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Neurosurgeon FALLING OFF?????
#31
(02-04-2023, 07:26 AM)Focus Wrote: What's shocking is how rarely people report posts and how frequently complain about moderation. I delete a dozen porn site posts a day at least. People have repeatedly spoken against heavy moderation on neurosurgery forums. Otherwise we would all use SDN.

Seriously, who is posting porn site posts every damn day? It's unlikely to be a bot as there's a captcha process? Maybe switch to image based verification systems? Is it possible to ban IP addresses?
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#32
We delete the spam sites as soon as we can. There are only a couple of us who volunteer our time to moderate. Even so, as Focus indicated, the free speaking nature here is the goal. We can keep things civil and anonymous, the world tends to be more forthcoming and transparent that way.
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#33
I once new a urologist like this. MIT bio medical engineering, MD/PhD from like U Penn i think, and then residency from Stanford, and then does a fellowship in oncology from a top place, and now he practices at some unknown chain place, and all his colleagues are like from bottom barrel schools. Maybe they give up or something.

I would be embarrassed personally. I'm sure he makes money but I feel that he wasted all his education. I would expect such people to advance the field and have prestigious positions.
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#34
Trust me when I say, with the most gravitas an anonymous post can muster, I’d wager the guy in question (and those like him/her in our own field) loses no sleep over your opinions on his life choices. Go find joy in your career ambitions; live and let others live. Life goals change.
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#35
These must be posts from medical students, the moment you join a big academic institution you can immediately see how this happens. I guarantee this guy is happier and a much better surgeon than your favorite academic
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#36
Outside of Cushing and a few other GIANTS, who is going to be remembered in the field in 100 years? Maybe the MD/PhDs saw the deep lack of fulfillment they were getting by “advancing the field,” especially in a field that punishes being a catalyst for change and rewards moving the meat and publishing volumes of retrospective studies.
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#37
I remember back in high school I interviewed at Harvard College at my small town. I interviewed with a guy who graduated from Harvard College, when to Harvard Law school and then worked on Wall Street for a while, but then quit after getting burnt out. Now he works as a lawyer for some small law firm doing divorce work and misdemeanors.

I remember he spoke about his Harvard and Wall Street years with great fondness. It was clearly the absolute peak of his life and he talked in great detail about Harvard and how he enjoyed it a great deal. That was his peak and it was all downhill after.

Back in high school I also interviewed with a local doctor from Stanford and an engineer from MIT. They are all just average now, but they all glow up when speaking about studying at the big institutes. It is so obvious that they loved being a part of that elite circle and spoke is great detail. It was the highlight of their lives.

I guess you guys will put a positive spin on it, but even though I was in high school it was clear to me they just couldn't run the marathon. It seems like a fall from grace. Their lives are tragedies, in my opinion. Its very sad.
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#38
Must be a lot like interviewing at Harvard and then ending up at DO school.

You can have fond memories of a part of your past without wanting to change your present.
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#39
Entering neurosurgery residency is a lot like entering a professional sports league draft (i.e NBA draft). You have your number 1 picks like Lebron James and Kobe Bryants (in our field, the residents at UCSF, Barrow, etc.) who ultimately live up to the hype and become world renowned. However, you have other number 1 picks like Kwame Brown who don't live up to the hype.

Going to a great undergrad/med school doesn't always lead to success. Look at a guy like Robert Spetzler who was one of the best neurosurgeons of his era. Dude went to a random undergrad (Knox college) and an average med school at the time (Northwestern). Similarly, look at a guy like Geoffrey Manley. He was a high school dropout, went to a CC, and transferred to the University of Kentucky (https://www.kentucky.com/news/local/educ...91212.html). Now, he's one of the most academically productive neurosurgeons in the country.

For more recent examples, just look at the academic profiles of some of the UCSF residents. Some of them have publishing records that are just laughable for the number 1 program in the country (PGY-3 HMS graduate with 7 publications, with no papers in the past 1.5 years?).

In my own short career so far (currently a resident), I've been many individuals not live to the hype. This includes a valedictorian and other top ranked kids from high school who are just working typical jobs, undergrads who I thought were smart but failed to make it to med school, the list goes on and on. Overall, my point is that your pedigree doesn't always lead to success.
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#40
The ones who leave academia are the r smartest ones. They make 2-3 times as much money, and have easily twice as much free time for themselves and their family. It’s not even a question these days. Academics are a poorly compensated joke, and none of the papers published “push the field forward”. In fact that entire notion is simply an excuse the academics came up with to make themselves feel better about how they’re pushed around shmucks who get $hit on all day long for pennies on the dollar. Get out early, make literally millions of dollars in the community, give urself an amazing luxurious life, and leave ur kids an enormous inheritance. People who stay in academia accomplish none of these things. And at the end of ur life, on ur deathbed, that’s all that matters. An impoverished academics who was an absentee parent won’t have a kid or spouse who’s grateful for his large number of bull$hit papers published. A baller community neurosurgeons kids WILL rremember him fondly for being present in their lives, giving them a great life, and leaving them a lot of money.

^probably the most accurate assessment of academic neurosurgery I’ve read on this website
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