think about YOU

[jetproppilot]

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Yeah, I've received alotta criticism about my views on surviving the field of medicine circa today.

Look at the thread I started in the Family Medicine forum.....

Controversial? Yep.

But somebodys listening, judging by the number of views in a normally tumbleweed forum. hell its probably close to the number-one-ever-viewed-thread in that forum by now.

WHY? BECAUSE I'VE GOT SOME SAVANT-LIKE-QUALITIES THAT ARE GROUND BREAKING?

HAHAHAHAHAHAHAHAHAHAHHA

HARDLY.

No.

Geez, I've gotta dippa Copenhagen in right now. I drive a monsta truck.

So why then?

Its because I choose to (professionally) focus on something that isn't taught in our med school curriculum......and its considered damning to a certain "philanthropic" few to focus on the entity I'm referring to.

"OK, Jet. Cut thru the BS. Whats the entity?"

HEY, good question!

THE entity, after years and years of school, societal deprivation, sacrifice, chemistry labs, anatomy, hierarchial-weeding-out in undergrad-and-med school classes/residency, is

YOU.

😱

YEP.

You.

Humor me for a minute.

Walk to a mirror in your home.

Take a look at yourself and

F UKKING MARVEL AT YOUR ACCOMPLISHMENTS!

Thank yourself for what you've endured to get where you are currently at....whether you're a pre-med thats been accepted to med school, or a med student thats cutting thru the curriculum, or a resident thats just trying to hold on to sanity, yearning to sit at a coffee shop like a normal person someday, sipping an expresso with your hottie.....

YOU.

REALITY CHECK FROM A DUDE THATS BEEN IN THIS MEDICINE BUSINESS FOR TWELVE YEARS:

NOONE WILL LOOK AFTER YOUR BEST INTERESTS.

Except you.

Insurance companies don't care about you. Nor does medicare, your hospital CEO.

The philanthropists in medicine are few and far between.

Those select few should be appointed for sainthood in my book.

For the other 99.9998765%, I want you to think about YOUR future. Your wife/husband. Your kids. Their college account. Your mortgage. The car note. Rising gas cost.

OK, I'm tired of stringing this out, so heres the TAKE HOME MESSAGE:

BTW, I'M NOT THE ONLY ONE PROPAGATING THIS TRAIN OF THOUGHT. MilMD and I think alotta like (MIL incessantly posts that its all about money.)

YOUR WHOLE LIFE IS IN FRONT OF YOU. MEDICINE IS A SMALL FRACTION OF YOUR LIFE. IF YOU ARE DISTRAUGHT WITH ALOTTA STUDENT LOANS, THINK TIME INVESTMENT VERSES REWARD.

There is no shame, despite the rhetoric you hear from the "philanthropists", or your favorite bow-tie-wearing attending in med school, to think about how the numbers are gonna add up when you emerge from residency.

You're gonna have a family someday, if not already. Financial reality adds up. 200K in student loans is alotta green to pay back.

Whadd'ya think Warren Buffet would do if he were a med student looking at the preposterous salary differences?

Everything becomes a job after a few years, despite the excitement you feel now as a med student in X specialty.

CHOOSE WISELY.

Yeah, you've gotta be happy at what you do.

But, unlike what you've heard from the med school bow-tie-wearing faculty,

You've gotta pay your bills. And Uncle Sam.

And your 200K back to your med school. At the same time.

Don't EVER, EVER,

forget about you.

 

[Noyac]

Dude, how ironic that you post this all the while I am posting on the Grad Song thread my pick for the song, "No Quarter" by TOOL (big surprise I picked a song by TOOL but Jet you gotta hear this one). Read my post. Its exactly what you just said. Get the F*ck out. Like minds my man, like minds.

 

[ecCA1]

Once again, Jet drops the wisdom like nobody else.

Don't you think of bailing out of the forum unless you want to find a banana shoved in the montsa's tail pipe!

 

[Strength&Speed]

true true. off topic....but jet, how do you chew at work? i used to..gave it up, but im curious.

 

[excalibur]

Don't you think of bailing out of the forum unless you want to find a banana shoved in the montsa's tail pipe!

Hey man, I aint fallin' for no BANANA in my TAIL PIPE!

 

[Jape]

excellent advice, that i will keep with me in my long journey to get where you are at

 

[cchoukal]

It's funny, from the title, I thought this thread was going to be about JPP's favorite GNR song. I'm a guy who always thought about going into academics, and I'm even doing an academic-oriented fellowship after my CA3year. But the closer it all gets, the more I think about what JPP is saying. The academic route comes with a 30-50% pay cut, I'll be 35 when I first start getting paid, and I'm $210K in the hole. My car will be old, my clothes will be old, I won't have a house or a single penny in the bank for my self, my potential family, their education, my retirement/nursing home costs, or to take care of my mom in her retirment (something that seems more and more certain as the years go by and her 401K remains pretty stagnant).

When I crunch the numbers, keeping in mind that my loan payment will be $2200 per month, every month, for 10 years, shelling out for a mortgage, disability insurance, and squirreling away a couple grand per month for various future things, the academic income leaves me with about as much disposable income as I have right now as a resident. It's like, I didn't go into this so I could parade down Rodeo Drive in my Bentley flashing my bling to the guys from TMZ, but I also didn't go into this to struggle with money issues my whole life.

So, my point, if I had one, would be to bear in mind what JPP is saying, and think about what you REALLY want out of life, what it'll cost you (both financially and philosophically) to get there, and consider what compromises are required.

 

[Hockeyguy]

Thanks for the great post as ussual. My question to Jet, Mil, Noy, UT and other vetrans is WHAT WOULD YOU DIFFERENT IF YOU COULD GO BACK In terms of your career as an Anesthesiologist.

 

[Noyac]

WHAT WOULD YOU DIFFERENT IF YOU COULD GO BACK[/B]. In terms of your career as an Anesthesiologist.

I'll go first. I can't think of anything I'd change right now but I will tell you what I did do that I think really made a difference.
1) I went to a high acuity residency and I wouldn't change that for a high power ivory tower one for anything. As far as I can tell it hasn't hurt me one bit. And one big advantage of my residency program was the lack of fellows.
2) I then went to a high acuity, do everything right out of the box PP job and got my skills down solid. I saw everything under the sun and got to do it all. And that job proved that my training was top notch. Peds, pain, CV, neuro, regional (this was the weak point in my training and I can't say I've met anyone that can do it better than me at this time) not to mention the everyday type cases.
3) Then I went to my dream job.

Sorry but I wouldn't change a thing.

If I were interested in academics though, I'd do a CV or CCM fellowship.

 

[jetproppilot]

Thanks for the great post as ussual. My question to Jet, Mil, Noy, UT and other vetrans is WHAT WOULD YOU DIFFERENT IF YOU COULD GO BACK In terms of your career as an Anesthesiologist.

I agree with Noy. I wouldnt change anything. Like Noy, I went to a high volume "everything" private practice right outta residency where I really tailored my skills and judgement.

Anesthesia is the perfect balance for me.

I think it says alot that after 12 years of practice I still awaken every workday morning before the alarm goes off at the ungodly hour we have to get up.

I enjoy my job which is priceless.

 

[Noyac]

I think it says alot that after 12 years of practice I still awaken every workday morning before the alarm goes off at the ungodly hour we have to get up.

I enjoy my job which is priceless.

I hit my snooze at least 3 times every morning.



I'm sure it has something to do with the martini's.