Strategies For Cutting Back: Group Policy Change

crispydoc Uncategorized 12 Comments

Medicine is a conservative profession, where change is viewed with suspicion and the reason, “But we’ve always done it this way!” is as unquestionable as, “I’m the mommy, that’s why!” was in childhood. (Incidentally, the latter was the bumper sticker on the station wagon that served as my first car, which made meeting girls as a 16 year old uniquely …

Don’t Let Someone Else’s Script Narrate Your Story

crispydoc Uncategorized 18 Comments

Sometimes the people we love are those most likely to sabotage us by insisting on forcing our unconventional narrative to fit within their traditional story framework. My wife’s grandmother, a widow, had developed dementia and moved to an assisted living facility. My wife’s aunt, a successful attorney in her 50s who happened to be single, had come from out of …

Are You Having A Career ALTE?

crispydoc Uncategorized 6 Comments

Careers in medicine have evolved over time. It’s always been a hard path, but previously, you knew what you were getting when you signed up. Recent changes have eliminated significant autonomy and prestige from a medical career. Increased debt conspires with decreased satisfaction until we unexpectedly encounter an Apparent Longevity Threatening Event (ALTE), an inflection point where we acknowledge that …

Convergence

crispydoc Uncategorized 15 Comments

This weekend was spent in North Carolina strengthening ties with people we love but see less often than we’d like. BT is one of those people. Most of us were single. BT was married with a kid. Most of us had family in California BT was a southerner with a disarming drawl. On learning that fast-talking West coasters inevitably underestimated …