I was given the name Sukhjiwan; it is pronounced “Sook-Jee-Vun.” It is a Sikh name that, in Punjabi, translates to “happy life.” So, why do I go by the name Jeevyn?
When I entered elementary school, no one (not even my teachers) could pronounce my name. As a young student, I always felt anxious when a teacher read through a roll call. I became more anxious as the teacher worked down the list. It was always the same. The awkward silence before the teacher attempted to say my name, followed by the teacher’s epic failure to pronounce it, accompanied by giggles and guffaws from my peers. Sometimes, rather than obliterating my name, teachers would skip over me altogether. One classmate gave me the name Sooj or Soojiwan. This name stuck with me until grade 12. Rarely would someone take the time to ask me how my name was actually pronounced. I felt embarrassed and ashamed of my name. I blamed myself for having such a difficult name. Because of this, I felt less important than my peers.
I do realize that Sukhjiwan is not the easiest of names to pronounce. For those not familiar with the Punjabi language, I think it can be intimidating to look at. So, when I started college, I took matters into my own hands. I decided to call myself Jeevyn. This was not to far off from what I was called at home (Jiwan), so I did not perceive it as being a stretch. Jeevyn was a shorter and easier-to-pronounce version of my name. In Punjabi, Jeevyn means “life.”
My father’s name is Avtar, which means “incarnation of God” in Punjabi. Shortly after immigrating to Canada in 1969, my father started working. It was decided by his peers that he would be called Andy. Avtar was deemed too difficult to say or not reminiscent of a Canadian name. Andy is not a bad name, but it wasn’t his name. When I asked my dad about this experience, he said that he didn’t have a choice in the matter. He was renamed without his approval.
Many people have names that could be considered difficult to pronounce. Surely my story is not unique. So, why do I mention it? Because despite us living in a multicultural world, there are many people of different races and ethnicities who shorten or change their name to fit in. However, by transforming their name, these people essentially lose their identity.
I recently listened to my sister talk about the need to craft a safe BIPOC (Black, Indigenous, People of Color) group in health. As she talked about racialization and microaggression, I realized that the mispronunciation of my name, or lack of effort to even try, was, in fact, a microaggression. By definition, a microaggression is a “verbal, behavioral, and/or environmental insult minority group members experience from the dominant culture.” Microaggressions occur on a daily basis. These insults and slights may be intentional or not on the part of the dominant-culture member. Because the minority member does not know the motive behind the act, they may feel hurt, angry, or confused.
Although racism has always existed in Canada, recent events have shown us how racial discrimination continues to oppress many members of our society. On 10 May 2021, the Day of Action Against Anti-Asian Racism was recognized. Despite this celebration, the intrusion of COVID-19 has been met with a 700% increase in anti-Asian sentiments in cities such as Burnaby. Furthermore, the continued aggression and violence toward Black people in the United States and Canada has necessitated the need for movements such as Black Lives Matter. Finally, the In Plain Sight report released in BC highlighted the continued racism Indigenous people face by the health care system.
Although most people would say that they are not racist, it is important to recognize the racism and colonialism that are engrained in our societal structures, cultures, and policies. As people may engage in microaggressions without recognizing it, we are all obligated to recognize the role we may play in perpetuating racism. For a start, we should recognize that the ignorant mispronunciation of someone’s name is, in itself, a form of microaggression. A person’s name can have strong affiliation with a person’s culture, language, and sense of belonging. By failing to take the time to learn how someone’s name is pronounced, we show disrespect to the person. This not only results in othering the person, it can also lower that person’s self-worth.
What do I hope to leave imprinted in the mind of the reader? It is my sincere hope that we, as physicians, take the time to understand each patient’s culture, worldview, values, and identity. This can start by learning a patient’s name, asking about a patient’s name, and learning how to pronounce a patient’s name properly.
—Jeevyn K. Chahal, MD
I’d like to thank Raj Chahal, MSW, RT, for contributing to this editorial.
Hays P. Addressing cultural complexities in practice: Assessment, diagnosis, and therapy. 3rd ed. American Psychological Association; 2016.
Above is the information needed to cite this article in your paper or presentation. The International Committee
of Medical Journal Editors (ICMJE) recommends the following citation style, which is the now nearly universally
accepted citation style for scientific papers:
Halpern SD, Ubel PA, Caplan AL, Marion DW, Palmer AM, Schiding JK, et al. Solid-organ transplantation in HIV-infected patients. N Engl J Med. 2002;347:284-7.
About the ICMJE and citation styles
The ICMJE is small group of editors of general medical journals who first met informally in Vancouver, British Columbia, in 1978 to establish guidelines for the format of manuscripts submitted to their journals. The group became known as the Vancouver Group. Its requirements for manuscripts, including formats for bibliographic references developed by the U.S. National Library of Medicine (NLM), were first published in 1979. The Vancouver Group expanded and evolved into the International Committee of Medical Journal Editors (ICMJE), which meets annually. The ICMJE created the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals to help authors and editors create and distribute accurate, clear, easily accessible reports of biomedical studies.
An alternate version of ICMJE style is to additionally list the month an issue number, but since most journals use continuous pagination, the shorter form provides sufficient information to locate the reference. The NLM now lists all authors.
BCMJ standard citation style is a slight modification of the ICMJE/NLM style, as follows:
- Only the first three authors are listed, followed by "et al."
- There is no period after the journal name.
- Page numbers are not abbreviated.
For more information on the ICMJE Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals, visit www.icmje.org