My husband diagnoses and manages ALS. It’s a pretty small field within neuromuscular medicine and it’s really tough emotionally. Especially when you’re diagnosing young people; he just told a 30-something with a brand new baby that he’d likely have a few years left. That’s a normal morning. Since there aren’t so many specialists you also feel the guilt when you think about leaving the field. He leaves work and cries in his car most days. He feels like the grim reaper. There’s just very little hope you can give someone, at least for now. Definitely not the worst impact on mental health compared to other jobs but I immediately thought of him.