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

Doctors: Don’t forget to take care of yourselves

Fred N. Pelzman, MD
Physician
March 10, 2018
Share
Tweet
Share

It’s 10 p.m. on Wednesday night, and I’m finishing up my notes for my patient visits from this morning while I do my bowel prep for my colonoscopy tomorrow.

Now, I know we can argue the biomechanical challenges of doing both of these tasks at the same time, and this certainly may be TMI, but it struck me as I was sitting there trying to do both of these things how important our own health and well-being is to our ability to create a truly patient-centered medical model of care for our patients and our country.

We are all trying to do two things at once — and often, more than two things — and we’ve seen lots of writing by providers and articles in the medical literature about increasing burnout and worsening health indicators for practitioners trying to survive in the medical world today.

And multiple newspaper stories, journal articles, and even memoirs have been written about the health challenges that providers have had to face, oftentimes as we’ve neglected our own health at the expense of all the other things we need to do.

We’ve been ignoring that lingering cough, or attributing worsening fatigue to our busy lives. But I would argue that we need to take care of ourselves in order to take care of others.

We all know that doctors are the worst patients, and when you combine that with the old adage, “Physician, heal thyself” and William Osler’s quote, “The doctor who treats himself has a fool for a patient,” you probably have a recipe for disaster, or at least poor care.

I can imagine that as each of us sits with our patients and struggles with them to get their health care maintenance items “up-to-date”, while we are simultaneously managing their acute and chronic medical conditions, trying to deal with our daily administrative and regulatory requirements, and navigating the lumbering electronic health record, we oftentimes look at some action that we’re ordering for them and say, “Hey, don’t I need to do that?”

When was the last time that you, a health care provider who knows best, saw your own primary care provider? Are you prescribing medicines for yourself, or having one of your partners send in prescriptions for you? Ordering your own labs, and reviewing them yourself?

I guess all I really want to say is, to take care of everyone else we do need to take care of ourselves, especially as we try to double down and reinvigorate our efforts to fix this broken health care system.

I would like to take advantage of having this soapbox, this place where I get to talk, to make sure we all get the health care we need so that we can be here tomorrow to take care of our patients and transform this country’s messed up health care system.

Do something for yourself. Please.

Schedule an appointment to see your primary care provider. (If you don’t have one, get one. If you don’t know anyone, let me know, and I can help you find someone good!)

Get your mammogram done.

ADVERTISEMENT

Have your cholesterol checked.

Have your PSA checked, if you think that’s right for you.

Get your colonoscopy done.

Get your diabetes under better control, quit smoking, eat healthy, get some exercise, get some sleep.

Overweight, snoring, waking up exhausted? Get a sleep study.

Tired? Maybe you really are hypothyroid or anemic or something else (although we often just chalk this up to life).

We all know all the things we need to do; we do them all day long for all of our patients. All I’m asking is for us to imagine our own charts, and all the unclicked boxes we have, and now, as we head into the holiday season, to take a moment to make sure you’ve done all you can for yourself, so you can continue to do so for others.

Please, do me a favor, look to yourself and what you need, and get some of this done.

If you don’t mind, reply to this column with a comment, and let me know that your health care maintenance is up-to-date, that you set up a colonoscopy, that you had your pneumonia vaccine, that you saw your gynecologist, and that you went and saw your primary care provider and let them be your doctor, instead of you having to do it for yourself. Maybe you won’t get yourself all up-to-date right away, but each step is a start.

This will make the discomfort of prepping for my own colonoscopy seem worthwhile.

Fred N. Pelzman is an associate professor of medicine, New York Presbyterian Hospital and associate director, Weill Cornell Internal Medicine Associates, New York City, NY. He blogs at MedPage Today’s Building the Patient-Centered Medical Home.

Image credit: Shutterstock.com

Prev

A physician unplugs for a week. You should, too.

March 10, 2018 Kevin 0
…
Next

A patient's expertise is often undervalued

March 10, 2018 Kevin 2
…

Tagged as: Oncology/Hematology, Primary Care

Post navigation

< Previous Post
A physician unplugs for a week. You should, too.
Next Post >
A patient's expertise is often undervalued

ADVERTISEMENT

More by Fred N. Pelzman, MD

  • Why electronic medical records should be standardized

    Fred N. Pelzman, MD
  • Can answers to after hours calls be automated?

    Fred N. Pelzman, MD
  • We have to do better than DNR tattoos

    Fred N. Pelzman, MD

Related Posts

  • Why health care replaced physician care

    Michael Weiss, MD
  • Who says doctors don’t care?

    Cindy Thompson
  • How social media can help or hurt your health care career

    Health eCareers
  • Doctors and patients should be wary of health care mega-mergers

    Linda Girgis, MD
  • Direct primary care: Great for some doctors, but challenging for patients

    Ken Terry
  • Forget what you’ve heard. Direct primary care is here to stay.

    Trevin Cardon

More in Physician

  • Why Canada is losing its skilled immigrant doctors

    Olumuyiwa Bamgbade, MD
  • Why doctors are reclaiming control from burnout culture

    Maureen Gibbons, MD
  • Why screening for diseases you might have can backfire

    Andy Lazris, MD and Alan Roth, DO
  • Why “do no harm” might be harming modern medicine

    Sabooh S. Mubbashar, MD
  • International doctors blocked by visa delays as U.S. faces physician shortage

    Arthur Lazarus, MD, MBA
  • How I redesigned my life as a physician without abandoning medicine

    Ben Reinking, MD
  • Most Popular

  • Past Week

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

      The Podcast by KevinMD | Podcast
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • How community paramedicine impacts Indigenous elders

      Noah Weinberg | Conditions
    • Why Canada is losing its skilled immigrant doctors

      Olumuyiwa Bamgbade, MD | Physician
    • How to speak the language of leadership to improve doctor wellness [PODCAST]

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

      Saba Qaiser, RN | Conditions
    • How medical culture hides burnout in plain sight

      Marco Benítez | Conditions
  • Recent Posts

    • Why Canada is losing its skilled immigrant doctors

      Olumuyiwa Bamgbade, MD | Physician
    • Why doctors are reclaiming control from burnout culture

      Maureen Gibbons, MD | Physician
    • Would The Pitts’ Dr. Robby Robinavitch welcome a new colleague? Yes. Especially if their initials were AI.

      Gabe Jones, MBA | Tech
    • Why medicine must stop worshipping burnout and start valuing humanity

      Sarah White, APRN | Conditions
    • Why screening for diseases you might have can backfire

      Andy Lazris, MD and Alan Roth, DO | Physician
    • How organizational culture drives top talent away [PODCAST]

      The Podcast by KevinMD | Podcast

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

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

      The Podcast by KevinMD | Podcast
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • How community paramedicine impacts Indigenous elders

      Noah Weinberg | Conditions
    • Why Canada is losing its skilled immigrant doctors

      Olumuyiwa Bamgbade, MD | Physician
    • How to speak the language of leadership to improve doctor wellness [PODCAST]

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

      Saba Qaiser, RN | Conditions
    • How medical culture hides burnout in plain sight

      Marco Benítez | Conditions
  • Recent Posts

    • Why Canada is losing its skilled immigrant doctors

      Olumuyiwa Bamgbade, MD | Physician
    • Why doctors are reclaiming control from burnout culture

      Maureen Gibbons, MD | Physician
    • Would The Pitts’ Dr. Robby Robinavitch welcome a new colleague? Yes. Especially if their initials were AI.

      Gabe Jones, MBA | Tech
    • Why medicine must stop worshipping burnout and start valuing humanity

      Sarah White, APRN | Conditions
    • Why screening for diseases you might have can backfire

      Andy Lazris, MD and Alan Roth, DO | Physician
    • How organizational culture drives top talent away [PODCAST]

      The Podcast by KevinMD | Podcast

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

Doctors: Don’t forget to take care of yourselves
4 comments

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

Loading Comments...