Wondering where all the time went...

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ZincFingers

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So now, it's almost 4 years later. Graduating in May. Finally getting hooded. First and only time actually going on "official business" to the college-town university that gave rise to the large-city med school. Walking with all the undergrads, the grad students, the engineers, and the law students. Took long enough.

But wait a minute. Yesterday, wasn't I just picking out a suit to wear to the med school interview? The same damn suit I wore to residency interviews?? And wasn't I just worrying about Kreb's cycle, the innervation of the deltoid and the three cell layers of the cerebellum? Or wait... wasn't I just reading up on zero-order pharmokinetics and the stepwise evolution of colon carcinoma? Or was that the next day?

Or nevermind... Actually, yesterday I was just shoved into an overly-lit exam room to meet my first real live patient in the clinic. I mean, I can still recite his medical history. How was that not yesterday? And that afternoon I was put at the end of the bed to catch my first baby. Er... I think. And the next day I was scrubbing in on my first procedure in the OR, which turned out to be a whipple that went on and on and on, which sucked because that afternoon I had to round with the nephrology team and present my five patients.

Wait, now I'm confused. Was that the same time I was doing my cardiology elective, dodging pimp questions from an attending who expected me to know more "since I was practically a doctor at this point"? Didn't I have to jump on a plane the next day to fly to New York and then Chicago and then Omaha, Nebraska, to have basically the exact same interview over and over and over? Wasn't there a big expensive board exam somewhere in this too?

And then, realization washes over. It does seem like all this happened just yesterday. But it really doesn't. Not at all. The med school interview was so long ago it may as well have been in a different life. And the premed years? O-Chem? MCAT? Still so clueless and idealistic? May as well be talking about the Eisenhower presidency!

In that time, all the friends. All the people met and then gone. Can you believe I was telling that dude some of my darkest secrets? I barely even nod at him in the hallways anymore! Endless series of late-night cram parties, real parties, hugs, smiles, plans to practice in the same town forever. The fights. The dramas. The relationships. Entire marriages have come and gone over the last 4 years. Entire friendships. How is this not a big thing?

The reality, of course, is that our brains cannot process the enormous ordeal of the last 4 years at all, and must focus instead on the big picture. Which makes everything seem like yesterday. Or, it can focus on a few individual details. Which makes everything seem like a lifetime.

But, whatever. All I know is that I could relive all this 20 times like a sequel to the movie "Groundhog Day," and still only appreciate a fraction of what really went down.

My only appreciation is that I got through it. And my only regret is that I did not spend more time getting to know my classmates.

That is all.
 
I have a picture to go with your post.

Yoda.sized.jpg
 
No I am NOT OLD!! HOW DARE YOU 🙁




Besides, I only talked about the past. Always in motion is the future.
 
I feel like its moving faster and faster. I might be dead tomorrow.
 
Zinc, I give you a lot of credit. That was very well said... I'm sure there are a lot of us thinking that right about now.
 
med school is truely one heck of a ride and the sad part is never over for us, caus residency is just going to be an equally if not more thrilling
 
So now, it's almost 4 years later. Graduating in May. Finally getting hooded. First and only time actually going on "official business" to the college-town university that gave rise to the large-city med school. Walking with all the undergrads, the grad students, the engineers, and the law students. Took long enough.

But wait a minute. Yesterday, wasn't I just picking out a suit to wear to the med school interview? The same damn suit I wore to residency interviews?? And wasn't I just worrying about Kreb's cycle, the innervation of the deltoid and the three cell layers of the cerebellum? Or wait... wasn't I just reading up on zero-order pharmokinetics and the stepwise evolution of colon carcinoma? Or was that the next day?

Or nevermind... Actually, yesterday I was just shoved into an overly-lit exam room to meet my first real live patient in the clinic. I mean, I can still recite his medical history. How was that not yesterday? And that afternoon I was put at the end of the bed to catch my first baby. Er... I think. And the next day I was scrubbing in on my first procedure in the OR, which turned out to be a whipple that went on and on and on, which sucked because that afternoon I had to round with the nephrology team and present my five patients.

Wait, now I'm confused. Was that the same time I was doing my cardiology elective, dodging pimp questions from an attending who expected me to know more "since I was practically a doctor at this point"? Didn't I have to jump on a plane the next day to fly to New York and then Chicago and then Omaha, Nebraska, to have basically the exact same interview over and over and over? Wasn't there a big expensive board exam somewhere in this too?

And then, realization washes over. It does seem like all this happened just yesterday. But it really doesn't. Not at all. The med school interview was so long ago it may as well have been in a different life. And the premed years? O-Chem? MCAT? Still so clueless and idealistic? May as well be talking about the Eisenhower presidency!

In that time, all the friends. All the people met and then gone. Can you believe I was telling that dude some of my darkest secrets? I barely even nod at him in the hallways anymore! Endless series of late-night cram parties, real parties, hugs, smiles, plans to practice in the same town forever. The fights. The dramas. The relationships. Entire marriages have come and gone over the last 4 years. Entire friendships. How is this not a big thing?

The reality, of course, is that our brains cannot process the enormous ordeal of the last 4 years at all, and must focus instead on the big picture. Which makes everything seem like yesterday. Or, it can focus on a few individual details. Which makes everything seem like a lifetime.

But, whatever. All I know is that I could relive all this 20 times like a sequel to the movie "Groundhog Day," and still only appreciate a fraction of what really went down.

My only appreciation is that I got through it. And my only regret is that I did not spend more time getting to know my classmates.

That is all.

👍 post.
 
Ferris was totally right: "Life moves pretty fast. If you don't stop and look around once in a while, you could miss it."
 
anyone else feel like these couple weeks between submitting our lists and match day coming are some of the longest ever?? :-O
 
That was so well said and so true. Thanks for expressing that which so many of us are feeling. I don't even have to wish you well, you will be successful.
 
So far these past 2.5 years have gone by REALLLLY slow! I hope things speed up and get done quick because I'm pretty tired of these rotations 😴
 
I'm on the opposite boat. This has been a long, long 4 years. So long that I don't remember being anything else. I was once a high school student, but I am no longer him. I was once a college student, but I am no longer him. I was once a missionary in a foreign land, but am no longer him. I was once a teacher, but am no longer him. Soon I will once have been a medical student, but will no longer be him. The only similarity is that who I am today carries all the talents and memories from all those vague people, going back to my first memory when I was 2.5 years old and my little sister was born. Those are all separate lifetimes, so long in the making that they may as well have been historical figures in textbooks rather than myself. Except when I look at those pictures or read my journal, I am right back in the thick of those adventures, chiding myself for foolish mistakes or rooting myself on in my glory.
 
Well stated by ZincFinger & Impromptu.

I guess my problem has always been I take myself too seriously. Don't get me wrong, I think that very personality trait has afforded me a great amount of success. I worry about the little things. I obsess about the detail. I'm hard on myself and I have a hard time understanding other ways of thinking. My challenge is to maintain that component of my neurosis which is a strength, and grow out of the component that keeps me from enjoying my life, from enduring burnout-striven stress, and from being a normal, friendly, happy person. It ain't easy. I mean I know I'm not perfect. And man, I know I'm not competent. But yet I seem to be jumping through these hoops again and again and no one has yet seemed to shine light on my, to me, glaring inadequacy as a clinician and well-balanced adult. Where does it end?

It's not easy. Man, if you were to tell me 4-5 years ago that I'd have accomplished academically (on paper, at least) what I have today, I'd have said "bull****, I don't believe you". And I know people struggle really hard and still don't rack up the stuff I have going for me so far. So why do I find myself looking around like my inadequacy makes me stick out like a sore thumb, like at any moment some person with a little common sense will find out what an imposter I am? Why do I feel like I'm just kidding myself and faking it at every step? I think at some point, you start looking around and you realize, yeah, I think there is more to life than jumping through hoops and sticking every landing. I fear all along I've been missing some larger theme, I've been ignoring opportunities to grow as a person and clinician whilst figuring out every angle to get the A, or the board score I want, or the eval, or the lifestyle I thought I wanted.

At the end of the day.....well, I guess at the end of every day hence...I guess I just want to be a good person and a good doctor. Although I dread the day that this claim is truly tested in the face of a failure to satisfy the A cutoff or a letter of rec, I've at least started to tell myself this now in hopes that my soul can yet be saved - that I am living my life for the right reasons.
 
I fear all along I've been missing some larger theme, I've been ignoring opportunities to grow as a person and clinician whilst figuring out every angle to get the A, or the board score I want, or the eval, or the lifestyle I thought I wanted.


well said JL. You know this is what I see of myself and other applicants going for competitive specialties. But I have also spoken to 2 of my friends both are 268 and 269 respectively on boards, but are not going killing to get A's in 3rd year. I feel like this constant pursuit of getting A's and blah blah, could never end. you apply to ENT - 5-6 years + fellowship (1-2?) and you're locked in competition for another 7 or so years (spoke with plastics fellows and he said "he doesn't know where he is after 8 long years of plastics + fellowship". by then you are 35. That is, in my book, bypassing life. specially people I remember from high school - the 1600 on SAT - not doing medicine and working as accountant, phd and how they are enjoying life more than me.

I feel like alot of very smart people just choose not to work as hard to get that "A". They just don't care, because in larger sense they are happier (I almost feel like they are mocking me). If truly one wants to be #1 in neurosurgery then by all means go nuts/ save people/ push the research envelope - but then I question the completeness of their life (I'm no superstar and cannot balance both that way). So personal happiness takes precedence, and I do not mind lowering intensity to enjoy life more. At least then I'm no facade. Every person is different, but the above is my story.
 
If anything this year versus the first two years has reminded me of how important it is to enjoy life outside the white coat. Spend time with family and friends, enjoy the beautiful sunshine, play sports, read books, watch movies, all these things you take for granted.

At some point you just have to decide whether getting that 100% on the shelf exam really is that important. I just try to go in everyday, do my best, help out as much as I can, learn as much as I can on the job, and in general make the world around me a better place (smile, laugh, tell jokes, be compassionate, etc.) As for at home reading I do not go overboard but I do try to get a certain amount done by the end of rotation.

Life is too precious to count it in clerkships, weeks to a test, weeks to match, weeks to graduation, etc.
 
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Time is flying....I remember orientation like it was yesterday. (3rd year)
 
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