Thursday, June 19, 2008

What's another couple hundred....?

My advice to people trying to save money is to NEVER get into road cycling. It is an incredibly addictive sport which is ridiculously fun and expensive. The following photo was captioned as "The Best-Looking Lemond Ever Made." I have to agree.

One of the dangers of making a salary and not paying rent is that you think you can afford things you really can't. I found a pristine 2001 Lemond Tourmalet with Selle Italia seat, Reynolds steel tubing, and Shimano tiagra components going for $350. I really shouldn't purchase it, but man is that a good deal. Someone help me.

Wednesday, June 18, 2008

Misgivings

It is not uncommon to feel anxiety when undertaking a huge task that involves a lot of time, effort, and money. Medical school is one of those things. People say that if you have not seriously considered quitting or choosing a different career, then you are probably crazy.

I think there is something to that.

There was an article in the NYT today entitled "Eyes Bloodshot, Doctors Vent Their Discontent" about physicians growing more and more dissatisfied with their careers. In the past, autonomy and real patient care could sustain the brutal working hours demanded by the profession, but nowadays, decreasing insurance reimbursement, increasing legal liabilities, and general exhaustion are driving doctors toward different careers--or even worse, depression.

Stories like that worry me a lot. It isn't enough for admissions officers to make sure that their students have "outside interests" to relieve stress. Yes, everyone needs a hobby. No, people do not need to be run into the ground. Do you want your doctor running on 3 hours of sleep to be making critical decisions about your health? Not reading your complete chart because it takes too much time and they only get paid based on volume?

I can see the rationale in overworking doctors. It's what the system has become. We're long past the days when you visited one primary care physician throughout your life. Now we have an arsenal of specialists with their newfangled instruments designed to milk insurance companies for all they're worth. After all, an MRI scan is more easily justifiable than "talking to patient about weight-loss strategies." It's always boggled me that lawyers can be paid to talk--even pick up the phone--while doctors don't. Both dispense advice, so why the discrepancy?

But of course, there is little sympathy to be had. Doctors, after all, make an amazing salary. Is it all that amazing though, to go through nearly 11 years of training (including undergrad classes and MCATs) and brutal residency to make some money to pay off $200,000-300,000 worth of loans? Most corporation CEOs do less than that and make a heck of a lot more. I consider the compensation just dues for such a difficult task. Maybe I'm expecting too much.

Or maybe I shouldn't do this at all. I like being able to take a ride along the Potomac River after work, meet up with friends, relax, have fun. I wonder if giving all of that up makes me crazy. When once I joked around about being a masochist, now I wonder if I really am.

Thursday, June 5, 2008

Cycling Bliss

One of the great things about working is that I finally have time to take up the hobbies/interests/fetishes that I've always wanted to do as a student. For example, I wanted to go sculling, scuba diving, kite surfing, and real rock climbing in college. What I actually did was splash around in the tub, watch people fly kites, and climb knobby walls. Maybe I was just lazy, but actually, it was probably because I had no money.

So, now that I'm earning income and don't pay any rent, I can spend, SPEND SPEND!!! To prove my point, I just bought a new bike (see previous post).

However, this is not just ANY bike. It's a cool one. I can remember my early days on a bike. I was small, slow, and it wasn't a lot of fun. I think I rode it twice and for the rest of its dumpy life it sat outside, rusting. Suffice it to say, I didn't have much of an interest in bikes after that, but my Fuji is FAST (like all unbelievably awesome things in life; e.g., race cars, jet planes, a terrible date...).

It's awesomeness isn't only that it's light and quick, but it also gets me to school! In fact, there is a trail that takes me right to med school. I tested it today and it takes about 30 min, the parking is free, I don't have to pay for the metro, I'm not polluting the environment, AND I get exercise (goodness knows I'm not going to get any otherwise)! The bicycle is an amazing machine. Simple, perhaps, but some of the best things in life are...simple.

(On a related note, I almost got run over by a car when I lightly bumped some lady's bag and swerved into the road on my way home. The perils of green transportation! Never again will I touch a Gucci bag. Those things are killer. Literally).