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Saved By Dance: One Doctor’s Story Of Burnout And Recovery

By Susan Biali, M.D.

Ten years ago, I was an emergency medicine resident and wanted to die. Today, I’m a general practitioner in part-time practice and in love with life. What made the difference? I signed up for a dance class.

Reports on physician burnout list the personality traits that set us up for trouble: we’re excessively conscientious, feel overly responsible, want to please everyone, and function on an extremely high level –- even if we’re overloaded, exhausted, or our personal life is falling apart. We burn out because we bend over backwards to help others, until something (like our minds or our health or our marriages) finally snaps. Now imagine this: what if we took some of that deep caring and hyper-responsibility, and turned it on ourselves?

When my depression hit bottom and I became a serious risk to myself and my patients, my chief resident asked me to take a stress leave. On impulse I went on a solo tropical vacation and one night at the resort, as I watched an exuberant group of salsa dancers burning up the stage, my eyes filled with tears. I suddenly remembered that when I was a little girl, I practiced incessantly in the basement to my ABBA records, preparing myself for the moment that I would live my dream and finally become a “Solid Gold Dancer.” That night, in that darkened tropical theater, I knew how I would save my life. Read more »

*This blog post was originally published at KevinMD.com*

Chest Pain: It’s Hard To Figure Out Which Patients Have Dangerous Pathology

Seems like I’ve been on a real run of chest pain patients lately.  Which is fine — it’s part of the gig.  I did have a very interesting pair the other night.  They were seen in sequence, right next to one another, in room 7 and room 8.  They were both totally healthy women in their mid-fifties.  And they were both over-the-edge, crazy, crawling-out-of-the-gurney anxious.

Anxiety is an awful red herring in the work-up of chest pain.  People who are having an anxiety attack often if not always manifest some chest pain (pressure, tightness, whatever) as a prominent symptom of their anxiety.  On the other hand, someone having a heart attack who is experiencing chest pain will also be anxious — and for good reason! Read more »

*This blog post was originally published at Movin' Meat*

Top Five Signs of Common Mental Health Conditions

Disorders like depression, anxiety, obsessive compulsive disorder (OCD) and bipolar disorder all have warning signs. If you are concerned about these signs in yourself or others, talk to a trusted adult and get help!

Clinical Depression

  • Loss of appetite
  • Insomnia and trouble sleeping almost every night
  • Unable to focus on even simple activities
  • Extremely low energy
  • Loss of interest in things you normally enjoy Read more »

This post, Top Five Signs of Common Mental Health Conditions, was originally published on Healthine.com by Nancy Brown, Ph.D..

All Teens Under Pressure To Be Above Average

My heart is going out to teens these days, especially in my high-achieving community. It seems school districts and parents alike have lost the sense that “average” is really OK, and in some cases, much healthier than “above average.”

An emotional goal of adolescence is to answer the question “who am I” acquiring self-certainty as opposed to self-consciousness and self-doubt. Most teens approach life expecting to succeed and achieve their goals rather than being paralyzed by feelings of inferiority. On a normal path, adolescents seek out people who inspire them and gradually develop a set of ideals and goals for their future. This is all perfectly normal, and if all goes well, teens become young women and young men who believe they can do whatever they set their minds to and are willing to work hard enough for. This process gets stunted if the expectations set for them are unreasonable. Read more »

This post, All Teens Under Pressure To Be Above Average, was originally published on Healthine.com by Nancy Brown, Ph.D..

The Friday Funny: Real Pet Therapy

pettherapy

Latest Interviews

The Surprising Economic Burden Of ADHD (Attention-Deficit Hyperactivity Disorder)

If you can read this you need to download a more recent browser It is estimated that as many as million U.S. adults have ADHD Attention-Deficit Hyperactivity Disorder A recent research study publication-pending suggests that the economic burden of ADHD on America could be as high as billion annually. I…

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Is The Adderall Shortage A Harbinger Of Future Drug Supply Problems?

If you can read this you need to download a more recent browser Today most- if not all- Doctor’s offices are strained by the shortage of some prescription medication or vaccine. A month ago President Obama signed his executive order directing the FDA to take steps to reduce drug shortages…

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Latest Book Reviews

Book Review: The First Step To Improve Health Care Is A Close Examination Of How It’s Delivered

My friend and former Chair of the CFAH Board of Trustees Doug Kamerow has written a book that I think you will like. Besides being a mensch and witty as heck Doug is a family doctor and a preventive medicine specialist. In his new book Dissecting American Health Care Commentaries…

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“Your Medical Mind” Explores Factors That Influence A Patient’s Medical Decisions

Recently I had a conversation with Shannon Brownlee the widely respected science journalist and acting director of the Health Policy Program at the New America Foundation about whether men should continue to have access to the PSA test for prostate cancer screening despite the overwhelming evidence that it extends few…

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Book Review: Food Truths, Food Lies

Food Truths Food Lies written by family physician Eric Marcotte M.D. may be the most refreshingly evidence-based diet book of the decade. You will not find a single mention of super-foods magical berries or supplement must-haves in the entire book. What you will find is the cold hard truth about…

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