Friday, July 6, 2007

Oh Simple Thing, Where Have You Gone?

Note: I feel this post may be a little different than my usual flare, and I need a little help from you, but I still tried to make it fun. Enjoy.

So, what are you going to do with your life? This question is (pun intended) unquestionably the bane of my existence. And much like herpes, it never goes away -- you think you may have beat it, but it always resurfaces, particularly in times of stress. Where are you going to college? Bucknell. What are you going to major in? Biology. Why? Cause science is awesome (And if you don't believe that, see the "Dead to Me" list). What are you going to do with that for a career? Medicine. What do you want to your residency in? Where do you want to go for it? Are you going to do a fellowship (less like Frodo and LOTR and more like additional years with crappy pay)? Where are you going to set up your practice? Private practice, group, or hospital? Therefore, I posit (oh yeah, I just posited something, stick that in your liberal arts pipe and smoke it), "Oh simple thing, where have you gone???". When did wanting to be a doctor become not enough? Where is the proverbial Valtrex to treat this question??

Why is it when stepping up to the counter of the medical Baskin Robbins, I feel like I keep choosing vanilla? I enviously look on at those who have not only chose the chocolate chip cookie dough of medical specialties but are also getting it in a waffle cone! MKS lives for the holes of the head in ENT. NP is going to take people to the bank diagnosing acne in dermatology. RD is making the life choice to stand next to lethal energy waves everyday for radiology. CS is dedicated to the senile and, well, the very senile in geriatrics. These people all have got their free mini-spoon taste and now are packing it down their throats by the scoop. Yet, I press my face against the glass of the freezer with the longing eyes of a fat, diabetic, lactose-intolerant 8 year old.

Now I come to the point of my frustration. The medicine gods have deemed that I must embark on the vision quest that is choosing a residency program beginning with choosing a field of medicine and ending with Match Day. (Or should I say Bid Day -- trust me, they are the same thing and I'll talk about the process at a different post, but I'm pretty sure the only difference is that there is just a less glitter and chanting involved with Match Day). Thus by some point in September (the earlier the better), I must choose a medical specialty, and I'm avoiding this commitment like MKS avoids....um, commitment? I hear the clock ticking in the background. I shouldn't say ticking -- its F**in POUNDING.

So, this is where you come into play. Make the decision for me. Its that plain and simple. I'm throwing myself upon the suggestions of you, my loyal readers. You may be asking yourself, "But WC, what's in it for me?" (cause I know I would be). If I actually follow your advice, I will provide you and your immediate family free care in the field I go into. Example, you have 10 kids, I do pediatrics, bring me all the inner ear infections you can for free. You get knocked up, I do OB/GYN, I rip the sucker out for free (assuming you don't care I have to stare at your bajingo at the same time). You drink enough to kill a small elephant (um, TW, I'm talking to you), I do GI, I'll hook you up with a new liver for free. However, odds are if you know me well enough, I'm probably going to hook you up for free anyways (and if you have to think whether or not this includes you, it probably means it does not).

I will provide you with a little guidance however (emphasis on little because I really want to see what you come up with). I hate surgery with the firey passion of a thousand suns burning on top of a nuclear explosion (enough said). No matter how hard I would try to relate so someone complaining about irregular vaginal bleeding, it is never going to happen. Finally, if you ask what I'm currently leaning towards, it would be pediatrics. However, as my debt accrues my desire to help people has become inversely proportional to the salary I hope to achieve. Is it better to be rich but miserable or poor (well, relatively doctor speaking poor) and happy?

So, take a moment, step back, analzye what you know about WC Anderson III and where you think I should fit in life. And help me once again find that oh so simple thing.

4 comments:

Anonymous said...

Bill, I somehow came upon your site, perhaps through IM info, facebook or something like that. But I thought I'd just throw in my two cents. I think you'd be awesome at pediatrics. You've got real energy and I think the kids would love you, and the parents would trust you. Plus, I think it will keep you young at heart. Good luck deciding! No matter what you choose, you'll be great. Alyson

Anonymous said...

I think you should just drop out of med school and join the Peace Corps

eeeee said...

First I'd like to say that I think you falsely equate "rich" and "miserable" as well as "poor" and "happy." Both the rich and the poor can be equally miserable lol. Secondly, as far as debt is concerned... look at this newspaper article from the Scranton Times on June 27th, 2007:

HARRISBURG -- The House overwhelmingly approved legislation Tuesday that could assist the goals of the proposed Medical College of Northeast Pennsylvania in addressing a shortage of doctors in the region.

The legislation, approved 191-9 and sent to the Senate, would use state tax dollars to subsidize medical school loans for aspiring doctors and encourage them to practice in Pennsylvania for at least a decade.

The bill is more targeted

than when first introduced by Rep. Josh Shapiro, D-Montgom-ery, earlier this year. The bill's loan forgiveness program is now applicable for doctors specializing in internal medicine, family medicine, pediatrics and obstetrics and gynecology instead of physicians as a whole.

Mr. Shapiro said this change will encourage medical students to specialize in areas of medicine where Pennsylvania is in greatest need of new doctors.

"When you look at the state, we are sorely lacking in the areas of primary care physicians and ob/gyns,"

added Mr. Shapiro.

He said the change will make the program less expensive. New fiscal estimates for the revised bill peg the cost of a fully operating program at $20 million instead of $40 million, said Mr. Shapiro.

Under the bill, the state would fully pay a loan for physician training, but on a schedule in which a percentage of the loan is paid during each of the 10 years a doctor works in Pennsylvania. If a doctor leaves the state or profession before the time is up, he or she would have to reimburse the loan.



It recently passed in the House and moved to the senate. Good news! I don't know how you'd do with really little kids, but you took a bunch of guys at gov school and handled us well. Anyway, good luck!

melinda said...

I think you should do peds - but you should do psych peds because I think more interesting blogs will come of that. See how selfish I am? I want the most interesting blogs possible. As much as I care about children, I care more about being entertained :)