Category Archives: Physician Burnout

How to Change Your Life in 5 Easy Steps

change your life

What is it that makes some of us happier than others? Why do some doctors live in the land of burnout and others live in happy land?

During my time working with doctors, nurses, and health care providers around the world, I’ve noticed there are certain traits that stand out in those who choose happiness. And if there’s a way for us to choose happiness rather than physician burnout, wouldn’t we all go there?

So, here are the traits that I’ve discovered that happy doctors might share:

1. They learn from past mistakes.

They don’t dwell on the bad. They don’t ruminate on the negative as they drive home. But they analyze. Just a little. They say to themselves, “What can I learn from how that went down?” “How can I make a better outcome of that situation next time?”

Whether it’s a surgical outcome that wasn’t their best, an encounter with a patient or staff member that was the opposite of smooth, they review it like a video game and figure out how things could be altered, for the better, going forward. They learn that sometimes it’s not about them.

2. They break goals down into bite-sized pieces.

Of the doctors who get it right, the majority have mastered the technique of “chunking.” They break each goal into smaller pieces which gives them the immediate reward of completion.

Instead of a goal being “study for board exams this weekend,” they will say: “I’m going to spend two hours on Saturday and three hours on Sunday reviewing the next four chapters in my board review book.”

Instead of saying “I’m going to revamp my schedule to make more time for myself,” they say, “What’s the one thing I can do this week that will give me a bit of extra time?”

3. They set specific goals that are measurable.

The doctors I work with learn to, not only break down goals, but make their smaller projects measurable. Just like when people are on a weight loss diet and set a goal to exercise for 20 minutes, three times a week, doctors who are aiming for happier lives also make those milestones specific.

For example, instead of “clean up my office and get organized,” they will say, “I’m going to sort thirty files on my desk and get them into the file cabinet or computer by Thursday.”

4. They know what fills them up.

The doctors who get it right give themselves rewards woven into their busy weeks. But the rewards are ones they specifically choose, not ones I assign to them. Maybe it’s a dinner out with their spouse or partner. Maybe it’s going to a sporting event with a friend. Maybe it’s doing a whole bunch of nothing, with popcorn, in their PJs.

When it’s time to hit “refresh,” these happy doctors know what works best for them.

5. They give themselves permission to act imperfectly.

We all have the best of intentions. Me, too. The beauty of the doctors who are getting it right is that they give themselves permission to fail.


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The beauty of the doctors who are getting it right is that they give themselves permission to fail.


They may do something that is not the exact right thing but is better than doing nothing.

They let themselves off the hook when it comes to Perfection Paralysis.

We all need to learn how to just go forward in our own unique way.

And that’s the beauty of life. Don’t you think?

 

 

3 Practices to Beat Doctor Burnout

Beat Doctor Burnout

It makes me crazy when I hear things like, “Doctors are to blame for burnout. They need to just be tougher.”

Are people really serious?

This is like comparing us to people who are eating super-sized fast food meals daily, while complaining about their jeans being too tight. Uhm, not the same.

Some will say that burnout is a given and just goes with the territory.

Many debate whether this is something that needs to be addressed on a personal level or from an organizational perspective.

My colleague Diane Shannon in her recent KevinMD.com blog has a good point, when she says we have to find the root cause.

Here are the top 3 reasons why motivation fails when it comes to beating doctor burnout:

1) Instant gratification isn’t enough. When our patients do well after surgery or the medication we prescribed clears their infection — yes, it’s rewarding. And we’re super happy when we have that feeling of satisfaction – if we have time to come up for air. Just like our hearts are warmed when we make great doctor-patient connections, despite our crazy-busy schedules.

But it’s tough to ditch the day-to-day grind of EMR, ICD-10s and the rest of the alphabet soup, none of which fits into that “instant gratification” box.

2) We lose steam when we encounter enough speed bumps. It starts with being told that we need to see twice as many patients in half the time to cover overhead. Then insurance denies our claims for serious surgeries and we spend part of our clinic time fighting with someone who has no idea what we’re talking about.

Keep yanking our chain and we want to throw in the towel, despite our dedication. Our mojo starts slipping away.

3) Shouldn’t we feel motivated to meet any challenge? Hell to the no. Let’s say we have a patient or a diagnosis that is well beyond our scope. They are either too demanding (don’t you love it when a non-medical person starts drawing the way they want you to do their surgery?), the problem is too complicated, or a myriad of other reasons.

We decide to reach out for help and send the patient elsewhere for the best possible patient outcome. And then we hear from our CEO that we are not being “team players.” We’re wimps. We’re “quitters.” Do they really expect us to feel motivated and challenged — in a good way? Our reaction can be to beat ourselves up. To tell ourselves, we’re not good enough.


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Here are the top 3 reasons why motivation fails when it comes to beating doctor burnout.


How to jump out of this negativity vortex?

Here are 3 ways to beat doctor burnout the right way:

beating doctor burnout

✓ Remember your mission. Why did you go into medicine? Aim to capture a piece of that every day.

✓ Raise your hand. You may need to reach out to colleagues for assistance or hire a coach.  Having someone in your corner who can be your mirror and remind you of your best self can mean everything.

✓ Bring in gratitude. Whenever I feel overwhelmed, under-appreciated, or just plain blue, I remind myself of how truly lucky I am. I am able to help people in a meaningful way, and impact others by my positive actions. And that, just that, is worth everything.

 

What’s your take on this? Do you think doctor burnout is:

a. Just part of what we signed up for when we got our medical degrees
b. An issue to be dealt with on an organizational level
c. Something we can fix on a personal level by learning how to shift our mindsets to create our own work-life balance and sense of fulfillment?

 

 

Immune to Burnout? 5 Ways to Increase Happiness

burnout

Why is it that some people seem immune to burnout? Are they just oblivious to the stressors? Do they take different vitamins than we do? Are they secretly going home and kicking their cat?

I asked myself this question the other day. It was one of those brutally long clinic days. The kind where we had to take a break for a minute and look at the calendar while I asked, “Is there a full moon tonight?!”

You know exactly what I mean, don’t you?

You know those days when every single patient has an issue.

  • They are angry because the parking deck was full.
  • They are upset about the old magazines in the waiting room.
  • They are arguing with my front desk staff about having to update their insurance information.

And in the midst of all that is my office assistant, Kim. Kim has gone through some tough times over the past year. Her husband died after a lengthy illness. Her granddaughter was born with some serious health problems that have, thankfully, improved. Her trusty car broke down on the highway last week — during a torrential rainstorm.

How is Kim handling this wacky day? Like it’s “business as usual.” I look over at her desk and I see she has another one of her sticky notes, in bright pink, on the counter. It says, “Might as well smile now, while you still have your teeth.” I ponder that for a minute.

And then I see her going to get a current magazine for the person who was pitching a fit about the outdated magazines. She hands it to them with a smile, “Here you go, Mrs. Johnson. This just came in today!”


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We all need ways to find our happy place and prevent burnout.


 5 ways to be happy:

1) Happy people know that they need to stay objective and focus on why they love their jobs. They also focus on the culture around them and try to stay positive.

2) In our office, we have a Gratitude Jar at the checkout desk. Patients can anonymously write down anything they are grateful for on brightly colored note cards. Some days, me and my team raid the Gratitude Jar to feed our own need for positivity, a practice I learned from one of my patients.

3) Other days, I have a grab bag of positive words on laminated paper. We get that out and each person reaches in that bag for the word they will focus on that day. It could be Patience; Fearlessness; Joy. I must confess that sometimes I’ll reach in that grab bag more than once, when I find my energy and positivity waning.

4) People who help themselves by hiring a coach find improved joy in their work and report less burnout than others.

5) Setting your priorities and making sure you keep your boundaries is also a key part of staying happy.  Otherwise, you’re spending your energy reacting to people’s demands and never get to focus on what you want and need.

 

Please share in the comments below your favorite tip for keeping burnout on the back burner. I’d love to hear your wisdom!

 

 

 

How to Live Your Best Day Possible

Your Best Day

One of the ways I take care of myself is by being around people who are in my corner. Some days, that looks like me and my hubby in our PJs, watching old movies or football games, while eating day-old chili or grilled cheese sandwiches.

Other days, that means I’m off to attend a women physician book club meeting where we discuss books, medicine, and all things in between over a pot-luck dinner. The group is aptly named “Wine, Women and Zen.” How could you not love that?

I’m honored to report that we’ve reviewed my book, Remedy for Burnout and several other great offerings over the years.

This month’s book was New York Time’s best-seller Being Mortal by Dr. Atul Gawande. Dr. Gawande discusses how medicine approaches the dying and shares many personal stories, including that of his father’s illness.

One of the take-home messages he shares is the approach that hospice specialists use when someone has a serious, life threatening illness. They ask the following questions:

1) What is your understanding of the current situation and the potential outcome?
2) What are your hopes?
3) What are your fears?
4) What are the trade offs you are willing and not willing to make?

Dr. Gawande explains that the goal in hospice is to have the “best day possible” with each remaining day.

I was struck by how those questions and that goal could be applied to all of us, in non-life threatening situations, right now.


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They’re actually perfect questions to ask the medical and non-medical folks I coach or those I speak to around the country.

Because sometimes our understanding of our current situation, whether that involves our job, a friendship or our marriage needs to be clarified, doesn’t it? And if there’s ever a time for asking “What are your hopes and fears?” it’s gotta be in the middle of a crisis of the heart.

When we draw that line in the sand and talk about staying or leaving our job, our relationship, our friendship — isn’t it all about the trade-offs we are willing and not willing to make?

We need to make sure that we are able to identify and seek out our happiness.

 

How to Live Your Best Day Possible

 

When we plop our head down on the pillow each night, aren’t we hoping that we have had the “best day possible”?

Are you asking yourself the right questions, right now?

Are you living your best day possible, right now?

It’s time to remember that we are, in fact, all mortal. That we have just this one life. Make sure you make it count.

 

 

 

On the Brink of Burnout: 6 Quick Ways to Practice Self Care

practice self care

No matter how many times I encourage my VIP clients to put their needs and wants at the top of the list, it’s a struggle for them. They’re doctors, surgeons, busy parents, wives, and they’re used to taking care of everyone else. They rarely put themselves first, and usually push themselves to the brink of burnout. Self care falls to the bottom of the list.

Can you relate?

Here’s the deal: if you’re not at the top of your game, guess what? You won’t do anyone else any good. So yes, it’s true: you really DO need to put your oxygen mask on first.

What I hear most from my clients when I ask about this trigger is, “I don’t want to be selfish.” It turns out that true selfishness is way different than making sure your needs are met before taking care of others.

Selfishness rears its ugly head when you jump ahead in the grocery line, with your full cart in tow, ignoring the little old lady who has three items right behind you.

Or when you tell your partner that it’s your turn to have a night out without the children, even though he asked about that basketball game with the guys months ago.

Or when you tell your Aunt Ruth you don’t have time to talk about her knitting project, when you could give her a call on your way home from the office to lend support.

Putting our own needs front and center is like having the best foundation ever holding up a skyscraper. When we consider our needs first, then our work, our health and our relationships all improve and build from there, in a sturdy balanced way.

This concept can start with some really basic self-care.

6 Quick Ways to Practice Self Care Today:

1) Eat a good breakfast before you leave the house.

2) Make sure you are hydrated throughout the day.

3) Allow time for some movement, whether it’s a brisk walk, yoga class, or a run.

4) Take those 10 minutes to meditate in the morning instead of logging on to check social media.

5) Tell your office when you need to start late or leave early, to allow for medical or dental check-ups (You don’t want your dog to get their teeth cleaned more often than you do, am I right?!).

6) Ask for what you need from your family. Kids can help pick up their toys; partners can unload the dishwasher or bring home healthy take-out for dinner; families can agree that “me-time” is sacred when the groundwork is carefully in place.

Learning how to set boundaries was a true game-changer for me. It can start with little things and expand into such clarity that you’ll never look back.

When you say “I don’t” rather than “I can’t” to a request, you honor yourself. (1)

One of the phrases I teach my VIP clients is: “I don’t” . . .  rather than “I can’t.”

As in, “I don’t stay late on Thursdays because my son has baseball practice.” Or “I don’t bring in treats for the class more than once a quarter because I want to share the load.”


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When you say “I don’t” rather than “I can’t” to a request, you honor yourself.


I’d love you to share your best tips on putting yourself first. Or tell us your struggles with why you can’t seem to make it happen. The give-and-take of moving forward to a happier life is what we’re all about.

Lessons from the Operating Room

Lessons from the Operaing Room

Picture this: You’re in the operating room, performing a challenging procedure. (If you’re not a doctor, roll with me here and play along. You’ll get it soon.)

You’re feeling pretty good about how the surgery is going.

You’re grateful that your usual team is with you, because that always makes you feel more confident.

Then something happens…

Right at the most critical part of the procedure, crisis ensues and the instrument you’re using breaks! WTH?! You’ve never had this problem before. For a moment (that seems much more like an eternity), you freeze.

Your mind goes through all possible options. They whirl by like a ticker tape in your head. As each option zooms by, you quickly decide the chances of success: no freakin’ way; okay, maybe; it’s possible.

Yes, this happened to me. As much as I hate to admit it, the feeling of not having it all 100% together sends me reeling a bit. I’m a surgeon after all, and a life coach.  People like us cannot lose it- it’s just not allowed!

What do you do at that moment, when the one thing that should never happen actually happens?

I know that being still and thinking clearly is my best bet for my patient and for a good outcome. I take a deep breath on purpose, remembering that that helps.

The room is quiet, except for the continuous beeps of the anesthesia machine, the blood pressure and pulse monitoring, the radio playing in the background. All these things move forward, oblivious to the drama on the surgical field.

Meanwhile, my scrub tech, Brian, whose job it is to hand me instruments, assist in the surgery, and make things go smoother, has also been frozen. He’s worked with me for seven years now. He can read me like a book.


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Have you ever had that moment of near-panic in the operating room?


Breaking the silence, Brian finally speaks. His words are measured. He talks slowly and deliberately, so as not to topple this apple cart any more than it already is.

“How can I best help you now?” is what Brian says.

I finally look up from the field and our eyes lock over our surgical masks. He knows we are at a crossroads. Things can go either way.

I softly nod and try for a half-smile. In truth, I want to scream or cry, as I am still wondering how to fix this unfixable problem.

“That,” I say to Brian, “is the perfect question to ask right now. How did you know?”

And that gentle question gives me the power to move forward. It reminds me that I am not alone in the room. That I have a whole team at my side, ready to shoulder with me and make this all better.

My pulse slows a bit, giving me space to process things. I have a plan. It seems likely it will work.

I slowly and intentionally ask for the additional equipment that I need, remaining calm, as I know my team will feed off of my energy. I know that the ripple effect can trickle downward and impact everyone in the room. I resist the strong urge to holler at someone. I know the broken instrument is no one’s fault, and that the instrument can’t hear me.

Brian and I, and the rest of the team in the room, proceed without panic as we reinvent the surgical wheel. I can see now that this new plan is (Thank God!) working and I am becoming more relaxed. I remember to keep breathing.

Several minutes later, we get past the danger zone. We’ve conquered that damn broken instrument and the surgery (and the patient) are headed for a successful outcome.

At the end of the case, as I put a special dressing on my patient to make sure he will heal properly, I put my gloved hand on top of Brian’s gloved hand. There’s a pause.

“Thank you, Brian,” I say. “You did the exact right thing.” And then, looking around the room at the rest of my team, who followed our lead and didn’t go to the dark side when things went wrong, “And thank you, everybody. Great effort on all counts.”

As I left the operating room to find the family and let them know all was well, I thought about that question: “How can I best help you now?” And I realized that it’s a question that can be used any time we see a fellow human floundering. They can be hurting from a crisis or just wondering what to next.

It’s the best question. Ever.

Even if you’re not a doctor finding yourself in this scenario, this is for you too. Because there’s always something, whether it’s a life or death crisis, or a friend in need.

So, I’m asking you: How can I best help you now?

I’d love your responses in the comments below.

 

 

Disconnecting to Connect

Disconnecting

There I was, packing for our first big vacation in ten years. Like most people, my husband Chris and I find it difficult to take time off. And taking off more than a week? Impossible.

We were finally going to Italy. A place that had been on my bucket list forever.

As I sifted through the jeans and t-shirts, I said to Chris, “I’m trying to decide about bringing my laptop.”

The look on his face said volumes. Then a long pause. Followed by a sigh.

In measured words, very quietly, Chris said, “You have not had a real vacation from your computer for three years.”

Quickly defensive, I said, “That’s not true.”

Chris proceeded to rattle off the projects that I had completed on our last several “vacations.” They included writing my book, practicing my TED talk, and working on my weekly blog.

I stopped in the middle of the closet. Busted. I hadn’t even seen it.

I flashed back to our most recent vacation, which happened a few days after my TED talk had gone live. I remembered with a heavy heart Chris standing by the hotel room door, sunscreen and ball cap in hand, ready to hit the beach. And then my reaction.

“Just a few more minutes, honey. I want to thank some more people for sharing the link to my TED talk.” Reluctantly, he had sat back down and began reading his book.

Ouch. Don’t you hate it when your spouse (or mother, or boss) is right?

It turns out I’m not alone. 40 percent of people who receive paid vacation do not use all their time, according to a recent Boston Globe article. Half of those people said it was because they were “too busy” at work to take their vacation days.

So, I mustered up my courage and decided to go totally offline during our entire trip.

No cell phone. No laptop. No emails.

Just lots of gelato. And walks on cobblestone streets. And pizza like it was meant to taste.

Guess what happened?

I learned an important lesson:

Sometimes you need to disconnect to connect.


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When we don’t really step away and recharge, we’re just pretending.


It took some planning, for sure. (I’ll be sharing that with you in a future post.)

But the important thing is, I wanted to come clean.

To let you know that I don’t always practice what I preach. And sometimes I don’t even know I’m cheating. Cheating on my health, my husband, my patients.

People who take more vacation have higher performance reviews at work, I recently read in a CNBC article that suggested the best way to get a raise was to take a vacation.

We don’t always know when it’s time for time off.

When we don’t really step away and recharge, we’re just pretending.

Mostly to ourselves. Don’t let that happen to you.

Share with me in the comments below what you’ve been lying about. Maybe it’s a promise to yourself that you’ll take more time off. Or take better care of yourself. Or spend more time with your family. Connecting and sharing with each other can only make us better, on so many levels.

Here’s to more gelato!

 

 

What Doctors Do Differently

What Doctors Do Differently

I was in the break room at the hospital scarfing down a power bar between three-hour cases. The truth is, I was multi-tasking: eating, writing on a chart, and checking my email in my phone.

I had received an email from a businesswoman, whom I have known for a few years. She wanted to know if I wanted to join her for lunch next week.

I had to laugh out loud.

The rest of the staff, who were busy also grabbing a quick bite in between patient cases, looked up. I read the email out loud.

“Lunch!?” they all said.

Then, we all did the combo of laughing and shaking our heads.

Doctors don’t “do lunch.”

Even when I am in the office, taking a break and actually leaving the office for lunch is out of the question. On those super busy days, I bring something slightly more like real food to eat than my usual power bar. And I heat up hot water for some tea.

But always, as the water warms for my tea, I complete the morning’s charts, fill out paperwork for surgery the next day, and answer questions from my staff on patient concerns.


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Doctors experience the world a bit differently.


So, no. I wouldn’t exactly call this a true “lunch hour.”

The invitation to lunch got me thinking of all the things doctors–and most medical staff– do differently.

Here’s a quick list I came up with in a few spare minutes between patients:

We don’t always sleep through the night. Our pagers or phones are at the ready, whether we want them to be or not, for urgent or not so urgent calls, 24/7.

We don’t try to see movies or eat nice dinners out when we are on call. Yes, it’s annoying for others when our phones ring during a movie. But, what’s more disrupting is having to leave the theater at the best part of the movie to meet someone in the emergency room.

We don’t make appointments to take care of our own health. I know I am not alone when I admit that the few times I reluctantly dragged myself to a doctor’s office, I was almost too sick to walk or drive there. I remember a time when my technician insisted I be seen “Now!” I literally asked if there was somewhere I could lie down as soon as I checked in at the front desk. It turned out that I had pneumonia.

Yes, doctors’ lives are different.

But, if you know me at all, you also know that I am going to find a silver lining to this story.

On the flip side of our differences are things doctors get to do that other people never experience:

We get to wear pajamas (some call them scrubs) and comfortable shoes to work. Not always, but most of the time. Sometimes, the soft cloth of the well-worn scrubs are the most comfy part of the day.We get to hear people’s stories, their fears, their innermost concerns. Our patients trust us. They value us enough to go out on a limb with their own discomfort to seek help.

We get to relieve pain, reduce fear and reassure. Not always. But, arguably, more often than most people.

We are often the first to know. We are in the operating room when the pathologist calls in to report that the lesion thought to be cancer is benign.

We get to be the bearer of great news. We tell the patient and their family the good news of the pathology report.

We get to see the miracle of life when the baby is born. We witness the joy of the parents, and the incredible love-rush that surrounds the entire room, every time.

Yes, doctors experience the world a bit differently.

But, I think it’s a fair trade for eating power bars in the break room during our lunch hour.

Wouldn’t you agree?

 

 

Embrace Your Flaws

embrace your flaws

If you spend even a moment watching TV, looking at magazines or surfing Facebook or Twitter, you’re witness to the “best of the best.”

We see famous and not-so-famous people presenting their very best selves to the world. It’s the rare post (usually a tabloid) that has a photo or article about someone in an old t-shirt and greasy hair, eating a taco with extra sour cream.

Instead we all tend to post our “Sunday best” selves. We share our awards, our children’s accomplishments, our wins.

Once in awhile, someone will branch out and let the air out of their own tires. The blog about the Thanksgiving turkey that turned out to still be frozen or the time the soda can exploded in the refrigerator, resulting in a six hour clean-up on an already busy day are two of my personal favorites (that I posted after experiencing the agony of defeat).


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Imagine – a day where it’s not only okay, but cheered on, for us to just be ordinarily human.


The ho-hum stories where we’re not pretending to be perfect just don’t usually make the press. Those stories about just getting through the day, stopping at the grocery store for the basics, not beating yourself up when you reach for the frozen pizza. And when you do post these, in efforts to keep it real on Facebook, how are the likes and shares on that day? Yeah. That’s what I thought you’d say.

What if we picked a day every week to acknowledge our flaws?

We’ve got “Throwback Thursday” and that’s been embraced.

I’m advocating – – “#FlawedFriday.” It’s a hashtag I don’t see used near enough.

What if we challenged each other every Friday with our geekiest or lamest post?

  • Picture admitting that you went to that fancy business dinner knowing that you had a huge run in your pantyhose.
  • What if you took a picture of your kitchen counter right when you were trying to decide if you should just get a large trash bag and scoop the entire contents in it, including your son’s homework that must be in there somewhere?
  • How about admitting that you pulled into the fast food drive thru for an unhealthy breakfast on your way to the office or the operating room, just because you felt like it? Even though your pants were snug.

At the end of the day, is anyone going to love you less because you have a run in your hose? Or because your junk drawer is what it’s supposed to be — junky?

 

Embrace Your Flaws

Click to Tweet this image!

Au contraire. I bet you’ll be that much more loveable. And from a coaching perspective, you’re being open and real about who you are is going to make you more loveable to yourself. And then the vicious cycle of happiness begins.

Sure, the first few “Flawed Friday” posts will take some gumption. It’s not easy to be authentic when we’re authentically a mess.

But imagine the fun! Comparing notes on the most delicious donuts we ate on our “cheat” days. Or admitting that we threw on scrubs because we didn’t have energy to do laundry the night before. Or sharing pictures of our family’s grins as they eat franks and beans for dinner instead of broiled chicken and salad greens.

Imagine – a day where it’s not only okay, but cheered on, for us to just be ordinarily human. Embrace our flaws. And each other. Who’s in?

 

CLICK HERE (5) copy

 

 

How You View the World Can Lead To Burnout (Or Save You From It)

view the world

The eye is the window to the soul.

In case you missed it, I’m a board certified practicing ophthalmologist. My main “day job” actually involves a subspecialty of ophthalmology. I tell my patients, “We divide the eye into parts. Some people focus on the cornea; some on the retina; I focus on the eyelids.” Yes, it’s a “thing.”

But at the root of my training is the eye. I joke that ophthalmologists focus on the eyes and all they see.

And I’m only half-kidding.

Here’s the thing. . .

Some people are near-sighted (they can see things up close) and some are far-sighted (they can see things at a distance much better). I was the near-sighted kid. But I didn’t know it.

There I was, at the circus with my best friend, Connie, to celebrate her turning 10. She kept talking about the lions in the center of the stage. We were up in the nosebleed section, and all I could see was blurry colors.

It wasn’t until she handed me her glasses in the car on the way home, and I tried them on, that I realized, “Holy moly! There’s a whole world out there. The trees have leaves!”

So why the lesson on eyeglass prescriptions?

Because there’s a lesson in it for all of us. Even if you think you’ve got 20/20 vision.

When you’re near-sighted, in terms of how you view the world, it means you can’t see your vast potential. You can only see this moment’s action. You can’t see the future implications for what you’re doing right now.

When you mutter a curt word to your staff, or roll your eyes at your mate — you can’t “see” how that taints your future. You also might not see how spending that extra twenty minutes with a patient today, to explain her treatment options and encourage her, may impact her and her family for years to come.

And then there’s the other side of the spectrum…

When you’re far-sighted, you can’t appreciate what you have in your hand.

You keep thinking you’re not fulfilling your “purpose.” You miss the little things happening every day, right under your nose — your child’s smile when she scores a goal at the soccer game, your spouse’s hug as you leave for work — and forget to cherish them. Because you keep looking outward, further on down the road.

According to research, when you’re not seeing clearly, that lack of clarity and ambiguity can lead to burnout. This happens on so many levels. It’s in how we perceive ourselves, our lives, and our professions. This even happens to volunteers when they’re not clear about their role in the organization.

What’s the answer? How can we find the balance we need to nourish our souls? Oh, I wish there was corrective vision surgery that would cure what ails us, every day.

It might be that “we’re all becoming blind to each other.”

But remember this:


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Keeping your world in focus gives clarity. And that’s real 20/20 vision.


What could you be seeing more clearly to take you from burnout to balance?

Please share in the comments below.