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The clear, killing acid of modern life

Greg Smith, MD
Physician
July 9, 2014
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Floor technician.

Environmental technician.

Life coach.

Investment and retirement strategist.

Facility safety coordinator.

Interventional cardiologist.

Cardiothoracic and vascular surgeon.

Neurodevelopmental psychologist.

Are we hiding behind out words? Worse yet, are we afraid to be who we really are?

Maintenance man.

Trash man.

Knowledgeable and experienced friend.

Salesman.

Security guard.

Doctor.

Psychologist.

I see it every day. Someone comes to me for a run-of-the-mill mental health problem, absolutely nothing to be ashamed of, and asks for help. For whatever reason, when we get to the social history taking part of the interview, the part where I ask things like “How far did you go in school?” and “Who lives with you at home right now?” and “What kind of work do you do?”, there is a very strong need to embellish. To make the mundane and the normal and the usual and the expected look and sound like much more than it really is.

Personal flaw? Societal norm? You tell me.

Years ago, when I was a child, it was okay to be just a teacher. Just a garbage man. Just a fisherman. Just a factory shift worker. Just a  shift supervisor. Just a lawyer. Just a doctor.

I remember with great fondness those people in my life who were sure of who they were, what they did, what they knew (and didn’t know) and were quite comfortable and proud of those things. I remember wanting to be like those adults. I wanted to be as quietly confident as they were. I wanted to be as sure of who I was as they were. I wanted to be like them when I grew up.

Nowadays, I see kids who are afraid to excel, even when they most assuredly can. I see adults who think that just because they process widgets in a factory that they will never be on par with the local businesswoman who wears painfully high heels or the stock broker who drives the BMW and has an office on the town square.

I see people who are blessed beyond measure with titles and material things and degrees and high-powered jobs. I see those same people buried alive under layer upon layer of regulations, rules and policies, so constricted that they are stifled and can barely breathe.

I see people diluted by the clear, killing acid of modern life, spotless and sparkling in their constraining and confining societal beakers, proudly propped on wire stands and bubbling over Bunsen burners of advancement and promotion.

The problem?

Once the heat has been applied for too long by peers and regulating bodies and governmental institutions, once the clear liquid in the beaker has burned off and the residue is swirled around in the bottom of the vessel, there is nothing left.

The distilling process is no longer purifying, no longer leaving only the essence and the basic substance that undergirds life and stability and happiness.

It leaves the beaker burned and crusted, and the flask at the other end of the rig …

… empty.

Greg Smith is a psychiatrist who blogs at gregsmithmd.

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  • Most Popular

  • Past Week

    • DEA fear is reshaping how doctors prescribe

      Ronald L. Lindsay, MD | Physician
    • The double standard at the heart of chronic pain treatment

      Joshua Saylor | Conditions and Diseases
    • Your sinus infection may not be an infection

      Franklyn R. Gergits, DO, MBA | Conditions and Diseases
    • Physician burnout is not the whole diagnosis

      Gus W. Krucke, MD | Physician
    • I built clinical decision-support tools at the bedside

      Ahmed Elsonbaty, MD | Health Technology
    • Peptide regulation: 4 lanes every physician must know

      Benjamin González, MD | Medications
  • Past 6 Months

    • Primary care crisis requires new training and skills

      Justin Oldfield, MD | Physician
    • Polycystic ovary syndrome is more than ovarian

      Oluyemisi Famuyiwa, MD | Conditions and Diseases
    • DEA fear is reshaping how doctors prescribe

      Ronald L. Lindsay, MD | Physician
    • Expanding the SOAP framework boosts health outcomes

      Deepak Gupta, MD and Sarwan Kumar, MD | Physician
    • Primary care access is the real problem, not the system

      Payam Zamani, MD | Physician
    • How corporate medicine is eroding truth and patient dignity

      Ronald L. Lindsay, MD | Physician
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    • Prenatal testing for Down syndrome is not a verdict

      Laurel A. Coons, PhD | Conditions and Diseases
    • Why scientific creativity and aging defy citations

      Rao M. Uppu, PhD | Medical Education
    • What does mental health when bedbound actually look like?

      Kristian Keefer | Conditions and Diseases
    • Built for physicians, by physicians: our founder story

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    • How clinicians with chronic illness lose more than health

      Jamie Lynn Bagley, DNP | Conditions and Diseases

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The clear, killing acid of modern life
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