tag:blogger.com,1999:blog-50343003762045742252024-02-18T17:54:04.893-08:00Stressed Health Professionals & FamiliesAnonymoushttp://www.blogger.com/profile/05231109235999239551noreply@blogger.comBlogger10125tag:blogger.com,1999:blog-5034300376204574225.post-9369053900106962582013-08-01T06:19:00.001-07:002013-08-01T06:19:12.877-07:00Medical students' challenges in the 21ST Century<div dir="ltr" style="text-align: left;" trbidi="on">
A significant article about medical students' challenges and survival tactics:<br />
<a href="http://www.kevinmd.com/blog/2013/07/medical-students-survive-21st-century-medical-school.html">http://www.kevinmd.com/blog/2013/07/medical-students-survive-21st-century-medical-school.html.</a><br />
<br />
There are fundamental changes since my generation (and several others, more recent) went to med school. I don't know whether I ought to feel relieved or disappointed. Maybe some of both. <br />
<br /></div>
Anonymoushttp://www.blogger.com/profile/05231109235999239551noreply@blogger.com0tag:blogger.com,1999:blog-5034300376204574225.post-42249625598820305392013-07-23T05:15:00.001-07:002013-09-26T17:38:53.230-07:00Radical Thinking by MDs and others<div dir="ltr" style="text-align: left;" trbidi="on">
Have spent many hours finding email addresses of physicians, RNs and others in the listing of "Ideal" (patient centered) practices I can appreciate the enthusiasm of these practitioners. <br />
This post by a physician mirrors the thinking in the site I had found: <a href="http://thehealthcareblog.com/blog/2013/07/21/the-office-visit-revisited/?utm_source=THCB+3.0&utm_campaign=b2d0e4240e-Will+%22Too+Big+to+Fail%22+Come+to+Health+Care%3F&utm_medium=email&utm_term=0_a47e1b8402-b2d0e4240e-19096733">http://thehealthcareblog.com/blog/2013/07/21/the-office-visit-revisited/?utm_source=THCB+3.0&utm_campaign=b2d0e4240e-Will+%22Too+Big+to+Fail%22+Come+to+Health+Care%3F&utm_medium=email&utm_term=0_a47e1b8402-b2d0e4240e-19096733</a><br />
<a href="http://thehealthcareblog.com/blog/2013/07/21/the-office-visit-revisited/?utm_source=THCB+3.0&utm_campaign=b2d0e4240e-Will+%22Too+Big+to+Fail%22+Come+to+Health+Care%3F&utm_medium=email&utm_term=0_a47e1b8402-b2d0e4240e-19096733"><br /></a>
I'll publish the address of the website for the listing of ideal practices I had previously found when I can find it again. Meanwhile, here's another list of ideal practitioners I just ran across: <a href="http://impcenter.org/forums-members-groups/members/">http://impcenter.org/forums-members-groups/members/ </a></div>
Anonymoushttp://www.blogger.com/profile/05231109235999239551noreply@blogger.com0tag:blogger.com,1999:blog-5034300376204574225.post-86623166680468664332013-07-01T13:42:00.000-07:002013-09-26T17:41:24.859-07:00The "Thirteen Arrow Syndrome" -- an analysis of stress on health professionals<div dir="ltr" style="text-align: left;" trbidi="on">
<div class="separator" style="clear: both; text-align: center;">
<span style="font-size: small;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiJvcpyjlJMugnX1fqjqf1hPUwn24dUgOpmgoHidME4CL2Fq-spIUkHGXz3WvDB4jM2uZ_bTdBEiM2V49k0whZfVRzgJWTD7XJW-cHOli4LZrNvdIPakpUtX2VM8e62Zpnv6p0lGdR8_8I/s414/Picture+16.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><br /></a></span></div>
<div style="font-family: Arial,Helvetica,sans-serif;">
<span style="font-size: small;">This diagram maps some of the more significant stresses on a health professional. I'm grateful to Billie T. Alban for this concept and most of the content. I used the diagram in <i>Intravenous Hope, Stat!</i> As you can see, there are many arrows already, and some professionals will add arrows between elements. For example, patients may harass office staff, so an arrow could go from the former to the latter. Some of the terms in the diagram may not apply to you. </span><style>@font-face {
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</div>
<div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;">
<span style="font-size: small;">If you and a peer each did a diagram, some of your common
items might have connecting arrows stretching from your diagram over to theirs.
If you are an administrator, you might have arrows joining staff members'
diagrams to items in yours.</span></div>
<div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;">
<span style="font-size: small;">Different professions may emphasize different items, and the
connections between, say, a nurse's diagram and a physician's could prove
consciousness-raising. They might list some items in common, and others unique
to their professions. The common items could be a source of support or
conflict.</span></div>
<div style="font-family: Arial,Helvetica,sans-serif;">
<span style="font-size: small;"><br /></span>
<span style="font-size: small;">I'll include a quote from the book below the diagram.</span></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjENq-HC77b8WLiPF_PVgYUnZ4-cXIrjFuK2e9qiue-wUrp0lStA4o4SguO1LGKmgc2Y3B49cT1zrNwL1VsTlS2962IGYjhfdPMgQgrKSjplM9b-8uaiD4o9SmZHGetBws4rECbdaezRLY/s538/Picture+15.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="640" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjENq-HC77b8WLiPF_PVgYUnZ4-cXIrjFuK2e9qiue-wUrp0lStA4o4SguO1LGKmgc2Y3B49cT1zrNwL1VsTlS2962IGYjhfdPMgQgrKSjplM9b-8uaiD4o9SmZHGetBws4rECbdaezRLY/s640/Picture+15.png" width="592" /></a></div>
<span style="font-size: small;"> </span><span style="font-size: small;"> <span style="font-family: Arial,Helvetica,sans-serif;">Quote from</span><i style="font-family: Arial,Helvetica,sans-serif;"> Intravenous Hope, Sat! </i></span><br />
<div style="font-family: Arial,Helvetica,sans-serif;">
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<h4 style="font-family: Arial,Helvetica,sans-serif;">
<span style="font-size: small;">
Key Points About the Role Expectations Diagram Above</span></h4>
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<span style="font-size: small;">In a personal communication, Billie Alban, <b><a href="http://tinyurl.com/d9vwkjj">http://tinyurl.com/d9vwkjj</a> </b></span><span style="font-size: small; font-weight: normal;">(her book site) lists some key questions that help
clarify the binds affecting members of an organization. For each of the persons
or groups listed on your diagram, ask yourself:</span></div>
<div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;">
<span style="font-size: small;">1. <b>What do they want from me?</b></span><span style="font-size: small; font-weight: normal;"> That is, are staff looking for support for their decisions? Are
patients looking for a cure? Is that expectation unrealistic or not? Are
hospital administrators looking for more opportunities to bill?</span></div>
<div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;">
<span style="font-size: small;">2. <b>How am I responding? </b></span><span style="font-size: small; font-weight: normal;">Are you putting off unpleasant discussions? Avoiding deadlines? Taking
too much of the responsibility on your shoulders instead of delegating?
Becoming overloaded with too many duties? </span></div>
<div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;">
<span style="font-size: small;">3. <b>Recognize when you can't fulfill an expectation and
say why.</b></span><span style="font-size: small; font-weight: normal;"> This boils down to "I can't
do that because _____________."</span></div>
<div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;">
<span style="font-size: small;">4. Ask yourself: "<b>Do I feel this is a big deal? What
makes it big?</b></span><span style="font-size: small; font-weight: normal;">" This can help clarify
priorities and set aside minor issues if other concerns take priority.</span></div>
<div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;">
<span style="font-size: small;">5. <b>Recognize when a person needs just a sounding board
versus when they need concrete advice.</b></span><span style="font-size: small; font-weight: normal;"> In
the first instance, you listen and ask questions to help the person clarify
their thinking, their confusion, or their conflict. In the second, you also
listen and question but you go on to tell them what you might do, or what you
think they ought to do.</span></div>
<div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;">
<span style="font-size: small; font-weight: normal;">End of excerpt from <i>Intravenous Hope, Stat! </i></span></div>
</div>
Anonymoushttp://www.blogger.com/profile/05231109235999239551noreply@blogger.com0tag:blogger.com,1999:blog-5034300376204574225.post-59994872136174800492013-06-29T04:55:00.001-07:002013-06-29T04:55:25.344-07:00When Doctors Don't Know What's Wrong<div dir="ltr" style="text-align: left;" trbidi="on">
There's a stimulating article that includes a description by a neurologist of his approach when the workup doesn't point to a specific disease.<br />
See <a href="http://thehealthcareblog.com/blog/2013/06/25/what-doctors-do-when-they-dont-know-what-to-do/?utm_source=THCB+3.0&utm_campaign=fa164aa37c-Will+%22Too+Big+to+Fail%22+Come+to+Health+Care%3F&utm_medium=email&utm_term=0_a47e1b8402-fa164aa37c-19096733">What Doctors Do When They Don't Know What to Do</a> in the blog by Allen Frances, M.D.</div>
Anonymoushttp://www.blogger.com/profile/05231109235999239551noreply@blogger.com0tag:blogger.com,1999:blog-5034300376204574225.post-1143437836443127902013-06-28T04:18:00.001-07:002013-06-28T04:18:07.569-07:00<div dir="ltr" style="text-align: left;" trbidi="on">
Finally got the book up on Kindle and sent announcements. Here's the copy:<br />
<br />
<!--StartFragment-->
<br />
<div class="MsoNormal" style="text-indent: .3in;">
To health professionals, their
programs, and their families: </div>
<div class="MsoNormal" style="text-indent: .3in;">
I'm a retired psychiatrist in the
US.</div>
<div class="MsoNormal" style="text-indent: .3in;">
I hope my Kindle e-book on stress
and suicide within the health professions can reach all levels, from student to
retiree. The title is </div>
<div class="MsoNormal" style="text-indent: .3in;">
<i>Intravenous Hope, Stat! <o:p></o:p></i></div>
<div class="MsoNormal" style="text-indent: .3in;">
<i>We Need to Help Stressed or
Suicidal Doctors, Nurses, Psychologists, Therapists and Their Relatives.</i><span style="font-style: normal;"><span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="text-indent: .3in;">
<br /></div>
<div class="MsoNormal" style="text-indent: .3in;">
In this book I emphasize support
and prevention, while recognizing the despair of those reaching the end of
their coping abilities. The "<i>We</i><span style="font-style: normal;">"</span><i>
</i><span style="font-style: normal;">in the above subtitle implies that all of
us share a responsibility for health professionals' wellbeing. </span></div>
<div class="MsoNormal" style="text-indent: .3in;">
This responsibility needs to be
borne not only by us as professionals, but also by our patients, our family
members, and the general public. </div>
<div class="MsoNormal" style="text-indent: .3in;">
Many thanks for distributing this
note to those concerned about stress levels in your profession.</div>
<div class="MsoNormal" style="text-indent: .3in;">
<br /></div>
<div class="MsoNormal" style="text-indent: .3in;">
<i>Intravenous Hope, Stat!</i><span style="font-style: normal;"> is on this <a href="http://www.amazon.com/dp/B00DEO5R98/ref=r_soa_w_d" title="Sample or order Intravenous Hope, Stat!">Kindle page</a>.</span></div>
<div class="MsoNormal" style="text-indent: .3in;">
The book website: <cite><a href="http://www.stressedhealthprofessionals.com/"><span style="font-style: normal;">www.</span><span style="font-style: normal;"><b>stressedhealthprofessionals</b></span><span style="font-style: normal;">.com</span></a></cite></div>
<div class="MsoNormal" style="text-indent: .3in;">
The book blog: <a href="http://stressedhealthprofessionals.blogspot.com/">http://stressedhealthprofessionals.blogspot.com</a>
<o:p></o:p></div>
<div class="MsoNormal" style="text-indent: .3in;">
Sincerely,</div>
<div class="MsoNormal" style="text-indent: .3in;">
William R. Taylor, M.D. <a href="mailto:wrbftaylor1@comast.net">wrbftaylor1@comast.net</a> </div>
<div class="MsoNormal">
<br /></div>
<!--EndFragment-->
</div>
Anonymoushttp://www.blogger.com/profile/05231109235999239551noreply@blogger.com0tag:blogger.com,1999:blog-5034300376204574225.post-70052082086386287412013-06-16T03:55:00.000-07:002013-06-16T03:55:07.462-07:00Fascinating look inside a doctor's mind!<div dir="ltr" style="text-align: left;" trbidi="on">
This link is to a fascinating post that shows how docs and other health professionals ought to think.<br />
<a href="http://thehealthcareblog.com/blog/2013/05/30/the-doctors-mind-map/">http://thehealthcareblog.com/blog/2013/05/30/the-doctors-mind-map/</a><br />
A whole lot of steps you wouldn't be aware of unless you could read your doctor's mind next time you visit. Dr. Rob Lambert's mind map has a huge number of lines of reasoning, for the care of just one patient.<br />
<br />
</div>
Anonymoushttp://www.blogger.com/profile/05231109235999239551noreply@blogger.com0tag:blogger.com,1999:blog-5034300376204574225.post-46968312333236649262013-06-15T08:46:00.001-07:002013-06-15T08:50:17.226-07:00Intravenous Hope, Stat! now available<div dir="ltr" style="text-align: left;" trbidi="on">
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<br />
<h3 style="text-align: left;">
Intravenous Hope, Stat!<br />We Need to Help Stressed or Suicidal Doctors,<br /> Nurses, Psychologists,
Therapists And Their Relatives</h3>
<div style="text-align: left;">
This e-book is now up on Amazon Kindle at this link <br /><a href="https://kindle.amazon.com/work/intravenous-psychologists-therapists-relatives-ebook/B00DEO5R98/B00DEO5R98">https://kindle.amazon.com/work/intravenous-psychologists-therapists-relatives-ebook/B00DEO5R98/B00DEO5R98</a> </div>
<div style="text-align: left;">
You can read excerpts on that site, or on earlier posts here, </div>
<div style="text-align: left;">
or at <a href="http://stressedhealthprofessionals.com/">http://stressedhealthprofessionals.com. </a></div>
<div style="text-align: left;">
I will be sending email announcements of the book in the next few days.</div>
</div>
Anonymoushttp://www.blogger.com/profile/05231109235999239551noreply@blogger.com0tag:blogger.com,1999:blog-5034300376204574225.post-16964504583293728302013-04-08T06:02:00.000-07:002013-04-19T12:50:59.024-07:00First few pages of book for stressed health professionals and their families.<div dir="ltr" style="text-align: left;" trbidi="on">
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<br />
<h1 align="center" style="text-align: center;">
<span style="font-size: 14pt;">Here are the first couple of pages of the book for stressed health professionals. </span></h1>
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<br />
<h1 align="center" style="text-align: center;">
<span style="font-size: 14pt;">Intravenous
Hope, Stat!<br />
We Need to Help Stressed or Suicidal Doctors, Nurses, Psychologists, Therapists
And Their Relatives </span></h1>
<h1 align="center" style="text-align: center;">
<span style="font-size: 14pt;">By
William R. Taylor, M.D.</span></h1>
<h4>
<a href="http://www.blogger.com/blogger.g?blogID=5034300376204574225" name="Logicalflowsheet"> </a></h4>
<div class="MsoNormal" style="margin-left: 0.3in;">
<b>Note:</b><span style="font-weight: normal;"> If you
don't like lists and tables, </span><b>and are not suicidal at this moment</b><span style="font-weight: normal;">, feel
free to skip down to the </span><a href="http://www.blogger.com/blogger.g?blogID=5034300376204574225#_Preface_1">Preface</a>. You'll find it right after the table.
The Preface opens with this sentence: <span style="color: black;"><i>Working on
this book, Intravenous Hope, Stat! introduced me to one of the toughest cases
of self-doubt I've ever encountered:</i></span></div>
<div class="MsoNormal" style="margin-left: 0.3in;">
<i>Mine.</i></div>
<div class="MsoNormal" style="margin-left: 0.3in;">
I
got past those doubts, as you will read later. But first, let me present some
concrete ideas about help for those in immediate danger, due to suicidal
thoughts or stress reactions.<span style="color: black;"><i></i></span></div>
<h3>
If You Need Help Right Away</h3>
<div class="MsoNormal">
<b>Disclaimer:
The statements and suggestions in this book are not intended to diagnose,
treat, cure, or prevent any disease. The author does not in any way guarantee
or warranty the accuracy, completeness or usefulness of any portion and will
not be held responsible for the content of any portion. Always consult with
your personal physician for specific medical advice.</b></div>
<div class="MsoNormal">
<b>If you are
thinking about suicide</b><span style="font-weight: normal;">, or are concerned about handling stress, I placed
these "If…Then" statements in the table below to help those who need
immediate assistance. </span>Some of the resources in this table also
appear in other parts of this book, so someone browsing at random might find
those resources even if they skipped the table. You may be interested in this
preview of a Jackson & Coker survey's recommendations, which appear in the
Appendix:</div>
<div class="MsoNormal">
<span style="font-family: Times;"><i>By bringing the problem </i></span><span style="font-family: Times;">[of MD mental health issues]<i> out of the shadows
and shedding light on what can combat depression or other precursors to
suicide, it's possible to rescue those who are on the brink of self-destructive
behavior. Raising awareness of physician suicide should be an ongoing process
among all segments of the healthcare community.</i></span></div>
<div class="MsoNormal">
<span style="font-family: Times;">This book is intended to
bring the problem out of the shadows.</span></div>
<h4>
Caution</h4>
<div class="MsoNormal">
<span style="font-family: Times;">Some readers have been
shocked by the table below, which starts at he highest risk level, that is, at
a point where a health professional (or any other reader) has already taken a
fatal dose of medication or prepared another means of ending their life.
Although it may seem unlikely that someone at that stage is reading this, I
think we need to face that possibility. </span></div>
<div class="MsoNormal">
<span style="font-family: Times;">Why start with such a
high-risk group, who are unlikely to pick up this book when they are in their
final stages of a plan for suicide? On the chance that some of those
highest-risk individuals have never talked about suicide with anyone. I want to
let those closest to killing themselves know that they might find some hope--
if not somewhere in their lives, then perhaps somewhere in this book. </span></div>
<div class="MsoNormal">
<span style="font-family: Times;">Why seek hope?</span></div>
<div class="MsoNormal">
<span style="font-family: Times;"><b>Because one of the most
powerful antidotes to the poisonous notion of suicide is at least a small
amount of hope.</b></span><span style="font-family: Times;"> The amount need not
be great at the start. A milligram or two can be the initial dose. </span></div>
<h4>
Instructions for using the Table</h4>
<div class="MsoNormal">
<b>See where you fit in this Table, under IF, and See
Suggestions under THEN </b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b>IMPORTANT: IF YOU ARE SUICIDAL, AIM TO MOVE YOURSELF TO A
LOWER RISK GROUP (FARTHER DOWN IN THE TABLE) FROM WHEREVER YOU FIND YOURSELF
RIGHT NOW. </b></div>
<div class="MsoNormal">
<b>FOR SUGGESTIONS ON HOW TO REDUCE YOUR RISK LEVEL, SEE THE
END OF THIS TABLE. </b></div>
<div class="MsoNormal">
<span style="font-family: Times;"><b>And if you think the mess
you're in is too complicated to cope with…also see the end of the table.</b></span><b></b></div>
<div class="MsoNormal">
<b>I REALIZE I'M ISSUING A NUMBER OF INSTRUCTIONS, BUT IF I
DON'T, THERE MAY BE NO ONE ELSE AT THIS MOMENT WHO CAN TELL YOU WHAT TO DO.</b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-size: 12pt;"><b>TABLE OF POSSIBLE SUICIDE
RISK LEVELS</b></span><span style="font-size: 12pt;"></span></div>
<table border="1" cellpadding="0" cellspacing="0" style="border-collapse: collapse; border: medium none;">
<tbody>
<tr>
<td style="border: 0.5pt solid windowtext; padding: 0in 5.4pt; width: 135.9pt;" valign="top" width="136"><div class="MsoNormal">
<b>IF</b></div>
</td>
<td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 0.5pt 0.5pt 0.5pt medium; padding: 0in 5.4pt; width: 306.9pt;" valign="top" width="307"><div class="MsoNormal">
<b>THEN</b></div>
</td>
</tr>
<tr>
<td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 0.5pt 0.5pt; padding: 0in 5.4pt; width: 135.9pt;" valign="top" width="136"><div class="MsoNormal">
IF 1.<span style="font-family: Times;"> You are a health
care provider - or anyone else reading this book -- <b>who has already taken
the overdose you had planned to kill yourself with, or who is about to commit
suicide by some other means</b></span><span style="font-family: Times;">, see
next column</span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 0.5pt 0.5pt medium; padding: 0in 5.4pt; width: 306.9pt;" valign="top" width="307"><div class="MsoNormal">
<span style="font-family: Times;"><b>Call 911 or the local
emergency number in your location. </b></span></div>
<div class="MsoNormal" style="margin-left: 0.5in;">
<span style="font-family: Times;"><b>Or
call a suicide hot line</b></span><span style="font-family: Times;">. One Hot
Line number is <b>1-800-SUICIDE</b></span><span style="font-family: Times;"> (<b>1-800-784-2433</b></span><span style="font-family: Times;">)</span></div>
<div class="MsoNormal" style="margin-left: 0.5in;">
<span style="font-family: Times;">Another
is <b>1-800-273-TALK</b></span><span style="font-family: Times;"> (<b>1-800-273-8255</b></span><span style="font-family: Times;">). </span></div>
<div class="MsoNormal" style="margin-left: 0.5in;">
<span style="font-family: Times;">If
those numbers have changed, the website is <b><a href="http://www.suicidehotlines.com/">www.suicidehotlines.com</a> </b></span><span style="font-family: Times;"></span></div>
<div class="MsoNormal">
<span style="font-family: Times;"><b>Tell them where you are
and what you have taken or are about to do. THEN DO NO FURTHER HARM TO
YOURSELF. FOLLOW THE INSTRUCTIONS YOU RECEIVE FROM THE HELP LINE STAFF. WAIT
FOR HELP TO ARRIVE. </b></span></div>
<div class="MsoNormal">
<span style="font-family: Times;"><b>Why do this? </b></span></div>
<div class="MsoNormal">
<span style="font-family: Times;"><b>Because you need to
move yourself to a slightly lower level of risk in this table of suicidal
behavior. You're (obviously) at the highest risk of death and need to move to
a lower risk level in order to take another look at your suicidal plans.</b></span></div>
<div class="MsoNormal">
<span style="font-family: Times;"><b>Note that I am not
asking you to give up plans for suicide, but to move to a lower risk level,
at least for now. You can reduce stress by identifying some of the factors in
your stress list (long list in <a href="http://www.blogger.com/blogger.g?blogID=5034300376204574225#Chapter13">Chapter 13</a>.) You can
also "work yourself up" as suggested in <a href="http://www.blogger.com/blogger.g?blogID=5034300376204574225#Chapter2">Chapter
2</a>.</b></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr>
<td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 0.5pt 0.5pt; padding: 0in 5.4pt; width: 135.9pt;" valign="top" width="136"><div class="MsoNormal">
<span style="font-family: Times;">IF 2. You are a health
care provider (or anyone else) planning to kill yourself and have collected
materials needed</span></div>
<div class="MsoNormal">
<span style="font-family: Times;">3. You have set a time and
place for your suicide</span></div>
<div class="MsoNormal">
<span style="font-family: Times;">4. The time you have
selected for your suicide is within a few minutes to a few hours from now</span></div>
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 0.5pt 0.5pt medium; padding: 0in 5.4pt; width: 306.9pt;" valign="top" width="307"><div class="MsoNormal" style="margin-left: 0.5in;">
<span style="font-family: Times;">Then,
realizing that we have no relationship other than writer and reader, I ask
you to do the following:</span></div>
<div class="MsoNormal" style="margin-left: 0.5in;">
<span style="font-family: Times;">4A.
<b>Delay your suicide </b></span><span style="font-family: Times;">(I realize
that I probably don't have enough influence with you -- yet -- to ask you to
cancel your plans.)</span></div>
<div class="MsoNormal" style="margin-left: 0.5in;">
<span style="font-family: Times;">4B.
Talk about your suicide decision with a </span></div>
<div class="MsoNormal" style="margin-left: 1in; text-indent: -0.25in;">
<span style="font-family: Symbol;">·<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: Times;">Trusted friend</span></div>
<div class="MsoNormal" style="margin-left: 1in; text-indent: -0.25in;">
<span style="font-family: Symbol;">·<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: Times;">A prescribing physician who can help you decide to
try antidepressants, or change you to a different dose or different
medication or can discuss Transcranial Magnetic Stimulation (TMS), which
might work when antidepressants have not</span></div>
<div class="MsoNormal" style="margin-left: 1in; text-indent: -0.25in;">
<span style="font-family: Symbol;">·<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: Times;">Or psychotherapist</span></div>
<div class="MsoNormal" style="margin-left: 1in; text-indent: -0.25in;">
<span style="font-family: Symbol;">·<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: Times;">Or colleague</span></div>
<div class="MsoNormal" style="margin-left: 1in; text-indent: -0.25in;">
<span style="font-family: Symbol;">·<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: Times;">Or member of the clergy</span></div>
<div class="MsoNormal" style="margin-left: 0.5in;">
<span style="font-family: Times;"><b>Or
call a suicide hot line</b></span><span style="font-family: Times;">. One US
Hot Line number is <b>1-800-SUICIDE</b></span><span style="font-family: Times;">
(<b>1-800-784-2433</b></span><span style="font-family: Times;">)</span></div>
<div class="MsoNormal" style="margin-left: 0.5in;">
<span style="font-family: Times;">Another
is <b>1-800-273-TALK</b></span><span style="font-family: Times;"> (<b>1-800-273-8255</b></span><span style="font-family: Times;">). </span></div>
<div class="MsoNormal" style="margin-left: 0.5in;">
<span style="font-family: Times;">If
those numbers have changed, the website is <b><a href="http://www.suicidehotlines.com/">www.suicidehotlines.com</a> </b></span><span style="font-family: Times;"><br />
<br />
<span class="st"></span></span></div>
<div class="MsoNormal" style="margin-left: 1in; text-indent: -0.25in;">
<span class="st"><span style="font-family: Symbol;">·<span style="font: 7pt "Times New Roman";">
</span></span></span><span class="st"><span style="color: black;">I
found a variety of <b>international hotlines</b></span><span style="color: black;"> on Google, searching under<b> "worldwide suicide
hotline numbers." </b></span><span style="color: black;">However some did
not have listings for all the headings they presented. This site seemed
promising (in March 2013) <b>Includes Canada </b></span><span style="color: black;"><a href="http://suicideprevention.wikia.com/wiki/International_Suicide_Prevention_Directory">http://suicideprevention.wikia.com/wiki/International_Suicide_Prevention_Directory</a>
</span></span><span class="st"><span style="font-family: Times;"></span></span></div>
<div class="MsoNormal" style="margin-left: 0.5in;">
<span style="font-family: Times;">Or
check other help lines (in phone book or on Internet) </span></div>
<div class="MsoNormal" style="margin-left: 1in; text-indent: -0.25in;">
<span class="st"><span style="font-family: Symbol;">·<span style="font: 7pt "Times New Roman";">
</span></span></span><span style="font-family: Times;">Or <b>you can
find many other help lines and sites in this book</b></span><span style="font-family: Times;"> below by following <a href="http://www.blogger.com/blogger.g?blogID=5034300376204574225#sourcesofhelp">this
link</a><span class="st"></span></span></div>
<div class="MsoNormal" style="margin-left: 1in; text-indent: -0.25in;">
<span style="font-family: Symbol;">·<span style="font: 7pt "Times New Roman";"> </span></span><span style="font-family: Times;">Or talk to a member of your family -- recognizing
that not everyone has a family, or the kind of relationship where you would
inform them of a plan for suicide.</span></div>
<div class="MsoNormal" style="margin-left: 0.5in;">
<span style="font-family: Times;">4C.
As I said at the top, <b>if you have already taken the overdose or other
steps to kill yourself,</b></span><span style="font-family: Times;"> <b>call
911 or the local emergency ambulance number in your location.</b></span><span style="font-family: Times;"> </span></div>
<div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr>
<td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 0.5pt 0.5pt; padding: 0in 5.4pt; width: 135.9pt;" valign="top" width="136"><div class="MsoNormal">
<span style="font-family: Times;">ON THE OTHER HAND, IF…</span></div>
<div class="MsoNormal">
<span style="font-family: Times;">5. The time you have
selected for your suicide is farther off, but within the next few days</span></div>
<div class="MsoNormal">
<span style="font-family: Times;">6. You have told no one
about your plans</span></div>
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 0.5pt 0.5pt medium; padding: 0in 5.4pt; width: 306.9pt;" valign="top" width="307"><div class="MsoNormal">
<span style="font-family: Times;">THEN, Realizing that we
have no relationship other than writer and reader, I ask you to do the
following:</span></div>
<div class="MsoNormal">
<span style="font-family: Times;">A. Follow one or more of
the suggestions in part 4B above</span></div>
<div class="MsoNormal">
B. Take a look at the <a href="http://www.blogger.com/blogger.g?blogID=5034300376204574225#Tableofcliniciansstresses">Table
of Clinicians' Stresses and Possible Sources of Support</a> in the Appendix</div>
</td>
</tr>
<tr>
<td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 0.5pt 0.5pt; padding: 0in 5.4pt; width: 135.9pt;" valign="top" width="136"><div class="MsoNormal">
<span style="font-family: Times;">ON STILL ANOTHER HAND, IF…</span></div>
<div class="MsoNormal">
<span style="font-family: Times;">7. You <b>have told</b></span><span style="font-family: Times;"> or hinted to someone about your plans, or feelings
about killing yourself (told a psychotherapist, member of the clergy, family
member, friend, colleague, suicide hot line, or other source of help)</span></div>
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 0.5pt 0.5pt medium; padding: 0in 5.4pt; width: 306.9pt;" valign="top" width="307"><div class="MsoNormal">
<span style="font-family: Times;">THEN</span></div>
<div class="MsoNormal">
<span style="font-family: Times;">A. Have they believed you?
</span></div>
<div class="MsoNormal">
<span style="font-family: Times;">B. And are you or they
taking action to keep you alive? </span></div>
<div class="MsoNormal">
<span style="font-family: Times;">C. Do you think that plan
will be enough to keep you alive?</span></div>
<div class="MsoNormal">
<span style="font-family: Times;">D. If you answered
"No" to A, B, or C, then find another person to talk to in the list
in number 4 B above</span></div>
<div class="MsoNormal">
<span style="font-family: Times;">IF THE FIRST PERSON YOU
TALK TO DOESN'T UNDERSTAND OR TAKE STEPS TO KEEP YOU ALIVE, TALK TO SOMEONE
ELSE OR CALL A DIFFERENT HOT LINE</span></div>
<div class="MsoNormal">
E. Take a look at the <a href="http://www.blogger.com/blogger.g?blogID=5034300376204574225#Tableofcliniciansstresses">Table
of Clinicians' Stresses and Possible Sources of Support</a> in the Appendix</div>
</td>
</tr>
<tr>
<td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 0.5pt 0.5pt; padding: 0in 5.4pt; width: 135.9pt;" valign="top" width="136"><div class="MsoNormal">
<span style="font-family: Times;">ON STILL ANOTHER HAND
(Your fourth hand, if my count is right) </span></div>
<div class="MsoNormal">
<span style="font-family: Times;">You have thought about
suicide, but your situation fits OTHER POSSIBILITIES (to next column)</span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 0.5pt 0.5pt medium; padding: 0in 5.4pt; width: 306.9pt;" valign="top" width="307"><div class="MsoNormal">
<span style="font-family: Times;">OTHER POSSIBILITIES, such
as</span></div>
<div class="MsoNormal">
<span style="font-family: Times;">8. You have thought about
suicide but have no specific plans</span></div>
<div class="MsoNormal">
<span style="font-family: Times;">9. You have thought about
suicide but have decided to wait till after a particular event (someone's
birthday, a holiday, etc.)</span></div>
<div class="MsoNormal">
<span style="font-family: Times;">THEN You need to discuss
these thoughts with one of the people in number 4B above</span></div>
<div class="MsoNormal">
<span style="font-family: Times;">Or </span>Take a look at
the <a href="http://www.blogger.com/blogger.g?blogID=5034300376204574225#Tableofcliniciansstresses">Table of Clinicians' Stresses and
Possible Sources of Support</a> in the Appendix<span style="font-family: Times;"></span></div>
<div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr>
<td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 0.5pt 0.5pt; padding: 0in 5.4pt; width: 135.9pt;" valign="top" width="136"><div class="MsoNormal">
<span style="font-family: Times;">OR Number 10 or 11 applies
to you</span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 0.5pt 0.5pt medium; padding: 0in 5.4pt; width: 306.9pt;" valign="top" width="307"><div class="MsoNormal">
<span style="font-family: Times;">10. You find yourself
under excessive stress, but have no thoughts about suicide, or changing jobs
within your profession, or leaving your profession. </span></div>
<div class="MsoNormal">
<span style="font-family: Times;">THEN parts of this book,
such as <a href="http://www.blogger.com/blogger.g?blogID=5034300376204574225#Chapter2">Chapter 2</a>, <a href="http://www.blogger.com/blogger.g?blogID=5034300376204574225#Chapter3">Chapter 3,</a>
or <a href="http://www.blogger.com/blogger.g?blogID=5034300376204574225#Chapter4">Chapter 4</a>, might be helpful</span></div>
<div class="MsoNormal">
<span style="font-family: Times;">OR 11. You are under
excessive stress and wondering whether you could change jobs within your
profession, or leave the profession (retire early, change to something you
always wanted to do.) You can read about people who have made such decisions
in <a href="http://www.blogger.com/blogger.g?blogID=5034300376204574225#Chapter10">Chapter 10</a> or in the Appendix.</span></div>
<div class="MsoNormal">
<span style="font-family: Times;">OR </span>Take a look at
the <a href="http://www.blogger.com/blogger.g?blogID=5034300376204574225#Tableofcliniciansstresses">Table of Clinicians' Stresses and
Possible Sources of Support</a> in the Appendix<span style="font-family: Times;"></span></div>
<div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr>
<td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 0.5pt 0.5pt; padding: 0in 5.4pt; width: 135.9pt;" valign="top" width="136"><div class="MsoNormal">
<span style="font-family: Times;">OR 12. You are a family
member, friend, or colleague of a health care provider who you think could be
suicidal</span></div>
<div class="MsoNormal">
<span style="font-family: Times;">OR 13. You are a family
member, friend, or colleague of a suicidal health care provider who has tried
suicide and survived</span></div>
<div class="MsoNormal">
<span style="font-family: Times;">OR 14. You are a family
member, friend, or colleague of a health care provider who has killed himself
or herself.</span></div>
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 0.5pt 0.5pt medium; padding: 0in 5.4pt; width: 306.9pt;" valign="top" width="307"><div class="MsoNormal">
<span style="font-family: Times;">THEN you might find <a href="http://www.blogger.com/blogger.g?blogID=5034300376204574225#Chapter6">Chapter 6</a> helpful.</span></div>
<div class="MsoNormal">
There are other self-help books or sites, such as:</div>
<div class="MsoNormal">
<a href="http://www.metanoia.org/suicide/">http://www.metanoia.org/suicide/</a>
</div>
<div class="MsoNormal">
<a href="http://www.amazon.com/Power-Prevent-Suicide-Guide-Helping/dp/1575422069">http://www.amazon.com/Power-Prevent-Suicide-Guide-Helping/dp/1575422069</a> (where several books are described;
if you do not feel comfortable shopping for such books at a local bookstore,
you can order them online.)</div>
</td>
</tr>
<tr>
<td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 0.5pt 0.5pt; padding: 0in 5.4pt; width: 135.9pt;" valign="top" width="136"><div class="MsoNormal">
<span style="font-family: Times;">15. FINALLY, IF you don't
fit any of the above descriptions; </span></div>
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 0.5pt 0.5pt medium; padding: 0in 5.4pt; width: 306.9pt;" valign="top" width="307"><div class="MsoNormal">
<span style="font-family: Times;">I hope you will try to
understand how stressful life can be for health professionals, some of the
men and women you will meet in this book. The above items might fit some of
them, and these items might be helpful to you, if you feel suicidal, even if
you're not a health professional.</span></div>
</td>
</tr>
<tr>
<td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 0.5pt 0.5pt; padding: 0in 5.4pt; width: 135.9pt;" valign="top" width="136"><div class="MsoNormal">
<span style="font-family: Times;"><b>REDUCING YOUR RISK
LEVEL -- a few suggestions about where to look in this book</b></span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 0.5pt 0.5pt medium; padding: 0in 5.4pt; width: 306.9pt;" valign="top" width="307"><div class="MsoNormal">
<span style="font-family: Times;">Work yourself up via <a href="http://www.blogger.com/blogger.g?blogID=5034300376204574225#Chapter2">Chapter 2</a>; Read my challenge of the reasons you're not getting
help for your emotional or unemotional state (<a href="http://www.blogger.com/blogger.g?blogID=5034300376204574225#Chapter4">Chapter 4</a>);
take a look at your alcohol or drug use via <a href="http://www.blogger.com/blogger.g?blogID=5034300376204574225#Chapter14">Chapter 14</a>;
challenge your idea that your family would be better off without you (<a href="http://www.blogger.com/blogger.g?blogID=5034300376204574225#Chapter15">Chapter 15</a>); take the same challenge regarding
co-workers and patients (<a href="http://www.blogger.com/blogger.g?blogID=5034300376204574225#Chapter16">Chapter 16</a>)</span></div>
<div class="MsoNormal">
<span style="font-family: Times;">I'll repeat some of these
suggestions later.</span></div>
<div class="MsoNormal">
And in case you missed this above,Take a look at the <a href="http://www.blogger.com/blogger.g?blogID=5034300376204574225#Tableofcliniciansstresses">Table of Clinicians' Stresses and Possible
Sources of Support</a> in the Appendix<span style="font-family: Times;"></span></div>
</td>
</tr>
<tr>
<td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 0.5pt 0.5pt; padding: 0in 5.4pt; width: 135.9pt;" valign="top" width="136"><div class="MsoNormal">
<span style="font-family: Times;"><b>And if you think the
mess you're in is too complicated to cope with…</b></span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 0.5pt 0.5pt medium; padding: 0in 5.4pt; width: 306.9pt;" valign="top" width="307"><div class="MsoNormal">
<span style="font-family: Times;">…you're right! The
challenges you face as a health professional are far worse than anything our
poor brains have evolved to cope with over the last ten or twenty thousand
years. But maybe we can muddle through some of this mess together.</span></div>
</td>
</tr>
</tbody></table>
</div>
Anonymoushttp://www.blogger.com/profile/05231109235999239551noreply@blogger.com0tag:blogger.com,1999:blog-5034300376204574225.post-87766566995036462472013-03-09T11:51:00.001-08:002013-03-12T05:01:55.998-07:00<div dir="ltr" style="text-align: left;" trbidi="on">
<div dir="ltr" style="text-align: left;" trbidi="on">
The following is a copy of letter sent to Columbia University College of Physicians and Surgeons, Class of 1960. If you're from another class, or another school, or another health-related profession, please feel free to comment.</div>
Greetings from Bill Taylor, P&S '60<br />
I'm writing to classmates with email addresses in the P&S Class of 1960 reunion book, to say hello, and to ask a question. <br />
<br />
First, the hello. Barbara and I are happy in a CCRC in Bloomfield, CT, just outside of Hartford. It's one of those places with a continuum of care that enables residents to get the support they need as they age. We enjoy the variety of people and activities, and the chance to be occasionally of some support to those who need it. We're lucky in having children and grandchildren in the East and in Colorado. I've self-published some non-fiction and a couple of collections of fables, mainly as e-books, but haven't done any marketing.<br />
<br />
I recommend to any of you who haven't gotten around to writing those memoirs or that other writing or graphics project you've been thinking about -- go ahead! I'm sure you know how easy it is to do an e-book these days. Your family and friends will appreciate what you have to say. Even if you "don't feel like it," at the moment, try going ahead anyway. See if you begin to get into it as you go along. I think we all have something to say, if we have a bit of encouragement. I was very impressed by the range of experiences reflected in the class notes in the Reunion book, and I'm sure you have a lot more to say.<br />
My other reason for writing is related to having "something to say."<br />
<br />
Along those lines, I think we've all had a lot of experiences that could be helpful to younger health professionals. Would you be interested in contributing ideas about the impact of stress on us at various stages of our lives, describing the ways we coped -- and are still coping?<br />
<br />
As you know, some over-stressed health professionals get the point where they may feel at least transiently suicidal. Of those, some go on to end their lives. <br />
The aim of this effort would be a book and a website that might persuade some stressed and even suicidal doctors, psychologists, nurses, and other health professionals to get help and reconsider their decision. I have a rough draft of the book, have recruited two local colleagues, and have just started a blog, as a possible channel over which health professionals in distress could seek support and provide encouragement to one another. <br />
I have not been able to find any books specifically aimed at prevention of suicide by health professionals. (If anyone knows of a preventive site or book for health professionals, please send me the address. There are several sites where residents and others write about their frustrations.) <br />
<br />
P&S and other med schools have placed a number of supportive resources on the Internet, as you may have discovered.<br />
<br />
Goal of this project:<br />
I think medical professionals of all disciplines would be interested in any advice you have for those students, residents, and graduates who are stressed and sometimes demoralized by all of those present-day challenges we know about. <br />
<br />
For example, they might be interested in your thoughts about such a question as one (or more) of these:<br />
<br />
Have you taken part as a mentor in programs that aimed in part at emotional support? If you were a teacher or supervisor, what helped those in the class or group to weather stress? <br />
<br />
What advice would you give to anyone who wants to start such a support group?<br />
<br />
What ways of coping have you found helpful? <br />
<br />
Were there people or writers who you found inspiring when you felt stressed? <br />
<br />
Did you have ways of unwinding? <br />
<br />
Did your family play a supportive role, and if so, how? <br />
<br />
Did relations with colleagues help or hinder your coping? Did you learn from some of them?<br />
<br />
What in your experience at P&S was useful when it came to coping with stress later on? What was not so useful?<br />
<br />
Do you have a personal physician or other professional who is supportive?<br />
<br />
Were there times when you considered seeing a therapist, or did consult one?<br />
<br />
Anyone you know who struggled with suicidal thoughts or made an attempt? Did the person succeed. If they survived, did their life change?<br />
<br />
Responses to these questions, and any other thoughts would be most welcome. Is email a good <br />
way to communicate? If you would prefer, you can also post on the website.<br />
<br />
Background information:<br />
<br />
As you may be aware, there is often silence about suicide, especially when the medical community encounters such an act by one of its own. There are some research articles on suicidal doctors as a group, but only one or two books, to my knowledge: accounts by doctors of their own suicide attempts that "failed." (This relative scarcity of books by health professionals contrasts with the large number of posts and books about suicidal feelings and acts by the general public.) <br />
<br />
A small number of family members have written articles about their experience after their doctor-spouse or their doctor-parent killed themselves.<br />
<br />
There are also an increasing number of suicide prevention programs by medical societies and licensing bodies. <br />
<br />
Nevertheless, some writers have emphasized the many barriers to a depressed, exhausted doctor's asking for help, and pointed out the need for more research and a focus on prevention.<br />
<br />
I would see the book as a self-help guide aimed at supporting strengths, resilience, and coping skills.<br />
<br />
Although I have not been suicidal myself, I have had enough stress during my years in medical school, and then in residency and in practice, to empathize with students, clinicians, faculty members, or hospital administrators who decide to end their suffering, once and for all. <br />
<br />
I've also had a niece who killed herself in her early twenties (around 1995), and an uncle (not related to the niece) who suicided some time in the nineteen-fifties. There may well be a genetic risk in the family tree.<br />
<br />
In mentioning these personal and family stressors, I guess I'm trying to send a message that we as a profession don't need to be quite as reluctant as we often are to discuss such matters.<br />
<br />
What do you think?<br />
<br />
Finally, I want to say that I think back to medical school with fondness for the collegiality, stimulating environment, and relatively sheltered existence (even with the academic competition), way back before we knew about managed care, liability insurance, hospital politics… But you have your own list of stressors, I'm sure.<br />
<br />
Looking forward to hearing from you.<br />
<br />
Kind regards,<br />
Bill Taylor P&S '60<br />
The blog is http://stressedhealthprofessionals.blogspot.com/ <br />
<br />
My email is wrbftaylor1 at comcast.net (replace "at" with @ and remove spaces)<br />
<br />
If you would like to share your message with others in the class of '60 please use the "Reply All" button. I will of course keep all replies confidential if they are sent just to me. You can also reply on the blog, in the "Comments" section.</div>
Anonymoushttp://www.blogger.com/profile/05231109235999239551noreply@blogger.com0tag:blogger.com,1999:blog-5034300376204574225.post-25481156067319711122013-02-07T15:55:00.000-08:002013-06-06T12:03:29.319-07:00New book and blog on stressed and/or suicidal health professionals<div dir="ltr" style="text-align: left;" trbidi="on">
Trying out this new blog as a possible accompaniment to a book on stress and suicide in health professionals: doctors, nurses, psychologists, therapists. The book is tentatively titled<br />
<style>@font-face {
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<div align="center" class="MsoNormal" style="text-align: center; text-indent: 0.3in;">
<b>
<!--StartFragment-->
</b><br />
<b><h1 align="center" style="tab-stops: 279.0pt; text-align: center;">
<span style="font-size: 14.0pt;">Intravenous Hope, Stat!<br />
We Need to Help Stressed or Suicidal Doctors, Nurses, Psychologists, Therapists
And Their Relatives <o:p></o:p></span></h1>
<!--EndFragment-->
</b></div>
<div class="MsoNormal" style="text-align: left; text-indent: 0.3in;">
<br /></div>
<div class="MsoNormal" style="text-align: left; text-indent: 0.3in;">
<span style="color: black;">There appear to be few books aimed at reducing the elevated rates of suicide by helping professionals. There are many websites with excellent advice on decreasing stress and reducing the urge toward suicide.</span></div>
<div class="MsoNormal" style="text-align: left; text-indent: 0.3in;">
<span style="color: black;">I'll post more information here as the project develops. </span></div>
<div class="MsoNormal" style="text-align: left; text-indent: 0.3in;">
<span style="color: black;"><b>Comments? Please email or post here.<a href="http://www.blogger.com/goog_931999345"><br />
</a></b></span></div>
<div class="MsoNormal" style="text-align: left; text-indent: 0.3in;">
<span style="color: black;"><b><a href="mailto:wrbftaylor1@comcast.net" rel="nofollow">wrbftaylor1 at comcast.net (replace "at" with @ and remove spaces)</a> </b></span></div>
</div>
Anonymoushttp://www.blogger.com/profile/05231109235999239551noreply@blogger.com0