Quietude

(And a view from my window)

Can I just sit and stare into nothingness

Not think of everything I need to do, not obsess

Over time that seems to run out of my hands

Leaving me bewildered, trying to understand

How the hours that plentiful appeared

Have dwindled down, how time has disappeared

Without my being able to savor a moment

Can I just sit languidly, perfectly content

To look at the wall, out of my window,

Let my mind wander, let thoughts flow..

I would not try to empty thoughts from my mind

Meditation is not my goal, tranquility is what I’m trying to find..

*

I found few moments of external stimulation none

Now a busy day on the right note has begun

The Physician Writer

I must admit that I am partial to books written by physicians (reading an exceptional one at the moment). I also remember coming across advice from a surgeon-writer Atul Gawande suggesting that all doctors should try to write.

Many of us hear stories for a living

While providing a service, we listen to misgivings

Misfortunes, predicaments of many kinds

Sometimes stories of redemption we find..

Listening to stories is an integral part

Of being a physician, stories sometimes fill my heart

Creating a maelstrom of emotions profound

Emotions that need to be processed in a manner sound

Patients trust me to bookend their stories perfectly

And I have to grapple with the tension of that responsibility..

*

What better way to process feelings could there be

Than to put them in words, for someone like me?

*

Maybe that is why many physicians feel compelled

To write, they accumulate an assortment of stories to tell

While writing scientific articles satisfies an intellectual urge

In writing for the lay person, the heart and the mind converge

The rainbow of human experience that physicians get to see

Provides for a writer a rich tapestry..

*

As I read another book by a physician penned

I feel inspired, one day I intend

To write a book derived from my experiences cumulative

As a physician, I hope that’s how my legacy would live

The Dreaded BMI

One of the worst things about using electronic medical record for patients is the pop-up notifications that you get constantly get. Based on a patient’s BMI, one may get an alert that the pt is obese/ morbidly obese, because all health care providers must document this diagnosis in their notes. I feel it is completely unnecessary, and discriminatory towards people who happen to be obese. I am trying to be more mindful of how I talk about weight loss and obesity, but I am forced by the medical record and the powers above looking at metrics to include obesity in my list of diagnoses at all times and counsel patients, knowing fully well that asking them to exercise for 30 minutes and eat more vegetables is not a solution.

I know as soon as you open my chart you see

The inescapable alert that is the nemesis of me

The dreaded body mass index (BMI) that tells you

That I am obese, sometimes morbidly obese too

Of course you have noticed my expansive size

But the computer program has also made you realize

That I have a major co-morbidity that must make

It to the list of diagnoses, I know it would take

You a minute to note that I have been counseled indeed

On weight loss strategies, that is my foremost need

It does not matter that I am in your office to be seen

For a sinus infection, my true afflictions have often been

Ignored completely or somehow tied to my weight

And I must be the only one responsible for my state

*

I am used to being judged in a negative light

But even in a healthcare setting I feel I must fight

To be seen beyond the optics of my size

It is hurtful- but few people realize

How medicine is geared to discriminate

Against obese people on the basis of weight

The BMI seems to turn blinders on for everyone

And someone like me feels defeated before I’ve begun

There are diseases associated with obesity, I’m aware

But of illnesses unrelated to weight, there is a fair share

*

Invariably I am going to hear someone say

That I just need to lose weight anyway

For my medical issues to be resolved..

If only it were that simple, my problem would be solved!

Secrets under the rug

I know there is baggage that lies

Underneath the surface, I have seen it in eyes

That glance away furtively when difficult questions are posed

I have seen smiles disappear, open demeanors close

There are secrets that hidden remain

In dark corners, like faded stains

Secrets from the past that if revealed

Can break relationships that have healed..

**

There are stories spun over generations

That give secrets a palatable presentation

With cleverly woven fiction and fact

Trying to keep the kernel of truth intact

Stories evolve as they are retold

As myths and legends, in layers they unfold..

**

All families have secrets, some kept hidden completely

Others baked into fiction, or an alternate reality

I wonder if I dug deeper in my family to find

Secrets swept under the rug- would it mess with my mind

Or would it give me a new direction, a novel path

Towards building a future based on my past?

Barriers in my mind..

Often women and marginalized sections of the society do face significant barriers at work because of who they are, but sometimes its their own beliefs (due to societal conditioning) that may limit them..

The times are changing rapidly, therefore

We must break away from what limited us before

We are products of the society in which we have grown

Sometimes we are held back by ourselves alone

Because of the stereotypes we have internalized

Because our own potential we have not realized

We believe a glass ceiling exists because we have heard

It does-so instead of continuing to look upward

We often give up after climbing a bit high

Convinced that our limit is lower than the sky

Often there are roadblocks, but sometimes none exist

We just assume there would be barriers, we insist

That life is difficult because of “barriers” poorly defined

We should be cognizant that they may just exist in our minds..

*

Why not march ahead without any assumption preemptive

Maybe then we would be able to give

More of ourselves to the work that we do

Soar much higher without glass ceilings to break through

The right thing to say..

Some people always seem to know what to say

I’d love to discover their secrets some day

To put my foot in mouth I am inclined

Somehow my reasonably sharp mind

Does not appear to be as bright

When tasked with choosing words right

So often what I intend as witty repartee

Ends up sounding pathetic, honestly..

Worse still, sometimes sentiments I hurt

Or I end up sounding uncaring and curt

I realize my mistake after the fact

And mope in private for lack of tact..

*

How I envy people who always know

The right thing to say wherever they go

Their words fit each situation well

And tell the story that they want to tell

Is this is a quality innate that I cannot imbibe

Or would spending time with them transfer to me their vibes?

*

To avoid a faux pas, I am trying to embrace

The power of staying silent, as I face

The truth that saying the right thing may be

An unachievable goal for me

*

Let me not ramble on and on

Let me my hat of silence don

I choose.. no news

There is so much negativity in the news

It rubs off on me, therefore I must choose

Ignorance over awareness now

In a hyperconnected world, I guess I can allow

Myself to sometimes hide under a rock

News of doom and gloom purposefully block..

*

Gone are the days when I felt I was required

To be well-versed in current affairs, with age I have acquired

The ability to not feel bad about being ignorant

Regarding a specific topic, I am more content

In not knowing what everyone else seems to know

Staying away from disturbing stimuli is more important, and so

Let the news channels flash the latest breaking news

While I stay ignorant, and uninfluenced by their biased views

I get to work

I’ve got to go to work everyday

I’ve got to face challenges along the way

I’ve got to listen to my patients’ concerns

Their confidence in my abilities, I’ve got to earn

New skills in my field of practice I’ve got to learn

Sometimes the midnight oil I’ve got to burn

When my profession demands sacrificing sleep

I’ve got to do it, I’ve got commitments to keep..

*

Sounds like a lot I’ve got to do

The pressure is weighing me down, it’s true..

*

As an exercise, let me some words replace

And my work responsibilities let me thus rephrase..

I get to go to work every day

I get to face challenges along the way

I get to listen to my patients’ concerns

Their confidence in my abilities I get to earn

New skills in my field of practice I get to learn

Sometimes the midnight oil I get to burn

When my profession demands sacrificing sleep

I get to do it, I have commitments to keep

*

Ah, how privileged I am, now I see

That I get to work in such capacity

Let me view this ability with gratitude

I am grateful for this privilege is my new attitude

My thunder shall not be stolen..

There are times when I simply let it go

Let someone steal my thunder, and throw

Everything I have worked hard for under the bus

I don’t want to be perceived as creating a fuss

By asking for credit, I just hope some day

Karma would let due recognition come my way…

*

There are times when it hurts me more

To be sidelined, disregarded or ignored

I hate to think there is any bias at play

But may be I simply have not learnt the way

To state my point of view with such confidence

That I make everyone around take notice of my presence..

But I am not that person, my opinion I do not

State loudly or readily, without giving it much thought

I fear even Karma would not support me

Because I don’t support myself adequately..

*

Next time someone tries to steal my show

I’ll put up resistance, not let it go

Credit for my work, I shall try to claim

Without trying to assign anyone the blame

The Space

Between stimulus and response there is a space

I must pause for reflection in that place

Before an appropriate response I formulate

Instead of regretting my knee-jerk reaction too late..

*

There is always a pause, albeit small

That can be used to think, to stall

A response after a stimulus reaches you

It is better to try to think through

Most situations before jumping ahead

Hold yourself back for a moment instead..

*

Especially in the midst of an argument

Letting words loose without waiting a moment

To reflect on what you are going to say

Can snowball into a disaster any day

Harsh words cannot come back once spoken

They leave behind them relationships broken

*

Between the stimulus and its response, therefore

Pause for a moment, reflect some more..

Success I need

I fail when I desperately want to succeed

I fail when success I sorely need

I fail, and the failure cuts like a knife

I fail, and get up reluctantly, because that is life..

*

Sometimes my self-worth I end up tying

To a narrow definition of success- despite trying

When I do not succeed, my self-worth takes a nose-dive

And thereafter takes a while to revive

*

Sometimes there is a glimmer of hope in the midst

Of failure, sometimes the path to success is clouded in mist

I have to take a step forward either way

And move ahead, step-by-step and day by day

And that’s what I do, when miserably I fail

After I’ve lamented my luck, to no avail

I take a small step forward, then another one

Soon my journey from the point of failure has begun..

*

I fail often, and rarely succeed

I’m trying not to let success be a need

As long as I do not let failure my self-worth define

I can go on, hoping that one day success would be mine

A perfect day

(Inspired by catherinechengmd.com)

With immense gratitude I end today

It was a perfect day, I must say!

*

The first question is how I would define

A perfect day- nothing happened to blow mind

But the day was smooth, the hundred little moments

In which things could go wrong did not present

Any obstacles, for which I am grateful indeed

Days not spent extinguishing fires I need..

Time together as a family we spent

Without any drama (to a great extent)

I felt centered, calm and in control

It was a day of rejuvenation for my soul

*

Yes it was a perfect day because I did not

Feel at the end of it that I had fought

A battle against time, or will

I had time and autonomy to fill

My cup that unfortunately stays

More empty than full most days

It is my sacred responsibility now

To go to sleep so that I can allow

The next day to start off perfectly as well

Tonight on pleasant thoughts I shall dwell