Passionate HealthCare

Edition of 4/27/2005

Newsletter
Index

PHC Newsletter April 27, 2005: Leggo My Ego

Passionate HealthCare: your prescription from Rx For Sanity
www.RxForSanity.com~~~ Volume 3, Issue 7: ~~~April 27,2005

Your Twice-Monthly
Dose of Sanity:

It must have been an energetic meeting... think the surgeons attended?

Hospital Super Heroes
(credit to Doris Young, RN)

Nurses Week is approaching fast, so I wanted to remind you of this gem!

Surgeon . . .
Leaps tall buildings in a single bound
Is more productive than a train
Is faster than a speeding bullet
Walks on water
Talks with God

Internist . . .
Leaps short buildings in a single bound
Is more powerful than a switch engine
Is faster than a speeding bullet
Walks on water if the sea is calm
Talks with God if special request is approved

General Practitioner . . .
Leaps short buildings with a running start and favorable winds
Is almost as powerful as a switch engine
Can fire a speeding bullet
Walks on water in an indoor swimming pool
Is occasionally addressed by God

Resident . .
Barely clears a picket fence
Loses tug-of-war with a train
Can sometimes handle a gun without inflicting self-injury
Swims well
Talks with animals

Intern . .
Makes high skid marks on a wall when trying to leap buildings
Is run over by a train
Is not issued ammunition
Dog paddles
Talks to walls

Medical Student . .
Runs into buildings
Wets himself with a water pistol
Cannot stay afloat without a life preserver
Mumbles to himself
Recognizes a train two out of three times

Nurse . .
Lifts buildings and walks under them
Kicks trains off the track
Catches speeding bullets with her teeth and eats them
Freezes water with a single glance
SHE IS God

Get another dose of laughter at RFS' Daily Dose of Sanity or the wild colon humor site ColonoscopyJoke.com

Got a funny medical joke or photo to share? Email it to us, and if we use it here, we'll give you credit!

Yes! I want my own subscription to Passionate HealthCare!

A sign for all to heed...

Your Sanity Thought for the Day:

A fact that you can use in any number of conversations...well, maybe not, but it's sure interesting:

A cow has four stomachs: the rumen, reticulum, omasum and abomasum.

 

By subscription only! Please Send this ezine to any HCP (Health Care Professional) you know who wants to enhance their joy in their career. Then they can sign up for their own subscription, as our gift!

To print this newsletter out to share, please set your printer options to 'landscape' so you won't lose the tasty margins!

Passionate HealthCare seeks to resuscitate your passion for your medical career. Your only cost for this prescription? Please comment, complain or educate us twice a year at PLRaymond@RxForSanity.com.

Hello, HCPs!

When I speak on 'Bedside Manners', as I'm about to in Missouri this weekend, I often cite Jack Canfield of the ubiquitous Chicken Soup series who reminds us, "People treat you the way you teach them to treat you."

For another take on the same topic, please enjoy our guest editorial from Rhoberta Shaler PhD! Step up, and demand to be treated with respect!

Pat Raymond M.D. FACP FACG
Chief Enjoyment Officer, Rx For Sanity

 Yes! I want my own subscription to Passionate HealthCare!

Table of Contents:
A 'Pat' on the Back The Sanity Store
Bedside Manners Weird Websites
Health News You Can Use Mock Medical Music
Where to Meet or Hear Dr Raymond  

LEGGO MY EGO!
© Rhoberta Shaler, PhD, www.OptimizeInstitute.com

So much talk about egos: delicate egos, shattered egos, monster egos, maniacal egos. What is this all about?

Recently I was working with a supposed team of supposedly like-minded individuals who purported to share the same mission, goals and purpose. What a nightmare! This small group of nine were completely divided into two camps—the ego-centric, ‘it-must-be-my-way’ camp and the ‘whatever-you-want’ camp. Could have been ideal if the ‘my way’ camp were not divided into two camps as well. The war had been waging for years. And, I, intrepid consultant and mediator, walked directly into the mess! I was to bring the warriors to the peace table and negotiate a settlement. Not for the feint-hearted, I tell you.

What is this ego-stuff? Dictionaries offer meanings ranging from “the self, especially as distinct from the world and other selves” to “an exaggerated sense of self-importance; conceit” to “an inflated feeling of pride in your superiority to others.” The last definition is the one most folks hold when they use the word as it is seldom used in a positive context.

You may think you are superior. You may even be superior…in position, intellect, experience or expertise. When you act superior, trouble brews. No one enjoys being put down…and, no one deserves to be. If you believe that this world moves too quickly to take care of what you might like to call ‘fragile egos’, you’re missing the point. That can be a trite way to dismiss your bad behavior. Running roughshod over people is a very poor way to get your exercise.

What if you are the target of this exercise? Your job is to give up your position as a doormat. If you are to make the contribution you were hired to make, you need the skills to teach people how to treat you.

One quick caveat before we proceed: there are people out there, often in positions of power, who prefer to live like ‘rhinos’. They can’t see well, are constantly sniffing for trouble and charge at anything that moves. (You can learn more about how to handle them in my book, Wrestling Rhinos: Conquering Conflict in the Wilds of Work.) When working with a rhino, you’ll need all the skills you can muster, however, even rhinos can be contained, if not tamed.

Rhinos are often bullies. They live in the ‘it-must-be-my-way’ camp and they behave from a ‘I’ll run you over if you get in my way’ philosophy. You’ve met one or two. Just as real rhinos can change direction in an instant, bullies will change your words on a dime. Have you experienced that? Unlike real rhinos, though, they can be sneaky. Workplace bullies will report issues only slightly—very slightly—differently than they happened. No one says anything but it seems so petty. The next time, they change it slightly again. Soon, the story is significantly different than reality. When anyone speaks up to complain, they say,

“You’ve gone along with this and said nothing. What’s your problem now?” These rhino bullies are crafty. Getting their own way is the most important thing in their day. Actually, they are the fragile ones constantly needing the ego boost of running over people’s ideas and feelings. Everyone is potential ego fodder to a rhino!

A healthy ego is one that will not lie down in the face of a rhino. A healthy ego does not defend, whine, complain or make excuses. All that is required is a quick four-step formula for success:

1. NAME IT! Describe the behavior you are addressing—only the behavior, not the person. “When I hear words like ‘lazy/uninvolved/overpaid, etc’ applied to me, I need to address it.”

2. CLAIM IT! “I feel/need/want/prefer__________ in relation to me, my work or my team.”

3. TAME IT! “If there is something specific we need to discuss, I am happy to debrief it with you. Let’s clarify the exact issues or instances you are referring to so that we can clarify the issues.”

4. LEAD IT AWAY “Would you like to do that now or set an appointment to talk further?”

When you let rhino bullies get away with even one statement that leads the conversation astray from your perception of the truth, the downward slide has begun. Learn to speak up at the first sign of wayward behavior. It takes strength to do so. Do it with no emotional taglines. Simply the facts.

When emotion bursts forth, a bully will jump all over that, too. They invariably want to make a person who ‘feels’ something out to be weak, particularly if that person is a woman. So, simply state the facts with the formula above.

Be aware: bullies get huffier, more vocal and more damaging when first confronted. That’s when you must keep your emotions in check and quietly state the facts. When you consistently teach a bully that you will not allow them to behave poorly towards you, they often get a perverse respect for you.

Many bullies are fragile even in the face of all their blowhard demands and stances. They are simply afraid that no one values them, respects them or takes them seriously. Knowing this, you’ll find other ways to compassionately handle delicate “bully egos”.

As for you, take the high road with your healthy ego intact. You deserve respect. You deserve to be heard. You deserve to feel good at work. Step up. Speak up and contain those rhinos!

© Rhoberta Shaler, PhD
--------------------------------------------
Dr. Rhoberta Shaler solves 'people problems' by making it easier to talk about difficult things. Dr. Shaler speaks to, trains and coaches executives and entrepreneurs worldwide in the communication skills essential to creating powerful conversations that reduce conflict & anger, build trust, and streamline negotiation. She is the Founder and CEO of the Optimize! Institute in Escondido, CA and author of Wrestling Rhinos: Conquering Conflict in the Wilds of Work. www.OptimizeInstitute.com for newsletter, teleseminars & upcoming

Did you miss your dose of Dr Raymond?
If you did, you'll need my book Don't Jettison Medicine, available at RxForSanity.com and Amazon.com.

Want to share some sanity in your medical newsletter?
Dr Raymond's articles may be freely reprinted (see details at the bottom), and more of Dr. Raymond's most popular editorials are yours at Rx For Sanity Articles and at DontJettisonMedicine.com

Do you know someone who would enjoy this edition of Passionate HealthCare? We encourage you to Send it to a friend or colleague!

A ‘Pat’ on the back to…

" I just wanted to drop you a line and let you know that your newsletter is great! I usually don't get a chance to read it until a while after you've sent it (crazy schedule), but I always laugh when I do. Thanks for sending it!" ~ Leigh Ann Hubbard, Managing Editor, Family Doctor: the Magazine that Makes Housecalls

Thanks for the feedback, Leigh Ann! Let's grow our passionate community- Send this fun newsletter to five of your colleagues today as an el cheapo Nurses Day gift so that they too can get passionate about healthcare!

And if you would like to donate to the June MS150 ride and to my pained posterior, I invite you to visit e-pledge link at https://www.nationalmssociety.org//VAX/personal/default.asp?pa=51464915&pd=VAX0EMS120050604VAX

The Sanity Store: Announcing the Herbal HealthWreath

Here’s a bright idea!

Nurses Week, May 6th through 12th is coming soon… Are you looking for a great way to honor or celebrate a fellow nurse?

Brighten his/her day with a colorful herbal HealthWreath. Designed by herbal artist MountainFlower’s Susan M., your wreath will be handcrafted in the Blue Ridge Mountains and shipped directly to you or your honoree.

The 16” diameter RFS HealthWreath has been designed to promote healing through a combination of color, fragrance and texture. An enclosed guide explains to your recipient that the wreath’s circular shape symbolizes the continuum of life and health, and the five colors represent the five Feng Shui elements that embody perfect harmony and balance. We also describe the known medicinal uses of the varied flora which make up your wreath: lavender, larkspur, eucalyptus, achillea, red chili, and ixodia. However, please don’t plan to ingest any portion of your gift!

Regularly priced at $67, our introductory price is only $60 if ordered before May 5th (extended because I'm late with this edition!) to allow timely creation and shipping Just use discount code HWNW. There are no hidden costs- UPS shipping is free!

Celebrate Mother’s Day May 8th. Send out HealthWreaths to demonstrate your love and respect to the influential and caring women in your life!

Yes! Send out my HealthWreath to my mentors, colleagues, friends, and mothers!

Bedside manners: 'Special' patients

While at a meeting in Chapel Hill last weekend, a lunchtime conversation with physician JM provided a great Nurses Day gift suggestion for office nurses. All offices possess patients that are perpetually tardy, non-compliant, or cranky. In my office, we designate them as 'special' and allocate additional time on the schedule to handle them without falling behind, and take deep cleaning breaths before returning their myriad of phonecalls.

JM (who wanted to be somewhat anonymous for print purposes) gives his nurses an end-of-year gift each year: He invites his office staff to nominate the five most 'special' patients, then reviews their charts with his head nurse. One or more 'specials' will receive a certified letter at the beginning of the next year, terminating care citing issues with the patient-caregiver relationship (and giving 30-60 days grace to seek an alternate physician).

Just as patients have the right to seek a different health care provider, we must remember that we also have choices in the patient-caregiver relationship. JM assures me that these folks are not truely ill, they just are high-maintenence 'hobbyists'. Do you think this suggestion is just the ticket for your most stressful patients, or is it shirking our responsibilities as caregivers? Email your comments to PLRaymond@RxForSanity.com and we'll pass them along!

Weird websites: Exuberance in medicine

I've been reading "Exhuberance: The Passion for Life" by Kay Redfield Jamison, that explores this rare combination of enthusiasm and energy. After I read about Wilson "Snowflake" Bentley, the Vermont scientist that ran about in snowstorms collecting samples on glass plates for photography (he later shot pictures and composed rapturous scientific prose about over 8000 individual flakes), I happened upon this website featuring 84 photos of the beauty of kidney stones.

Having experienced two if them personally, I've have to look hard and remember that those jagged edges are a thing of wonder, not simply lumbar pain. Although the silica/canine stone is rather pretty... which one do you admire the most?

If you enjoyed this edition, please Send it to a friend or colleague!

Health news you Can Use: Smoking, weight, and fertility

IVF Success Hindered by Smoking & Weight
Women who smoke dramatically decrease their chance of successful in-vitro fertilization (IVF), adding the equivalent of 10 years to their reproductive age. Examining data from a study of 8,457 women following their first cycle of IVF, researchers from Radboud University Nijmegen Medical Center in the Netherlands reported in the April 2005 issue of Human Reproduction that the live birth rate of smokers with unexplained sub-fertility was 13%, compared with a 20% birth rate in non-smoking women with the same diagnosis. In addition, women who were overweight were found to have a 33% lower chance of conceiving after the first IVF treatment than other women. The findings suggest that overweight women who smoke could improve their chances of having a child by making changes in their diets and lifestyles. (Reuters, 4/6/05) Is this why many folks smoke after sex?

Don't forget that April 30th is World Tai Chi/Chi Kung Day! Programs on this alternative medicine with a valid track recordwill be presented throughout the United States at 10 AM. To locate a program near you check www.worldtaichiday.org

 Please start sending my own subscription to Passionate HealthCare

Mock medical music

Flu season is almost over, but I couldn't resist this toe-tapper provided by by Forteen and Baeutiful, sung loosely to the Beatles "Eight Days of the Week".

I could use a tissue
Sniffle all the time
I wish I could kiss you
But I feel like slime
I feel awful
Simply awful
Yes this is just how I feel:
Aches, dazed and weak

Aches, dazed and weak
I know you know I loathe flu
Aches, dazed and weak
The flu's not what I want to share

 

I hope I feel better
Very, very soon
Or I think I'll get a
Semi-private room
Oh I miss you
Want to kiss you
But if I did, you'd just feel
Aches, dazed and weak

Aches, dazed and weak
I know you know I loathe flu
Aches, dazed and weak
The flu's not what I want to share

Tune in for songs about phlegm, aging, EDs, or eating right in later issues -- I've gotten in a motherlode of Mock Medical Music! And if you have any songs, share the lyrics with us at PLRaymond@RxForSanity.com, and we'll credit you!

If you enjoyed this edition, we encourage you to Send it to a friend or colleague!

It's time to go!

Gastroenterologist, broadcaster, speaker, and writer Patricia L. Raymond MD FACP FACG of Rx For Sanity is author of "Don't Jettison Medicine! Resuscitate Your Passion For The Career You Loved". DJM is a joyous workbook of thirty exercises that will help to resuscitate your passion for caregiving. It's available, along with her unique joke anthology "Colonoscopy: It'll Crack U Up!" at the Sanity Store at www.RxForSanity.com or at Amazon.com.

She is a frequent speaker and workshop leader at national and international conventions, teaching medical caregivers techniques of self-care. As host of NPR's regional live radio program, "Housecalls", she encourages our patients to step up and accept responsibility for their own health, every Friday at noon (EST). You can tune in for live streaming audio!

To submit your comments for possible inclusion in a future issue, send to PLRaymond@RxForSanity.com.

Attention Meeting Planners! Scheduled already into late 2005, Dr. Raymond brings her passionate message to "Health Yourself" to conventions, regional meetings and Grand Rounds. Keep her in mind- even if you have a last minute cancellation. Dr. Pat Raymond delivers high-content, interactive programs that are lots of fun. She gives away great door prizes. And, most importantly, she will make you look good. Call 757-547-0368, write PLRaymond@RxForSanity.com or visit www.RxForSanity.com for details on her programs!

Where to meet or hear Dr Raymond: When will she be in your neighborhood?


Springfield MO 04/30

Sacramento CA 05/12

San Francisco CA 05/13

Minneapolis MN 05/15-16


Atlanta GA 07/09-12

Pittsburg PA 09/11

New Jersey 10/15

Honolulu, HA 10/28-11/3

Email for information on how to attend, or to 'piggy-back' your presentation into Dr. Raymond's travel plans, or even to take her to lunch or dinner (you drive, she'll buy)!

Tell a friend about our nifty main website,
Rx For Sanity.com!

Or give your friends the whole poop
about colonoscopy at
ColonoscopyJoke.com!

What're you waiting for? Get Passionate HealthCare now!

Legal Poop: The information contained herein is not intended to serve as medical diagnosis or a means to dispense medical advice. It is for information, communication and educational purposes only. It is not to be used as a substitute for seeking medical treatment or proper medical care.

(c) 2005, Rx For Sanity. Permission must be granted to reprint any item other than your own submission. Reprints: Many publications and e-zines have requested permission to excerpt from Passionate HealthCare. You are welcome to excerpt anything from this e-zine absolutely free, with the following caveat: all excerpts or reprints must carry the following credit line: "From Passionate HealthCare, a twice monthly e-zine published by Patricia Raymond MD and available at www.RxForSanity.com."

Patricia L. Raymond MD FACP FACG * Rx for Sanity
PLRaymond@RxForSanity.com
613 River Strand, Suite 200 * Chesapeake VA 23320 * 757/547-0368

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