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

What this physician learned from the starfish story

Kathy Stepien, MD
Physician
April 27, 2016
Share
Tweet
Share

I thought about the rather corny starfish story when I was driving home after clinic today. You know the one. It goes something like this:

A man was walking along a deserted beach at sunset. As he walked, he could see a young boy in the distance. As he drew nearer, he noticed that the boy kept bending down, picking something up and throwing it into the water. Time and again the boy kept hurling things into the ocean.

As the man approached even closer, he was able to see that the boy was picking up starfish that had been washed up on the beach. One at a time, the boy was throwing the starfish back into the water.

The man asked the boy what he was doing. The boy replied, “I am throwing these washed up starfish back into the ocean, so they don’t die.”  The man replied, “But, you can’t possibly save them all. There are thousands on this beach. This must be happening on hundreds of beaches along the coast. You can’t possibly make a difference.” The boy looked down, frowning for a moment. He then bent down to pick up another starfish. Smiling, he threw it back into the ocean and replied, “I made a huge difference to that one!”

There is a piece of me that has a hard time getting beyond concerns about why thousands of starfish are on the beach in the first place. I also wonder what harm a forceful toss can do to a starfish and how good intentions when attempting to help others can cause even greater problems.  But, today, I thought about the boy.

You see, today I saw a depressed teenager in the clinic. Tears were rolling down her face as she haltingly told me her life story. She is in a difficult situation and she is still a child — poorly equipped to cope with such big problems. She has many challenges ahead and few resources to support her. I did my best, created a plan with her input, and will see her again for follow-up. I’m not sure what I did today helped, but I like to think so. I like to think “I made a huge difference to that one.” Time will tell.

Here’s my point: The starfish story isn’t only about the starfish; it is also about a boy who lives with hope in something unknowable. Through his actions, he may save the lives of a few starfish. Perhaps he inspires other people to also save starfish or to organize a starfish–saving nonprofit. The boy cannot know the ripple effect of his actions. But, I like to think, his life is more meaningful because he lives with hope. His life is richer for trying.

As a physician, I too need to live with hope. Trying to help others matters. In and of itself, as an intrinsic good. Regardless of whether I make a huge difference to the patient, being able to try to help makes a huge difference to me. My life is richer for trying.

I understand starfish ecosystems are more complex than this story allows, just as many things can cloud otherwise simple human interactions. But in the end, the practice of medicine itself is meaningful. Being a physician is about being a person who lives in a world where people care about each other and use their talents to help one another.  That hope is the gift of medicine to me. Despite the day-to-day challenges of EMRs, pre-authorizations and the scourge of Dr. Google, my life is better because I am a physician. For this gift, I am thankful.

Kathy Stepien is a pediatrician who blogs at the Institute for Physician Wellness.

Image credit: Shutterstock.com

Prev

The ever expanding list of reasons for a doctor's note

April 27, 2016 Kevin 14
…
Next

This is what true patient care is about

April 28, 2016 Kevin 2
…

Tagged as: Primary Care

Post navigation

< Previous Post
The ever expanding list of reasons for a doctor's note
Next Post >
This is what true patient care is about

ADVERTISEMENT

More by Kathy Stepien, MD

  • Physician wellness at the personal, institutional, and cultural levels

    Kathy Stepien, MD
  • Your daughter is going to medical school. Please don’t worry.

    Kathy Stepien, MD
  • They played Taps at my father’s funeral. They played it beautifully.

    Kathy Stepien, MD

Related Posts

  • A physician’s addiction to social media

    Amanda Xi, MD
  • The story of how this physician started her blog

    Sasha K. Shillcutt, MD
  • Why everyone needs a six-word story

    Alexie Puran, MD
  • How a physician keynote can highlight your conference

    Kevin Pho, MD
  • Chasing numbers contributes to physician burnout

    DrizzleMD
  • The black physician’s burden

    Naomi Tweyo Nkinsi

More in Physician

  • Complicity vs. protest: a doctor’s choice

    Patrick Hudson, MD
  • When cancer costs too much: Why financial toxicity deserves a place in clinical conversations

    Yousuf Zafar, MD
  • The hidden rewards of a primary care career

    Jerina Gani, MD, MPH
  • Why doctors regret specialty choices in their 30s

    Jeremiah J. Whittington, MD
  • 10 hard truths about practicing medicine they don’t teach in school

    Steven Goldsmith, MD
  • How I learned to love my unique name as a doctor

    Zoran Naumovski, MD
  • Most Popular

  • Past Week

    • Why doctors must fight for a just health care system

      Alankrita Olson, MD, MPH & Ashley Duhon, MD & Toby Terwilliger, MD | Policy
    • The human case for preserving the nipple after mastectomy

      Thomas Amburn, MD | Conditions
    • Nuclear verdicts and rising costs: How inflation is reshaping medical malpractice claims

      Robert E. White, Jr. & The Doctors Company | Policy
    • IMGs are the future of U.S. primary care

      Adam Brandon Bondoc, MD | Physician
    • Complicity vs. protest: a doctor’s choice

      Patrick Hudson, MD | Physician
    • Why I left the clinic to lead health care from the inside

      Vandana Maurya, MHA | Conditions
  • Past 6 Months

    • Health equity in Inland Southern California requires urgent action

      Vishruth Nagam | Policy
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why primary care needs better dermatology training

      Alex Siauw | Conditions
    • Why pain doctors face unfair scrutiny and harsh penalties in California

      Kayvan Haddadan, MD | Physician
    • How a doctor defied a hurricane to save a life

      Dharam Persaud-Sharma, MD, PhD | Physician
    • What street medicine taught me about healing

      Alina Kang | Education
  • Recent Posts

    • Complicity vs. protest: a doctor’s choice

      Patrick Hudson, MD | Physician
    • How physician burnout and system reform are shaping the future of U.S. health care

      Irim Salik, MD | Policy
    • How nature is inspiring the future of pain medicine

      Varun Mangal | Conditions
    • Why doctors must fight for a just health care system

      Alankrita Olson, MD, MPH & Ashley Duhon, MD & Toby Terwilliger, MD | Policy
    • Affordable postpartum hemorrhage solutions every OB/GYN can use worldwide [PODCAST]

      The Podcast by KevinMD | Podcast
    • When cancer costs too much: Why financial toxicity deserves a place in clinical conversations

      Yousuf Zafar, 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

Leave a Comment

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

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why doctors must fight for a just health care system

      Alankrita Olson, MD, MPH & Ashley Duhon, MD & Toby Terwilliger, MD | Policy
    • The human case for preserving the nipple after mastectomy

      Thomas Amburn, MD | Conditions
    • Nuclear verdicts and rising costs: How inflation is reshaping medical malpractice claims

      Robert E. White, Jr. & The Doctors Company | Policy
    • IMGs are the future of U.S. primary care

      Adam Brandon Bondoc, MD | Physician
    • Complicity vs. protest: a doctor’s choice

      Patrick Hudson, MD | Physician
    • Why I left the clinic to lead health care from the inside

      Vandana Maurya, MHA | Conditions
  • Past 6 Months

    • Health equity in Inland Southern California requires urgent action

      Vishruth Nagam | Policy
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why primary care needs better dermatology training

      Alex Siauw | Conditions
    • Why pain doctors face unfair scrutiny and harsh penalties in California

      Kayvan Haddadan, MD | Physician
    • How a doctor defied a hurricane to save a life

      Dharam Persaud-Sharma, MD, PhD | Physician
    • What street medicine taught me about healing

      Alina Kang | Education
  • Recent Posts

    • Complicity vs. protest: a doctor’s choice

      Patrick Hudson, MD | Physician
    • How physician burnout and system reform are shaping the future of U.S. health care

      Irim Salik, MD | Policy
    • How nature is inspiring the future of pain medicine

      Varun Mangal | Conditions
    • Why doctors must fight for a just health care system

      Alankrita Olson, MD, MPH & Ashley Duhon, MD & Toby Terwilliger, MD | Policy
    • Affordable postpartum hemorrhage solutions every OB/GYN can use worldwide [PODCAST]

      The Podcast by KevinMD | Podcast
    • When cancer costs too much: Why financial toxicity deserves a place in clinical conversations

      Yousuf Zafar, MD | Physician

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

Leave a Comment

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

Loading Comments...