Does anyone actually like to work anymore?

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aren't you the same guy who not too long ago was whining about how he:

-failed out of undergrad
-had to scramble into family med (LOL, even bottom of the barrel FMGs match into FM)
-got kicked out/dropped out of your internship
-had to repeat your internship
-has a kid who's borderline ******ed

not to mention you're like pushing 50 and just starting out while guys your age are already well established in their profession (if not already looking to retirement) while you keep talking about being on "the edge of financial ruin".

yup, you sound real smart to be in the position you put yourself into at your age. nice life.


Personal attack...
banned.gif
 
see that's what you've been conditioned to believe...that certain people aren't better than others...that we're all the same no matter what. but i don't buy that. there definetly are people who are better than the rest.


I'm pretty sure that I am better than you and I only need to work 60 hours a week to do so :laugh:

While I love what I do at work, I love what I do when not working even more.
 
all i hear at the hospital is complaining. and if they're not complaining they're fawning over when they'll get off work. did they realize being a doctor means having to actually work? if you're always this down at work then obviously you're in the WRONG profession. you got your little 80 hour thing, and you're still whining.

I have no problem working >80 hours, in fact I commonly do so. What I have a HUGE problem with is working >80 hours making someone else rich! Be they senior partners in your group, med center admin types or insurance companies.

Work for yourself and you will never be disappointed in your level of effort.

If you are slaving away making other people money then you are a sucker pure and simple.
 
aren't you the same guy who not too long ago was whining about how he:

-failed out of undergrad
-had to scramble into family med (LOL, even bottom of the barrel FMGs match into FM)
-got kicked out/dropped out of your internship
-had to repeat your internship
-has a kid who's borderline ******ed

not to mention you're like pushing 50 and just starting out while guys your age are already well established in their profession (if not already looking to retirement) while you keep talking about being on "the edge of financial ruin".

yup, you sound real smart to be in the position you put yourself into at your age. nice life.

Goodbye my troll friend. I have enjoyed your posts for a while now.

But you broke rule #1 of trollitude: don't get banned

You may reapply to the School of Troll because your personal attack was rather bold and attention-attracting. On the downside, a personal attack on someone's mentally handicapped child will also net you a first class ticket to hell.

Toodles
 
...Because suburbia represents everything mediocre and dull about America. Long transit times to the city, urban sprawl, strip malls, and no nightlife. Younger people fear suburbia because they see it as the end of excitement, and the beginning of diaper changes, staying up late to watch Nightline, and living in a cookie-cutter house. The suburbs are the death of youth...


You know, this is one of the most profound comments I have ever read on SDN. This is certainly what people think. But there is nothing dull about family life. I have four kids and five dogs. It is never dull at my house. Now, why sucking on a pacifier and drinking lots of water at a rave is inherently more exciting than sledding with one's children is beyond me. I partied a lot in my dissipated youth and I recall that this kind of life can be profoundly boring. Go out, drink, make meaningless conversation, get drunk, repeat. Big fun.
 
aren't you the same guy who not too long ago was whining about how he:

-failed out of undergrad
-had to scramble into family med (LOL, even bottom of the barrel FMGs match into FM)
-got kicked out/dropped out of your internship
-had to repeat your internship
-has a kid who's borderline ******ed

not to mention you're like pushing 50 and just starting out while guys your age are already well established in their profession (if not already looking to retirement) while you keep talking about being on "the edge of financial ruin".

yup, you sound real smart to be in the position you put yourself into at your age. nice life.


What having a kid with Asperger syndrome has to do with any of this is beyond me.

Seriously, Misterioso, not every life is a perfect arc of uninterrupted success from elementary school to Chief of Cardiothoracic Surgery.

For the record, I scrambled into and then matched out of Family Medicine into Emergency Medicine. Doesn't anybody read my friggin' blog?
 
Goodbye my troll friend. I have enjoyed your posts for a while now.

But you broke rule #1 of trollitude: don't get banned

You may reapply to the School of Troll because your personal attack was rather bold and attention-attracting. On the downside, a personal attack on someone's mentally handicapped child will also net you a first class ticket to hell.

Toodles

He's on the high-functioning end of the autistic spectrum so other than a little extra help at school (primarily minimizng distractions during tests) he functions pretty normally.

Ironically, many medical school matriculants are probably "aspies" as this personality type gravitates towards detail oriented, highly specific areas of interest.
 
puhleaze. every other sucker I know from high school/college has a wife who's popped out a few kids, has their house in the 'burbs, and does the stuff normal people do. it's called being average. they've given up their dreams to achieve mediocrity (or as they like to call it to make themselves feel better: "changed their priorities"). have fun shopping for a minivan.



The number of hours you work and the lack of interests you have outside of medicine don't make you above average....and only an perfectly average person like you would fail to recognize this.:meanie:
 
He's on the high-functioning end of the autistic spectrum so other than a little extra help at school (primarily minimizng distractions during tests) he functions pretty normally.

Ironically, many medical school matriculants are probably "aspies" as this personality type gravitates towards detail oriented, highly specific areas of interest.

Sorry about that. I was unsure of what medical issue the troll was referring to.
 
I partied a lot in my dissipated youth and I recall that this kind of life can be profoundly boring. Go out, drink, make meaningless conversation, get drunk, repeat. Big fun.

I've never actually done that. Never wanted to, really... honestly, the whole time-spent-with-those-close-to-you sort of thing always appealed more; close friends and such, in my case, but same idea applies.

Seriously, Misterioso, not every life is a perfect arc of uninterrupted success from elementary school to Chief of Cardiothoracic Surgery.

Doesn't anybody read my friggin' blog?

But but but... his will be! He's awesome.

And :laugh:
 
Only continue to feed the troll if you allow me to urinate on him.
 
You really want to know who contributes the most to public health in this or any other country? Not you with your name on a paper, device or procedure. It's the people who make sure you have running water to wash your hands and the people who pick up the garbage. Without them, you'd turn the hospital into a disease nidas and you'd go home to flea carrying rat infested neighborhoods spreading the Black Death. Give me mediocre garbagemen as neighbors over arrogant Nobel Laureates with their names on procedures any day of the week.

👍 👍 Good point.....
 
Other then his extreme sensitivity to anybody being smarter than he is, Misterioso actually raises a good point in an oblique kind of way. I believe that if people really knew how much medical training sucked you'd have a lot fewer people undertaking it. I am on a trauma surgery rotation this month, for example, and I see these surgery interns working way over the 80 hours per week and getting, maybe, one day off a month and it has got to blow for them.

But then I realize that they are not all interns. It's the same for the second years, third years, and on up until they are done with their five or six year training. It is impossible to have a meaningful life outside of work on a schedule like this. Therefore, you have to be almost a zealot for surgery and would do it even if you weren't paid to justify living like that. I have a profound respect for people with that kind of dedication but it just ain't me. I do not get the kind of fulfillment from medicine that many other people do and would last about a month in a surgery program. To me, it just isn't worth it.

I like Emergency Medicine but I would have thought twice and bailed seven years ago if I knew then what I know now. Still, EM is kind of cool and I like to work hard for reasonable periods of time (ten to twelve hours) so I think I am a good fit for it. I also like a chaos and don't have to know everything before I can make a decision so I'm glad I managed to switch into it.

But a lot of other residencies blow chunks. Not to mention the added years of long hours and low pay for fellowships.
 
You really want to know who contributes the most to public health in this or any other country? Not you with your name on a paper, device or procedure. It's the people who make sure you have running water to wash your hands and the people who pick up the garbage. Without them, you'd turn the hospital into a disease nidas and you'd go home to flea carrying rat infested neighborhoods spreading the Black Death. Give me mediocre garbagemen as neighbors over arrogant Nobel Laureates with their names on procedures any day of the week.

:laugh:

yeah the garbageman is worth more than somebody who has invented a surgical procedure or medication that has saved thousands if not millions of lives. LOL, the janitor is in a league above the medical pioneer...riiight.
 
I have no problem working >80 hours, in fact I commonly do so. What I have a HUGE problem with is working >80 hours making someone else rich! Be they senior partners in your group, med center admin types or insurance companies.

Work for yourself and you will never be disappointed in your level of effort.

If you are slaving away making other people money then you are a sucker pure and simple.

There's a lot of truth here.

The problem in medicine, is a strange culture in which people compete to see who can work the most hours for the least pay. This somehow proves to them that they are more noble than other people. Whether working for yourself or someone else, the payoff for your work should be worth it. Residency isn't beholden to the rules of market competition, between the match and the mandated training periods for a medical license. If medical training took place in a free market, like other training endeavors, the maximum benefit between training, safety, pay, and tolerability would be determined and maintained by free market forces.
 
The problem in medicine, is a strange culture in which people compete to see who can work the most hours for the least pay.


actually it's the exact reverse. these days people are all about working the least amount of hours for the most pay. they want the same benefits as their predecessors, but they don't want to put in the same amount of effort.
 
:laugh:

yeah the garbageman is worth more than somebody who has invented a surgical procedure or medication that has saved thousands if not millions of lives. LOL, the janitor is in a league above the medical pioneer...riiight.

I assure you, young arrogant fool, that the plumbers who provide clean water and working sewers have saved more lives than any surgical procedure, drug or medical device.

Ignaz Semmelweis, a nineteenth century obstetrician noted that washing your hands between deliveries prevented intrapartum fever and death.

The "somebodies" of his day in medicine in the bastions of medical learning in Vienna and Budapest made him a laughing stock and killed thousands, if not millions with their disease infested hands, all the while inventing surgical procedures and medications only to have their patients die of post op sepsis. Dr. Semmelweis was fired for his discovery, which incidentally dropped intrapartum mortality from around 20% to less than 1%.

I'll do the math for you since your arrogance has made you incapable of analytical reasoning:

6 Billion x .2/1000 ~ 1.2 Million births at today's fertility rates.
1.2M x (0.20 - 0.01) = 228,000 excess deaths per year absent fresh water and good sewers. Which amounts to around 35 million lives saved, just in childbearing alone. This doesn't even begin to count for infection and death in the general population. Not even X-rays have saved that many lives.

Now, youngling, go invent something useful that will save a quarter million lives a year somewhere. Or better, go work for a year in a country that does not have proper sanitation and see (and smell) for yourself how insignificant the garbagemen are. Try Port-Au-Prince or Cite Soleil. You can dazzle them with your brilliance.

Oh, and by the way, they pay football players and pitchers more than you'll ever make in your wildest wet dreams. Are they worth more? You are worth exactly what someone is willing to pay you for whatever skill they think you have and how much it will benefit them and not a penny more.
 
actually it's the exact reverse. these days people are all about working the least amount of hours for the most pay. they want the same benefits as their predecessors, but they don't want to put in the same amount of effort.


As someone who likes to work, I often find the work ethic amongst some of my classmates to be questionable. I think the shift towards "lifestyle" has changed some of the spirit of the medical profession in a way that we really haven't identified yet. However, you often miss the point, and your efforts to demand that other people submit to your view of a proper work ethic really come off much more as personal insecurity than a critique of others. There really is nothing wrong with being willing to work less and be paid less. Trying to maximize pay for hours worked is normal, and being able to do so actually promotes efficiency. The point is, that there is really nothing magical about 80, 90, 120 hours a week. These are all arbitrary numbers and your expectation that training schedules won't shift with time and technology is unrealistic.

Also, insulting the family of a marine who owns large dogs is probably not the most intellectual move a person can make.
 
Also, insulting the family of a marine who owns large dogs is probably not the most intellectual move a person can make.

:laugh:

nice 👍
 
let me just paint a picture;

when i was an intern in 98...

I was oncall every third night for the whole entire year.. No post call days off.. on the call days my beeper would go off on average 6-7 times per hour.. each of those pages required at least me going over there and signing something, ordering labs, getting consent, talking to family.. . the job was ridiculously intense.. there was no time for anything.. I finally got out of there but.. my point is.. it is very difficult to enjoy what you are doing when you are exhausted all the time, you are sleep deprived. stressed to the maximum, not appreciated by anybody, you have zero social life.. Not surprising thats its not tolerated by residents anymore.. and it shouldnt be tolerated.. for what.. so when you become an attending some NP can tell you they are just as qualified as you.. and so you can become an employee of some insurance company.. NO THANKS>> Medicine is vastly different now than it was 20 years ago.. And it wont change until the power structure is back in the patients and physicians hands versus insurance company and HMOS..
 
let me just paint a picture;

when i was an intern in 98...

I was oncall every third night for the whole entire year.. No post call days off.. on the call days my beeper would go off on average 6-7 times per hour.. each of those pages required at least me going over there and signing something, ordering labs, getting consent, talking to family.. . the job was ridiculously intense.. there was no time for anything.. I finally got out of there but.. my point is.. it is very difficult to enjoy what you are doing when you are exhausted all the time, you are sleep deprived. stressed to the maximum, not appreciated by anybody, you have zero social life.. Not surprising thats its not tolerated by residents anymore.. and it shouldnt be tolerated.. for what.. so when you become an attending some NP can tell you they are just as qualified as you.. and so you can become an employee of some insurance company.. NO THANKS>> Medicine is vastly different now than it was 20 years ago.. And it wont change until the power structure is back in the patients and physicians hands versus insurance company and HMOS..

You know, when we are working a trauma or admitting a difficult patient to the ICU I don't mind in the slightest going past quitting time. At moments like that I am happy and proud to be involved in medicine and thankful for the opportunity to learn. But medical training is generally so inefficient and usually dedicated to burying the house staff in meaningless scut work that it is hard to generate loyalty to the profession or a desire to work long hours.

"For what?" sums it up exactly. Slave away all night doing scut with the occasional meaningful admission or floor call and get exactly no extra pay, no thanks, no respect from the hospital, and no sleep. Sorry folks. Going without sleep is unpleasant. Everybody deserves time to sleep, eat, and exercise every day. I had a PA working with me who was from Spain and she used to comment that it was insane the way American residents worked. With the exception of critical care and Emergency Medicine, would it shut down the hospital if the medical staff had time for a nice lunch for example? And I don't mean a frantic lunch wolfed down in a lecture or a conference either but a real break. And for that matter, would the entire edifice of American medicine collapse if everybody, even on call, could get six hours of sleep a day?

What exactly is the goddamn hurry except that many services admit more patients than can be safely followed and shove the work on their residents who are no better than slaves.

You know, the recent popularity of Emergency Medicine, apart from it being a "lifestyle specialty," is the result of people finally finding a specialty where one may work hard all day (or night) with the bare minimum of chicken****, get a lot done, see a lot of patients, do some cool stuff, but not devote every waking hour to scut. Not to mention the luxury of getting to sleep every day for most of residency.
 
actually it's the exact reverse. these days people are all about working the least amount of hours for the most pay. they want the same benefits as their predecessors, but they don't want to put in the same amount of effort.


Are you missing the point? In residency, you get paid the same whether you work 20 hours a week or 120. A derm resident living the good life make the same as the general surgery resident fudging his hours to come in under 80. From a financial point of view, there is no incentive to work hard. Until this weekend, for example, I had not had a day off in three weeks. (Transition from OB to trauma with a call weekend between) and I have nothing to show for it. In any other menial job I'd get time and half-for-anything over 45 hours a week and double-time for weekends.

The other problem is that not only is a typical resident's salary pitiful considering the amount of education and the responibility of the job (Okay, maybe interns don't deserve any more pay but eventually you become useful) but you don't even have the time to work at another job, especially as many programs are cracking down on moonlighting.
 
aren't you the same guy who not too long ago was whining about how he:

-failed out of undergrad
-had to scramble into family med (LOL, even bottom of the barrel FMGs match into FM)
-got kicked out/dropped out of your internship
-had to repeat your internship
-has a kid who's borderline ******ed

not to mention you're like pushing 50 and just starting out while guys your age are already well established in their profession (if not already looking to retirement) while you keep talking about being on "the edge of financial ruin".

yup, you sound real smart to be in the position you put yourself into at your age. nice life.

This is absolutely unacceptable! How could you EVER make reference to someone's family as a personal attack! This is leaping over the line and I hope you never have the pain of a special needs child. Shame on you! 👎



Oh, by the way, you're lucky Panda didn't go off on you, quite frankly, I'm dissappointed by that.
 
This is absolutely unacceptable! How could you EVER make reference to someone's family as a personal attack! This is leaping over the line and I hope you never have the pain of a special needs child. Shame on you! 👎



Oh, by the way, you're lucky Panda didn't go off on you, quite frankly, I'm dissappointed by that.

No he did well by not taking the bait... it's the mods i'm a bit surprised at.
 
No he did well by not taking the bait... it's the mods i'm a bit surprised at.

The TOS violation was appropriately reported, and an infraction was given. Repeated infractions will result in a post-hold or ban.

We don't "go off" on people, even if they deserve it. Neither should anyone else.
 
aren't you the same guy who not too long ago was whining about how he:

-failed out of undergrad
-had to scramble into family med (LOL, even bottom of the barrel FMGs match into FM)
-got kicked out/dropped out of your internship
-had to repeat your internship
-has a kid who's borderline ******ed

Ok just so you know you're goin to hell for makin fun of a special needs kid. that ranks up there with laughing at old granny when she falls down.
 
a preview of your fate

hell.gif
 
This is absolutely unacceptable! How could you EVER make reference to someone's family as a personal attack! This is leaping over the line and I hope you never have the pain of a special needs child. Shame on you! 👎



Oh, by the way, you're lucky Panda didn't go off on you, quite frankly, I'm dissappointed by that.

I don't mind. Misterioso obviously reads my blog so he gets high marks for that.
 
Everybody deserves time to sleep, eat, and exercise every day. I had a PA working with me who was from Spain and she used to comment that it was insane the way American residents worked. With the exception of critical care and Emergency Medicine, would it shut down the hospital if the medical staff had time for a nice lunch for example? And I don't mean a frantic lunch wolfed down in a lecture or a conference either but a real break. And for that matter, would the entire edifice of American medicine collapse if everybody, even on call, could get six hours of sleep a day?

I have long hoped that we in the United States would take a hint from the Spanish and institute the siesta.
 
aren't you the same guy who not too long ago was whining about how he:

-failed out of undergrad
-had to scramble into family med (LOL, even bottom of the barrel FMGs match into FM)
-got kicked out/dropped out of your internship
-had to repeat your internship
-has a kid who's borderline ******ed

not to mention you're like pushing 50 and just starting out while guys your age are already well established in their profession (if not already looking to retirement) while you keep talking about being on "the edge of financial ruin".

yup, you sound real smart to be in the position you put yourself into at your age. nice life.

I find this post offensive. You are making a personal attack on Panda. People are allowed to have their own opinions. It is alright for people to disagree, it is NOT alright to make personal attacks.

I would suggest lessons in social interactions, as it will help you in the future with patient and colleague interactions.


Wook
 
I find this post offensive. You are making a personal attack on Panda. People are allowed to have their own opinions. It is alright for people to disagree, it is NOT alright to make personal attacks.

funny how you conveniently didn't mention all the personal attacks on me. but if you're gonna be fair then be fair and not just one-sided.

Anyways...what i said is true and not just opinion. they are things Panda himself has stated on this very forum.

Did he fail out of undergrad? Yes, he said so himself.
Did he have to scramble into family med? Yes, he said so himself.
Did he have to repeat internship? Yes, he said so himself.
Is he on the edge of financial ruin? Yes, he said so himself

These are truths that he himself has conceded, so don't get upset at me for restating them.

And what you may think of what I said about his kid is your opinion, and as you said yourself everyone is entitled to their own opinion. Panda himself has stated on this very thread that he doesn't mind what I said (although it could be in reality he does mind on the inside but is just putting on a brave show). But again, calling someone ******ed is not necessarily an insult.
 
But again, calling someone ******ed is not necessarily an insult.

In that case, you're a reta...

You know, I don't want to get nailed for a personal attack violation either. :scared:

You're a wonderful person! 👎
 
You sure have an awful lot of time on your hands--shouldn't you be studying for Step 1?

step 1 is a pre-clinical exam. since i'm 3rd year that would imply it's over and done with. try to keep up.
 
step 1 is a pre-clinical exam. since i'm 3rd year that would imply it's over and done with. try to keep up.

At what point in this thread did you actually mention your academic status? I mean, really, what am I trying to keep up with? Obviously you aren't being a good THIRD YEAR then if you aren't still in house. I mean, hell, when I was a third year, we worked at least 14hrs a day, everyday. Looks like the work ethic of med students is on the decline...🙄
 
And what you may think of what I said about his kid is your opinion, and as you said yourself everyone is entitled to their own opinion. Panda himself has stated on this very thread that he doesn't mind what I said (although it could be in reality he does mind on the inside but is just putting on a brave show). But again, calling someone ******ed is not necessarily an insult.

So the gist of your argument is:

Misterioso said:
aren't you the same guy who not too long ago was whining about how he:

-has a kid who's borderline ******ed

yup, you sound real smart to be in the position you put yourself into at your age. nice life.

Not exactly stunning support of your thesis that you are smarter then Panda. In my logic and rhetoric classes we used to call that an ad hominem attack and it was considered fallacious. Here its just called a personal attack. If you had the maturity of even an average 3rd year student you would admit that at least that part of your argument was wrong and apologize.

But I forgot, You're the trust funder...

http://forums.studentdoctor.net/showthread.php?t=361017

...who is hoping to buy a general surgery slot...

http://forums.studentdoctor.net/showthread.php?t=256585

...and then let others handle his post op care

http://forums.studentdoctor.net/showthread.php?t=253961

Going back to the original point of the thread, nice work ethic.
 
funny how you conveniently didn't mention all the personal attacks on me. but if you're gonna be fair then be fair and not just one-sided.

Anyways...what i said is true and not just opinion. they are things Panda himself has stated on this very forum.

Did he fail out of undergrad? Yes, he said so himself.
Did he have to scramble into family med? Yes, he said so himself.
Did he have to repeat internship? Yes, he said so himself.
Is he on the edge of financial ruin? Yes, he said so himself


These are truths that he himself has conceded, so don't get upset at me for restating them.

And what you may think of what I said about his kid is your opinion, and as you said yourself everyone is entitled to their own opinion. Panda himself has stated on this very thread that he doesn't mind what I said (although it could be in reality he does mind on the inside but is just putting on a brave show). But again, calling someone ******ed is not necessarily an insult.

Well, yeah. But all that is because I have had an adventurous life full of successes and failures, up and downs, and a few ass-kickings recieved or delivered.

As for my oldest son, he has Asperger's syndrome which is probably the opposite of mental ******ation. the only problems he really has are sloppy handwriting (fine motor skills) and a little bit of hyperactivity but, like I said, a lot of your obessive classmates are probably undiagnosed Aspies. It doesn't bother me at all that you think he is ******ed because he's not.
 
:laugh:

yeah the garbageman is worth more than somebody who has invented a surgical procedure or medication that has saved thousands if not millions of lives. LOL, the janitor is in a league above the medical pioneer...riiight.

Lol.. you are so silly? What life did they save? Any operation EVER performed on any individual eventually that individual died or will die. most of the stuff we do these days is just a little slicker than what was done before. Much of the gains that we have made are due to the scientist in his lab and not due to the surgeon and his scalpel. Clean water and clean homes are worth a ton more than a surgeon that can do a whipple.
 
Question for the rich med students/residents

--------------------------------------------------------------------------------

i come from a very wealthy upbringing. let's just say my current car is worth about as much as a decent physician makes per year. needless to say i don't need to be doing medicine, but i do it because it's interesting to me. if i wanted i can stop whenever I want and live off my trust fund.

i know there are some others in the same situation and I was wondering if you guys have noticed any jealousy from fellow med students or other physicians?it usually starts when they notice my car since it's better than what most top attendings drive.

do you get treated differently during residency when people find out you're worth bank and don't need to be doing medicine...given that most of them are tied down to medicine to be able to support themselves and pay off their loans?

This above quote says it all about misterioso.. im guessing he never had to clean up his own mess. I cant wait for you to buy your G Surg spot.. Hilarious...
 
So he's in medicine...for the "fun" of it? If you want to make a difference why don't you just put your unlimited knowledge and capital towards figuring out how to colonize Jupiter or something?

That would probably be worth your time, and let the rest of us puny mortals plod around our ant hills some more.
 
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