“The hardest thing in life is to know which bridge to cross and which to burn.” David Russell

I have been interviewing for jobs the past several weeks. I decided that I may as well. I might find something amazing. Maybe I won’t…

At the very least, knowing there is nothing else better than my current situation will make me appreciate what I have more. I don’t want to continue with the deep dissatisfaction that I have carried around for so long.

It is making me miserable!!!!

All of this has lead me to further understand that healthcare in the US is in an abysmal state. I am not sure we can salvage it. I would like to detail my discoveries but I am afraid it will be too depressing.

Maybe I will get it off my chest soon.


30 thoughts on “Bridges

  1. I’d be interested in a post detailing, in your view, exactly what is wrong with (particularly) primary care medicine in the US.

    As someone who just picked his specialty, I’ve gotta admit that primary care in the form of IM, peds or FM were never really on the table for me. Working in the out-patient clinics was just an exercise in frustration. I honestly couldn’t imagine doing that for a career.

    And yet, the great tragedy is that, in my view, primary care specialties are the most important – if only because a good PCP can appropriately triage problems and save specialists from unnecessary visits for things that a competent PCP really could’ve managed. The importance of high-quality chronic care also seems obvious.

    As someone young in the profession, I see primary care and simply can’t subject myself to the headaches associated with primary care practice no matter how much I wanted to work in one of those fields. I had originally been set on peds before I decided on psychiatry, but I must admit that one of (not the only) the factors that drove me to psych was the ability to run a viable practice independent of third-party payers. In talking with physicians, it seems that’s where 90% of their frustrations with primary care originate from in some form or fashion.

    Anyway, best of luck.


  2. I’d be interested in hearing about US healthcare from the doctor’s perspective. I know what patients (including me) think of it. Anyway, good luck in your job search – hopefully, you’ll land your dream job.


  3. It is hard to enjoying your job when it is within the constraint of an inadequate system. I am also sick and tired of trying to ‘do my best’ for my patients in our public health system, when I know that it isn’t the best health care the patient deserves. Good luck w your interviews, I really hope you will find something that you’ll fall in love with!


  4. Listen to your heart and make a decision…because indecision kills! If it turns out not to be the right decision – then reassess and make a new one. Health care worldwide is in chaos! Have a lovely weekend. Janet


  5. I hope you find a way to do what is your heart’s desire. You seem to have empathy and a caring nature that is sadly lacking in many people today, in all walks of life. The system often drains the kindness from those who set out with admirable qualities and a wish to serve and help others while earning a decent living. Please don’t let it wear you down. While you continue in your search for a suitable job, carry on writing. You have a wonderful way of expressing yourself and I think you could write a very good book, fiction or otherwise. I find writing very therapeutic, even when it’s fiction.


  6. There is nothing quite like job dissatisfaction; it then leaks all over everything :/ You’re obviously a caring and concerned doctor, something needed everywhere. Best wishes on your search!


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