Deftonez...have you ever thought about trying a different type of nursing? Maybe med/surg isn't for you. I think alot of people have been in the position of getting spat on, cussed at, pooped on, etc,...and it sucks! But every so often, we get patients who want to get better and try really hard, and you actually feel like you're making a difference! You sound like someone that would do well in oncology!
I agree with everyone here, military nursing is alot like civilian nursing as far as the patients. You not only get the military folks that are usually pretty healthy, but you get their dependents, who aren't! So you still have the "lottery" of cases. I'm not sure about the other services, but in the Air Force you have to go in as med/surg or OB, unless you have an identifier (which you get with experience from the civilian world). After being in for a while, there are other options for nurses. We have nurse educators, case managers, and there's always the leadership route. There's also nurses in the clinics.
I guess bottom line is...whether you decide on commissioning or continuing in the civilian world, look into your options. You may have to suffer for a little while before you find a job that's perfect for you, but it is out there! I'm in ICU now and don't think I'll ever want to go back to med/surg, but ICU isn't for everyone either! Hang in there and good luck with you decision!!