🙏So true

Are both of your parents married? Please answer this question.

Couldn’t agree more

No...medicine is a ridiculous job full of waste, corruption, and perverse incentives that have not only turned American medicine into a dumpster fire but keep pouring gasoline on it. It's not all bad, of course, and it still temporarily pays reasonably well but the insanity and wasted time and resources baked into the system makes our bloated military appear well-run by comparison. You have to understand that the entire industry is driven almost exclusively for profit now and all other considerations are secondary. Thus, we have a complex matrix of mercenary corporations grasping for money both encouraging over-utilization and cutting as many services as they can who are concurrently at war with insurance companies and the government trying to pay as little as possible for medical care....nothing if they could. Physicians are caught in the middle as the unwilling foot soldiers in a bureaucratic cold war waged with EMRs and red tape. It is in everybody's interest, unfortunately, to not only pay you less but replace you with a cheaper, more compliant alternative. Personally? I'm getting to the end of my career. It will take a civilization-ending meteor or a bloody revolution to fix our system so I have little hope thing will improve. All most of us can do is carve out as secure a niche for ourselves as we can and enjoy the decline; there is some entertainment value in watching it all burn.

100% true

Well said Grass is distinctly greyer on the other side

Unhappiness is a sign of weakness. Do your job as a professional that you chose to be.

Just have to do what ever makes you happy

As long as you know what you're getting into. To put it mildly, American medicine is a dysfunctional goat rodeo. There is almost nothing about it that is worth the stress, long hours, and general ridiculousness of the profession except the pay...and that is declining as private equity and the government seek cheaper alternatives. You might say the patients make it all worthwhile but, since only about twenty percent of your time will be spent on the actual practice of medicine and most of that is fairly routine, there are not a lot of moments where you will say, "This! This is why I went into medicine." Frankly, with the exception of a few specialties and individual physicians, most of our time is spent doing data entry and ass-covering in front of a computer or on countless redundant bureaucratic tasks. It's friggin' awesome! If I was interviewing for medical school today and the interviewer asked me why I wanted to go into medicine I'd say, "Because I really like sitting in front of computer and this job pays more than most other data entry jobs."

@@guslaskaris5333 try another profession. I get your point. I still work as a nurse in ER and finishing medical school. I would say that medicine involves a lot of sacrifice - but other profession also. That being said, many other professions are sooop boring, Dr. Cellini comes from a corporate job, and I bet that they are less dynamic, entertaining and fullfilling than medicine. Every other well paying job involves time and responsability, that is what I mean. Medicine is no different!

@@ThePalacios101 I'm pushing 60. A little late for another profession. Medicine is my part-time job, anyway. I'm really employed as a data entry clerk. Occasionally I can get away from my computer to see a patient but this is strongly discouraged. Medicine is a dying profession. Your corporate overlords have, after testing the waters, decided that the skill and knowledge of a traditionally trained physician is an unnecessary expense and we are being replaced with cheaper alternatives. As for being a fulfilling career, I understand that. But there is some salary under which it will not be fulfilling.

@@guslaskaris5333 wdym it’s a dying field?

Especially for nurses.

Where do you live?

Agreed ..I am a Nurse myself and the work load is crazy ..Nurses are leaving because of burn out, work load..stress..

@@s.p.baughman7885 Yeah had another crap shift getting micromanaged and getting snide comments and threats to leave AMA, and just like ughhh people just suck. They suck and they want to use you and discard you. I’m just so f*ckin tired. I’m listening to a podcast and scrolling a career site.

Both of your parents are MDs yet you became a nurse! Why didn't you become an MD instead???

What made you sway away from nursing?

@@michaelnikprelaj6679 long story short... once I started my job at the hospital, it really showed me many roles the healthcare team plays. I personally want to have the most autonomy and be able to master a specialty I really enjoy. I tried to "take short cuts" I was once told. Trying to be the closest I can to a Dr. I was like .. I can do nursing, then DNP!, then perhaps even a CRNA (almost like an anesthesiologist). I finally decided to just go for it and I couldn't be more happy. I have always been iffy and back and forward but now I am excited to pursue medical school. I also spoke to a variety of doctors who also helped me make this decision and inspired me.

lol I am in the EXACT same situation. Same job, same background, same mindset.. but still not 100% sure about being a doc yet though. 😂

@@brandonhouston6821 good luck to you! Whatever you decide, there is no wrong choice. Just living and learning... As long as we're being productive and persistent... If it's about cost and time... Just go for it and commit. Being a Dr will allow more financial relief and time wise .. would much rather go through a rigorous 4+ years of learning than being at a job I dislike my whole life and not being paid well. Especially if you know you're worth more... They don't care.

@@nicks.8661 Is it better because it's still like 4 years of school plus not sure how much years for residency. But it is never too late it's just residency pays little but you are more financial free I think unless it's an expensive med school that you have to pay debt

You would have made a garbage poet.

I couldn't agree more!

The stress and powerlessness doesn't end in med school, it is simply the beginning. Stressors change and if you don't stop to think about the positives of each phase you will watch many years slip by. Right now you have zero liability or responsibility to patient care or the business of medicine. Sure you get yelled at but your only purpose is to learn which is a beautiful thing.

Y u doing 80 hrs in obgyn as med student is the real question

Unfortunately, I feel like residency is worse. In medical school, exams were still the end all be all, which felt like a bad thing at that time, but in hindsight, they were a consistent saving grace. You pass the shelf exams and USMLEs and no one can really disrupt your career progress. Not unless you're going after something super competitive. This is not the case after medical school. Plenty of people can make you're daily work a living hell, and now they have the power to have real influence on your career with just a few written or spoken words, and there's no exam or other objective metric alone that can bail you out. Depending on you're field, this can actually worsen again after residency, which this video eludes to. Now don't get me wrong, you learn the ropes, learn how things work, and learn who to avoid. Every job has this same problem really. It's not only what you do, but who you work with that makes or breaks your daily work experience.

@@kevincoy6969 he means his career buddy… obviously he knows residency

For Industry? Could you elaborate?

@@Janon743 Pharma/biotech/CRO.

@@atresearch yes. And it is gross to work in a procedural area and see the rich drug and product reps marching through the hospital, pushing the doctors to use their expensive goods for a free lunch. Seriously gross.

@@senseofwonder4734 I completely agree with you, although most academic medical centers thankfully have conflict of interest policies in place that limit this now. Still gross, and just to be clear, I am trying to call out the inequity in pay between academic medical centers vs industry, when those who work at the former are working harder and longer.

You live in Cuba. Try doing the same thing in Wisconsin with your hands tied behind your back with Administrators poking you with cattle prods during your dissection. No disrespect intended.

I’m attending LECOM Bradenton this year as a first year med student! Let me know if you have any questions!

@@XxAznChrizxX I am sitting on the WL for there! Since there has been no movement I took the A from another Florida school! lol

I know some folks at LECOM, it's a wonderful school from what I can tell. Beautiful campus. I haven't talked to them in depth about their experiences at the school however. (I hesitate to really endorse a medical school without more investigation after some things I've seen on the news about medical schools mistreating students so your mileage may vary)

It’s a great school, but I would recommend a MD over a DO school as it can be easier to match into some specialities as an MD.

@@harveypraz7962 Depends on your goals. The DO school I am attending has an excellent match list/rate. However, I don't wanna be a neurosurgeon or dermatologist lol.

Before I retired, I was an IT field tech for a large electric company. My unofficial job description was "We take computer age skills to the end of bronze age roads at any time in any weather." As demanding as the job was, his toughest previous job was in "behavioral health." Such a genteel term for a meatgrinder of a job.

Do you work in healthcare? Of course every job sucks…but our jobs require us to be responsible for another human being. Actually MULTIPLE human beings at a time. Politely stfu 😂

Well said

I question my decision every day since year 2 of medical school. Don't know how much longer I can do this. Overworked, undermined, underpaid, undervalued, underappreciated. Knowing what I know now. I 100% would not choose healthcare.

@@hugos4355 But honestly what industrial or service sector doesn't have the negatives associated with it which u have named?...All the corporate profit issues destroying healthcare sector are same in other fields too. Being overworked,underpaid and underappreciated is almost the norm for every job description nowadays. I think the issues and problems are more societal than specific job type and sector based.

@@vivek27789 I can only speak from my personal experience. Before I entered medicine, I worked as a portrait/wedding photographer for 10 years and during that time I also did research in marine embryology and genomics, I served 3 years in the army, I worked 3 years in the restaurant as a sous chef, I was a volvo mechanic at my dad's auto body shop for 5 years, and I also worked in other industries like tourism and things. I always liked working with people and providing some sort of service. I grew more interested in medicine over the years and thought it would be the ultimate way I could serve others. And then I went into medicine because I feel it is my calling. I have not felt more undervalued in my life since I have entered healthcare, and the pandemic has really been eye opening. I'm also speaking for my staffs here doctors and nondoctors who work so hard here to keep sick people alive and trying our best to give people years of their lives back. In my personal experience, the amount of underappreciation and how undervalued my and my team feels is not even comparable to what I have experienced working in other fields. Imagine committing +12 years of your life studying your ass off, losing friends, missing out on the chance of having a personal life, missing out important dates of your childrens' lives, missing deaths and births of family members, losing sleep, giving up your hobby, because you committed to bettering the lives of others. And then all of a sudden, you become "incompetent" and your entire career is called "useless" by patients whose interests do not align with yours. And then all of a sudden the "disease" you're trying to treat is "not real." I'm not just talking about covid here. You have people who spend a few hours reading articles online and challenging your knowledge and insist that they know better than you. Or people with PhDs come in and saying that they're the "real doctors" here. Parents telling you that the vaccines you give their kids doesn't do anything. Patients and their family members screaming at you or hitting you because you "killed" their sons/daughters. When all you did was tried your best and always acted in the best interest of your patients. I agree with you that there are plenty of careers out there that shares the same negatives. But there are only a few other careers out there in my opinion that requires as much commitment as medicine does. What I've learnt from all these years is that people only see the fruit and not the labor. They'll blame doctors for everything that goes wrong regardless of the truth.

What about sonography though? Would you say it's a pretty good gig?

@@Jess-cw9gi It depends on what you mean by a "good gig". As a registered diagnostic medical sonographer, your compensation is less than an RN but better than a 15.00 an hour living wage. Your schedule will vary depending on the kind of facility you work in...clinics tend to be more Monday thru Friday jobs and usually less pay. Not just anyone is suited to sonography, you need to be able to look at a one demensional image and think in 3 D...as a sonographer you will need to be able to acquire images that accurately depict what you are seeing... because the radiologist will only see what you give him/her and sometimes it's hard to image what you see in realtime. I switched to sonography because it's not as physically demanding as xray of course since a lot of your movements are repetitive, especially your right arm, you are subject to repetitive stress injuries. If you want to pursue a career in healthcare it helps to have the desire to help people.. If you're lucky you'll get in with a good team of people who all care about what they are doing...then it will be rewarding.

Go gal, fulfill your desires and be happy.

You will stop yourself when you get a hit of the nurse to patient ratio, the documentation, the laws, the burnout and all the protocols ...with covid making protocols harder.

Good for you welcome to suffering. Tell what you think 5 years from now

I did bed side for 30 years I developed gastrointestinal cancer almost died

Your amiazing!

lol. That didn't take long

This hits home. The best thing always meets with criticism. That'll stay with me

I'm so very proud of you Doc! You're way bigger than any obstacle you have or will encounter in this life. You give me hope!

What’s that student loan looking like lol.

@@youngjacuzzi3676 I am debt free lol

@@youngjacuzzi3676 you are the reason he succeeded…he has overcome toxic people like you always looking at the glass half empty because of their own fears and insecurities. Congratulations on being repulsive and helping individuals move on from you.

I feel the same way. Every now and then I think I do some good and I think I'm a good doctor...but for the most part we've become disposable parts of the creaking, smoking, health care machine. I do my best and by manner and character try to act like a physician instead of a robotic provider but nobody cares. Our corrupt government-corporate complex is increasingly selling the public the illusion of good medical care because it's cheaper than actual good medical care. I'm stuck in it and I make the best of things but I can't see how the system won't continue to deteriorate.

@@guslaskaris5333 thank you for your validation. The emotional advice we usually get is just be like a duck and let it roll off of you. Just take a big breath! Or It’s not personal, it is personal. Those are not coping mechanisms.

This is so sad. I'm from Europe, from a country with horrible healthcare system (Mainly for those who are employed by it), and I'm just about to graduate with my MD. My heart wants to work in clinical medicine but my head says no. I've seen a lot of stuff during my rotations. I'm a sensitive person and I have other hobbies as well. I don't want this to consume my entire life. It's important to be honest, like you are. People, especially future med students need to hear it. They need to hear both sides. And a lot of doctors here feel the same way you do. I applaud you for working in such conditions for 25 years.

This is the paradox of agreeableness. You just wanted to help people but instead you end up pushing pills for large corporations while the public gets sicker year after year. While I sympathize with you about how you were treated you werent exactly faultless for your ignorance.

@@squeakypistonproductions2228 lmao shut up. as a physician, she likely made a positive difference in thousands of people's lives. I know that out of the few times I've had to go to the doctor, I've felt nothing but reverence and assurance that I was gonna be okay in the hands of these highly trained individuals. What do you do for a living?

U nailed it!!! Do it for the right reasons. It mind boggles me the younger generation wanting to enter the field to do fillers /botox and plastic surgery. Like you do not go through that torture for anything but a calling! Then I see families pushing kids to go into medicine, and the same kids just wanting to do it for the wrong reasons respect money and prestige. Wrong reasons! The torture is only worth it if you really don't mind not making money u deserved until you pay off ur 5k a month, and worth it if u don't mind always being stress and uneasy at work medicine is not for everyone! U have to love it so much that u sacrifice your life for it and marry it.

No, it is a profession. Priesthood is a calling

@@charlesdarwin5185 are you a licensed medical doctor?

@@BarelySaneGenius look at the picture

If it is calling, join the priesthood where your God calls you.

Love this

This is really good. Could you give some examples of the systems that you have created? ❤️

@@DreamCatcher201 Great question! (1) I manage my time with calendar blocking and set boundaries (for example, don't take work home - finish charting at clinic with efficient dot phrases, etc.). (2) Scheduling renewal periods (exercise, hiking, friends/fam time). (3) Approach work with a healthy mindset (e.g. focus on what you CAN control, recognize that you can only do your best within the limitations of a flawed healthcare system, etc.) (4) Cut out trash-humans and surround yourself with positive people. I've thought about starting a channel and making videos about this, so this question might be the push I need! :)

@@emilyencapsulated9540 haha glad I could help! I've been looking for this type of content with measurable info. For example, I do my hobby 2x week, for a total of 4 hours. That gives me social time too. I have dinner once a week with my friends. So per week I have 6 hours of socializing time. For me, it's not enough and I definitely need more. How much time per week do you schedule for the renewal periods? :)

Why did they say it was getting worse?

Problem is your often over worked to the point where you don’t have time to pursue hobbies.

100%. Thanks!

Healthcare does not equal a career. It is garbage. You got in when the getting was good. You missed Covid. Tell your daughter to sell pictures of her feet on the internet.

Love this, same.

Is optometry still good? or is it also saturated. I can see patients becoming like that and especially when dealing with families because I have a family member who is a nurse and we had horror stories

@@MrLuffy9131 Optometry is over saturated. Optometrists are under compensated. A nurse practitioner is allowed to do more procedures, get more compensation with only 4 years education. Optometrists have 8 years education, and under compensated. Patients have become, demanding, rude and ungrateful.

True.. Very True

Wdym 4 years pharm school? All the pharmD I know of did 4 years undergrad and 2 years for the pharmD

@@ptbro3334 It’s usually the opposite here, pharmacy is a 4 year school, but you can do a 6 year program (2 pre pharm and 4 pharmacy years P1-P4). Some people get their bachelors and then go to pharmacy school (so they have a total of 8 years). Depends on where you live I guess

YES!

Being called to the medical profession requires a personal investment of over $500,000 in the USA. For that we need to be rewarded.

@@charlesdarwin5185 I think that is acceptable, as long as your heart and soul is in it for your patients and for their best interests and quality of life! Vs. people like a doctor my mom worked for that said, when my mom asked why she went into medicine- that: "Well, I could have gone and worked for Ford on their assembly line (ALSO good money, pension, setc.), or I could become a doctor...". It was merely that she chose medicine. Personality wise, she would have been better suited for Ford than for medicine. There was more than one reason that she wasn't my pcp.

@@SellyNue heart and soul is useless to the patient. It is proficiency that matters most.

@@charlesdarwin5185 I Disagree. Proficiency isn't what matters most. If you have heart and soul, Proficiency will come with it, but its not the other way around. Ive had many doctors that were so focused of the clock that they weren't even listening to me. They were entirely *INEFFICIENT* because of their "rush". I believe I know where you're getting this idea, but its simply not good patient care! I used to work for a doctor who had the nickname "Zip-in Zip-out". There was more than one reason she wasn't my doctor. That is not proficiency, efficiency, or you know know it- its not *effective* treatment.

Agreed! My previous much older boss GOT paid to go to med school. Bought his house for about 120 k and the office building for about 150k like 30 years ago. His house is now worth like 2 million and so is the office building now worth like 1 mil. So he came out of Med school with no debt AND can just sell his house or office for funding his retirement.

Why would you not suggest it? Curious

Why? I'm just curious as to the challenges you face.

@@GracedVille Long hours, youth spent studying, lack of respect from colleagues ( in the uk at least), money isn't great, high burn out rates, the million loopholes and red tape we have to go through, the huge risk we take, one human error, and you are in court defending yourself,, very hard to pursue anything outside of medicine due to the lack of time and exhaustion,..... as I entered my 30s, I've come to realise there is much more to life then the walls of a hospital... looking back, it just wasn't worth it...

@@lookatcha Awww, I empathize. Thanks for responding.

bc we care too much about our patients to strike.

When train drivers and teachers strike people don’t die, that’s why.

@@DrCellini we don't have to strike for urgent cases. It should be routine things. Demand that there are more training posts and a better doctor to patient ratio and better working hours with more logistical support.

Yes all of it is true friend, and you can experience it for yourself.

@@sunriselotus One year later and I’m still 100% here looking forward to the impending doom 😃

A few months ago a PA saw me in a clinic with an injury that was extremely painful and scary. It probably wasn't a great intellectual challenge for her, but she knew what to do and how to do it. She fixed me up, eased my pain, and sent me home reassured. I am so grateful to her. You are suffering now so you can eliminate suffering for others later. Thank you!

Especially in Pharmacy

I have friends in computer programming and finance the grass ain’t greener on the other side.

You should 100% do some job shadowing. Happy nurse here.

Im currently working as a medic in AF and hopefully getting into our PA program. I’ve been with so many different doctors, nurses and specialities. I always here the PA’s love what they do. It could just be the military lifestyle or maybe they simply do have a good quality of life. Do some shadowing for sure though and best of luck

I’m on the cusp of Gen X and Millennial (I personally identify as Gen X 😂) and things have only worsened (from a nursing perspective). I wonder if anyone will be around to take care of us as we age…

Why tho?

Yes, do tell. Why should they not consider being, say, a nurse practitioner or a PA? What is your experience in those roles and why would you discourage them?

we need nurses, life is hard