Three young doctors jump to their deaths in NYC →

3rdSuicide

This week I learned of a third physician who has jumped to her death in NYC. Her colleague writes:

Dear Pamela, 

A medical resident died at my apartment building (subsidized housing for hospital employees) yesterday. I must have obliviously walked under her dead body on the scaffolding on my way to work yesterday. I just had an urge to tell someone about it and thought I’d tell you.

There was a “global notification” email to our medical community about the “tragic loss” of a medicine house staff member. My supervising attending told me it was a suicide. My co-resident told me that she heard from the front door man that it was in our building. And then last night I just googled to try to find out more and found this article. The scaffolding has been there for a full year to restore the cement on the outside of the building. Plus there are ropes that go from the roof down to the ground, one of which hangs in front of one of my windows. It has always looked ominous to me and reminded me of a hang rope. There are bars on my windows. State law requires this if a child lives in the apartment. They don’t remove them if the next tenant (like me) doesn’t have a child, so I would expect they’re on all of the windows by now, since this building is decades old. She must have uninstalled the bars or gone to the roof. 

There was the death of a student while I was an undergraduate. I could see the building she fell from whenever I looked out the window from the yoga classes at the school gym and it always reminded me of that fall. The university chaplain told me that a friend had convinced her to walk back from the ledge and she lost her footing on the attempted return and fell to her death. That’s the most horrible suicide story I’ve ever heard. 

I want to be able to go home without being reminded of suicide. The program directors are going to meet with us, so maybe I’ll learn more about what happened then. I appreciate your offer to talk and I have your phone number in my phone. Thank you!

Anna

I published this letter with Anna’s approval. I commend Anna for her courage to break the silence on physician suicide and for her willingness to reach out for help. Survivors, colleagues, and families all need support after a suicide. 

I wrote about the first two doctors who jumped to their deaths in NYC here. Each year, more than one million Americans lose their doctors to suicide. We can prevent the senseless deaths of our compassionate and brilliant young doctors by breaking the silence on physician suicide. Please watch this 2-minute movie trailer and join me in bringing physician suicide out of the darkness and into the light.

Addendum: View documentary film trailer above. Stay tuned for world premiere in NYC in September, 2018. Please listen to FREE audiobook download below (like a 3-hour suicide hotline for doctors and med students).

PhysicianSuicideLettersAudiobook

Pamela Wible, M.D., has dedicated her life to preventing medical student and physician suicide. She is the author of Physician Suicide Letters—Answered.

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Emmy award winning filmmaker takes on med student suicide (view movie trailer) →

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ABOUT THE PROJECT: Two-time Emmy award winning filmmaker, Robyn Symon, takes on the physician suicide crisis that has claimed the lives of countless medical students, doctors, and patients.

LOGLINE: Medical students and families of physicians touched by suicide come out of the shadows to expose the truth about a sick healthcare system that not only risks patients’ lives, but drives our brilliant young doctors to take their own lives.

SYNOPSIS / DESCRIPTION: Doctors are supposed to be our healers, yet they have the highest rate of suicide among any profession. Do No Harm weaves intimate stories of suicidal doctors and surviving families of young doctors who have taken their own lives with experts who reveal the truth behind this silent epidemic. What you don’t know about medical culture can kill you. Bullying, sleep deprivation, and assembly-line medicine lead not only to medical mistakes—the third leading cause of death in the U.S.—but to the deaths of our doctors. The film explores this hidden culture at our medical schools and hospitals that drives our doctors to desperation and death while also revealing the groundbreaking solutions that are saving the lives of promising young doctors—and their patients.

https://vimeo.com/161420899

We need your support! Please donate now so we can complete this film. Plan is to head to Sundance Film Festival in January, 2017, and then to PBS and international distribution. This is a global human rights issue and we need your support. Funding goal: 360K. Any amount helps.

Have you lost a med student or physician to suicide? Please donate in his/her honor.

INDIVIDUAL SPONSORSHIP

$1,000+ Physician Friend – Website honor page with your name.

$5,000+ Physician Film Credit – Screen rolling credit and website honor page “Your name (in memory of),” 5 VIP tickets to local film premiere, 5 DVDs of film.

$10,000+ Expanded Physician Film Credit – Screen rolling credit and website honor page “Your name (in memory of),” you/your organization (and logo) in all film press releases & promotional materials, 10 VIP tickets to local film premiere, 10 DVDs of film.

CORPORATE SPONSORSHIP

$25,000+ Half-Screen Credit – Half-screen film credit shared with another organization with your logo and message “This film made possible by a generous donation from your name,” website honor page and interactive social media links to your organization, your organization in all film press releases & promotional materials, 20 VIP tickets to local film premiere, 20 DVDs of film.

$50,000+ Full-Screen Credit – Full-screen film credit dedicated to your organization with your logo and message “This film made possible by a generous donation from your name,” website honor page and interactive social media links to your organization, your organization in all film press releases & promotional materials, 30 VIP tickets to local film premiere, 30 DVDs of the film.

$100,000+ Executive Producer Credit – Full-screen film credit dedicated to your organization with your logo and message “This film made possible by a generous donation from your name,” Executive Producer credit for CEO/President, website honor page and interactive social media links to your organization, your organization in all film press releases & promotional materials, 50 VIP tickets to local film premiere with film stars, 50 DVDs of the film, plus a private organizational screening of the film (and Q&A with film director and subjects).

Make your donation by check or credit card

Donations by check: 1) Tax-deductible donations payable to The Film Collaborative (they take 5% fee). 2) Non-tax-deductible donations payable to Symon Productions. In memo line write “Do No Harm.” Mail to: Symon Productions, Inc., 11911 Dorothy Street Unit 205, Los Angeles, CA 90049.

If you have questions regarding the film, sponsorship options for you or your organization, or wish to view the expanded 19-minute version of this movie trailer, please contact Dr. Wible

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OR Tears →

Pamela Wible Tears

Tears in the operating room are different from tears cried by civilians, by veals. There are rules.

A single tear from one eye is unobjectionable. Two tears, either one from each eye or two from one eye are permitted if they are unaccompanied by sniffles. Three tears risks discovery and humiliation. There are rules. 

The mechanics of crying in the OR are difficult. You may not brush a tear away. Sterile and dirty may not touch. Gloved sterile hands may not swipe unsterile eyes. Best to let your tear take a quick dive into your blue pleated mask which will blot it up before it can drop into the sleeping patient’s incision. There are rules.

You can sneak peanut M&Ms one by one at decent intervals under your mask, but you cannot touch your face just a little higher up to flick away a tear when a child’s severed leg thunks into the stainless steel basin. There are rules.

Eyes can be red but not too red, wet but not too wet. Many in the OR are sleep-deprived, and a few are hung over, so you will blend in. Some eyes blink rapidly, chasing an errant eyelash or contact lens, tearing up and reddening. You could be one of those. It is not permitted to rub dirty eyes with sterile hands to prevent a snail trail of tears sneaking down cheek and over mask. There are rules.

OR tears are different from veal tears, civilian tears. They burn. They track fire down unprotected cheeks, leaving a faint trace of light umber against the sky blue mask, disturbing the pressed-down fibers and making fuzz as they go. The color is from the anesthesia in the air, seeping out from around the mask and the tube. It does burn, and there are rules.

Although others can tell you’ve been shedding tears, if you follow the rules they will not mention your shame. If you break the rules, others can be mean. You may acquire a nickname.

Poem (sans original formatting) by Anne Vinsel who works at a large academic medical center. Previously published in Pulse.

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How to do a no-hands-on physical in 3 minutes (or less) →

Pamela Wible Big Box Clinic

Step 1) Greet patient.

Step 2) While chatting, check all boxes in electronic medical record for a complete review of systems and physical exam. Copy and paste parts of previous chart note while looking at patient every once in a while. Smile if possible.

Step 3) Tell patient to do yoga.

Step 4) Bill insurance company for complete physical exam.

Welcome to big-box assembly-line medicine.

Ever wonder what happens when a doctor goes to the doctor? Same shit.

A physician friend recently told me: “My last trip to my PCP was shorter than the time it takes to brush my teeth! If I hear one more suggestion to drink chamomile tea and do yoga . . . I just don’t need the 3-minute bullshit session.”

The truth is health care can’t happen in 3-minute increments. Assembly-line medicine doesn’t work for patients or doctors. Here’s why: doctors aren’t factory workers and patients aren’t widgets.

I shared my physician friend’s experience on Facebook and turns out it’s the norm for many Americans.

EB Sheffield writes, “Lol…this made me laugh…the last time I went to see a doctor for a yearly lab and all check…he didn’t touch me….the stethoscope never left his neck and he kept talking about Suzanne Somers??..but he is board certified ..sigh”

“I’ve had the ‘no-hands’ PE [physical exam] before, which is always really, really, weird to me. I’m a veterinarian and our PEs [exams] are totally hands-on, all over and everywhere…” claims Margaret Brosnahan.  

Dr. William Halstead shares, “I thought this only happened to me. Haven’t had a complete physical exam since I finished residency.”

Amina Moghul reports, “Yup, recently developed a tremor, went to a neurologist who didn’t even examine me and shooed me out the door telling me to do yoga because I must be stressed out.”

“My internal med doc spends about 5-7 minutes with me,” claims Theresa Stier Brown, “He never listens to my heart/lungs or lays a hand on me. He only asks about my diabetes meds even though I take meds for 7 other health problems—so no medication review.”

I’ve had fraudulent physical exams where no hands on, no listening to heart or lungs but he dictated lungs clear to auscultation and heart rate regular, etc etc. such B. S.” confirms Louann Harrack, “That’s why my primary care is a nurse practitioner. (No offense to the good doctors out there).”

So what’s a patient to do?

  1. Boycott big-box assembly-line medicine.
  2. Find a good doctor or nurse practitioner.
  3. Can’t find one? Go see a veterinarian.

Pamela Wible, M.D., is a family physician and founder of the Ideal Medical Care Movement. She loves helping docs, PAs, and NPs get back to being healers, not factory workers. If you need help, contact me or come to our retreat. 

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The history of American medicine in 2 minutes. What happens at 1:31 will make you sick. →

Once upon a time you could see your trusted family doc right in the neighborhood with house calls and all the attention you needed. Then big-box clinics bought up all these cute clinics and moved these sweet doctors to assembly-line clinics. Now doctors are like factory workers and patients are just widgets.

Great news! Solo docs are coming back to a neighborhood near you. . .

If you’re a doctor who wants to leave assembly-line medicine and bring ideal care to your neighborhood, here’s a free guide to launching your dream-come-true clinic. Questions? Please contact me. I promise I’ll call you back. I’m so excited to see all these cute clinics again! 🙂 Yay for all of us.

Pamela Wible

Pamela Wible, M.D., is a family physician and founder of the Ideal Medical Care Movement. She loves helping docs get back to being healers, not factory workers. If you need more help, come to our physician retreat.


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