Wednesday, June 1, 2016
Zen And The Art Of Suturing Life....
I spend a lot of my time suturing, a fact of my working life which i accept gracefully. The reason i say this is, most surgeons when they reach my age or level of experience hand over the suture needle to their assistants and leave the operation theatre to attend a case elsewhere. They consider their job done as soon as the last tissue has been cut and the bleeding stopped. But as someone who does cosmetic surgeries for a living I prefer to do my own suturing- not only because I believe l that I can do a better job than a newbie assistant- better in this instance being a stronger suture with less scarring, but also because as a conscientious surgeon it is my job to stay with my patient till the patient recovers completely. And also because i love suturing- something which i have realized quite late in my life. Now the reason why i love to do surgical suturing- cause you wouldn't catch me dead trying to darn my worn socks at home, is that the act of suturing, the kind of repetitive motion it involves gives us time for food for thought and teaches a lot of lessons. If you would also like to hear what my sutures tell me, do read on:
1) The Straight Path Is Not Always The Best : For those who haven't seen a suture needle- its shaped like a semi-circle. Unlike a regular needle where you go directly across the tear, with a suture needle you go in on one side, you go deep in following the path of the needle as it leads and come out on the other side. The circular shape guides you automatically in its path from one side to the other. Just like when you fret you are going nowhere with your life but going deeper and deeper into shit and ergo, you emerge out into the glorious sunshine just where you want to be, because life has taken you in the path of least resistance to where you belong. Of course it feel like you are lost when you were halfway down and you might start panicking but trust me if there is one thing the suture needle teaches you, its that what goes down curves up and comes back out, you just have to keep pushing it in with belief. Its that blind belief in a buried needle which you cannot see passing through the deep flesh but coming out at just the right spot at just the right time which leaves you with a sense of all’s well with the world if only you have enough faith to trust in yourself.
2) Probing Bleeding Wounds Is A No-No: Whenever we suture we always, always leave a margin of healthy tissue between the cut edges- never ever we suture near the edge because, face it, its already traumatized tissue, why the heck would you wound it further by pushing a needle inside the bleeding wound margin? Similarly in life, sometimes you just have to step back a bit, bite your words and let things progress to a stage where its healthy enough to start bringing things together. Never try to join up or heal already traumatized wounds without giving sufficient time for them to stop bleeding on their own. Only healthy wounds can be sutured. Torn wounds? They will tear further if you use force, even if its from the best intentions.
3) Persistence Pays- The number of sutures matters. It isn't enough to put a single suture in and say the wounds are sufficiently close together, let it heal by itself now. No way. It doesn't work that way at all. There are umpteen number of times when even a best placed suture would unravel. There is strength in numbers – so suture and suture and suture again till you feel there is enough strength in the sutures-collectively- to hold the two separated wounds together- however much the two wounds wish to pull away and maintain a distance between them. Persistence matters when it comes to healing rifts. The first attempt might not always be successful or enough- you have to stick with it till it holds together.
4) Holding On Too Tight Vs Giving Enough Space- when you suture you have to pull the knot just right, too tight and you are going to strangulate the wounded tissue making it difficult to heal, too loose and they are going to stay apart and never have that close intimate touch required to join together, but just right and the two become one as if they were never apart. Which is a very apt description for giving space in relationships i think. Trying to hold on too tight to someone is the best way to make sure that they get repelled, a fact which is lost on too many people in relationships starting from parents, friends to spouses, everyone making the same mistake of trying to be too close without giving enough space for individuality.
5) A Time To Hold And A Time To Cut - The last and most important lesson suturing teaches you is when to let go. Some suure require to be cut off at 5 days, some at 7 days, the wisdom lying in knowing when to cut them off once they are no more relevant and to prevent further damage. A lot of times we hang into relationships merely because we are afraid to cut loose, even when we know its served its time afraid that cutting off might make it worse. Suturing teaches you to be brave and cut it off and face consequences. A mere thread is not going to hold anything indefinitely if the underlying wound has not healed properly and its better to cut it off cleanly and start afresh.