The surgical perks

Representation pic

Ouch!" I said to myself after completing an eight-hour operation to fix someone's degenerated spine, gingerly releasing the velcro off the 5-kg lead apron I was wearing underneath my surgical gown. Spine surgeons often wear lead to minimise the effects of radiation from the X-ray machine used to take multiple shoots and ensure the perfect placement of our implants. Often, the positions in which we stand are awkward and ergonomically challenging and can unpredictably strain the back like it did for me, for the first time in my career.

I limped towards the surgeons' room and slid into a chair to grab a coffee, which is what most unhealthy surgeons do after they finish an operation. I wriggled my toes inside my crocs and flapped my ankles up and down to ensure my nerves were not affected, and then got up crunching my teeth and walked robotically out of the operation theatre complex as if nothing had happened. I spoke to the family, catching my breath, while saying that everything had gone off well. "Are you okay, doc?" the wife of the patient asked, noticing that something was amiss. "I think I just sprained my back a bit," I gesticulated. "Please take care, and thank you for everything," she said, as I prophetically waved goodbye, taking the elevator up to my office, instead of the customary stairs I'm so familiar with.

I rummaged through my drawers and found an expired pain killer that I popped, continuing to see the few patients that were scheduled for the remainder of my day. I bought myself a strip of fresh meds as I left for the day. "What happened, dada? Why are you walking like an old man?" my kids questioned as soon as I entered the house. "I just hurt my back a little. It'll be okay if you press it for me." So, armed with an ice pack and some Volini, they rubbed my back up and down. When I awoke the next morning, I felt a little better and got ready to go to work. "Shouldn't you be resting?" my wife cautioned, to which she got a "Nah!" I preferred to believe that my patients wouldn't survive if I wasn't around. This, precisely, is the pretentious God complex that the common man knows the surgeon to harbour.

I continued with the scheduled cases for the day, making sure I wore the lightest lead apron that was available. I bullishly wrote my name on it with a permeant marker even though it was the property of the hospital. While I was operating, I had no pain at all, but the moment I finished, it was as if someone was wringing my back muscles dry from the inside. Surgery had provided the adrenaline needed to mask the pain, but the relief was short-lived. I wondered why the medication I usually prescribed to my patients wasn't working on me. I got an MRI done between cases and was relieved to find it clean. There was no herniated disc, no infection, no swelling. But everyone noticed I was leaning to one side while walking. It was ironic that I wasn't able to cure a condition in me that I treated daily.

The next five days went on as usual: surgery in the mornings and outpatient clinics in the evenings, and between the two I would get the physiotherapist to work their magic on me. I thought I was getting better until one evening, when, after seeing my last patient, I sneezed uproariously. Twice. And then it was all over. It was as if someone had burst a bomb in my bum and fired bullets up and down my back simultaneously. Poets and authors have written about pain for centuries, but I have yet to come across an accurate description of exactly what I felt that evening. I could not put my left foot on the floor, and after lying down for an hour and taking an intramuscular injection in the arm, I got two people to place me into my car and drove home sitting on half a butt cheek. I couldn't get out of bed for the next few days. My bed, which was the cosiest place on the planet until a few days ago, seemed like a buttress of nails.

Each night I stared at my ceiling. The first thing I noticed was that it needed some cleaning. But after that, I began thinking about all the patients with back pain who had come to me, whom I had brushed off, telling them they didn't need surgery, asking them to take some medication and do some physiotherapy. I had treated them almost with some amount of disdain for not having a surgical cause that I could fix. I used to pride myself in being a patient, all-encompassing doctor, but part of it was fallacious; I didn't really attempt to understand the root cause of someone's pain.

Kahlil Gibran said, "Your pain is the breaking of the shell that encloses your understanding… Much of your pain is self-chosen. It is the bitter potion by which the physician within you heals your sick self. Therefore, trust the physician, and drink his remedy in silence and tranquility." Which I did, and overmedicated myself in the bargain. That led me to wrench and vomit, infinitesimally worsening whatever was getting better.

"Why don't you eat some khichdi, beta," suggested an aunty after hearing about my predicament. "You need a bonesetter," a cousin proclaimed, "because these guys know exactly where to kick you and it'll be fixed in a second, you doctors know nothing!" I couldn't agree more. My house help recommended that she knew someone who was born breech and if that person walked on my back, it would be cured - but it would work only if I had faith in such a therapy. A spiritual person told me that my ‘kundalini' was stuck while rising and needed to be released. After all, everything in today's age is energy, frequency, and vibration. The physiotherapist said it was a locked facet. The pain specialist decreed it was nerve impingement and stuck in a bunch of needles to stabilise spasming muscles.

With time, whatever it was substantially mitigated over the week. After sitting on a hot water bag for a few days, I resumed work with a more profound understanding of someone else's pain; as Ursula Guin once said, "It is our suffering that brings us together."

The writer is practicing neurosurgeon at Wockhardt Hospitals and Honorary Assistant Professor of Neurosurgery at Grant Medical College and Sir JJ Group of Hospitals.