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 | Kevin Pho, MD
  • 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

A small intern in a big hospital

Ariella Rubel, MD
Physician
May 23, 2022
Share
Tweet
Share

I am a gopher. See my tiny paws. See them furiously digging and digging and digging. Little puffs of dirt and soil are thrown haphazardly over my little shoulders. My tiny brain was completely absorbed in the digging of that very inconsequential, very little, very specific hole. Tail in the air, head down, no breaks. Dig, dig, dig.

As a small intern in a big hospital, that’s me. Day after day digging, with ever-increasing efficiency, my own series of tiny holes. Working so hard, so diligently, so blindly on patient after patient, task after task. Each little checked-off box another clump of dirt I throw over my shoulder as I furiously dig each little hole. Each hole comprised of my best efforts at taking care of this patient today.

It doesn’t take very long to become a gopher. Gophers don’t know meaning. Gophers do not dig for a higher purpose. Gophers forget that patients are people. Do gophers dream?

Gophers live in days that are dark and short; they traverse hospital hallways and protocols that are dusty and bewildering.  They are tired.

I am still a gopher, but now, with the end of the year glimmering ahead, the digging has a different tone. The days have lengthened, and the sun shines. Flowers bloom and chiefs talk of graduation and careers. My hands are callused by scut and death and pus. My fellow gophers are now my friends. I try to reflect. It is hard. My gopher brain can only stretch so far.  I write a little. I think a little. Dreams hover just out of sight. Lessons learned linger nearby.

Then with dirt in my hair and stains on my scrubs, I head home. My patients will need me tomorrow.

Ariella Rubel is a surgery intern.

Image credit: Shutterstock.com

Prev

A burnout coach saved my medical career — and possibly my life [PODCAST]

May 22, 2022 Kevin 0
…
Next

Don’t give up on intermittent fasting just yet

May 23, 2022 Kevin 1
…

Tagged as: Surgery

< Previous Post
A burnout coach saved my medical career — and possibly my life [PODCAST]
Next Post >
Don’t give up on intermittent fasting just yet

ADVERTISEMENT

Related Posts

  • Don’t judge when trainees use dating apps in the hospital

    Austin Perlmutter, MD
  • When physician pay packages become hospital kickbacks

    Jordan Rau
  • 5 challenges of working in a county hospital

    Pranav Sharma, MD
  • Hospital administrators thinking about no-cost treatment which really helps patients

    John Corsino, DPT
  • What do hospital discounts really mean?

    Robert S. Berry, MD
  • Redefining what a hospital library should be

    Abeer Arain, MD, MPH

More in Physician

  • Health care affordability crisis: lessons from the NYC nursing strike

    Marc Henry Estriplet, MD, MPH
  • Independent medical practice: Why private clinics are essential

    Marcelo Hochman, MD
  • How hindsight bias distorts clinical medicine

    Olumuyiwa Bamgbade, MD
  • Do no harm: Why physician burnout requires bottom-up reform

    Desiree Francis, MD
  • Institutional distrust in health care: Why a doctor lost faith

    Joshua Mirrer, MD
  • Debunking 4 myths about fertility treatments for women of color

    Ilana Ressler, MD
  • Most Popular

  • Past Week

    • Evidence-based medicine vs. clinical judgment: a medical student’s perspective

      Jay Pendyala | Education
    • The controversy over Maintenance of Certification for grandfathered physicians

      Bernard Leo Remakus, MD | Physician
    • How hindsight bias distorts clinical medicine

      Olumuyiwa Bamgbade, MD | Physician
    • When side effects are actually a cry for help with medication costs

      Shuchita Gupta, MD | Physician
    • Why clinician education must prioritize nutrition training

      Beata Pasek, EdD | Conditions
    • Why early detection matters: Transforming lung cancer care [PODCAST]

      The Podcast by KevinMD | Podcast, Sponsored
  • Past 6 Months

    • The dangers of vertical integration in health care

      Stephanie Waggel, MD | Policy
    • Why does sex work seem like a more viable path than medicine in 2026?

      Corina Fratila, MD | Physician
    • The 9 laws of health care quality: Why metrics miss the point

      Constantine Ioannou, MD | Physician
    • Politics and fear have replaced science in U.S. pain management [PODCAST]

      The Podcast by KevinMD | Podcast
    • From Singapore to Canada: a blueprint for primary care transformation

      Ivy Oandasan, MD | Policy
    • How board certification fuels the physician shortage crisis

      Brian Hudes, MD | Physician
  • Recent Posts

    • How ChatGPT Health exposes the flaws in modern primary care

      David Carmouche, MD | Tech
    • Pediatric home health care oversight: Why accountability is failing

      Ashley Youngdale | Conditions
    • Proactive monitoring can prevent emergencies by catching heart signals early [PODCAST]

      The Podcast by KevinMD | Podcast
    • Health care affordability crisis: lessons from the NYC nursing strike

      Marc Henry Estriplet, MD, MPH | Physician
    • How wearable technology is changing the role of physicians

      Jeffrey Junig, MD, PhD | Tech
    • Workplace violence against nurses: a crisis of systemic failure

      Amanda Dean, RN | Conditions

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 2 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

  • Most Popular

  • Past Week

    • Evidence-based medicine vs. clinical judgment: a medical student’s perspective

      Jay Pendyala | Education
    • The controversy over Maintenance of Certification for grandfathered physicians

      Bernard Leo Remakus, MD | Physician
    • How hindsight bias distorts clinical medicine

      Olumuyiwa Bamgbade, MD | Physician
    • When side effects are actually a cry for help with medication costs

      Shuchita Gupta, MD | Physician
    • Why clinician education must prioritize nutrition training

      Beata Pasek, EdD | Conditions
    • Why early detection matters: Transforming lung cancer care [PODCAST]

      The Podcast by KevinMD | Podcast, Sponsored
  • Past 6 Months

    • The dangers of vertical integration in health care

      Stephanie Waggel, MD | Policy
    • Why does sex work seem like a more viable path than medicine in 2026?

      Corina Fratila, MD | Physician
    • The 9 laws of health care quality: Why metrics miss the point

      Constantine Ioannou, MD | Physician
    • Politics and fear have replaced science in U.S. pain management [PODCAST]

      The Podcast by KevinMD | Podcast
    • From Singapore to Canada: a blueprint for primary care transformation

      Ivy Oandasan, MD | Policy
    • How board certification fuels the physician shortage crisis

      Brian Hudes, MD | Physician
  • Recent Posts

    • How ChatGPT Health exposes the flaws in modern primary care

      David Carmouche, MD | Tech
    • Pediatric home health care oversight: Why accountability is failing

      Ashley Youngdale | Conditions
    • Proactive monitoring can prevent emergencies by catching heart signals early [PODCAST]

      The Podcast by KevinMD | Podcast
    • Health care affordability crisis: lessons from the NYC nursing strike

      Marc Henry Estriplet, MD, MPH | Physician
    • How wearable technology is changing the role of physicians

      Jeffrey Junig, MD, PhD | Tech
    • Workplace violence against nurses: a crisis of systemic failure

      Amanda Dean, RN | Conditions

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

A small intern in a big hospital
2 comments

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

Loading Comments...