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Wayne,
You have probably forgotten more Respiratory Care than I have learned thus far in my career. I find that disillusionment comes from several areas. There may be a financial component to it. I also believe that the environment in which the individual is a piece. If the individual is in an environment that breeds mediocrity then that individual will most likely be mediocre. If the individual finds themself in an environment that encourages them to excel then my opinion is that they may be the next Dr. Kacamerek, Mr Ruppel or many others that have contributed significantly to the field of Respiratory Care. Everyone hits the proverbial "wall" throughout their career. I agree that getting past this requires self-motivation and mentoring by a successful seasoned practitioner. I agree that the solution is moving forward rather than getting stagnant. I would encourage a therapist to seek a way to impact the field of Respiratory Care. For others your suggestion of "Going into a new aspect of Respiratory Care...Neo/Peds, Home Care, study/take/pass the RRT exam, go back to school for a higher level of education." may be more aligned with their personal and professional goals. DO SOMETHING is a very sound piece of advice.

Wayne,
Great post! I would like to add a toxic RC work environment adds to the mix. We are huge into Studer Hardwiring Excellence @ www.studergroup.com. What we permit we promote!!!!!!