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 would a pediatric neurosurgeon go crab fishing in the Bering Sea?

Anthony Avellino, MD, MBA
Physician
April 3, 2023
Share
Tweet
Share

At one point, many of us will ask the questions, “Am I going to die? Am I safe? Who can I count on? It could be as you face your mortality or find yourself in a dangerous situation. Or, as it has been for many frontline health care professionals while facing a job-related risk like contracting COVID-19. Medical professionals are not the only ones who have experienced high levels of fear, anxiety, anger, and depression stemming from the global COVID-19 pandemic. We all did, and those emotions were only made worse by the isolation, uncertainty, and disruption to our lives caused by the pandemic. There was the constant risk of becoming infected with COVID-19 and pressures stemming from remote working and learning, as well as childcare and eldercare challenges. For many, harsh economic challenges arose from having lost their jobs.

The fears and anxieties associated with my role as a pediatric neurosurgeon are those related to my patients’ lives I have put at risk during the past 20 years. I have had many sleepless nights not thinking about the hundreds of children that had great outcomes, but the 1-2 each year for whom I may have made an honest mistake, or their disease just won. In my 20-year practice, I can count over 40 children that I still blame myself for their untoward outcomes. I am constantly beating myself up over these children, which causes me both mental and physical pain.

In the late 1980s when I was a medical student and then in the 1990s as a resident, the human immunodeficiency virus / acquired immunodeficiency syndrome (HIV/AIDS) was at an epidemic stage. Like other medical professionals, I feared contracting HIV/AIDS without knowing how it was diagnosed, managed, or prevented. Back then, there were limited antiretroviral therapies. As a resident, I was working extraordinarily long hours as the federally mandated ACGME 80-hour workweek duty standards were not yet in place. I was routinely exposed to percutaneous needle injuries and blood exposures. I underwent HIV testing numerous times, which always was accompanied by anxiety, waiting for follow-up 6-month testing, and taking a toll on my mental and physical health.

The last decade presented an opportunity for me to learn something from the commercial fishing industry about life circumstances where we experience fear and anxiety. In 2009, I was privileged to work on the F/V Miss Colleen, a commercial salmon fishing gillnet boat in Bristol Bay, Alaska. Then, in the fall of 2019 and winter of 2021, I was fortunate to be a deckhand on the F/V Saga, a commercial crab fishing boat in the Bering Sea profiled on the Discovery show Deadliest Catch. Both experiences had a profound effect on me and taught me how to switch from a “my life is at risk” mentality to one focused on preventing mistakes from happening through teamwork and effective communication. It occurred to me that there is no room for error in both the health care and commercial fishing industries. Both giving a patient the wrong medication or going overboard in rough seas can lead to death.

Commercial fishing is recognized as one of the world’s most dangerous occupations. According to the National Institute for Occupational Safety and Health, there were 117 deaths per 100,000 fishing workers from 2000-2015, 29 times higher than the average U.S. workers (i.e., four deaths/100,000). On the popular television show, Deadliest Catch, many gained an awareness of the Bering Sea crab fishing industry. I learned firsthand as a commercial fishing worker just how physically and mentally agonizing the work was. But I also learned that feeling of being safe equals freedom. And I became acutely aware of how important teamwork, communication, and connecting at the heart are in those circumstances and that to be effective, you need to develop compassionate, supportive relationships with your teammates. Everyone must have each other’s back to keep each other safe. One mistake could result in the death of the entire crew. To ensure safety while completing the tasks at hand, each team member must understand the strengths and weaknesses of the others.

Often, I wonder what makes a great commercial fishing boat captain, physician, or leader. Many successful leaders desire to succeed, yet they also possess humility and respect for and trust in others. They lead by example and not just words, even when facing high-risk and even life-and-death situations.

Fishing on the dangerous, unrelenting Bering Sea makes you understand your mortality and just how precious life is. You appreciate the value of fostering teamwork and communication as you are constantly faced with death. In life, developing loving relationships, being there and showing up for others, and connecting at the heart with each team member are critical to combatting fear and anxiety that accompany the goal of keeping everyone safe while still catching your crab quota.

These are unprecedented and challenging times as we continue to grapple with the pandemic and its aftermath. I am continually in awe of the collective selfless response of those serving on the front lines – not just our health care workers and first responders but also utility workers, truckers, grocers, and other heroes. We have made tremendous progress due to their contributions, while our mental and physical fortitude has been tested and will continue to be tested, along with our ability to endure the new normal and remaining uncertainty of what will happen next year and thereafter. But, if we think like commercial fishing workers, like teammates entrusted with each other’s lives and well-being, and remain like bamboo, flexible and resilient, we will endure. We need to listen, learn, and heal with each other to achieve a healthier, peaceful, and purposeful life with optimum performance in mind, body, and spirit.

Anthony Avellino is a pediatric neurosurgeon and the author of Finding Purpose: A Neurosurgeon’s Journey of Hope and Healing.

Prev

The culture of my health care organization is broken. Is there hope?

April 3, 2023 Kevin 1
…
Next

Breaking the silence on the harmful effects of the EMR

April 3, 2023 Kevin 5
…

Tagged as: Surgery

Post navigation

< Previous Post
The culture of my health care organization is broken. Is there hope?
Next Post >
Breaking the silence on the harmful effects of the EMR

ADVERTISEMENT

More by Anthony Avellino, MD, MBA

  • A patient reached out to a doctor, and they helped each other heal

    Anthony Avellino, MD, MBA & Kim Downey, PT
  • Destigmatize burnout and let those facing pain in silence know they are not alone

    Anthony Avellino, MD, MBA
  • New legislation addresses health care professionals’ mental health needs

    Anthony Avellino, MD, MBA

Related Posts

  • Observing the effects of COVID-19 on the pediatric population

    Amy Cox and Rachel Kalthoff
  • 10 tips for delivering difficult pediatric diagnoses

    Laura Spiegel
  • Are pediatric hospitals ready to embrace value-based payment models?

    Johanna Vidal Phelan, MD, MBA
  • How COVID-19 will close pediatric practices

    Nidhi Kukreja, MD
  • Use pediatric research to solve the threat of gun violence

    Vivek Balasubramaniam, MD, Joyce Javier, MD, MPH, Shetal Shah, MD, and Debra L. Weiner, MD, PhD
  • Pediatric mental health is a growing epidemic. Here’s how Illinois is leading the way to solve that. 

    Nitin Vidyasagar

More in Physician

  • Why more doctors are choosing direct care over traditional health care

    Grace Torres-Hodges, DPM, MBA
  • How to handle chronically late patients in your medical practice

    Neil Baum, MD
  • How early meetings and after-hours events penalize physician-mothers

    Samira Jeimy, MD, PhD and Menaka Pai, MD
  • Why medicine must evolve to support modern physicians

    Ryan Nadelson, MD
  • Why listening to parents’ intuition can save lives in pediatric care

    Tokunbo Akande, MD, MPH
  • Finding balance and meaning in medical practice: a holistic approach to professional fulfillment

    Dr. Saad S. Alshohaib
  • Most Popular

  • Past Week

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • America’s ER crisis: Why the system is collapsing from within

      Kristen Cline, BSN, RN | Conditions
    • Why timing, not surgery, determines patient survival

      Michael Karch, MD | Conditions
    • How early meetings and after-hours events penalize physician-mothers

      Samira Jeimy, MD, PhD and Menaka Pai, MD | Physician
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • The hidden health risks in the One Big Beautiful Bill Act

      Trevor Lyford, MPH | Policy
  • Recent Posts

    • Beyond burnout: Understanding the triangle of exhaustion [PODCAST]

      The Podcast by KevinMD | Podcast
    • Facing terminal cancer as a doctor and mother

      Kelly Curtin-Hallinan, DO | Conditions
    • Online eye exams spark legal battle over health care access

      Joshua Windham, JD and Daryl James | Policy
    • FDA delays could end vital treatment for rare disease patients

      G. van Londen, MD | Meds
    • Pharmacists are key to expanding Medicaid access to digital therapeutics

      Amanda Matter | Meds
    • Why ADHD in women requires a new approach [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

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

  • Most Popular

  • Past Week

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • America’s ER crisis: Why the system is collapsing from within

      Kristen Cline, BSN, RN | Conditions
    • Why timing, not surgery, determines patient survival

      Michael Karch, MD | Conditions
    • How early meetings and after-hours events penalize physician-mothers

      Samira Jeimy, MD, PhD and Menaka Pai, MD | Physician
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • The hidden health risks in the One Big Beautiful Bill Act

      Trevor Lyford, MPH | Policy
  • Recent Posts

    • Beyond burnout: Understanding the triangle of exhaustion [PODCAST]

      The Podcast by KevinMD | Podcast
    • Facing terminal cancer as a doctor and mother

      Kelly Curtin-Hallinan, DO | Conditions
    • Online eye exams spark legal battle over health care access

      Joshua Windham, JD and Daryl James | Policy
    • FDA delays could end vital treatment for rare disease patients

      G. van Londen, MD | Meds
    • Pharmacists are key to expanding Medicaid access to digital therapeutics

      Amanda Matter | Meds
    • Why ADHD in women requires a new approach [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

Leave a Comment

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

Loading Comments...