Saturday, June 8, 2024

The Beautiful Aging!

Mrs. Stewart was looking outside the window and enjoying the bright sunlight as it lit up the leaves, flowers, and the ground. She had a pleasant smile on her face. She was happy and content with her life. She was rich with lots of memories.

It was like going through a long journey with many ups and downs and finally, reaching the finish line. 

 Her knees were hurting. Given her comorbidities, she could only get one of her knees injected at a time. She was delighted and said that was wonderful. That means I will get to see you again. 

She shared how wonderful her family is and how fortunate she has been to get all the love. She was sitting alone in her room and was delighted to see me. Her smile lit up my day. 

Every wrinkle on her face reflected decades of gathered wisdom. She was looking beautiful. 

As I experienced my first signs of presbyopia, I thought of my parents when they had presbyopia. I was so proud of myself for reaching that fascinating age that my parents had when I was a little child. As a child, I wanted to grow as old as my parents so we could become the same age and have the same life span. I want to have my parents for as long as I live, just like anyone else. I now understand that reaching this age brings a lot of experiences and learning. It's like a trek. Once you start, you see different scenery and go through the rocky roads, smooth paths, meadows, water, marsh, and whatever comes your way. It feels accomplished to reach the midway. And when we are midway, it would only arouse excitement to do the rest of the journey to see what the final destination would look like. A hard trek often leads to a beautiful place. A trekker always looks forward to the next scene and the final beauty. A racer is always happy to see the finish line. And what makes the final destination or the finish line so attractive? It's the tough journey that makes the final experience more accomplished. 

As I was thinking about Mrs. Stewart who was nearing a century, while getting a long overdue facial, the technician said that I looked like a 28-year-old and then she asked me my age and profession. I smiled at her and said, Thank you, that's very kind of you. Shhh! I will tell you a big secret, my age and profession... but don't tell anyone else. I am a 42-year-old doctor. She gave me a surprised look and then said, you look beautiful and don't have any wrinkles. I said, I am not sure how beautiful I look but I surely feel more beautiful at 42 than what I felt at 28. Then I told her, you are my favorite technician and we laughed. 

She then asked me, Doc, why do you wear glasses? Why don't you get a Lasik? I said, "I love my glasses and enjoy feeling grown up like my parents when they were my age. I might think about it in the future or maybe wait for my cataract surgery in my 60s or 70s when I reach that age." 

No matter how fast I run, my parents will always be years ahead of me and I will always enjoy aging beautifully and look forward to my final destination. I love my journey and the beautiful learning points on the way and will look forward to my final destination. When I get close to a century, I would love to sit by my window like Mrs. Stewart and feel proud of my accomplishments while enjoying the soothing sunlight lighting up the leaves, flowers, and the ground as well as my face. 

Thanks to my beautiful parents! 

 Dr. Jaya Sonkar MD MPH
06/08/2024 
©All rights reserved . Copyright 2024

The Hawaiian Harmony!

The Hawaiian Harmony!

What would you call it, when you see the lush green low-lying mountain with a beautiful shallow valley ornamented with palm trees and surrounded by ocean, with perfect weather? Isn't it perfect heavenly harmony?

What efforts would nature have made to make it happen? What efforts would the mountain and ocean have taken to make this happen?

What can make it possible when the high mountains want to meet with the ocean?

The mountains are big and tall. The ocean is even bigger and more majestic. However, no matter how much an ocean would want, it cannot meet the mountain peak unless it is a phasic tsunami.

However, if the mountains submerge in the water and the ocean rises, they can meet and make it the most beautiful experience in the world such as in Hawaii where the mountaintop meets the water. It's the only place where the mountain, ocean, palm trees, and meadows with the cattle can be in the same frame.

To meet the ocean, the mountain must be willing to sink into the depths of the ocean and the ocean must be willing to expand and rise as the mountain sinks in.

And when it happens, the beauty is enormous. The beauty, which is outside and inside, gives rise to peace and love within.

When two powerful forces unite harmoniously, it can energize the entire world.

Dr. Jaya Sonkar MD MPH 
6.8.24
©All rights reserved . Copyright 2024

Friday, March 15, 2024

Baarish Ki Boondein

Baarish Ki Boondein

Ye baarish ki boondein laayin rimjhim yaad puraani
Safar purane yaad aye, mano sunaye koi kahani

Kuch meethe kuch khatte palon ko darshak banke Dekha
Yaadon aur sapno ki udaan, na Jane koi rekha

Kabhi bachpan ke khel yaad aye aur yaad ayi kilkari
Kabhi dukhon ke baadal aye aur palkein huin bhari

Yaad aaya pani mein bheegna, chintarahit ho ke khelna
Yaad Aayi sondhi mitti ki sugandh aur boondon ko girte dekhna

Aur yaad aye samose, pakode or masaale vali chai
Aur kaagaz ki naav Jise Pani mein hum tairayein

Ye sunehre pal aur mausam, hum Jane Kahan bhool aaye the
Hridaya ke ek kone mein kahin beete lamhon ke saaye the

Yaadon ka ek karavan Chala, Kahan rukega man bhala
Sabhi ehsaas salone the, sikha gaye the nayi kala

Varsha ke pani mein mano, sabhi kisse dhul gaye
Achhe bure, koi bhi hon, sabhi aapas mein mil Gaye
Baarish ki boondon ki madhur dhwani mein Sabhi chehre khil Gaye

Ye baarish ki boondein laayin rimjhim yaad puraani
Safar purane yaad aye, mano sunaye koi kahani

Dr. Jaya Sonkar MD MPH
3/15/2024
©All rights reserved . Copyright 2024

Saturday, February 24, 2024

Man Hi Sarvasva


Man hi Sarvasva 

Man hi darpan
Man hi aangan
Man hi preetam
Man hi saajan

Man he Chetan
Man avchetan
Man hi shram
Man hi vetan

Man hi Adi
Man hi ant
Man hi seema
Man hi Anant

Man hi guru
Man hi shishya
Man hi amrit
Man hi vish

Man hi bhav
Man hi abhav
Man hi gati
Man hi thahraav

Man hi saal
Man hi pal
Man hi chal 
Man hi achal

Man hi satya
Man hi bhranti
Man hi Shanti
Man hi Ashanti

Man hi agni
Man hi jal
Man hi prithvi
Man hi pawan

Man hi Vivek
Man hi vairagya
Man hi samadhi
Man hi samadhan

Man hi maan
Man hi samman
Man hi Sarvasva 
Antar man ko jaan

Dr. Jaya Sonkar MD MPH
2/24/24
©All rights reserved . Copyright 2024



Sunday, November 5, 2023

A letter to my patients

Dear Patients, 
 First of all, thank you for trusting JSR Health for your care! You are the reason I wanted to be who I am today. 

 Raised by extremely kind parents, I imbibed their values and respected my elders and had a caring attitude towards the young and peers. I picked up after my parents' passion to help people by becoming a doctor. 

 Fortunately enough, I was able to land on the opportunities to fulfill my dream. The path crossed one of the most reputed medical college, public health institution, residency programs. I found amazing mentors, teachers, friends, students and patients on the way who enhanced my learning experience at every step. 

 Every time I opened the book to learn about the human body, I would be awestruck by this amazing work of nature. It just simply seems impossible that so many fine details go into making simple things happen. Looking at how nicely and thoughtfully the bones and joints and muscles are laid, how amazingly the nerves innervate it, and how many things need to be in coordination to complete a simple action of raising the arms overhead. It almost makes me believe that some amazing scientist from some other world must have designed our DNAs which has a biological clock for making all changes in the body happen the way they do.  

 Of course, when the things are that meticulous, it does need decades of learning, affording which is also not very easy. 

 When my friends would go out having fun in the park, watch movies, concerts and parties, I would be wearing my glasses and sitting alone in the room with the bone set and books, reading every aspect of the bone.  

 When other kids enjoyed Halloween, I would be amazed at looking at the skeleton and revise the names of each marking on our bones where the muscles get attached and the nerves course through. 

 The time went so fast, and one day when I raised my head up to see what's happening, I realized that I wasn't a child anymore, I wasn't even a young person anymore, I was a middle aged person who had dedicated her life to medicine and was happy about it. 

 I pursued Internal Medicine to unfold the puzzle of life. I pursued Geriatrics as I wanted to understand the process of ageing and take care of my parents as well as the elderly patients. I pursued public health to learn how to spread awareness. My mentors and program directors and teaching doctors had an immense role in feeding into my interest in Rheumatology which budded since childhood when I saw my dear cousin limited by Rheumatoid arthritis at an early age. 

 In the process, I found great people, both kind and unkind. Everyone taught me important life lessons. 

 During this journey, I also lost a lot of family members, including my own dearest brother and whose blessings always stayed with me.  

 I never had the luxury to take the time to shed a tear and the art of medicine healed me itself. 

 Life is a theme park with a lot of roller coaster rides. Recently we had an addition of a new pandemic ride which some of us survived, some didn't. Again, the science and medicine proved to be the savior and fortunately a winner. Proud to be a part of such a great team of scientific warriors. 

 At this time, I am proudly raising my beautiful daughter, Riya, as a single mom. Riya has done medical hours in early childhood and has been a wonderful accomplice. My elderly parents shower their blessings on me. I feel fortunate to be able to be with them. They are the reason why I am here in this world, doing what I do. They are the reason why I love driving to Assisted Living once every so often to take care of the elderly who cannot commute. 

 I try my best to focus on each patient and try my best to give each patient the time and attention they need while respecting other patient's time. 

 What I didn't learn in the process was how insurance and billing things happen so I have a team of people to help. Interestingly enough, insurance processes are so meticulous that it would need a PhD of its own and studying those would certainly take several years. Hats off to the people who understand the world of insurance. They probably are smarter than the doctors.  

What I also didn't learn was how lab agencies, pharmacy and insurance were functioning and how they have developed interesting ways to approve or deny labs, imaging, and prior authorizations. We do not have any financial ties with any lab or any imaging center or any pharmacy. We always make our patients feel free to go wherever they want and have the results faxed to us when they get that done. Recommendations for places are available to the patients who ask for suggestions. 

 As a doctor's office, we will take the time to understand your problem and help in every possible way to identify your problem and plan an appropriate treatment. However, we do respect our patient's free will and let them make an educated decision about their treatment and where they want to get the evaluation and work-up done and where they want to get treated. Our work is to make our patients understand their condition and educate them about the workup needed and available treatment options.

 While our staff tries to help provide free services to help our patients, this is certainly not our expertise and with the zillion types of insurance and sub-insurance and their rules and policies, please understand that we have no way to predict which insurance will approve or deny any particular lab or imaging or medicine. 

 The creation of JSR Health Rheumatology is an attempt to provide the patient the quality of care they deserve and the time that they need so they could be heard and rightly treated. However, we are limited in providing free services to our patients regarding assistance with their insurance. We do have HIPAA trained office staff who help me keep a track of things within human capacity and bring to my attention things that need my attention, since as a doctor, I am busy seeing patients all day. Please understand that these services are billed to your insurance to be able to sustain the support for our patients. 

 We request you to not hold us responsible for denials from your insurance, any billing from your lab, imaging center and pharmacy as we have no knowledge of what and how they bill nor we have any capacity to change anything at their end and oftentimes we are not even made aware of what is going on at their end, until we learn from you. We request you to reach out to them independently. We will try our best to help you in the process as we strongly believe in advocating for our patients. Our office is on your side and we request you to not hold us responsible for things over which we don't have any control. 

 That being said, caring for our patients is the best thing in the world for us and we continually thank you for the opportunity to make a positive difference in your lives. 

 We welcome you to JSR Health with open arms! 

 Sincerely, 

 Dr. Jaya Sonkar MD MPH Rheumatologist, Geriatrician, Internist JSR Health PLLC 21216 NW Freeway, Bldg 1, Suite 230 Cypress, Tx 77429 Mailing Address:  13100 Wortham Center Dr., #307, Houston, Tx 77433 Office Phone: 409 276 5595 Fax: 314 405 9678 University of Texas Medical Branch, Galveston alumna New York Medical College Alumna Harvard School of Public Health alumna
©All rights reserved . Copyright 2023

Tuesday, October 24, 2023

Life is Unique!

Life is Unique!

This life is unique
This body is unique
These talents are unique
These flaws are unique

We get one life. Even if we get reincarnated, we get the current body only once. It would never be the same in any other lifetime. It can be similar but not the same. And we don't even know if it is actually only once or do multiple lifetimes exist.

All the great people of all times had what they had only when they were alive. It's an enigma that happens to them after they parted from the earth.

They made their existence worthwhile by using their natural gifts.

Einstein, Edison, Wright brothers, Lata Mangeshkar, Gandhi, Lincoln and many more people did what they were good at and gave it their best efforts and created a legend.

When we are here, we should not get distracted by life events.

We should set our goals and keep getting better at what we do with each day.

At the end of the day, it should feel that our existence is meaningful to us as well as to others and our universe.

Memories, good or bad, are there to help us learn from the past experiences and put them to use when moving towards the future. Memories are not meant to go back to the past.

Emotions that we experience are tools to help stay balanced. Overflow in any direction can make us fall.

This morning, if you are reading this, please close your eyes for 5 minutes. Think about what it is that brings you utmost joy and what it is that you are really good at.

As long as our joy does not cause sadness to anyone, that joy is worth pursuing and should be pursued at convenience and at appropriate times.

For example, if you like to travel, plan one at a convenient time and narrate all about the learnings from that travel to share with all.

If you like to sing, pick up the mic and start singing and record to your best.

If you like to paint, pick up a brush and paint the most beautiful picture that comes to your mind.

If you like solving puzzles, pick up a challenging puzzle and complete it and share your strategy on a piece of paper.

If you like gardening, pick up your gardening tools and grow something beautiful and observe the beauty of nature.

If you like dancing,  put a mirror in front of you and dance to your favorite tunes.

If you play an instrument, bring your hands or mouth at work and create a symphony.

If you like to write, then pick up a pen and write the deepest thoughts and make it into an epic.

If you love photography, pick up your camera and capture the amazing and unique beauty of our earth.

If you like to cook, create a delicious and healthy recipe to share with everyone.

Pursue your hobbies and talents to their fullest capacity. These talents are unique, this body is unique and this life experience is unique.

This life will never come back. Even if reincarnation exists, this life will never come back.

Stay nice to people around. Fighting over religion, a piece of land, proving one to be better than another on the basis of race, color, cast ,creed, religion, physical features is the pettiest thing in the world.

We are bigger than that. Aren't we?

Dr. Jaya Sonkar MD MPH
10/24/23
©All rights reserved . Copyright 2023



Thursday, October 19, 2023

Ek Naya Savera


Suraj ki nai kirnein Aayin
Ek Naya Sandesa Laayi

Chharon taraf ujiyara chhaya
Dekho phir Naya din aaya

Neele par ek laal prakash
Sundarta ka adhbut ehsaas

Door ek Tara Chapman Raha hai
Mano mand mand muska Raha tha


Suraj ki roshni sama ke
Apna prakash badha raha tha

Dharti PE sunehri kirnein Aayin
Ped aur pattiya lehrayi

Phool bhi Huse aur khilkhilaye
Pakshi daali pe chehchahaye

Ek oonchi uddan aj bharenge
Kal se bhi zyada upar udenge

Naye prakash mein nayi rachna rachenge
Jab suraj sham layega

Usko apni Kahani kahenge
Phir ek baar raat ki gode mein so Kar
Angle din key sapne bunenge

Suraj ki kirnein Aayin
Naye din ka Naya Sandesa layin!

Dr. Jaya Sonkar MD MPH
10/19/2023
©All rights reserved . Copyright 2023