Stress in Medicine: Lessons Learned Through My Years as a Surgeon, from Med School to Residency
By Nina Ahuja
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About this ebook
As a medical doctor, every treatment prescribed or surgery performed carries high stakes for each patient. It can impact their quality of life in significant ways, or literally mean life or death. But the culture of silence in medicine makes it difficult to talk about the unique responsibilities and stresses associated with being a physician.
Stress in Medicine challenges this culture of silence.
In this remarkably honest and inspiring book, Dr. Nina Ahuja offers a unique glimpse into the world of medicine, sharing personal stories from her own journey that are heartfelt and touching, and at times laugh-out-loud funny.
Woven throughout her experiences and observations, Dr. Ahuja's innovative approach to mental and emotional clarity shines through—a practical approach that can lower the stress level of any situation and sharpen your mind when you need it most.
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Book preview
Stress in Medicine - Nina Ahuja
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Copyright © 2020 Dr. Nina Ahuja, MD
For information about special discounts for bulk purchases, please visit the Scribe Store at www.thescribestore.com.
All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the author. For permissions, contact: info@docsinleadership.org.
Neither the publisher nor the author is engaged in rendering professional services to the individual reader. The ideas and suggestions contained in this book are not intended as a substitute for seeking professional help. The individual reader is encouraged to seek support from a qualified and competent professional if required. Neither the author nor the publisher shall be liable or responsible for any loss or damage allegedly arising from any information or suggestion in this book.
ISBN: 978-1-5445-1744-5
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Contents
Introduction
Part 1: Navigating Medicine
1. A Unique Journey
Becoming a physician is a unique journey that cannot be understood unless you’ve been through it.
2. The Nature of Stress
Before you learn how to manage stress effectively, you first need to understand your own responses to stress and how they manifest themselves in your world.
3. The Nature of Uncertainty
The root of stress is uncertainty. Reframing uncertainty as opportunities for growth helps increase your comfort with the unknown.
Part 2: Understanding ADMIT
4. Adapting to New Ways
New circumstances take time to get used to. Change your mindset to allow yourself to accept something new.
5. Doing the Work
When you are pulled in all directions and feeling overwhelmed, stressors beyond patient care are common.
6. Measuring Success
Defining internal measures of success helps keep outcomes of external measures in perspective.
7. Introspection
Many new experiences and challenges will surely come your way. Mindfulness and active reflection are essential.
8. Transformation
With the many influences around you and those that shaped you, what kind of physician will you be?
Part 3: Support
9. The Importance of Support
Highs and lows are a normal part of medicine and life in general. Having social support is essential for well-being.
Conclusion
About the Author
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Introduction
Where the art of medicine is loved, there is also a love of humanity.
—Hippocrates
I still remember the thrill of putting my own stethoscope around my neck for the first time. No longer was it the motivating prop I envisioned myself wearing when I thought of becoming a doctor. Now it was a diagnostic tool I would use to assess patients as a real-life MD. After years of hard work, dedication, commitment, and sacrifice, I had finally made it. I received and accepted an offer of admission to medical school, and I walked the halls of a teaching hospital with a feeling of excitement and curiosity. I peeked into patient rooms during my orientation of the clinical teaching unit, keen to get a glimpse into the world of working with patients. I felt joy and satisfaction that I was well on my way to fulfilling my dream of becoming a physician. A new phase of adventure would soon begin, and I couldn’t wait to get started. I was prepared for more hard work and the responsibility that would come with my every decision directly impacting patients’ lives. Not knowing exactly what to expect, I felt somewhat nervous. However, my commitment to learning to care for patients as best as I could overwhelmed any feelings of apprehension I felt at the time. Before I knew it, my years in medical school passed, followed by residency in ophthalmology, and I became a Royal College of Physicians and Surgeons of Canada certified specialist.
Through my years of training and as my surgical practice progressed, I gained insight into the world of medicine as I managed patients on the front line in teaching hospitals, community hospitals, private offices, and on a charitable mission. I experienced moments of profound joy and satisfaction, and moments of deep sadness and disappointment. As my practice grew, so did my responsibilities. I had more patients to care for, but with fewer resources available as constraints within the health system increased. Government funding for surgical cases became restricted. Hospital budget cuts resulted in fewer nurses in the OR and less administrative support in clinics, leaving those who remained feeling overwhelmed and overworked. My work as a physician was changing as well because of increasing bureaucracy, added administrative burden, and greater integration of digital technology in each patient interaction. With increasing reliance on electronic medical records, for example, there was more interaction with computer screens during an assessment than direct engagement and eye contact with my patients. While I liked the experience of progress and change, it was negatively impacting how I preferred to relate to my patients, and the sense of fulfilment from my work was slowly diminishing. My stress began to build.
While my professional world around me continually changed, my personal life continued to evolve as well. Married during residency, the relationship failed three years later due to a patriarchal undercurrent that became intolerable. I became hesitant to share stories about my interests and my work, and I began to feel disconnected from who I was. The first few years after the divorce focussed on self-reflection, rebuilding, and growth with wonderful support from my family and friends, after which a social event brought a new man into my life. He was a single dad with two young daughters and a joyful sense of humor. We took time to get to know one another, and I felt increasingly reassured as his actions aligned with mutual respect and equality. Helping the little one learn how