Diagnosis is not the end, but the beginning of practice. ~Martin H. Fischer
The thrill of a rare
Diagnosis you made
You are suddenly aware
Of praise and accolades
You grin from ear to ear
You brim with a confidence new
Reading diligently year after year
Has finally been fruitful for you
Satisfied your inner clinician
Satiated intellectual curiosity
You stumped the average physician
You displayed your capacity.
***
Basking in the glory
Of a success that is yours
You suddenly feel sorry
When you realize the course
Of a patient’s condition
Has been altered forever
Now you proceed with caution
The monstrous news to deliver
Your diagnostic acumen
Suddenly loses importance
There is no curative regimen
You’ve given the death sentence..
Passion...unbridled 
I don’t know how you do it…
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It’s one of the sad realities of life that we face often, made worse by the disconnect between intellectual satisfaction and patient-care satisfaction.
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