I feel hollowed out by my career in medicine already.  I'm so exhausted even during my short amounts of time off that I don't really do anything meaningful. 

I also don't have the money to go on trips to Thailand or whatever the current popular place is. 

My idea of a vacation is just withdrawing from the world and then just moving away somewhere and becoming a stranger to everyone. 

I don't feel fulfilled at work and not even away from work.  If I've made it this far, I can probably last a few more damaging years.