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Panacea Vol 55 Issue 2

This issue’s theme was “Filtered”. Filters change the way we see the world. They direct our focus, alter our perspective. Each page brings a new author, a new masterpiece, a new filter. In this edition of Panacea, we invite you to see it through the filters. Thank you to you all the students who submitted pieces to this issue. If you think you would be interested in submitting something to the next issue of Panacea, please reach out to our Editor-in-Chief, Terra Sudarmana and the 2021 Publications team at pdo@amsa.org.au

This issue’s theme was “Filtered”. Filters change the way we see the world. They direct our focus, alter our perspective. Each page brings a new author, a new masterpiece, a new filter. In this edition of Panacea, we invite you to see it through the filters.

Thank you to you all the students who submitted pieces to this issue. If you think you would be interested in submitting something to the next issue of Panacea, please reach out to our Editor-in-Chief, Terra Sudarmana and the 2021 Publications team at pdo@amsa.org.au

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PANACEA<br />

FILTERED<br />

VOLUME <strong>55</strong> | ISSUE 2


EDITOR-IN-CHIEF<br />

Terra Sudarmana (GriffithU)<br />

PUBLICATIONS TEAM<br />

Aditi Kamath, Digital Artist (UAdelaide)<br />

Dalyia Abu-Ghazaleh, Writer (GriffithU)<br />

Dhruvi Lathigara, Editor (Western SydneyU)<br />

Wendy Fang, Editor MonashU)<br />

FRONT COVER<br />

Aditi Kamath (UAdelaide)<br />

AN UNSENT<br />

LETTER<br />

FROM MY<br />

MOTHER<br />

SHAPE OF<br />

WATER<br />

KOI<br />

TROUBLE<br />

TO THE<br />

MOUNTAINS<br />

HUMANITY’S<br />

BLEEDING<br />

HEART<br />

BIRTH<br />

AND SNOW<br />

GLOBES<br />

Filters change the way we see the world. They direct<br />

our focus, alter our perspective. Each page brings<br />

a new author, a new masterpiece, a new filter. In<br />

this editition of <strong>Panacea</strong>, we invite you to see it<br />

through the filters.<br />

BURNOUT:<br />

WHAT LIES<br />

BENEATH<br />

GP<br />

PLACEMENT<br />

BLUES<br />

QUARANTINE<br />

DIARIES<br />

I CANNOT HELP<br />

ALL<br />

QUARANTINE:<br />

THE<br />

ANTIDOTE TO<br />

MY IMPOSTER<br />

SYNDROME<br />

PERSPECTIVE


i. fertilisation and zygotę formation<br />

my dear child, a kiss of his serene sperm on the rosy cheeks<br />

of my opalescent ovum birthed you as a little cell in my<br />

utopian uterus. his double helix fertilised true love in my<br />

double helix and through chiasmic formations we together<br />

created the blueprint of your existence.<br />

ii. blastocyst formation<br />

you, a unicellular ‘bindi’, multiplied my bliss into a<br />

multicellular ‘mandala’ in no time. i let your cellular and<br />

genetic memory play with my creative forces, and our misty<br />

mitotic foreplay put a show that a thousand cells watched<br />

from the enchanting endometrial skies.<br />

iii. blastocyst division to embryonic implantation<br />

eight dynamic divisions later, i held you as a magnificent<br />

morula, rolling alongst the fallopian fabric of my womb. i let<br />

you implant as a blossoming blastocyst and nourished you in<br />

my ~blood~ elixir, ~O2~ aura, and ~nutrients~ love.<br />

iv. placenta formation<br />

your mere presence within me wasn’t enough. to deeply<br />

connect with you, i dug lacunar lakes and created a channel<br />

of ~circulation~ communication from your umbilicus to my<br />

uterus, whilst knitting a soft amniotic blanket for you to float<br />

safe within our inner world.<br />

v. ontogeny recapitulates phylogeny<br />

mischievously exploring your identity, you grew fish fins<br />

and monkey tails, chicken wings and bird beaks, until i sang<br />

lullabies to your genome to help you find your true identity<br />

as a human embryo.<br />

4 5


KOI TROUBLE<br />

KOI BY MIKAYLA LI<br />

vi. organ development in a time-lapse<br />

in paralysing awe, i witnessed your miraculous<br />

transformation from a trilaminar disc to a sophisticated<br />

organism, admiring your organs morph and fold up-down<br />

side-to-side like origami.<br />

sculpting my finest artistic impressions on your brain (gyri<br />

and sulci) and nurturing it in celestial cerebrospinal fluid,<br />

i sutured the pieces of your skull to provide shelter to your<br />

limitless imaginations, nascent thoughts and exordial<br />

emotions.<br />

calming the arrhythmic murmurs of your past lives, i etched<br />

healing poetry on your heart, whilst sewing the disintegrated<br />

pieces of your veins and arteries.<br />

chiseling microscopic details on your eyes, nose, ears, and<br />

lips made me feel nothing less than the reincarnation of<br />

Michelangelo.<br />

vi. labour<br />

and then, it was your time. a burst in the amniotic sac, a<br />

sudden gush of hormones, ecstatic neural firings, rigorously<br />

contracting uterine muscles, and turbulent blood flow. I was<br />

rushed to the theatre, plugged onto intravenous injections in<br />

intolerable pain, amidst startling noises and blinding lights.<br />

in a race against time, i swinged between life and death like a<br />

pendulum. whilst you mistook home for a prison and burst<br />

in rebellion against the walls i had protected you in for nine<br />

months.<br />

first popped your head, then heart, then trunk, and finally<br />

wiggling toes. all draped in blood and robed in mucous, you<br />

cried in joy. as your lungs bloomed with the first breath,<br />

mine gasped and choked for my last breath. you opened<br />

your eyes, at the very moment when I shut mine.<br />

leaving you this unwritten unsent letter, my sins were settled.<br />

a life for a life.<br />

6 7


Watching the cruelty suck away your breath<br />

I let your hand fall into mine<br />

and although it’s unclear whose pulse I’m feeling<br />

each beat reminds me of time I’m stealing.<br />

They say do not befriend our patients<br />

like factory workers making goods<br />

filing through on an assembly line<br />

souls to be inserted at a later time.<br />

They say be truthful and share only the facts<br />

stating it’s not our grief that counts<br />

but then it’s time they decide to ration<br />

and wonder why there’s a lack of compassion.<br />

I cannot oblige or follow those rules<br />

despite it being me who’ll pay<br />

my promise to you was that I’d care<br />

even when the pain strips me bare.<br />

Eight years ago you knocked on my door<br />

years of delight watching you grow<br />

busting the expectations we’d set<br />

you made it clear you weren’t fond of regret.<br />

As the words escape my lips, I listen,<br />

in shock I feel I’m ill-equipped<br />

whilst I have before shared news of the end<br />

this time it feels like I’m losing a friend.<br />

I know before long you’ll leave your chair<br />

parting this room once and for all<br />

and I am expected to just proceed<br />

since no one can see my heart that bleeds.<br />

I know there are others who deserve my time<br />

but let me make just one request:<br />

for a moment I want Tuesday mornings<br />

vacant before time resumes its scorning.<br />

From time to time I walk past your grave<br />

always wearing the socks you loved<br />

they’re not as bright and they no longer glow<br />

but they remind me of you, never saying no.<br />

8 9


R<br />

U<br />

R<br />

A<br />

L<br />

A<br />

D<br />

V<br />

E<br />

N<br />

T<br />

U<br />

R<br />

E<br />

S<br />

Shape of Water<br />

BY ELIZABETH HU<br />

10 11<br />

N<br />

E<br />

W<br />

B<br />

E<br />

G<br />

I<br />

N<br />

N<br />

I<br />

N<br />

G<br />

S<br />

L<br />

I<br />

M<br />

I<br />

T<br />

L<br />

E<br />

S<br />

S


TO THE<br />

MOUNTAINS<br />

12 13<br />

By Sam Flesfader


I had been<br />

telling people for years<br />

that I was sure that I would<br />

cry at my first birth. To be fair, I had<br />

good precedence for this assumption;<br />

more tears than I care to count have been<br />

shed over the many television births I have<br />

seen on Call the Midwife and Offspring. I knew<br />

that my first birth would be a momentous and<br />

joyous occasion, with lots of smiles and<br />

tears of happiness.<br />

In my first two rotations of third<br />

year I finally witnessed my first<br />

births. Did I cry? No – I was too<br />

busy being horrified. I was<br />

not prepared for the blood. I<br />

had not expected meconium<br />

dripping onto a midwife’s<br />

unprotected arms as she<br />

delivered a baby. I had no<br />

idea that a whole hand and<br />

forearm could fit inside a<br />

woman and turn her baby<br />

around. I winced through<br />

episiotomies and shuddered<br />

through contractions. I stood<br />

terrified, sure that the force<br />

with which the obstetrician<br />

pulled on the forceps would<br />

snap the baby’s tiny neck.<br />

I was also amazed by the<br />

strength of the women, their<br />

determination, and their<br />

power. Television tries but fails<br />

to capture the joy that follows<br />

a birth; holding a newborn<br />

baby just minutes old is<br />

one of the purest, most<br />

intense feelings of<br />

joy that I have ever<br />

experienced. Tiny<br />

eyes, tiny toes,<br />

tiny ears. Tiny,<br />

perfect,<br />

new.<br />

By Serena Moon<br />

I did cry<br />

eventually, in the last<br />

birth I attended. It was a<br />

twin caesarean section, planned<br />

and calm. Twin one was delivered<br />

safely, and then it was twin two’s turn. I<br />

looked over and saw something that I had<br />

never expected to see: an intact amniotic sac<br />

protruding from the mother’s belly, a tiny head<br />

floating inside. Joining the world, but<br />

still protected for a moment longer. It<br />

looked almost like a snow globe; a<br />

blue, iridescent orb poised on the<br />

brink of delivering its precious<br />

cargo. I smiled one of the biggest<br />

smiles of my life and felt tears in<br />

my eyes as the sac burst and<br />

the baby was delivered, sure<br />

that I had just witnessed a<br />

miracle that few get to see.<br />

It is hard to reconcile my<br />

feelings from my women’s<br />

rotation; pain juxtaposed<br />

with joy, vulnerability with<br />

strength, and madness with<br />

magic. What I do know is<br />

that I am so privileged to<br />

have shared these incredible<br />

moments with families. I was<br />

there, a stranger, while Covid<br />

restrictions meant that their<br />

own family and friends could<br />

not be there for them. I am<br />

inspired by their generosity<br />

and their strength, and I know<br />

that I will remember each of<br />

those tiny babies for a long<br />

time to come.<br />

14 15


BURNOUT:<br />

WHAT LIES BENEATH<br />

“Burnout” is a term frequently used amongst<br />

physicians and medical students alike, however,<br />

there is a distinct lack in any discussion beyond<br />

the superficial. It is a well-recognised norm<br />

that has become a rite of passage in the<br />

medical career. A barrier that students must<br />

hurdle. This normalisation of pushing through<br />

excessive stress and overwhelming exhaustion<br />

is an aspect of medicine that has frustrated me<br />

in my short journey as a medical student.<br />

Burnout is classified as an occupational<br />

phenomenon in WHO’s International<br />

Classification of Diseases (ICD-11) and is a<br />

“syndrome...resulting from chronic workplace<br />

stress that has not been managed[1].” Beyond<br />

Blue in their National Mental Health Survey<br />

of Doctors and Medical Students found that<br />

47.5% of 18-30 year old’s reported emotional<br />

exhaustion [2]. A disheartening systematic<br />

review established that burnout may continue<br />

beyond medical school and can lead to suicidal<br />

ideation and psychiatric disorders [3].<br />

My personal experiences with burnout have<br />

been the catalyst for writing this article.<br />

There is a growing sentiment among my<br />

peers that in order to succeed as a medical<br />

student, the prioritisation of studying over<br />

all else is essential. This has then developed<br />

into a damaging romanticisation of relentless<br />

productivity resulting in a diminishing worklife<br />

balance. I have fallen victim to this cycle as<br />

have many other students and a major concern<br />

of mine is the underestimation of this issue by<br />

both students and the university.<br />

The conversation around mental health<br />

has been growing and is slowly being destigmatised<br />

but this is not enough. While<br />

students, professors and doctors all entertain<br />

the idea that long-term stress and fatigue is<br />

a constituent of being a doctor, the impact<br />

of a healthy conversation around burnout is<br />

diminished. The detrimental influence of this<br />

culture that has cultivated over the years has<br />

been evidenced by the routine undervaluing of<br />

our wellbeing.<br />

Andrew Tabner describes this perfectly when<br />

talking about physician suicide: “we aren’t<br />

just implicated as a profession through passive<br />

inaction; we have contributed...through the<br />

perpetuation of unhealthy attitudes, impossible<br />

expectations and a tyranny of perfection.”[4].<br />

While there is still scope to grow, there have<br />

been strides in the space of mental health. The<br />

initiatives undertaken by both student groups<br />

and universities, while still underdeveloped,<br />

form the backbone for the establishment of key<br />

strategies in the future. Conversations around<br />

burnout are being held more than ever before.<br />

Self-awareness of damaging work practices<br />

is increasing. Recognition of the need for<br />

sustainable goals is growing.<br />

Despite what I’ve written above, there will<br />

probably always be elements of burnout in<br />

medicine. But what we can change is our<br />

attitude, expectations and response to it.<br />

BY RAHIL AJMERA<br />

[1] Burn-out an “occupational phenomenon”: International Classification of Diseases [Internet]. Who.int. 2019<br />

[cited 4 April 2021]. Available from: https://www.who.int/news/item/28-05-2019-burn-out-an-occupational-phenomenon-international-classification-of-diseases#:~:text=%E2%80%9CBurn%2Dout%20is%20a%20syndrome,related%20to%20one’s%20job%3B%20and<br />

[2] Beyond Blue. National Mental Health Survey of Doctors and Medical Students [Internet]. 2019. Available from:<br />

https://www.beyondblue.org.au/docs/default-source/research-project-files/bl1132-report---nmhdmss-full-report_<br />

web<br />

[3] Ishak W, Nikravesh R, Lederer S, Perry R, Ogunyemi D, Bernstein C. Burnout in medical students: a systematic<br />

review. The Clinical Teacher [Internet]. 2013 [cited 4 April 2021];10(4):242-245. Available from: https://pubmed.<br />

ncbi.nlm.nih.gov/23834570/<br />

[4] Tabner A. Physician Suicide • LITFL • SMILE2 [Internet]. Life in the Fast Lane. 2020 [cited 4 April 2021].<br />

Available from: https://litfl.com/physician-suicide/<br />

16 17


GP PLACEMENT<br />

In the corner of the humid consultation<br />

room, I am perched on a bar stool, hauled<br />

myself from the staff kitchenette, which is<br />

so awkwardly, very, very, tall. It makes me<br />

tower over both the man and the woman,<br />

the only other people in the same room.<br />

They are seated on normal chairs which are<br />

much lower, and of acceptable height, and<br />

my elevated position seems to amplify the<br />

obtrusiveness of my presence as a medical<br />

student on her GP placement. I feel like some<br />

sort of ogling examination invigilator, or an<br />

overgrown vine that needs to be sheared off.<br />

From this height akin to a lighthouse, I have<br />

witnessed buckets of tears, a plethora of<br />

different skin conditions that always look the<br />

exact same to me - a rash-, sullen babies who<br />

yell at me in their own half-baked derivative<br />

of language, patients planning to sue every<br />

category of institution conceivable, and a<br />

surprising number of people who demand<br />

weed.<br />

The GP stands up, reaching for the pen<br />

torch in his pocket, and I become quite<br />

disconcerted.<br />

“What cranial nerve am I testing?” He<br />

bellows at me.<br />

With the torch, he performs some kind of<br />

elaborate finger-tutting-light-projection<br />

show ritual inches away from the patient’s<br />

eyes, and indeed, this is surprisingly quite<br />

familiar; I desperately try to grasp the elusive<br />

tendrils of the “FUNCTIONAL ANATOMY<br />

OF CRANIAL NERVES” lecture floating in<br />

a dim corner of my brain, but the urgency<br />

of his phalangeal movements make me<br />

nervous, and it all vanishes away like a<br />

mirage. Lesson learnt. Never ever fall behind<br />

on your spaced repetition schedule. I am<br />

surely getting punished, by Hippocrates<br />

himself, for daring to indulge in any nonmedicine<br />

related reveries in the 5th hour of<br />

my sacred education.<br />

BY ANONYMOUS<br />

BLUES<br />

The woman is a patient, and the man is<br />

the general practitioner, and they are both<br />

fervently trying to investigate the cause of<br />

the patient’s recurrent headaches, while<br />

I brood silently. Here in this voyeuristic<br />

arrangement, I have the privilege to observe<br />

not only the patient-doctor interactions but<br />

also, in birds-eye-view, the clandestine bald<br />

spot of the doctor, that slowly, but surely,<br />

in the couple of weeks or so that I have<br />

shadowed him, expands its territory each<br />

day - And which I am not heartless enough<br />

to divulge to him. I am currently attempting<br />

to work out the net increase in the diameter<br />

of the patch since last time.<br />

“You said you’re in neuro block right now?”<br />

The general practitioner breaks the fourth<br />

wall and gazes up at me, the inanimate stage<br />

lighting.<br />

“Yes.” I reply, thinking that it must be around<br />

2mm at least - and my stomach lurches -<br />

wait, why is he asking me this -<br />

“Optic nerve.” My tone cannot be any more<br />

uncertain.<br />

“Close. Abducens nerve.” He corrects me,<br />

reassuringly, so kindly, when the answer<br />

is not close at all, then smoothly plucks a<br />

square of tissue from his desk.<br />

The woman flashes me a sympathetic smile,<br />

assuring me that we all make mistakes,<br />

let alone “obviously very smart” medical<br />

students, as she says.<br />

The GP continues smoothly with the<br />

procedure, like the OSCE video that my<br />

University uploads, also very unlike it, for he<br />

is not glitching and in 144P. With the tissue<br />

he begins lightly feathering landmarks of<br />

face, and he asks the woman if she can feel<br />

it, every time he makes a stroke, and she<br />

replies yes to all of them. Afterwards they<br />

both look at me, both of them gleaming<br />

with anticipation, hoping that I can get it<br />

18 19


ight this time, that I can deem my worth as<br />

a mini-doctor.<br />

“Facial nerve.” I’m somewhat confident this<br />

time, hearted by their encouraging remarks.<br />

“No... Trigeminal nerve.”<br />

He continues, with the remaining steps, and<br />

I somehow manage to get all of them wrong.<br />

All twelve of them. Obviously I am not a<br />

maths major, but I think combination or<br />

permutation will see that the chances of<br />

being incorrect every single time, especially<br />

when the doctor tells me the correct answer<br />

afterwards and the pool of answer options<br />

for the remaining steps becomes smaller<br />

and smaller as the examination progresses,<br />

would be rather low.<br />

The patient’s sweet smile droops as quickly<br />

as an Iceberg lettuce in the airfryer. Instead,<br />

her eyebrows rises buoyantly, and I can<br />

see she is imagining the bleak futurity of<br />

healthcare, when medical students like I<br />

exist, and mayhaps many more, shuttling<br />

on the conveyor belt of Zoom university,<br />

steadfastly on the trajectory towards<br />

graduating as an MD who will hold the fate<br />

of hundreds of people in my incompetent<br />

hands.<br />

After that disappointing performance,<br />

I prop myself back onto the gargantuan<br />

time-out chair in shame. I’ve got to make<br />

up for this. I start intervening into their<br />

conversation with Clinical Questions and<br />

Scientific Suggestions to try to reassure both<br />

of them that I do actually know (most of)<br />

my stuff, to hint that it is only this lecture<br />

that I tragically did not yet fully commit to<br />

memory.<br />

At the end of the consultation, the<br />

investigation reveals that the woman has<br />

misread the instruction label and kept on<br />

taking three times the appropriate amount<br />

of painkillers for her chronic headaches; the<br />

final verdict being that she needs to stop.<br />

“You need to cut down.” The doctor advises.<br />

“You definitely need to cut down.” I echo<br />

to the patient. “The panadol is bad for your<br />

liver, too.”<br />

“Yep.” He nods slowly.<br />

“And that’s called a medication overuse<br />

headache.” I jump in eagerly, and quite<br />

unnecessarily.<br />

“Yes, that’s right.” The doctor sighs audibly.<br />

“Anyway, as we decided, we will see you<br />

again for a follow-up.”<br />

As she walks away, both of us murmuring<br />

“thank you” to each other, her eyes are still<br />

glazed; maybe still fixated on her horrifying<br />

dystopian vision of my imminent career.<br />

The door is shut. I stay in my towering<br />

stool as the GP hacks away at his computer,<br />

scrambling to type up every detail of this<br />

consultation. Silence. The smooth mirror of<br />

his cranium reflects back my sheepish face.<br />

‘How can one become a gastroenterologist?’<br />

I ask the doctor extra cheerily, attempting to<br />

break the ice.<br />

He cranes his neck upwards, meets my eyes,<br />

and probes into them with a surprising<br />

intensity, like an endoscope.<br />

“First… You have to graduate.”<br />

“Right.”<br />

He has a point. I make a mental note to catch<br />

up on all 900 and counting overdue ANKI<br />

cards as soon as I get home. In any case, I<br />

won’t be the first medical student in my<br />

cohort to break a finger or two from jabbing<br />

the spacebar too vigorously.<br />

QUARANTINE DIARIES<br />

I am currently on my 12th day of a hotel quarantine<br />

in Australia. My room is quite small. I can see<br />

nothing from my window except for a tree that<br />

reflects on the glass building facing me. And I have<br />

no access to fresh air. I have been reflecting a lot<br />

on my now rather hefty experience with quarantines.<br />

When I knew that I would be quarantining again for<br />

14 days in a hotel room, I, like many others these<br />

days, felt quite dreadful about travelling back.<br />

“14 days will pass by so quickly”, “there’s a lot<br />

that you can do in 14 days,”, “you could finish all<br />

Netflix shows in 14 days” is all one hears when they<br />

complain about a quarantine. And yes, I can do a lot<br />

in 14 days. I can watch a dozen shows, read a couple<br />

of books, and probably even write my own book. But<br />

did I? Saying that we can accomplish a lot while<br />

in quarantine diminishes our human experience to<br />

simply doing rather than being. It accentuates the<br />

extent to which we have become to think of ourselves<br />

as working machines who simply need time to do.<br />

I remember coming across the term “mechanization<br />

in medicine” in one of my courses, which is when<br />

doctors think of patients as mechanical systems,<br />

made up of several parts, one of which needs fixing.<br />

But I have come to realize that mechanization of<br />

humans exists beyond surgical wards, and patient<br />

consultations. We mechanize ourselves when we say<br />

we can do a lot while we’re forced into rooms for<br />

days. Because while there is a lot that can be<br />

done, there is not much room to be. We cannot see<br />

skies and sunsets. We cannot feel wind against our<br />

skin. We cannot touch soil and sand and leaves.<br />

We cannot walk aimlessly in our neighborhoods. We<br />

cannot breathe in, breathe out fresh air. It only<br />

makes sense why it makes me so calm when I hear<br />

tweeting birds from my windows, why I’ve stared<br />

at the tree in the glass for quite some time now,<br />

and why I keep the AC turned on for a simulation<br />

of fresh air. We cannot trap ourselves in rooms<br />

and blame ourselves for not doing when the essence<br />

of our existence is more so in the being. And so,<br />

when you spend days in quarantine only watching<br />

your breath, do not feel guilty, you are simply<br />

attempting to be.<br />

By Dalyia Abu-Ghazaleh<br />

20 21


I cannot help all<br />

By Dalyia Abu-Ghazaleh<br />

I used to be so invested in the news<br />

So into the tragedies other people are facing<br />

I’d keep up with stories on abuse and trauma<br />

and war<br />

and exile<br />

and racism<br />

and everything horrible about the human experience<br />

I’d pour my anger into writing<br />

I’d swallow the fear through my screen<br />

I’d mull on the stories for days and days<br />

I used to believe that not keeping up with all these<br />

stories was selfish<br />

That the least I could do was to know them<br />

That avoiding them because they are draining is selfish<br />

If I can’t even listen to them then how do people who<br />

experience them feel?<br />

But I soon Got tired<br />

And I stopped doing that<br />

Or at least I am trying to<br />

I learnt that I cannot carry the world’s tragedies on my<br />

shoulders<br />

I cannot wipe all tears<br />

I cannot feel with all I cannot write for all<br />

I cannot stand for all I cannot help all<br />

As much as I want to<br />

I cannot<br />

And that there will be times where a child will be looking<br />

for his mom amongst the rubble and I will be sitting in my<br />

mom’s arms and I will not be able to do anything about it<br />

And that I sometimes have to accept the fact that not only<br />

is life unfair but that there is nothing that I can do to<br />

fix that<br />

And that my plate can fit only so much<br />

And so I shall stand satisfied with what I can do<br />

With what little I can offer to the world<br />

And only hope that everyone else is doing the same<br />

22 23


It was a hot June evening. I was at the American<br />

Surgery Association conference to present my<br />

graduate research work. The hotel ballroom<br />

was packed tight, a sea of black and grey<br />

designer suits donned by the accomplished<br />

movers and shakers of the surgery world<br />

gave the room an ambiance of power and<br />

privilege. The din of the crowd was loud and<br />

obnoxious– almost no one was silent, except<br />

for the wait staff moving stealthily among us<br />

with fancy appetisers and horderves. Amidst<br />

the mix of chatter, laughter, and mingling<br />

there were the graduate students clutched to<br />

the buffet station and open bar. For a while, I<br />

enjoyed myself– freely stuffing my plate with<br />

gourmet meals that I could hardly pronounce<br />

and knocking back drinks, happy to pass the<br />

time.<br />

However, everything came to a screeching halt,<br />

when my lab colleague turned to me and said<br />

“Abdi, there is Dr.Porter, go and see if he can<br />

help get you off the waitlist?.” As faith would<br />

have it, here in this ballroom was Dr.Porter,<br />

a faculty member of the medical school I was<br />

recently waitlisted at. This was my chance, my<br />

one golden opportunity to plead my case as<br />

to why I should be taken off the waitlist. Yet<br />

there was something deeper and less definable<br />

that frightened me at the idea of going up to<br />

this doctor to plead my case. I just stood there,<br />

dumbfounded by my lack of confidence and<br />

chutzpah.<br />

Why was I so terrified to seize this opportunity<br />

to advocate for myself? Was it my dress code?<br />

– sure I wasn’t wearing Gucci or Hugo Boss<br />

like the surgeons, but the H&M pinstripe<br />

suit I got off clearance helped me to blend in<br />

nicely. Was it because I felt unaccomplished?<br />

– No, at the time I held the Vanier Scholarship<br />

($150K, Canada’s equivalent to the Rhodes<br />

scholarship) at the top medical science<br />

program in the country and even had a<br />

few medical publications to my name. My<br />

intellect was sufficient, and my extracurricular<br />

activities were suitably interesting and wellrounded.<br />

But yet, I said nothing. I did nothing<br />

to seize that opportunity.<br />

Later as I walked back to my hotel room, my<br />

lack of action haunted me and lingered in<br />

my mind. Did I just cause myself the biggest<br />

opportunity of my life? Would the doctor have<br />

even liked me enough to help me? I would<br />

never know what could have been!<br />

Growing up, I was taught that the path<br />

to success was to put my head down and<br />

work hard in silence. If my work and<br />

accomplishments were great, it would speak<br />

for itself and I would be rewarded. But merit<br />

alone to the path of success is a myth. Whether<br />

it is in the medical, business, and or the legal<br />

profession, succeeding entails being versed in<br />

skills like self-advocacy and self-promotion to<br />

snatch those scarce opportunities.<br />

Sadly, until recently, I operated as I was<br />

raised, to excel, but to keep it hidden. Rather<br />

than milk all the networking and doors the<br />

Vanier scholarship was meant to open for me,<br />

I retreated and almost operated as if I was<br />

unworthy. It did not help that I was also in a<br />

cutthroat research lab where I was targeted as<br />

the new “superstar kid”, from dirty looks to<br />

backhanded comments. I even had this one<br />

student, who I will call “paparazzi Joe”, who<br />

despite enjoying my company earlier during<br />

a Saturday night at the lab, was unbeknownst<br />

to me secretly photographing intimate photos<br />

of me devouring my Tim Hortons donut<br />

and coffee. I found out the next day, those<br />

unflattering photos were sent by him to the<br />

lab authorities to get me punished for eating<br />

in the lab.<br />

There was also our research lab equivalent<br />

of a “Karen” who once said to me: “You’re<br />

a lucky person to get Vanier, you know it is<br />

all about luck.” Somehow insinuating the<br />

only way someone like me could get this<br />

scholarship was only through luck, completely<br />

discounting my hard work, the endless nights<br />

of studying, and soul-crushing battles at the<br />

local, state, and national level I had to face to<br />

make the final cut. I had received no special<br />

treatment, nor had any luck played a role, but<br />

that query planted the seed in my head that<br />

24 25


I was an imposter, not accomplished enough<br />

for this space. If one person was thinking this<br />

and was brazen enough to share this with me,<br />

I wondered what everyone else was thinking<br />

― and from that day on I struggled to share<br />

and celebrate my academic achievements.<br />

While the other select Vanier scholars at my<br />

school thrived and secured new opportunities<br />

on the back of this title, I became stagnant in<br />

my career development, and any mention of<br />

this prestigious title quickly disappeared from<br />

my identity, vocabulary, resume, and most<br />

devastatingly quickly morphed into something<br />

I feared rather than celebrated. Sadly, this<br />

experience is not unique to me. Studies<br />

have shown that people who experience<br />

impostor syndrome are high achievers<br />

unable to internalise and accept their success,<br />

often attributing their accomplishments to<br />

luck rather than to ability. For years I let<br />

this imposter syndrome chip away at my<br />

confidence and allowed it to almost destroy<br />

my academic career.<br />

The social isolation that came with COVID-19<br />

has allowed me to realise that I need to be more<br />

proactive in self-advocating for myself and<br />

seizing opportunities as they come. Indeed, I<br />

have for the first time embraced social media<br />

platforms like Instagram and LinkedIn as a way<br />

to share my accomplishments more widely and<br />

network. I was hesitant at first, worried that I<br />

might cross the fine line from self-advocacy<br />

to bragging. But when I asked myself if I had<br />

disapproved of seeing my other accomplished<br />

colleagues sharing their publications, awards,<br />

and achievements, the answer was “NO”.<br />

Using my @double.doc.abdi (shameless plug)<br />

Instagram handle, I now unapologetically<br />

share that award, publication, and boldly send<br />

friend requests to those same surgeons I was<br />

afraid of two years ago.<br />

PERSPECTIVE<br />

I will not fake a smile<br />

The gyms and bars are shut<br />

So when you call my number<br />

You’ll find me musing on my rut.<br />

By Henry Kocatekin<br />

I<br />

t would be wrong to deny that the lockdowns in Australia, as a result of<br />

COVID-19, have caused much hardship and distress. But for others in<br />

Australia, it has resulted in disappointment. Those who have to attend<br />

lessons online or can’t visit shops or parks or beaches like they once enjoyed,<br />

have every right to be disappointed. Let’s just remember that for others in the<br />

world, COVID-19 is not their greatest concern. For some, it’s when years of<br />

struggles for rights and safety have seemingly been extinguished overnight.<br />

I stare down at my meal<br />

A sore throat lingers near<br />

So in my car I rush<br />

Sensing the rising fear.<br />

Then 2020 and COVID-19 happened.<br />

This might sound sappy, but the realities<br />

of COVID-19, as well as the illnesses and<br />

deaths of close family members, colleagues,<br />

and role models, infused an urgency of selfexamination.<br />

In the silence of the lockdown,<br />

I immersed myself in honest accountability of<br />

my privilege, purpose, and efforts in how far<br />

I had come— from my early days as a refugee<br />

with a bleak future to now a clinician-scientist<br />

in training.<br />

When the dust of COVID-19 settled,I came to<br />

understand that I can’t achieve the ambitious<br />

goals I have for myself or be rewarded for<br />

my hard-earned accomplishments if I’m<br />

invisible. This isn’t a radical idea, I know, but<br />

COVID-19 was my personal “AHA moment”<br />

and as an introvert, this realization was my<br />

Mount Everest.<br />

I moan for what’s not fair<br />

For the crimes I did not commit<br />

Imprisoned against my will<br />

This punishment seems unfit.<br />

I have youth and untouched desire<br />

There’s a world I want to see<br />

Beyond isolation and screens<br />

The ones who stand by me.<br />

I remember my social life,<br />

No gratitude will leave my lips<br />

So in my heated room<br />

My tears could sink great ships.<br />

I sit beside the nurse<br />

Who asks me what I do<br />

In awe I manage to splutter<br />

“I hope to be like you”.<br />

I wait for my results<br />

When I fall upon the news<br />

After weeks of self-concern<br />

These stories brought the blues.<br />

I see my untouched plate<br />

From my eyes I remove the wool<br />

It is perspective that fills my stomach<br />

As I read the title, ‘Kabul’.<br />

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