Why Anesthesia?

Sunday, April 06, 2014

The first rule is: "Be humble." That's all it takes. This is the initial advice of my mentor, and it’s the one which he emphasized on the most. It may reflect on every aspect of my life. As it drives me to realize that all the knowledge I have is nothing in comparison to the universal knowledge. It makes me more sympathetic with juniors and appreciating the seniors. Modesty puts everything in order. Yet, why doctors, in general, are arrogant? 

It took me 7 long crude years to be a doctor. During that period, I've seen people around me graduating, starting families, establishing businesses, and moving around. All I had is my books, my mild depressed attitude, and a big wholesome of worthlessness. Children can't appreciate the time. It's pointless to promise them for something tomorrow or after a month or a year. A direct reward system is the best for them. Some over grows this habit, however, it's stuck with a lot. In my scenario, I didn't come to realize how long it may take for me to reach the goal, until I chose medicine. This's a big dilemma for high school graduates. How are they supposed to choose their life path while they lack knowledge and guidance? Also, not to confuse guidance with imposing or forcing an option.

I will be at least 35 until I start my golden time of my career. Then, I should be a consultant, an active member in forming health policies, and a successful husband and father. Still, in reflection, every time was a golden period. Because, I didn't expect a peaceful period. There is always a battle going on. As I win, it's always a golden time.  And as perspectives vary dramatically along people, everybody has his or her own battles. Despite that, we live to prosper and flourish. This's our only chance. In the fact, we could be the only chance in this massive universe. Or, we're the first prototype, aren't we? Since our universe is very young to have an opportunity to formulate a smart life form. It took around 13 billion years to provide, gather, and interact all the elements to create us. For sure, it'll need longer to have a smarter form. 

From anesthesia to the universe is not a far trip. We deal with physics, chemistry, and biology of micro and macro scale. Though, it's not like high school or university, for there's always a life on the steak. I'm now on the first step of my trip in this field. I'll build and be built from scratch. Yet, I feel like there's a big bang inside of me. There's a lot of energy, enthusiasm, and hunger to learn and work. For the sure, the universe has a purpose. So, is it called luck to choose something I like, to find out later it leads me to another thing I like more? 

Every specialty reflects its own character on the doctor behaviors. I think anesthesia reflects quietness, self control, discipline, and modesty. Why is the modesty? Because despite how expert I may become, I should know that my abilities alone may fail me. So, in contrary to surgeons, anesthetist shouldn't be fooled by their skills and competencies. So far, I did around sixty intubations. Would you imagine my feelings after 600 or 6000 intubations? Here lies the trick. 

Let’s talk practical anyway. My choice is based on personal preferences. That doesn’t mean everybody choosing a particular specialty have similar personality. I prefer short term encounter with patients. I’m self centered when it comes to appreciation. I don’t need someone to thank me or acknowledge my efforts. In fact, I forget the patients I deal with quickly, as they do. I wish they did, as I remark to my success with the status of amnesia. I like to utilize my medical knowledge, and anesthesia is more like a combination of surgery and medicine. We deal with a wide variety of morbidities, surgical conditions, and in remote areas. In contrary to internal medicine, I have different skills and direct intervention. Most of the times, our management is absolute, not compensatory. In contrary to surgery, we manage the airway, we know how to deal with medical conditions and emergencies. I like to see a quick outcome. I’m the pain killer. Also, I’m the master of the OR. And it’s very easy for us to put people to sleep. Do you imagine how important sleep is, especially when a person suffer amnesia? Also, I like well controlled and quiet atmosphere like the operating room. Anesthesia is a relatively new field which is promising to expand and offer more opportunities. 


Anyway, after a long journey of studying, working, and practicing I'm here starting from point zero. It's too early to formulate a future plan, but I shouldn't delay such step. However, I’m very lucky to start with an excellent mentor who is very helpful and concerned how to formulate my career life. I’m building out of scratch by him. And the six month's encounter I had with him will be engraved in my memory, style, attitude, skills, and knowledge. It's too difficult to catch up with everything, and my time is short, but I’ll try and keep trying.

Anne Boleyn

Friday, March 14, 2014
Anesthesia
It feels like an orgasm to touch the keyboard again, typing. I hope you feel the same by reading my words. I don’t really plan to explain the variables, which prevented me from writing. However, I didn’t find a spot here in the East, as such the one I enjoyed in Riyadh, yet. And as long as it’s an orgasmic action, it needs a special place. Like you can’t practice sex in the street. As sex just popped up, I think it has a huge impact on the human being. In the end, we’re alive because of it, and we live just for it.

I was intending to talk about my internship. Anyway, I would postpone this topic until a later time. For now, I’ve changed. For example, I have a purpose of my life. I have a particular person to make happy. I have a career, which really occupies all my time and thoughts. Also, I have great future plans for it. I don’t need to ventilate as I used to do. Yet, I have many unanswered questions, and unfulfilled quests, which I will hunt along with you.

My life transformed from lineless events to ruled notebook where everything is calculated, measured, and titrated.  For sure the change from being unemployed to volunteer in surgery department, ER service resident, ICU service resident, being accepted in the anesthesia program, then granting the sponsorship of the ministry of health, and resign to be sponsored by another hospital, all in less than one year is a story worth telling. I finally find the courage to disclose it to you. Since I was very much afraid of failing.

One more issue, should I publish every Friday as I used to? Maybe after the weekend changed in Saudi Arabia from Thursday and Friday to Friday and Saturday, I have to change too. So far, we’ve been talking about how I’ve changed. So why not to change this, too? I don’t think the religious teachings will be altered according to my new desire. This’s very risky business; manipulating a religion to fit your demand.

We have Anne Boleyn and her crazy lover, King Henry VIII. What the girls should learn from this incident is that being easy won’t get you anywhere. Henry pursued her for seven years, after the first glance. Anyway, her sister, Mary, was easy going with the king. That could be the reason to save her ass, I mean head.

Education, especially abroad, is the key for a successful girl. I encourage any Saudi female to learn outside this country. This way we can reform Saudi Arabia, as England was reformed under the hands of Anne. As the king was married to Catherine of Aragon, the daughter of Spain king. She was initially betrothed to his deceased brother Arthur, in order to establish a strong anglo-Spanish alliance against France. However, Henry was badly in love with Anne. So he annulled his marriage to Katherine and declare their daughter, Mary as illegitimate. That led to the separation of the English Church from Rome. Since then, the king or the queen, like Elizabeth the first, is the supreme authority for the church. You may name it the guardian of the faith. 

A person should never underestimate the power of females. Countless wars happened because of beautiful women. Also, the male weakness may drive him into a tyrant. Henry weight was about 180 kg; his waist diameter was about 150 cm. Most probably the man was diabetic. Therefore, he could have impotence. Many other theories were claimed to explain the attitude, alternating mode, and absence heir for him. Syphilis is one proposed explanation. Though, I think it’s less likely. This’s a bit tricky topic. There’s an interesting movie called: “the other Boleyn’s girl.” If you’re interested, you may fancy watching it sometimes.

It took me too long into the dazzlement by the bright star of my life. To be honest, completely honest, I used to write and imagine nobody would read what I rubbish here. But now, I feel some sort of responsibility, of being observed and watched. Just now I could feel that mistakes count, and I don’t want to commit any. All sudden, I’m a doctor trusted on lives. All sudden, I’m a husband, and the thread, which connects me with this fine lady, is so tense. I mean it’s not like studying to pass, or raising a child to be a good one, it’s whole different perspective of life, or two lives. How to spend the rest of my life after unanswered questions? Yet, I found the greatest quest in life; happiness. Maybe in Saudi Arabia, we’re born with a credit of happiness, but we shouldn’t run out of it. I’m very happy now, overjoyed; yet all I have to do is maintaining this happiness and joy. 

The anesthesia is courtesy of Rockfield.