Category Archives: physician and nursing interaction

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What is the question that will change your day?

The other night working in the Emergency Department I was dog tired as I picked up a chart of a patient to see.  After I obtained the pertinent medical information from this patient, I then asked my 94 year old patient, “Where were you during world war 2?”

He proceeded to share a little known story about his time working with General Patton.  The patient told me that even his own grandkids don’t ask nor seem interested in his life experiences.  It was an interesting and amazing patient interaction.  I left that conversation so energized that the last 2 hours of my shift flew by.

Reflecting on this event, reminds me of the power of our ability to choose what perspective we will be in and what powerful question we can ask of ourselves and others.  Perspective: It is amazing to me how quickly I can shift from ‘dog tired’ perspective to ‘wow what an incredible patient and story’ perspective–shifting from falling asleep to being fully awake–better than any cup of caffeine!  Question: It is fun and shocking the power of a question to shift our thoughts and energy levels.  I recently asked at a dinner party: What do you crave?  This one question made for a deep and meaningful and laughter filled discussion.

What is the question that you could ask at work and at home that would energize or change your day for the better?

 

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The Gecko & The Geek

Our brain is often at war with itself.  The primitive emotional centers (The Gecko) vs. the advanced intellectual centers (The Geek). The Gecko gets us in trouble because it’s only capacity is to react whereas the Geek thinks, then reacts.

The Geko takes over when we are feeling stressed or out of control, and it reacts with fight or flight.  Unfortunately, This does not happen consciously, and The Gecko causes us not to think straight, react instead of act, fight first ask questions later, and put our foot in our mouth.  When stresses pile up and we feel out of control, the Gecko shows up, and we become less productive, effective, and lose our decision-making abilities.  In fact, scientific studies have shown that when we experience too much stress and overwhelm, our performance tanks.  Stressful things like financial loss are actually processed in the same area of the brain that responds to mortal danger aka The Gecko area.  We have all learned often the hard way that we make horrible decisions when we are under financial stress or any type of stress.

 

How can we be more Geek and less Gecko?

  1. Self-awareness.  Studies show that when you put people under high levels of stress, those who are quickest to recover are those who can identify how they are feeling and express their feelings into words.  Scientists, using brain scans, confirm that people who talk about and/or write about their feelings at the time they are experiencing negative emotions immediately over come these negative thoughts and feelings which improves their well-being and enhances their decision making skills.
  2. Make 2 lists: things you have control over and things that you don’t.  Burn the list that you have no control over–they are out of your control! And focus on the areas that you have control over.  So no news is good news after all.  I have made it a habit of not reading the newspaper and watching the news on TV because it only stresses me out.  Now I know why it stresses me out, and why it has been scientifically shown to be counterproductive.  It fills my brain with things that I have no control over allowing my Gecko to run wild.  So maybe we should change the phrase “G.I.G.O” from Garbage In Garbage Out to Garbage In Gecko Out.
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What Are Our BEST Moments?

The high energy cases.  The patients that take up all the time, effort, AND ENERGY always seem to be the ones that create the most discussion and stress among us (doctors, nurses, etc.).  We always raise such a fuss and express so much frustration, anxiety, and stress when the ‘difficult’ patient arrives.  You know the ones: too much alcohol, too much craziness, too much neediness…  When these ‘difficult’ patients are not around everything moves smoothly.  We are in autopilot.  Isn’t ironic that the ‘difficult’ patients and situations at work turn up the energy?  From mundane to stresssss!  But these are the patients and situations that generate all our energy, all of our discussions.  When our loved ones ask about work, we share with them about the high energy moments.  These ‘difficult’ patients and moments are often the only thing(s) we remember about the day.

Contrary to what we usually believe–the passive, relaxing times are the best moments of our lives.  What if our best moments are occurring right before our eyes when our bodies and minds are stretched to the limits in our efforts to deal with these ‘difficult’ patients, people, and situations (This is what Professor Csikszentmihalyi points out in his landmark book: Flow).  What if the ‘difficult’ is really the technicolor of our lives?  If you are like me, I am thinking that these difficult times are the worst times, filled with negative energy, negative feelings, etc.  BUT I am working to change my perspective on this.  As I become more aware of these ‘difficult’ moments, I am able to embrace them, explore them, feel them…because in the end, they may actually be the best or at least the most memorable moments of our lives so let’s look at them for just that…technicolor, heart racing, fully alive, high energy moments…