Overlink # 1000 Cope Like a Cardiac Surgeon ## Fighting Burnout One Essay at a Time - ## Introduction - [[Stress and the Cardiac Surgeon]] - ## The Essays - [[Comparison is the Death of Joy]] - [[Nobody can understand you except another cardiac surgeon]] - [[License to kill]] - [[Things That Recharge the Battery]] - [[A Commando Story]] - [[A Visit To A Very Important Hospital]] - [[share focus]] - [[Stress and Eustress]] - [[Good Days and Bad Days]] - [[Blowing Off Steam]] - [[Skin in the Game]] - Notes on Coping - [[Comparison is the Death of Joy]] - comparison is the death of joy - if someone else can do it, so can you - Nobody is as happy as they look to you. - [[Nobody can understand you except another cardiac surgeon]] - [[License to kill]] - anecdote about peds surgery rotation - dictator - Pacific clinic vs knowing your patients - Burnout,ER, Pt contact - Remember your wins - [[Stress and Eustress]] - - The patients are the astronauts - stay married - We love women insofar as they are mysteries to us - Don't let the mystery wear off - Every year the nurses get younger - you are a powerful mysterious man to them - Don't talk shop when partners and wives get together-these events are for them. - Throw yourself into the deep end - no learning in the comfort zone eventually you start swimming - Calling in medicine - [[A Calling for Medicine]] - Suk school, hippocratic oath - Stoicism and the first sentence of annalects - Everything outside of your control is a matter of indifference - Preferred indifferents - The first passions of the soul - Stoicism kicks in - What would the ideal sage do? - Imperturbable - Always in control - The ability to adapt, improvise, and overcome - the peculiar satisfaction of making the obstacle work for you - Stoic practice - The difficult person - is doing what they think is right - Understand before being understood - has been put there by God as a sparring partner to help train you for greater progress towards the stoic ideal - Is another human like you, a brother even, and God means you to work together like your teeth work together, in opposition perhaps but for a common goal - Meditation - Awareness of your thoughts - Control of your thoughts - Returning focus to this very moment - Can’t change the past or the future - Only have control right now - Commando operation story - [[Good Days and Bad Days]] - - Everyone has good days and bad days, but method + practice even out the differences - if you find yourself in a fair fight, it represents a failure to plan - risk is a quantity - Be a scholar of risk - there are no solutions, only trade offs - You are not a performing monkey, you are a risk analyst - Risk is a quantity part 2: Fuel to Air Ratio - Tell everybody about the risky case - Ratio of good cases to bad cases - Learn from your mistakes - M and M - learn from other people's mistakes - everybody feels like an imposter - magic trick - Turing test - you've got to be able to kill the first patient and give the second patient your individed attention - Team leader - fix an ulcer but cause an ulcer - Persuade rather than compel - closed loop communication - [[share focus]] - multi-tasking is a myth - tell people you can't observe everything - Learn more than one way to do anything and ask yourself why this came into being - I'd worry about it less if you worried about it more - The days of autocracy are over - The legends of the past-colorful, brash surgeons - But you are still responsible - What recharges the battery - Patient contact - Emergency medicine - work life balance, the easy rotation with people you hate vs the tough rotation with people who care about the same things - the training I signed up for was thirty six hours on, twelve hours off, day in day out. To cover either christmas or new years, we took five days in a row - I will love these people for the rest of our lives - [[Blowing Off Steam]] -