I’m conflicted.


I begin clinical rotations this month for my master’s program.  I know I have to suck it up and prescribe whatever medicines the preceptor thinks are necessary, and I do have the understanding that medicines are, sometimes, necessary.  But.  I just don’t think they should be the first choice.  Maybe not even the second choice, unless the person is in grave danger without them while they incorporate other changes into their lives.

I will try to find preceptors who are of the same persuasion, but I know that will be very difficult indeed.  It’s just easier and faster to give someone a script than it is to counsel them about lifestyle, diet, etc.  If you want to pay the bills, you give scripts.

I’ve already been told I’ll never make it in my own practice because I won’t keep patients, they want a fix right now and they’ll just go to someone else if I don’t give it to them.  I guess these next 19 months will be a trial by fire.  Maybe I’ll just become like everyone else.  Maybe I’ll move to Mexico or Canada.

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3 responses

  1. I know exactly what you mean. I’m a family physician in Canada and since discovering peak oil and the impossibility of infinite growth, I really can’t take my daytime job all that seriously. People are generally obsessed with seeking high tech solutions (bloodwork, medical imaging, specialist referrals, prescriptions) to low tech problems (eat less, exercise more, worry less) and they really don’t want to hear about low tech solutions. So I view my daytime job as a branch of prepping: just a way to provide food and shelter for my family while we try to prepare meaningfully for what’s likely to come.

    You might want to visit my website http://www.postpeakmedicine.com which has recently had a makeover, although there is a lot of work still to do.

    • Thanks for the comment! I have your website listed in my blog roll and while I haven’t had a chance to read any new things I did notice the changes.

      I have been thinking about the role of nurses in a post-peak world, but the challenges nurses face regarding scope of practice etc. may be a hurdle most will not be willing to face. I don’t know that many nurses who are aware of what is coming but I hope to meet more as I proceed in my program. I do know some who have worked for the Peace Corps and I am looking forward to asking them about their role down there to see what, if anything could transfer to my rural area.

      I have viewed my career as a way of prepping with an eye to the future, but your viewpoint is much laid back and immediately applicable. If you don’t mind I’m going to try to adopt it — it will definitely make for a more enjoyable day!

  2. Good luck with your preceptorship. I just became an RN last month and currently work in a SNF. The way my fellow graduates view their future careers is so much different than the way I view my own, through the lens of peak oil. Not something I can talk about with them, as I would come off sounding like a crackpot, though.

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