December 19, 2025

My day begins at 5:15 a.m., when the alarm goes off and the world outside is still dark and quiet. Before leaving the bed, I mentally run through the day’s entire program, including the Operating Room (OR) schedule, the regional anesthesia block list, my daughter Goksu’s at- and after-school schedule with basketball, dance, and/or cross-country practices, and whether I remembered to move the laundry to the dryer. Afterward, while making my first cup of coffee of the day, I make sure the alarm is set for Goksu to wake up, that her computer and phone are charged for the day, and that the cats have enough water and food.

On a routine regional anesthesia day, with 3-6 first starts, I generally leave home around 6 a.m. before Goksu even wakes up. Her daily schedule is usually discussed the night before to ensure we’re on time and not to miss any part of her busy practice, competition, and game schedule. She also has piano and Spanish lessons on weekends, and her weekly schedule could rival that of any OR.

I arrive at the hospital around 6:15 a.m. and step into the busy preoperative area, with beeping monitors, colleagues gathering information and consent for the first cases, and ultrasound machines being rolled to the bays where we have our first block patients. As a regional anesthesiologist, no two mornings feel the same. Some days begin with a full block board, so we run from bay to bay to be on time to complete spinal, interscalene, supraclavicular, adductor, popliteal, femoral, fascia iliaca compartment, single-shot blocks or catheter placements… all lined up like a puzzle waiting to be solved. Other days start easier and calmer, with some teaching time periods, walking residents through appropriate block choices, alternatives, and the anatomy and/or sonoanatomy behind each technique.

On busy regional anesthesia days, we may complete over 30 different types of blocks, which requires informing and consenting at least 20 patients, positioning them, and performing the blocks with a good amount of bedside theoretical and practical education. There is a particular rhythm to regional anesthesia—a balance between precision, efficiency, timeliness, and calmness—that I have come to appreciate deeply. We sometimes draw anatomy pictures, review ultrasound images, scan patients with different body habitus for more extended periods to understand differences and variations, plan the approach, and troubleshoot when necessary. Additional discussions on contraindications and the management of patients with comorbidities also take place in between, and it is always so satisfying to observe the residents’ hand-eye coordination skills improve from morning to afternoon and from the beginning of the rotation to the end. Afternoons are generally smoother and more predictable; mornings feel like a sprint between bays and the OR. Moreover, I follow the POD-2 OR routine by reviewing charts, meeting with patients, discussing perioperative anesthesia plans, and coordinating with my in-room colleagues and surgeons.

The time I leave the hospital depends entirely on the schedule. Some days, I am out early around 3:00 p.m. while on other days, I finish just in time to shift from physician to chauffeur. Either way, I am always back in “mom mode” the moment I pick up Goksu. During the day, she takes care of herself with the help of “early morning calls” to make sure she is awake and leaves home on time to walk to school, and “afternoon calls” to check her safely being at home, completing homework, having her meals and being ready for me to drive her to daily activities. If we are lucky to have my husband here in St. Louis (he lives and works in Istanbul but comes very frequently and stays with us for 1-4 weeks each time), even though I make and follow the programs, he mainly takes care of all her activities and the meals. We both like to be part of all her activities, so we are happy to watch not only the games and competitions but also the practices. She is 12 years old and is kind of at an age when she shares a bit less than before, so we are trying to be present and witness as many of her cheerful, up-and-down moments as possible.

Trips on the way and dinners include our moments to share daily routine. How the day has been, anything new, whether homework is done, what the plan is for the following day, and how we will manage it, especially if I have LR or a call, and a backup plan is needed. I already make these weekly plans to eliminate last-minute chaos at home, but I need to discuss them again to be on the same page. Dinners mainly include homemade Turkish food when at home to reserve some space to every kind of food and cuisine for outside dinners.

In between the other plans or by the time the house quiets down, I take a final look at the next day’s cases, answer a few messages and e-mails, attend Zoom meetings and complete some education/academic work such as reviewing articles, preparing some regional anesthesia board exam questions, getting ready for upcoming presentations/lectures and resident/fellow evaluations.

The above mentioned schedule is my daily routine other than the content changes depending on working as a regional attending in South or the Center for Advanced Medicine, and also the OR schedule. This reflects my steady, meaningful rhythm in life that has grown over time.

As weekdays are hectic, we frequently postpone family and friend calls and meetings, cinema, concerts, games, shows, and/or outdoor dinners to the weekends as much as possible. Even though keeping up with all this work, school, sports, and social activities is sometimes challenging, I always remember why I chose this path, why I work hard, and try to balance my motherhood and medicine. I always feel fortunate to do what I love, live the life I wanted, and have my work and family life be the most rewarding parts of my life.

Moving to the United States to try how things would go for us and then deciding to settle down have been significant changes, sometimes very easy and sometimes very hard and complicated. Taking steps one by one, accepting that we must be stubborn with each new change, being positive and open to novelty made us stronger and happier along the way. Every time I felt overwhelmed, I tried to step back and see the beautiful big picture: I had reached my dreams. This immediately makes me happy and places a smile on my face.

Yes, it was about moving to the United States, but also about moving forward into the unknown. Inclusion in this department as an international specialist has been one of the most significant transitions of my career and my life. I remember feeling both excited and uncertain during those early months. Then, in a very short time, I understood how fortunate I have been to have everybody in this department be welcoming, understanding, helpful, and supportive. Being part of this department has given me not just a place to work, but a place to belong, and has quickly became my professional home. I have been seen, understood and valued, which have been the most critical factors for me to stay here.

I have changed a lot, learned to keep up in situations I could not have imagined before, better understood the language and culture, and become even more responsible and much more resilient. Nevertheless, as the big picture grows and becomes much more beautiful over time, the journey has been worth it for sure. Now, we have supportive colleagues, friends, life, and a future here as a family, and we are grateful for them. Every day, whether I’m holding an ultrasound probe, placing an IV, getting together with my friends, driving from school to practice or from practice to practice, or cheering from a gym stand, we are, as a family, happy about the life we have built here.