white coat envy, again.

I went to the Strand last night to see Atul Gawande speak and read from his new book, Being Mortal: Medicine and What Matters in the End. Simply put, he single-handedly reignited my white coat envy. I have read all of his books, and like Jerome Groopman, he is one of those physician-writers whom I love, the kind of doctor I had envisioned I would be one day. Needless to say, my life took some detours and my path ended up different. Gawande has his MD and MPH, and is so down-to-earth. I got to ask him a question during the Q and A, and asked about his thoughts on the Death With Dignity Act. He gave a thoughtful, thorough answer, looking at me, making eye contact, and talking to me like it was just the two of us, he was that focused. I could see why patients would love him.

One thing gave me pause, though. Someone asked how he balanced everything - being a top surgeon, a nationally known writer, a New Yorker staff writer, public health, etc. He looked down, and said, "If you want to make a difference in the world, or be really really really good at something, you have to accept that it's going to suck up an incredible amount of time." He went on to say that he "steals" time to write, to plan, to do things. He also said he's probably not always the best husband, and that he's probably a "B" father, not an "A" father. "For instance, I'm missing my daughter's recital right now," he said. I appreciated his candor, and felt both admiration and sadness. I was glad to see he wasn't promoting the idea that yes! you can have it all! Because the sad thing is, you can't. Especially if you're a woman, it feels like. But I was sad because his book is about dying. He talked about how you want to live. And I wondered if, on his deathbed, he'll wish that he spent more time on book tours and writing, or that he went to more of his children's recitals. Will he wish he had sacrificed some media exposure to be an "A" dad, especially when his children are young? That's for him to decide. And maybe he won't, maybe he will be completely satisfied with his life decisions. That's not for me to judge. I know how important a career - especially one you love and are passionate about - can be a huge part of someone's life, someone's identity. But then I also wondered what would have happened if a woman had said what he said. What if a female physician had said to a crowd that she sacrifices part of her motherhood for her career, that she knows she's a "B" mother? I think she would be excoriated. She would be raked over the coals, torn down as a mother, seen as "cold" or unwomanly, bitchy, or unnatural.
I was told today that Helen Gurley Brown did not mention motherhood at all in her book "Having it All." Just something to ponder.

I am so thankful that I got the chance to see Dr. Gawande. His book is smartly written, the parts that I've read, and his storytelling draws you in because of his way of writing directly to the reader.

So many good books lately. I've been on a Virginia Woolf kick, and I'm trying to read the "classics" that I missed (and somehow, I've missed A LOT of them. Like, an embarrassing amount). But I haven't had much time to read, between writing for several websites, tutoring, and working for a writing/editing company. Which is good, but still. I guess when I'm recovering from foot surgery and still on pain meds (aka, not able to write coherently) I will get to read a lot. I'm being presented at Grand Rounds on thursday to the orthopedic team, since this surgery will be a doozy. Awesome.