The Follow-Up Register: Remembering My Mentors

“All actual life is encounter.” — Martin Buber


A Meditation on Memory, Mentorship & the Maps We Keep

There are weeks when silence speaks louder than words. This was one of them.

During my walking and sitting meditations this week, two faces surfaced — not as memories to be filed away, but as living presences, as Buber might say, genuine encounters. Not the I-It of archived recollection, but the I-Thou of a relationship that continues to breathe and shape, long after the physical meeting has passed.

Before I speak of these two remarkable men, I want to sit briefly with a concept that has been running beneath the surface of my reflections like an underground river — the daimonic.

Awe-Burlington Lakeshores
Burlington Waterfront-Fall-2025

Food for Thought: The Daimonic

Rollo May (1969, as cited in Hoffman et al., 2019) described the daimonic as:

“any natural function which has the power to take over the whole person” (p. 65).

May was careful to clarify that the daimonic is not inherently evil or destructive. It is raw, primal, creative energy — neither moral nor immoral in itself. What matters is how we meet it:

While the daimōnic cannot be said to be evil in itself, it confronts us with the troublesome dilemma of whether it is to be used with awareness, a sense of responsibility, and the significance of life, or blindly and rashly… When the daimōnic is repressed, it tends to erupt in some form. (p. 129)

This is the paradox of vitality. Repress the creative fire and it does not disappear — it finds another exit, often destructive. Engage it consciously, with responsibility and awe, and it becomes a source of extraordinary generativity.

My two mentors, each in their own way, were men who had learned to engage the daimonic — in their fields, in their lived histories, and in the volatile landscapes they inhabited. And they, in turn, helped me learn to do the same.


The First Encounter: Dr.Sandeep Kawlra, MD (Dr. SK 1) — Delhi, 1997

I first met Dr.Sandeep Kawlra, MD (Dr. SK 1) in the mid-1990s, in a diagnostic centre in Delhi, quite unremarkably. What followed, over the decades, was anything but unremarkable. Born on July 2,the son of immigrants from the part of British India that became Pakistan, he embodies many layers of experience and history.

By the time I encountered him in 1997, I had already spent over a decade in medicine. I carried two degrees from the medical universities of Delhi and Bombay (now Mumbai). My father — PNB — a specialist in Cardiac Anaesthesia, had been my earliest and most intimate mentor, inspiring and instilling in me both the discipline and the devotion that medicine demands. Being a regular meditator, he imbibed in me the spirit of stepping back, seeing the bigger picture and invoking the healing energies of the universe.

My mentors in Microbiology at Maulana Azad, Delhi (1992–93) had given me something I would carry for a lifetime: the follow-up register. A practical, living document used to map bacterial strains across a hospital, track resistant patterns, and maintain a dynamic clinical picture — not a static snapshot, but an evolving cartography of what is happening and why. One such mentor also had an in-depth knowledge of not only bacterial strains and different media to see their sensitivity (and resistance) but also of Indian Ragas, Botany, and life. He was a misunderstood genius, who would sometimes come in conflict due to his idiosyncracies.

My mentors in Radiology at KEM–Seth GS Medical College, Parel, Mumbai deepened this practice further. A registrar would be specifically assigned to follow up on critical findings, attend clinical rounds, gather real-world feedback on patient care, and bring that learning back to the department — to sharpen protocols, to close the loop, to ensure that knowledge did not die in isolation.

Dr. SK 1 helped me refine what these teachers had seeded. One of the first questions he asked me still echoes:

“Do you have a system-based interest or a modality-based interest?”

With my Mentor, October 2011- Greater Kailash, New Delhi. Dr.SANDEEP KAWLRA- the year I returned after participating in the war in Libya- the Libyan Chapter of the Arab spring, the year I lost my mother – Dr SK has stood with me and helped me in many critical moments in my life
First Time we Met 1997 Dr. Kawlra is my mentor.- When I first met him in 1997, I had already spent more than a decade in medicine, and had taught and learned specialist medicine-Microbiology-Maulana Azad, Delhi, and Radiology, KEM -Seth GS-Mumbai, after doing my graduation from Maulana Azad. I had presented a thesis in different universities, done research on Methicillin-Resistant Staphylococcus Aureus (MRSA), worked on Chronic Long-Term complications of Head Injuries and the imaging findings in Complex Pelvic Injuries, and then I met Dr.SK 1 and realized how little I knew. One of the first things he asked me was whether I had a systems-based interest or a modality-based interest.

Given the realities of Delhi imaging in the 1990s, I leaned into modality-based interest — that was where the world was, and where the work was. But the question itself planted something. Over the decades, the slow, patient work of integrating those modalities into a bigger systemic picture became one of the most meaningful intellectual and clinical journeys of my life.

The follow-up register was the thread that held that integration together.

When I face doubt, when a challenge looms large and the noise of the immediate threatens to drown out the wisdom of the whole, I step back. I try to see the bigger picture. And I add a specific layer of nuance by asking myself:

“What would Dr. SK 1 say?”

I invite his energy — his precision, his creativity, his capacity for awe.

Dr. Kirk Schneider, in his luminous book Rediscovery of Awe, reminds us that awe is not reserved for stargazing. It is, at its most fundamental, the brute, trembling awareness that we exist at all. Dr. SK 1 has always carried that quality — an alertness to the extraordinary embedded in the ordinary.


The Second Encounter: HB 1 — Tripoli, December 2003

On a cold December morning in 2003, I met the second mentor I remember this week — I will call him HB 1-Tripoli. Born on July 7, in former Yugoslavia, he embodied many histories and legacies. The concept of Yugoslavia, as a common state of all South Slavic peoples, emerged in the late 17th century, with the name derived from the Slavic word -jog (south) and Slaveni (Slavs). The formal creation of Yugoslavia accelerated after the 1917 Corfu Declaration. It emerged as the Socialist federation under Josip Broz Tito from 1944 to 1980, and dissolved after his death, becoming five different countries, leading to the Yugoslav wars.

We met in Libya, a country then still living under the long shadow of 42 years of Muammar Gaddafi’s rule (1969-2011). Over the next 15 years, HB 1 became a fellow traveller, a mentor, and a witness. Together, we watched — on the ground — the shifting and often violent recomposition of a nation.

HB 1 came from a military background. He was not a man of sentiment about systems; he was a man of functional precision. He understood maintenance, supply lines, checklists, and follow-ups not as administrative tasks but as acts of survival and foresight. In his lifetime, he had witnessed the dissolution of not one, but two armies — the Yugoslav Army of Josip Broz Tito, and the Libyan Army of Muammar Gaddafi. He had seen what happens when systems collapse, when follow-up stops, when the register goes unreviewed.

Making lists, keeping checklists, and tracking outcomes was, for HB 1, a deeply nuanced practice — never mechanical, always alive to context. He understood that what you track reflects what you value. And that what you fail to track has a way of ambushing you.

In his quiet, measured way, he reinforced something I had first learned in hospital wards and radiology departments: the follow-up register is not bureaucracy — it is a form of integrity.


The Follow-Up Register: A Living Practice

What these two men shared — across utterly different disciplines, geographies, and life histories — was a commitment to tracking the living encounter over time. Not just the first impression, but the arc. Not just the diagnosis, but the outcome. Not just the policy, but what actually happened on the ground.

In my current work as a psychotherapist, this practice continues — now applied to the most intimate of all territories: the human psyche, the therapeutic relationship, and the integrative, creative, and spiritual-daimonic forces at play in each person’s life.

The clinical and social experiences of living and working across four continents form the soil from which I work. And the follow-up register remains a cornerstone.

Each week, I review it — not as a performance metric, but as a contemplative act. I ask:

  • Which interactions brought life into a positive frame of growth and gratitude?
  • Which sent someone — or me — into a frame of regression and resentment?
  • Where did the daimonic erupt because it was repressed? Where was it engaged with awareness and responsibility?
  • Where did genuine encounter, in the Buberian sense, take place?

Closing Reflection: Encounter as the Ground of All Learning

Buber’s words open this blog, and they deserve the last word too:

“All actual life is encounter.”

The follow-up register, in its truest form, is a record of encounters — clinical, human, historical, interior. It is how we honour the relationships that shaped us, by continuing to learn from them. It is how we honour our mentors, not by idolising them, but by staying in conversation with what they gave us.

Dr. SK 1 in a Delhi diagnostic centre in 1997. HB 1 on a cold Tripoli morning in 2003. My father PNB, leaning over a complex cardiac case. A microbiology mentor mapping resistant bacteria on a ward. A radiology registrar walking the clinical rounds.

All of them alive in the register. All of them still teaching.

The daimonic, when engaged with consciousness and care, does not erupt in destruction. It becomes generativity — the kind that can be passed forward, one encounter at a time.


Written in reflection, during a week of walking and sitting meditation. With gratitude to the mentors who helped me shape maps.


References:

Buber, M. (1958). I and thou. Scribner.

Hoffman, L., et al. (2019). Existential psychology East-West. University Professors Press.

Jezernik, Božidar (2023). Yugoslavia without Yugoslavs: The History of a National Idea. Berghahn Books. pp. 221–222. ISBN 9781805390442

May, R. (1969). Love and will. W. W. Norton & Company.

Schneider, K. (2004). Rediscovery of awe. Paragon House.

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At Fred’s: Father’s Day 2026

This Father’s Day (June 21) and the week leading up to it were marked by some interesting discussions with a mentor about communication and team building. One highlight was when my mentor emphasized the importance of truly listening during team conversations, rather than just waiting for your turn to speak. He shared a tip: before responding to someone, pause and summarize what they said in your own words. This not only shows respect but also ensures you have really understood their point. I found this immediate and practical, and it reminded me how small changes in our communication habits can strengthen relationships within a team.We met around the High Park area of Toronto, and this morning we sat at Fred’s place.

Reflections on Father's day reminded me of some mentoring discussions.

The review of student life and its integration with industry experience led to a rich reflection on communication. I remember my own time, when after graduating (India-Delhi-1989), it took me around four years to find a proper placement. In those years, I did rotations in Medicine, Psychiatry, Microbiology, taught medical students while preparing for the entrance exams. One of my mentors helped me set up labs for testing methicillin resistant Staphylococcus aureus MRSA and encouraged me to create a map of the entire hospital, based on infections. This was an added layer of interrogation at a level deeper than the classifications and charts we did at the under graduate level. Those lessons have stayed with me in my approach to caring. For example, if I see a client in psychotherapy context, I do make a note of what measures have been taken before to deal with issues (healthy positive or unhealthy negative) and whether there is any resistance to any particular techniques. For example, I found one young man who is regular in therapy, very resistant to any suggestions to making tabular summaries.

Looking back, one lesson that became clear during my job search was the value of staying persistent and keeping an open mind about opportunities. I learned to use every interview, even those that seemed unpromising, as a chance to practice sharing my story and asking questions to understand what employers really needed. My advice to students today would be to reach out for informational interviews, not just job interviews, and treat every conversation as a learning step. Staying connected with mentors and being open to feedback made a big difference for me, and I encourage others to do the same.

My father was posted in Pune, Western India, at that time, and he would come and spend time with me in the hostel on Bahadur Shah Zafar Marg. We would go for walks in the morning to Kotla, and he would talk about his own college and university days, when he would be preparing for pre-medical studies (1956-57), his early days as a medical doctor in the Indian Army (the first of his many visits to the North East, 1960s).

The relevance of these came to life while I was having coffee with my mentor at Fred’s as I reviewed the many discussions and readings I had with my sons this past year. One specific moment stands out: during a project my son and I worked on together, I caught myself interrupting him as he struggled to explain his approach. My impatience got in the way, and I realized afterward that it discouraged him from sharing his ideas freely. That experience reminded me how important it is to slow down, listen fully, and give others space to express themselves. Father’s Day was a time to review and reflect on these moments and to commit to being more patient and supportive moving forward.

Later, to integrate these reflections and lessons into daily life, I went for a silent meditation at Port Nelson Park in Burlington. I found a quiet spot overlooking the water, settled myself comfortably, and closed my eyes. Focusing on my breath, I allowed my thoughts to settle and gently reflected on the conversations and lessons from the past week. I brought to mind the themes of patience, listening, and openness to feedback. As I sat in stillness for about twenty minutes, I recited a Pagan version of the Serenity Prayer, letting its words guide my intention for greater acceptance, courage, insight, and grounding.

God and Goddess, grant me the power of water to have the Serenity, Grace, and Ease to accept the things I cannot change.

The Power of Fire to have the energy and courage to change the things I can

The Power of Air has the wisdom to know the difference.

The Power of Earth has the strength to keep me grounded and continue on my path.

Earlier Perspectives

​Earlier Perspectives

Malta-2012

Kariya Park-2013

Kaithu-Shimla-1940s

For a customized plan to develop connections with Self-Others-Nature-Spirit, you can contact Prashant (drpbhatt@gmail.com, 6478181385) and integrate into your current life

Personal Growth point of reflection · How did the meditation or the Pagan Serenity Prayer impact your mindset or actions afterward?

My example- the power and energy of water, early in the morning, took me down memory lane, and see how the experiences of pre medical studies of my father in mid 1950s, were mirrored in the pre-medical and post-graduation experiences which I had in the 1980s,1990s and the need to refine them in the context of North America -in the 2025 scenario.

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Finding Serenity: Lakeshore Reflections

After a hectic two weeks, attending conference and travelling, back to the Serenity of Lakeshore. The different segments of the Lakeshore have been my thinking places for over a decade. As part of a community, as a family and also in my professional work, I have been going to meditate on Lakeshores, river banks and sea fronts for a long time. Here are some videos of the Pagan Version of the Serenity Prayer-

Serenity prayer-Pagan Version

God and Goddess grant me the power of water to accept

with ease and grace what I cannot change

The power of fire for the courage and energy

to change the things I can

the power of air for the ability to know the difference

the power of earth for the strength to continue my path

Newsletter 2026- Counselling Mantra of Hope 4310 Sherwoodtowne Blvd

Earlier Perspectives

Books– Oral histories from narratives of Libya, North Africa-

2011- Arab Spring

2004-2016-Narratives of common working people

Tripoli Reading Group

Libya Tripoli-2004-2016

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