By Alan Muskett
of the Pathfinder 

Smashed liver for Sunday dinner


November 30, 2023

After I finished high school, I underwent 16 years of additional training—college, medical school, surgical residency, surgical fellowship—before I started a real job. I was 34 years old and deep red broke.

Finally, I thought, I am done with the educational waterboarding.

Not so fast.

The last 32 years have been a continuous, Sisyphean series of courses, seminars, meetings, recertifications, and general shakedowns to make sure I am “up to date.” All these, of course, involve substantial fees. If you do not pay these fees you will be listed as “non-certified.” How this is d...

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