This site is a personal archive of reflections on medicine, memory, and lived experience. It brings together essays written over four decades of clinical practice, teaching, and institutional life in Sevagram and beyond.
I am a physician and teacher, trained in internal medicine and public health, with a long-standing interest in evidence-based practice, medical ethics, and the social contexts in which care is delivered. My work has been shaped by rural practice, academic medicine, and the everyday realities of caring for patients in resource-limited settings.
These essays do not aim to offer conclusions or prescriptions. They attempt, instead, to record observations—of people, institutions, and moments that often escape formal histories.
Matter of Fact is written for students, clinicians, and readers interested in the art and science of medicine—and in the quiet stories that unfold alongside it.