When the time comes to go all-in on the fight with my medical school, the reason will be because I love medicine more than anything else, and because even if I was quiet and tried to go to some other medical school somewhere else, I shouldn't need to be fearful of losing my career again for telling the truth about something wrong with medicine.

There's no future in medicine for me until this is settled, and medicine is the only thing I want to dedicate my life to. There are two alternatives: a slow death inside, or whatever my medical school wants to dish out to silence or stop me. Even if they paint me as crazy, even if they smear and try to destroy my reputation and credibility systematically, and that will be exactly their strategy, as it has been to the present, suffering loudly is better than suffering in silence.

I'm not even angry anymore. I let that go. But I care about two things: medicine and truth. And I will not let either of those go.

They say that if I go through with this, no other medical school will ever take me because they will see me as vindictive. But if a career in medicine is contingent on not speaking the truth, is that any better? There are no good options, but it's not my fault that the system is broken. There must be room in medicine for people who love medicine and love the truth. If there isn't, then it's not medicine anymore.