I took this from another thread.
"I want the MD for the knowledge and the degree, but I don't give two s
hits about being a clinician or being subject to clueless hospital administration or submissive to insurance companies or hiring professionally trained game-players (coding/billing professionals) just to get any semblance of reimbursement.
Any construct that becomes a system must be destroyed. Thousands of people died for freedom; why are doctors such big ******* on both Capitol Hill as well as in residency programs? Rigidity is for fu
cking robots, not humans. Structure is for fu
cking doormats. Is morale and self-esteem that low that change cannot be made? That doesn't fly well with me. Unacceptable.
And besides, clinicans only make low to mid six figures, and they have a decade's delay of practically zero income and a growing negative net worth. I would imagine that if you run the numbers and presume one finishes training at age 35 with 250K in the hole and... I dunno, 80K in assets and grossing 200K/year, that it would take until what, late 40's/early 50's before breaking 1M? Uhhh, what? Oh, and think of the toll on your spouse and your children -- not being there for them for a good 4-10 years. And then possibly taking call for the next 10 years. So when does the deferred gratification actually bear fruit? When you're fu
cking 70 years old and finally retire?
http://www.freshminds.com/animation/...atts_life.html
Life isn't just a means to an end but a song that must be danced to and enjoyed along the way. There's only so much deferred gratification one can take before one snaps and either violently breaks inanimate objects or develops premature heart dz. Or gets into a permanently disabling car accident secondary to microsleeping for 8 seconds behind the wheel and not realizing it.
I'm only pissed off because I haven't slept since Monday and I'm [finally!] starting to hallucinate
a la the opening scene to
Fight Club where there's artifacts and motion blurs and visual deja vu (yay! how fun!), and I think today is Thursday, and I don't for the life of me see how physicians can tolerate working 7 days/week or working 40 consecutive hours and still be able to perform so that they don't kill their last 25% of patients for that day. I often think about why at least 1/3 of the attendings I converse with are douchebags, and maybe this is a chicken-and-egg phenomenon (did medicine make this person from a loving, empathic, helpful person into an
asshole or were they already an
asshole to begin with and was simply drawn to medicine? Which came first? I see correlation, but what about causality?) or maybe it's because these attendings are in so much mental and emotional anguish after being fed the lie that medicine is glamorous, only to find out that it has completely raped their brains and dissolved their souls over the past decade of training, leaving only a robotic automaton of an empty shell just counting down the hours/cases until he/she can go home and turn one's brain off and have a glass or two or three or four of wine or single-malt scotch. I know for a fact that my personality is completely different when I'm tired, so maybe I am falsely judging these attendings for their arrogance and douchebaggery, or maybe there simply
are arrogant douchebags in medicine and sleep deprivation has nothing to do with it? I dunno. I'm rambling.
There's got to be some honest-to-Gawd niche in medicine: something for everyone. Because I can totally picture the scenario that the OP is frustrated about quite easily: repetition, cookie-cutter time deadlines for pts (when the "true art" of medicine demands no such deadlines), bullsh
it CYA defensive medicine orders/tests/procedures/imaging/whatever just to save both
your a
ss as well as your partners, mid/ancillary staff, the administration, and the hospital's collective a
sses when you get sued by some completely greedy f
uckmonkey when it is truly, genuinely not your mistake that the mishap is attributable, but simply the fact that human bodies are designed to die or break down anyways and the physician was simply present so what better scapegoat? Lovely.
(Disclaimer: not talking about genuine fuck-ups here but mainly bullshit ____ lawsuits (what's the word I'm thinking of?) )
I'm too young and not even into any training whatsoever to be this cynical, but I have high expectations for careers, and if there is no satisfaction, then that seems like a waste of time and energy when one could have been making memories and singing and dancing along the journey of life all along. Trail blazing one's own destiny rather than putting your feet in the proverbial footprints that the AAMC or AMA have already molded out for you to follow to the T. Uh, what? Who the hell wants to be a follower? Who the hell wants to be just like thousands of other people in your career?
I think I'll go take a nap under my desk now. I'll set my alarm for lunch."