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“Burnout at its deepest level is not the result of some train wreck of examinations, long call shifts, or poor clinical evaluations. It is the sum total of hundreds and thousands of tiny betrayals of purpose, each one so minute that it hardly attracts notice. When a great ship steams across the ocean, even tiny ripples can accumulate over time, precipitating a dramatic shift in course. There are many Tertius Lydgates, male and female, inhabiting the lecture halls, laboratories, and clinics of today’s medical schools. Like latter-day Lydgates, many of them eventually find themselves expressing amazement and disgust at how far they have veered from their primary purpose.”
― Richard Gunderman

“Lydgate certainly had good reason to reflect on the service his practice did him in counteracting his personal cares. He had no longer free energy enough for spontaneous research and speculative thinking, but by the bedside of patients, the direct external calls on his judgment and sympathies brought the added impulse needed to draw him out of himself. It was not simply that beneficent harness of routine which enables silly men to live respectably and unhappy men to live calmly â€� it was a perpetual claim on the immediate fresh application of thought, and on the consideration of another’s need and trial.”
― George Eliot, Middlemarch a Study in Provincial Life, Vol. 2

“... it had already occurred to him that books were stuff, and that life was stupid. His school studies had not much modified that opinion...”
― George Eliot, Middlemarch

“It was said of him, that Lydgate could do anything he liked, but he had certainly not yet liked to do anything remarkable. He was a vigorous animal with a ready understanding, but no spark had yet kindled in him an intellectual passion; knowledge seemed to him a very superficial affair, easily mastered: judging from the conversation of his elders, he had apparently got already more than was necessary for mature life.”
― George Eliot, Middlemarch