Ladies & Gentlemen:
Strong as my desire is to spare you the David Copperfield crap, I see that it’s probably necessary to provide some background information about how I ended up in the unlikely position of “combat oncologist.” And what better place to do that than in this, Blog Entry Number One.
It all started when I walked out of the LSAT (Law School Admission Test) in the fall of 1991. That will be a story for another day/blog entry, but suffice it to say that after years of planning to be an attorney, I had an epiphany (actually, a “stupor of thought“) at a fairly inopportune moment and suddenly knew that I would not be—nay, could not be—a lawyer. I called my sweet (though understandably concerned) wife Lorri, who picked me up in the same spot she had dropped me off 20 minutes earlier, and we were back to the drawing board.
One Christmas vacation later, I was signing up for pre-med classes, with the plan to apply to start medical school in 1994. Skip forward a bit, fall of 1993, and I am swinging up the east coast, visiting Emory University, Georgetown, Dartmouth, and a funny little school with an emerging reputation, but an ungainly name: Uniformed Services University of the Health Sciences. Less ungainly but more unattractive is the acronym “USUHS” (pronounced like “useless” without the “L”), a nickname hated by all concerned, but used by just about everyone anyway.
I applied for USUHS for exactly one reason: the application was free (as opposed to the $50 to $100 for nearly all other schools). The idea of going to a military medical school has one fatal flaw in my mind: I would have to be in the military to go there. I did not then (and do not now) see myself as a military person—in fact, even picturing myself in any of the uniforms seemed laughable to me back then. But as I learned more about the school, my mind became open ever-so-slightly, as it had a few undeniable advantages.
- The Army would pay for my education. This was a big deal in an era where med student could easily rack up a quarter million in bills, and in which doctors were being paid less and less to practice.
- For USUHS (and only USUHS-this did not apply to other military medical scholarships), the Army actually makes you a 2nd Lieutenant, and pays you the appropriate salary. Back in 1994, this was around $34,000, which doesn’t seem a like a lot now, but was certainly enough for my family of four to survive back then.
- Finally, I had heard from many that the general cut-throated-ness that had existed to some degree in my pre-med classes, was ten times worse in many civilian med schools, especially the more prestigious ones. But everyone who seemed to know about these things (BYU’s pre-med advisor, other students who had friends at USUHS, even the Princeton Review) stated emphatically that this was NOT the case at USUHS-that the students there had a strong “team” concept and really got along together well.
So, as I ventured into the University, it was with an open mind. I was impressed with the campus (compact, efficient, clean, and pretty, on the same Navy base as the well-regarded National Naval Medical Center). While walking to my interviews, students randomly came up to me and told me how much they like it at USUHS, and there was a real genuineness about their enthusiasm. After my interviews, which were very much along the lines of “We’d love to have you here” rather than the “You’ll be lucky if we accept you” vibe of some of the other schools, I was pretty well convinced that I could tolerate this military thing. After I read one of the pamphlets they gave me which showed that military doctors can actually make a decent living (not millions, or even hundreds of thousands, but a “comfortable living,” as my dad would put it), I was sold.
Fast forward again:
- graduated from medical school 1998
- Internal Medicine Residency at Walter Reed Army Medical Center (WRAMC), 1998-2001 (during which I realized that my calling in life is to be a Hematologist-Oncologist (a.k.a. a “Heme-Oncker”, a specialist in disease of the blood and cancers)
- one year as staff at WRAMC
- three more years of fellowship training in Hematology-Oncology, again at the great Walter Reed AMC
Finally, at the tender age of 37, I was finally fully qualified to practice in my chosen specialty, and was PCS-ed (Army lingo for “transferred”) to Dwight David Eisenhower Army Medical Center (DDEAMC), where I currently serve as a staff Hematologist-Oncologist. In 2006, the “taskings” (requests for deployment positions to be filled) started coming rapidly to our little hospital, and I am in the second wave of specialists and generalists who will be taking a middle-east vacation this year, scheduled to deploy to Iraq, starting 01 March 2008.
And that’s how I became a walk-on part in this particular war. If someone had told me twenty years ago that in 2008 I’d have … well, you know how that sentence ends.
Congrats if you read through this entire filibuster (even if you ARE my mom!). My plan is to continue writing somewhere between 3-5 times per week from now (6 weeks before my deployment) until I get back home (and possibly after that; we’ll see how it goes). Any comments you would like to make, you can do so my clicking below and just writing. Only the profane will be edited; all else is fair game.