Sarah and I have been Family Physicians in Watertown since 1994. We have gone through many transitions during that time, clinic changes, family changes, countless patients. When you look back at all of it, you start to realize how fast things go. At the pace of how things go each week, it is no wonder things go by fast. This week had started out in SF with the two of us doing the Half Marathon in SF, along with many of our running friends from Watertown. I have lost count how many Half Marathons I have done, but have counted the marathons, which is at 16. The number for all of them really does not matter. The reason we run is what is important. We spend each day, day after day, trying to tell patients that they need to do more to help take care of themselves. I am a firm believer is living by example. If I am going to tell my patients they need to watch their diet, and be more active, then I better be doing it myself.
I hear many times how “crazy” we are with all of the exercise that we do. For me, it is not only about being healthy and taking care of myself, but also about having some time to myself. Time to think, time to unwind. Time to decompress from all of the issues from the day. This week was no different. We spend all day in the clinic seeing patients, handling one crisis after another. You go from one room where you are seeing an infant who is 5 days old, to the next person who is 98 years old. Diabetes, Hypertension, Heart disease, anxiety, depression, insomnia, fractures, lacerations, or someone who acutely needs to be set up for emergency surgery. I had to tell one patient, who I have taken care of for years, that it is time for him to be in the Nursing Home. Tears flow from everybody. I have to help be there for the next patient whose wife passed away a month ago, and he does not know how he can go on. I get to break the news to someone that they now have terminal cancer, and the battle ahead is not going to be easy. I do my best to try to stay on time, but some patients just need more time to figure out what is going on with them. Then I have to try and calm down the next patient who is angry because they had to wait while I was dealing with someone else’s emergency. Some days I wonder why I do this. All of the medical record documentation, the quality measures for insurance and Medicare, not to mention all of the requirements just for Medicare. Some days there is not enough time in the day to get it all done. But I became a Family Physician because I care about Family. Family is the core of everything. When we take care of a patient, we are also taking care of the Family, or helping this patient attempt to be able to spend more time with their Family. That is why I/We do this! That to me is also what defines whether someone is a good physician or not.
Take care of the patient who has the problem/disease, not just the disease! We are all individuals, and we all handle illnesses differently. A big part of our practice to teach…to teach not only our patients, but also other health care professionals. So this week we started off with a new group in our Strive to Survive program, attempting to teach them how to help take care of themselves. This, of course, after teaching this to my patients 20+ times a day. Thursday morning Sarah and spent teaching Pediatric Advanced Life Support to health care professionals to help take care of pediatric patients. Then Thursday night I spent on live TV with the TV Program “On Call”, answering any questions that were asked by patients calling in for an hour! Much of this education also revolved around taking care of yourself, and helping with your diet and increasing exercise. The more you can do on your own, the less medications you may be on later, and the healthier you can be. Of course, sports also come into play, and was on the sideline Friday night for the football game to help out in any way possible to ensure safety.
I don’t have an answer to everything. Some things cannot be fixed. But that does not mean you don’t do anything about it. You have to help your patient come to terms with their issues. To help them figure out how to cope with it, adapt to it…live with it…or how to cope with the fact that they are going to die from it.
The more you can keep working on it yourself, the better things can be. You keep going, just like I keep telling my patients. “Don’t quit”. “Dig deep”.
These are the reasons I run. I practice what I tell my patients to do. It helps keep me organized. It gives me the energy to put in these longs days to help with my patients…to help “keep me going”.
Life as a Family Physician is a lot like running an endurance event. Put my head down, concentrate, push through, come up with a plan, and then finish! Then onto the next. Each day is different. That is what makes Family Medicine enjoyable. No two days are alike. Some things are more predictable because we see it a lot, but many times you have no idea what you may encounter when you walk into a room.
Spending time exercising makes it easier for me to concentrate and focus…and to spend time with my Family. Those moments go by quickly, so don’t waste them! There is nothing that makes a Family Physician happier than seeing our patients work on things to help themselves. We can help instruct, coach, sympathize, empathize with you, but we cannot do the activity for you. I had a physician teacher when I was in medical school who was a smoker, and weighed over 300#. The cigarette pack would be in his shirt pocket hanging out, and he would tell his patients that they needed to lose weight, and quit smoking. How many patients do you think actually listened to him? I often times wonder how many times my patients listen to me! I keep trying, showing, and living it. This interaction is also a “team effort”. I can’t do it alone, and neither can you. Together, we have a much better chance of success!
Sarah and I finished another Half Marathon. We worked at it together, and with the help of training with our run club members. We all work together, but we all have to make the individual effort as well. You need both aspects. We as Family Physicians want to help you spend more time with your Family. Meet us half way, and make the effort to work on what you can, and we can help guide through the rest. The combination can create a very productive “A Team”! Keep moving everybody!
Dr. Dan
Consecutive Exercise Day #: 3994
