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> I often wonder whether my experience was not representative Everything you described is concordant with what I saw on my surgery rotations in medical school, and everything I've seen of surgeons in the hospital since then. Especially the mean-spirited and ungrateful patients. The ones that hurt, though, are the ones that come into the hospital hostile and confrontational from the outset. "I know exactly what I need, and exactly what you need to do, and you're going to do it, or I'm going to have your balls!" I mean, that might be true. Sometimes it is. Sometimes it isn't. But nothing about talking to me like a rabid dog is going to make the process any better. And honestly, if you know your health, that's great - that will be very helpful. But ignoring other things it can be that masquerade as what you've got would be tragically irresponsible, so please don't bite my head off when I address the other conditions on my differential. I'm not ignoring you, I'm just trying not to be negligent. Some patients will understand that, if we're given time to talk to them like human beings. But we basically never are, which makes things terrible for everyone. The constant make-or-break tests and quasi-lotteries are a particularly apt description of medical school, and why - IIRC - the most recent stats put medical student rates of anxiety disorders at almost 50% of med students, and depression at approximately 30%. We absolutely destroy young physicians right at the outset. Studies of physician compassion have found that med students' compassion drives into the ground somewhere in third year - not with their first "your entire career relies on this" exam, but with their first exposure of what medicine has become, and how patients will be treating them. |