…to the six people who came to my talk today. It was a pleasure to present to you. You were engaged and attentive, which I very much appreciated. I’m disappointed that more of our colleagues did not join us, as this was the best iteration of this talk yet!
The best part was when we exchanged questions and ideas at the end.
I hope you got something out of the presentation that will help you and your patients. If that’s true for any of you anytime after today, then it was totally worth it. 
Do you have time in your doctors’ appointments to tell the story of your problem? Do you even think of it as a story? More and more I find myself saying to people, after they have given a list of symptoms in no particular order, “Tell me the story, starting from when you last felt well/normal.” Then it all comes out in an interesting narrative, often with new insights as to causes, connections, and exacerbating factors along the way.
Do you read more fiction or nonfiction? I have always been a non-fiction gal. I appreciated The Grapes of Wrath and devoured the Harry Potter and Percy Jackson series, but usually I avoid novels. My favorite books this decade are The Art of Possibility, Rising Strong, Big Magic, Start With Why, and Give and Take. I realize now that these books are also full of stories—just real-life ones. I have tried to incorporate more stories in my writing, and I find it challenging and awkward. But I will keep trying, maybe take a creative writing class someday.
I have heard some amazing stories recently, and I will get some details wrong, but I want to share them with you, in case they touch you as they touched me.
A doctor attends a mindfulness workshop because he is interested in mind-body medicine and always looking for new methods to explore his inner world. Part of the workshop is a professional quality of life survey, on which he scores very high for compassion satisfaction and low for burnout. He says it’s because this is a second career for him.
He always wanted to be a doctor growing up. He was accepted to medical school in his home country, but his family could not afford it. So he stuck with science and went to school the cheapest way possible, and graduated with a biology degree. Over the years he got married and immigrated to the United States. He never forgot his dream of being a doctor, but progressed nevertheless in his graduate basic science studies. When he applied to allopathic medical school here in the 1980s, he was told that since his BS was from abroad and the class was already ‘culturally imbalanced,’ he would not be admitted.
He was offered a spot in an osteopathic school, however, and grabbed it. Meanwhile his wife was pregnant with their first child. He had to move away from her and his parents for residency, and while he was away his father died. Sometime in there his wife also started medical school, and they made it through training and the births of two children (with two weeks maternity leave each for her) intact. They are now both well-respected primary care physicians in a small outlying community. He is a physician educator and leader. They sit side by side at the dining room table on Sunday nights catching up on notes. They call these their “Epic dates.” [Epic is the name of a widely used electronic health record.] Both of their children are doctors. He never feels burned out; he is living his dream.
Another doctor, a leader in his field and his institution, and a black man, described everyday racism that most of us cannot fathom. A neighbor approached him on the beach of his own lake house, accusing him of trespassing. Passing drivers backed up to confront him at his mailbox, suspecting him of stealing some white person’s mail. A cop pulls him over around the corner from his suburban home in a nice neighborhood, asking, “What are you doing around here?”
A man in his 50s breeds guppies for fun. It started with his 5th grade teacher, who was his mom’s best friend. He used to go over to her house with his mom, and got interested in her guppy tanks. Now he has hundreds of his own tanks, and he knows everything there is to know about inbreeding, crossbreeding, guppy circadian rhythms, and where the world’s experts on guppy breeding live and work. Now I know this is a thing.
Mr. Rogers is quoted as saying, “There isn’t anyone you couldn’t learn to love once you’ve heard their story.” I wholeheartedly agree.
Followers of this blog may know of my interest in and passion for physician health and well-being. I was immersed in this world the last couple of months, with two amazing conferences and multiple conversations with fellow physicians at work. As often happens, I was moved to articulate a vision/mission statement of sorts, mostly to solidify my own intentions and also to share with like-minded colleagues.
I love that I enter this arena from the world of executive health. Corporate leaders, physician leaders, and physicians on the ground share so many attributes that everything I learn from patients translates seamlessly to my own professional development. This is exactly the right space for me to inhabit today, and I am forever grateful for the integrative experience. Physicians are care team leaders by default, and we miss opportunities to improve all of medicine when we forget or ignore this fact. I’m interested to know your response to the words below—the more visceral the better (but please, if possible, refrain from spitting, vomiting, or defecating your own words here):
Why do we advocate for physician health and well-being?
Because we believe we can only lead well when we are well ourselves.
Because leading can be lonely and leaders need support.
Because leaders need metrics of our own performance, both related to and independent of the performance of those whom we lead.
Because health and leadership intersect inevitably and who we are is how we lead; the more awareness and active, intentional self-management we practice, the more effective leaders we will be.
Because people follow our example, like it or not, so we owe it to ourselves and those we lead to model Whole Physician Health.
What Is Whole Physician Health?
Whole Physician Health is an approach to health and well-being which defines physician as both clinician and leader, both healer and vulnerable. This approach focuses on the 5 Realms of Health: Nutrition, Exercise, Sleep, Stress, and Relationships. We explore how these realms intersect and overlap, affecting the individual physician, those whom the physician cares for and leads, and the entire medical profession. We apply principles from health and sports psychology, communication, leadership, mind-body medicine, and myriad other disciplines. We value openness, curiosity, critical analysis, and collaboration. Our mission is to create a resilient medical culture in which all members—physicians, patients, all caregivers and support personnel—thrive and flourish.
The Whole Physician Health Advocate:
*Values self-awareness and self-exploration.
*Understands and accepts his/her position as role model and culture setter for the team.
*Wishes to broaden the skillset in cultivating positive relationships
*Sees the physician health and well-being movement as an opportunity to learn, see from a different point of view, connect to fellow physicians, and form new tribal bonds that will hold us all up.
*Wants to contribute to the creation of a global professional vision and mission of the 4 WINS:
WIN 1–You
WIN 2–Those you lead
WIN 3–Your whole organization
WIN 4–All those whom your organization touches
Of note, one need not be a physician to advocate for Whole Physician Health.
Healing Through Connection 