A Writing Tip from Isabel Legarda
WRITE LIKE AN ANESTHESIOLOGIST

Estimated reading time: 3 minutes

Write like an anesthesiologist.

By this I definitely do not mean intentionally (or unintentionally) put someone to sleep, but rather, approach your writing project as a living, breathing being you put active energy into protecting through dangerous territory.

“Dangerous territory” for writers includes:

  • daily challenges like time scarcity, procrastination, distraction, and interruption;
  • occupational hazards like exhaustion, multi-tasking, the need for research, and neglect of
    other important tasks or life relationships;
  • faults to work against, such as pride, complacency, lack of self-awareness, rigidity,
    scrupulosity, and resistance to constructive feedback;
  • emotional setbacks like anxiety, feeling stuck, artistic jealousy, excessive self criticism,
    the need for external validation, loss of motivation or tenacity, and probably our worst enemy, self-doubt.

A few suggestions from my day job might be of help:

Engage in singular focus. Anesthesiologists protect patients by putting intense focus on a single individual at a time. For a writer this might look like knowing a character in a story really well, writing to a single, important, imaginary reader (as one of my earliest mentors, the late Larry Woiwode, suggested) rather than to an “audience” or “market,” and devoting protected time to a given project to the exclusion of other projects.

Prepare for the unexpected. The night before each work day anesthesiologists habitually imagine the what-ifs for every surgery and come up with a Plan A, B, and C for coping with each. As a writer, perhaps you are a plotter and have a detailed, thirty-page outline for your novel in progress. But what if your main characters, because of the traits they have (and that you know intimately), veer into uncharted territory? Bring your toolkit of strong verbs, engaging dialogue, and vivid imagery and follow the energy of the scene. Or, perhaps you’re a pantser with no idea where to go next. Imagine three different contingencies for your characters, ask some what-if questions about them, and come up with a Plan A, B, & C for each possibility.

Optimize brain waves. Anesthesiologists in many places now have the technology to monitor patients’ brain waves, not just their vital signs. Brain waves may matter for creativity, with high levels of alpha waves in the right temporal area possibly associated with the mind forming unusual associations. Ever wonder why you get your best ideas in the shower, while driving, on a long flight, when you’re just about to fall asleep, or when it’s raining out? The mental relaxation promoted by these environments, soundscapes, or physiologic states might be optimizing brain states conducive to creativity. Try meditation or brown noise to encourage “The Muse.”

Finally, keep moving. Anesthesiologists are constantly moving toward “emergence”: the moment an unconscious patient awakens and reconnects with the world. They’re under pressure to make sure surgeries proceed efficiently and can’t get hung up on setbacks, even painful ones. A bad draft, a hurtful rejection, or a piece that has to be put away for a while even after multiple revisions might feel like failure in the moment, but it’s all part of working the clay: work done for the artistic process, valid and valuable whether it “goes well” or not.


Isabel Legarda

Isabel Legarda was born in the Philippines and spent her early childhood there before moving to the United States. She attended New York Medical College and is currently a practicing physician in Boston. Isabel Legarda’s work has appeared or is forthcoming in America, Ruminate, The New York Quarterly, Matter Monthly, Qu,­ West Trestle Review, and others.

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