So it's been a little while

I'm still developing this thing/blog in my head, trying to decide if it is a good idea or not. Looking back on some of the older posts, I think it might be. The title is a little strong and some people might not like it, and it could get me in trouble with the higher-ups if they find out who's writing it, but it does somewhat agree with my ideas at the moment. Maybe I just don't want to commit to conservatism or liberalism. Maybe by trying to be brash I'm actually wussing out, taking the third road to avoid getting beat up by either side for being on the other, and allowing me to argue against everything. It does open me up for criticism from pretty much everywhere, but I'm being anonymous...at least I think I am. I never really know how much people can find out about these blogs.

Anyway, I'm in the end of my Third Year now and am really trying to figure out what kind of a doctor to be. Its down to a few options, Family, Internal and Neurology. Diagnostic, therapeutic, but light on the procedures, over a wide range of topics.

Family because I like the variety and the ability to know a little about everything. They get to work with all ages and all systems of the body. Mostly clinic, a smattering of emergencies (mostly cardiac where people don't know they're having a heart attack), and a few minor procedures depending on your local medical politics. In a big city, you do less cutting, sewing, scoping and freezing because other specialists don't want their turf stolen. In a small town, you can basically do everything and anything you want/feel comfortable with/need to yet don't feel comfortable with. With my personality, I think I'd end up in a larger city though. I might get squeezed out by RNPs and PAs from the bottom and surgeons and dermatologists from the top. It is still the one I feel is like the "true doctor" though.

Internal because it's complicated and basically puts off the decision to choose a specialty another few years. I think I'd do kidney stuff most likely. But that's mostly from a Doc I followed for a few days who I thought was pretty much a god among men, so who knows if I'll actually like it. Its a harder residency than FM, mostly in the hospital. I'm doing that rotation next so I'll let you know what I think of it then.

Neuro because its awesomely cool. As in you get to study how the freaking brain works and how it interacts with the world (dare I say CREATES the world??). With my background its the mostly intellectually stimulating system of the human body because it makes us human, it defines our being in a way no other system even comes close to. You get to work with people who have no emotional response to the face of their wife of 15 years afte a stroke, but lights up when she calls him on the phone. You also work with degenerative diseases like Parkinsons and MS. Stuff we haven't quite figured out but will shine in the next 20 years. It is the century of Neurosciences, this one.

If you can't tell, I'm leaning Neuro right now. But if I go that way, can I do mission work in inner cities or the third world? Maybe, but I won't get my hands as dirty will I? I'll need MRIs sometimes. I think. They do have some pretty amazing physical diagnosis skills though.

I don't know....


My politics is of less interest to me at the moment. I'll get on to that later, when there is some sense of where the government is going to go.