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My Life Goals

Benferguson72x722Ben Ferguson -- Okay, a few others made lists of their own. Given the relative proximity to the start of the new year, I may as well join in the fun:

1. Be happy. No bones about it. (My fiancee would throw in the requirement here that I’m able, at least some of the time, to have Saturday morning pancakes with my kids.) While everyone has to strike a balance somehow between work and family, I find myself happiest when I am stressed out and challenged in my work. This ought to be interesting...

2. Work as long as I physically can. My great-grandfather was a professor of music at the University of Minnesota (there’s a building bearing his name, in fact) until he was forced to retire at the age of 68 because that’s how public institutions used to work. What did he do? He crossed the river, got a job at the private school across town, and finished what he started. At 87 he published his final book, and when he died at the age of 102, he was still chugging along. My great uncle, a prominent general surgeon for decades, worked, taught, and conducted research pretty much until he was unable, bowing only to the onset of Alzheimer’s. My dad, also a surgeon, is now nearing 60 and is very much in his prime as a professor and researcher.

3. Contribute something important. I’m not too interested in pursuing a private practice, preferring instead the life of academia and its inherent pursuit of knowledge. People often refer to the “ivory tower” of academia as being this land of seclusion from reality, but I prefer to see it from the opposite angle in that academia largely generates that reality (in terms of new and ground-breaking treatments, standards of care, etc.) within which those who practice in private or community settings operate. I have met many wonderfully talented physicians in private practice over the years, but if I were to do it, I fear I’d feel too much like a robot, merely an agent of health care delivery rather than a developer of the care itself, running in place instead of moving forward, following the recommendations from research findings as opposed to helping to actually generate them. In that regard, I suppose there is a selfish aspect to this desire. Still, I’d much prefer to be personally invested in research and working toward something than, broadly-speaking, doing the same thing, day in and day out, without accomplishing much for the future. I recently finished reading a book that chronicled the life of Judah Folkman, an ingenious and well-respected physician and cancer researcher for decades who passed away just this week, and his father used to advise him to “be a credit to your people.” Well, my people are doctors, scientists, and patients, and to go through life as a physician-scientist without having contributed much to them or to future generations would seem wasteful to me.

4. Write a book. Or several.

Those are the big ones. I should probably also include things like “graduate,” “get into residency,” “don’t die during residency,” “get enough sleep during residency,” “stay healthy,” “avoid divorce,” and so forth, but I think those are held by pretty much everyone.

January 17, 2008 in Ben Ferguson | Permalink

Comments

There's a certain lust in the being a physician, because you get to deal with the patients themselves, see with your own eyes whether that treatment was radical or partial, or is it worth the hassle it's all about. Then there are new symptoms or associations you get to know "by your experience" relating previously thought separate diseases, this gets you closer to the unknown etiology behind the problem. Then patient satisfaction that you see and being happy about correctly identifying the source of trouble (not necessarily the good comments that you recieve though it makes you cling on at hard times).
The robotic part resembles the mental break we take during work, if you are lucky enough to get a straight forward text book case, though it can be dangerous if overused "yes, even in a textbook case".

Posted by: | Jan 18, 2008 3:49:35 PM

I simply couldn't agree with you stating that physicians are agents of healthcare delivery, doing the same routine thing everyday, and feeling like a robot. You've worked in a clinical setting, don't you find it satisfying to help patients everyday, eventhough it is routine? And how could you say "doing the same thing, day in and day out, without accomplishing much for the future"? Perhaps, you didn't realise that the effort you have put in to treat a patient, prevent a disease spreading, in a way-helps the future of the patients-that you are accomplishing something, although not of your own benefits? Maybe you find the clinical setting rather boring, uneventful-then perhaps you should join NGOs like MSF, or work in a 3rd world country? Maybe then you would realise how great the job of a clinical physician is-that your work is appreciated by the community that really needs your medical care? I am currently studying medicine in India (I am a Malaysian), and it gives me new meanings of becoming a physician, where in my clinical rotations, the effort that I have put in helping the patients are thanked with gratitude and respect. In the end, the greater satisfaction comes from what you had done to others, than what you have done to yourself.

(But hey, I do agree with you saying that life in research entitles you to develop new safer healthcare techniques. Just don't say clinical physicians are robots and you feel like one ok?)

Posted by: | Jan 25, 2008 10:49:52 AM

I simply couldn't agree with you stating that physicians are agents of healthcare delivery, doing the same routine thing everyday, and feeling like a robot. You've worked in a clinical setting, don't you find it satisfying to help patients everyday, eventhough it is routine? And how could you say "doing the same thing, day in and day out, without accomplishing much for the future"? Perhaps, you didn't realise that the effort you have put in to treat a patient, prevent a disease spreading, in a way-helps the future of the patients-that you are accomplishing something, although not of your own benefits? Maybe you find the clinical setting rather boring, uneventful-then perhaps you should join NGOs like MSF, or work in a 3rd world country? Maybe then you would realise how great the job of a clinical physician is-that your work is appreciated by the community that really needs your medical care? I am currently studying medicine in India (I am a Malaysian), and it gives me new meanings of becoming a physician, where in my clinical rotations, the effort that I have put in helping the patients are thanked with gratitude and respect. In the end, the greater satisfaction comes from what you had done to others, than what you have done to yourself.

(But hey, I do agree with you saying that life in research entitles you to develop new safer healthcare techniques. Just don't say clinical physicians are robots and you feel like one ok?)

Posted by: Aidid Rizal | Jan 25, 2008 10:51:39 AM

Great goals there.Especially on the one related to contributing to the science.I think the role of the doctor as a healer alone is a thing of the past.A doctor should also be a solution finder.Without people who search for answers we will be stuck with diseases such as AIDS,malaria,cancer.Only that they get worse for the lack of research and new emerging diseases will take more lives.Bravo on that one.But to do all that and do a residency,reality is bitter to those who are ambitious but if we try to reach for the moon we may land amoung the stars.Good luck! to both of us.

Posted by: Sharonjinnil | Jan 30, 2008 10:57:00 AM

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