1) paragraph 1--see my Harvard analogy, how do you respond to that? The detail highs of this and that but paid lip service to the hard parts.
2) paragraph 2--petty, I'm mean illogical and misunderstanding, no you're mean illogical and misunderstanding, continue ad nauseum
3) paragraph 3--I read your whole paragraph, see point 1 and the Harvard analogy, which I tried to model after your original comment. And I didn't disregard you message, why do you think that? I tried to parallel it exactly in the Harvard analogy.
4) paragraph 4--it does not faulter in that regard, you literally repeated what I said, as if it was new and subverted the idea. Look, this is one of those "does a tree make a sound.." where there's not necessarily a answer. The point is, there are two type of knowing. The factual knowledge that a strawberry is red. And the experiencing of seeing a red strawberry. Could you ever explain what it's like to see red to a colorblind person? Like wise, can you explain what it's like the feeling it is to be a doctor if you've never felt it? It's the colorblind leading the colorblind.
Also, your death analogy. (Is this analogy 6, or 7?). So I've never experienced the death of my father. I can imagine what it would be like, bc I've seen it. But if someone's father died, I went up to him and said "I know, the lows are LOW", I wouldn't get defensive if that person asked me "have you even experienced the death of your father?".
I'll extend an olive branch. I thought some of your points in your original comment were good. Like the curing the infection part in the catalogue of highs. And I've seen that. And I heard that provider say "I hope they slip on their diarrhea on the way out" after curing it. So I'm not sure the highs are that high. You can only say if they are high for you. And so you have to experience it yourself. I've seen a doctor place a cardiac stent thereby saving his life, and say these people are idiots (because he was probably going to continue to smoke and not loose weight). In general, I've just seen this "the highs are HIGH", when really, it's just a job to them. And a lot of people build it up as this noble profession, with these soaring highs--which is definitely consistent with but not exclusive to the pre med sensibility--and with all this already abdunant amount of obfuscation, I thought it was worth clarifying if it was coming from firsthand experience or from your outside observations. I know I'm criticizing you, but it's without malice.
I have to retype this; I've been doing this whole conversation on phone, and therefore, could not deal with long quotes and responses.
1) "paragraph 1--see my Harvard analogy, how do you respond to that? The detail highs of this and that but paid lip service to the hard parts.
"but if I said that about Harvard, what would you honestly think of me? If that's how I talked in high school about Harvard what would you think?" I would think the student is not inherently wrong, simply because they are not
at Harvard. We see things differently; I argue that it's a semantics argument; you can always say, "Yeah, but you don't
know". Of course; but part of human discussion is taking heuristics to certain situations, such as,
I've seen physicians ecstatic about X, they've told me Y; I've seen them lose it over Z. Just as I can say that it must be amazing to score the winning touchdown in the superbowl. It's not a stretch, and we've seen this exhibited by players over and over, just as we often see exhibited by physicians over and over. Yes, TV is dramatic. But shows such as Boston med and New York med are set in the real world, following real physicians, their highs and lows. If you've ever spent time around both physicians and individuals in certain other fields (ie accounting or IT, as I have, which is why those came to mind), then while you can
technically say "You don't
know!", most would consider it hogwash to count them on the same level; their apples and oranges in terms of what you do, but dopamine responses and psychological understanding of basic human reactions in regards to certain major life events is not foreign. Even if I wasn't a paramedic, I would still probably be correct in saying that "bringing back ROSC in a CA patient probably feels damn incredible". The difference is that you are arguing over the use of the word "probably", which, of course, states "I haven't felt it, but can assume it does". That's not incorrect, but in normal conversation this happens, and it shouldn't reduce the entire experience.
2) paragraph 2--petty, I'm mean illogical and misunderstanding, no you're mean illogical and misunderstanding, continue ad nauseum
Again, patronizing comments are better left out. I was explaining why we were where we were, and my responses, and typically, dismissing another's reactions or feelings in the form of mockery or patronization doesn't bode well for the conversation.
3) paragraph 3--I read your whole paragraph, see point 1 and the Harvard analogy, which I tried to model after your original comment. And I didn't disregard you message, why do you think that? I tried to parallel it exactly in the Harvard analogy.
Because you focussed on the sentences of "medicine's highs are really high", as opposed to the fact that that, in context, I mentioned that 1) many doctors feel highs AND lows, 2) Not everybody is like this, 3) it depends on the individual, and the career often embodies who they are (values, beliefs, etc.). "It's often hard to say that saving a life, or at least significantly improving its quality, is just as good a feeling or rush as what you might feel as an accountant, IT engineer, cop, etc." I edited this quote out because immediately after writing it, I saw that it could be interpreted as me blatantly saying, "Medicine is automatically better than all of these". However, if you read the last paragraph, where I mention the meetings with the boss, and take it all into context, it becomes clear that I am making an example using a point of reference (likely mine!), and while at the moment, there was skepticism as to the ethos of the opinion, in doesn't matter in the grand scheme of things, because I believe we all understand the types of things that can happen in medicine. I'm not making a claim to the frequency or extent of them. Only that, comparatively, I personally believe. I wasn't aware I had to include "In my
opinion,". In fact, I also stated: "Although, if you've not dealt with both, then you probably register with great highs in the latter fields, since you have no "life-saving" highs to compare it to." Meaning that of course it's subjective, and relative to peoples' experiences. I also put life-saving in quotations in my original post, as quoted here, because in this context, it's a rather ambiguous term used to define what may happen in medicine with the day-to-day activities of some other careers. Again, subjective. Opinion. My valid opinon.
4) paragraph 4--it does not faulter in that regard, you literally repeated what I said, as if it was new and subverted the idea. Look, this is one of those "does a tree make a sound.." where there's not necessarily a answer. The point is, there are two type of knowing. The factual knowledge that a strawberry is red. And the experiencing of seeing a red strawberry. Could you ever explain what it's like to see red to a colorblind person? Like wise, can you explain what it's like the feeling it is to be a doctor if you've never felt it? It's the colorblind leading the colorblind.
"...you literally repeated what I said, as if it was new and subverted the idea" I did not pass it off as a new idea. I type on my phone, and I lose track of quotes and long conversations. I
did repeat what you said, but to allow you to hear it as if somebody else was saying it to you, because my whole point was that, regarding your two types of knowledge systems, you can objectively know things, such as what is considered a normal or perhaps common reaction in a situation (bringing back a patient from cardiac arrest, since it's rare, for example), or that a strawberry is red, and it doesn't change the fact that it's red. It changes how they currently feel towards it, or their ability to point it out. But simply because one hasn't
yet experienced the feeling of the "highs" in medicine, doesn't invalidate his claim that their are highs, and they can be very high, because we
know this, from plentiful anecdotes of current and past physicians. We don't pass the feelings off as our own. But how we feel
before we go into medicine, very much influences what we consider "highs". We are not always correct, sure. But there's no harm in relaying common reactions to situations in fields, felt by some individuals.
"Also, your death analogy. (Is this analogy 6, or 7?). So I've never experienced the death of my father. I can imagine what it would be like, bc I've seen it. But if someone's father died, I went up to him and said "I know, the lows are LOW", I wouldn't get defensive if that person asked me "have you even experienced the death of your father?"."
Again, take it easy; you've also used at least 3 or four analogies yourself. You may not become defensive, but it's rather egocentric to assume that we all react in the same manner. "I don't mean to sound rude, but are you even a doctor? Because that will really color this advice your giving" is not very neutral. It's immediately skeptical and assuming. Further, saying: "It seems irresponsible to be advising people on how great the high's are when he has no idea just exactly what it feels like......That's very audacious... but very typical pre-med. It sounds very platitudinal and underresearched to me, especially since s/he only mentions the good and made-for-TV dramatic parts. It sounds like someone speaking about experiences they never actually experienced themselves--which, it so happens, was the exactly case." Is also not a neutral-toned comment.
"I'll extend an olive branch. I thought some of your points in your original comment were good. Like the curing the infection part in the catalogue of highs. And I've seen that. And I heard that provider say "I hope they slip on their diarrhea on the way out" after curing it. So I'm not sure the highs are that high. You can only say if they are high for you. And so you have to experience it yourself."
This is correct, and I said this in my original comment. --> "Many doctors find it absolutely worth the sacrifice to go tell parents that you've successfully treated the infection, or that the surgery went well. Many doctors also find it rewarding to watch patients come in feeling much better, or to successfully run a trauma. In fact, many find it as a major purpose in their life; it embodies who they are as individuals. Not everybody is like this, and there's a fuc*ton (not an official SI unit of measurement) of bullsh** you deal with as well. We don't know you. We have no idea what makes you tick, or what you define as your purpose in life. No matter what you do, you'll encounter financial, physical, and psychological blocks." I will agree that in my OP, I wrote "the highs in medicine are
really high", as if it happens to everybody. However, with the context surrounding it, I would easily simply pass it off as an opinion, corroborated through plentiful anecdotes, and thrown by just as many. Next time, I'll be sure to be explicit.
Oh right on then. That fundamentally changes things though, which was my point about ethos. You saying that versus me will be very different.
It would be, but only in context. Nobody would ding you for saying "Saving lives on an ambulance has highs". It's obvious that it would have its highs. Its obvious that it would have its lows. It doesn't need to be explicitly stated. My point was that, in medicine, you get to do many things that, in society, we consider "wow". Physicians get used to them after a while, but because of the convictions that drive them into medicine in the first place, it's likely they do feel these when they encounter them. Likely in different ways and situations, but if it resonates with who they are, then that's golden. That's why I told OP that "noone can convince them." That we have no idea what his/her personal convictions are, or what's meaningful to them. That's what colors it and, when taken as a whole, it is
my opinion, that it is not "irresponsible advice".
Yes.