Musicians, like skilled surgeons, have the power to healâsomething Phuong D. Nguyen, MD, FACS, FAAP, understands well as a pediatric plastic and craniofacial surgeon and lead singer and guitarist for the indie rock band, Help The Doctor.
As the front man of a band comprised entirely of âsurgeons who rock,â Dr. Nguyen has achieved some modest acclaim on social media, but it was after he performed with Demi Lovato as part of a virtual chorus of musicians at a 2021 inauguration day celebration that he gained national attention. Wearing his daily uniform of surgical scrubs, Dr. Nguyen, chief of pediatric plastic surgery, University of Texas Health Science Center (UTHealth), Houston, performed backup for Ms. Lovatoâs cover of Bill Withersâ âLovely Day.â
Dr. Nguyen was asked by the presidential inauguration committee to virtually participate in the live 90-minute, prime-time inauguration special, which aired January 20 on network and cable news channels and via the committeeâs social media feeds.
âAt first, I thought the invitation to perform was spam. I almost hit delete,â recalled Dr. Nguyen, whose clinical interests include facial reanimation, cleft repair, and craniofacial reconstruction. âAs it turned out, they were looking for stories of hope and people coming together. And, as I learned later, the invitation was targeted toward health care workers and people on the front lines.â
With the help of videographers from UTHealth, Dr. Nguyen filmed his rendition of âLovely Dayâ for the special, which also featured other performers from across the U.S. providing backup to Ms. Lovatoâs vocals. The television special, called Celebrating America and hosted by actor Tom Hanks, also featured appearances by John Legend and Justin Timberlake, among others, and included remarks by President Joseph Biden and Vice-President Kamala Harris, who were sworn in earlier that day. The traditional parade, inaugural balls, and other events that typically commemorate a presidential inauguration were canceled because of the coronavirus 2019 (COVID-19) pandemic.
âThough we are inundated with media in this day and age, it was still very much a surreal feeling watching this national broadcast on simultaneous networks and seeing myself pop up in front of the president. I had butterflies in my stomach; I guess this is as close as itâll come to waiting to hear my name called out at the Grammys!â Dr. Nguyen said.
Dr. Nguyen owns several guitars, but he selected a custom guitar made by luthier Rick Kelly to play at the inaugural concert. âMuch to my wifeâs chagrin, I have 10 guitars. Itâs a constant negotiation, but I have a very forgiving wife. As for that specific guitar, itâs important to know that Rick hand-makes his instruments from the bones of New York Cityâfrom discarded and reclaimed wood from really famous spots like the Chelsea Hotel. This particular guitar came from Chumleyâs, a speakeasy from the turn of the century. Ernest Hemingway used to drink there; Bob Dylan was there through the â50s and â60s, so it has all of this history soaked up in it.â
Playing the Rick Kelly guitar at the inauguration celebration also was a nod of respect to New York, NY, which has been hit particularly hard by COVID-19. âI think it was definitely symbolic in that sense, too. New York has such a history of tragedy and resilience. And for me, personally, I was in residency from 2004 to 2011 at New York University Medical Center, and I remember living through the aftermath of 9/11.â
âStay at homeâ
Dr. Nguyenâs invitation to perform at the inauguration day festivities was sparked by the song titled âStay at Home,â which he wrote and performed with his Help The Doctor bandmates in March 2020. The video for the song features physicians from across the U.S. in scrubs and masks singing lyrics that underscore the importance of sheltering in place during the COVID-19 pandemic.
The idea for writing and recording âStay at Homeâ came from a fanâs Facebook comment, urging Dr. Nguyen to harness the bandâs nameâHelp The Doctorâinto a message of collaboration and support for physicians battling COVID-19. Heeding the call to action, Dr. Nguyen wrote âStay at Homeâ in about an hour.
âIn late March of 2020, we were still very much on the upswing of COVID-19, and there was so much that we didnât really know. And we were going down a pretty slippery slope, where a lot of physicians were being repurposed to take care of COVID-19 patients. For instance, plastic surgeons who havenât done intensive care in quite a while were being repurposed to help take care and share the load, and everyone was really chipping in. From a public service standpoint, we wanted to increase awareness that this was something real and getting significantly worse.â
Dr. Nguyen arranged the track in his self-described âlittleâ home studio before sending it to band members, all of whom now reside in different cities.
Help The Doctor originally formed in 2012 while members were training at the University of California, Los Angeles (UCLA) medical campus. âP. Dangerâ is the lead singer and stage name for Dr. Nguyen; Robby âRip Townsâ Kang, MD, MPH, plays guitar and keyboards, performs backup vocals, and is a head-and-neck facial plastic reconstructive surgeon, City of Hope Cancer Center, Duarte, CA; Jason Roostaeian, MD, âJ. Roost,â plays bass and is a plastic surgeon, UCLA Medical Center; and Solomon Poyourow, MD, DDS, MPH, âSol Power,â plays drums and is an oral-maxillofacial surgeon, Alamitos Oral Surgery, Los Alamitos, CA.
âIâve always had a passion for music and have been playing semiprofessionally for over two decades,â said Dr. Nguyen, who became a Fellow of the American College of Surgeons in 2016.
Surgeon well-being
Dr. Nguyen started writing music before medical school, picking up his first guitar in 1993. Today, he has nine albums under his belt. Recording and playing music is more than a creative outlet for Dr. Nguyenâitâs a way to foster resilience, especially during the challenging conditions associated with the pandemic.
âParticularly in medicine, and specifically in surgery, there are a lot of stresses that come with the job,â he said. âAnd what I find going through residency and practice with colleagues is the fact that when the stresses become almost overwhelming, we all need something to rely on to brace and ground ourselves. For me, itâs music, which is a way to process emotions and current events and an expression of something that maybe I couldnât do verbally.â
Dr. Nguyen said many of the students he interviews for surgical programs have a high level of interest in the creative arts. âThe first thing I tell them is, âPlease donât ignore these interests because youâre going to need them as you go along.ââ
Access to role models who embrace well-being is key for the younger generation of surgeons, according to Dr. Nguyen, although some senior surgeons may resist engaging in outside interests, preferring to focus almost exclusively on patient care.
âThe weight of what we do on a day-to-day basis often overshadows any type of space that you make for your own personal growth and health, and thatâs a paradigm shift. For the older generation, I think itâs more difficult because no one is going to tell them, âThis is okay. You can do this.â Surgeons need to step back and give themselves permission to spend a few hours on a weekend just doing something that makes them happy, something that doesnât necessarily involve work,â Dr. Nguyen said.
First-generation American
Performing before the newly elected president was a profound moment for Dr. Nguyen, a first-generation American, whose family left Vietnam after the fall of Saigon in 1979. His family escaped on a tiny fishing boat with scant supplies, his mother pregnant with Dr. Nguyen. After living off of rainwater for nearly a week, a Conoco oil tanker miraculously crossed paths with the boat and transported the family to an Indonesian refugee camp. Eventually, Dr. Nguyenâs family managed to immigrate to the U.S., setting down roots in Minnesota.
âI grew up for the first 20-odd years of my life in the Twin Cities of Minneapolis-St. Paul, MN. Itâs a very distinct experience to grow up as a first-generation immigrant in the U.S. There was one other Vietnamese kid growing up and there was one African-American kidâit was a relatively homogenous environment. And that definitely affects how you perceive your place in the world, when people donât sound like you, they donât have your name and to be perfectly honest, there were certainly bouts of racism growing up. And how do you get out of that and have any level of confidence that youâre going to make something of yourself?â he said.
Dr. Nguyen said getting a good education combined with his parentsâ devotion to service and giving back to the community helped steer his pathway through medical school and beyond.
While at the University of Minnesota, Minneapolis, Dr. Nguyen cold called a pediatrician who was doing medical mission work in Vietnam, which led to his first experience visiting his home country. âI had so many overwhelming emotions, as you can imagine. It was a way to reconcile what it meant to look the way I did and the blood that coursed through my veins with living a completely different life in Minnesota.â
âThe last thing they said to me as I left as an honestly know-nothing medical student was, âYou know, when you go learn something, make sure you come back and teach us.â And fast-forward to today, and I now go to Vietnam annually to the very same childrenâs hospital, Vietnam National Childrenâs Hospital [VNCH].â VNCH, located in Hanoi City, is the largest pediatric hospital in North Vietnam and provides services to approximately 40 million people.
