Відео

OOOH I shall forward this to Ann 😍

Thanks for your response and YES you are spot on! Forced physician drug rehab for physician whistleblowers (& others) who are competent & qualified great docs is clearly ABUSE. Please help us stop the corruption & emotional/financial extortion & destruction of our health professionals. Would you be willing to sign our petition? 💕🙏 to protect physician whistleblowers for patient safety: www.thepetitionsite.com/takeaction/520/246/875/

I would also LOVE (and be honored) to speak with you, Can you please contact me here? www.idealmedicalcare.org/contact/

@@PamelaWible I have a company that is focused on helping medical professionals that survive TBI…and figuring to protect them…as well as trying to educate the public at large on TBI…I may have a few docs and nurses and lawyers with brain injury who would be willing to…we have a board meeting on Monday…I’ll bring this up…I don’t know specifically what they think but some aren’t able to practice anymore because of disability and the assumption they can’t…I’m going to talk to our CMO, and see if she would sign and our CNO and a few of our docs and our two lawyers would. All of our people have brain injury (it’s a requirement of our company) so they’ve all experienced discrimination. I’m pretty sure you’ll have some others who’d support…

YES yu could end up facing discrimination and retaliation. Though you might also be able to get through the process as well. State-by-state details here: www.idealmedicalcare.org/physician-friendly-states-for-mental-health-a-review-of-medical-boards/

@@PamelaWible Thank you. Good to know that I live in one of Grade A states. Have you met physicians that have experienced psychiatric hospitalizations themselves?

@@shapley4980 YES. Many. This career will take a toll on you.

@@PamelaWible Do you think becoming a physician was worth it for you or do you think you are holding on to the job because you put too much effort into becoming one?

@@shapley4980 having two physicians as parents and then retiring my license was like closing up the family business. I DO think it was worth it for me bc I needed to understand these physician mental health issues (that have impacted me, my parents, and ALL docs IMHO). So essentially I would not be able to be a suicidologist who helps doctors (& medical professionals) without having experienced the unique & painful experiences I've had. Make sense?

Happy to help you @AidenBarbo. Email me more details about your situation (confidentially) here: www.idealmedicalcare.org/contact/

Can't stop now 😍

Awwww please do reach out to me here if you'd like to talk or need more resources. Got a ton of free stuff on my website (including a free med student retreat in January). join us. 💕 www.idealmedicalcare.org/contact/

Glad to help. Read the comments on the blog (they may be more helpful than the article): www.idealmedicalcare.org/depressed-doctor-how-to-get-confidential-mental-health-help-for-physicians/

Looking at the truth is the first step to healing. Gotta break the taboo culture around mental health in medicine.Here are 13 tips to get confidential mental health care that should really spike your interest: www.idealmedicalcare.org/depressed-doctor-how-to-get-confidential-mental-health-help-for-physicians/

Absolutely and time for a change in the way we train our gifted young humanitarians Emotional needs and SAFE training & working environment is #1 issue. Also allowing for CONFIDENTIAL & NON-PUNITIVE mental health help is of critical importance. Not sure what country you are in (though this IS a global crisis of intergenerational wounding due to vicarious trauma) the lack of support in USA is astounding: See: www.idealmedicalcare.org/physician-friendly-states-for-mental-health-a-review-of-medical-boards/ quote from surgeon: “Physicians are treated as criminals and tracked more closely than Level III sex offenders,” reports a general surgeon. “Answering all these questions on applications, the subtle, unspoken lesson is ‘you had better be squeaky clean, mentally, morally and physically! If you step off the shining path, bad things will occur.’ I have known 7 male physicians who died by suicide. Most with a ‘happy’ exterior. Why? They cannot confide in colleagues for fear that their colleagues will turn them in to hospitals and boards-and there goes their privileges and livelihood. They cannot confide in their spouses because during rough patches mentally, their marriages are already in trouble. If they share psychological problems, they probably fear that the wife may use this as ammunition in any future divorce. So they keep on smiling-right up to the hour they die.”

SOLUTIONS: Medical boards do undermine physician mental health by breaching physician confidentiality and privacy. Discrimination against qualified, competent applicants who report mental health conditions is a violation of the Americans with Disabilities Act. In their search for criminal behavior among physicians, medical boards must not become criminal in their own behavior. By breaking federal law and the AMA Code of Ethics, boards have weaponized mental health diagnoses against physicians. Recommendations for all state boards: 1) Remove mental health questions from medical licensing applications. Replace with current impairment questions such as: “Do you currently have a condition that impairs your ability to practice medicine safely?” Comply with federal law by following best practices of Grade A states. Move criminal/predatory behavior queries to the criminal section alongside felonies and DUIs. 2) Address impairment from hazardous working conditions. Rather than focus on individual victims, engage in high-yield activities that resolve hazardous conditions impairing physicians en masse. To truly protect patients, align with all other industries invested in public safety that have legislated (and enforced) maximum 16-hour shifts, 60-hour work weeks, with minimum 30-minute breaks every 8 hours. 3) Encourage nonpunitive 100% confidential mental health care. Physicians require safe, accessible mental health care to be well-adjusted human beings. Most physicians enter medicine as humanitarians with noble intentions. Help them be well. After all, how can physicians give patients the care they’ve never received? More here: www.idealmedicalcare.org/physician-friendly-states-for-mental-health-a-review-of-medical-boards/ (given UNSAFE & HAZARDOUS working environment physicians will continue to be wounded and will continue to wound each other-inadvertently due to their own catastrophic trauma. I choose to believe the majority of us enter the field with noble intentions and we are simply destroyed by the hazardous educational process and indoctrination into a rigid, failing, and fatally thawed reductionist medical model. Free ebook (quick 20-minute read) here: www.idealmedicalcare.org/books/

So many are suffering in silence and then the stigma WITHIN medicine is just terrible. Skim just a few of the quotes here to get a picture of the situation: www.idealmedicalcare.org/physician-friendly-states-for-mental-health-a-review-of-medical-boards/

Perfectionistic more than pessimistic. He also was suffering with a cancer diagnosis and surely felt that he would not be able to save all the children he was capable of saving given his physical and mental health issues (part 2 to come) . . .

Read more here: “Physicians are treated as criminals and tracked more closely than Level III sex offenders,” reports a general surgeon. “Answering all these questions on applications, the subtle, unspoken lesson is ‘you had better be squeaky clean, mentally, morally and physically! If you step off the shining path, bad things will occur.’ I have known 7 male physicians who died by suicide. Most with a ‘happy’ exterior. Why? They cannot confide in colleagues for fear that their colleagues will turn them in to hospitals and boards-and there goes their privileges and livelihood. They cannot confide in their spouses because during rough patches mentally, their marriages are already in trouble. If they share psychological problems, they probably fear that the wife may use this as ammunition in any future divorce. So they keep on smiling-right up to the hour they die.” www.idealmedicalcare.org/physician-friendly-states-for-mental-health-a-review-of-medical-boards/ It's ridiculous. Stigma for seeking help and then threat of losing our license prevents us from reaching out to anyone.

Yes, you are absolutely correct. Competition, ego, emotional wounds, vicarious trauma can all result in a lack of empathy for others. We are 3x more likely to die by suicide than our patients.

Dr. Wible, I don't know whether to share your Ted Talk with my aunt and say that I worry about my cousin studying as a nurse.

How many careers out there lead to suicide? She sounds like she was an excellent nurse. We are all human beings.

Sure thing and so much more to share about this . . . more to come . . .

Absolutely. Please share. Divide-and-conquer tactics maintain current less-than-ideal to downright abusive hierarchy. FREE ebook I wrote reveals more (just 33 page 20-min read). Download here - www.idealmedicalcare.org/books/

You are in great company on that decision. . . . “Taking medication for ADHD is analogous to wearing glasses for my nearsightedness,” reports a psychiatrist. “My state licensing question asks, ‘Do you have a condition that could impact your abilities?’ As long as I am wearing my glasses I can see. As long as I am taking my ADHD medicine I can keep fairly focused. What business is it of theirs? Normally I feel guilty for lying about the slightest thing. I was counseled behind closed doors by a faculty who knew of my struggles with ADHD to simply put “no” on the form and leave it at that. This proved to be good advice. I was raised to be extremely honest about everything. When it comes to completing these questions for licensing I believe I am being honest because I was instructed by my respected faculty member to look at the questions in this light: Are you impaired by your condition? No. Then the answer on the application is NO.” -- more here: www.idealmedicalcare.org/physician-friendly-states-for-mental-health-a-review-of-medical-boards/

Sad. What are you doing now?

Have empathy for people who work in it everyday, you can't imagine it so you can't judge it. What about 1st responders? Friends and family experience it once and move on. When they are done with one horrific scene they top it off with another right away. Empathy works 8n more than one direction. It's not about numb. It's because you aren't numb that you have to find a way to cope. Dark humor is less destructive

Most important is to have informed consent so you can choose to enter the field knowing risks, benefits, alternatives (many ways to be a healer on the planet). Once you know medicine is the right field for you then essential to have a mentor who can guide you. Eyes wide open. Sharing info here to empower with truth.

I think the majority of us in medicine enter with noble intentions and with unhealed childhood trauma (the decision to go to med school to help others is often because we are hurting -- see more on "Did your wounded child choose your career?" www.idealmedicalcare.org/did-your-wounded-child-choose-your-career/) SO . . . with all the vicarious trauma past and present from a career that pretty much beats the crap out of our humanity, some people crack and can't take it anymore and start acting in less-than-ideal ways . . . it's complex. . . I find it best to dig deep into the WHY so we can prevent injuring those who have such humanitarian intentions when they start this health care journey . . .

Judge much? I pray you aren't judged as harshly as you judge others.

@@maryduhon9769 actually i pray i am because there are racists and psychopaths and sadistic people. there are people who actively aim down. then there are oppressed people who are less malicious but still easily insecure and abusive and gossiping - and i believe the admin and you may be addressing them, and that may have individual context differences in amount style but the first portion of evil people finding great hiding spots in medicine is what i was addressing. im not torturing anyone and while all good in me is from god to not self oppress, thats not same as oppress others and def not as make a sport of trying to murder patients and employees, which is the population of racists in medicine i have 100% met and know are in plenty!!!!!

And vilification of first responders in news media regarding Kobe Bryant case really misses some of the underlying mental health issues that drive some of our maladaptive behavior. No excuse for passing around photos of dead bodies. I guarantee they were not laughing because they thought the tragedy was funny. My take on the bar scene is that many people go to bars and speak to bartenders to process a stressful event. And passing photos amongst themselves at the awards banquet (or even on their personal phones--BAD idea) was probably an act of peer support amid the nightmare of the event. No excuses. Again, just contemplating the underlying emotional scene at play.

It's residency that causes burnout in the first place. Let's start from there. It's a system designed to extract resident labor at a much lower price for hospitals. You can separate capitalism and burnout. The former leads to the latter.

I'm so sorry for your loss. I enjoyed collaborating to create this Q&A. I agree with Dr. Wible down below, none of this is meant to take away the amazing nobility of this profession and how massively rewarding this can be. Nor is this meant to point fingers at anyone or organization. This is simply to open the discussion, pave the pathway to a better environment for future generations. I strongly believe healthcare functions at its best when clinical professionals are able to work at the highest level they are properly credentialed for + when healthy, empathetic, encouraging work environments are being promoted + everybody's job (from the CEO to the janitor at the hospital) is being respected. Healthcare is a team effort, and we are all there to serve at the best interests of the patients. Right now this simply cannot be sustained in the long run imo-and all data and trends point that way. Thanks for sharing your experiences doc- stay healthy and well.