Dear Suicidal Surgeon, we love you, please keep breathing . . . →

View 25-minute video above ⬆️. Transcript edited for clarity.

Dr. Pamela Wible: We are gathered here today to help a suicidal surgeon (and any health professional) who has written me a comment my blog. I got this yesterday right before boarding a plane, and it says:

I’ve been in healthcare my entire life. Surgical services. Because I spoke up against wrongdoing, stood up for myself, I’m out of a job and can’t get a job anywhere now. I’m 60 now. I don’t know what to do. I’ve had a hard life and I buried all the pain in work. Now. Alone and nothing, but time on my hands all of it has surfaced. I have been thinking about ending my life every single day for a long time. Some nights the urge is very strong. I cry myself to sleep almost daily. Every day. I don’t want to live anymore. There is no reason to. I just exist. Serving everyone but myself for over 25 years. I have been single for 24 years. Raised four kids by myself. Took care of mom when she passed. Then dad for seven years before he passed. Lost one son to an overdose. I’m so alone. I can’t take it anymore. God knows. I’m sorry for my weakness. I can’t pick myself up anymore. Nothing is working and my career is over.

Then I had a layover at an airport on the way home. And another comment came in 30 minutes after the first one. From the same person. I can’t respond directly, so we’re making this video. To help Anonymous, who further stated:

After reading what I wrote, it just sounds like a pity party for myself. But why does it feel so overwhelmingly strong? Why is the belief and the rationalization of ending my life so present in my mind every single day? And some days so strong, the pain has become so overwhelming that taking a knife or fork and scraping my arms helps relieve some of it. The pain of my life has overcome all faith. Strength I once had.

We have three guests from our peer support group—doctors determined to help other doctors not die by suicide. We help all medical professionals, even medical students, nursing students, any health professional who is suffering. Of course, we don’t want anyone to die by suicide. We have a lot of expertise in our group. We love helping physicians who are suffering (confidential care so no med board involvement or EMR!). Amir, what advice would you give this person who’s out there struggling?

Dr. Amir Friedman: Thank you for having me, Pamela, and hello to everybody here. I had the privilege of reading the comment that Pamela shared with us from Anonymous, What really resonated with me is that you had to take care of your family members. You took care of your mom when she passed and then your father for seven years before he passed, and you lost a son to an overdose. The reason that resonated with me so strongly is I have also had a similar experience in my family. I’m a physician. I’ve also been investigated, prosecuted (and imprisoned for insurance fraud). The loss in my family dramatically really outweighed the loss in my professional life, though. At the time, the two seemed to be equal in terms of loss. Read more ›

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Health Professional Confessional: “I buried all my pain in work” →

Health Professional Confessional "I buried all my pain in work"

Mid-step on the sky bridge, boarding my flight—the message lands. Raw. Desperate. A life breaking apart in real-time:

“I’ve been in healthcare my entire life. Surgical services. Because I spoke up against wrongdoing, stood up for myself, I’m out of a job and can’t get a job anywhere now. I’m 60 now. I don’t know what to do. I’ve had a hard life and I buried all the pain in work. Now. Alone. Nothing but time on my hands–all of it surfacing. I have been thinking about ending my life every single day for a long time. Some nights the urge is very strong. I cry myself to sleep almost daily. Every day. I don’t want to live anymore.“

No way to respond. No way to reach out through the screen. No way to pull “anonymous” back from the edge.

At 30,000 feet, I dissect each sentence—exposing unstitched wounds, silent screams between the lines.

Touching down on the runway, I check my phone. Thirty minutes after the first message, a second comment appears on my blog. Again from anonymous@nowhere.com:

“After reading what I wrote, it just sounds like a pity party for myself. But why does it feel so overwhelmingly strong? Why is the belief and the rationalization of ending my life so present in my mind every single day? And some days so strong, the pain has become so overwhelming that taking a knife or fork and scraping my arms helps relieve some of it. The pain of my life has overcome all faith. Strength I once had.”

Up and down escalators, inside the tram to the next terminal, I scan both comments. Dissecting every sentence. Chasing the root of the pain that makes suicide feel like the only way out.

On my flight home, I perform a psychological autopsy on every word. Eleven themes in three categories all crushing down on an anonymous soul.

Why does the urge to die by suicide feel so overwhelmingly strong?

Loss of Identity & Purpose

You weren’t just let go—you faced whistleblower retaliation. You are courageous. You stood up for ethics and patient safety and it cost you everything.

“Out of a job”

Not just job loss—a career exiled.

The profession that once defined you cast you out. The system you served for decades left you with nothing but time. And now, in stillness, you feel like you have “no reason to live.” You “just exist.”

You have career identity loss. You haven’t just lost a surgical job in the operating room—you’ve lost a part of yourself. Your connection to your soul’s purpose, your very identity.

You are feeling unemployable. At the pinnacle of your surgical career with the greatest skill and wisdom, you feel discarded by the profession that once gave you meaning.

Pain of Unprocessed Trauma

Kids with sick parents or siblings may dream of becoming doctors—to save the ones they love. For many, health care is a refuge—a place to bury their own childhood wounds in service of others. Medicine is a trauma-inspired career.

“I buried all my pain in work.”

We all do.

Until work is gone.  Read more ›

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How to survive the worst moments of your life (podcast) →

Live Your Dream School of Medical Arts Podcast Episode 1. 

Unscripted, uncensored, unedited. Enjoy the raw, real thoughts of doctors.

Learn 6 strategies to survive the most traumatic events in your life.

Dr. Amir Friedman is an anesthesiologist from a family of Holocaust survivors. At age 10 he found his mother deceased from suicide. Then his physician father and two brothers died by suicide. While practicing as a successful physician helping underserved patients suffering from chronic pain, he was entrapped in an insurance fraud scheme that landed him in federal prison. Dr. Pamela Wible is a family physician who runs a suicide helpline for physicians. She recalls having passive suicidal thoughts at age 9 due to her chaotic and scary childhood that involved domestic violence between her parents, both workaholic physicians wounded by their own childhood traumas. 

Read more ›

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5 ways to protect your medical license →

In an instant, your privilege to practice medicine can be taken from you today—even by false allegation. In less than 10 minutes your bitter ex/spouse, disgruntled patient, or jealous colleague could jeopardize your career.
 
What if your board wanted to ask you “a few questions” today? What if you were referred to a PHP next week? Would you enroll? Would you hire a lawyer? Who could you trust? How would you earn money? 
 
Prevention is key.

Highlight reel is from our live session “5 Ways to Protect Your License—Now.” Free event from Live Your Dream School of Medical Arts. Confidential. Can’t share publicly w/o educating our adversaries with new ideas!

5 ways to protect medical license now

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Dr. Jonathan Drummond-Webb Celebration (Highlight Reel) →

Enjoy our 45-min video highlights from our 6-hour celebration of life for Dr. Jonathan Drummond-Webb on the 20-year anniversary of his suicide. To view full version or join Sunday sessions on Dr. Drummond-Webb, contact Dr. Wible.

Highlight reel covers Christmastime suicides among 15 physicians (and 5 risk factors for doctor suicides during Christmas): tributes to Drs. Michelle Fernandez and Jonathan Drummond-Webb (both suicides early morning 12/26); discussion of Dr. Drummond-Webb’s suicide note; genesis of pathological perfectionism, emotional/spiritual causes of suicide, and words of wisdom from Jonathan’s widow, Dr. Lorraine DeBlanche ❤️.

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