Mindfulness Meditation Benefits

By Karin Krisher

mindfulness meditationLast week, we broached the topic of doctor burnout. This week, we want to talk about how to actually handle it with a little something called mindfulness meditation. Mindfulness meditation benefits are far reaching, but perhaps the most obvious and relevant to you and your patients is a better ability to provide quality care.

Mindfulness is all about being present. It’s not about being comfortable when you are all alone in a room. (Though that is still important.) It is about being able to be fully in the moment and aware of the moment. It is about drowning out distractions that might remove you from the moment, and being open to both having and reflecting on the experience, rather than simply regarding it as one average event in a string of many.

Because your patients (and anyone, for that matter, including yourself) can easily sense if you’re running on autopilot, that tendency can be detrimental to your care and the doctor/patient relationship. If you, like many physicians, have noticed yourself slipping away into a sea of electronic distractions and paperwork, rather than focusing on every interaction’s quality, learning mindfulness will benefit both your mental state and your patients’ experiences.

Mindfulness Meditation 101

So, how is serene awareness learned? It isn’t easy to both let go and hang on at the same time. Letting go of distractions and grabbing tightly to the very fact of a moment with your patient seem like they would be mutually exclusive endeavors. But that’s not true: being present means you don’t zone out to ignore distractions—instead, you zone in.

There are meditation groups that can help. Some even specifically address physician burnout. In 2009, The Journal of the American Medical Association published results of a study that examined such a course, wherein physicians learned about “that ability to be in the zone and present in the moment purposefully and without judgment.” (The New York Times)

The results were incredible; “Several of the improvements persisted even after the yearlong course ended. And, those changes correlated with a significant increase in attributes that contribute to patient-centered care, such as empathy and valuing the psychosocial factors that might affect a patient’s illness experience.” (The New York Times)

The study’s author, Dr. Michael Krasner, later stated to a New York Times writer that “One of the most wonderful things about practicing medicine is that you have the opportunity to be in the middle of challenging events. Reflecting on those events while also holding them in your thoughts has to do with not only physician well-being but also patient healing.”

With that in mind, go forth. Seek out your own course, or begin one. Find a personal way to reflect and engage on a daily basis. And most importantly, work on remaining in the moment not only when you’re trying those techniques, but by default, so that every day–every experience—is as wonderful as it has the potential to be.

Got Physician Burnout? You Aren’t Alone.

By Karin Krisher

physician burnoutEvidence that an American productivity schedule (8 to 5) isn’t ideal for maintaining productivity or motivation has been piling up for years. Now, the results of a survey of 7,288 physicians from June 2011 proves that doctors have it the worst: Physician burnout is reported at a much higher rate than the general  population, with nearly 1 in 2 physicians reporting symptoms.

I use the word symptom loosely. We’re not saying that every one of us who gets burned out has a malady that manifests in daily life. We are saying that doctors are being taxed—emotionally and physically.

The physicians surveyed were asked to fill out a questionnaire about burnout symptoms, such as emotional exhaustion, cynicism and loss of enthusiasm in work. The burned out are at risk for personal problems like addiction and depression, as well as professional problems, such as compromised care quality.

Writes Alexandra Sifferlin for Time.com, “The data showed that rates of burnout were high: 45.8% of doctors experienced at least one symptom of work-related burnout. When each symptom was considered separately, 37.9% of the physicians had high emotional exhaustion, 29.4% had high depersonalization and 12.4% had a low sense of personal accomplishment. U.S. doctors are burning out ‘at an alarming level,’ the authors write.”

Front-line care practitioners, such as emergency physicians, internal medicine and family medicine, had the highest burnout rates, while doctors of pathology, dermatology, pediatrics and preventative medicine had the lowest rates.

There’s more: Physicians work an average of 10 hours more per week than other people. While only 10.6 percent of the general population admits to working 60-hour (or more) weeks, 37.9 percent of physicians (the same percentage that reported emotional exhaustion) said the same.

The authors of the study published in the Archives of Internal Medicine proposed no real solutions for the issue of burnout. But we’re wondering if you have any tips.

Are you personally experiencing physician burnout, or burnout from another profession? What have you found to help you deal with these feelings? Share your story in a comment.

Chiropractic Care for Children

By Karin Krisher

chiropractic care for childrenChiropractic care can be scary the first time. But the fear wouldn’t exist if people were experiencing its benefits throughout life. Chiropractic care for children is on the up and up, and there are few good reasons why.

Many parents have their child see a chiropractor right after birth, as the trauma of the birthing process can cause both misalignment and nerve issues. While the child grows and learns to hold up its head and sit up, then crawl and walk, he or she could use chiropractic care to develop proper alignment from the get-go.

Further, chiropractic care isn’t quite the same for children as it is for adults. As parents, your clients might be wary of introducing their children to the procedures involved; a cracking neck wouldn’t sound or feel as good if it were your child’s and not your own. Assure your clients that adjustments are not the same. Pediatric chiropractors mostly work on cartilage and directed alignment, helping children learn.

Regular activities like biking, swimming and running can cause subluxations. If neglected, health can suffer over time. The rapid growth of the body during childhood is a perfect reason why your clients should know about the option of pediatric adjustment.

Parents often seek out pediatric chiropractic care because of concern about another condition (aside from misalignment). Colic, asthma, behavioral issues, headaches and ear infections are common reasons to introduce children to chiropractic care. Of course, it’s important for all parents to have a clear understanding that chiropractors aren’t treating disease; they’re checking the child for misalignments that can have an impact on total wellness through impacting the nervous and immune systems.

Talk to your patients about chiropractic care, and mention pediatrics. This area of healthcare is often under utilized, and you can be the doc to make a difference.

Have you introduced one of your patients to chiropractic care for children?  What was the result? Share your story on our Facebook page!

Talk to Your Patients Like you Mean it: How Doctors Lead by Example

By Karin Krisher

doctors lead by exampleA recent John Hopkins University study of physicians’ health behaviors led this writer to take a nice little walk down medical memory lane, pausing at each pivotal doorstep to recall the true nature of the encounter. Reading the study brought me to a lingering question: were my doctors telling me to do as they say, or as they did? Do doctors lead by example?

Because I didn’t delve into a reciprocal questioning process with any one of my many physicians, the answer escapes me. But there is a more important series of questions whose answers seem more clear: is consistency in personal health and recommendation a must? Is it even important? Why?

First, some background: The study was comparative, and noted some positives, like the fact that physicians are less likely to smoke, drink, or engage in other risky behaviors than the average American. However, when it comes to the hidden stuff, like cholesterol, BMI, frequency of exercise or quantity of vegetable consumption, physicians, as a group, seem to fall slightly short. Perhaps most disturbing is the fact that suicide and depression rates among physicians and medical students are higher than average.

So, is that important? When my doctor tells me how to deal with depression, or that my cholesterol should be lower, does she or he have to be healthier than I in order for me to understand and comply? It’s likely that most patients never question their doctor’s health. But for those few that do, of course it’s important. Of course one is less likely to comply with a hypocritical instruction. Though I hesitate to directly compare the authority or motive of doctors to mothers, my hyper, yellow-toothed doc telling me I shouldn’t drink coffee can be likened to a mother who smokes a pack a day telling her child never to pick up the habit: Somehow, the advice seems less poignant.

To maximize a patient’s chance of compliance, you don’t have to lie. You also don’t have to necessarily ignore the health issues that concern them simply because you aren’t compliant. Instead, to lead by example, simply start taking your own advice. While many patients won’t be acutely aware you’ve made this change, those that pay attention to your general demeanor, and not just what you say, will appreciate the level of sincerity that’s unveiled in the process. Plus, if you believe what you say, and you say what you believe, chances are your health is going to improve right along with your patients.

We’re all in this together. Tell us about your experience confronting a patient’s health issue with which you personally struggle. Did you reveal the truth or try to give advice without including your experience? Why did you choose that path? Share in a comment!

Talk to Your Patients About Donating Blood

By Karin Krisher

donating bloodToday, we want to talk about something that everyone seems to know, but few people seem to talk about: the number of people donating blood is fluctuating, leaving America’s blood supply is at its lowest level in 15 years.

The Red Cross has noted a lack of summer donors as a few bouts of severe weather have caused cancellation of drives around the nation. Even extreme temperatures are to blame, as donors don’t want to stray far from home or the air conditioner. Summer always sees a lull in drives and donations, but this year the turnout is especially sparse. The fact that the 4th of July fell on a weekday even had an effect.

All doctors know the importance of sufficient blood stores. Without them, surgeries and transplants can be called off altogether, putting lives at risk. In June, fewer than 50,000 donations came in. Today, after a total 10 percent drop in donations this year, there are 50 percent fewer blood products readily available than at this time in 2011.

Talk to your patients and family about donating blood. It takes just minutes and can provide a lifetime more. Visit www.redcrossblood.org to find a donation time and center near you.