Gratitude Blog Journal

I’ve been in a bit of a funk lately with medicine.   Lots of patients, 2 young kids, no vacation for a while owing to partner leaving and no nearby family.  I love my job choice of medicine.  It’s easy to overlook all the good things about a career in medicine and as bloggers we often try to identify problems with our job so we can offer solutions.  So I decided to write down some things I’m grateful for in medicine, a gratitude post.  


This is the end all of a career in medicine.  If you see 1000 patients a year or zero and do research, you are still in it for the patient.  I learn so much from them.  They are mirrors onto ourselves.  Make no mistake, as a friend of mine recently said, “we will be in that chair one day”.

Patients give us insight into the bounds of human emotion, and let us into their most personal of spaces.  Suffering and joy, tragedy and comedy spanning the gamut from birth to death, alpha and omega.  Very few careers expose one regularly to human beings in this state.  This is not a novelty, it’s a privilege and at times a spiritual revelation.

Unity of Purpose

We work with people who choose a variety of careers, but we all have one goal.  It’s a bit like sailing a giant British warship circa 200 years ago.  All sailors have a different responsibility, but it takes everyone to sail the ship.  Once she gets going with a strong wind, everyone doing their job, there is little to compare with that since of purpose and unity.

Multidisciplinary Care

As a Radiation Oncologist, calls to surgeons, medical oncologist, pathologists, radiologist and others make up a good part of my day.  I relish these conversations as they are often about those difficult cases where you can’t just open a textbook or online guideline.  You need to rely on the foundations of your specialty, intuition and experience.  Guidance from colleagues is key, and talking with them gives me that rush you can only get from working in a team, learning from each other and reaching that “ah ha!” moment.  Nothing gets me excited about medicine like seeing my fellow physicians get excited about a challenging case.

Work Family

Let’s face it, my wife and I used too have lots of friends that we called and hung out with regularly.  We also, used too be geographically closer to family.  Now, we rely on work to fulfill relationships.  (I get some through blogging).  I have built a sort of surrogate work family.  I have a mom who watches out for me but is not afraid to bring me in line.  I have a dad who is friendly to a point but uses the carrot and stick strategy.  My work sister and I get along, until we don’t, then we forgive and move on.  I would never think of retiring early unless I had enough time to cultivate some stable out-of-work relationships.  These are just too important.


Have a question about a patient and can’t find it in the literature?  Chances are someone else has that same question.  So write a paper and answer it!  There is only one human emotion for that Eureka! moment, and medical research gives it every time.   Seeing practice changing trial results presented at national meetings is also an incredible feeling.  Knowing that there are physician are out there dedicated and knowledgeable enough to design those trials keeps me humble and knowing I can always be a better researcher and more uptodate doc.


When I question my career or am feeling down, I just grab a medical student or resident.  Zeal for medicine spills forth from the young minds and in no time, I’m rejuvenated by seeing my younger self and ready to get back in the clinic.  Also,  students see all, and they know when you are bullshitting and don’t know the answer.  Teaching forces me to look it up and be up to date.  You know you mastered a subject if you can teach it.


There is no end to the made from scratch and store bought deliciousness that abounds in the breakroom of an outpatient Radiation Oncology clinic.  I haven’t eaten a non-fresh tomato for dinner in 6 weeks!  I just imagine these cancer patients, just wanting to be done with treatment, but being grateful enough to use what little energy they have to bake a dessert.  It’s hard to tire of seeing patients like that.

Thanks Medicine!

Despite being in a job “funk”, I feel like things are good.  The signs are all around me.  Most of the time I feel content and tranquil.  I smile and laugh a lot.  I am optimistic about the future and feel like I have a place in the world.  Occasionally I feel joy, elation, etc.  I do not often feel sad, just really really busy.

Bringing the positive into focus is a known method to enhance happiness. The trick is making it habit.


10 Replies to “Gratitude Blog Journal”

  1. I have tried making written entries in a gratitude journal each night, but it began to feel too much like a chore and I had to abandon it. Sometimes I will ask my 3-year-old what he is thankful for before bedtime, and I’ll occasionally get a surprise answer like “eggplant” that totally makes my day.

    Almost anyone who is reading this website has a lot to be thankful for: food, water, shelter, internet access, and free time, at a minimum. It’s always easy to imagine others have it better than we do, but quite difficult to be satisfied with what we have.

  2. I’ve tried a gratitude journal also, I stopped after about a month for the same reasons you mention. I try now to be mindful of these things instead of writing them down.

    No doubt about having it good, historically and in modern times, life is good.

    Thanks for the comment!

  3. We’ve started gratitude journals as a family while on our first slowish-travel vacation of three weeks.

    We’ve got lots to be grateful for, and each day we write down three things for which we’re thankful, and one thing that brought us joy in the last 24 hours. We read them together and it’s been a great experience for the four of us (wie and 2 young boys).


    1. Good idea. They say regular gratitude breeds long-term happiness. There is some good literature on the subject I’ve been reviewing. Might post on it. Thanks for the comment while on slow-travel (must be nice) and have a good Thanksgiving!

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