A dark cloud has descended, cloaking everything in gray.

It isn’t just me.

One of my colleagues, Tony Alvarado (@TexasKidneyDoc), is one of the most upbeat and outgoing people I know.

Now he’s quiet.

His trademark smile is faint, and the light has faded in his eyes. 1/

Tony texted me the other day.

The most I’ve heard from him in weeks.

“My dad died last night.
COVID.
Pretty fast.
2020. Hell. On. Earth.”

I responded as best I could. Told him I was there for him.

His father was a kind man.

He didn’t have to die.

Not like this. 2/
It’s Fall 2008, and I’m a resident in Internal Medicine.

I’m attending a forum where I’ve been invited to read from the journal I’ve kept since medical school.

These are my thoughts that have been slowly consuming me.

The documenting of a downward spiral. 3/
I’m growing increasingly aware of a numbness within me. Moments that would move me before, now they evoke nothing.

The crucible of residency is forging me into a cold and unfeeling alloy I never wanted to be.

I write about it, and read my words to others who also know. 4/
I’m a guitarist, and I compare the sensation to the gradual numbing of fingertips against sharp steel strings, as the skin thickens and calluses form.

I want to tear off the calluses so the pain remains fresh, and real.

I would rather bleed on the strings than forget them. 5/
After I finish sharing, the audience is free to speak.

One of the comments I still remember to this day is from Dr. Klemens Meyer, an attending nephrologist.

He rubs his chin pensively.

“Medicine is an art, like music.”

As he speaks, he seems to weigh each word carefully. 6/
“Perhaps it’s only when your fingertips grow callused that you can make the most beautiful music.”

I nod, understanding what he means.

We deaden some sensations only to protect ourselves.

To know something truly, to get to its core, you need both vulnerability and armor. 7/
It’s early 2021.

I received my COVID vaccine.

What felt like a turning point has already receded into memory.

Like a gasp of air before the plunge back under icy waters.

Psychologically I’m back to where I was as an intern.

Completely numb. 8/
When you tell people that care is being rationed, their eyebrows shoot up.

People still have no idea. How bad it is. How bad it’s getting. How bad it’s going to get.

No idea.

Care has been rationed for a long time now. It’s just going to get worse. 9/
We are often making decisions we rarely had to make before, regarding prioritizing limited resources.

Who gets what, and when.

It’s a crushing weight.

A constant burden.

The only thing that breaks through the numbness now and then is the anger. 10/
The quiet simmering fury that occasionally blazes into a full-blown rage.

I’m angry. All. The. Time.

For Tony. For his father. For all of us.

Blood on steel strings.

I can’t hear the music. 11/
Tony texted me again the other day.

“I’ve been struggling recently a lot with anger. This will make it worse. Here’s to hoping I can heal.”

Tony is a good man, like his father.

I hope he heals.

Calluses form.

So do scars.

Sometimes there’s no music.

Just the dying hours.

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#ஆதித்தியஹ்ருதயம் ஸ்தோத்திரம்
இது சூரிய குலத்தில் உதித்த இராமபிரானுக்கு தமிழ் முனிவர் அகத்தியர் உபதேசித்ததாக வால்மீகி இராமாயணத்தில் வருகிறது. ஆதித்ய ஹ்ருதயத்தைத் தினமும் ஓதினால் பெரும் பயன் பெறலாம் என மகான்களும் ஞானிகளும் காலம் காலமாகக் கூறி வருகின்றனர். ராம-ராவண யுத்தத்தை


தேவர்களுடன் சேர்ந்து பார்க்க வந்திருந்த அகத்தியர், அப்போது போரினால் களைத்து, கவலையுடன் காணப்பட்ட ராமபிரானை அணுகி, மனிதர்களிலேயே சிறந்தவனான ராமா போரில் எந்த மந்திரத்தைப் பாராயணம் செய்தால் எல்லா பகைவர்களையும் வெல்ல முடியுமோ அந்த ரகசிய மந்திரத்தை, வேதத்தில் சொல்லப்பட்டுள்ளதை உனக்கு

நான் உபதேசிக்கிறேன், கேள் என்று கூறி உபதேசித்தார். முதல் இரு சுலோகங்கள் சூழ்நிலையை விவரிக்கின்றன. மூன்றாவது சுலோகம் அகத்தியர் இராமபிரானை விளித்துக் கூறுவதாக அமைந்திருக்கிறது. நான்காவது சுலோகம் முதல் முப்பதாம் சுலோகம் வரை ஆதித்ய ஹ்ருதயம் என்னும் நூல். முப்பத்தி ஒன்றாம் சுலோகம்

இந்தத் துதியால் மகிழ்ந்த சூரியன் இராமனை வாழ்த்துவதைக் கூறுவதாக அமைந்திருக்கிறது.
ஐந்தாவது ஸ்லோகம்:
ஸர்வ மங்கள் மாங்கல்யம் ஸர்வ பாப ப்ரநாசனம்
சிந்தா சோக ப்ரசமனம் ஆயுர் வர்த்தனம் உத்தமம்
பொருள்: இந்த அதித்ய ஹ்ருதயம் என்ற துதி மங்களங்களில் சிறந்தது, பாவங்களையும் கவலைகளையும்


குழப்பங்களையும் நீக்குவது, வாழ்நாளை நீட்டிப்பது, மிகவும் சிறந்தது. இதயத்தில் வசிக்கும் பகவானுடைய அனுக்ரகத்தை அளிப்பதாகும்.
முழு ஸ்லோக லிங்க் பொருளுடன் இங்கே உள்ளது
https://t.co/Q3qm1TfPmk
சூரியன் உலக இயக்கத்திற்கு மிக முக்கியமானவர். சூரிய சக்தியால்தான் ஜீவராசிகள், பயிர்கள்
🌿𝑻𝒉𝒆 𝒔𝒕𝒐𝒓𝒚 𝒐𝒇 𝒂 𝑺𝒕𝒂𝒓 : 𝑫𝒉𝒓𝒖𝒗𝒂 & 𝑽𝒊𝒔𝒉𝒏𝒖

Once upon a time there was a Raja named Uttānapāda born of Svayambhuva Manu,1st man on earth.He had 2 beautiful wives - Suniti & Suruchi & two sons were born of them Dhruva & Uttama respectively.
#talesofkrishna https://t.co/E85MTPkF9W


Now Suniti was the daughter of a tribal chief while Suruchi was the daughter of a rich king. Hence Suruchi was always favored the most by Raja while Suniti was ignored. But while Suniti was gentle & kind hearted by nature Suruchi was venomous inside.
#KrishnaLeela


The story is of a time when ideally the eldest son of the king becomes the heir to the throne. Hence the sinhasan of the Raja belonged to Dhruva.This is why Suruchi who was the 2nd wife nourished poison in her heart for Dhruva as she knew her son will never get the throne.


One day when Dhruva was just 5 years old he went on to sit on his father's lap. Suruchi, the jealous queen, got enraged and shoved him away from Raja as she never wanted Raja to shower Dhruva with his fatherly affection.


Dhruva protested questioning his step mother "why can't i sit on my own father's lap?" A furious Suruchi berated him saying "only God can allow him that privilege. Go ask him"