Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • 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

Why are doctors the worst patients?

Natalie Azar, MD
Physician
December 31, 2013
Share
Tweet
Share

We’ve all been there. You’re in medical school, sitting in a lecture hall — maybe the course is pathology — and for the first time since starting your studies, you’re actually learning about real diseases, not just benzene rings and the Krebs cycle. You’re furiously note-taking, and you reach back to work out a kink in your neck. There it is! A palpable, enlarged lymph node. You have lymphoma. You must. Because that’s today’s class topic.

Almost ten years ago, New York Times medical reporter Abigail Zuger wrote, “If stereotypes are to be believed, one of the best ways to develop hypochondria is to enroll in medical school, and one of the best ways to get over it is to graduate.”

Though “medical school syndrome” hasn’t been well studied, some theories have explored the notion that it stems from young, healthy students being confronted by new information on disease and illness for the first time in their lives. Unaccustomed to the dense and sobering onslaught of such information, they feel vulnerable to every horrifying malady. Once they’re out of the lecture halls and a bit more inured to seeing illness, the syndrome fades.

Or does it? Let’s not underestimate the number of hypochondriacs among us maturing docs as well! In what I’d term “late stage” symptoms, it’s not learning about something new that gets us. Rather, it’s finding something in ourselves — a strangely shaped bump or an unusual constellation of symptoms — that doesn’t fit a pattern. That, I’d argue, is the perfect trigger for rejuvenating the hypochondriasis we buried at graduation.

It’s often said that doctors are the worst patients, and perhaps that’s precisely because we’re all too familiar with what it means to be sick and to have the vulnerabilities and fears of the ailing. It isn’t fun. For those same reasons, maybe we haven’t really proverbially grown out of our hypochondriasis. Maybe it’s alive and well; operating at every turn as we navigate through cancer diagnoses, pronouncements, rotten luck, and close calls.

I will never forget the time I was asked to consult on a young, male patient with generalized musculoskeletal pain. He was a husband and a father of two young children. He was in his prime. I took the patient’s history and I examined him. Then I offered to look up the results of his recent chest CT, performed because of some vague respiratory complaints. When I opened the chart, it was too late to change course. I had to tell the patient that the likeliest explanation for his symptoms was, in fact, cancer.

Vague pain one moment, and cancer the next — the odds of such discovery are incredibly low, and yet that’s exactly why they haunt me. We are justified in our occasional, unrealistic fears because we are only human, and our collective experience certainly exposes us to some very challenging things indeed.

Natalie Azar is a rheumatologist who blogs at The Doctor Blog.

Prev

After Sandy Hook: Let’s not let these children die in vain

December 30, 2013 Kevin 14
…
Next

We don’t really get to die of old age

December 31, 2013 Kevin 13
…

Tagged as: Oncology/Hematology, Rheumatology

Post navigation

< Previous Post
After Sandy Hook: Let’s not let these children die in vain
Next Post >
We don’t really get to die of old age

ADVERTISEMENT

More by Natalie Azar, MD

  • Motivate patients to exercise more and eat less

    Natalie Azar, MD
  • a desk with keyboard and ipad with the kevinmd logo

    Can doctors ever work together with insurance companies?

    Natalie Azar, MD
  • a desk with keyboard and ipad with the kevinmd logo

    Patients who come with a family member doctor

    Natalie Azar, MD

More in Physician

  • Why evidence-based management may be an effective strategy for stronger health care leadership and equity

    Olumuyiwa Bamgbade, MD
  • The gift we keep giving: How medicine demands everything—even our holidays

    Tomi Mitchell, MD
  • From burnout to balance: a neurosurgeon’s bold career redesign

    Jessie Mahoney, MD
  • Why working in Hawai’i health care isn’t all paradise

    Clayton Foster, MD
  • How New Mexico became a malpractice lawsuit hotspot

    Patrick Hudson, MD
  • Why compassion—not credentials—defines great doctors

    Dr. Saad S. Alshohaib
  • Most Popular

  • Past Week

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • How New Mexico became a malpractice lawsuit hotspot

      Patrick Hudson, MD | Physician
    • Why doctors are reclaiming control from burnout culture

      Maureen Gibbons, MD | Physician
    • Why public health must be included in AI development

      Laura E. Scudiere, RN, MPH | Tech
    • 5 blind spots that stall physician wealth

      Johnny Medina, MSc | Finance
  • Past 6 Months

    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • Why flashy AI tools won’t fix health care without real infrastructure

      David Carmouche, MD | Tech
  • Recent Posts

    • How digital tools are reshaping the doctor-patient relationship

      Vineet Vishwanath | Tech
    • Why evidence-based management may be an effective strategy for stronger health care leadership and equity

      Olumuyiwa Bamgbade, MD | Physician
    • Why health care leaders fail at execution—and how to fix it

      Dave Cummings, RN | Policy
    • Residency match tips: Building mentorship, research, and community

      Simran Kaur, MD and Eva Shelton, MD | Education
    • From Founding Fathers to modern battles: physician activism in a politicized era [PODCAST]

      The Podcast by KevinMD | Podcast
    • From stigma to science: Rethinking the U.S. drug scheduling system

      Artin Asadipooya | Meds

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 2 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

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • How New Mexico became a malpractice lawsuit hotspot

      Patrick Hudson, MD | Physician
    • Why doctors are reclaiming control from burnout culture

      Maureen Gibbons, MD | Physician
    • Why public health must be included in AI development

      Laura E. Scudiere, RN, MPH | Tech
    • 5 blind spots that stall physician wealth

      Johnny Medina, MSc | Finance
  • Past 6 Months

    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • Why flashy AI tools won’t fix health care without real infrastructure

      David Carmouche, MD | Tech
  • Recent Posts

    • How digital tools are reshaping the doctor-patient relationship

      Vineet Vishwanath | Tech
    • Why evidence-based management may be an effective strategy for stronger health care leadership and equity

      Olumuyiwa Bamgbade, MD | Physician
    • Why health care leaders fail at execution—and how to fix it

      Dave Cummings, RN | Policy
    • Residency match tips: Building mentorship, research, and community

      Simran Kaur, MD and Eva Shelton, MD | Education
    • From Founding Fathers to modern battles: physician activism in a politicized era [PODCAST]

      The Podcast by KevinMD | Podcast
    • From stigma to science: Rethinking the U.S. drug scheduling system

      Artin Asadipooya | Meds

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Why are doctors the worst patients?
2 comments

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

Loading Comments...