This is not an April's Fools Day Joke. This week, as I congratulate all my physician colleagues on National Doctor's Day, I'd like to talk to you about an unspoken truth: More and more, physicians are struggling with burnout and mental health issues, and more and more, they are either ignoring it, or getting 'underground' help. Not wanting to receive mental health help from their own medical group, from the fear of being reported to their medical boards, they are walking a slippery slope. More than 1/5 of actively practicing physicians are considering leaving medicine. These are the facts. We cannot look away. We need to do something. Share this episode with your medical group presidents if you need to: we need to get proper support.