- Joined
- Jul 25, 2001
- Messages
- 9,319
- Reaction score
- 121
I cannot decide what to do for a living. I just cannot do it. My enormous ego is preventing me from really committing myself to any field. For example: I thought internal medicine was fairly enjoyable. Had a pretty good time, liked thinking problems though, liked making the differential diagnosis, etc. Then a patient comes in with a maybe-acute-abdomen, so surgery consult comes and carts them off. HOLD ON, I wanna open em up... oh wait, were the medicine team, we dont know how to do that. Oh, but wait, same thing can happen to the surgeons! During esophagectomy, patient gets tear in the descending thoracic aortain comes the cardiothoracic guys! General surgery attending gets pushed to the back of the room where he stands pouting, arms crossed, because in this situation he doesnt know what the f*** hes doing. A patient on the neurosurg ward gets bizarre unexplained anemia and weird-looking peripheral smear and gotta call in the heme consult cause we dont know anything about heme anymore. I have picked a career where I am doomed to be perpetually unsatisfied because nobody can do everything anymore. Its become super-subspecialized to the point of absurdity... I mean, I went into med school thinking I wanted to be a trauma surgeon, only to find out that trauma surgeons are ICU docs now and the actual surgery routinely gets parceled out to ortho, vascular, and plastics as necessary. No field of medicine seems satisfying to me at this point. I thought maybe path because path docs have an opportunity to learn a tremendous amount about all fields of medicine, but theyre diagnosticians and dont actually do anything. Because again, after I diagnosed the mucoepidermoid carcinoma from the slide Id kind of like to be the one to cut the bastard out. Oh, and I cant believe the number of people who say: Oh, you want to do everything, be a family doc! Are you kidding? This is the opposite of being good at everything, this is like being a professional referral service.
Im just ranting because my tentative fourth year schedule is due tomorrow, and Im burning a hole in my stomach with a stress ulcer right now. A year from now Ill be matching into something and I feel like no matter what it is, Im going to be miserable with the decision.
Im just ranting because my tentative fourth year schedule is due tomorrow, and Im burning a hole in my stomach with a stress ulcer right now. A year from now Ill be matching into something and I feel like no matter what it is, Im going to be miserable with the decision.