For some personalities, serious decisions requires serious consideration and testing your own wants. I relate with the author to an extent in that when I'm faced with very important life decisions, I both recognize the natural trajectory I am on as well as the the value of thoroughly testing the hypothesis. If I was in the author's shoes with a life long goal of EM and an emergent desire for peds that overrides all others specialties, I will also not doubt but honestly question and dig dig. This, at minimum, involves consulting friends and families I trust, especially those with different opinions. So I can appreciate the authors discernment and also recognize that he/she took seriously her past, her priest, and her loved ones.
By the end of the article, she answered it her carefully made choice clearly "Medical school...challenges you in more ways than one" and "don't let the transformation you see in yourself scare you". I hope she will find great training in pediatrics.