Another Day in the Frontal Lobe

Katrina Firlik, a brain surgeon has written a book about her profession, aimed at the lay person. It is a very easy read and I can’t recommend it enough. Books such as these are the closest that most of us will ever get to understanding a neurosurgeon’s life and thinking.

Dr. is smart, witty, has a very wry sense of humor and is disarmingly down to earth.

Dr. Firlik could have assumed one of several tones as the author: she could have come across as authoritative (“I am a brain surgeon, and you’re not”) or been didactic, or she could have taken a chummy tone. She doesn’t do any of this. With a well poised sense of balance, she comes across as a very capable and smart person, who is confident enough about sharing her vulnerabilities when warranted. She is able to convey the complexities involved in decision-making around different procedures regarding the brain, showing us that there are no black-and-white solutions

The book is structured to roughly parallel her life, taking us along as she chooses neurosurgery, goes through the seven years of residency and becomes a full-fledged practicing surgeon. There are numerous real-life anecdotes –funny ones as well as heart-rending ones.

I found Dr. Firlik’s way of giving advice, with a very light touch to be really effective. She has many examples of how huge personal catastrophes (and lives) could have been saved simply by the use of a helmet or a seat-belt. She is also not above adding “Nice” after a horrifying 2am drunk driving, no seat-belt disaster. I wish some of my college friends who still smoke would read this book. She casually mentions the havoc that the smoking habit unleashes on the brain in later years.

From time to time, she shares with us some of the black humor that the doctors, residents and nurses resort to about the patients. Dr. Firlik manages to pull these off, without ever giving the impression that any of the doctors are being callous. It is simply a coping mechanism for those who work long hours in grim circumstances.

There is a great line in the book which I know I will be quoting soon. When patients ask “Why me?” one of Dr. Firlik’s mentors says, “There are three possibilities. It could be bad genes, bad habits or just bad luck.”

I am very glad that I took the time to get hold of the book and read it. For those of you who just don’t have the time, I’d still recommend that you borrow the book from your local library and at least read the chapters titled ‘Scientist and Mechanic,’ ‘Traces of Thought,’ and the final chapter ‘Brainlifts,’ in which she speculates about what the future in her profession holds for enhancing brain and memory power.

Every profession should be fortunate enough to have someone write about it in an accessible and smart manner. For neurosurgery, it is Katrina Firlik. Don’t miss this book.

A Few Random Excerpts from the book that I jotted down: [On the fact that 15,000 people are affected every year] In short, a brain tumor is the fault of no person or thing. As with a deadly hurricane, nature is often both powerful and indifferent.

[Lesson learned as a junior resident] A lesson learned early on is that a sin of commission is better than a sin of omission. Better to do too much than too little. If you appear weak or indecisive, people will walk all over you.

[On why doctors are forced to be extremely cautious about possible litigation] At $106,000 per year, my malpractice premium is already high enough.

[One preventative idea] An idea I’ve had off and on during late-night treks to the ER. Everyone past a certain age – it’s hard to be exact here and I’m not being ageist, really – should consider sleeping on a traditional Japanese-style futon, the real kind, frameless, right on the floor. I can’t tell you how many ER visits for injuries to fragile parts – heads, necks, backs, limbs – could be prevented if simple falls out of bed were curtailed.

Taking Time Out

In my dozen years of living in Chicago, I didn’t pay much attention to Time Out magazine. That, I think was a mistake. I would see copies lying around, but with full time work and staying in the suburbs it was difficult to carve out time for the myriad activities that Chicago had to offer.

Here in India, I am finding the magazine extremely useful. It comes out in 3 cities – Bangalore, Delhi and Mumbai. Each issue contains a long list of cultural and entertainment events for 15 days - Short films, documentary screenings, art presentations, open-air concerts and book launches with author talks.

If you live in a metro anywhere in the world, and are interested in attending these types events, subscribing makes sense. Most can also be found in their website.

Reference Anxiety

“Reference Anxiety” is basically the compulsion to keep up with the Joneses.

I came across this term a few years ago, in Lee Eisenberg’s book The Number. Lee mentions this as one big obstacle that keep people from attaining their “Number” – which is the estimated dollar amount in their nest egg so that they can retire comfortably.

Though I wasn’t aware of the term for it, I had experienced reference anxiety numerous times. I think most of us have.

I used to be a little proud of the fact that I drove a relatively old car to work. But that only lasted until my wife pointed out that Larry Summers, the director of Obama's National Economic Council still drives a 1995 Protege. Now there’s a man who is completely free of reference anxiety.

What struck me (and the reason I am posting this at all) is a side comment that Lee Eisenberg makes in his book. He mentions research that shows that it is not the Joneses who are raising the bar. Instead, he says, “we feel a great deal of pressure to keep up with ourselves.”

This, I find to be particularly insightful. There is no dearth of better things to acquire and enjoy. I know from first hand experience. I have many friends who are very successful in their chosen fields and not surprisingly, they live the good life. None of these friends would suggest that I go and buy or subscribe to the same things that they do. And yet it takes a lot of energy (if not courage) to consciously stay away from trying to keep up.

When it comes to reference anxiety perhaps I can fight it better if I realize that I am my own enemy.

Can be hazardous, together

Being home all day means spending lots and lots of time with my wife. And sometimes, she makes statements that I couldn’t disagree with more, forcing me to speak up.

“One should never mix oily food with curd,” she said one day when we were having lunch.
“Which idiot said that?” I asked.
“My father.”

Being married can sometimes be positively hazardous.

Service Apartments – A possibility for short term rentals

We are finding that “service apartments” are actually a very good option for people like us who aren’t looking to sign a long term rental lease.

Before we actually occupied one, I hadn’t paid much attention to Service Apartments. I knew that when consultants went out to different cities for long assignments, they sometimes stayed in corporate apartments as opposed to hotels.

When we looked around for apartment rentals we found that all of them wanted us to sign a twelve month lease right away. Eventually, we stumbled upon Serviced Apartments.

These are basically fully furnished apartments where you can pay a daily or a monthly rate. “Bring just your clothes” is an oft-repeated ad phrase. Typically, it will be a 2-3 bedroom apartment with: Bed, sofa, dining table, cooking range/gas stove, Microwave oven, fridge, and a TV. The upscale ones have a lot of other extras (maid service, breakfast).

Taken on a day to day basis these apartments are quite expensive. But we’ve found that some owners would let us rent for substantially lower rates, if their property was sitting idle, especially if we agreed to move on short notice. This worked out for our needs. Also, there are always weekly or monthly discounts.

There seems to be a market for those who want to rent for weeks or for a month or two. It takes some searching on the internet and calling around. Sometimes, you can find that a friend or an acquaintance of a friend has a furnished apartment that is vacant and you can offer to rent it from them. This was the case for us in Mumbai.

Whether you want to try different cities (or neighborhoods) before settling down in one, or simply want a “home” in a different place, Service Apartments are worth considering.

To head for the mountains

It seems to be a very common fantasy among Indians working in the US – to chuck their corporate jobs and head off to the Himalayas. I have heard it from so many that it is practically a cliché.

And so when we planned our first trip within India, we chose the Himalayas. My wife wanted to spend much longer there, but I was the one who limited it to two weeks. I wanted to start small.

The part of the Himalayas we visited (Haridwar, Rishikesh, Mussoorie, Yamunotri, Gangotri) is mostly in the Garhwal region in Uttarakhand. Not snow-clad peaks this time of the year, but very scenic. The Ganges (Bhagirathi) gushes right along the roads wherever we went. The food was hearty, accommodations decent. Some of the bus and jeep journeys were scary due to the narrow roads and the sheer drop.

We took two weeks to make the trip that others routinely finish in 5 days. We overnighted in villages that weren’t even marked in the tourist maps. I consciously stayed away from the Internet for the entire 2 weeks.

The Himalayas, to many who dream of heading there, is an idealized version of a place where you can shed all your worldly worries and get away from it all. Garhwal came close.

Interspersing "retirement" into your working years

Daniel Pink, after just returning from TED Global 2009 says:

One of the talks that really stuck with me came from the amazing designer Stefan Sagmeister. He described a typical life timeline: The first 25 or so years are devoted to learning, the next 40 or so to working, and the final 25 to retirement.

Then he asked: Why not cut off 5 years from retirement and intersperse them into your working years?

So every seven years, Sagmeister closes his design shop, tells his clients he won’t be back for a year, and then goes off on a 365-day sabbatical. It sounds costly, I know. But he says the ideas he comes up with during the year “off” are often what provide the income for next seven years.