K. P. S. Gill, MDPersonal
Becoming a Doctor · Essay

Tea Between Classes

The unlabelled minutes of a medical timetable, and the ordinary friendships made in them

Kanwar Partap Singh Gill, MDabout 25 minutes
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Contents
  1. How the Interval Got Its Occupant
  2. The Grammar of Going
  3. The Small Door
  4. The Recent Learner
  5. Complaint, Laughter, Permission
  6. The Arithmetic of Hours
  7. Ordinary Friendship
  8. Yaar
  9. The Person Behind the Counter
  10. Where the Gaps Go
  11. Unassigned Time
  12. Evidence and Editorial Note
  13. Related reading
  14. About the Author

A timetable is a grid of named hours. Lecture, dissection, practical, lecture: each box has a subject, a room and someone responsible for it. The lines between the boxes are the thinnest marks on the page, and the only ones without a label. Nobody is in charge of them. Nothing in them will be examined. In most north Indian colleges, those unlabelled minutes have long had a default occupant, which is tea.

I studied medicine at Sri Guru Ram Das Institute of Medical Sciences and Research in Amritsar from 1997 to 2002. I will not reconstruct a particular afternoon from those years, or a particular stall, or the faces around one. A remembered scene improved for an essay is a small forgery, and the people in it would have every right to object to being conscripted. What I can describe is the institution of the thing, which any student in north India of that era, or this one, would recognise, and the question it has come to raise for me. What happens in the minutes an institution forgets to assign? And can we defend what happens there without pretending that it was secretly productive?

How the Interval Got Its Occupant #

Picture the general type. Near almost any college gate in Punjab there is a stall, or a canteen, or a small dhaba with a few benches; sometimes one is tucked against a wall nearer the lecture halls. The tea comes in small glasses or small cups, and it is cheap enough that nobody needs to decide whether to have one. The dhaba itself belongs to the roads. The roadside eating places that carry the name are usually traced to the Grand Trunk Road, the old route that runs through Lahore and Amritsar toward Delhi, where early dhabas seated travellers on string cots with a plank laid across for the dishes. The college version is a smaller, stationary cousin: a place for people between one obligation and the next.

It is easy to assume that the cup in the gap is ancient, part of the furniture of Indian life since time out of mind. It is not. Tea was grown in India largely for export through the nineteenth century, and as late as 1930 more than nine-tenths of the crop was still shipped abroad. Tea-drinking on a mass scale in India is mostly a twentieth-century development, and a deliberate one. When the Depression left planters with a vast surplus, the industry’s promotional body, reorganised in the 1930s as the Indian Tea Market Expansion Board, set out to make Indians into tea drinkers. As the food historian Mohona Kanjilal describes it, drawing on the work of the scholar Philip Lutgendorf, the Board and the committee before it handed out free cups at railway stations, sent demonstrators to markets and festivals, toured towns in vans fitted with kettles, and urged the managers of factories and offices to give their workers afternoon tea breaks, which it promised would make them more alert and productive. A poster made for the tea marketers in 1948 announced, without visible irony, that Indian tea fights fatigue.

Indians accepted the drink and ignored the instructions. The demonstrators taught the British way of brewing; most people boiled the leaves with milk and sugar and spice, and made something the campaign had not intended. I find this history clarifying, and a little comic. The tea break, that small island of freedom in a working day, began partly as a productivity device, a technique of management promoted by an industry with stock to move. The students who later stood around a stall between lectures had inherited a ritual designed to return workers to their machines more efficiently. They turned it into something else, as people usually do with the habits they are sold. The interval was invented for output. What came to fill it was company.

The Grammar of Going #

The phrase that matters is not about the drink at all. Going for tea is an invitation to leave the building together for ten minutes, and its grammar is plural. People rarely go for tea alone. One person stands up at the end of a lecture, catches someone’s eye, and a small group detaches itself from the crowd heading for the next room, gaining a member or two on the way.

Where the tea is drunk matters as well. A canteen inside the college is still the college: its rules apply, its teachers may walk through, its walls are the same walls as the lecture hall’s. A stall outside the gate is somewhere else. For ten minutes the students are standing on ground the institution does not govern, among people who neither teach nor examine them: drivers, shopkeepers, passers-by, the man boiling the milk. It is a very small departure, and it is a real one. The institution’s authority, which in a medical college reaches into nearly every hour, stops at the gate, and stepping through it, even briefly, is a way of remembering that one is a person who happens to be a student, and not only a student who happens to be a person.

The brevity matters too. Ten minutes is a guaranteed exit. Nobody joining a group for tea is committing to an evening; the next lecture will end the gathering for everyone, without anyone having to make an excuse. That built-in ending lowers the cost of saying yes. A shy student can stand at the edge of a circle for a single round, and if it goes badly, the timetable will rescue him. Many friendships begin on exactly these terms, with an encounter so short and so bounded that it barely counts as a risk.

An invitation can be small enough to escape notice and still decide who gets to belong. Going for tea sounds like the simplest of offers, but it assumes that the person invited has the time, the money, the confidence, and the freedom to leave the next obligation for a few minutes. Those assumptions are reasonable in one group and incomplete in another. A student who travels a long way each day and must catch a particular bus does not have the same ten minutes as one who lives nearby. A student counting coins carefully may decline a cup that costs almost nothing, because almost nothing is still something, and the round will come back to him. And for all the timetable’s promise of rescue, a student who is shy, or newly arrived, or unsure whether the invitation was really meant for him, may still hang back until the moment has passed. A roadside stall, moreover, has never been an equally comfortable place for everyone; who stands at a counter, and who is looked at while standing there, is not neutral. Medical classes in India have long included many women, and a roadside counter in a north Indian town has not always been a place where a young woman could stand as easily as a young man. The canteen inside the gate, or a group large enough to change the character of the counter, could be the price of joining. A group that never noticed this was, without meaning to, deciding who belonged.

The coins matter less than what they set in motion. A round of tea is seldom settled by each person paying for his own glass. Someone pays for everyone, and next time someone else does, and the turns are kept loosely, in nobody’s notebook. It is a small economy of obligation: each round creates a soft debt that can only be repaid by coming back, and the debts, circulating, are part of what makes a set of classmates into a group. The same mechanism can quietly push people out. A student who cannot take his turn may begin to decline the invitation, not because he cannot afford one glass but because he cannot afford the obligation, and the group, which never asked to be repaid, may never notice why he stopped coming. A generous group learns to let the turns go unkept for some of its members without anyone saying so. That is a delicate thing to do, and one of the more grown-up skills a tea stall teaches.

None of this makes the ordinary pleasure solemn. It makes visible that ease is partly something people create for one another. A group can make room by waiting at the door, by asking again without pressure, by letting someone pay next time or not at all, by allowing a person to join without having to explain why he missed the last three rounds. It can also close itself without ever announcing that it has done so, simply by leaving a little faster than the slow walker can follow. The warmth people remember from these minutes was real. It was also, always, the warmth of a particular circle, and circles have edges.

The Small Door #

Okakura Kakuzō published The Book of Tea in English in 1906, an essay addressed to Western readers on the Japanese tea ceremony and the culture around it. It is a book about the opposite of a tea stall, and it illuminates the stall all the same. Okakura called the philosophy he was describing Teaism, “a cult founded on the adoration of the beautiful among the sordid facts of everyday existence,” and said it was essentially a worship of the Imperfect, “a tender attempt to accomplish something possible in this impossible thing we know as life.”

The detail I keep returning to is architectural. The guest at a tea ceremony, Okakura explains, leaves his sword on a rack beneath the eaves, the tea-room being a house of peace, and then bends low and creeps in through a small door not more than three feet high. The low door was required of every guest, high and low alike, and was intended to teach humility. Everybody enters on the same terms, and nobody can enter upright.

The tea stall has no ceremony at all; it is the opposite of a designed space. But it has its own version of the small door. Everyone stands at the same counter. The glasses are the same size. The professor’s child and the farmer’s child pay the same small coins, and the tea does not know which is which. For ten minutes the hierarchies of a college, which are many and real, loosen a little. I would not exaggerate this. An egalitarian counter does not erase the differences that decide who can afford to linger at it, as the previous section insisted. Okakura’s equality was built into a doorway by tea masters; the stall’s equality is accidental and partial. Still, an accidental equality is worth something, especially in a profession that becomes steeply hierarchical as soon as its students put on their coats and walk onto a ward. “Strangely enough,” Okakura wrote, “humanity has so far met in the tea-cup.” He was thinking of continents. The sentence works at the scale of a college gate.

The Recent Learner #

What happens at the stall is mostly unremarkable, which is the point. The lecture just ended is taken apart, sometimes fairly. Someone explains to someone else the thing the lecturer explained badly, and sometimes explains it better.

There is a reason this can work. A student who understood something twenty minutes ago still remembers exactly where the difficulty was, while a teacher who understood it twenty years ago may have forgotten that there was one. Medical educators study the phenomenon under the heading of near-peer teaching. In a study published in 2008 in Advances in Health Sciences Education, Tai Lockspeiser and colleagues asked first- and second-year medical students in a supplemental peer-teaching programme what they valued about being taught by other students. The answers pointed to two things. Their peer teachers had recently been through the same material and so could see it from where the learner stood, and they understood from experience the particular struggles of being a medical student at that stage. The study’s title names these cognitive and social congruence.

The study concerned a formal programme at a single school, and it measured what students valued, not what they learned. It cannot be stretched into a claim that the conversation at a tea stall is good teaching. Proximity to confusion is not the same as clarity. A shared misunderstanding can be confirmed at the counter as easily as a real understanding is passed along, and a confident wrong explanation travels well among people who are tired and want the matter settled.

The exchange runs in both directions, too. Seneca, in one of his letters to Lucilius, observed that people learn while they teach, and every student who has tried to explain something at a counter knows the experience: halfway through the explanation one discovers precisely where one’s own understanding gives out. The student doing the explaining is not only being generous. He is finding the edges of what he knows, in front of people who will tell him, without ceremony, when he has stopped making sense.

The value of the stall was never that its explanations were reliable. It was that its questions were cheap. A student could say I didn’t follow any of that at the counter without the cost of saying it in a lecture hall, and having said it, could discover he was not alone, which is often the first condition for asking the question properly later, of someone who can answer it.

Complaint, Laughter, Permission #

There is complaint, mostly ritual. There is dread about an approaching examination, shared out so that each person carries a smaller portion. There are jokes that would not survive being written down, and I will not try to write any. And there is silence, which among people at ease with one another is also a kind of conversation.

What these have in common is that nobody is being assessed. A medical student is examined continually: in written papers, in vivas, at the bedside, by teachers who ask questions in front of patients and peers. A good deal of a student’s energy goes into performance, into seeming to know. The interval is the one place in the day where performance is suspended by general agreement. Complaining about an examination is a way of admitting that it frightens you without having to say so. Laughter is a way of agreeing that the thing which seemed enormous in the lecture hall is, at the counter, merely difficult.

The sociologist Erving Goffman, in The Presentation of Self in Everyday Life, described social life as a run of performances and drew a line between the front region, where a performance is given to an audience, and the back region, where the performers relax, drop the manner the front requires, and speak of the audience as they never would to its face. Restaurants have kitchens; theatres have wings. A medical college has its lecture halls and wards, where students perform competence for teachers and patients, and it has its backstage, which is often a tea stall. Goffman did not think the back region was where people were true and the front where they lied. Both are part of how people manage to work together. But the back region is where performers compare notes, rehearse, and recover the energy that performing costs. A profession whose members spend so much of their training on stage needs somewhere to stop.

I do not want to sentimentalise this either. Ritual complaint can harden into cynicism, the knowing tone in which a group teaches its members that nothing matters much and nobody can be trusted, and medical students are not immune to it. Humour can include and it can exclude; a joke at someone’s expense is also a ritual, and its target does not experience it as fellowship. The company a person keeps shapes him, and not always for the better.

There is a Punjabi word that helps me here, though it has to be used carefully. In Sikh usage ਸੰਗਤ, sangat, means the congregation, the company of people gathered in the Guru’s presence, and that meaning carries a weight a tea stall cannot. In ordinary Punjabi, though, sangat is also simply the company a person keeps, and the old observation that we are shaped by our company belongs to that everyday sense. A medical student is shaped by anatomy, physiology and the rest of the syllabus. He is shaped just as surely by the people he stands with between classes: by their humour and their standards, by what they find worth worrying about, by whether they make it easier or harder to admit that something has not been understood. Nobody designs this part of a medical education. It happens anyway, in the gaps.

The Arithmetic of Hours #

It would be easy to call all of this pleasant and leave it there. One line of research suggests the minutes do more than please. In 2018 Jeffrey Hall, a communication researcher at the University of Kansas, published a study in the Journal of Social and Personal Relationships that tried to estimate how long it takes to make a friend. In the main study, 355 adults who had moved within the previous six months described someone they had met since moving and rated the relationship as acquaintance, casual friend, friend or close friend. A second study followed 112 first-year students at the university through their first weeks there. As the university summarised the results, it takes roughly 50 hours together to go from acquaintance to casual friend, about 90 hours to reach friendship, and more than 200 hours before people count each other as close friends. The kind of hours mattered too. Time spent hanging out and joking around counted toward friendship; hours spent working together counted for less.

That second finding describes medical school with uncomfortable precision. Medical students spend an enormous amount of time together, but most of it is structured: side by side at a dissection table, in rows in a lecture hall, in a cluster at the edge of a ward round. They are together in the way colleagues are together, attending to a task. If Hall is right, those hours do less for friendship than one would think, and the hours that do the work are the unlabelled ones.

The numbers need handling with care. They rest on people’s own estimates of time spent and their own ratings of closeness, mostly recalled after the fact; the samples were particular, recently moved adults and first-year students at one university; and the figures are averages drawn from a model, not thresholds. Nobody becomes a close friend at hour two hundred and one. Hall himself stressed that both people have to want the friendship, which no quantity of time can supply. The study offers no timetable for intimacy. What it offers is a modest confirmation of something people have long suspected: that friendship is built out of time spent together with no task to perform, and that this time cannot be skipped.

Cicero knew as much. In De Amicitia, the dialogue on friendship he wrote in 44 BC, the speaker Laelius takes up the question of whether new friends should be preferred to old ones and answers with a proverb. In W. A. Falconer’s translation: “Men must eat many a peck of salt together before the claims of friendship are fulfilled.” It is Hall’s arithmetic in an older unit. Salt is eaten a little at a time, at shared meals, over a long period, and a peck of it is a great many meals. The ancient measure and the modern one agree on the essential thing. Friendship is slow, and it is made of ordinary occasions.

The proverb was already old when Cicero used it. Aristotle cites it in the eighth book of the Nicomachean Ethics, where he says that people cannot know one another until they have eaten salt together, and adds a sentence that could stand as a summary of the Kansas findings. In D. P. Chase’s Victorian translation: “a desire for Friendship may arise quickly but not Friendship itself.” Aristotle makes a further observation that bears on students in particular. The friendship of the young, he thinks, rests mostly on pleasure; they live by the feeling of the moment, their pleasures change as they grow, and so they form and dissolve friendships rapidly. That is less a reproach than a description of the material a tea stall works with: people young enough to make friends in a week and lose them in a term, among whom a few friendships outlast the change of pleasures and become something durable.

Ordinary Friendship #

Montaigne would have dissented, or at least insisted on a large exception. His essay “Of Friendship” is a memorial to Étienne de La Boétie, whom he met, in Charles Cotton’s translation, “accidentally at a great city entertainment,” and to whom he felt at once so close that nothing afterwards was nearer to either of them than the other. Asked to explain why he loved him, Montaigne could only answer: “because it was he, because it was I.” Their friendship, he writes, had no need of “those slow and regular friendships, that require so many precautions of long preliminary conversation.” It lasted four years, until La Boétie’s death, and Montaigne thought such a thing might come about once in three ages.

That is the great friendship of European literature, and it cheerfully refuses the arithmetic of hours. But Montaigne is too honest to pretend it is the common kind. “What we commonly call friends and friendships,” he writes, “are nothing but acquaintance and familiarities, either occasionally contracted, or upon some design.” In those ordinary friendships, he advises, one must walk with a bridle in hand, and he cites an old precept to love a friend as though one might one day hate him. He adds that he has had as much experience of these ordinary friendships as anyone, and of the most perfect of their kind.

The tea stall is a school of ordinary friendship. Most of what grows there is what Montaigne called acquaintance and familiarity, occasionally contracted: people thrown together by a timetable, liking one another well enough, a few becoming close and most not. I want to defend that ordinary kind, against Montaigne’s grandeur if necessary. Most lives are not furnished with a La Boétie. They are furnished with colleagues one is glad to see, people one can complain to without explanation, a handful of friends who became close slowly and a larger number who stayed pleasant acquaintances. These are not failures to reach the sovereign friendship. They are the ordinary fabric of a life among others, and the interval between classes is one of the places where it is woven.

Yaar #

Punjabi has its own word for what is woven there, and it is less tidy than English. ਯਾਰ, yaar, borrowed long ago from Persian, means friend, and in casual speech something like mate; it can also mean lover. Yaari is friendship, and the songs and poems of Punjab do not always trouble to fence it off from love. English keeps friendship and romantic love in separate rooms. Punjabi lets them share a word, and so lets the language of companionship borrow some of the intensity, and some of the grief, of the language of love.

Shiv Kumar Batalvi, the poet of separation, used that shared word to devastating effect. In one of his best-known poems, Shikra, a woman tells her mother that she made a hawk her yaar. She describes his beauty and his finery; he will not take the food she offers, so she feeds him her own heart; and he flies away and never comes back, leaving her sleepless, repeating her lament to her mother. Batalvi’s poetry is steeped in birha, the pain of separation, a feeling with a long lineage in Punjabi verse. Baba Farid, in a shalok preserved in the Guru Granth Sahib, crowns birha a sovereign, though for Farid the longing is the soul’s for the divine. Batalvi was writing about love, not about friendships between students, and I would not pretend otherwise. But his poems know something about yaari that a group at a tea stall does not yet know: that the people who share your time are also the people whose absence will one day give a shape to your loneliness.

Medical classes scatter, into specialties and other cities and, for many Punjabi graduates of recent decades, other countries, until people who once stood at the same counter are spread across several time zones. The interval between classes ends with the timetable that created it. What remains is not the company itself but the memory of having had it, and the knowledge, which tends to arrive later, that so much of it was made in minutes nobody had assigned.

The Person Behind the Counter #

The cup has another history outside the conversation. Someone boils the milk and the leaves, keeps track of who has paid and who will pay tomorrow, rinses the glasses, and makes the next round possible. For the students, the interval is a release from work. For the person serving them, it may be the busiest part of the working day: the minutes when a lecture ends and thirty people arrive at once are, from behind the counter, a rush hour. Both descriptions are true at the same time.

A stall near a college lives by the college’s timetable, read from the outside. Whoever runs it learns when the lectures end, which days are heavy, when examinations empty the benches and when results fill them again, and the milk is put on the fire accordingly. The grid that students experience as a set of named boxes with gaps between them is, from behind the counter, almost exactly inverted. The boxes are the slack hours. The thin unlabelled lines are the work.

In many places in the India of that era, the person carrying the tray was a child. The boy with a stack of glasses was a familiar figure at roadside stalls and dhabas, so familiar that he was easy not to see. On 10 October 2006, four years after my class graduated, a government notification came into force prohibiting the employment of children as domestic servants or in dhabas, restaurants, hotels, tea shops and similar establishments. I will not claim to know who carried the tray at any particular stall, and I will not invent a boy for the comfort of a conscience. But the nostalgia of students for their tea breaks has to make room for the fact that such breaks were sometimes served by children who had none.

Keeping these facts in view does not diminish the companionship. It makes its conditions visible. An unplanned conversation feels effortless partly because several kinds of effort have already arranged a place for it: a stall someone opened at dawn, a fire someone kept going, glasses someone washed. The remembered warmth belongs to the people standing together. It also depended on an invitation that could be accepted and on a small piece of ordinary work that went on around them, done by people who were not, on the whole, invited into the conversation.

Where the Gaps Go #

The absence shows later. Working life, in medicine as in many fields, tends to consume its own intervals. The space between one task and the next is real on a schedule and often imaginary in practice, because something is always waiting to fill it: a result, a message, a form. I will not make this into a portrait of any particular workplace, and I do not want to turn it into a complaint about the work, which is the work. But it does mean that the conditions in which friendships formed so easily at twenty have to be recreated deliberately later, if they are recreated at all.

The loss is not only social. Medicine has always relied on a great deal of informal consultation: the question asked of a colleague over a cup, the case mentioned in passing that turns out to need a second opinion, the advice given in a corridor that never appears in any record. Hospitals once tended to provide rooms for this, a common dining room or a doctors’ mess where people of different ranks and specialties ended up at the same tables. Where such places survive, they still do some of that work. Where they have given way to eating alone at a desk, I suspect something of the informal circulation of judgment has gone with them, unmeasured because it was never formally counted in the first place. The tea stall outside a medical college is the first place a future physician learns that a profession runs partly on conversations no timetable records.

Here the history of the tea break returns with a warning. The Board that pressed factory managers to grant breaks did so because rested workers produce more. Modern institutions have rediscovered the argument, and some now schedule connection the way they schedule training, with a time, a room and an objective, often in the name of preventing burnout. I understand the impulse and do not dismiss it. But an interval assigned to the purpose of being unassigned is a strange object. Once it has a label and someone responsible for it, it is another box on the grid, and the people in it know they are being made well for a reason.

Nor should anyone imagine that ten minutes over a cup can make up for a workload that is too heavy, or stand in for the support that a struggling student or doctor actually needs. The tea break was never a remedy. Presented as one, it becomes a way of telling people that the problem is their failure to relax, not the conditions they are relaxing from. The value of the interval is real, and small, and it depends on not being asked to carry more than it can.

Unassigned Time #

So I end with a modest defence. The minutes between classes mattered not because they made anyone a better doctor, though perhaps sometimes they did, nor because they improved anyone’s health, though perhaps they did that too, but because they were time spent in company without a task, and such time is how the ordinary friendships of a life are made. That is a smaller claim than the ones usually made for breaks, and I think a sturdier one. It does not depend on the interval paying for itself, and so it survives the discovery that the interval was first sold to managers as a way of getting more work out of tired people.

There is an old irony buried in the word school. It comes, through the Latin schola, from the Greek scholē, which meant leisure, spare time, the condition of not having to labour; only later did it come to mean the discussion that leisure made possible, and then the place where such discussion happened. The ancient school was, by its name, the time left over once the necessary work was done. A modern medical college has very little of that time. Its timetable is crowded, its examinations relentless, its leisure pressed into the lines between the boxes. The tea break may be the last place in it where the word’s first meaning survives: a few minutes in which people with no immediate obligation think aloud together, complain, joke, and now and then understand something. It would be too neat to call the stall the real school and the lecture hall an impostor. The lecture hall teaches what has to be known. But the stall keeps alive the condition the word school once named, and a profession is poorer when that condition disappears from its training.

The interval asks for no justification beyond itself, and I think that is its point. It is one of the few parts of an institution’s day allowed to matter without proving that it matters. A medical education will, rightly, examine nearly everything else.

Somewhere tomorrow, at a stall near a lecture hall, a row of small glasses will be rinsed and turned upside down on a counter to dry. Then a lecture will end, a little early or a little late, and someone will catch someone else’s eye.

Evidence and Editorial Note #

Documented findings. The essay relies on the author’s public biography: MBBS at Sri Guru Ram Das Institute of Medical Sciences and Research, Amritsar, 1997–2002; Sikh; Punjabi as first language. The origin of dhabas along the Grand Trunk Road and early seating on charpais: Wikipedia, “Dhaba.” Tea as a largely export crop with more than 90 percent exported in 1930, the Indian Tea Market Expansion Board’s campaigns of the 1930s and 1940s (free tea at railway stations, demonstrations, tea vans, urging managers to grant workers tea breaks for alertness and productivity), and Indian adaptation of tea with milk, sugar and spices: excerpt from Mohona Kanjilal, Taste of Time: A Food History of Calcutta (2021), published by ThePrint, drawing on Philip Lutgendorf; the twentieth-century popularisation of tea in India: abstract of Lutgendorf, “Making tea in India: Chai, capitalism, culture,” Thesis Eleven, 2012. The 1948 poster “Indian Tea Fights Fatigue”: Lafayette College digital exhibit, from the Urban History Documentation Archive, Centre for Studies in Social Sciences, Calcutta. Okakura Kakuzō, The Book of Tea (1906): Project Gutenberg text. Lockspeiser and colleagues, “Understanding the experience of being taught by peers: the value of social and cognitive congruence,” Advances in Health Sciences Education 13 (2008): 361–372, abstract. Jeffrey Hall’s 2018 study in the Journal of Social and Personal Relationships, its two samples, hour estimates and finding on shared work: University of Kansas news release (linked); limitations are the author’s reading. Cicero, De Amicitia (44 BC), trans. W. A. Falconer (Loeb, 1923): Perseus/Scaife text. Aristotle, Nicomachean Ethics, Book VIII, on the salt proverb and the friendships of the young, trans. D. P. Chase: Project Gutenberg text. Montaigne, “Of Friendship,” trans. Charles Cotton: Project Gutenberg text. ਯਾਰ as friend and lover, from Persian: Wiktionary data via Kaikki. Batalvi’s Shikra, described and not quoted: commentary at Electrostani. Baba Farid’s shalok naming birha the sultan, Guru Granth Sahib, Ang 1379, described and not quoted: Gurbani.org. The two senses of ਸੰਗਤ: standard Punjabi and Sikh reference usage. Erving Goffman’s front and back regions (The Presentation of Self in Everyday Life), Seneca’s remark that people learn while they teach (Letters to Lucilius, 7), and the derivation of school through Latin schola from Greek scholē, leisure: standard scholarship and etymological reference, stated from standard knowledge without a source consulted for this essay. The presence of many women in Indian medical classes, the reciprocal paying of rounds, and hospital common rooms and doctors’ messes are described as general features, not documented findings. The prohibition on employing children as domestic servants and in dhabas, restaurants, hotels, teashops and similar establishments, in force from 10 October 2006: Business Standard, October 2006. Vendor representations. None.

Recollection and tradition. That the author studied medicine at Sri Guru Ram Das Institute of Medical Sciences and Research is part of his published biography. No particular tea stall, canteen, break, classmate, friend, conversation, server or afternoon is described, and no friend is named or implied. The stall, the group going for tea, the counter and the closing image of glasses drying are imagined and illustrative: a general type of north Indian student life, not a remembered scene or a particular place. The dispersal of medical graduates is stated as a general pattern, not as an account of the author’s classmates.

Analysis and forecast. The reading of the tea break’s history, the timetable’s unlabelled minutes, the application of Hall’s findings and of Cicero, Montaigne, Okakura and Batalvi to student life, and the remarks on scheduled wellbeing and workload are the author’s personal interpretation as of November 6, 2026. Independence. This essay is not sponsored by any institution, company, health system or technology developer.

About the Author #

Kanwar Partap Singh Gill, MD, traces his family roots to Khadur Sahib in Punjab’s Majha region and grew up in Amritsar. He attended Spring Dale School and completed pre-medical studies at Khalsa College in 1994–1996. He earned his MBBS from Sri Guru Ram Das Institute of Medical Sciences and Research in Amritsar in 2002.

He completed PGY-1 at the University of Arkansas for Medical Sciences in Little Rock in 2007–2008, and PGY-2 and PGY-3 with UCSF Fresno at Community Regional Medical Center from 2008 through 2010. He has practiced medicine in California since 2010.

His career has crossed four distinct information eras: predominantly paper-based medicine, early and fragmented electronic records, the integrated-EHR era, and the emerging age of generative and agentic artificial intelligence.