Was that going to be the end of his struggles?
Feeling overconfident (and not realizing he was still underskilled and inexperienced), he cleared the exams for UK (and little later..USA )and reached the banks of river Thames in London to further his skills and work in NHS. A new struggle ensued in trying to be better (than the white counterpart) in a different system. Successfully completing his MRCS, helped him get to the registrar level job profile. In a bid to improve his CV (rather than his skills), Manish also completed a flurry of courses like ATLS, BSS, CCrisP, Alert, Communication skills etc. Serendipitously , Hola, in that process, he also improved. However the charm of UK and NHS faded away. Choosing between USA and India was the difficult choice in that period and Manish decided to come back to India (He also was engaged by then to Dr Pallavi).
Back in India, seemed like a worse decision for the first few years as he drifted from one place to another getting realization that his skill sets were not that great. Getting trained in Sir Ganga ram Hospital with Dr Samiran Nundy, Dr Arvinder Soin and Dr Adarsh Chaudhary was the beginning of his foray into Surgical gastroenterology. He also completed his advanced laparoscopic fellowship with Dr Pradeep Chowbey and team.
Madurai beckons…
The icing on the cake was when he got into DNB program at Meenakshi mission hospital & research centre in the first ever national DNB merit exam for superspeciality. Alongwith Dr Ramesh Ardhanari as his mentor, slowly but surely , Manish skilled up and finished his speciality exam donning top colours. His wife, Dr Pallavi also completed her Cornea fellowship at Aravind Eye Hospital, Madurai. Skilled and confident , both of them decided to return to Karnataka. The dilemma was whether to settle in Bengaluru or Belgaum or Gulbarga.