I've spent some time lately thinking about some of the things that motivate me and I've realized that while I think I do a lot of things for altruistic reasons I also enjoy the approval of others. I think to a certain point we all enjoy approval, at least from a select group of "important" people. Everybody likes receiving compliments. Nothing lights up Melissa like when I tell her how nice she looks (I'm unsure if her reaction would dim if I were to tell her that as often as I think it).
I've written (and talked to those who would listen) ad naseum about some of my difficulties with residency and one of those is the lack of external approval. There are no regularly scheduled tests that show me how well I'm doing. How healthy my patients are is an extremely poor way to measure my performance. I've learned a whole lot from all my mistakes over the past year and it seems that most of my feedback from attendings has come during those times, so rather than getting approval I get reproval. I'm not blaming anyone (except maybe myself for not complimenting others enough). It's just the nature of the beast. I think all jobs have a portion of this, though I can only relate to the hotel business and the pizza business. I think maybe this contributes to why I always wear a tie to my clinics and frequently wear a suit or sport coat. I'm pretty sure I'm better at being a doctor than I am at being a snappy dresser (What can I say? I am my father's son, sorry dad (Have you noticed how much I like parentheses?))))))), but I have gotten a lot more compliments on how I dress than I have on how I doctor.
The blogging world has shown me that I'm not alone in this quest for approval. Everybody likes getting comments. It means people are listening and by commenting the blogger feels validated, at least that's what I think.
I have an "important" person list of people whose approval I crave and as you know from previous posts Melissa and my parents are at the top of that list, but they are not alone. There are others, some who read this blog, some who don't and at least one who didn't but does now (he's pretty high on the list and has been for as long as I can remember).
There are probably a lot of people out there who are more self-assured than I, and there are probably a lot of folks who are less self-assured than I. Whichever of these two groups of people you fit into I want to express my appreciation for your time. I'm glad that you took the time to read this far. I'm grateful that you are a part of our lives. I'm grateful for those of you on the right who post from time to time and let us into your lives.
Without further ado here are some pictures from my recent backpacking trip in Michigan. How's that for a segway?


Best apple ever.
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I look a lot worse for wear than Clint in this picture which wouldn't be too bad except for the fact that his pack was about 40 lbs heavier than mine.