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The report highlights the occurrence of basal cell carcinoma in a native Indian with oculo-cutaneous albinism, an association not frequently encountered. The clinical and histopathological features, which assisted to form the diagnosis, are outlined. A high degree of suspicion and timely recognition of the potentially aggressive neoplasm, under this unusual circumstance, is the key to its diagnosis.

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Setons are employed in high perianal fistulae. Our study aimed to use multiple setons in addition to a partial fistulotomy in high perianal fistulae involving the sphincter complex to combine the effects of cutting and drainage of the fistulous tract. This prospective study included 16 patients over a period of 4 years who presented with high perianal fistulae. The internal opening was identified and tract laid open till the dentate line. Four prolene threads were passed along the remainder of the tract and taken out through the external opening. One was tied tightly while the others were tightened every 7 days. No patients developed major faecal incontinence. Fistula recurred in one patient within a year and one patient had occasional incontinence to flatus. Multiple setons after partial fistulotomy is an effective treatment for high anal fistulae with low incidence of incontinence and recurrence and adequate patient satisfaction.

At times when the world ready for transformation with deconstruction, Nobel Laureate Doris Lessing (1919 – 2013) is an author whose wholistic vision and prophetic voice is much needed for understanding collective errors of Human beings. The present paper analyses one of her Novels Shikasta where she uses medium of science fiction for showing us the path we have chosen and our impending doom due to that. Furthermore, the analysis is also aimed to show how Lessing uses literature to highlight the issues of colonialism, pollution, population, and draws a subtle connection between them. The paper aims to show Lessing’s views on misguided, unmanaged scientific growth and evolution.