A 50-year-old post-menopausal woman underwent an abdominal hysterectomy due to complications associated with fibroids. A few days after the surgery, she began experiencing continuous abdominal pain near the incision site. Over time, the pain worsened and she developed a swinging type of fever. Despite the absence of any visible signs of infection at the incision site, the abdomen was tender to the touch. In light of these symptoms and signs, an intra-abdominal infection was suspected as a postoperative complication; and…

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The ‘infant boy’ from a remote village, whose life was saved through surgery for a ‘blocked’ stomach 36 years ago, is a friend now! Chamika Nishad Weerakkody is a 36 year old Draughtsman working in Moneragala. He had been following my YouTube videos and gathered my phone number from the website (drgamini.org). Subsequently a WhatsApp message was sent to me on 6th February 2022, inquiring as to whether I was working at the Polonnaruwa Hospital in the’80s. He said my…

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“A difficult but rewarding task” Continuing my previous story, this is a summary of my experience in treating patients suffering from burnt gullets / stomach which includes in brief the surgical procedures used to relieve their suffering by replacing the burnt gullet with another segment of the digestive tract illustrated with photographs and X rays. Unable to take in the required nourishment for survival these patients were in a poor state of health at the time of admission to the…

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Part 1 Let me begin with a short story … For 42- year old Somalatha, working overseas as a housemaid promised to be that fabled ‘green pasture’. Having slogged as a servant in Colombo households to earn a living, the prospect of going abroad held much appeal. She dreamt of a new country, a new life, a new job, and a new lease to her existence, having suffered much along life’s rocky road. It was with this hope and anticipation…

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According to the English dictionary, the word twist has many meanings; it may mean to turn something, or change, to change the meaning of facts of a statement or distort. It also refers to a dance, the twist, in which people stay in one place and twist their bodies from side to side to music- a dance performed with strenuous gyrations especially of the hips. This reminds me of the song by Chubby Checker, THE TWIST which was popular in…

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A brush with death in a midnight crash and a huge gash on his neck Silva never expected to live another day to relate his story, but HE DID! Silva was a 27 year old young man who earned a living by driving his own three wheeled trishaw taxi. He used to work from morning and sometimes till midnight to earn a substantial income for his living. He has had many brushes with death like all 3 – wheeled trishaw…

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“whatsoever  you  do  to  the  least  of  my  brothers  that  you  do  unto  me” (Matthew 25:40) This story is about Premasiri, a thin and tall 35 year old farmer sporting a beard. His hometown was Polonnaruwa, but was working in the sugar cane cultivations in Hingurana situated in the Ampara District of the Eastern Province of Sri Lanka. One day, while driving in Polonnaruwa, I noticed a young man sitting on a very low stool by a way-side boutique. He…

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Chronic Kidney Disease (CKD) of unknown aetiology is the most common kidney disease prevalent in the North-Central Province of Sri Lanka today and so it is in Polonnaruwa as well. However, in the 1980’s when I worked there as the Surgeon this condition was unheard of and by far the most common form of kidney disease that I encountered in the surgical ward was Kidney Stones. What are kidney stones, where do they form? What is their chemical composition? A…

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