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    July 23

    Frisking of Dr Kalam -- Ban on Continental is Called for

    First, kudos to former Indian President Abdul Kalam for putting up with the frisking by staff of Continental Airlines on Indian soil before he boarded a flight to Newark. But being a "Mr Nice Guy" always can perpetuate nonsense and promote arrogance. Unless we stand up for our rights, we are going to be taken advantage of. In this instance, Dr Kalam, as a former President, was protected by Indian protocol against such security measures.

    Continental's action was thus in violation of the laws of the country. It is not as if Continental was not aware of it. Indian security officials had pointed the exemption out to the Continental staff who ignored that and proceeded to frisk one of India's most respected Presidents ever. It is thus clear that it was a wilful violation of the laws of the ground.

    No Reply to India's Notice: Worse, it appears that when the Indian government issued a show-cause notice to Continental, the latter did not bother to reply to it. But when the media raised a ruckus over it, and after the government filed a police complaint against it, Continental proffered a reluctant apology even while cloaking it with the excuse that they were merely abiding by the rules laid down by the U.S.  Their action contravened Indian laws on Indian soil, so they are liable for prosecution.

    Rather than shamelessly gloat over the visit of Hillary Clinton, India must act tough and take stern action against Continental. Or else, India will have to face the criticism of being soft because the luminary involved was a Muslim.

    This is a serious issue and I will go to the extent of calling for a ban on Continental in India. In any case, Continental is a hopeless airline -- easily one of the worst airlines I have travelled in. I wonder why Dr Kalam chose to fly Continental, even Air India will have been better!!

    My Bad Experience with Continental: I had a very bad experience with Continental in May 2007 when I visited Savannah for a conference. I had been booked on a 6.15 pm flight from Savannah to Newark. But, on reaching the Savannah airport, I was told the flight had been cancelled. They offered me a ticket on another flight that had a stop in Atlanta before reaching New York at 10.30pm. This was unacceptable to me as I had a connecting flight in New York at 10.50pm. But the Continental counter staff refused to listen to me, saying I had no other option. It was only after I blew my top and created a scene there that they relented and started exploring other options and eventually found me a seat on a flight from another airline.

    But that meant I would land at La Guardia from where I had to pay US$ 120 for a taxi ride to the Newark Airport. Importantly, because I had changed my flight, the security staff at Newark subjected me to additional screening before clearing me. "When someone changes a flight at the last minute, that raises an alarm bell for us," the security official told me. I could understand that as a bomb threat at the JFK airport had been thwarted only days earlier.

    Anyway, the inconveniece I was put to was because of inefficient service from Continental. On reaching Singapore I sent a stinker to Continental. Not surprisingly, it must have landed in their dustbin as there was no response from them.

    I wrote about this experience in my blog on June 7, 2007. I had then mentioned that "when dealing with Asians, they (Americans) think they have a right to goof up and not apologize. But Dr Kalam's experience shows they assume they have a right to flout the laws of every country other than their own and get away with it.

    The least India can do to salvage some pride is to ban the airline from Indian skies for its deliberate attack on our dignity. We should have some spine and do that even if Obama offers an apology to India and to Dr Kalam. More information on the incident is available at http://finance.groups.yahoo.com/group/prpoint/message/4092 

    -- G Joslin Vethakumar

    July 12

    Babble, Waffle and Jargon...

    British Politicians Told to Cut "Crap"
     
    Hype and hyperbole (or, put plainly, nonsense) are disgustingly common in the western corporate world where it pays to babble, waffle and fool staff, customers and analysts. Senior executives who have been helping perpetuate this trend are not a breed standing alone, politicians the world over are just as pompous and insincere.
     
    Now, an autonomous body in England has come out with a list of words and phrases (stakeholder engagement and holistic governance, for instance) it wants public entities and leaders in the country to avoid. Hats off to the Local Government Association (LGA) for taking steps to promote simplicity in communication.
     
    I wish the message can be relayed to corporate executives as meaningless doublespeak is simply not oratorical eloquence. In a booming economy, we may ignore the nonsense, not when businesses are struggling to stave off bankruptcy. It is a shame that Asian businesses are trying to ape this culture just when the rest of the world is getting tired of it.
     
    For more on the LGA advisory, check out http://www.reuters.com/article/newsOne/idUSTRE52H38B20090318
     
    -- G Joslin Vethakumar
     
     
    July 05

    Saying "Yes" to Remicade, Finally!

    After almost three years of taking triple DMARDs (Disease Modifying Anti-Rheumatoid Arthritis Drugs), I decided to give Remicade a shot this weekend. I was nervously keeping the anti-TNF (tumor necrosis factor) drug at bay for long because of the risk of serious side effects (blood-related disorders, infections and even tuberculosis).
     
    But I decided to give in after weighing the benefits against the disadvantages as my joints (knees, spine, hip, toes, etc.) were rapidly degenerating. The top rheumatologists I consulted (Dr Leong Keng Hong in Singapore and Dr B Rajasekar in Chennai) were unanimous that I should go the anti-TNF way. Also, I began to feel that even the DMARDs I was taking (Sulphasalazine, Plaquenil and Methotrescate as well as Arcoxia) could be toxic.
     
    Sometime last year, too, I tried to get rid of my B27-related arthritis/ankylosing spondylitis by taking Enbrel (one jab) and Humirah (five doses). Both are anti-TNF drugs administered through injections. But, as I felt there was no improvement, I discontinued them. That may have been a mistake. But the biggest mistake I made was stopping all medication for a few months that caused my arthritis to flare up, this time more severe than ever. I resumed the treatment in April this year. Lesson learnt -- don't pretend to be a half-doctor and take decisions on your own!
     
    Remicade is different from Enbrel and Humirah in the way it is administered. Remicade is given through an intravenous infusion while the other two are injections. I got myself admitted yesterday at the Mount Alvernia Hospital (I am becoming a big patron of all private hospitals here!!) for the infusion that took a little more than four hours. But that was preceded by some lab tests. I was also given some steroidal and antihistamine infusions to counter any drug allergies. I was discharged this morning. I had to take three vials of Remicade -- this is decided based on the weight of the patient. Each vial costs a little more than S$1,600, plus hospitalisation charges that can be close to S$2000. The cost of one vial was, however, waived. Quite an expensive affair, nonetheless, as this is a line of treatment I may have to continue for the next several months -- initially every two weeks, and then every four.
     
    Biologic drugs such as Remicade work by blocking TNF, a protein involved in causing inflammation. I am hoping that I will be able to stop after a few infusions, depending on how I respond to it. Healthwise, this has been a challenging year for me so far, starting with a gallbladder surgery this February. Thankfully, nothing has been serious enough, touchwood, to keep me bedridden, and that is a blessing!
     
    -- G Joslin Vethakumar