Newsletter #18: Seeking Necessary Losses

The natural course of things calls for simplification, but we fight the inevitable, hoping to avoid compromise of any kind. But the house rules are the house rules: necessary losses unlock vital gains.

In the last year, I graduated residency, moved with my fiancee cross-country, got married, became board-certified, quit the profession I’d dedicated eight years and earned said board certification in, launched this, and am moving again, cross-country.

Each change required loss. Each change outlined a unpredictable gain. In a continuation of last week’s  moving accounting , let’s tally my losses for the year:

  • My ability to do things I don’t want.
  • My assumption I can make people happy
  • My willingness to care about what people think
  • My tendency to prioritize financial security over my health
  • My habit of caring more about being nice than respected
  • My fear of failing and looking like an idiot
  • My constant desire for perfectionism in every action I take
  • My fear of upsetting anyone
  • My inability to ask for my needs

When we hear the word “loss” in life (sports in particular), the meaning skews negative. But one quick review of the list above shows I needed those losses, as soon as possible. They were incredibly necessary, and still incomplete I must say, all works in progress. But they’re on the work table, every day.

What’s been the gain to the losses? I have choice—not without limitation because every age has constrictions—but I get to be myself, now. That’s the gift.

Afforded by the wandering odyssey of medicine that supplied what I had to become, to realize I didn’t need (another necessary loss), I became a psychiatrist. I chronicled how psychiatry drew me toward it, like iron filings to the magnet, in Thursday’s  Why I Became A Psychiatrist (Really) . I earnestly believed for most of the journey that I’d end up practicing medicine and happy. That was another one I had to give up—predicting what my life would be like in the future.

Today, if you really want a different life for yourself and that calling of yours is soul tugging, prepare for a loss or two. Necessary ones. Because that’s the toll we have to pay. And it’s so worth it.

To living a life we love,

Ryan Fightmaster, MD

(P.S. Back early in the  Book Trail Series , I highlighted Necessary Losses by Judith Viorst. Obviously given today’s email, it continues to impact my life three years after reading. Available for purchase  here .)

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