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PDF Editor FAQ

I want to become a surgeon, but I don't want to study medicine for +10 years. What should I do?

Then surgery isn’t for you. I recently wrote a little research paper on physician burnout. Something like 50% of physicians regret going to medical school. Medical school, residency, and the optional fellowship are some of the most challenging academic institutions that America has to offer (no offense to other difficult professions). The physicians that are truly happy that don’t experience as much burnout truly live and breathe medicine and love it with all their heart. Surgery is often at the top of that list. Surgery is incredibly physically and mentally stressful. You have to be mentally fully aware at all times. One wrong cut can kill, paralyze, or permanently disfigure your patient and causing this because you are tired is near inexcusable. Becoming a surgeon is a marathon, and there is no way around it. I strongly recommend take some time to explore your reasons for wanting to become a surgeon, and if it isn’t because you love medicine and healing people with your hands, I highly recommend you either find another specialty or profession. If you are still very interested in healthcare, nursing might be a career for you. Sure it doesn’t always give the same pay and respect as a doctor, but it can still pay well if you specialize (I once shadowed a nurse anesthetist who made $160k a year before bonuses and overtime). But you get to interact with patients every day, and still be an important part of the healthcare team. Besides this, there are many allied health professions that give you hands on experience (Paramedic, EMT, PA), as well as becoming a veterinarian.Edit: I am disabling comments because some people apparently just love arguing. I respect nurses and am grateful for all they do, but in the operating room, as well as the clinical setting in general, although the nurse is skilled in direct patient care, it is the physician that is doing the cutting or developing the treatment plan. I appreciate all the support on this post, but am not going to waste anymore time debating one tiny little sentence in my post.

I remember years ago nurses always wore a hat with the heavy starched whites. Now they appear more human and comfortable in scrubs. What or why did the uniform of the day change for nurses?

There are actually quite a few converging reasons, but, at the end of the day, the eventual demise was due to men entering the workforce. God forbid they should have to wear a woman's cap, so they did not. Some uppity, feminist women 😂 took notice and started to refuse to wear it. Some wore theirs upside down. Several nurses were fired or suspended (RN Ann Twomey in NJ, for example). As a young girl in the 70s watching this in my family, and seeing American society in general break down barriers for women, the cap just started being seen as a relic from a time that no longer fit modern society. Nurses and society at large started questioning….if these damn caps, which were a royal pain in the *** (they had to be bleached and ironed and pressed regularly), if they were so **** important, then why did the men not have to wear them? In an age of bra burning and Gloria Steinem, it just honestly was perceived as what it was… Incredibly sexist and incredibly unnecessary. Caps originated both from sexism (women at the time of their advent were expected to cover their hair in public) and also to keep the cooties (okay, lice and bugs, gross) from falling into wounds and on patients. But suddenly caps were not only a sexist relic but actually a potential vector for infections. Women continued to push back against requirements to wear the cap, and eventually management of hospitals caved and actually banned them. So changing sexual mores and increasing focus on infection control played a major role. Another reason they died a speedy death involves the changing roles of nurses in health care. When you go into a hospital now, you see nurses taking on a tremendous amount of responsibility. This began about the same time caps fell out of favor. Suddenly nurses were going to the helipad to get patients, they were participating in codes, they were becoming active participants in health care along side physicians. Nurses' roles were previously parallel to society; do what you're told, be subsurvient, and listen to the man (physician). Don't talk back. Now doctors were relying on nurses to take on more care to free up their time to see more patients. Dresses and caps? Oh lordy, just another thing in the way while you're trying to work—-something to negatively impact your productivity. Neither the dress nor the cap served any purpose other than to distinguish the wearer as women, quite frankly, since the male nurses did not wear them. Progress killed those ugly ugly caps. Now, we nursing pins instead, but I can remember when family members were still getting caps at graduation in the 1990s.Nursing education pushed forward and became more extensive as health care in general became more sophisticated, and nurses took a leading role in the new health care model. Scrubs became the norm. Easier to clean, and easier to change if something catastrophic happened to you on the floor, in addition to being a way to equalize men and women on the floor. No special clothing required just for women.But…at the end of the day, I think the real nail in the coffin was the influx in the 70s of male nurses. It wasn't huge, or fast, but more men started entering the profession, from 2% approximately in 1960 to the now approximately 15%. So you can see, still an abysmal percentage, but it was indeed still a change. And as men and women enter each other's spaces, the need to distinguish men and women becomes more of a hindrance to getting work done than is worth the effort to be sexist.My uncle was one of those men who helped break down those barriers. A manly man, he first trained as a medic and would go up and down the Rockies rescuing skiers in avalanches and lost hikers. He eventually finished his training and started working, first with the Crow in Montana, and then later in his beloved Denver, in cardiac care. He loved the adrenaline rush of jumping out of helicopters to rescue people, or running codes on the floor, making life and death decisions in seconds. He was my hero. Men like him helped turn nursing from "women's work" to a profession equal to any other in health care. Now, it wasn't just the influx of men into the profession, but it certainly played a major role. Nursing and society progressed, and we just never saw a need to look back. And health care is better for it, as well as society at large.This is why it is so important to me for more men, and minorities, to go into nursing. The more we enter one another's traditional spaces, the better we become as professionals and as citizens, and the better we learn to work together despite our differences.

As a nurse, what has surprised you the most when a patient took off their clothes?

There are lots of questions about nakedness and private body parts and what health professions think about them hereNurses are professionals. We see lots of stuff and it simply does not matter. I do not assess, analyze or rank what I see. I do what I need to do, and am on to the next task. It is no different that a car mechanic looking at an engine .When my son was about 10 he decided to try to get a reaction by asking me increasingly specific questions about the birds and the bees. After about 10 minutes of answing his questions in detail, I looked at him and told him that I was not going to get embarrassed by anything and this was a waste of time.. I then asked him if he Any idea how many penises I had seen, adding that it was probably over 1000. He looked at me and said “does dad know?”

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