#031-As COVID-19 has a firm, and seemingly unrelenting grip, on our nation and world, more physicians and nurses are struggling to get through the shift. With death tolls rising, we are shaken to our core and experiencing a feeling of exhaustion and helplessness before, during, and after a shift.

So ask yourself?

Do you feel emotionally and physically depleted during a clinical shift?  

How about before or after your shift?

You may be experiencing compassion fatigue.

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#030-As we are rooted amid the COVID-19 fog, fear is all around us. It is in the media, in our neighborhoods, and, surely, in the hospitals that we work. Lately, fear has become the common emotion in our daily lives. Yet, if we allow it, fear will imprison us. It will paralyze us and not allow us to reach our full potential. During a crisis, we need to understand and conquer fear. It is only then will growth, healing, and wellness begin.

Learn the 5 Ways to Conquer Fear Amid a Crisis.

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#29-Facing issues related to death and dying is a natural part of being a physician. In fact, it is an experience almost all physicians must confront. For some physicians, the death of a patient can be one of the hardest moments in their careers. Given the close relationships physicians develop with patients and families, it is reasonable to assert that patient deaths will affect our own well-being.

Learn several coping skills that you can use after a patient's death.

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#028-Amid the COVID-19 pandemic crisis, as doctors, especially as front line doctors such as emergency physicians, the crisis has hit us hard. There is more tension, anxiety, worry, and fear all around us.

As physicians, we have embraced a calling where we help others. A commitment many of us fully relish.

When crises occur, we return to our training and do the best we can with the resources that we have. Yet, despite all that, we do errors and death do occur. As physicians, we are at risk for Second Victim Syndrome. You agonize and replay the event over and over in your mind. It takes a mighty emotional toll on the doctor's personal and professional life. A sense of embarrassment, isolation, and failure takes over the physician as he replays the event over and over in his mind. 

Listen to the show today and learn the 6 Stages of Second Victim Syndrome. Are you at risk?

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#027-When a serious situation happens at work, such as our current COVID-19 pandemic, it is easy to panic. Unfortunately, stress and anxiety will lower any chance of your ability to perform well. Moreover, it can have short and long term effects on your personal health and well-being.

Yes, we should be vigilant and do everything in our power to keep yourself, your staff, your patients, and your family safe but, I also want to prepare you and your mind on some ways to handle stress amid a crisis.

Learn the 5 Ways to Ease Stress Amid Crisis

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#026-Let's face it; as a hard-charging, high-achieving physician, sleep is sadly considered a luxury in our field. Yet, we are also attuned at the importance of sleep not only to our physical health but to our mental health and overall well being.

Then, why do many of us suffer from poor sleep and sleep quality?

While sleep is a crucial component of being a healthier and more productive physician, I feel the evening ritual is the driver toward this success.

I have developed an evening ritual called SLEEP that provides a simple, focused, and consistent plan to not only prepare you for sleep but, more importantly, prepare and refresh you for a great morning.

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#025-As you go through your workday, seeing patient after patient, do you find yourself on autopilot? 

Have you gone through your day and notice that you virtually completed nothing of value--personally or professionally?

I have certainly felt this way. As an emergency physician, I am no stranger to this. It feels that much of my day involves “putting out fires.” I know much of your day, in whatever field of medicine that you practice, is a lot of the same.

Yet, friends, this takes a toll on our overall wellness. And, this way of practicing bleeds into our personal and professional lives. We are always in “work mode.” We are operating in a constant hyperalert state with no off switch anywhere around you.

There is a solution, though.

The work that we do takes up the majority of our time during the week, and it is up to you to address your wellness. A key driver of this wellness is occupational wellness. The way to escape the terrible feeling of being “busy” yet seemingly accomplishing nothing at all is to begin the practice of Deep Work.

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#024-Ever felt that you have gone through your day on “auto-pilot”?

As goal-oriented people, we have a very unique profession. In our early years, while in medical school, we were obliged to learn large amounts of information quickly, precisely, and daily. It was the proverbial “drinking water from a firehouse.”

To achieve a lifetime of wellness, though, graduating from medical school is only the beginning of our journey, not a destination. In fact, it doesn’t matter how many years you have been practicing; most physicians fail to become experts in their field. While, yes, we have a remarkable ability to consume information, there are limits to how far we can advance without deliberate practice. 

To transition from doctor to expert, from average to extraordinary, from “just trying to make it through my shift” to a lifetime of wellness, we need to practice deliberately and intentionally.

So how do you get started?

Let’s discuss four ways to begin deliberate practice. 

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#023-As a high-achieving, goal-oriented physician, you are no stranger to the stresses that come with the art and science of healing patients. Sometimes, though, in that pursuit to save a life, emotions can run high.

Many times, in the effort to advocate for our patients, these well-intentioned emotions run amok, and we lose control. Emotions, at its core, is the strongest feeling that we have as humans. Our hearts flutter when we think of our children, we feel the excitement when we achieve a hard-fought goal, and we cry when we suffer loss. 

But when our emotions are not controlled, they veer too far on either extreme. Fall too far on one extreme, and you can enter a rage and fall too far toward the other, we enter a state a bliss and forget about the world around us.

As with all aspects of medicine (and in life), moderation is the ultimate goal. Getting control of our emotions is a necessary task toward preventing and recovering from physician burnout. 

So how do you get started?

Let’s discuss four ways to gain control over our emotions.

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#022-Success comes from history--your history. And your past is a wonderful teacher. There is a tendency to "forget" the past because of past hurts or past failures. We are ashamed that we didn't accomplish the goals that we set out for ourselves. We didn't lose the weight that we wanted to. We didn't submit that manuscript for review and publication. We didn't improve our relationships.

Additionally, our community and popular media actually discourage looking back. The perception is that "the past is the past" and that it can not be changed, so why bother. This flawed thinking will only lengthen your road to your goals and will doom you to repeating past failures. 

Friends, I have been there too.

Make 30 Your Magic Number

Physician burnout is running rampant in our departments and in our hospital. But ask yourself, what did your last 30 days look like? Are you doing anything differently? 

Your wellness hinges on creating a plan for your success. And success comes from looking at your past 30 days. Looking at your last 30 days will increase your chances of a successful next 30 days.

Learn how to do so on today's show!

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