Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
  • About KevinMD | Kevin Pho, MD
  • Be heard on social media’s leading physician voice
  • Contact Kevin
  • Discounted enhanced author page
  • DMCA Policy
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • Group vs. individual disability insurance for doctors: pros and cons
  • KevinMD influencer opportunities
  • Opinion and commentary by KevinMD
  • Physician burnout speakers to keynote your conference
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Primary care physician in Nashua, NH | Kevin Pho, MD
  • Privacy Policy
  • Recommended services by KevinMD
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The biggest mistake doctors make when purchasing disability insurance
  • The doctor’s guide to disability insurance: short-term vs. long-term
  • The KevinMD ToolKit
  • Upgrade to the KevinMD enhanced author page
  • Why own-occupation disability insurance is a must for doctors

How I learned to appreciate the struggles of others who don’t fit in

Alex Lickerman, MD
Physician
November 30, 2012
Share
Tweet
Share

When I was ten I once found myself walking with my brother on a Lake Michigan beach when we came upon a half-empty bottle of beer. Curious, I picked it up and looked inside at the swirling dark liquid. Then, impulsively, I took a sip. It was hot, having baked in the sun for who knows how many hours or days, and tasted awful.

I never took another drink of alcohol again. The reason for this isn’t because I found that first sip so revolting (though I did). It’s for the same reason my wife hates to have her blood drawn—that is to say, not because the needle hurts (she’s voluntarily taken on exponentially more pain throughout her life, most recently when she climbed Mt. Rainier)—but rather because the idea of a needle being inserted into her vein is so utterly revolting to her.

Though I have no problem having my blood drawn, the idea of having my mind influenced by a drug fills me with the same sense of revulsion that she feels when she thinks about a needle puncturing her skin and sliding into a vein. The origin of these feelings? I honestly don’t know. Perhaps they relate to a pathological fear of loss of control. Or perhaps to a subconscious sense of moral superiority that remaining always in control of my faculties gives me. (I feel no conscious moral outrage toward drinking or drinkers—at least, none toward those who drink responsibly.) But when you combine an emotional aversion to feeling even tipsy with the fact that the ability to enjoy the taste of alcohol must, in general, be acquired, what you get—at least, in my case—is a lifelong teetotaler.

Abstaining from alcohol hasn’t always been easy. Especially in college, there was frequently subtle and even occasionally intense and direct pressure to drink. My not drinking separated me from my peers in a way I found frankly—though in retrospect naively—bewildering: I wasn’t just left out of drinking games but also of other kinds of fun they would have. It hurt sometimes to be excluded—but never so much that I ever decided to join them in drinking. I often found myself wondering if my friends felt that my not drinking was my way of rebuking them for drinking to excess. And though I have to confess I never admired anyone for drinking so much that they threw up or couldn’t remember what they’d done the night before, I never once criticized anyone for it.

Being excluded from a group because of choices you’ve made, what you believe, or what you are is painful, to say the least. But it can also make you strong. It forces you to define your boundaries. To know why they exist. To practice defending them. To practice paying attention to your own voice amid the often deafening cacophony of the voices of those around you.

And it does one thing more: it makes you more empathetic. This, by helping you to appreciate the struggles of those others who also don’t fit, who find themselves trying to find their own community. Being excluded because of the choices you make can even make you empathetic to the suffering of those who most stringently seek to ostracize you. In sum, being excluded makes it far more likely you’ll be able to live according to Plato’s admonition to “be kind, for everyone you meet is fighting a hard battle.” For few things, I’ve found, make us as kind as needing a little kindness ourselves.

Alex Lickerman is an internal medicine physician at the University of Chicago who blogs at Happiness in this World.  He is the author of The Undefeated Mind: On the Science of Constructing an Indestructible Self.

Prev

Learning to fly and getting my new practice off the ground

November 30, 2012 Kevin 13
…
Next

MKSAP: 46-year-old woman with an intensely pruritic rash

December 1, 2012 Kevin 0
…

Tagged as: Primary Care

< Previous Post
Learning to fly and getting my new practice off the ground
Next Post >
MKSAP: 46-year-old woman with an intensely pruritic rash

ADVERTISEMENT

More by Alex Lickerman, MD

  • The main difference between functional medicine and evidence-based medicine

    Alex Lickerman, MD
  • Is too much care as harmful as too little?

    Alex Lickerman, MD
  • a desk with keyboard and ipad with the kevinmd logo

    The art of compromising is the key to a healthy relationship

    Alex Lickerman, MD

More in Physician

  • Independent medical practice: Why private clinics are essential

    Marcelo Hochman, MD
  • How hindsight bias distorts clinical medicine

    Olumuyiwa Bamgbade, MD
  • Do no harm: Why physician burnout requires bottom-up reform

    Desiree Francis, MD
  • Institutional distrust in health care: Why a doctor lost faith

    Joshua Mirrer, MD
  • Debunking 4 myths about fertility treatments for women of color

    Ilana Ressler, MD
  • Whole-body MRI screening: a radiologist’s guide to preventive scans

    Amit Newatia, MD
  • Most Popular

  • Past Week

    • Politics and fear have replaced science in U.S. pain management [PODCAST]

      The Podcast by KevinMD | Podcast
    • Evidence-based medicine vs. clinical judgment: a medical student’s perspective

      Jay Pendyala | Education
    • The controversy over Maintenance of Certification for grandfathered physicians

      Bernard Leo Remakus, MD | Physician
    • How hindsight bias distorts clinical medicine

      Olumuyiwa Bamgbade, MD | Physician
    • When side effects are actually a cry for help with medication costs

      Shuchita Gupta, MD | Physician
    • The hidden math behind physician hiring costs and recruitment

      Timothy Lesaca, MD | Physician
  • Past 6 Months

    • The dangers of vertical integration in health care

      Stephanie Waggel, MD | Policy
    • Why does sex work seem like a more viable path than medicine in 2026?

      Corina Fratila, MD | Physician
    • The 9 laws of health care quality: Why metrics miss the point

      Constantine Ioannou, MD | Physician
    • Politics and fear have replaced science in U.S. pain management [PODCAST]

      The Podcast by KevinMD | Podcast
    • From Singapore to Canada: a blueprint for primary care transformation

      Ivy Oandasan, MD | Policy
    • How board certification fuels the physician shortage crisis

      Brian Hudes, MD | Physician
  • Recent Posts

    • Why measuring muscle mass matters more than tracking your weight [PODCAST]

      The Podcast by KevinMD | Podcast
    • Health insurance incentives and alternatives to opioids for chronic pain

      Molly Candon, PhD and Daniel Clauw, MD | Conditions
    • Independent medical practice: Why private clinics are essential

      Marcelo Hochman, MD | Physician
    • How hindsight bias distorts clinical medicine

      Olumuyiwa Bamgbade, MD | Physician
    • Do no harm: Why physician burnout requires bottom-up reform

      Desiree Francis, MD | Physician
    • Institutional distrust in health care: Why a doctor lost faith

      Joshua Mirrer, MD | Physician

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 4 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Politics and fear have replaced science in U.S. pain management [PODCAST]

      The Podcast by KevinMD | Podcast
    • Evidence-based medicine vs. clinical judgment: a medical student’s perspective

      Jay Pendyala | Education
    • The controversy over Maintenance of Certification for grandfathered physicians

      Bernard Leo Remakus, MD | Physician
    • How hindsight bias distorts clinical medicine

      Olumuyiwa Bamgbade, MD | Physician
    • When side effects are actually a cry for help with medication costs

      Shuchita Gupta, MD | Physician
    • The hidden math behind physician hiring costs and recruitment

      Timothy Lesaca, MD | Physician
  • Past 6 Months

    • The dangers of vertical integration in health care

      Stephanie Waggel, MD | Policy
    • Why does sex work seem like a more viable path than medicine in 2026?

      Corina Fratila, MD | Physician
    • The 9 laws of health care quality: Why metrics miss the point

      Constantine Ioannou, MD | Physician
    • Politics and fear have replaced science in U.S. pain management [PODCAST]

      The Podcast by KevinMD | Podcast
    • From Singapore to Canada: a blueprint for primary care transformation

      Ivy Oandasan, MD | Policy
    • How board certification fuels the physician shortage crisis

      Brian Hudes, MD | Physician
  • Recent Posts

    • Why measuring muscle mass matters more than tracking your weight [PODCAST]

      The Podcast by KevinMD | Podcast
    • Health insurance incentives and alternatives to opioids for chronic pain

      Molly Candon, PhD and Daniel Clauw, MD | Conditions
    • Independent medical practice: Why private clinics are essential

      Marcelo Hochman, MD | Physician
    • How hindsight bias distorts clinical medicine

      Olumuyiwa Bamgbade, MD | Physician
    • Do no harm: Why physician burnout requires bottom-up reform

      Desiree Francis, MD | Physician
    • Institutional distrust in health care: Why a doctor lost faith

      Joshua Mirrer, MD | Physician

MedPage Today Professional

An Everyday Health Property Medpage Today

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

How I learned to appreciate the struggles of others who don’t fit in
4 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...