Fitness

Common Habits That Cause Osteoporosis

1. Make Sure You Prevent Falls Falling is the primary reason people with osteoporosis experience a broken bone, so if you receive a diagnosis of osteoporosis,… Trista Smith - December 31, 2021

You have probably heard about heart health, muscle health, and brain health, but are you aware of bone health? Some diseases are specific to your bones, and certain actions that you take now can improve the health of your bones. Keep reading to learn more about osteoporosis, including common habits that cause this bone disease. Not only that, but you can discover more about the symptoms of osteoporosis as well as diagnosis, testing, and treatment. If you have osteoporosis, you may have to alter your everyday lifestyle habits. Nevertheless, you should avoid these common causes of osteoporosis to begin with, if you can.

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23. Osteoporosis Is a Bone Disease

You have probably heard the term osteoporosis before, and you may know that it is a disease that you want to avoid. “Osteo” is the root word for “bone,” and “porosis” refers to the holes, or pores, that appear in the bones. Osteoporosis is a disease that occurs when the bones begin losing calcium and start developing holes inside them (via Mayo Clinic). They become brittle, and brittle bones can lead to many other complications. People with brittle bones, whether the cause is a genetic condition that emerged in childhood or osteoporosis that occurred later in life, cannot participate in many activities that other people can enjoy.

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22. Bones with Osteoporosis May Break Easily

Brittle bones break much more easily, sometimes from everyday actions that should not cause any harm. For this reason, people who have osteoporosis are often unable to do basic things like going hiking or exercising in a gym. In severe cases of osteoporosis, the hip bones or leg bones may break from the person’s weight, and he or she will then fall. More often, though, the person will fall and then break a bone. In even more extreme cases, the spinal column, or backbone, may collapse under its own weight. Many people with osteoporosis experience back pain and may have a hunched back from multiple spinal fractures (via Mayo Clinic).

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21. Over 50 Million Americans Have Osteoporosis or Serious Risk Factors

An estimated 53 million Americans either have osteoporosis or have serious risk factors for osteoporosis (via healthline). With that high of a number, osteoporosis should be a considerable public health concern, with prevention programs and regular screenings in place for people who may not afford healthcare. Improving public health benefits everybody because workers are healthier and better able to perform their jobs. Regardless of their parent’s income level, healthier children will become more productive adults. Public health programs help improve these outcomes, and osteoporosis may need to be included, given its prevalence (via NIH). At a minimum, individual people need to be concerned about developing osteoporosis to ensure they are doing everything they can to prevent it.

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20. You Can’t Know for Sure If You Will or Won’t Develop Osteoporosis

Think of osteoporosis as being similar to cancer. You can adopt a lifestyle that eliminates the most serious risk factors you can prevent. For example, you may exercise regularly, reduce your stress, avoid junk food, and eat healthily (via healthline). However, you might still develop cancer, even without a family history. The same is true of osteoporosis (via NIH). You can prioritize bone health for decades of your life but still produce the disease. However, if you were going to develop osteoporosis anyway and worked hard to improve your bone health, your outcomes would likely be much better than if you had ignored your bone health.

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19. Please Be Aware of These Risk Factors

There are two types of risk factors concerning osteoporosis. The first is known as voluntary risk factors, which include actions that you can take to either increase your chance of developing osteoporosis or decrease your risk. The second is involuntary risk factors, which you have no control over. The best approach to preventing osteoporosis is to be aware of both. Work to mitigate your voluntary risk factors. How? By improving your lifestyle. Furthermore, be mindful of your involuntary risk factors so that you can talk about them with your doctor (via U of M). If your doctor believes that you are at high risk for osteoporosis, he or she may provide medical guidance that could improve medication and therapies (via NIH).

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18. An Inactive Lifestyle Can Increase Your Risk of Osteoporosis

Today, many people have very sedentary lifestyles, sometimes out of necessity, and sometimes lack education. Those who have office jobs may sit behind a desk for seven, eight, or more hours every day. Add in the morning commute, which can be an hour or longer in some places. Now you are talking about up to 12 hours a day of inactivity. Other people choose to be inactive because they may not like exercising and prefer watching television or doing other things at home. Being idle increases your risk of developing osteoporosis (via U of M); it is a voluntary risk factor, meaning that you can do something to reduce this risk.

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17. Poor Diet Can Also Increase Your Risk

Eating junk food instead of healthy meals can cause you to become malnourished, and malnutrition is a considerable risk factor for osteoporosis. Additionally, there are several foods that you should avoid or consume in moderation, as they can also increase your risk. One is wheat bran, which is very nutritious but can limit the calcium that your bones can absorb. Another is liver and fish oil; these foods are healthy and good for bones. However, they can prevent the absorption of essential nutrients into your bones in high quantities. We need salt every day in small amounts, but excessive amounts prevent calcium absorption (via Mayo Clinic).

Drinks with high amounts of sugar or caffeine are terrible for your bones. You don’t have to cut out coffee completely, but you probably should limit it to two cups a day at the most. Eliminate soda (soda is awful for your bones, possibly because of its high phosphorus content) and coffee drinks containing high amounts of sugar, except for special occasions (via U of M). Red meat is high in sulfur, which causes the body to dissolve calcium from the bones. Many people get most of their protein from meat but swapping out for plant-based protein a few times a week can make a huge difference.

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16. You Can Take Steps to Reduce Your Risk of Osteoporosis

Being aware of the voluntary risk factors of osteoporosis is crucial if you want to reduce your risk of developing the disease. Once you are aware of those risk factors, you can begin making changes that will help increase your chance of living your entire life without developing this complicated disease. Do you have a primarily sedentary lifestyle? This may be one of the first things you want to address in reducing your risk of osteoporosis (via healthline). Do you eat a lot of red meat and drink many sodas? Or maybe wash down that burger with a milkshake? Being aware of these tendencies is the first step in making food choices that will help improve your bone health (via healthgrades).

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15. Calcium and Vitamin D Are Crucial to Bone Health

If you want to improve your bone health, prioritize getting enough calcium and vitamin D (via Mayo Clinic). Many people think that they can ignore the nutrient contents of food by taking supplements. However, for the best quality of nutrients and absorption by your body, you need to consume as many nutrients as you can from food. The combination of nutrients presents in food, combined with the fats, carbs, and proteins in them, makes them much more usable. When you take vitamin supplements, your body may only absorb 20% or less of the nutrients in them (via NIH). There is no substitute for a healthy diet!

You can get calcium from dairy, and many non-dairy substitutes, such as almond milk, also have high calcium levels. Bone broth and canned fish that still have bones, such as salmon and sardines, are also high in calcium. You can make your own bone broth using a slow cooker or pressure cooker. Vitamin D comes primarily from sunlight, so make sure you get 15 minutes of high-quality sunshine each day. If you live in an area where there is not much sunlight, one food high in vitamin D is mushrooms grown in the sunlight. Check the label to be sure.

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14. Being Active Can Help Improve Bone Health

Exercise improves just about every aspect of health. It reduces your stress levels by burning off the stress levels accumulated in your body. It burns off calories, reduces the amount of sugar in your blood, and can even blast through extra fat that may have accumulated. Exercising improves your mood, especially if you exercise in the sun with other people. Did you know that exercise can also reduce your risk of developing osteoporosis? Because it helps strengthen your bones while improving every other aspect of your health, regular exercise is essential in reducing your risk of developing osteoporosis (via NIH).

Weight-bearing activities; mainly walking, running, and dancing, improve the strength of your bones, thereby increasing their density (via U of M). Other forms of exercise are also suitable because they strengthen your muscles and tendons, which are the tissues that connect your muscles to your bones; strong muscles and strong bones go hand in hand. In addition to getting at least three hours of exercise every week, work on incorporating more physical activity into your daily schedule. Take the stairs and park farther back in the parking lot because those extra steps quickly add up. Do you work in an office or spend a lot of time sitting down? Look for some office aerobics that you can do every hour or so. You may also want to bring a pair of tennis shoes. That way you can go for a brisk walk during your lunch break.

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13. Smoking Increases Your Risk of Osteoporosis

There was a day when cigarette companies were able to market their products as healthy… But nowadays, there is no secret about the harmful effects of smoking. Cigarettes contain dozens of chemicals directly responsible for many kinds of cancer, not just lung cancer (via U of M). Scientists are not exactly sure why, but cigarette smoking also seems to play a role in increasing a person’s risk factor for developing osteoporosis (via Mayo Clinic). Are you a smoker? Do you want to prioritize your bone health and just about every other aspect of health? The most important thing to do is stop smoking! If you are just an occasional smoker or debating whether you should try your first cigarette, the best option is to quit before becoming addicted.

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12. Some Medications May Also Increase Your Risk

Many people have health problems that cause them to need prescription medications. Unfortunately, some medications can increase the risk of osteoporosis. Corticosteroids are the most notorious, especially if taken over a long period. Some cancer and antiseizure medications can also increase the risk of osteoporosis. If you take medications, check the list of side effects to see if osteoporosis is included (via NIH). If so, talk with your doctor about whether you should be taking a different medication or if you can do something to reduce the possibility of experiencing that side effect. Also, be aware that over-the-counter medicines and supplements can increase your risk (via Mayo Clinic). If you take OTCs or supplements regularly, check the side effects.

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11. Eating Disorders Increase Your Risk

As previously mentioned, not getting enough nourishment, especially calcium and vitamin D, can significantly increase your risk of developing osteoporosis. People with eating disorders are much more likely to experience poor nutrition than those who eat healthy meals every day, placing them at an increased risk of developing osteoporosis (along with many other diseases) (via Mayo Clinic). More often than not, eating disorders are primarily the result of poor mental health and require treatment by a mental health professional, in addition to a physician and a nutritionist. Learning healthy eating habits while building up self-esteem is essential to overcoming eating disorders and reducing your risk of osteoporosis.

Those who have anorexia eat a starvation diet so cannot consume nearly as many nutrients as they need. People with bulimia will binge eat and then force themselves to purge their food before any nutrients have been absorbed. In addition to becoming malnourished, people with bulimia often develop gastrointestinal issues from purging. Talk with your doctor if you think you may have an eating disorder or are just not eating enough. Eating disorders are serious psychiatric conditions that are often underpinned by severe anxiety (via U of M). You may need a mental health professional treatment to help reduce your distress so your mind and body can begin to heal.

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10. Excessive Alcohol Consumption Increases Your Risk

Moderate alcohol consumption is generally not harmful (unless you are pregnant) and can even be beneficial, provided you are drinking the right thing. Organic red wine is high in antioxidants and can help prevent many health problems when consumed in moderation. Problems begin when people drink excessively, which is less than necessary to become intoxicated. Alcohol has a very high sugar content, and too much sugar is linked with many health problems (via U of M); one problem is that it leaches nutrients from your body, including calcium from your bones (via Mayo Clinic). To reduce your risk of osteoporosis, you need to make sure that you keep your drinking levels in check.

You may be looking at some of these ways of reducing your risk of osteoporosis and thinking that having to stop smoking and reduce your drinking is a boring way to live. Maybe you think that you would rather have fun and not worry about whether or not you will get osteoporosis or any other disease later in life. However, if you are reading this, you are concerned about your health and want to know ways to protect it. Instead of giving up some of your favorite habits straight, replace them with other things you enjoy. Think of how much money you spend on cigarettes and alcohol and what other things you can buy with that money. Use the money for something you enjoy, and that is also helpful.

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9. Females with Very Small Frames Are at the Highest Risk

You have no control over some risk factors, and one is being female. If you are, you are at a higher risk of osteoporosis. Additionally, females with small body frames tend to have a higher risk of osteoporosis than those who are sturdier (via U of M). Race makes a difference, too, as whites and Asians have higher rates of osteoporosis than other races (via Mayo Clinic). If you have all of these risk factors, you may want to have a conversation with your doctor at your next check-up to see what steps he or she may recommend for preventing osteoporosis. You cannot help the body that you are born into, but there are other things that you can do to mitigate your risk.

Some people naturally have smaller frames, and some are small because they do not eat enough and are underweight. If you are in either of these categories, you may want to consider that being small does put you at an increased risk of osteoporosis. You do not necessarily need to make yourself fat to reduce your risk, but you need to get yourself into a healthy weight range. You probably need to increase your calorie intake and get more exercise to build muscle instead of just gaining weight as fat. Talk to your doctor to see what is recommended.

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8. Having a Family Member with Osteoporosis Also Increases Risk

As with many other diseases, having a family member with osteoporosis dramatically increases your risk, whether or not you have any other risk factors. If you have more than one relative with osteoporosis, consider yourself very high risk (via Mayo Clinic). You will want to begin regular bone screenings early, so make sure you let your doctor know about your family history. You will also want to prioritize your bone health, so follow the recommendations made in this article. Ensure that you get enough calcium and vitamin D, and nix the caffeine and sugar, which can leach calcium from your bones (via U of M). Reduce or otherwise eliminate red meat from your diet, and limit foods that may be nutrient-dense but prevent the absorption of calcium and vitamin D.

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7. Hormone Levels Can Also Be a Problem

Women who have passed menopause are at a very high risk of osteoporosis. At menopause, estrogen levels drop dramatically, and low sex hormones increase the risk (via Mayo Clinic). Men with low testosterone levels are also at increased risk, even though osteoporosis mainly affects women. If you are a woman and are beginning menopause, prioritize talking with your doctor about what you can do to prevent osteoporosis. You may not avoid natural fluctuations in your hormones, but you can take steps to evade extreme swings. Keeping the sugar and caffeine intake down to a minimum can go far in keeping your hormone levels stabilized (via U of M). Exercising, not smoking, and avoiding steroids are also necessary.

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6. Gastrointestinal Surgery Increases Your Risk

Many people turn to gastrointestinal surgery as a last resort when they cannot lose excess body weight. While the surgery can be life-enhancing and even lifesaving for some, it can carry the side effect of increased risk of osteoporosis. Many gastrointestinal surgeries dramatically reduce the surface area of the stomach, thereby limiting the number of nutrients that you can absorb. If you have had a procedure that may limit nutrient absorption, talk with your doctor about what you can do to reduce your risk of osteoporosis. You may need to take vitamin supplements, in addition to focusing on eating nutrient-dense foods that are high in calcium (via healthgrades).

If you are considering gastrointestinal surgery, see any other viable options first. Perhaps you could consult with a nutritionist to work on a plan to lose weight without getting surgery. Many people can begin shedding those stubborn, excess pounds when they eliminate the junk food from their diet and start exercising regularly. However, some people need the extra help provided by surgery. Gastrointestinal surgery is sometimes necessary, but it should be a last resort. Not only does any surgery carry with it significant risks for a myriad of health problems, but gastrointestinal surgery also increases your risk of osteoporosis.

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5. You Are Never Too Young, or Too Old, to Begin Caring for Your Bones

Whether you are still a teenager or are postmenopausal, you are not too old or too young to begin caring for your bones. You may be decades away from developing osteoporosis, but the steps you take today to improve your bone health will make a difference later in your life. Improved bone density earlier in life will increase the chances of good bone density later on (via NIH). You may already be in the early stages of osteoporosis, and you can still take action to help mitigate the effects of this debilitating disease. Adjusting your diet, exercising as you are able, and talking with your doctor about medications can help limit and possibly even reverse the progression of osteoporosis, helping you live as long and healthy a life as possible (via Mayo Clinic).

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4. The Test for Osteoporosis Is Easy and Painless

If you or your doctor suspects that you may be developing osteoporosis, the way to test for the condition is relatively easy. You lay on your back on a table, and a machine that uses low-level X-rays scans your hips and spine to determine bone density (via NIH). If your bone density is below a certain level, your doctor will diagnose you with osteoporosis and want to begin treatment immediately. Depending on your situation, treatment may or may not reverse the osteoporosis that has already set in (via healthline). Often, the best outcome to hope for is to stop or significantly slow down the progression of the disease so that you can continue living as normal a life as possible.

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3. Treatment for Osteoporosis May Include Medication

Were you diagnosed with osteoporosis? Your doctor will talk with you about a treatment plan to help prevent fractures. Hopefully you can slow, if not reverse, the progression of the disease. According to the test results from your bone-density exam, the treatment plan will be based on your probability of experiencing a bone fracture within the next ten years. If you are likely to break a bone within the next ten years, your doctor may prescribe medications known as bisphosphonates (via NIH). Bisphosphonates prevent the loss of bone density. However, it may include some unpleasant side effects. Make sure you have a conversation with your doctor about any other conditions you may be experiencing (via healthline). He or she could decide to prescribe a medication that is not bisphosphonate but will otherwise help prevent bone loss.

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2. Treatment Will Also Involve Lifestyle Modifications

If you are diagnosed with osteoporosis, your doctor may want you to speak with a nutritionist about dietary habits that will help ensure the most robust bones possible. He or she may also talk with you about exercise and may recommend that you begin doing water-based activities. Why? Because water-based exercises have dramatically less impact and are not as likely to harm your bones (via healthline). If you have any habits that could make you more likely to break a bone, make sure you talk with your doctor. You may need to make some significant lifestyle modifications. Yes, this may sound upsetting. However, making the lifestyle modifications before you break a bone to prevent that from happening is much more pleasant than waiting until after you break a bone.

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1. Make Sure You Prevent Falls

Falling is the primary reason people with osteoporosis experience a broken bone, so if you receive a diagnosis of osteoporosis, do everything you can to prevent yourself from falling (via Mayo Clinic). Instead of climbing on a chair to change a light bulb, ask someone else to do this task for you. You may think that changing a light bulb is too menial to need help with. However, you really don’t want to fall off the chair and be stuck on the floor with a broken bone. That goes double if there is no one to help. You may want to have a home-health nurse do a walk-through of your home to determine what fall risks may be present and talk with you about preventing falls.

A diagnosis of osteoporosis will undoubtedly lead to major changes in your life (via healthline). If you do not make those changes on your own, you will be forced to make even more significant changes when you experience a broken bone. The best course of action is to begin working to reduce your chances of developing osteoporosis. Those habits will continue to serve you well if you do receive a diagnosis. Why? Because they will help slow the progression of the disease and keep your bones healthy for as long as possible. The diagnosis does not have to be the end of a productive and meaningful life. That is, as long as you do your best to maintain your health.

Health

Doctors Reveal What It’s Like To Go To The Doctor For Themselves

When we visit the doctor, we expect the best care possible because, well, they are the experts. Doctors have to study at medical school for years,… Trista Smith - December 14, 2021

When we visit the doctor, we expect the best care possible because, well, they are the experts. Doctors have to study at medical school for years, so we put our complete trust in them. But what about when doctors get sick? They are only human, too, after all. So where does another doctor go? You might think it would be easy for doctors to diagnosis themselves, and so they don’t go at all. But is that really the case? Maybe doctors go under the pretense they are just a regular patient, and want to see how they are treated before revealing the big secret. Here are 28 stories of doctors, or friends/family of doctors, describing what they have been through going to the doctor’s office.

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28. I need to be treated, not consulted.

“Mixed experience on both sides. As a doctor for a doctor, I feel uneasy because I don’t want to miss something and be thought of as incompetent… even the slam dunk case. But that’s the imposter syndrome. Communicating isn’t so bad because they understand and somewhat anticipate. However, I do second guess if they are guiding the diagnosis because of their knowledge. Not that they can fake results, but suspicion from subjective components like reported symptoms can be swayed.” says this doctor, aga523, about their experience.

They continue: “As a patient, I’ve been frustrated. I only go in for my once yearly baseline labs and review. If I go in for an acute issue, it’s because I’ve exhausted my own differentials and attempts to treat it. But when I go in, half the time is more socializing conversation. And when they get down to treatment, it’s like they’re asking me for approval. The worst experience of this was one time when I was admitted for high-grade fever and hallucinations because of flu. I was lucid enough to give as much history as possible and recall the interaction. The doctor was asking me if I agreed with the plan and had any preference for treatment. (Had not yet diagnosed, still in the investigation phase. ) Considering I was seeing animals crawling around the room, I just said, get my fever down and draw all the labs they thought necessary. I appreciate the professional courtesy… but I really needed to be treated and not consulted.”

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27. Being able to “talk doctor” is a bonus.

“I am a doctor, can confirm. I had a fairly significant medical event happen this fall, for which I’m still seeing multiple specialists. It’s nice because when I say I’m a doctor, the providers switch from the language we use to talk to patients to the language we use to talk to each other, and I feel like I can both express things with better accuracy and understand things more clearly when we use the jargon I’m accustomed to hearing when I talk to other doctors.”

Chambered-nautilus continues, “I also try not to be the doctor to myself and will defer to my providers’ advice and recommendations because I inherently can’t see myself objectively. For example, one of my specialists suggested that I should start a new medicine for a bothersome but not debilitating symptom related to my medical event from earlier this year. I instantly thought of three different drugs that could be used and their side effect profiles. Actually, I wrote down a chart for which drugs would cause which side effects and how they might affect my life, and the timeline they’d need before my symptoms improved versus just dealing with the symptom. Ultimately I just ended up booking an appointment with my PCP to discuss it with him. I’ll end up choosing whatever he recommends.”

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26. When your friends and family are also doctors, you’re in good hands.

The point of view from Fresherty you may find interesting because they are not from the USA. Let’s see how it compares to some of our other stories. “I’ll preface it with “Not In USA.” You really don’t, at least not in the same way you would as a patient. Most trivial stuff doesn’t require any interaction with others. If you’re unsure, want a second opinion or sounding board… that’s again not really a problem. Especially when you come from a family of doctors, but even if that’s not the case, your entire circle of friends is … you guessed it, doctors. So you just call them. When something more serious happens, it’s more like a weird consult – we both know what’s going on, let’s skip the bull and get into the important stuff.”

“A bit of a special case is when there’s an emergency. When calling 112, you really should start with “I’m a doctor, here’s what’s happening” to – again – at least attempt to skip all the bull. Not that it always works. It’s really extremely frustrating speaking from experience. When for one reason or another, you or someone close to you has to be admitted to a hospital, you call someone you know that works there or someone you know that knows someone who works there. Again: to skip all the bull (and honestly also to jump the queue and avoid a ‘normal patient’ experience). But yeah, you really don’t want to be admitted unless you REALLY need to for a variety of reasons.”

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25. Emergency services are just as important as the doctors in the hospital.

“The USA here, former 911 medical dispatch. At the private ambulance agency where I worked, when a caller says they’re a doctor, we still have to follow our protocol and ask our standard questions. (NAEMD for the dispatch folks) “Tell me exactly what happened. How old is the patient? Is the patient conscious? Are they breathing? Is their breathing normal?”…and so on. This can lead to some very disgruntled doctors throwing medical jargon at me and yelling, “Just get here now!” This is understandable because they’re not used to dealing with emergencies in the field. Insertcaffeine actually describes a typical 911 call here, which is very insightful and interesting. “Doctor: JUST GET HERE NOW! Don’t you know what commotio cordis is?!

Me: No, sir. The ambulance is driving over from 38th & Wadsworth. Doctor: I DON’T KNOW WHERE THAT IS! Me: [feelin smug as #$%& but continuing the call with professionalism] The ambulance should be here within the next few minutes. Is there someone who can relieve the person doing CPR? Crew: On scene Me: [to radio] They’re on the baseball field, [timestamp] Me: [to phone] You should see the ambulance driving onto the field. Please wave them down.

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24. It’s not easy to diagnose yourself.

“For me, it’s hard to turn off the “here’s what I think is going on and here’s what I need” sort of mentality. It’s just a reflex because that’s what we do every day. Identify a problem, propose a solution. But it is bad. Why? Two reasons: 1.) It’s a d#$%-move. It is disrespectful to tell another practitioner how they should be doing their job. Trying to direct your own care is a quick way to get your doctor annoyed with you, and generally speaking, it won’t improve your outcome but will drive up the bill.” Broken_castor makes a great point – you have to let other doctors do their job too!

“2. I am often wrong about my body. Despite all my medical knowledge, interpreting signs and symptoms on yourself is very different from doing it to a patient, and we are often wrong. For example, a brilliant surgeon friend of mine diagnosed herself with a stomach ulcer, and it was a small bowel resection needing an exploratory operation. I mean, as a surgeon, that stuff is literally our bread and butter. Did she diagnose herself correctly, no? Instead, she dealt with the pain for weeks while the ulcer meds did nothing and ended up in the emergency room once it got unbearable (i.e., the way that every other non-physician patient presents). The emergency room doc diagnosed her before she’d even gotten the CT because it was textbook small bowel obstruction. It’s just not easy to diagnose yourself.”

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23. Family and business should never mix.

“Personally, if it’s a doctor I have never met before, I don’t announce that I am a doctor. If the question of what I do comes up, then I will let them know. I do not want their judgment to be clouded based on knowing that I am a doctor, nor am I looking for preferential treatment. So, I do have an idea of what should be done, but like any other patient, I do have the right to refuse treatment or disagree with the treatment plan, but for the most part, I go along with what the doctor suggests.”

“I don’t give them a hard time, and I am never rude to them like most patients are. Learning to let that control go is something I had to work on when I became a doctor. I have a small child, and I am not her doctor. She has a pediatrician, and we take her when she is due for her follow-up visits, sick visits, etc. Again, I do this because I do not want my relationship with her to cloud my judgment.” Cooziethegrouch is smart in making the decision on separating family from business and care.

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22. No med students here, please.

“I’m a pediatric resident. I’m currently pregnant so going to the doctor quite a bit lately. I see a different person every time, for the most part. I guess that’s how it goes in an academic setting. The intake form asks about occupation, so if anyone bothers to read the social history section of my chart, they’ll know. They might ask me about how I’m holding up in residency. The last time when I said I was having hip pain, told me not to take the stairs all the time (we tend to be stairs, people, when rounding in the hospital because it’s usually more convenient).” Worryworttheworrier understands the routine of the checkups but has an interesting boundary she has set for her birth – keep reading to see what she’s requesting.

“But other than that and me understanding things on a different level than the average person, it’s not particularly awkward or different. It does get awkward when I see a brand new med student but only for me because I’m like, ah, I remember those days. Also, I’m not going to let any med students come to my delivery because I have the potential to supervise them later on. One of the family medicine residents I worked with twice is going to be on L&D around my due date but promised me that he would not pick me up as a patient.

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21. Outdated equipment in the modern world.

“I’ll let you in on a little-known secret among docs: The stethoscope is largely an outdated instrument with very low sensitivity and specificity for most pathologies. It only remains because patients expect it. It basically has zero utility for a new patient without symptoms (non-emergent exam). If someone has difficulty breathing, do you think it matters what the stethoscope sounds like? You’re still going to get an X-ray and/or treat.” PacoTacoMeat brings up some interesting insider knowledge. You could ask your own doctor about this on your next visit! They continue:

“If someone is having chest symptoms or an abnormal pulse, do you think the stethoscope will dictate whether a CXR, CT, EKG, and/or echo are ordered? No one other than a cardiologist is going to diagnose any cardiac abnormality, and even they are going to order one or more of the tests above. Basically, no relevant diagnosis or clinical decision-making is made with a stethoscope nowadays. The only place the stethoscope has a small use is in the emergent setting and/or where there’s no modern technology from the last 100 years available.”

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20. Everyone should be treated the same.

“If I go to the doctor, it’ll be a doctor who isn’t in my specialty, and I will literally behave like any other patient except I know what to tell him better. I’ll just skip the part where I see a GP before it and go directly to the specialist because my knowledge level is equal to the GPs knowledge level usually.” Gk786 makes a great point/suggestion of leaving out the fact that you are a doctor as well. This could mean that they get the same level of care as any other patient and is treated like one.

“Back when I first started seeing patients as a medical student and taking histories, one of my first patients was a gynecologist lady. I took her history and was presenting it to the attending when she corrected me on a pretty big mistake I made in the middle, saying, “No, that’s not true; you didn’t ask that properly. I said I had this, this, and this.” It was sooo embarrassing for me, haha. But usually, I love doctor patients because they are easier to talk to and explain everything to clearly and quickly.”

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19. Sometimes, it’s just easier to say you work in healthcare.

“Not a doctor but work in healthcare and just graduating from nursing school. The actual workers (doctors, nurses, etc.) don’t generally tell you, so those that often do, in my experience, aren’t actually what they say they are (such as saying they are a nurse and then asking me if their blood pressure was good. Or saying I “hit their finger bone” when doing a finger stick, which is impossible with the needle I’m using). Usually, the only times my providers have known I do anything healthcare is when I accidentally use a medical term that most people wouldn’t, and that’s usually what prompts me to ask someone if they didn’t tell me.”

“For the patients, I’ve had legit in healthcare it’s just easier to explain things since I can just say the medical term and not have to try and explain in other terms and often have a better understanding of meds so I can just name the med and they know what I’m talking about. Fewer explanations are needed overall. Bonus that I often don’t need to actually go to the doctor since I know enough providers to get their opinions and can get the doctors I work at to prescribe some meds without an official visit since we just chat during work.” Future_nurse19 is right. There are definitely perks to working alongside doctors!

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18. It doesn’t matter who does certain treatments; it’s all the same.

“I’m a Physicians’s Assistant, not a GP, but I think the situations are fairly comparable here. For most preventative things like checking my blood pressure, my weight, or getting a mammogram, there’s absolutely no difference between my experience and the average pt. For any kind of vaccination, test, or giving blood. Again no difference. The biggest oddity is that when I’m sick, I consciously try to come in with symptoms rather than a diagnosis or any kind of treatment. As in rather than saying, “I have an ear infection, can I get a z-pack” or even telling them what I suspect, I’ll just describe my symptoms and let them take a look and come to the same conclusion themselves.”

“Thus far, I’ve never had any reason to contradict any diagnosis I’ve gotten, but I have at times asked for a different medication than what they suggest. Often that’s just down to personal preference, though.” PA_PA is talking about a great approach in how they handle their medical care. Instead of saying what they think the diagnosis is, it’s better to see what the other doctor comes up with themselves from their point of view. You can always say what you prefer later or if you think it could be something else!

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17. Dentists are doctors too.

I’m a dentist. I regularly tell my patients with TMJ issues how to alleviate their pain…reduce stress, cut out caffeine, sleep in literally any position other than your stomach, stop chewing gum, hold your head/neck in a proper position, actually get a nightguard and wear it. I’ve had TMJ pain on and off for six years. I do all of the things I tell my patients NOT to do. I do them every single day and often to excess.”

“Long story short: I diagnose myself. I don’t treat myself.” ParkingTadpole explains they are only human too. Sometimes, you’ll want to listen to the saying, “practice what you preach.” If you are giving advice out to people, you should be practicing that advice yourself too. Even though he does diagnose themselves, which many of the other doctors on here admit to not doing, at least they don’t try to treat or medicate themselves.

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16. Unremarkable genitals are lost in a sea of other unremarkable genitals.

“Okay, so I’m a CNA, so I’ve seen more d!$%s than a hooker. I am WAY less shy about my body than health care professionals now. It’s just so not a big deal to us. I see naked people literally every day at work. I’m not even uncomfortable or shy when I get a pelvic exam (or transvag ultrasound or an endometrial biopsy). It’s just more skin, and I know from personal experience that unremarkable genitals are lost in a sea of other unremarkable genitals.” Damn_Dog_Inappropes explains what we often hear from our parents – they are doctors, and they have seen it all! It’s best to be open and honest with your doctors.

“That being said, I’m pretty tight with my primary care doc. He’s never even so much as seen me in my undies, much less had his hand inside me. As much as I understand that it’s just more skin, and 3.2 seconds after my clothes are back on, he’ll have forgotten what my vag looks like. I’m still not sure I want him to see me naked. I know someday he’s going to have to do a well-woman exam on me (at least a breast exam), but it is not this day!”

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15. It’s all in whom you know.

“There was a point I was waiting to go in for an op, and it kept getting delayed. Then all of a sudden they called me up and said the NHS would be paying for me to go to a Bupa hospital and have the op. So, I spoke to a friend that worked in the hospital I should have been having the op in originally. I asked him if he could find anything out. It turns out the surgeon that was meant to be doing my op on the NHS had decided to do a favor for his girlfriend by doing an op on her daughter and made a mistake, but I was waiting on an op on my ear, so guessing it was the same for her. ”

“Not sure the outcome of the mistake, but he got suspended while it was investigated, and a few of his patients that were waiting for ops got moved to private at the NHS expense. 10/10 would want my NHS surgeon to do that again if it meant that I got to go private without the cost.” Homingstar got very lucky this time. If they didn’t have that friend who could find out about the surgeon doing another procedure – they wouldn’t have gotten the extra care. What a sweet deal for them in the end!

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14. Everyone deals with death in different ways.

Preech says, “I come from a family of doctors. I am a doctor, and I grew up knowing basically every doctor in my area. The best story I got is about a doctor we will call “Graybow,” perhaps one of the most senior and respected internal medicine doctors in my area. My dad is a workaholic. He loves medicine more than anything, and if he could do anything, it would likely be spending more time in the hospital. Me? Not so much… Dad and Dr. Graybow were very similar in how much they love their work. Dad and Graybow over the years became good friends and had a sort of direct and cynical humor they shared with each other. At one point, my dad cracked a joke at Graybow because he again showed up to work even though he was a bit sick.

Dad asked: “Hey Gray, when do you think you are going to retire? You are getting pretty old, and we don’t want to have to pick you up off the floor here at some point. Graybow replied: I’ll never retire. Wait. Yeah, I will… when I die. Graybow never retired. A few years later, he was driving back home from an outing with his middle-aged son, and he started having a heart attack. While I assume he was experiencing the severe and horrible pain of a heart attack, he just looked over at his son and said: I am sorry, I have a heart attack. …he passed away after pulling over. The man apologized to his son for having a heart attack that he was completely aware of. I can’t say I would have handled that as he did.”

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13. Mental health is as important as our physical health.

A deleted user says, “Not a doctor but a long-term caregiver who’s worked in Hospice/Mental Illness/and Developmental Disabilities. I married a man with PTSD induced by severe childhood trauma. He suffers from severe depression and anxiety. About two years ago, he had a mental breakdown after a large change in our lives—actually, several large changes. We got married. Both changed our jobs. I had major surgery, we moved and adopted a dog all in the span of six months. The day his breakdown took hold, life had completely changed for him, and I had been hounding him to help me pack up our lives every day for weeks and just didn’t understand why he wasn’t excited to be moving to a great new place that allowed dogs! He loves dogs!”

“And as blatantly obvious as it seems now, I didn’t see it then. I deep down feel incredible guilt for being someone who has had so much training in healthcare, and caring for others, watching for signs of mental health struggles, the fact that I not only didn’t see him struggling but also contributed to it, had made me question whether or not I am a good person. I have felt so guilty for so long. Through therapy, I have learned to understand that when it’s your loved one, you are blinded by that. Your love for them hinders your ability to think straight. To see the signs effectively. And that’s okay. Luckily I was able to get him to help through therapy and some PRN medication. I feel so incredibly lucky to still have him today. And so incredibly guilty that I didn’t help him sooner.”

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12. I can write my own prescriptions.

“Doctor here. I will diagnose myself and write scripts or as a partner for things like flu, tendinitis, etc. I go to a derm friend every 6-12 months for a mole check. Other big things I’ll ask friends I trust who are doctors.” says the doctor going by _Gphill_, which seems like it may be a blurred line – is it okay to write your own prescriptions? Should doctors be allowed to do this? It seems like it should always be looked at by another doctor, even for the less serious things.

They continue: “The major problem this question leads to but may not ask do you call in sick when you are a doctor. In 9 years of private practice, I haven’t missed a day, despite being sick. There was an article a few years ago that labeled it a Presenteeism instead of absenteeism. It’s showing up when you shouldn’t. Personally, I don’t want to inconvenience people who have missed work or waited on a result, and I don’t want to dump on my partners. Lots of handwashing and apologies for staying far back during conversations.”

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11. A happy ending to a bad diagnosis.

“My father is a doc. He had been having shortness of breath and chest tightness worsening over a few months. One day, after work was done and the clinic was closed, he hopped in the CT scanner and read his own CT scan. Massively enlarged lymph nodes all through his body – lymphoma. He’s alive and well after diagnosing himself with cancer years ago!” MrsRodgers’s father had an outcome after having a scary diagnosis. It’s a good thing they did the CT scan, and here is an update on how he is doing years later:

“EDIT: Holy crap, this blew up. To address FAQs: he is a partner in a private practice group that owns their own outpatient centers. Thus he was able to use the scanner informally. Yes, I know we are privileged to be a medical family, and he is so lucky to have access to care that isn’t affordable for a huge chunk of the US population. MEDICARE FOR ALL. I’m not sure if he had a partner stay behind to help with the scanner. I’ll have to ask. And he is 17 or so odd years in remission from stage 4 non-Hodgkin’s lymphoma and doing fantastic. Retiring in a month after 45 years in radiology!”

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10. You are not immortal.

“Okay, so my dad is a doctor, and one time when I was around 7, he fell out of a tree directly onto a rock while we were camping, and he had a giant scrape on his side. He told us he was okay and nothing was wrong, so we left as planned and canoed back to our car without incident, besides my mom constantly telling him to stop paddling because of his side and him telling her everything was fine. He basically just said it was a scrape and nothing was wrong.” says The_Chief_Zev, but that’s not their dad’s only misfortune. Keep reading to see what really happened.

“About a week later, he was having trouble BREATHING, and he still wouldn’t go see a doctor because he self-diagnosed that he was okay, so my mom had to FORCE him to go to the hospital and get an x-ray done, and it turns out he had two broken ribs. So not only do doctors self-diagnose themselves, but they’re also pretty dumb when they’re doing it. TLDR: my dad’s a doctor/idiot, and he wrongly self diagnoses himself all the time because he thinks he’s immortal or something.”

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9. What it’s like when the doctor is sick.

“I’m the audiologist at an ENT office; there are two more audiologists that work at our “subdivision” hearing aid clinic. I do everything in my power to avoid calling out sick because I know that a) they HATE covering the ENT schedule and b) their patients will have to be rescheduled. Everyone is inconvenienced, and we lose money.” explains Crazydisneycatlady, which is understandable. Everyone gets sick, and unfortunately, people need to be covered at their job from time to time.

“However, as an audiologist…if I’m so sick that I can’t talk, there’s little point to me doing my job. I’ve called in sick four times in the past 2+ years. I had a horrible cold (one sick day) that improved, I went on vacation, and when I came back, it reared up again (another sick day). I also had strep throat earlier this year, so I had to take two days for antibiotics to fully kick in since I picked them up in the afternoon – the throat pain waking me up from a dead sleep was a big clue for that one.”

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8. None of us are perfect, but we should listen to the advice from our doctors.

“Middle-aged doctor here. Most of the docs I work with are obsessed with preventive care, so we try to keep the cardiovascular risk factors under control. We take our blood pressure drugs, our statins, and our metformin if we need it. We’re not perfect, especially me, but we tend to exercise, and we watch what we eat. I know one doctor who still smokes, but he’s a rarity, and he’s practically a tourist attraction, like a two-headed calf in a village museum or something.”

Throwaway9045235360 eats right and exercises, which is what a lot of us try to do. We are all human, though, and sometimes slip up. They continue: “The observation is probably correct that when doctors have a symptom, we tend to downplay or ignore it. And I believe we tend to decline therapy. I have a couple of minor orthopedic ailments that my doctor has suggested I have fixed. I laugh. I’ve known a couple of docs who declined treatment for cancer.”

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7. “I’ll feel sorry for myself and watch Netflix on the couch.”

“The emergency doctor here – my specialty means I’m usually thinking in ‘worst case scenario’ or ‘what can’t I miss’ when I’m seeing patients. I usually end up thinking along similar lines when it’s myself as well. Things like ‘Could I have a lower respiratory tract, or do I have pneumonia? It’s probably the former, and if it’s the latter, I’ll get worse, and I can go see someone for antibiotics later on/go to ED if I’m persistently tachycardic, tachypnoeic, febrile with rigors, etc. In the meantime, I’ll feel sorry for myself and watch Netflix on the couch.'”

“I also think about what the actual management would be if I had the illness that I might be worried about in the first place. For example, I had a nasty fall onto my flexed knee the other day, and it was exquisitely tender. I was almost sure it was just a bad bruise, but I knew if I DID have a fracture, it would probably be for conservative (non-operative) management anyway, so I just limped around for a week or so.” DrTickle28 is right – sometimes it’s not as bad as it seems. However, it probably would have been best to get it checked out to be safe.

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6. Take a personal day for your own health and your family’s health.

“My wife is a doctor in Canada. She works in a small practice with five doctors. One of them is her family physician that she will see with an official appointment, seeing as a patient and not a colleague. Everything is documented in the ERM software. If she gets sick, you power through the day and see your patients. You can’t just call in sick as you have 20-30 patients booked and no one to cover you. You don’t get time off or sick leave. She then comes home and does charting for a couple of hours and dies in bed, and does it all over again the next morning.”

“Doctors cannot afford to be sick. Financially or for their patients that will be pissed if you rebook their appointments last minute.” Scootbert is right, and as a society, we have come to expect the best from our doctors. But they are human too, and we need to be kind of they need to rebook an appointment. You never know when someone has to call in for a personal day, whether it be for their family or for themselves.

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5. Let the doctors do their job.

“Not a doctor here. Paramedic. We’re even worse patients than doctors because we like to think we know what’s going on and get no time off to actually be sick. Often times we come to work sicker than most of the people we pick up in our ambulance. We self-diagnose, and if it doesn’t require a prescription or surgeon, we make do with duct tape and NSAIDs. If we DO require actual medical intervention, we do all the things we hate when our patients do it to us.”

“We tell them where to start IVs. We ask to see imaging and lab results. If there was a way for us to stay awake and assist in our own surgery, we’d do that too! The last time I was getting an IV pre-OP (shoulder repair), I was unintentionally telling the nurse where I preferred the IV. The nurse said if I didn’t cut it out, she’d find a much less pleasant spot to place the IV. My wife, also a medic, agreed with her and told her to use a much larger needle too. I shut up, haha” IVStarter was right to leave the doctor taking care of them to do the procedure! No one likes a “backseat driver.”

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4. If you have the coverage and knowledge, use it!

“For context, US MD, licensed and double boarded. My aim is to live as long as possible and be as healthy as possible during that time. I feel confident to make most diagnoses knowing my history. However, I’ve seen enough to know that it’s better to be totally sure than not when it comes to most things because there’s always a non-zero percent chance that it’s something rare and deadly. For colds, supportive care, and no antibiotics. Blood in the stool, colonoscopy tomorrow. I pay for insurance so that it’s there when I need it. I’m not hesitant to use it. Also, I know specialists of all types.”

It sounds like DoctorJonesMD has it all figured out. They continue: “When I need another set of eyes or a second or third opinion, they’re just a text away. I do all age-appropriate cancer screening early just because I have the access. Life insurance is locked into a great rate, so there’s no financial harm to me being a bit more paranoid. Another thing, if I have a bad virus, I’m staying home. No reason to infect all of my patients with something that they may be less equipped to fight off. I get the flu shot at the start of each season despite never having had the flu. And I get the appropriate vaccines when I travel. I take vitamins because they could potentially help. Just a multivitamin, vitamin D, and fish oil.”

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3. You can self-diagnose to a point, but if it’s serious, see your doctor.

“I have on many occasions used online resources to help decide if my symptom is worth seeing a specialist for or escalating (not WebMD obviously, use UpToDate or PubMed). If it’s something serious that I can’t deal with myself, either with time or over-the-counter medication, I would definitely see my general physician either for treatment or specialist referral. I basically just become a regular patient but with an insider perspective on the system and some pre-formed opinions on my own diagnosis.” Ninjase sounds like they’ve got a good routine figured out for when they aren’t feeling great.

They continue: “Currently, I’m dealing with annoying palpitations. I got an ECG at work which showed frequent ectopics. At the moment, I’m sitting on it debating if I should bother seeing a cardiologist or if it will just disappear since most cases are completely benign and self-limiting. In terms of prescription, I would never prescribe myself new medication for acute illness. I only self prescribe to renew old scripts that I can’t be bothered getting. The worst thing is getting medical certificates for work since I can’t write them myself, and it’s a huge waste of everyone’s time just to get a piece of paper saying I have the flu.”

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2. Just get it checked out!

“Well, my wife can tell you I make the worst patient. I take out my own stitches and tend not to follow post OP instructions too well. I certainly try not to diagnose myself as now I can’t tell if I’m overreacting or underreacting, but when I do get symptoms, boy does my brain feel a little like WebMD sometimes. And I can’t stand being in a Dr’s office, ex. I had to go to a dermatologist, and the whole time in the waiting room, I was thinking about the prognosis of various stages of melanoma I could have. It was benign, of course.”

“I injured my knee badly playing soccer and was at work the next day, borrowed some crutches from physical therapy so I could hobble around and see patients, only got it imaged a month later as my wife had enough, turns out I tore my ACL and lateral meniscus, had to take a week off for surgery sadly. Just the other day at work, I had acute RUQ pain, positive Murphy’s and right shoulder pain, though I had a gallstone, just rode it out in the call room after seeing my patients. I guess I’m terrified of showing up in the ED saying, “I’m a doctor. I think it’s XYZ,” and finding out it’s nothing, and I’m just being pathetic, haha.” Drprocrastinate should never be worried if it’s something else; it’s okay to brainstorm and figure it out to get the best care!

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1. You will know when enough is enough.

“My husband is a family medicine doc, and he won’t go to the doctor. He found out a year or so ago that he’s diabetic. He’s ashamed because of the stigma, in medicine, associated with diabetes. He takes metformin (self-prescribed) but refuses to use insulin or talk about it. He’s in exquisite pain all of the time (he has had back pain for 20+ years… I think this is making it worse). Just last week, he had two episodes of being incontinent which have never happened before. I sent a long email to a colleague/friend of his. I can’t look back and wish I had done something, and enough is enough.”

Good for 662grace for knowing when to take more action for their husband. Hopefully, it won’t be too late, and he will start taking better care of himself. They continue: “His colleague returns from a vacation tomorrow, so I expect I’ll hear from him soon. My husband knows I sent the email but knows he has no choice in the matter. I love my husband. He is a wonderful, caring physician who is 49 years old and refuses to do anything for his own health, which is going to kill him.”

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