Saravanan

I looked at the MRI scan and felt a chill go down my spine that had nothing to do with the hospital air conditioning. It was a death sentence, printed in black and white.

They call me a legend in this hospital. I’m Dr. Saravanan, retired Chief of Vascular Surgery. I’ve spent forty years inside the human body. I know the map of our arteries better than I know the streets of Chennai. I’ve held beating hearts in my palms and clamped bleeders that were spraying the ceiling. But looking at that scan, for the first time in decades, I didn’t feel like a surgeon. I felt like a fraud.

The patient was Gowri. She was twenty-six years old, a single mother working double shifts at a diner just to keep the lights on. She had collapsed while pouring coffee. The aneurysm in her brain wasn’t just big; it was a monster. It was wrapped around the most delicate structures of her brain stem like a constrictor snake.

“It’s inoperable, Saravanan,” the Chief of Neurology told me, shaking his head. “You go in there, she bleeds out on the table. You leave it, it bursts within 48 hours. She’s dead either way.”

In the medical system, we are trained to weigh risks. We worry about liability, about success rates. Logic said: Do not touch this. Walk away. Let nature take its course.

But then I met Gowri’s eyes. And I saw her little girl, barely four years old, coloring in a book in the waiting room, wearing worn-out sneakers. If Gowri dies, that little girl went into the system. She would be alone. I told the administration to schedule the OR. I told them I was taking the case. They looked at me like I was insane. Maybe I was.

The night before the surgery, I sat in my office with the lights off. The city skyline was glowing outside, indifferent to the life hanging in the balance inside. I was terrified. My hands, usually steady as stone, were trembling slightly. I looked at the scans one last time. There was no clear path. No angle of attack. It was a suicide mission.

I am a man of science. I believe in scalpels, sutures, and blood pressure. But on my desk, hidden behind piles of medical journals, I keep a small, laminated old laminated card of Lord Vaitheeswara — My grandmother gave it to me when I started med school. She said, ” remember medicine treats the body, but God heals the person.”

I picked up the card. I didn’t recite a formal prayer. I just placed my hand on Gowri’s file, looked at the image of the Lord, and spoke into the darkness.

“Hey Prabho,” I whispered, my voice cracking. “My hands aren’t enough for this one. I’m just a mechanic down here. Tomorrow morning, you need to scrub in. I’ll lend you my hands, but you have to bring the wisdom. You have to be the Surgeon.”

The next morning, the operating room was freezing. The air was thick with tension. The nurses moved quietly; the anesthesiologist wouldn’t meet my eyes. Everyone knew we were likely walking into a massacre.

We opened.

It was worse than the scans showed. The vessel wall was paper-thin, pulsing angrily. One wrong breath, one microscopic tremor, and it would rupture.

I reached for the micro-scissors. This was the moment. The “Widowmaker” moment.

And then, it happened.

The room seemed to go silent. Not just quiet, but a total, vacuum silence. The beeping of the monitors faded into the background. A strange warmth washed over my shoulders, flowing down my arms and into my fingertips. It wasn’t adrenaline. I know adrenaline—it’s jagged and fast. This was… peace. Absolute, heavy peace.

My hands started moving very fast.

I want to be clear: I wasn’t moving them. I was watching them move.

I performed maneuvers I had never practiced. My fingers danced with a speed and precision that a seventy-year-old man simply does not possess. I was dissecting tissue millimeters from the brain stem without a singular hesitation. I placed clips in blind spots I couldn’t even fully see, guided by an instinct that wasn’t mine.

“BP is stable,” the anesthesiologist whispered, sounding shocked.

I didn’t answer. I couldn’t. I was in a trance. It felt like someone was standing directly behind me, guiding my elbows, steadying my wrists. I felt a presence so strong, so commanding, that for a moment, I thought another doctor had actually stepped up to the table.

Forty-five minutes later, I dropped the final instrument into the tray.

“The aneurysm is gone,” I said. My voice sounded far away. “Close her up.”

The room erupted. Nurses were crying. The residents were staring at the monitors in disbelief. We hadn’t lost a drop of blood. It was impossibly perfect.

I stripped off my gown and walked out to the scrub sink. I looked in the mirror. Usually, after a surgery like that, I am exhausted, drenched in sweat, my back aching.

I was dry. I was calm. I wasn’t tired at all.

I looked at my hands—my wrinkled, aging hands. They had saved a mother today. They had saved a little girl from becoming an orphan. But I knew the truth.

I walked back to my office, picked up the little card of Vaitheeswara, and put it back in my pocket.

I signed the discharge papers a week later. Gowri walked out holding her daughter’s hand. She thanked me, tears streaming down her face, calling me a hero or Kadavul.

I smiled and shook my head. “I didn’t do it alone,” I told her.

She thought I meant the team of nurses. But I knew who the lead surgeon was that day.

Science can explain the ‘how.’ It can explain the blood flow and the nerve endings. But it can never explain the ‘why.’ It can never explain how a man, facing the impossible, can suddenly find a way where there is no way.

Sometimes, you have to admit that you are just the instrument. And on that Tuesday, in operating room 4, the Great Physician was on call.

Never lose hope. Even when the scan is dark, even when the world says it’s over. Miracles don’t always come with lightning and thunder. Sometimes, they just come with a pair of steady hands and a silent prayer.

Jai Vaitheeswara.🙏

Leave a comment