Background: Former neurosurgeon with education from MIT, 4 years of medical school, and 6 years of neurosurgery training. Practiced neurosurgery for almost 10 years.
Objective: Explain why I left a 20-year career in neurosurgery; sorting out my thoughts and helping others in similar situations.
Beginning and Inspiration
Initial Motivation: Became a doctor to help people, influenced by a professor's words about relieving suffering.
Interest in Neurosurgery: Fascinated by brain function, consciousness, and brain-machine interfaces (BMIs). Wanted to help people with robotic limbs similar to science fiction ideas.
Realizations About Limitations
BMI Challenges: Found out that the brain rejects electrodes, building scar tissue which makes the dream of robotic limbs unlikely.
Career Shift: Realized after 9 years of training and practice that initial career goals were unattainable. Shifted focus to spine surgery as it's more common.
Professional Experiences
Professional Life: Despite top-notch training and techniques, Gooby felt unfulfilled and unhappy in his job.
Good Support System: Had supportive colleagues, but something felt deeply wrong.
Underlying Problems in Medicine
Surgery Limitations: Neurosurgeries often treat symptoms without addressing root causes such as lifestyle choices.
Analogy: Comparison of back surgeries to fixing water-damaged walls without repairing the leaky roof.
Healing Observations: Patients who led healthier lifestyles (diet, exercise, stress management) healed better without surgery.
Systemic Issue: Medical system is set up for treating illnesses rather than preventing them. Financial incentives misaligned with patient healing.
Personal Ethical Dilemma
Moral Injury: Conflict between knowing how to help patients heal and the system's constraints made Gooby unhappy and ethically conflicted.
Personal Impact: Gained weight, felt trapped, recognized the necessity for change.