healing and storytelling

my mother

An Orphan’s Mother’s Day

An Orphan’s Mother’s Day, that is my Mother’s Day with my mother is silent, somnolent, serene and solemn. I never take her out to dinner, not even to lunch. Bouquet of fresh flower? Even that’s out of question! May be a physician son like me would like to buy something expensive, something exotic for my mother! Well dead wrong again! Then what do I do for my mother on a Mother’s Day? Nothing, and nothing, and yes, nothing. Plain and simple. Paraphrasing Mark Twain, there are only two kinds of people in the world: the ones who have mother and the ones who don’t, I mean a mother who is living in flesh and blood. I belong to the latter kind. We are Orphans. For us, Mother’s Day is not a celebration in traditional means, for us it is a mixed emotion; a strange state of mind where celebration and mourning happen together. Have you ever known people without mother or people who lost their mother early in life? If you didn’t yet or if you had not have the occasion of conversation with one of them on this then let me let you know that we walk, talk, laugh and live our life with a strange subconscious burden every day,  but as the Mother’s Day rolls around, that burden becomes heavier, more conscious, more real. I know exactly when the Mother’s Day is coming: the UPS guy in the neighborhood gets busier delivering packages form Amazon, malls and restaurants are busier; when I open my browser, blinding colorful Pop Ups announce: Send Your Mother Something Memorable; beautifully animated flashy announcement from 1-800-Flowers: Send Your Mother Flowers, let her know you love her. Oh! Yes, let your mother know you love her. My mother is far beyond this flower or dinner business, beyond the reaches of UPS or FedEx, beyond the blinding internet Pop-Ups. I still remember the day: it was a sunny Midwestern day in Detroit, September 17th, 1989 to be exact. I was in first year of my internship; this was post–call day for me. Although tired, sleeping is not for me, I ate breakfast and showered and got on new pair of hospital scrubs, which were my usual 24 hour attires at that time, and I was trying to get some studies done in internal medicine. A friend called and wanted to visit, I sensed something wrong, but kept the feeling inside and welcomed him with his wife. “How’s the family back at home?” they asked, “Fine, okay I think”,  I answered, investigating their facial reaction and knowing subconsciously that it was not the real question or answer they were interested in.  “How’s your mom?” the friend’s wife asked as her second sentence. “She’s always weak, she works so hard…..” my heart stopped for a moment as I caught myself talking and my words dropped off, “Wait a second are you saying that something is wrong with my mother? Are you saying that? Are you saying that? “, I became frantic and couldn’t help screaming. I just picked up the phone right in the living room, in a reflexive response and started dialing the phone line.  1989! This was not yet the time of cell phone and internet! Back in the old country, the town of Chittagong, 8000 miles away from Detroit, Michigan, my family did not even have a phone, I mean land phone. If you could bribe the government owned telephone monopoly, you could get one in 10 years and if you didn’t have the money or means to bribe, the wait could be forever. So I used to dial a neighbor’s house and they were always gracious to call my family to talk to me and this used to be the way to communicate. As I kept on frantically dialing, the only message I got from AT&T was, “All international lines are busy in the country you are dialing, please call later”. I frantically called the AT&T operator, call could not go through even with her help; no one could help. This was the state of communication in those days in the poor 3rd world countries. Even emergencies had to wait! I did the only thing I could do, sob and kept on trying, finally reaching one time after five hours of trial! Just think about it: getting phone line after five hours of continuous dialing. Strangely, in the worst of grief and loneliness, the human benevolence takes over: I only wanted to know how my mother died, what she said as her last words and my main worry was my family, especially my younger siblings, how helpless they were feeling without a mother, how they will be taken care of. I totally forgot of myself. By the time I could make arrangement calling the med school and airplane ticketing and other formalities, and then finally reached the old hometown after 3 days of grueling journey, my mother’s body was only represented by a freshly turned pile of red dirt lying in her ancestral graveyard on a hilltop next to a 16th century mosque that was founded by a revered Saint of Chittagong, my ancestral home town.  There is always a strange silence in the graveyards, even in an overpopulated country. After the eight thousand miles journey that was my first stop over, I fell on my knees, I cried but my eyes were dry from the dehydration of three days of journey over the oceans, mountain ranges and continents. As I prayed, I felt my mother would come alive at any moment, a strange, lunatic sense of denial conquered me over, I prayed and prayed but the miracle never happened, my  mother never rose up, she never talked to me, I never saw her in flesh and blood, never again. Who knew that two years ago on my way to the United States, when I said goodbye to my mother in the dusty Second World War era airport of Chittagong that was going to

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Prescription for Doctors, from Patient

“Look at the patient, to listen to the patient, and not be so hastened to write out that prescription and get them out the door”.  This was the starting commentary of a long term patient of mine whom I was interviewing recently. She is an intelligent and articulate person and can express herself very well and this is why I always loved and respected her as a person and as patient. In our many years of relationship I have been with her in the ups and downs her life and so as her families’. Several of her family members are also my patient. So, when I requested her this interview, she easily agreed with a smile and a confident composure. Although I told her that the story could be about anything that had impacted her life, she decided that her story should be about doctors and office visits since it had great impact in her and in her family’s life. It was not until the end of the story that I realized this was a great Prescription for Doctors, from Patient. She went on saying, “Patients like in my case could have more than one issue when I visit a doctor’s office, so which one do we need to talk first this time? In my case I write down a list because I forget often and then I talk one by one and my Primary Care Physician who has the patience of listening through it. I get so aggravated that I have to wait so long just to see him, but its worth it because when I am seeing him, he spends the time, just like you do. I am not just a number, I am not a money-pocket, not just the insurance, it is me, you are concerned about me. That’s important. Sometimes I wait for hours because once I get to see him (my primary care doc) he makes me feel like I am the only patient!” I know her sister and brother in law, two years ago the brother in law was diagnosed to have pancreatic cancer by me. He is still living as of the date of this interview but he is on his way down. When she went to his topic, she started crying and sobbing, and then her gaze deepened at me, “It started with you, it started with you caring, being sensitive to him as well as to my sister, I appreciate that, the family comes to you more, because you are tenderhearted and you showed that you care, I have faith in you totally, I know when you say I have an ulcer or a polyp, I know that you gonna fix it, it is as simple as it.” as she stated. I was filled with a great grief about her brother in law as well as a tremendous happiness as a physician to hear this from her. She went on saying, “My wish for myself is that people will see God in me, that I lived, I walked and I talked with God in me. I stopped smoking about a month ago, I smoked a pack and half a day for over four decades,  because both you and Dr. PCP (Primary Care Physician) was getting on by behind hiney..I did cold turkey! For you physicians, Listen, just listen, don’t say wow, I can get her insurance,insurance will pay, its not a money thing, it shouldn’t be, it should not be cattle running through a track for slaughterhouse. It should be truly one to one. When patients and physicians start taking each other seriously, then people will get more healed, not to get God out of the picture. Listen physicians, you guys are very smart, God had given you the wisdom to learn, he put you on this earth for a reason, that is to help us, that is your purpose on earth. by doing this means is to listen to us whole-hardheartedly to figure out what’s wrong with us.” Then I asked her about Life changing event in her life and this is what she told me,  “A year and half ago my grandson was born. He was born with a collapsed lung and lung deformity. He was in local Children’s Hospital for two and a half months. He was on a heart-lung machine, and on an artificial kidney machine. they told us he would probably not live through the first surgery, they told us he will live “one hour by one hour”.  We all put our faith in God and our trust in the doctors, they were always there, they would give us the worst scenario and the best scenario. they always said, “he could live one more hour, one more hour”! And today he celebrates his first birthday! I am so moved, he is a blessing, just like my brother in law. I have learnt from it to put my trust and faith in God, and to treat people the way you want to be treated. Be kind, be generous, don’t be having negativity, even in the most difficult of circumstances. Like even when my grandson was in the most critical moment, they told us “There’s a chance!”. And he did have a chance, he did make it! And it changed me, made me humble to see the fragility of life.” Then I asked her, “What do you want people to know about you?”  Without much deliberation or pause she went on spontaneously looking at the walls of the exam rooms she went on, “That I smiled all the times, happy and that I had positive attitudes, that I did not walk about being mad about the world, expressing negativity. I am a retired hair dresser, I taught this trade too, I loved it when people came to me and said, “You’re just a great hair dresser, I learnt so much from you!”,  it’s nice, it isn’t for the praise or boasting but it is nice to know

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I Love You Son!: A Kid in the Candy Store

“I just cannot wait to hear from my Dad every Sunday, we talk for hours and hours and the surprising thing is that I always wait to hear from him a sentence with four words, he tells me always at the end of our conversation “Son I love you!”.  I love to hear this, every time, all the time, this is for me a little boy in a candy store moment”,  his face glowing and his eyes popping as he told me his story in my office. This was a well-built, tall handsome man in his early 50s whom I am seeing for the first time in my office because he needed a screening colonoscopy for prevention only, he is otherwise healthy. “But our relation was not always healthy like this, in fact for a period of  ten years we had cut off our relationship with each other, oblivious to each other’s plight, I did not know where my father was!”,  Jim told me. Jim grew up in a beautiful East Coast town of USA, the area was draped with sunshine, beaches and green tree lines. Jim was in his early teenage years when his parents got divorced. He wanted to stay with his dad in the East Coast while his mother had decided to move across the country to the West Coast with her two children. But Jim wanted to stay with his dad. He pleaded with him but his dad was a distant dad, who never heeded the crying heart of his son.  Feeling the hurt from dejection, Jim always wondered why his father never cared for him. After six months of trying to stay with his father, and getting no reciprocity, he eventually gave up, accepting in mind that as much as it seems unreal, his dad had quit on him. So he moved with his mother and took on the challenge of forming a new life in the West Coast.

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