A 27 year old piece of cabbage.

I watch my life slip away from my hands as my parents take over the task of finding someone for me to get married to. Of course it was with my permission, but on the other hand, there wasn’t much of a choice because life wasn’t getting anywhere anyway because there was no one in the picture that they liked. And so now…. Me. Age 27. Being advertised to total strangers, who are asking for photos and time/location of birth, and all the other crap it takes for them to figure whether I’m worth contacting or not.

I guess it wouldn’t seem as bad (or maybe it already does?) if it weren’t for the fact that I’m tearing someone away from my heart at the same time. Someone that I care about and love being with more than I can explain, someone that I can imagine spending the rest of my life with and actually having a great time with at the same time.

But if I felt so strongly about someone, then you might ask why I can’t just put my foot down and force the parents to accept him. That’s a tough one to answer though. Because I never tried doing something so against their wishes? Because I tried changing their opinions and expectations for more than a year, and I just couldn’t change them enough? Because I couldn’t keep putting him through a deal where he was made to feel like he wasn’t good enough? Because I couldn’t bear the idea of them (and likely others in the family too) not genuinely smiling as I get married to someone that I’m in love with.

Yes, call it the nonsense you overload your head with when you’re an obedient Indian daughter, or call it a collection of feeble excuses for not defending what I think I truly want, regardless… here I am. Age 27. Being advertised to total strangers, who are asking for photos and time/location of birth, and all the other crap it takes for them to figure whether I’m worth contacting or not.

I just don’t know how to let go of someone who has meant so much to me… and who continues to mean so much to me. I sit here, all alone, shedding tears that slowly dry away, tears that no one else will ever have to see. Tears that will hopefully run out sometime soon.

As Simple As That.

She cupped her hands together and looked down at her dark brown hair. Two elastic bands bound the smooth strands of each of the four pony tails, each one exactly eight inches long. She gently stroked it for a while and then tucked it all into a clear zip lock bag and snapped shut the seal. Tomorrow she would mail it to the non-profit organization that claimed to make wigs for women with cancer.

Moments later she dared to look up again into the bathroom mirror. Her second look at her new appearance. A face stared back at her. Just a face. A bare face with not a single lock of hair to frame it, nor the shades of expression or emotion to color it. She leaned forward to peer at the top of her head. A brown fuzz with jagged ends, interrupted by silvery white patches where she had held the scissors too close to her scalp. She tried to run her hands through it but realized that there was nothing left to run them through – it was a soft rounded surface now without any depth or volume to it.

Her face remained as expressionless as it had been for the past week. Or perhaps, it was the expression her face had plateaued to when she had reached some midpoint between her depression and her newfound sense of tranquility. It had been two weeks now since she had heard that her friend’s wife had terminal cancer, and finally after two weeks of calling exprets around the country and researching possible clinical trials, she had hesitantly waded toward an acceptance. Acceptance that at the mere age of twenty-six, his wife would die within months or weeks or days; acceptance that there was nothing that she, or anyone else, could do to change this reality.

She had changed a lot in the past two weeks – a change that she had felt only internally so far, but now she could see it and touch it as well. What now, she wondered as she continued to look into the reflection of her eyes. Was this moment of transformation to be filled with tears or with laughter?

How does a tree feel when it loses its leaves at the end of autumn? Or the sun, when it sets at the end of a day? What emotions does a caterpillar experience when it becomes a butterfly? With each moment and each day nature continues to renew itself – the end of one stage bringing forth the beginning of the next. This moment was no exception to the rule, as yet another being passed from another end to another beginning.

She dusted off the top of her head and walked over to the balcony of her apartment. A tremendous feeling of lightness took over as the wind tickled the top of her head as it rushed on its course. The word liberation came to her mind. Yes, it was real. Yes, she had truly done it. She had found the courage within her to do something that she had never thought she would have dared to do. It was crazy and selfless and empowering and rash – all at the same time, and much more. But what about regret – any of that? Of what necessity was an action that would never benefit the person that it was done for?

But this was not a moment to regret or have second thoughts, she decided. She could have passed through this moment again and she would not have chosen any differently. Every action has its own special moment and place in the sequence of events in this universe, and out of the many actions that she could have chosen upon reaching the acceptance of her utter helplessness in this tragic situation, this was the action that was the most fitting for this moment. It was as simple as that. There was nothing more to it.

* * *

Three weeks went by. Slowly nature took its course. Slowly her dark hair started to cover her scalp again. Slowly, in another part of the world, her friend’s wife withered away till she balanced very precariously at the brink of life and death. Then there came the day when his wife lay still and not a breath came from her lips, not an expression on her face, nor any warmth left in her skin. The day when her friend was suddenly all alone – more alone than ever before, more alone than anyone could ever have imagined someone could be just a year after getting married. The short-lived bliss of married life was now followed by a very bitter cold loneliness that nothing could ever change.

She peeled off the scarf that she had tightly tied around her head each morning ever sine that day weeks ago when she had cut her hair. She didn’t want to hide it anymore. It didn’t matter what anyone thought or said now. Her action had not only been done in honor of someone beautiful – it was more than just that. Her action had helped keep the spirit of a young woman alive. Her action had proven, once again in the sequence of events in this universe, that even once nature takes its course and people end their material existence in this world, their essence can continue to live on through the actions of those left behind. It was as simple as that and there was nothing more to it.

* * *

Another five weeks went by and finally her thoughts and her emotions found their way to an empty white piece of paper, transforming its whiteness within moments into several lines of dark cursive script. Her hair had grown to be more than an inch long now, yet through her written words she had immortalized that transforming moment when her head had been covered by only a brown fuzz and silvery white patches. That moment weeks ago when she had found a way to hold on to the essence of an ephemeral being. A simple moment somewhere amongst the many others in the ongoing sequence of events in this universe.

Just Life Itself (Part 2)

In continuation from the previous post.

Day 4 of knowing it. Found out from my brother that his wife doesn’t particularly want chemo, she just wants to go home to India where her parents live – spend whatever time there’s left with them. They can’t come here, they don’t have visas. She can’t come back easily once she steps out of the country. And my brother’s the one who wants to find out treatment options and second opinions.

So much tension, so many visa issues, so many things to think about. So little time. So little time. So many questions. Not enough answers. So little time. How much time though?

It’s like being told that you need to pack for a long journey but no one’s telling you when it’ll be time to leave or how much you need to pack with you or whether you are leaving soon in the first place and if there’s a way to not leave so soon anyway.

Life really is like a Pick-a-Path book. Have you read one of those? That’s the sort of book where you start a story and by the end of the page you need to make a decision on what you’d like the character to do next. Turn to page 43 if you choose the first option, turn to page 27 if you choose the second. Then you read page 43 and make your next decision. And it goes on like that till you reach the end of the path, at which point you can shut the book or else go back to the last set of options you had and choose something different, see where that takes you. Life’s like that, except that usually you don’t get to go back to a point that you left behind and then choose again.

Day 5. They’ve gone to one of the top hospitals in California to get a second opinion. I gave them the contact and so I feel very invested in the course that things will take from here. I understand her point of view, who wouldn’t want to be with their family when you’ve been told that you have a few more months to go. But I understand my brother’s view too – if there’s hope then why not pick up on it and do something. I’m at the nation’s biggest research hospital and it turns out that they have only one clinical trial related to this tumor. Fate made it such that his wife seems like a good candidate for this – she fits all the preliminary eligibility criteria. Now we’re getting more records and scans sent over to the investigators. But what of that? What will all this mean – will they come here, will she want to be in this trial, would it work out, will they go back to India instead…

There are no answers. What will happen next in this girl’s life? I don’t know how things will turn out and the suspense that’s wrapped up in it all is just reminding me more and more of how indefinite and unpredictable life is. I’m out of tears, there are no more left at all. Don’t want to spend time with people just yet nor talk much to anyone– just need to be in a quiet and peaceful environment for a while, nothing to interrupt the serenity I’m trying to create around me. Trying to get things done on a schedule that is piling up with deadlines but my mind doesn’t want to focus right now…. someone will yell at me for not getting these documents done from a week ago. In the evenings the company I’ve chosen for the past couple days is that of two innocent little boys who know nothing yet of the pain in this world, one’s 3 and the other is 5. Today we will make Christmas piñatas out of paper mache over a balloon and cover them with red and green tissue and then lots of spiderman stickers.

Two Roads Diverged

I’ve decided! :D

I’m going to go the pediatric oncology route… it’s a really cool set of projects – a fair blend of clinical trials as well as lab-based research – and I’m going to submit my final decision tomorrow and start the day after that.  But wait – let me tell you more coz I’m super-duper excited!  (The following explanation should cater well to my medical and non-medical audience, but let me know if it doesn’t.)

There’s this new drug that’s come out in the chemotherapeutic world – it’s pretty magical since in the first set of clinical trials itself it’s brought about amazing cures in people with certain advanced stage leukemias.  It targets a specific site that’s very common on certain leukemic cancer cells (CD-22) and it’s attached to the toxin that belongs to a bad bacteria called pseudomonas – so that’s kinda how it specifically targets and kills off the villainous cancer cells and spares the other cells.

So… the lab I’ll be working in is the lab of the guy who invented this drug – he’s simply amazing.  I typed his name in pubmed the other day – his name’s on 1048 papers, the first of which was in 1957!  So I didn’t even know that was possible.  Now he’s invented another even better version of that drug and I’m going to be working with that one too.  Lots of cell cultures, specifically looking at patients’ cells and figuring out what combination of chemotherapeutic drugs will kill off the cells best. 

On the clinical front, I’ll be making clinical protocols for trying out these two new drugs in the pediatric population.  If all goes according to plan, we’ll start enrolling patients in a few months and sooner or later there’ll be data to analyze and see if the results are just as amazing in the kiddies.  The guy I’ll be working with on the clinical front is sooo excited about the whole project and I guess it’s kinda contagious coz now I am too!  The nice thing is that he’ll be the pediatric oncology attending this week, and he wants me to spend the first two weeks shadowing him on rounds, just so I get to see how everything works here and get to meet the patients – kinda get a good feel for what I’m going to spend the year working on.  (Note: this would give nerdy me time to study during the rest of the day - yay!)

So there you go – final decision.  Thanks for listening to me whine while I was still in the decision-making process.  I guess the answer really was staring me in the face.  I think whether or not I choose pediatrics as a career in the end, a year spent working on cures for diseases that affect kids is definitely a year well-spent!!