’t stick with its
actual forms of progression and treatment, big deal? Well, I’m here to say, for
whatever it’s worth, lymphosarcoma of the intestine became ingrained under
false pretenses in the imagination of Bollywood when knowledge about something
more realistic and with a higher incidence might have actually served some
benefit. What if he was just dying from End-Stage Renal Failure due to severe
diabetes after a life of eating pure asli ghee? Yes, it’s
a stretch. All right, a huge stretch. But someone had to say it.
Well
Bollywood had much to offer apart from specific diagnoses, who can forget other
iconic scenes such as a flashing red light outside the “operation theatre” (all
my years as a medical student and later as a doctor I truly do not remember
seeing that flashing red light apart from the one that is on the
ambulance); the almost inevitable cure of blindness that occurs at the end
after the eye bandage is removed etc. etc. (as brought to its height as an art
form in Mere Jeevan Saathi.
Of
course, the modern day Bollywood has made rapid strides into the inner realms
of medical science by exploring many esoteric and might I say exotic
medical conditions like Progeria as seen in 'Pa'; Asperger's Syndrome as seen
in 'My Name is Khan' and before I forget 'Retrograde Amnesia' as
seen in 'Ghazni' ...
Yes
medical science can provide loads of inspirational stories and truly many of
these have went on to become iconic movies winning laurels and awards for the
sensitive portrayal of human frailties... some quick names that comes to
my mind are 'Rainman' the brilliant Dustin Hoffman enacting Autism and Tom
Cruise playing the perfect foil; 'Children of a Lesser God' a simple movie
story that brings to focus beautifully the life and challenges of the deaf and
the dumb and yes 'Outbreak', the epic on the ebola virus and how it is brought
under control. In recent times, I did enjoy the 'The Curious Case of Benjamin
Button' an interesting reverse take on Progeria wherein a person starts aging
in reverse order.
But
folks do not forget that it all began for us with the now iconic 'LSOSI' 😄