I discovered surfing, which I absolutely fell in love with. That feels good and kind of keeps your body aligned, so does the salt water.
Local companies don't have to internalize their costs, and few actually do, but they tend to more often because the owners live there and they have to show their face in town, and their kids play with other kids.
Medicine was certainly intended to be a career. I wanted to become a psychiatrist, an adolescent ambition which, of course, is fulfilled by many psychiatrists.