Human beings need a lot of things to feel alive. Family, love, sex. But we only need one thing to actually be alive. We need a beating heart. When our heart is threatened, we respond in one or two ways. We either run or we attack. There's a scientific term for this - fight or flight. It's instinct. We can't control it.
The key to being a successful intern is what we give up - sleep, friends, a normal life. We sacrifice it all for that one amazing moment, that moment when you can legally call yourself a surgeon.
That are days that make the sacrifice seem worthwhile. And then there are the days where everything feels like a sacrifice. And there are the sacrifices that you can't even figure out why you are making.
A wise man once said, "You can have everything in life if you will sacrifice everything else for it." What he meant is, nothing comes without a price. So before you go into battle, you better decide how much you are willing to lose.
Too often, going after what feels good means letting go of what you know is right. Adn letting someone in means abandoning the walls you've spent a lifetime building.
Of course the tougher sacrifices are the ones we don't see coming.
When we don't have time to come up with a strategy to pick a side, or to measure the potential loss, when that happens, when the battle chooses us and not the other way around - that's when the sacrifice can turn out to be more than we can bear.
Surgeons always have a plan - where to cut, where to clam, where to stitch But even with the best plans, complications can arise, things can go wrong. And suddenly, you are caught with your pants down.
The thing about plans is they don't take into account the unexpected. So when we're thrown a curved ball, whether it's in the OR or in life, we have to improvise. Of course, some of us are better in it than others.
Messing up is what makes a person. It's how we learn. Or find joy in the things you don't plan for and the things you'll never discover.
Some of us just have to move on to Plan B and make the best of it. And sometimes, what we want is exactly what we need. But sometimes, sometimes what we need isn't a plan.
We all go through lives like bulls in a china shop. A chip here, a crack there, doing damage to ourselves, to other people.
The problem is trying to figure out how to control the damage we've done or that's been done to us. Sometimes the damage catches us by surprise. Sometimes we think we can fix the damage. Only sometimes the damage is something we can't even see.
We're all damaged it seems - some of us more than others. We carry the damage with us from childhood. Then as grownups, we give as good as we get.
Ultimately, we all do damage. And then we set about the business of fixing whatever we can.
As doctors, we're trained to be sceptical because our patients lie to us all the time. The rule is : every patient is a liar until proven honest.
Lying is bad, or so we're told, constantly from birth. Honesty is the best policy. The truth shall set you free. I dropped down the cherry tree - whatever.
The fact is, lying is a necessity. We lie to ourselves because the truth, the truth freaking hurts.
No matter how hard we try to ignore it, or deny it, eventually lies fall away. Whether we like it or not. But here's the truth about the TRUTH - it's painful. So, we lie.
A good basketball game can have us all on the edge of our seats. Games are all about the glory, the pain and the play-back play. And then there are the more solitary games - the game we each play all by ourselves. The social games. The mind games. We use them to pass the time, to make life more interesting, to distract us from what's really going on.
There are those of us who love to play games. Any game. And there are those of us who love to play, a little too much.
Life is not a spectators' sport. Win, lose or draw - the game is in progress - whether we want it to be or not. So go ahead. Argue with the refs. Change the rules. Cheat a little. Take a break and tend to your wounds. But play. Play. Play hard. Play fast. Play loose and free. Play as if there's no tomorrow.
Okay. So it's not whether you win or lose. It's how you play the game, right?
But we only need one thing to actually be alive. We need a beating heart. When our heart is threatened, we respond in one or two ways. We either run or we attack. There's a scientific term for this - fight or flight. It's instinct.
As doctors, patients are always telling us how to do our jobs. Just stitch me up, slap a band aid on it and send me home. It's easy to suggest a quick solution when you don't know much about the problem, when you don't understand the underlying cause or just how deep the wound really is.
The step towards a real cure is to know exactly what the disease is to be begin with. But that's not what people want to hear. We're supposed to forget the past that landed us here, ignore the future complications that might or else??, and go for the quick fix.
As doctors, as friends, as human beings, we all try to do the best we can. But the world is full of unexpected twists and turns. Just when you've gotten the lay of the land, the ground underneath you shifts and knocks you off your feet.
If you're lucky, you end up with nothing more than a flesh wound - something a band aid would cover. But some wounds are deeper than they first appear and require more than just a quick fix. With some wounds, you have to rip off the band aid. Let them breathe and give them time to heal.
It's an urban myth that suicide rates spike at the holidays. It turns out they actually go down.
Experts think it's because people are less inclined to off themselves when surrounded by family. Ironically, that same family togetherness is thought to be the same reason that depression rate actually do spike at the holidays.
There's an old proverb that says you can't choose your family. You take what the fates hand you. And like them or not. Love them or not. Understand them or not. You cope. Then there's the school of thought that goes, the family you are born into is a starting point. They feed you and clothe you and take care of you, until you are ready to go out into the world. And find your drive.
Pain comes in all forms. The small twinch. A bit of soreness. The random pain. The normal pains we live with everyday. But then that's the kind of pain you can't ignore. A level of pain so great that it blocks out everything else; makes the rest of the world fade away. Until all we can think about is how much we hurt. How we manage our pain is up to us. Pain. We anaethesise. Ride it out. Embrace it. Ignore it. And for some of us, the best way to manage pain is to wish to push through it. There are no solutions. No easy answers. You just breathe deep and wait for it to subside. Most of the time, pain can be managed. But sometimes the pain gets you when you least expected. Hits below the belt and doesn't let up. Pain. You just have to fight through. Because the truth is, you can't outrun it and life always makes more.
To be a good surgeon, you have to think like a surgeon. Emotions are messy. Tuck them neatly away and step into a clean sterile room where the procedure is simple. Cut, suture and close. But sometimes, you are faced with a cut that won't heal. A cut that rips its stiches wide open.
They say, practice makes perfect. Theory is, the more you think like a surgeon, the more you become one. The better you get at remaining neutral. Clinical. Cut, suture, close. And the harder it becomes to turn it off.
To stop thinking like a surgeon, and remember what it means to think like a human being.