Saturday 29 June 2019

Being Mortal- a story of human vulnerability and freedom.





There is a dearth of books which have the power to raze the status quo down to the ground and give the reader an uncanny tinge making them realize that the issues which have been mundane and prosaic to them are not so ordinary, one such book that stands out of the crowd and forces us to reflect on an issue which we have either never cared about or have been too petrified to look at is “Being Mortal” by Atul Gawande.

Human race, unskeptically, is a pretty peculiar race. We distinguish ourselves from other creatures on the basis of our superior cognitive, thinking and visualizing skills. We take up aims in our life, we plan almost everything pertinent to life be it time, love, marriage or life itself, but one thing about which we never worry is planning to die. The idea of old age or senility has been so much of a killjoy that in our whole history as the “superlative” race of the world, we never got the time or we never showed enough courage to think about how our life will end one day. We have hitherto never shown any concern about the day when everything will cease to exist for us and we for everything else; we have never had a dekko over how will the realization of mortality strike us one day and will make us realize that no matter how much great, charming or charismatic we have been, our end will not be very much different from anyone else. We just like every other creature are equally vulnerable to the arduous realities of nature.

Being Mortal thus hits at the right spot. It makes you peep over something which you have been snubbing off for so long and in this effort, it also touches upon how science and medicine have had their set of constriction.  One of the best apothegms that I have been told is that sometimes it is not life but the way of life that matters most to us. While loving our life and prizing it above anything else, we tend to put a blind eye to the way of life which in actuality holds more vitality than life itself. A famous proverb goes like this, “I have always lived in light, so what if I live for a day less.” Gawande’s book raises this important question through his medical experience. When old age strikes our door, it is not having white hair or wrinkled skin that people detest, it is an ineffably vexing feeling that we can no longer live life by our terms. Suddenly your freedom is snatch away from you and you are left being a dependent. In one moment, the ability to take decisions for oneself, the power to decide how we want our lifestyle to be shaped and the reassurance that we are not dependent on others are the major things that we adore in our life.
Every child wants to be an adult as soon as possible because children believe that being an adult gives us the opportunity to take our own onus and execute things that way we want. However, the present medicine world as well as the people themselves have not been able to unravel this naïve fact. Though it is not out of sheer ignorance that we disregard others freedom when they are old but because of our callow. We never worry about old age until it comes in our vicinity and hence when dealing with old people, we never figure out that one day the same situation would strike our door and we, too, would be standing there at the mercy of someone else’s decision. We put our old people is nursing homes and old age homes where they don’t have the basic freedom to decide what they want to eat, when we want to bathe and believe that we have done our best. But, if you think in terms of that person who is being made to go through all this, it is nothing less than incarcerating them in the name of their health. All through their lives, these people have made their own choices and now because of an impetuous decision of ours finally they are rendered paralyzed in their whole life. Nobody out there tries to fathom the reason behind their resentment and to conceal our own failures we term them dotards and their behavior a consequence of their senility. The purpose of all the sciences in the world is to make the human race independent. We developed Physics because we don’t want to be at mercy of nature, we developed medicine because we wanted to free ourselves of nature’s calamities, we develop Chemistry because we wanted to produce more than what’s in the nature. Human being, since the very inception of earth, has been in search of freedom but haplessly in this case, we spurn the needs of these people, treat their wants with contempt and finally subjugate themselves to live the life of a thrall. This deeply saddens me to see how good and callous we have become at doing this. Now, it has become customary to obliterate their freedom in the name of care and to annihilate their desires in the name of love.

Author also touches upon “when to let go of things.” Sometimes, while pursuing something, we become so much profoundly indulgent in it that we start thinking more about the procedure rather than the end goal we want. We become entangled in the process so much that we finally forget what our goal was initially. The same happens when one of our loved ones is fighting against an incurable disease. Though we know the outcome, yet owing to our incessant love for them, we make them suffer. We try different things which can ultimately make them live a month longer but will sequester themselves from what they used to be. Author gives the example of various patients in whose case it was lucid that they couldn’t survive, yet rather than accepting that fact that this unfortunate thing has happened with them, they try so many different treatments which though prolongs their life by a few days but trounces the very meaning of their life. They are left paralyzed, dependent and at the mercy of others just because we chose to refute that fact that we are not indomitable. Doctors too are guilty in this. They prescribe medicines, tell their patients about various options available but never ask them whether the patients are ready to incur the cost that will come up with these options. The work of a doctor is not just to blurt out some new fancy operations but to rather understand what the patient really wants, what would be the opportunity cost in their respect, are they indeed ready to put their freedom on altar for the sake of a few days. As a society, all of us fail in this regard, because in the end, having the freedom to steer our life to the very last breath is much more valued in anyone’s else. We need to sensitize ourselves with the fact that rather than imposing our decision on these people, we must let them die the way they have lived: bold, brave and independent. In the coming age of technology, rather than becoming more detached from their desires, we need to make sure that we get the essence of whatever they want, because if we don’t them somebody else would also follow the same course for us.
JAI HIND, JAI BHARAT
JAI MA BHARTI