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Obituary of Tsewang Yishey Pemba

January 14, 2012

Thursday 12 January 2012
Tsewang Yishey Pemba
Tibetan surgeon who worked with refugees from the Chinese takeover of his native land and later founded the first hospital in Bhutan
Dr Tsewang Yishey Pemba was the first Tibetan to receive British medical qualifications and the first Tibetan to obtain a fellowship of the Royal College of Surgeons. He was founder of the first hospital in the Himalayan kingdom of Bhutan where he served as consultant physician to the Bhutanese Royal Family.
He was born in 1932 in Gyantse, the son of Pemba Tsering, a clerk at the British Trade Agency, who shortly after his son's birth was promoted to Yatung township in the Chumbi Valley, wedged between Sikkim and Bhutan. Here, the young Pemba wandered the forests, scrambled about the Alpine-like valley and was brought up in the all-pervading religious daily life of Tibet. He was to recall, however: "We were not sweet cherubic Tibetan creatures, we would play 'war', and 'captives' would be whipped, sometimes so unpalatably that they would bawl enough to frighten a yak."
When his father was posted to Tibet's capital, Lhasa, he was cared for by his mother and grandmother, the latter having a great influence on him. "Granny came from Kham in the east and was famed her illicit, potent arrack which she distilled like some benign witch from Macbeth." After a year, he, his mother and infant sister travelled to Lhasa, riding on ponies on a journey which he later likened to "something from the times of Chaucer and The Canterbury Tales."
[En-route, they crossed the 16,600-foot Kharu-La pass and crossed the Tsangpo River in coracles. In Lhasa they resided at the British legation in the Dekyi-Linka  - 'The Park of Happiness'.
On the 6th of October 1939, he witnessed the arrival of the new Dalai Lama, then a child, into Lhasa and sometimes, from his schoolyard, he would watch His Holiness carried by in his palanquin, within colourful, long, spectacular parades. On one occasion, he was blessed by His Holiness in his summer palace, the Norbhu-Linka  - 'The Jewel Park.'
One day in 1939, he was surprised to see a group of strange looking horsemen ride into the British legation at the Dekyi Linka where his family resided, "who had blond hair, blue eyes and dirty unkempt beards". They were the scientists of the 'Ernst Schaefer Tibet Expedition' from Germany. A very sacred ceremony took place and all Europeans were requested not to photograph a certain image of a deity. "The Germans had not listened and were surrounded by a crowd who smashed their cameras. They were lucky to get away." In October that year he witnessed the great excitement of the arrival of the new child Dalai Lama into Lhasa and later was once blessed by His Holiness.]
In Lhasa he trod the holy circular "Lingkor Walk" where he saw certain highly polished rocks reputed to cure joint pains and years later, as a qualified doctor, he wrote, "certainly a place for harassed orthopaedic surgeons to send patients." 
He was the first Tibetan to obtain British medical qualifications
Tibetan schools just taught basics and wealthier Tibetans realised the need for better education for the country to modernise, so Pemba was sent to school in India, aged 9. He left behind the medieval Tibet of old: "Within a few years the Chinese Communists would change everything." He was enrolled in Victoria School, near Darjeeling, where he excelled under Oxbridge teachers.
Not fluent in English, with no idea about cutlery, eating salad for the first time - which he compared to yak dung - and under strict routine, he was at first miserable. "I felt like a heavyweight boxer suddenly thrown on to the stage to perform Swan Lake." He returned to Yatung in the first year's holidays and fell seriously ill, being expected not to survive what was probably meningitis.
In 1949 he decided to study medicine in London. Living there, he discovered, needed much less mother wit than life in a Tibetan village; it was less strained than fighting high-altitude nature just to survive. He noted the trickiest thing to master was riding escalators.
He, like many Tibetans had wanted modernisation which arrived when the Chinese annexed Tibet in 1950. At first, they had little adverse effect on traditions but Karl Marx, he saw, had made his influence felt even in his remote  boyhood home; something he wryly noted as a student when passing the British Museum, in which Marx had spent so much time.
Return to Tibet after his graduation in 1955 was impossible because of the Chinese occupation and the deaths of his parents in 1954 in a catastrophic flood disaster in Gyantse, the town of his birth. Instead, Jigme Dorji, later the Prime Minister of Bhutan, appointed him as medical officer to the kingdom. He moved to Paro, a town with little connection to the world outside its valley, where he took charge of turning an almost empty building erected in traditional Bhutanese style with a staff of two schoolboys into a hospital. Pemba wrote: "Bhutan was medieval, standing precariously on the edge of the abyss of modernity. Yet surprisingly, years later, when studying surgery, what helped most were the things I learnt in three years there."
In 1959 he was appointed to the Dooars and Darjeeling Medical Association Hospital. The increasingly volatile situation in Tibet, culminating in March that year with the revolt against Chinese occupation, caused the Dalai Lama to flee into exile in India. After a massacre, thousands of refugees also escaped, many to Darjeeling. With the influx of so many into the small town, conditions became difficult and Pemba volunteered to help the sick. He counted many prominent Tibetan refugees as his patients and became well known in the region.
[Pemba volunteered to work at the Tibetan Refugee School and Tibetan Refugee Self-Help Centre. For his medical work he became a well-known figure throughout the Himalayas and amongst many high-ranking Tibetan lamas he treated the 16th Karmapa, Dzongsar Khyentse Chökyi Lodrö, Dilgo Khyentse Rimpoche and Dudjom Rimpoche.]
In 1965 he undertook further medical training in London to be a surgeon, gaining the Hallett Prize in 1966 for coming first in the primary examinations of the Royal College of Surgeons and obtained a fellowship in 1967. Returning to India, Pemba worked in Darjeeling and moved back to Bhutan in the mid 1980s as superintendent of the National Referral Hospital, remaining until 1992. Here he was an appointed United Nations Certifying doctor; sat on the committee devising the Bhutanese National Formulary and, in 1989, was a member of Bhutan's delegation to the World Health Organisation in Geneva. During this time, Pemba served as consulting physician to the Bhutanese Royal Family. Retiring in 1992, he continued in private practice and from 2000 to 2005, made several visits to New York as a lecturer.
[In 2007, Pemba finally returned to Tibet, describing his trip as, "a dream-like ethereal visit to my Tibet, capturing old memories, renewing ties and seeing a totally changed country."]
In his book Young Days in Tibet (1957), he observed the sometimes brutal justice system with its cruel punishments and debunked a lot of Western misconceptions. "The old remote, unchanging, isolated Tibet, supposedly strange and mysterious, asleep amidst the bustle of the 20th century was a false impression lavishly gilded by a legion of writers who created a paradise for armchair adventurers." He recalled the filth of Lhasa's streets and the frankness of the people, "speaking about bodily functions in a Rabelaisian manner - tellers of smutty jokes being held in as much awe as a Western master of after-dinner speeches." Yet looked at coldly, he could not avoid admitting that Tibet "had the ingredients of romance and mystery in her unique system of incarnate lamas, feudal pomp and pageantry, monasteries and hermits, altitude and dirt, tough happy-go-lucky people and countryside untouched by the forces of modern life." In 1966 he wrote Idols on the Path, an autobiographical novel, regarded as the first fictional book in English by a Tibetan, in which he painted a picture of Tibet before and after Chinese Communist occupation.
[He correctly prophesied that should the Chinese ever attack Tibetan Buddhist faith they would encounter resistance and hatred. He followed this in 1966 with "Idols on the Path", an a novel of vivid contrasts which encompasses a century of barbarous injustice that Tibet has suffered (twice invaded - in 1904 by the British and in 1950 by the Chinese), with a passionate, evocative, autobiographical slant. It is regarded as the first fictional
Beyond the medical profession, Pemba followed the arts and writing; his final manuscript remains unpublished. In a written contribution to his peers for a reunion in 2010 at University College Hospital, London, which he could not attend, he wrote of his latter daily routine, "I try to be Aware: to Contemplate: to Understand. Minding this Supreme Triad enjoined by our venerable Tibetan sages. All other activities of this life, they preach, are mere 'chasing of shadows'. Meanwhile I sit quietly, watching the sun set over the Himalayan peaks. T.S. Eliot's words disturb me:
'With the voices singing in our ears saying That this was all folly'."]
He is survived by his wife, Tsering Sangmo, four children. A fifth child predeceased him in 2009.
Tsewang Yishey Pemba, surgeon, was born on June 5, 1932. He died on November 26, 2011.
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