#womeninsurgery and other things ft. Happy Women’s day!

“It’s a beautiful day to save lives”, a line from the show Grey’s anatomy which took a million girls by storm and thrust them into a surgical career to follow into the footsteps of Meredith Grey – someone I would learn off much later, connect to and sometimes be appalled at because of the hot mess she is. I had no clue, not a wee bit that looking at women in surgery and being a woman in surgery required such nerves of steel.

It’s a beautiful day today to pen down a post on what my almost inconsequential baby steps into the field of surgery has meant to me. From watching my mother run back and forth from home to hospital at any time of the day gulping an entire roti in bites of four – to me repeating the same pattern and barely managing to see my beautiful 2bhk that I maintain with sky high rent while working 90hr weeks and an NBM more than my patients.

The world has changed most definitely – there are more women in surgery – you have no idea how heartwarming it is to see when someone who said they are confused whether they should take Pediatrics or Pathology (because that’s what expected of ideal female doctors to get into and build family in a nurturing role that allows them to balance home with) instead of taking surgery, finally taking the surgical branch. There are more women in Super speciality surgical branches  even though a female pursuing an Mch degree is considered as ‘too ambitious’, ‘unsuitable for family life’, ‘won’t manage home’ and deemed unfit in the marriage market because the ones who make the demands are like fiefs sitting in a bazaar bartering women by the degrees and wanting the moolah alongside the demands of “Will you step back when it’s time to plan a family?” I had met a gastrosurgeon once who told how he led a busy life with 16-18 hours surgery and was unable to contribute to home yet he expects the surgeon wife in a similarly demanding field to be okay with him coming and going as he pleased and taking a step back when needed. He proudly declared how his friends had earlier told that a surgeon wife would be unsuitable.  It was almost funny, yet ironic. I have always watched how my father despite not being from the medical field has taken an almost indulgent share in my mother’s flourishing obstetric career braving her late night labour calls and OTs by dropping her back and forth from hospital sometimes sleeping in the parking lot. Never making demands of what a ‘conventional wife’ must do. Thinking of new ways to see her grow in her career and I have realized for every brave woman in surgery there also a braver partner who supports her through it. The ones who remind them that they got their back through it all. May we all be blessed with them.

Being a woman in surgery is knowing all this and also battling the learning curve alongside. While your biological clocks keep ticking you are their struggling in the OT under the lights. Your bodies through period flow and cramps standing through 12 hour OTs performing to its best –  because in surgery neither there are excuses nor sorry. You only get one chance and you have to grab it. For women these chances are also quite rare to come by.

I did my residency in one of the prestigious colleges in Karnataka – yet there was a whispered adage in the department – your life goes smooth in this department if you are a guy. The guys clinked glasses with the professors in private and in the classes gave mind numbingly stupid answers only to get away with it and be performing a procedure alone in OT the next day. The beauty of it was your self doubt would keep  increasing exponentially while they muddled in their ignorant bliss to glory. With surgical learning curve being so steep, you were left at the very negative odds of it. There are times you wonder if you should have taken a more female friendly branch – Dermatology or perhaps OBG. Yet somehow my uncle’s face during his last days of battle with cancer kept haunting my brain and I wondered what is this field which despite having a family of doctors we could never decipher or beat. Thus began my journey into it.

Four years down the  lane do I regret being in a branch that literally sucks my soul and makes me doubt myself everyday as I begin from the scratch – learning, unlearning and learning again? Yes, most definitely yes. There are times I feel I could have taken a medical branch and just been at it. Sometimes even the most ridiculously sweet patients, stories and gooey mush my heart is  in with the countless number of compliments, blessings that my patients give me falls short when a male surgeon misbehaves with me or tells me how girls are not fit for this – when the male locker room talk in operative procedures makes me feel like running away from the crassness of it all. When you do not get the same respect as a male surgeon by the nursing staff who treat them with more gravitas. Where your talent and skills are kept to the side and you can be just reduced to someone hit on or ogled at. When sheer exhaustion takes over with the balance of personal and professional. When yet another family friend – a doctor couple – tells my parents that they made a mistake letting me get into Head and neck surgery because guys do not see me as wife material. When yet another duty, yet another long shift and yet another exhausting day at work doesn’t leave me with the headspace to talk to my loved ones and suspect if everyone is actually true? That as a girl I might have forayed into something that’s professionally exciting yet personally draining. Maybe it’s time to take a step back?

But again I hold the scalpel and get the shivers like I did the first time – the happy ones – and as I slice open a neck I realize I am doing something that none of my forefathers, family or friends have dreamt of doing. I get to see the things that no one in my vicinity has done and tell a silent prayer to that little girl who dreamt big dreams and is getting to live it. I do my OPDs and rounds and ward rounds and know that I bring an empathy that most men can’t and that’s what sets me apart every time a patient smiles and remembers my face even after days.  I get handed a oddly sketched drawing by a patient’s child who wanted to give me a chocolate or get a text from patient I discharged home happily a week back,  “thank you happy women’s day for all that you do so exceptionally” or get hugged randomly by a patient or an ajji through a difficult diagnosis and know that some way I have impacted and made someone’s life better. When I am in my night shifts or in between OTs and have someone to ask me if I ate or slept through my shifts and bear my mood swings through it all and I wonder – being a woman in surgery is not a big deal once you have the right support system for it? Having parents who nitpicked yet let me grow academically/ professionally to the fullest which many, many, many girls step back with the lack of fills my heart with plain gratitude. No one will ever understand the sacrifices it takes to be family or a friend to a female surgeon – yet people do, and I am grateful for it. I am grateful for all the mess I am and every person who takes the pain and pleasure in unraveling it. Being in an unconventional path might have taken its toll, but in the end I have been left only with the realest ones.

As women we have held ourselves back for far too long by confining ourselves to the purview of what can be done or cannot to a point we don’t even know what we want anymore. We do not take credit, we do not make our presence known, neither our sacrifices or the work or love we put into the tiniest of things in our day to day lives. Here is to speaking up more, letting our presence known and most importantly letting ourselves be okay with acknowledging it.

So, here’s to all the brave women and braver #womeninsurgery – may we know them, may we be them and may we raise them. To having the magic of scalpel in our hands.

Happy Women’s Day ! 🙂

Love,

P.

PS:

The sketched chocolate my patient’s child gave me. ❤️

PPS:

In my happy space.

End of the year ruminations ft. My way or highway?

With the earth taking a revolution around the sun, the optimists scream new year, new me; the realists scream it’s just a change of calendar; the pessimists might just say fuck it and do what they are doing anyway. I had been wondering for a few weeks, ever since my last post of how I don’t want to make resolutions – which category do I fit into. Maybe I am the veritable cat on the wall – I have always found it difficult to grab a polarized opinion. Being on the fence helps me know that I can always take the comfort of either side as the tide changes without committing to the consequences of each. So maybe, my first resolution for 2024 is to start making resolutions. To be less on the fence and more in tune with what I want. Setting boundaries – or in my case discovering boundaries and setting them.

There was this beautiful quote in Dear Zindagi, Shahrukh looks and Kiara and says, “Agar hum apni zindagi ka steering wheel apne haath mein nahi lenge na … toh koi doosra driver seat par baith jayega”, and I feel this is so important in every context. Boundaries look like fences to us which is why I have always used them rarely, it is only off late I have realised that boundaries are a way to gatekeep my own desires and needs from anyone who is not me – be it my friends, siblings, extended family, colleagues, lovers or even my parents. There is a certain guilt or shame that comes to me when I don’t pour into them. A certain dissatisfaction when I am not going all the way out to do something they want. That’s something I can work on in 2024.

2023 was the year I made a lot of changes. Getting out of residency and its set pattern of ways to finally live in a city, work more independently and live independently opened up a thought process I lacked before. When we are kids there are so many things we learn to live with – my mum got Nescafe for coffee and Tata tea for tea. Now that I am nearing the end of my twenties and living in her own flat and having the liberty to do things on her own, every day I am learning newer ways to do life. I find I like Bru and Cothas coffee. When I want to make a cup of adrak chai, I like to use Brooke bond.

Residency and its toxicity had put my brain in survival mode for a long time – my nervous system was jumpy and I had developed coping strategies that people would not normally choose in a healthy atmosphere. Finding a good Fellowship program and mentor that literally said, ” Happy holidays, enjoy, no worries” when I asked to extend my holiday from 2 to 4 because I was clearly guilt tripping asking for one at the first time made me realise that life actually changes with the boundaries and the consideration to your own self you put in them.

Living in a hostel having the liberty to just open the door and having someone to talk to makes you find a comfort zone of the same routines, the same parties and the same conversations. Living alone and the loneliness that came with it helped me discover things I like to do on my own again. I started writing again (albeit, rarely), no one guilt shamed me for just taking a book and spending my time reading it in a cafe, I could pick up my bag again and wander in museums and streets taking in the culture of things I have never seen before, I discovered I could again cut out the noise and listen to songs and found newer genres of music and newer songs I liked. In a world that asked me to settle I tried dating someone for the first time wholeheartedly who brought a newer perspective to everything I thought I deserved and ways I could be treated – having someone as a rock solid support system to give you the liberty to pursue other things in life was calming in ways I had never felt before. Understanding that even in such relationships not taking it for granted and investing time and effort to keep regular check ins without making it just a part of your routine and vent out was the second lesson. Trying to move on from something that significant quickly by using quick fix mechanisms and not acknowledging I am hurt was third. Breathe, pace out, new lovers will come, yet let me acknowledge that what I had was significant and worth crying over. You don’t lose someone you see your future with everyday, and even in that loss if you are alone – it’s okay. I discovered different ways to do things and the way I liked to do it. I found different opinions on things but my own voice in it. Also, no one can decide your timeline except yourself.

There is a certain beauty in knowing the year is ending and a new one starts – because even if a part of me is realistic to know nothing will change, a part of me is also hopeful that with a new year comes the new possibilities of things and newer ways of doing it. Even if the settings are the same and life is following set patterns and cycles of things – I will get the chance to do the same things in a different way and get a different outcome.

Adios 2023, you were bittersweet. 2024, I am ready for your lessons but I have a few tricks of my own now. I believe you will be a gamechanger – mostly because you start on a Monday. *Facepalms*

Cheers.

Again?

There are feelings

Solitary

Empty

I feel mostly

Yet feelings have no meaning in them.

They are mixed –

Like every other attachment I’ve felt in the past

Careless

Idiotic

Like a summer sunset you would miss out on for the accompanying heat.

But the feelings feel different this time

It’s a strange mix of yearning and guilt

Being the perpetrator and not the victim

Being the loved not the lover

Being the one who didn’t stay

The one who didn’t say.

And now that I feel this

I feel it’s good to have overlooked, over loved, over cared in the past

Because this guilt,

This burgeoning ball of guilt

Makes me feel I have fallen

With no arms to catch me,

Because I had cut them myself.

To my grandfather with love

Dear Jeje,

There’s not a day I don’t miss you.

I haven’t eaten a orange candy since days,
Noone gets it for me while secretly buying paan from the local shop now.
The pan box and the art of paan hiding is lost to me,
There’s no one I have to worry to choke on betel nuts now.

Papa made me cut his hair that day,
While I combed through it,
I could only think of the texture of your hair and the number of greys in them when you said –
“French, Russian, Chinese – which hairstyle will you give me today, Sanu”, and enjoy while I made you look like a clown.

I play songs and mamma sings to them,
I watch movies and mamma watches with me,
But I don’t dare to watch Anand, Padosan and Sahib Bibi ghulam again,
You won’t laugh crazily when “Ek chatur naar” plays.

Some ask me how being a girl I am interested in cricket
They don’t know the number of fours and sixes we have cheered
The number of time I risked the dining table top falling over,
As I danced on it when Sachin beat his six.

When someone tries to tease me I think of your goofy smiled jokes and pinches,
I am still irritated easily,
But I tone it down than I did with you,
I could do anything to you and you would still love me – they won’t.

I remember you sitting on the porch
And call out to me for tenth lemonade as you chat happily with your best friend or welcome me whenever I came back from school,
I don’t see him now,
I don’t even see the porch now.

I remember the midnight I was pressing your feet tired from studying
You woke up from sleep and said my face shines brighter than the moon
It’s still better than the dozen compliments I recieve
From the half-hearted men that half love me everyday.

Emotions aren’t honest once you digitalize them,
Maybe writing this would mean I am showing off
My poetry skills or humane touch
But we don’t have to be sad and still miss someone everyday.

I might not be your favorite grandchild,
But you were my favourite grandparent.
I can make a dozen friends
But none of them can fill the void of a grandfather like you.

New beginnings

Those new beginnings they ask me of
I want them too
But put this on record
Right now
Right at this end
I dream of another night with you.

Those new places they ask me out to
Golden days; beaches and salty air
Yes, I would have them
But put this on record
If I could
Never without you.

One can never know
What last times might life show.
When we dream of chances;
We should dream of knowing when to not let them slip by as well.
All I know
What matters now
Is to act on what I’ve already known
And feel that this is it,
Let go
Let go
(Or would you hold on?)
I need to know
Before letting go.

Those new beginnings they ask me of
I want them too
But put this on record
Right now
Right at this end
I dreamt of a forever with you.

Six months of disgrace

There are times my mind wanders,
To a time gone by,
A time that tortured me,
Like a soul sucking fly.

I think and think,
But I can’t remember the face.
The man who carried out
What was to be six months of disgrace.

I moan over my torn reputation,
I think about construction areas and sun drenched afternoons
I also think about my hands trying desperately to clutch
To a pair of hands too slippery to begin with;
Which is why they let go so abruptly soon.

I think about all the people talking behind my back,
My best friends talking infront,
The mess makers talking down at me –
“Just forget him and focus on your own life. He never cared for you”
Was what I got after letting my emotions spiral down at their behest.

I think about all the raging days,
And crying in my best friend’s safe space
I thought I was so cool,
Didn’t respect the layers I had donned by the by,
That unravelled at the slightest prick.
I thought I was strong,
But found out I was strongly sensitive.
‘Such a fool!’
I cursed at myself over that piece of shit.

I think about how he broke my barriers day after day,
And then pierced me at my vulnerable best.
I remember all his snide remarks trying to make me feel small,
All his probes at my defences.
For the very life of me,
I couldn’t gather, a little bit of self respect.

Every day he battered me down,
With his lies and games that became the talk of town,
I forgot anything good that had happened between us
For me to get involved in the first place.

One year later now,
Now that I am safe and sound,
I realise that it wasn’t so complicated as it seemed.
That maybe that’s how these feelings work,
It clicks with one,
And rejects another – who doesn’t meet what the soul needs.
That it was chance, fate or destiny whatever,
That had led my eyes to a pair of eyes beneath
And your luck, my bad karma or whatever
That I thought I could replicate those feelings I had two summers back with the scraps you threw at me.

Thank you,
For letting me go,
Correction : Almost pushing me out!
I could never have loved you,
I now admit.
I hope you find peace in the arms you’ve settled in,
Enough to never come looking for me
And if ever, our paths cross each other
Please take the nearest exit –
Or my hands will form a fist on your lying, scheming, manipulative face –
And it won’t be as poetic as this.