“I’m a Neurosurgeon and I Quit” | Spine Surgeon Reacts

Summary

Dr. Antonio Webb, a board-certified orthopedic spine surgeon, reacts to a video by a neurosurgeon who quit his job after 20 years. The discussion highlights issues in the healthcare system, including burnout, administrative burdens, and the disillusionment many doctors face after extensive training. The video underscores the importance of addressing underlying health issues, the role of diet and lifestyle, and the financial realities of practicing medicine. Dr. Webb emphasizes the need for doctors to prioritize their well-being and make informed career decisions.

Takeaways

• 😔 The script discusses the dissatisfaction in the medical field, where the focus seems to be more on generating revenue than on healing patients.
• 👨‍⚕️ Dr. Antonio Webb, an Orthopedic spine surgeon, reacts to a video by a neurosurgeon who quit his job, highlighting common reasons for physicians leaving the field, such as burnout and administrative burdens.
• 🏥 The healthcare system is portrayed as an evolving and challenging environment where the reality of practicing medicine often differs from initial expectations.
• 🎓 The high level of training required to become a neurosurgeon, often over a decade, is emphasized, yet many are leaving the profession despite this significant investment.
• 🤔 The script raises questions about the decision-making process behind leaving a high-stakes career and the difficulty of explaining such a choice to others.
• 🏠 The analogy of fixing a house by addressing only the symptoms, not the root cause, is used to illustrate the limitations of surgeries in treating underlying health issues.
• 🍽️ Diet and lifestyle are highlighted as critical factors in health outcomes, with plant-based diets and anti-inflammatory foods being suggested as beneficial.
• 💰 The business aspect of medicine is critiqued, with the focus on profit over patient care, leading to dissatisfaction among healthcare professionals.
• 🤝 The importance of social support, stress management, and a healthy lifestyle is underscored as key to both personal well-being and effective patient care.
• 💔 The emotional toll of practicing medicine is acknowledged, including the struggle with helping patients and the reality that not everyone can be helped.
• 🌱 The video concludes with a call for self-reflection and the pursuit of personal happiness and fulfillment, suggesting that finding one's passion is essential for a meaningful life.

Q & A

Why did the neurosurgeon in the video decide to quit his job?

The neurosurgeon quit his job due to dissatisfaction with the healthcare system, burnout, stress, and the realization that his work was not fulfilling as he had hoped. He felt that the focus of medicine was more on making money through surgeries and pills rather than truly healing patients.

What are some common reasons that physicians are leaving the medical profession?

Physicians are leaving the medical profession due to overwork, burnout, stress, administrative burdens, declining reimbursements, and a general dissatisfaction with the current state of the healthcare system.

What did Dr. Antonio Webb find interesting about the neurosurgeon's residency training?

Dr. Antonio Webb found it interesting that the neurosurgeon only learned spine surgery in his last year of residency, as most neurosurgeons and orthopedic surgeons typically receive spine surgery training earlier in their residency.

What challenges did the neurosurgeon face after completing his training and starting his practice?

The neurosurgeon faced challenges such as realizing that the practice of medicine was not as fulfilling as he had anticipated. Despite having good pay, respected colleagues, and support, he was deeply unhappy because the surgeries he performed often didn't fix the underlying issues for many patients.

Why does Dr. Antonio Webb agree that surgery does not always solve the underlying health issues?

Dr. Antonio Webb agrees that surgery does not always solve underlying health issues because surgery addresses specific symptoms or conditions but does not fix the root causes such as poor diet, obesity, or other lifestyle factors. If these underlying issues are not corrected, patients may continue to experience problems even after surgery.

What is the analogy used by the neurosurgeon to describe the limitations of surgery?

The neurosurgeon used the analogy of repairing a house with moldy insulation. Performing surgery is like tearing down the drywall, removing the moldy insulation, and rebuilding the wall, but not fixing the leak in the roof. This means that the underlying problem, such as unhealthy lifestyle choices, remains unaddressed.

What lifestyle factors did the neurosurgeon identify as contributing to better health outcomes?

The neurosurgeon identified lifestyle factors such as a plant-based diet, regular exercise, adequate sleep, stress management, and strong social support as contributing to better health outcomes. He noted that people who followed these practices tended to recover better and have fewer health problems.

How does Dr. Antonio Webb view the relationship between medicine and business?

Dr. Antonio Webb views medicine as being heavily influenced by business interests. He acknowledges that while healthcare professionals enter the field to help people, hospitals and insurance companies are primarily focused on making money, which can lead to decisions that are not always in the best interest of patients.

What financial advice does Dr. Antonio Webb offer to medical students and professionals?

Dr. Antonio Webb advises medical students and professionals to be financially savvy and make smart financial decisions. He emphasizes the importance of being in a position where they can walk away from their job if they are unhappy, without worrying about their financial stability.

What is Dr. Antonio Webb's overall takeaway from the neurosurgeon's story?

Dr. Antonio Webb's overall takeaway is that it's important for medical professionals to prioritize their well-being, recognize when they are unhappy or burnt out, and make decisions that are best for their mental and physical health. He stresses the importance of having a support system and being able to find peace and fulfillment in life, whether in medicine or another field.

Outlines

00:00

🤔 Disillusionment in Medicine: A Neurosurgeon's Perspective

Dr. Antonio Webb, an Orthopedic Spine Surgeon, reacts to a video by a neurosurgeon who quit his job after 10 years. The video discusses the disillusionment with the healthcare system, focusing on the financial motives behind surgeries and pills rather than healing. The neurosurgeon, Gooby, highlights the administrative burden, declining reimbursements, and the emotional toll of being unable to help every patient despite extensive training. Dr. Webb finds common themes among physicians leaving the field due to overwork and burnout.

05:04

🔍 The Reality of Surgical Practice and Patient Care

The summary delves into the reality of surgical practice, where not all patients are surgical candidates due to various health complications. It discusses the surgeon's struggle with the limitations of their ability to help and the emotional impact of informing patients that surgery won't help them. The paragraph also addresses the effectiveness of surgery in treating specific conditions like arthritis and herniated discs, while acknowledging that surgery alone can't address underlying health issues such as obesity and diabetes.

10:05

🌱 Lifestyle Factors in Healing and Prevention

This section highlights the importance of diet and lifestyle in healing and preventing health issues. It contrasts the success of patients who follow a plant-based diet and engage in regular physical activity with the challenges faced by those who don't. The summary emphasizes the interconnectedness of diet, exercise, and stress management in overall health and the prevention of conditions that may require surgery.

15:07

💼 The Business of Medicine and Its Financial Strains

The summary discusses the business side of medicine, where the focus on profit can overshadow patient care. It talks about the pressure on doctors to see more patients and generate revenue, the delayed payments from insurance companies, and the financial insecurity this creates for medical professionals. The paragraph also shares personal insights from Dr. Webb on the importance of financial planning to ensure the freedom to leave a job if it becomes unbearable.

🌟 Finding Peace and the Importance of Self-Care in Medicine

The final summary reflects on the importance of self-care and finding one's passion in life. It emphasizes the need for medical professionals to address their own well-being and happiness to be effective in their careers. The paragraph discusses the high rates of burnout and suicide among physicians and the importance of having an outlet and support system. It concludes with a message of hope and the possibility of finding a fulfilling path outside of traditional medicine.

Keywords

💡Burnout

Burnout refers to the state of physical, emotional, and mental exhaustion caused by prolonged stress and overwork. In the video, both the neurosurgeon and Dr. Webb discuss how burnout has become a significant issue among physicians, leading many to quit their jobs despite years of training. The theme of burnout is central to understanding the challenges faced by medical professionals in today's healthcare system.

💡Healthcare System

The healthcare system encompasses the organized network of institutions, people, and resources that deliver health care services to meet the health needs of a population. The video critiques the U.S. healthcare system, highlighting how its focus on profit, rather than patient care, has led to widespread dissatisfaction among doctors. This is evident in the discussion about how medicine has become more about making money from surgeries and pills rather than healing.

💡Surgery

Surgery is a medical procedure involving the cutting of a body to treat a disease or injury. The video explores the role of surgery in modern medicine, emphasizing that while surgery can be effective, it does not always address the underlying issues, such as lifestyle-related conditions. The neurosurgeon's disillusionment with the overemphasis on surgical interventions reflects a broader concern about the focus on quick fixes rather than holistic healing.

💡Administrative Burden

Administrative burden refers to the overwhelming amount of paperwork, bureaucracy, and non-clinical tasks that healthcare professionals must handle. The video discusses how this burden contributes to physician burnout and dissatisfaction, as doctors find themselves spending more time on administrative tasks than on patient care. This burden is a significant factor driving many physicians out of the profession.

💡Patient Selection

Patient selection is the process of determining which patients are suitable candidates for a particular treatment or surgery. In the video, Dr. Webb emphasizes the importance of careful patient selection to ensure successful surgical outcomes. The concept is critical because poorly selected patients, such as those with severe comorbidities, are more likely to experience complications, which can lead to poor outcomes and further strain on the healthcare system.

💡Lifestyle Changes

Lifestyle changes refer to modifications in a person’s daily habits, such as diet, exercise, and stress management, which can significantly impact their health. The video highlights how patients who adopt healthier lifestyles, including plant-based diets and regular exercise, often experience better outcomes than those who rely solely on medical interventions. This underscores the idea that true healing often requires addressing the root causes of health issues.

💡Insurance Companies

Insurance companies are organizations that provide coverage for medical expenses in exchange for premiums. The video criticizes insurance companies for their profit-driven practices, such as delaying or denying payments to surgeons and imposing strict requirements on patients before approving treatments. This critique is part of the broader discussion on how the business aspects of healthcare can conflict with the goal of patient-centered care.

💡Financial Savvy

Financial savvy refers to the ability to make informed and effective decisions regarding financial resources. Dr. Webb talks about the importance of being financially savvy for physicians, emphasizing the need to plan for financial independence to avoid being trapped in an unhappy or unsustainable career. This concept is highlighted as a strategy for maintaining well-being and preventing burnout in a demanding profession.

💡Stress Management

Stress management involves techniques and strategies to cope with and reduce stress. In the video, both doctors discuss the importance of managing stress to avoid burnout and maintain a healthy balance between personal and professional life. The discussion includes examples of how stress, if not managed properly, can exacerbate health issues and lead to poor patient outcomes.

💡Altruism in Medicine

Altruism in medicine refers to the selfless concern for the well-being of patients, often motivating individuals to pursue a career in healthcare. The video touches on the disillusionment that occurs when physicians, driven by altruism, confront the realities of a profit-driven healthcare system. This concept is central to the neurosurgeon's narrative, as he reflects on his initial desire to relieve suffering and his eventual realization that the system's focus on profit often conflicts with this goal.

Highlights

Dr. Antonio Webb, an Orthopedic spine surgeon, reacts to a video by a neurosurgeon who quit his job due to dissatisfaction with the healthcare system.

The neurosurgeon, Gooby, expresses frustration with the focus on profit over healing in medicine.

Gooby highlights the administrative burden and declining reimbursements as reasons for physicians leaving the field.

Dr. Webb discusses the reality of not being able to help every patient despite extensive training.

The importance of patient selection for surgical outcomes is emphasized by both doctors.

Dr. Webb disagrees with Gooby's view on the effectiveness of surgeries for certain conditions.

The analogy of fixing a house by addressing only symptoms, not the root cause, is used to describe ineffective surgeries.

Lifestyle factors such as diet and exercise are noted as crucial for patient recovery beyond surgery.

Dr. Webb agrees that diet plays a significant role in inflammatory states and overall health.

The business aspect of medicine is criticized for prioritizing profit over patient care.

Insurance companies are called out for delaying payments to surgeons while expecting timely premium payments from patients.

Dr. Webb shares personal experiences of financial stress due to delayed insurance payments.

The video serves as a call for help for physicians struggling with job dissatisfaction and burnout.

Dr. Webb emphasizes the importance of financial planning for physicians to have the freedom to leave if unhappy.

The video concludes with a message of hope and the importance of finding one's passion in life.

A reminder for physicians to seek help and maintain a support system when facing professional challenges.

The video encourages physicians to consider the impact of their lifestyle choices on their patients' health outcomes.

Transcripts

really felt like the focus of medicine

wasn't in the right place it wasn't in

healing it was in making money from

surgeries and pills what's up guys Dr

Antonio Webb I'm at board certified

Orthopedic spine surgeon in San Antonio

Texas and in this video we're going to

be reacting to a video that was put out

uh by a neurosurgeon who recently became

unemployed he quit his job I'm going

give my thoughts about uh some of the

things that he stated during the video

about his reasons for quitting uh a lot

of the issues with our Health Care

system and just My overall thoughts as a

spine surgeon react into this video so

we're going to jump right into it hi I'm

Gooby so I used to be a neurosurgeon

went to college at MIT and did uh four

years of medical school and 6 years of

neurosurgery training and and I I I was

a neurosurgeon for almost 10 years after

all of that so that's 20 years of my

life and I quit and nobody understood

why quit there's been a lot of doctors

that have recently quit you know since

the co outbreak there's been a lot of

Physicians who have left practice and

for a variety of different reasons being

overworked being burnt out the stress

all the administrative burden of being

in the health care field declining

reimbursements so I'm seeing this over

and over and over again becoming a

really common theme between Physicians

that are exiting medicine the despite

undergoing 10 plus years of training it

it blows my mind but it's it's happening

people would ask but a decision that

involves 20 years of your life you can't

really answer in a couple minutes and

why someone's doing something that most

people would never do and they don't

really understand why I would do that so

that's why I'm making this video uh

first to help sort my own thoughts out

about the whole thing cuz there's a lot

of actors but also to maybe help

somebody else who's in U in a tough spot

and there are a lot of people that are

in tough spots and they just don't know

what to do some people are contemplating

whether to leave medicine whether to go

into another field I know a surgeon who

recently cross trained into Radiology so

instead of being a spine surgeon after

going through all that training he's

going to be a radiologist and he

recently went back to residency to do

that so a lot of different things that

are going on and I'm seeing this over

and over again so in my last year of

residency I um I learned how to do spine

surgery because that's what most

neurosurgeons do it's the most common

thing is what a regular neurosurgery job

is it's really interesting he said that

his last year residency he learned how

to do spine surgery most neurosurgeons

they get spine surgery training kind of

early on throughout the residency

starting their first year and second

year and third year uh um I found that

really interesting even us as orthopedic

surgeons we start spine surgery training

our second year of residency got my

first job and yeah I knew that something

was not right right away a lot of people

go into the workforce you finish all

this training residency Fellowship

medical school and you get out into the

practice you you start practicing

medicine and you realize it's not all as

uh you thought it would be there are a

lot of different things that have

changed maybe um the healthc care field

is constantly in evolving field and

there are a lot of different things that

can change so when you start your

training 10 years later could be a whole

totally different uh Workforce you know

I had good partners I had good hospitals

that I worked at uh but something was

not right I was very unhappy I I and on

the surface it didn't make sense I was

getting paid very well it was a very

well-respected

job I had good colleagues had good

support but I was the most

unhappy um that I've ever been wow I

found that also pretty interesting that

um you know you have these Ambitions and

these desires to become like a

neurosurgeon really prestigious and

respectable field and then you work your

butt off getting to this point and you

like hey I'm finally here I'm going to

be a neurosurgeon this is a the greatest

job ever people would die for this job

and then you're unhappy it's it is very

common a lot of people kind of report

that because it they don't know what

they're getting into until they get into

it going back to medical school when

when I took that oath and I had that um

older Professor say that your job is to

relieve suffering you know that's what I

understood of what it means to be a good

doctor all the latest techniques you

know I learned and I learned how to do

well and I I did them and I I helped I

helped a lot of people

out but there were way more people that

I couldn't help I've seen that in my own

practice I see a lot of patients my

clinic and some days seeing 30 to 50

patients in office and vast majority of

those patients don't need surgery or a

good percentage of those patients are

not surgical candidates uh they either

have too many medical Cor I ities on

blood thinners smokers overweight

uncontrolled diabetes which would make

for surgery to be very complicated and

have complications I didn't realize this

until I got into practice is that I

can't help everyone you I mean you come

out with this altruistic mentality that

you want to help people and get people

better you have all this training you

went to school for 10 to 12 years and

then you get out you realize I just

can't help everyone now I remember

specifically when I realized that into

practice and I started just telling

myself that I can only do so much there

are only so many patients that I can

help and some patients I just can't help

so what I was doing was I was doing the

surgeries that I learned how to do I was

trying to help people but these

surgeries they weren't fixing the

problem they would help some people feel

better some people would feel the same

some people would be worse a lot of

people I saw in Clinic I had to tell

them that oh surgery is not going to

help you and of course they would be

devastated because I was sort of their

last hope I kind of disagree with that I

I do I do think surgery does address

those things those things happen the

arthritis the bulging disc the

herniations the slippage of the

vertebrae that's called a spond athesis

those things do happen that those are

age related and wear and tear features

of the spine everybody gets them as we

get older

uh surgery does address that we there's

great surgeries minimally invasive

options there's some open procedures

that we can do to address that uh but he

is correct that it doesn't address the

underlying issue if a patient is

overweight let's say their BMI is 50

they're 290 lbs they're uncontrolled

diabetic uh they have a lot of medical

problems well maybe it's uh patient

selection maybe that patient wasn't a

great

surgical indication or surgical

candidate at first and didn't need

surgery or should not have undergone

surgery those are the patients that get

poor outcomes but if a surgery is well

indicated it's selected appropriately

patient has commiserates or appropriate

pathology that correlates with their

Imaging studies then I think those

patients do really well with

surgery I could do a perfect surgery and

some people would get better some people

would stay the same some people would

get worse you even though I did the

exact same perfect surgery I agree

that's what I tell my patients surgery

it can make you better for most patients

if you select the right patient and have

the right pathology the right disease

that we're trying to treat it can help

them make get better there are some

patients that it can make your pain

worse and that's a risk of surgery and

that's something that I counsel every

patient patient on before we undergo

surgery and there are some patients that

don't get better with surgery and that's

out of my hands I realized that early on

in practice that I can't help everyone

if a patient has severe stenosis or

tightening of their spinal cord or if

their spinal cord has been squeezed and

tight for 12 years and they come to my

office for surgery well that patient

probably was a good surgical candidate

10 years ago or 11 years ago but we're

already behind the eightball we're 10

years behind this patient has severe

nerve compression for the last 10 years

whatever I do as a spine surgeon may or

may not make that patient better and

that's the complex part that a lot of

people don't talk about is that if you

delay certain things and if you wait

sometimes your symptoms can be

irreversible whatever we do as spine

surgeons may or may not make it better

at that point the surgeries that I could

do were like going into that house

tearing down that drywall ripping out

the moldy insulation putting in brand

new insulation and rebuilding the wall

but not fixing the leak in the roof he's

absolutely right his analogy comparing

the house to a patient that is 300 lb uh

uncontrolled diabetes has had three

surgeries you can do a really minimally

invasive surgery or surgery to address a

specific symptom but if you don't

correct the underlying issue which which

is that patients weight their uh

comorbidity their conditions that they

have if they don't address that they're

going to be right back at surgery and

that's why they call it back surgery

patients just keep coming back and those

are the patients that keep coming back

people that got better were having a

mostly plant-based diet they weren't

eating too much animal foods and they

were definitely not eating salty and

they would do things that would make

them sweat like exercise being outside

hiking like this going to a sauna or

they live in a warm place they didn't

smoke they didn't drink much uh they

usually had a good social support love

ones family members children friends

they would sleep like 8 hours every day

and they weren't stressed out or they if

they had a stressful job or something

they they they found a way to like be

mindful or meditate or like just be

present and um release the stress back

into the Universe I agree your diet is

uh one of the most important things what

you put in your mouth um you know is

extremely important your body is a

temple I mean America is notorious for

having fast foods at restaurants on

every single corner and it's killing us

there are a lot of patients that come in

with uncontrolled hypertension high

blood pressure uncontrolled diabetes

heart disease kidney disease issues with

their back and with their other their

joints and it's all because of what

we're eating it's an inflammatory State

arthritis is an inflammatory State

that's in your hips your knees your

spine so what we eat is extremely

important I think there's a lot of Truth

in what he said about plant-based diets

and anti-inflammatory foods because this

can make situations worse it can make

your back worse make your joints worse

make your AOS sclerosis which is

heartening of your arteries which can

lead to blood pressure and heart issues

it's all interconnected your diet

extremely important really felt like the

focus of medicine wasn't in the right

place it wasn't in healing it was in in

making money from surgeries and pills

and images whatever you can make money

from no matter what you heard no matter

if people deny it all the time medicine

is a business people are in medicine to

make money yes they're in it to help

people and they have this giving or

helping mentality but hospitals

administrators they're in it to make

money it's a business so if you're not

making money if you're not busy if

you're not seeing multiple loads of

patients per day as an employed doctor

you will get cancelled they'll call you

into the office and say hey Dr Jones you

only saw 20 patients today you need to

see 30 patients now well hey um

administrator um you know I'm I don't

have enough time to see this many

patients I only have 15 minutes to see

patients we see them in 10 minutes

that's what hospitals are they're about

they're about making money they're about

profit they're not really in the best

interest of the patient

they're in it to make money and same

thing with insurance companies they're

in it to make money you can pay all of

this money for your insurance premiums

and for your deductibles and when you

need to use your insurance you can't

because the insurance is denying your

surgery because you didn't go to

physical therapy for six weeks you went

for five weeks they think of every

excuse that they can to deny your

surgery even though that you paid um for

years for the medical insurance and

they'll deny it and any reason that they

can the other thing is with a

surgeon after the surgery is completed

the insurance company is the last to pay

the surgeon so I did a surgery in a

gentleman a year ago I still haven't

been paid there are some surgeries that

I did six months ago and the insurance

company still hasn't paid me but if I

don't pay my insurance premium they'll

cut my insurance I can't use the

insurance if I go to the hospital hey

I'm only 30 days late for my my

insurance and I can't use it but on the

flip side if the surgeon doesn't get

paid for nine months out of surgery what

do I do nothing I just wait sucks my my

wife you know I was I said earlier that

she said I see what you're going through

I've I've lived with you through it you

should just quit and I I I said what H

how can I quit you know you're not

you're not working yet she was going to

school for a second career and she said

well we'll be okay we we saved up some

money it's not enough to retire but

something to live off of for a few years

one thing I took away from this video is

that um a lot of Physicians even though

he's been a neurosurgeon for about 10

years he he noted that he wasn't set

financially to retire just yet um that's

one of the things I really motivated me

to just be financially Savvy and also

smart with my income because I don't

never want to be put in a position where

I have to think about whether I can

retire or not and two years from now or

three years four years 5 years um if I

wanted to quit working and not work at

all I want to be in a position where I

can just walk away if I'm this unhappy

gain 40 PBS not happy with my job my

position uh things are not going well I

want to be able to walk away and that

that's one of my goals and that's what I

recommend for students residents

attendings out there is to make smart

financial decisions that will allow you

to have that freedom um and that's what

I took away from this video I hope that

you have a wonderful day if you're

listening to this and uh you know trust

your heart trust your heart lean on the

people that love you and do what you

need to do whatever that is wow so I I I

think this video there's a lot to unpack

here um you know my overall thought of

this video is that he found peace he

found his way out and know a lot of

people suffer and they go through years

and years of turmoil turmoil and um just

depressed and burnt out and they give up

they commit suicide a lot of people

don't talk about the suicide rates um

they say that within a every day there's

a physician that commit suicide you just

don't hear about it because of stuff

like this um so what I take away from

this video is that uh if you're unhappy

if you're having some issues if if

you're just burnt out if you're stressed

out you have to talk to someone you also

have to make sure that medicine is what

you want to do but it's hard because you

don't know what medicine is going to be

like until you're actually in the field

you're in practice and you're there and

you're working and I've learned a lot

about medicine that I had no idea like

the insurance issues like the politics

with medicine the administrative burden

all the things behind the scenes that we

have to do as surgeons that I didn't

realize until I was in practice so I

think a lot of what he said was actually

true about the issues about not

correcting the underlying issues with

our weight with our diet our lifestyle

you know how inactive a lot of people

are if you don't correct those things

you can do a surgery and it not help a

patient or cause more issues or the

patient's unhappy which leads to another

surgery so the main things that I take

away from this video are make sure that

you're active that you watch your blood

pressure your heart rate your diabetes

your cholesterol you're eating healthy

you're you're walking you're minimizing

stress all those things can exacerbate

the other one stress can elevate your

blood pressure it can make your diabetes

elevate it and your cortisol is released

it's so stress hormone that can raise

your glucose so all of those things have

to be optimized I think if you're

unhappy you have to just come to a uh

sit down with yourself and you know your

support system and just make sure that

you make the best decision for you

because you can't help others and

patience if you can't help yourself and

this is what I took away from this video

I think it was a cry for help from this

neurosurgeon here uh he's found peace

he's happy he's doing things that he

enjoys doing you know um and that's what

life is all about just finding what your

passion is and doing that that's what I

took away thank you guys for watching

this reaction there's a lot of people

out there that are suffering may not

have an outlet and you gave them hope

you just told them that there was a

possibility and a lot of people get

really nervous about making a decision

like this after going through so much

training and there's been multiple times

along my journey and my in my practice

that I was like man this is not it I

don't want to do this anymore this is

crazy I'm working all these hours I

haven't seen my kids in a few days it's

stressful this patient is trying to sue

me this patient had a bad outcome but I

think overall you have to have an outlet

to medicine make sure that you have a

way to relieve stress stay active eat

healthy and just enjoy it if this is

something that you really want to do

medicine's a very rewarding career

it's not for everyone but it can be very

rewarding and lifechanging for patients

thank you for watching we'll see you

next time

[Music]