Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
  • About KevinMD | Kevin Pho, MD
  • Be heard on social media’s leading physician voice
  • Contact Kevin
  • Discounted enhanced author page
  • DMCA Policy
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • Group vs. individual disability insurance for doctors: pros and cons
  • KevinMD influencer opportunities
  • Opinion and commentary by KevinMD
  • Physician burnout speakers to keynote your conference
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Primary care physician in Nashua, NH | Doctor accepting new patients
  • Privacy Policy
  • Recommended services by KevinMD
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The biggest mistake doctors make when purchasing disability insurance
  • The doctor’s guide to disability insurance: short-term vs. long-term
  • The KevinMD ToolKit
  • Upgrade to the KevinMD enhanced author page
  • Why own-occupation disability insurance is a must for doctors

The clear, killing acid of modern life

Greg Smith, MD
Physician
July 9, 2014
Share
Tweet
Share

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?

ADVERTISEMENT

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.

Prev

The effort it takes to become an engaged patient

July 9, 2014 Kevin 14
…
Next

Learning about human nature after a cancer diagnosis

July 10, 2014 Kevin 1
…

Tagged as: Psychiatry

< Previous Post
The effort it takes to become an engaged patient
Next Post >
Learning about human nature after a cancer diagnosis

ADVERTISEMENT

More by Greg Smith, MD

  • Finding peace after years of abuse: a journey through grief

    Greg Smith, MD
  • What would you save if your house was on fire?

    Greg Smith, MD
  • Lessons learned in psychiatry: How experience shapes your career

    Greg Smith, MD

More in Physician

  • In the age of AI, what makes a physician REAL?

    Harvey Castro, MD, MBA
  • The cost of clinician absence in the boardroom: a 30-year perspective

    Christopher Mastino, MD
  • My wife wants me to retire

    Sandy Brown, MD
  • 2026 Winter Olympics rumors: the truth about ski jumpers and hyaluronic acid

    Arthur Lazarus, MD, MBA
  • From Williams-Sonoma to medicine: What retail taught me about difficult patients

    Jason Wilt, MD
  • Physician wellness theater: Why pizza parties do not fix burnout

    Patrick Hudson, MD
  • Most Popular

  • Past Week

    • Why Medicare must cover atrial fibrillation screening to prevent strokes

      Radhesh K. Gupta | Conditions
    • Why medical school DEI mission statements matter for future physicians

      Aditi Mahajan, MEd, Laura Malmut, MD, MEd, Jared Stowers, MD, and Khaleel Atkinson | Education
    • The American Board of Internal Medicine maintenance of certification lawsuit: What physicians need to know

      Brian Hudes, MD | Physician
    • Teaching joy transforms the future of medical practice [PODCAST]

      The Podcast by KevinMD | Podcast
    • The specter of death: Why mortality gives life meaning

      Steve Sobel, MD | Conditions
    • The health insurance crisis 2026: What Kentuckians need to know

      Susan G. Bornstein, MD, MPH | Policy
  • Past 6 Months

    • Will AI replace primary care physicians?

      P. Dileep Kumar, MD, MBA | Tech
    • What is the minority tax in medicine?

      Tharini Nagarkar and Maranda C. Ward, EdD, MPH | Education
    • Why the U.S. health care system is failing patients and physicians

      John C. Hagan III, MD | Policy
    • Alex Pretti: a physician’s open letter defending his legacy

      Mousson Berrouet, DO | Physician
    • Health care as a human right vs. commodity: Resolving the paradox

      Timothy Lesaca, MD | Physician
    • Why voicemail in outpatient care is failing patients and staff

      Dan Ouellet | Tech
  • Recent Posts

    • The specter of death: Why mortality gives life meaning

      Steve Sobel, MD | Conditions
    • Systemic strain creates the perfect environment for medical gaslighting [PODCAST]

      The Podcast by KevinMD | Podcast
    • In the age of AI, what makes a physician REAL?

      Harvey Castro, MD, MBA | Physician
    • The cost of clinician absence in the boardroom: a 30-year perspective

      Christopher Mastino, MD | Physician
    • My wife wants me to retire

      Sandy Brown, MD | Physician
    • 2026 Winter Olympics rumors: the truth about ski jumpers and hyaluronic acid

      Arthur Lazarus, MD, MBA | Physician

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 7 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why Medicare must cover atrial fibrillation screening to prevent strokes

      Radhesh K. Gupta | Conditions
    • Why medical school DEI mission statements matter for future physicians

      Aditi Mahajan, MEd, Laura Malmut, MD, MEd, Jared Stowers, MD, and Khaleel Atkinson | Education
    • The American Board of Internal Medicine maintenance of certification lawsuit: What physicians need to know

      Brian Hudes, MD | Physician
    • Teaching joy transforms the future of medical practice [PODCAST]

      The Podcast by KevinMD | Podcast
    • The specter of death: Why mortality gives life meaning

      Steve Sobel, MD | Conditions
    • The health insurance crisis 2026: What Kentuckians need to know

      Susan G. Bornstein, MD, MPH | Policy
  • Past 6 Months

    • Will AI replace primary care physicians?

      P. Dileep Kumar, MD, MBA | Tech
    • What is the minority tax in medicine?

      Tharini Nagarkar and Maranda C. Ward, EdD, MPH | Education
    • Why the U.S. health care system is failing patients and physicians

      John C. Hagan III, MD | Policy
    • Alex Pretti: a physician’s open letter defending his legacy

      Mousson Berrouet, DO | Physician
    • Health care as a human right vs. commodity: Resolving the paradox

      Timothy Lesaca, MD | Physician
    • Why voicemail in outpatient care is failing patients and staff

      Dan Ouellet | Tech
  • Recent Posts

    • The specter of death: Why mortality gives life meaning

      Steve Sobel, MD | Conditions
    • Systemic strain creates the perfect environment for medical gaslighting [PODCAST]

      The Podcast by KevinMD | Podcast
    • In the age of AI, what makes a physician REAL?

      Harvey Castro, MD, MBA | Physician
    • The cost of clinician absence in the boardroom: a 30-year perspective

      Christopher Mastino, MD | Physician
    • My wife wants me to retire

      Sandy Brown, MD | Physician
    • 2026 Winter Olympics rumors: the truth about ski jumpers and hyaluronic acid

      Arthur Lazarus, MD, MBA | Physician

MedPage Today Professional

An Everyday Health Property Medpage Today

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

The clear, killing acid of modern life
7 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...