Wednesday, September 15, 2010

Let's Face It. I'm Ridiculous.

I just got off the phone with a dear friend of mine and she was updating me on a situation she and her husband have been struggling with for awhile now. The theme underlying this struggle is regret. That awful shoulda-woulda-coulda feeling that we have all been humbled by more than a few times. It's a painful place to be. In short, they are strongly regretting their choice of residency program. They feel that they don't fit in with the people, the program is not family friendly, and they don't have the social support they thought they would. This is all compounded by the fact that they have a young daughter and residency at even the greatest program is still not a conducive environment to spend lots of quality time with the fam. I listen to her frustration and hear her talk about all the places they liked that they could have gone but instead made the misguided decision to choose this particular program and my heart aches because we both know that they have to grit their teeth and survive for the next 2 years. Just surviving is no way to spend your days. I've done it. It ain't pretty.

I'm embarrassed to share with you a regret i've been struggling with. When I tell you this, you will roll your eyes and then I will feel better that you think I'm ridiculous because that validates the fact that I should just let this go. And sometimes I need someone to roll their eyes at me so that I stop taking myself so seriously. Here it is.

On my first day at my new job, I was at morning report and the residents were presenting a case that had been seen in the hospital the week before. It was one of those puzzling cases about an adolescent girl, a soccer injury, and neurologic symptoms. Everyone is calling out potential diagnoses and tests they want ordered and focusing generally on the injury. All along I'm thinking "this sounds like something i've seen before, I know what this is." I want to open my mouth and say the diagnosis because no one has said it yet but we are in a big room with all sorts of attendings and residents and my department chair is sitting right next to me. I keep picturing myself croaking out my diagnosis and then the room going quiet and everyone turning to look at me and thinking "who the heck is that and why is she so stupid?" My heart is racing and my face is red and hot and I want to say it but my mouth won't open and my hands are trembling and then I give up. The residents go on with the case and show the answer and you know what? I was right. All I remember from that day is thinking over and over about what would have happened if I had said the answer. Do you know how much mileage I could've gotten out of that one right answer?? How awesome would that have been to outsmart everyone, even the department chair, on my very first day on the job? Awesome. Alas, I didn't open my mouth for fear of looking stupid and I regret it. I think about this at least 3 times a week. I keep hoping for another chance at morning report to reclaim the glory but those times happen so few and far between. I might never get another chance to look that mysteriously brilliant. Is this a ridiculous story? Yes. Will this ever happen to me again? Sadly, it probably will. (cue eye rolling)

2 comments:

  1. I randomly came across your blog and yet I feel myself identifying with so many of your posts. It's good to know that it's not just me. I finished residency and then jumped into something not knowing what it is I wanted and then found out it wasn't that. I've found hospitalist medicine an awesome field. I think I have been experiencing the same thing a person graduating from a bachelor's program with a degree in history and no idea what to do with it experiences. Slowly but surely.
    With your situation, if it was me, I would likely beat myself up for not speaking up and if I would have said something, I would have then beat myself up for 'speaking out of turn' or something along those lines. Your brilliance and confidence in this environment will come through. By the way, I am curious about your trek from Arizona to Madison--why did you move?
    -CA-

    ReplyDelete
  2. Thanks for your comment!! I will elaborate on the AZ to Madison move in the near future....

    ReplyDelete