every now and then, it's important to have an existential crisis. not so much because "suffering is good for the soul," but because it makes most of the activities of daily living feel trivial. this is a refreshing state of being; perspective follows quickly and easily. arriving at this crisis may take longer.
for me and internship, it took as long as this year's mild boston winter while working in the hospital every fourth night, altogether probably about 1000 working and 2000 lifetime hours. that's a relatively long time, especially considering that about 500 of the total hours were spent sleeping.
with the freshly minted perspective, doctoring is once again joyful. of course, this also may have alot to do with the fact that i am working 8-3 and have a little bit of time to do some reading and research. residency should be more like this and less like the 50%:25% work:sleep routine. it makes for a better life. and better doctors.