Even though it's been months since I switched from neurosurgery to internal medicine, I still have a hard time not being angry about the training culture and particularly the sexism of neurosurgery. It wasn't the whole reason I switched, but truthfully it was a significant part of my decision.
I quickly got worn out by constantly being questioned over my family plans. Within minutes of meeting me, attendings and residents felt comfortable lecturing me on the difficulties of having children as a neurosurgeon. One attending even suggested I should ask my co-residents' permission before getting pregnant so as not to inconvenience them. I do not have children and have never indicated if I plan to have any. Truthfully, I do want children, but I would absolutely have foregone that to be a neurosurgeon. I wanted to be a neurosurgeon more than anything. But I was never asked: it was simply assumed that I would want to be a mother first. Purely because I'm a woman, my ambitions were constantly undermined, assumed to be lesser than those of my male peers. Women must want families, therefore women must be less committed. It was inconceivable that I might put my career first. It was impossible to disprove this assumption: what could I have done to demonstrate my commitment more than what I had already done by leading the interest group, taking a research year, doing a sub-I? My interest in neurosurgery would never be viewed the same way my male peers' was, no matter what I did. I would never be viewed as a neurosurgeon in the same way my male peers would be, because I, first and foremost, would be a mother. It turns out women don't even need to have children to be a mother: it is what you essentially are. You can't be allowed to pursue things that might interfere with your potential motherhood.
Furthermore, you are not trusted to know your own ambitions or what might interfere with your motherhood. I am an adult woman who has gone to medical school: I am well aware of what is required in reproduction, pregnancy, and residency, as much as one can be without experiencing it firsthand. And yet, it was always assumed that I had somehow shown up to a neurosurgery sub-I totally ignorant of the demands of the career and of pregnancy. I needed to be enlightened: always by men, often by childless men. Apparently, it was implausible that I could evaluate the situation on my own and come to a decision. I also couldn't be trusted to know what I wanted: if I said I wanted to be a neurosurgeon more than a mother, I was immediately reassured I could still have a family (an interesting flip from the dire warnings issued not five minutes earlier in the conversation). People could not understand my point, which was that I didn't care. I couldn't mean that, because women are fundamentally mothers. I needed to be guided back to my true role.
Because everyone was so confident in their sexist assumptions that I was less committed, I was not offered the same training, guidance, or opportunities as the men. I didn't have projects thrown my way, I didn't get check-ins or advice on my application process, I didn't get opportunities in the OR that my male peers got, I didn't get taught. I once went two whole days on my sub-I without anyone saying a word to me. I would come to work, avoid the senior resident I was warned hated trainees, figure out which OR to go to on my own, scrub in, watch a surgery in complete silence without even the opportunity to cut a knot, then move to the next surgery. How could I possibly become a surgeon in that environment? And this is all to say nothing of the rape jokes, the advice that the best way for a woman to match is to be as hot as possible, listening to my attending advise the male med students on how to get laid, etc.
At a certain point, it became clear it would be incredibly difficult for me to become a neurosurgeon. I wouldn't get research or leadership opportunities, I wouldn't get teaching or feedback, I wouldn't get mentorship, and I wouldn't get respect. I would have to fight tooth and nail for every single piece of my training, and the prospect was just exhausting. Especially when I also really enjoyed internal medicine, where absolutely none of this was happening and I even had attendings telling me I would be good at it (something that didn't happen in neurosurgery until I quit).
I've been told I should get over this, but I don't know how to. I don't know how to stop being mad about how thoroughly sidelined I was for being female. I don't know how to stop being bitter that my intelligence, commitment, and work ethic meant so much less because I'm a woman. I know I made the right decision to switch to internal medicine, and it probably would have been the right decision even if there weren't all these issues with the culture of neurosurgery, but I'm still so angry about how it happened.
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surgery anxieties aside, one thing i am looking forward to - aside from, y'know, not having tits - is the mandatory three weeks of recovery time. i can just see myself lying in bed with my little bullet journal in my lap like "well, i did exactly what i was supposed to do today, which was nothing. better get some sleep in preparation for another long day of doing nothing. i am a model patient."
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shadow being a victim of medical experimentation and malpractice having to deal with constant modifications and changes in his body. trial and error. invasive procedures. auuughh head in hands. let him heal.
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Camilla said, She turned you down. [...]
I said to Camilla, Yes; and it was the best and kindest, most honourable thing Marta could have done for me. She didn't have to tell me in so many words what we both knew, that the relationship between cavalier and necromancer could so easily curdle into codependency ... a loss of self on both sides. An obsessive fusion of halves, not two complementary forces. [...]
Camilla said, Captain Deuteros, why are you telling me this?
I said, I wanted to let you know how lucky I was. She and I could have made that mistake together. It was such a near miss. I wouldn't hold it against anyone else, except that I would want them to know that such a thing is never determined, never inevitable, like all the things I told myself that night. If it had happened it would have been wrong and it would have hurt both of us.
Camilla said, I can't comment.
— As Yet Unsent
"I am not saying this was our inevitable end ... I am saying we have found the best and truest and kindest thing we can do in this moment. Tell me no, and we'll go on as we have been ... and we'll go on unafraid ... but say yes, and we will make this end, and this beginning, together."
Camilla shivered all over. Then she was at rest; she relaxed her head—the lines of her neck drooped like a flower—she raised it again.
"Palamedes, yes," she said. "My whole life, yes. Yes, forever, yes. Life is too short and love is too long."
He demanded: "Tell me how to do it, and I'll do it."
Camilla said, "Go loud."
— Nona the Ninth
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Anyway I just think if the mercs got their hands on wii sports, scout would have inadvertently put a wii-mote through the tv playing baseball, sniper wouldve gotten scarily obsessed w beating every single tennis npc, engie would be teaching soldier how to golf and demo - red blooded Scotsman he is - would eventually have to step in and show them both up bc it would be causing him actual physical pain to sit off to the side and watch the absolute shambles.
Heavy's the one trying to get everyone to wear the wrist strap. Pyro's waiting for everyone to be done so they can just casually beat everyone's personal bests. Medic is doing that bowling challenge w the 100 pins but he's spending the entire time trying to do that cheat-y thing where u ride the guard rail to the end to make it explode.
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covid has really made me realize that most people don't have very good risk assessment or sense of scope, especially when it comes to statistics. part of it is definitely a knee-jerk aggressive response to the word even being said, but a lot of the arguments i hear seem predicated on some kind of belief that Low Percentage equals safe, because that's how people talk about things generally.
putting aside for one moment that the percentages are most likely a lot higher than they think, and that the risk of long-term complications after catching the virus is cumulative--i think people have sort of lost sight of how unprecedented covid actually is, because it's so easy to go back to normal life. covid is the first pandemic in the age of super fast and easy plane travel. covid is the first pandemic in the age of humanity's numbers being over 8 billion.
no one is claiming that your risk of catching covid after going out unmasked just once is high (with the exception of peak season during the holidays). in periods where transmission is low, that risk could in fact be negligible. but you aren't rolling that dice once. you're rolling it several times a day, every day. have you ever played a gacha game where the odds of pulling a SSR were 0.5%? did you ever pull one, or did you know anyone who did? how surprised would you be if you were able to pull one after pulling for 10 hours a day nonstop every day? would you really be particularly surprised?
despite all this, you may not catch covid more than once a year, or maybe even every two years. if you're looking at a time-frame of 5 years, that's pretty good, isn't it? the odds of developing severe, permanent complications from one or two covid infections isn't That high. except... why would we look at time-frames of 5 years? we're in the fifth year of the pandemic and this virus has evolved fast, so the research is obviously laser-focused on year to year changes and working with the timeline that it's got. but i don't know about you guys, i anticipate living about 60 more years. do you think, knowing what we know about cumulative damage, that catching covid 60 times will be completely fine for our bodies? hell, what do you think catching influenza 60 times would do? post-viral syndromes have existed long before covid.
vaccines will never be able to catch up to the rate of the virus' mutations if they keep being tailored to specific variants, and it complicates things for developing effective treatments too. this is because this is a virus that circulates every day among essentially 8 billion people. statistically, it's inevitable that a random mutation somewhere will be successful and then begin to circulate. the fact is that 0.5% (a completely arbitrary number) of the global population is a massive number of people. it's 40 million people, more than the population of many countries. but it can be that amount again and again, because there's nothing preventing continuous reinfection.
no other statistics deals with this kind of situation. you can't use that ordinary benchmark or logic to think about covid. because this is in fact an unprecedented situation. and when new situations arise, people have to adapt and change their behaviour. but that's something that humans really hate doing, unfortunately
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