Hi,
Some charts seem to 'shout' out the path an individual
may but not necessarily does follow. Your friend's chart would seem to indicate an example of that shout.
A career in medicine is not just a job or a desire for a career and advancement over the years. It's one of those fields of employment service that is chosen and driven through a vocation towards it. An individual doesn't go through training college, internship, plus specialisation in a particular field, and eventual residency ( a total period of plus 10 years?)merely for the financial rewards or status position that can be attained. The driving power of dedication expresses something far more.
It's a known fact that, nowadays, in whatever part of the world one lives, there is a great shortage in every branch of the medical profession. Tiredness and stress through over work is common anyway, yet may now play a greater role in the part of the world where your friend lives.
As a Gemini sun the variety of change is of importance in one's work. A gynaecologist never delivers the same baby twice and if all is well may never see it again after its birth. The building of a personal relationship plays no role in the profession. This is so different to the private life, especially if and when 'the patient', through one's dedication, can take priority over the one with whom one is in a relationship. A feeling of disinterest, neglect, abandonment, and even jealousy (according to their chart placements) at not being put first can arise, that can effect the influence towards the relationship versus professionalism. In those cases where the profession has been the priority, there may have been no time or incentive towards an enduring relationship (natal Moon-Pluto-Neptune to both Sun and Mercury in the 6th and 5th houses).
The progressed one day after birth = 1 year advanced planetary positions for this year show no influences that would indicate a once-in-a-lifetime change of direction. Yet the 'other' type of chart for the same period, called a solar direction chart, can indicate outer circumstances 'on the periphery' of one's life that can influence it.
An S.A.D.'s current positions are advanced at the same rate of motion as that of the Sun = the age for the year in question. Taking 34 years as current age, and adding this number to the natal planetary degree, it can be seen that Mercury has advanced to form a strained aspect with natal Saturn and conjoined Descendant opposite Ascendent. Mercury, as ruler Gemini and Virgo is of importance in the realms of both the 6th and 9th houses of the chart. Saturn is intercepted in the 1st house. Apart from work, the impliction can refer to 'mental health', and Mercury's position any cause for its current state. Wouldthis have anything to do with Saturn's 'sense of responsibility' that has become a burden and had consequences upon the personal relationship(s)?
Natal Mars is on 4* Aries (and square Uranus - irrationality?) and is ruler of 4th house - home life. Advance it 34 years and it is separating from natal Venus in the 4th house, yet now trining natal Uranus . Has a break or separation occured in the home life that has resulted in the friend wanting to go in an alternate direction? Remembering that the mental state is not optimal at present, and the dedication to the profession is NOT itself the reason to be blamed for what has occured within the home. As the mind settles (Mercury in Taurus trine Saturn) and rationality returns, any 'sudden' decisions (tr. Uranus conjunct Mercury) may take on an alternate outlook.
Jupiter is ruler Sagittarius rising in service for the Sun. When the Moon feelings are in an emotional state (Scorpio) and take priority, Jupiter can influence through its traditional rulership of P:isces that rules the 3rd house of relating, the local environment , and family. Its current transit in Gemini can effect one's state of 3rd house related mind. Circumstances and situations are not as clear as they should be and Gemini change may seem desireable. Better to wait for its 'larger than life' mental effect upon the total horoscope to pass, than make changes one might later come to regret.
All that said, everyone knows 'someone' who went through similar circumstances. Many Moons ago our dr. passed on. His practice was taken over by one whose profession as a gynaecologist had become a strain on his heart. He became 'the country doctor' for the next 30 or so years, where he came to know almost all his patients by their christian, let alone surname! As a recognised 'professional' within his medical field, any patient needing hospital treament of any kind seemed to get priority.