{"id":8401,"date":"2017-06-18T17:04:44","date_gmt":"2017-06-18T21:04:44","guid":{"rendered":"http:\/\/blogs.nejm.org\/hiv-id-observations\/?p=8401"},"modified":"2019-06-14T07:38:21","modified_gmt":"2019-06-14T11:38:21","slug":"fathers-day-rumination-families-lots-doctors","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/fathers-day-rumination-families-lots-doctors\/2017\/06\/18\/","title":{"rendered":"On Father&#8217;s Day, A Rumination on Families with Lots of Doctors"},"content":{"rendered":"<p><a href=\"http:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/06\/father-and-son-silhouette.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-medium wp-image-8403\" src=\"http:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/06\/father-and-son-silhouette-210x300.jpg\" alt=\"\" width=\"210\" height=\"300\" srcset=\"https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/06\/father-and-son-silhouette-210x300.jpg 210w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/06\/father-and-son-silhouette-768x1096.jpg 768w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/06\/father-and-son-silhouette-717x1024.jpg 717w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2017\/06\/father-and-son-silhouette.jpg 1345w\" sizes=\"auto, (max-width: 210px) 100vw, 210px\" \/><\/a>My father is a doctor.<\/p>\n<p>So was my father&#8217;s father. And my father&#8217;s uncle. And my father&#8217;s cousin.<\/p>\n<p>But that&#8217;s not all. My father&#8217;s brother was also a doctor &#8212; he <em>loved<\/em> being a doctor more than anyone on the planet, and attended neurology meetings long after he retired, right up until the time he died last year.<\/p>\n<p>My father&#8217;s brother-in-law (i.e., his sister&#8217;s husband) &#8212; you guessed it, a doctor.<\/p>\n<p>It gets even more ridiculous. I have two first cousins who <em>are<\/em> doctors,\u00a0and three\u00a0first cousins <em>married<\/em> to doctors.<\/p>\n<p>And I, of course, am married to a doctor myself. Her brother? A doctor.<\/p>\n<p>Having all of these MDs readily available has had quite an influence on family dynamics. At one of our gatherings, my brother &#8212; not a doctor, he&#8217;s in finance &#8212; told an elderly aunt the name of the bank\u00a0he was working for at the time.<\/p>\n<p>Hard of hearing, she responded, &#8220;What medical school?&#8221;<\/p>\n<p>These gatherings, not surprisingly, can sometimes seem more like medical grand rounds than holiday celebrations. You almost expect someone at Thanksgiving Dinner to say, &#8220;May I have the first slide, please?&#8221;<\/p>\n<p>The medical profession runs so strongly in my family that at times I suspect our various dogs are, in their own doggie world, the dog-equivalent of doctors. A bit nerdy, scholarly, caring for others.<\/p>\n<p>So why is it that some families take to medicine so avidly? It certainly isn&#8217;t a universal phenomenon &#8212; I routinely ask residency and fellowship applicants if there are doctors in their family, and most of them say no.<\/p>\n<p>You can try researching this question, but it&#8217;s a tricky thing to\u00a0search. (<a href=\"http:\/\/bfy.tw\/CQvZ\" target=\"_blank\" rel=\"noopener noreferrer\">I tried.<\/a>)<\/p>\n<p>Let&#8217;s keep it simple, and list the reasons why people become doctors to begin with:<\/p>\n<ul>\n<li><strong>You help people.<\/strong>\u00a0We never really need to ask the existential question, so why am I doing this job again?<\/li>\n<li><strong>It&#8217;s interesting. <\/strong>Patients, colleagues, scientific discoveries, technical challenges, policy issues<strong><em> &#8212;\u00a0<\/em><\/strong>medicine is\u00a0endlessly fascinating. No good doctor feels he or she has\u00a0mastered their field; learning all the time is fun.<\/li>\n<li><strong>You have\u00a0a steady income.<\/strong>\u00a0No, doctor salaries won&#8217;t touch\u00a0hedge fund managers or real estate developers, or approach the revenues you might get when you sell your high tech startup\u00a0to Google.\u00a0And\u00a0you won&#8217;t be able to afford the premiere\u00a0real estate in the Bay Area or Manhattan &#8212; but let&#8217;s face it, nobody&#8217;s poor here.<\/li>\n<li><strong>It&#8217;s prestigious.<\/strong> People like doctors. We might not be as\u00a0popular as we once were, but it sure beats the reputation of\u00a0lawyers, or politicians, or the CEO of Uber.<\/li>\n<li><strong>You can do a lot of different things as a doctor.<\/strong>\u00a0Aside from my wife (pediatrician) and me (ID doc), included in my family collection of doctors is\u00a0a psychiatrist, a maxillofacial surgeon, an emergency room doctor, a sleep specialist, an obstetrician-gynecologist, a general internist, a nephrologist, and a Professor of the History of Medicine. I can assure you none of them\u00a0does the same thing in a typical work day &#8212; yet all are doctors.<\/li>\n<\/ul>\n<p>If those are the reasons why people choose medicine as a career, it still doesn&#8217;t quite explain why some families &#8212; like mine &#8212; have so many doctors.<\/p>\n<p>Maybe we just suffer from a lack of imagination.<\/p>\n<p>Happy Father&#8217;s Day! And yes, Dad, going to medical school was the right decision after all.<\/p>\n<p><iframe loading=\"lazy\" title=\"Homer Discovers That Bart Has His Father&#039;s Watch | Season 28 Ep. 17 | The Simpsons\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/eq2mYLTBDjA?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/p>\n","protected":false},"excerpt":{"rendered":"<p>My father is a doctor. So was my father&#8217;s father. And my father&#8217;s uncle. And my father&#8217;s cousin. But that&#8217;s not all. My father&#8217;s brother was also a doctor &#8212; he loved being a doctor more than anyone on the planet, and attended neurology meetings long after he retired, right up until the time he [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3,6],"tags":[],"class_list":["post-8401","post","type-post","status-publish","format-standard","hentry","category-health-care","category-medical-education"],"post_mailing_queue_ids":[],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/posts\/8401","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/comments?post=8401"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/posts\/8401\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/media?parent=8401"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/categories?post=8401"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/tags?post=8401"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}