Sunday, January 15, 2012

On Melancholy

Sitting here in my room alone on a Saturday night. This is a familiar feeling. Melancholy. I had the opportunity to go out to a club with friends but I guess I just didn't feel up to it. I needed some space to sort through my thoughts.

If there's any central theme that grips my life, I would say it is melancholy. The emotion of melancholy, to me, is a dichotomous one. The feeling of sadness is balanced against an acutely heightened appreciation of transience. My happiness always seems to be tinged with the knowledge that it is fleeting. There is a beauty in that, but also a tremendous despair. I live with the awareness that everything I have, everyone I know, will someday become dust and ashes, just like me. This makes the beautiful moments in life truly special, because I know they will never be grasped again.

In some ways it is a problematic ideology. Instead of being able to appreciate the good times and endure the bad, it completely transcends that framework and makes the dominant theme in life either that of loss, or anticipating loss. Maybe I would be a much happier person if I were able to restructure this framework, but it would feel disingenuous. For all I know, tomorrow is my last day on this incredible Earth. The threat of loss provides meaning: I cannot know what lies ahead, only that I am living now and am presented with the choice to use this moment well, or waste it. Knowing that all I truly have is the precious moment in front of me galvanizes my passion to live.

As a caveat, I have always taken issue with the phrase "Live every day like it's your last." I never really understood what that meant. Certainly I would not be committed to the 7-10 year commitment of studying medicine if I knew I would die tomorrow. In fact, there would be many things I would change. I would not be nearly as concerned with food, water, money, superficial conversations, and a host of other things. The ludicrousness of this situation suggests that we as a society often think about the future and the past in utterly flawed ways. This however breaches into an entirely different subject (time, and whether it exists or not), which will be the subject for another entry.

I am not sure why I am preoccupied with melancholy and transience. If you had a conversation with me, you would form quite the opposite impression. I am usually an effusively happy and outgoing person. However, when I am in the right company, my brooding, darker, more contemplative personality comes out. I think this was an issue in my relationship. My ex-fiancee was never truly able to understand that part of me and how it affected my outlook on life, how it made me both sad and also inspired. Maybe I am an overly complicated person to understand, because this has definitely gotten in the way of quite a few friendships as well. I am overall a fairly happy person, and I want happiness from life. More than anything though, I want life to have meaning. And keeping melancholy as a part of my personality, even if it is often hidden deep inside me, is an ineffably important part of that.

Among my favorite pieces of literature is the Tzurezuregusa written by a Japanese monk named Kenkō in the 14th century. Transience and melancholy are major considerations in his essays. Here is an excerpt:
   Nothing is sadder than the time after a death.... As long as people remember the deceased person and miss him, all is still well, but before long those people too disappear, and the descendants, who know the man only from reports, are hardly likely to feel deep emotion. Once the services honoring the dead man cease, nobody knows who he was or even his name. Only the sight of the spring weeds sprouting each year by his grave will stir the emotions of sensitive people; but in the end, even the pine tree that groaned in the storm winds is broken into firewood before it reaches its allotted thousand years, and the old grave is plowed up and turned into rice land. How sad it is that even this last memento of the dead should vanish.

Thursday, January 12, 2012

An Introduction

Hello,

My name, pseudonymously speaking anyway, is Arjuna. I am a first-year medical student on the East Coast in the US. I have mulled around the idea of starting a blog for quite some time, but I guess I never really felt like I had much of a reason to. Until now, anyway. You see, being a medical student is an incredible experience. I have never loved the pursuit of knowledge as much as I do know. I have never felt as much purpose and inspiration from my life, as now. What could be more inspiring than watching a surgeon operate a million-dollar robot to resect cancer from a patient who is struggling for their life? What more purpose could someone ask for, than learning how to diagnose and treat degenerative neurological illness? There are many other amazing and worthwhile professions and life  paths in the world, but I do not ever regret choosing medicine.

Well, let's amend that to most days. Most days I do not regret it. This path comes with a cost. You see, I feel like I am losing part of myself -- one of the most special of parts. It is being drained away by medical school. Or, maybe it is just part of becoming an adult, and would have happened anyway. Maybe life really is supposed to be this hard. And that is one of the reasons why I needed to start writing. No one in my life can understand or appreciate what this experience is to me. I have entered into such a specialized study of knowledge that I have immense difficulty explaining what my life is like to my friends and family, dear to my heart though they may be. And I just don't feel comfortable discussing these issues with most of my classmates. Not only are they going to be my future colleagues (which comes with a need to have some professional distance), but medical students are just too consumed by the struggles of their own lives to have the time and energy to connect with others on an emotionally intimate level.

This time that I have right now will probably prove to be among the most difficult (and formative) of my life. My relationship (of 5 years) just ended this week. It was an emotionally abusive relationship that forced my friends out of my life and left me an emotional cripple, and I allowed myself to stay in the relationship because I loved her. Foolish, stupid me. I traveled across the country to go to THIS medical school, HERE, for her. 6 months in and every reason I have for being where I am, and not 2,000 miles away, is a reminder of my naïveté. Dealing with all of this on top of the daily challenges of medical school seems insurmountable. Medical school, on its bad days, sometimes makes you feel like you got the ever-living-crap kicked out of you. You feel incompetent, useless, stupid, and worry that you don't have what it takes to become a doctor. You can pour your entire being into studying for the next exam, but it might not stop you from failing. It may not necessarily be an F on your report card, but every medical student fails on some consistent basis. Even if it is offending a patient by accident then having them yell and scream insults at you. Yes, this has already happened to me, the first-year medical student.

I guess becoming a doctor is like a metamorphosis. It's not going to be easy, and you come out the other side as a completely evolved organism. But there are some parts of pre-medical school-Arjuna that I liked, dammit. I played an instrument. I could cook a tasty meal. I read books on all sorts of different subjects and I tried many new and wonderful hobbies, from martial arts, to obscure art-making, to lockpicking. Once, a friend of mine called me the most interesting person she had ever met. Now, I am pretty sure that I am more boring than any of my old friends from college. I want to make sure that I recapture the good parts of Arjuna with me as I move forward in my career. And I desperately want to leave the maladaptive parts (the parts that kept me in a horrible soul-sucking relationship) far behind me.

There is more to life than this. There has to be.