Connection of Care

What did I miss most when I retired from being a doctor?

Patients.

The dignity with which they put up with so much angst and uncertainty constantly inspired me. They smiled. They tried to be gentle, often through pain. I felt a deep connection of care with them. When I stopped working, I missed my patients most.

Over the last 15 months, I have been studying the principles of Hypnotherapy and learning the skills of Solution Focused Brief Hypnotherapy. Anaesthesia is to Medicine what Hypnosis is to therapy. The parallels are clear to me. The course was enjoyable and insightful, and the practice is deeply satisfying. I can now work online with my clients from this remote little village where we live. Once again, I have that caring connection with people.

The fundamental physiological principle on which Hypnotherapy is based is that of Neuroplasticity – the ability of the brain at any age to grow and morph in response to repeated use of certain neural tracks. Cells that fire together, wire together, states Hebb’s law. This essentially means that the repeated use of certain pathways strengthens them and disuse of others, weakens them.

The belief at the root of this practice is that all the resources we need are already present within us. The art is to have access to them, to be self-aware and make decisions from a place of strength, not fear.

Insomnia, weight loss, depression and anxiety, stopping smoking, grief, getting over a phobia, relationship issues and stress are the most common presenting complaints. I am fascinated with the process as I see people identify small steps for themselves that add up over time to produce the big changes they want in their lives. One or two bonus ones as well.

One of my clients was mainly concerned about her weight. She didn’t like her photos and hated shopping for clothes. Otherwise, her life was good. She shared it with her husband of 28 years. After 6 weeks in therapy, she started to comment on her relationship with her husband, which seemed to be improving. She was responding differently to the things he said and did. That really helped. By Week 8, she was enthralled by how famously the two of them were getting on. At our 10th and last meeting, the weight wasn’t even mentioned. She had taken charge of her life.

“I think I have been more positive since we started. More considered, certainly.  My responses have become calmer. This has helped many of my interactions, especially with Mike. There are people who trigger me, however, that I still find it difficult to respond in a calm way (my mother). My activity levels have been steady. I rate my confidence as being a bit improved. I am trying to value myself more and my body. I am still a very organised person, but I suppose I am ‘letting things happen’ a bit more. I find that the small improvement in my levels of confidence and interactions have made a difference.  My reactions and responses help me.

As far as happiness is concerned, I often rate how I feel and think about what little thing I could do to improve how I feel. In general, the sessions have helped me view how I act and interact with others. I can ‘hear’ your voice calmly in the background when I take time to consider how I feel. I am also good at scoring myself. 

There have been some difficult moments recently (regarding my mother), and I have managed to step back for a few days and recharge.”

I feel fortunate to have found this new line of work that is essentially a series of creative conversations.

Resource: An international School for training to be a Hypnotherapist: https://inspiraology.com/

Rreeeeee

You must not call your husband by his name. Never. It is disrespectful.

(He is your master after all.)

Sunte ho? (Are you listening, In Hindi.)

Sonu ke Papa? (Sonu’s father)

E’ ji. (Here, Sir)

Rreeeeee (Something to the same effect, in Kannada)

These are examples of substitute names by which a wife may address her husband bypassing speaking his name.

Minoo was nineteen when she married someone, she had met only once. The handsome man in the photograph that she was allowed to gaze at, was now her husband. Meeting before marriage was not allowed. It was not considered necessary. In 1964, some thought it positively immoral.

Once married, she went to live in the house of her in-laws. The same rule applied. Except here, it was the law. She was prohibited from uttering his name. That was a problem.

She could have shortened Purushottam to Uttam, but his friends had already done that. So, that abridged name was taken by his equals. She had to find another way.

She had always liked the sound of the word, Sameer, which meant, sea-breeze.

“Can I call you Sameer? It’s not your name but will surely make life easy.” She asked him.

“Sure. I don’t mind.” said he.

That was that. Her mother-in-law could not object as Minoo called out to her husband by a strange new name that she had not heard before. Problem solved.

Over the years, Minoo became proficient at finding inventive solutions to many unforeseen problems, be it lengthening my frock or fixing a half-baked cake when the electricity went off partway through. She is my mother and although my father died three and a half years ago, she still thinks of him and loves him as her Sameer.

Like cloud joining cloud.

Loss Too Deep for Words

When all that seems real is lost,
where words blur and fail,
where intention cannot reach the depth,
where heart hungers
and soul starves.

Only the warmth in the heart of another
finds the pulse,
like cloud joining cloud,
a delicate meeting
before language.

Seeing and seen,
no grandeur, no pretence.

Not words.
Not healing.
Not intention.

Not reviving.
Not demanding.
Not offering.
Not outside, just there, stepped inside.
Rare.

Once isolated, unreachable,
now golden sun emerging, real.

Only that which is real
can touch that which is real.

Nothing survives
that is not love.

  • By Tony Bisson

(Tony is a bereaved father. He wrote this poem expressing what being in the Circle of Rememberance means to him.)

Let there be colour.

In this land of limited resources, every day we see ingenious use of everyday things – old saris stitched together to cover a car, old tyres reused as planting pots and old t-shirts repurposed for dusting or cleaning.

When I moved to the UK, I was horrified at the amount of paper that was binned for the smallest of reasons – a slight crinkle, a minor misprint, a tiny smudge. People failed to notice that there were two usable sides to every A4 sheet. If one side was unusable, the other was there to jot down a list, play knots and crosses, or simply, create a doodle. It is refreshing to return to a place where hardly anything is discarded as useless, unless it really is. The inventiveness of the people is inspiring, even though it is motivated by saving money. They probably don’t know it, but they are also helping save the environment.

Limitations can serve creativity. That is why deadlines work. They push you to finish. It is easier to write in response to a writing prompt as it focuses the mind. Newton came up with the Theory of Calculus in quarantine. Faith Ringgold was born in Harlem. She was an arts teacher who wanted to paint large canvasses but didn’t have the space needed. So, she started stitching themed pictures into quilts, which she could carry and display with ease.

Recently, I’ve been wondering if my creative efforts at teaching Spoken English to the local kids will be of any use to them in the long run. The school’s modus operandi is cramming. They have a verb for it – by-hearting. I believe corporal punishment is forbidden on paper, but you wouldn’t know that in practice. The rule remains stuck to the paper.

If nothing else, we create a few light moments in the day. Some colour, some play, some laughter, some movement. Maybe that’s enough for now.

Resources: How to be more creative: https://youtu.be/oTAdkDyVa9s?si=xFA3h5PEaZ-fIiuN

End of an era.

Last night, sleep would not come. As I lay breathing in bed, with my eyes closed, a huge wave of thoughts flooded in, unfurling a surge of all kinds of feelings. Pride. Sadness. Joy. Nostalgia. Everything in between. I tried to focus on listening to the chirping crickets and the silence in between those sounds, the ruffle of the dogs, the incessant mosquito, the rustle of the leaves, Si’s breathing. I tried to recede into the stillness behind these thoughts and invite sleep in that way but that proved to be pointless. It did not want to come. Not yet. The jostling with thoughts went on for a while. It felt natural. It carried on non-stop for about three hours. Luckily, it did not turn into a flight and saved me a lot of energy. I let the body rest despite the mental acrobatics. Even though my heart was drumming in my ears, I lay still. Quiet.

This is possibly what they mean when they say about our final moments – ‘your whole life flashes past your eyes.’ It was not unpleasant. It was natural for it to happen, even though it was an utterly non-consequential happening. It was in anticipation of a big change.

Today, the sale of our UK home was completed. It was ours for twenty years.

No more dinner parties, parcel deliveries, Council tax, gas and electricity bills. No more local library, pub, cafe or cinema. No more knocks on the door by our friends, cleaner or neighbour. No more fire-engine sirens from the fire brigade down the road. No more parking in front of the blue door. No more waiting for Bus numbers 196 and 468.

No more heartache while walking past the GP surgery or the Train station.

The end of an era.

Another letting go.

Another lightness.

Another simplification.

Another freedom.