Miriam Mutebi, Consultant Breast Surgeon at Aga Khan University Hospital, Nairobi, and Assistant Professor of Surgery at Aga Khan University, shared on LinkedIn:
“I was tires for year before i understood why.
The long shifts and night calls were manageable. What drained me was something else entirely: performing a version of myself I thought was required to survive medicine.
Looking back, there were two masks I wore for longer than I needed to.
The FIRST was the Mask of Seriousness.
Medical school teaches you early that competent doctors look composed at all times. So I practiced stillness. Talked in a measured, moderate voice, and laughed a little less.
When a patient died, I felt grief like a physical weight in my chest, but my face remained neutral. I told myself this was discipline.
The first crack came after a long night shift. We had lost a young mother. Her sister sat in the corridor holding a plastic bag with the woman’s clothes, staring at nothing. Something in me couldn’t maintain the performance. I sat beside her. My own eyes welled up.
A senior colleague gently warned me not to become ‘too involved’.
I understood the concern. But what happened in that corridor wasn’t a lapse in professionalism.
It was simply an acknowledgment of shared humanity.
The SECOND was the Mask of Cultural Neutrality.
During training, I gravitated toward muted colors, minimal jewellery, anything that felt neutral. Then one day I wore a set of beautiful brass rings my mother had given me. A patient noticed them, looked up at me and smiled.
‘Doctor, you look like home.’
Nothing about my surgical skill had changed. But the atmosphere in the room did.
That day, I learnt that when you stop performing, patients relax more quickly. Conversations opened more easily, and you recover energy that was never meant to focus on concealment.
Tell me.
What mask have you worn longest, and what happened when you took it off?
Share in the comments.”

You can also read: Zacharoula Sidiropoulou: Physician Wellbeing and Communication in Breast Disease Programme
