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A Letter To the Reader

Welcome!

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I’m so happy you’re here. My name is Sophia (she/they), and I am a poet, musician, and naturalist. ​

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This collection of poems is the first of my writing I am sharing publicly. Even with a lifelong penchant for language, I’ve often confined my identity to my love for music. I am now noticing how interconnected these art forms are, and finding I can do both. One impetus for sharing these poems has been my career journey, as I am a music therapy student pursuing a career in creative arts therapy in the hospital. I’m privileged to support the wellbeing of children and families in difficult situations and offer a sense of control and choice, using my experiences and musical skills I worked my whole life to develop. If music is my heart, writing is my soul. 

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If you know me in real life, you know I’m fairly reserved about certain parts of my life. I thought, for a change, I’d really be an “open book,” so if you enjoy surprises, read on! I note that you may know me by my paternal grandfather’s last name, which you are welcome to keep using outside the context of my writing. The last name I use here is the name of a different family member, who used to wrote poetry. In this creative context, I want to use a name that reflects the complexity of my mixed ethnic identity.

“asymmetrical ponderings” is to commemorate 10 years in titanium. I underwent spinal fusion surgery to correct severe adolescent idiopathic scoliosis on August 17, 2016, a long surgery in which two titanium rods and 16 screws were fixed to my spine. During this time, life felt out of my control. My experience with scoliosis left scars both visible and invisible, and I don’t think my younger self would recognize me now. ​​

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In sharing these poems, I wanted to explore an under-discussed topic of scoliosis and its emotional impact on patients and families. While my doctors provided the best physical support, the only treatment options presented to my family were bracing and surgery, and no alternatives such as physical therapy or the Schroth method were discussed. I recall the surgery being quite hard on my parents, and the bracing being especially difficult for me. With a peacekeeping personality, I took on others’ stress and pushed through pain with a happy face, often to the detriment of my emotional wellbeing. Unfortunately, neither I nor my family was going to ask for help; the misguided notion that scoliosis was “fixable” through surgery, and not a chronic illness with lifelong emotional or physical consequences, persisted, and we believed it would all be over soon. While modern medicine has helped me greatly, I know that non-physical interventions can also support physical healing, especially as a music therapy student. It is deeply troubling for me to see progressions in physical care used as a reason to reject the idea of a bidirectional mind-body connection in relation to physical illnesses. I know that the intensity of my childhood, combined with my sensitive temperament, took a toll on my growing body prior to my scoliosis diagnosis; I also know as an adolescent how deeply my diagnosis, bracing, and surgery affected my mental health. 

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Due to a lack of research around the psychological consequences of scoliosis and its treatment, my scoliosis diagnosis and treatment (2012–2018) did not prompt the offering of mental or emotional health resources or support groups to me or my family. Strong efforts are now being made to educate families about scoliosis. The hospital where I received treatment conducted research revealing that psychological impacts can persist long after scoliosis surgery. A lot more work is still to be done–in my experience, discussions of psychological challenges in the medical setting remain stigmatized. If I had had even an inch of non-physical support freely offered during my time in the hospital, I believe it would have made an immensely positive impact on my recovering body. Art or music therapy would have given me a sense of agency and made my situation easier to process. I advocate that a scoliosis diagnosis should automatically prompt referrals to psychologically supportive measures for children and families alongside physical treatment of the condition. 

As a disclaimer, these poems do not constitute medical advice. Please seek guidance from your physician or treatment team, and research for yourself what treatment options may be best for you. A brief content warning: these poems include themes of non-suicidal self injury, physical and emotional trauma, suicidal ideation, and surgery descriptions. The poems you’re about to read come from emotions I long handled alone. I hope by offering a kaleidoscope of my feelings around my scoliosis someone else may find they are not alone in their experience.

 

Thank you from my heart and soul for being here. May you keep good thoughts, good words & good deeds.

 

With love,

 

Sophia Surti

Los Angeles, 2026​​​​​

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Acknowledgements: ​Thank you to Sadie for the beautiful illustrations you're about to see, to Miranda for the gorgeous website you're on now, Priscilla for the assistance and encouragement in editing the poems, to Vivian for the photos you'll see soon, all the former strangers who listened to me chat about these poems before I was confident enough to tell my friends about them, and to everyone else who supported me along the way. ​​

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This work is dedicated to all my friends, family, and former strangers who support my work, and to all those with invisible disabilities.

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