I work from 10 to 3. I don’t work weekends. I’m an incredibly happy doctor in my ideal clinic. →

My name is Jennifer Zomnir and I have a very important message for the doctors out there that may be suffering like I was. About two years ago I worked in a big-box clinic and I saw a lot of patients a day in 5-10 minute slots, went home at night and worked on charts, worked on charts on the weekend and I missed time with my family and my children. I thought that was the way that it was and there weren’t any other options out there. And my husband Kolin he found Dr. Pamela Wible and I read her book, Pet Goats & Pap Smears, and I was inspired and came to a conference. This is my fourth time to be here now and since meeting her and finding out there were other ways to do this, I have opened up my ideal medical clinic. 

I no longer spend nights and weekends doing charts. I see my family everyday. I go to every event. I go to work at 10:00 in the morning. I leave at 3 or 4 in the afternoon. I don’t work on the weekends. I am incredibly happy. I had no idea how much I was suffering before. I thought that medicine had to be this way. I thought that I had to see people in 5-minute blocks of time, I thought that I had to rush, that this was just medicine and this is the way that it had to be. I really had no idea that there were alternative ways to practice medicine. I never thought I could open up my own clinic. That wasn’t something that I thought was even feasible for me. I thought that I had to work for a big group to have successful insurance contracts. I thought that I needed someone to manage my benefits. None of that is true. You can completely and totally do this on your own. It’s very simple. 

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You are told to stay where you are for a reason. Your employers, your hospital administrators they know what you’re worth. The problem is that you don’t. You bill out so much more than you actually bring home. You chase the carrot of your production bonus. You may be on a salary. You may not even get a production bonus. You may not even know how much you charge per office visit. How often does a patient ask you, “How much is this?” or “I got a bill and I don’t understand it.” How often do you have to say, “I really just don’t know about that. Go talk to someone up front and they’ll help you out with that. The less you know, the less empowered you are.

I encourage you to start looking into your situation. Look at your life. Are you happy? Do you take vacations? Do you avoid vacations because the catastrophe of your clinic would be so hard to take a vacation because there is so much to do when you get home that it’s not even worth leaving. Really look at your life and ask yourself, “Is this how I want to live for the next 20, 25, 30 years?”  “Would I encourage my own children to go into medicine?” “Would I do this again if I had the opportunity?” If the answers are “Absolutely not. I would do something different, I would not encourage my children, my life is miserable, I never see my family, my marriage in on the rocks. . .” whatever it is and certainly if you are feeling suicidal because your job sucks and you know it in your heart, it’s time to stop, change, do something different. If you’re to the point where you feel like your only option is suicide, stop. Please. There are other ways. 

I am so happy. Starting the business was so easy. I make my own schedule. Life is beyond fabulous now. My husband is happy. My children are happy. My children come to work with me. I’m training them how to be doctors. I would encourage them to go to medical school if they wanted to and I would be proud of that and know that they’re going into the best profession that there is. So please rethink your decision and look at other ways of doing this and understand that it’s not hard. You can be happy. You can do something different. And it’s okay. Please stop and think about what you are about to do.

Hi, I’m Jennifer’s husband Kolin. I met my wife right after she got out of residency so I got to see the transition from happy person to a very unhappy wife, unhappy family. It was like some other people said it’s the boiling frog in the water theory. You don’t notice the changes until it’s too late. Like she said our marriage was rocky, our family wasn’t very happy. She wasn’t home very much. And this was after 5 or 6 years of being in this treadmill system.

In the beginning it was fine, ya know. She didn’t have a whole lot of patients, she’d come home, she’d be happy, she’d get to treat people, take care of them. But I got to see the transition. It was hard to see myself too because it happened so slowly. But at a certain point you realize life isn’t good for anybody and there had to be some changes and we talked about a few things and you start doing some searches on the Internet and you find something about happy doctors and one thing leads to another and that’s how we finally ended up here. I think I’m the first spouse to come to one of these so the only thing I can say to spouses (and to the doctors that have a spouse) as a spouse if you see your doctor-spouse is not happy, encourage some changes and like I told some other people here at the retreat you can be supportive, but you also have to give that push. You can just “You can do it, you can do it, you can do it . . .” It’s gotta be “Let’s do it! Let’s go make these changes, let’s be happy people again.” 

For the doctors that have a spouse you need to understand that your spouse is in a tough place dealing with all the things you’re going through as well. So if you’re in a marriage or even in a relationship, to me it just kind of comes back down to love. If you love this person you want them to be happy. Sometimes it takes change so you got to do that and you get it done. 

HappiestDoctor

Pamela Wible, M.D. is a family physician and “liberator of physicians from treadmill medicine.” This video was filmed by GeVe at our biannual physician retreat. Come join us! Questions? Contact Dr. Wible.

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I was a martyr. Now I’m dating, dancing—and living my dream! →

Hi, my name is Delicia Haynes from Daytona Beach, Florida, and about a year ago, I felt stuck. I was in a clinic that I had started myself and I was seeing more and more patients just to make the overhead and I didn’t see that there was any solution in sight. I loved what I did. I loved taking care of patients. But how I did it was actually killing me. And the name of my practice was Family First Health Center, but I realized that I was never going to have my own family or be able to put my own family first if I continued in that model of seeing a patient every 10-15  minutes and having to worry about all the paperwork and the billing and all the headaches. And I really felt like I had to hire more and more people to support that side of medicine instead of the actual clinical care side of medicine and I felt like the joy that I went to medical school was just being drained out of me. But there’s a better way. 

It’s really about getting back into relationship with your patients and having a business model that supports that relationship. So now I have transitioned my practice from an insurance-based model where my services were not being valued. We tried as hard as we could to spend a lot of time with them but we just never really felt like they got the personal attention that they deserved. Now I’m in a model where all of my visits are 30 minutes to an hour long and they can talk to me on the phone if they need to talk to me on the phone. I use a membership-based model which is really convenient for them and it’s just what’s going on in the background. What is always in the forefront is the care. 

Now I am not only practicing medicine the way I went to medical school to practice it but I’m also becoming the doctor I always wanted to be. When I was a kid I always knew that I wanted to be a doctor or a teacher or a lawyer and I wanted to advocate for my patients, I wanted to teach my patients, and I wanted to heal them and I felt like in that old model I never really got to do that. Now every single day I am teaching, I am advocating, I am meeting my patients where they are and helping them move forward. So if you find yourself in that dark place where you feel like you are stuck, you feel like there is nothing that you can change, there is. The same intellect that took you through medical school and that desire and that passion can get you to change your practice and be able to serve your patients in a way that is fulfilling both to you and of really high service to them. 

Family has always been really important to me and I wanted to take care of my own family and have my own family. When I was in my previous model, I just put my patients first. I was a martyr. I was always sacrificing my own needs and stealing time from my family and the activities that brought me joy just to stay in this cycle that I didn’t like that was not what I really signed up for in the first place. I felt I was drained all the time and I started to feel resentful at times because I wasn’t really practicing medicine the way that I thought it would be when I went to medical school and at times I thought well maybe I was just idealistic in the past and this is just the way that it is but I recognized that it’s not. That same passion and that so-called idealism, that passion that you have to serve your patients can be used in a different model.

Today I have time to go to my dance class, I do ballet, I am dating. Things that before in my old practice I wouldn’t have time for. I did not take time to invest in myself. I take vacations now. I tell my patients that I am going on vacation. I recommend that they go on vacation. I am not a hypocrite anymore. I used to tell people all the time maybe you should consider sleeping this much, eating this way, while I wasn’t sleeping that way, I was’t eating really well. I was always rushing and just trying to get to the next thing and now I’m really living my life the way I would recommend for my patient to. I really enjoy eating well and just taking care of my body and doing the things that just fill my cup and give me joy and encouraging my patients to do the same. 

It’s a night and day in both my mindset, how I think about my work and my job and my mission. It’s not a job, it’s a calling. Now I’m really respecting my calling and I’m practicing medicine the way I felt I should have been doing all along. I’m proud of myself. My patients are happier. I see that when other physicians look at me they see possibility. They realize that it doesn’t have to be the way that their doing it even though all these people are saying that you can’t do it on your own, you need all these administrators and all these people to handle all these little details. That somehow you with all of your education might not be able to do it. That’s a lie. You are completely able to run a clinic. You are completely able to practice medicine in alignment with your vision and there are people like Pamela who will help you and all of us will help you get to that goal

So I would just encourage you to go for it. You know what you’re doing and you can definitely do it. It’s simple. There’s people out here who will help you and your patients and the people who you are meant to serve are going to benefit so much from it.

Pamela Wible, M.D. is a family physician and “liberator of physicians from treadmill medicine.” This video was filmed by GeVe at our biannual physician retreat. Come join us! Questions? Contact Dr. Wible.

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You can’t bake a cake in 15 minutes and you can’t see an elderly patient in 15 minutes →

Hi. My name is Ann Cordum and I’m an MD internal medicine doctor. If you are a medical student, intern, resident, practicing doctor, I am here to tell you that you no longer have to put up with abuse and you no longer have to listen to administrators that are not clinical (that have no idea what it’s like to sit with a patient) tell you how fast to see patients. You can’t bake a cake in 15 minutes and you can’t see an elderly patient in 15 minutes.

So if you are feeling miserable, if you are wondering why you went into medicine in the first place, I want you to know that there is a better way, you can quit that job. If you are not feeling good about it, don’t stay in it—quit it like many of us have done here at Breitenbush retreat where we are focusing on growing and starting our ideal medical practices.

Before my life as a doctor was fraught with a lot of fatigue, some depression, some anxiety, some unsettled feelings and since I started my own ideal medical practice 15 months ago I feel at peace. I feel like I am able to serve those patients. I love going to my job every day. I look forward to it. I know my patients. I enjoy my patients. I have free time. I get to hike. I get to exercise. I get to go to my French class. I get to enjoy music and watch movies and live life again—all while being a doctor and serving patients. I do that free of non-medical administrators and third parties. It is very, very simple. It is just you and the patient and your mission to serve in your called field of medicine.

So if you are feeling like their is no hope, there is hope. Come join us on a retreat or contact Dr. Pamela Wible or one of us that have broken free and please know that there is a way to be happy in medicine.

Pamela Wible, M.D. is a family physician and “liberator of physicians from treadmill medicine.” This video was filmed by GeVe at our biannual physician retreat. Come join us! Questions? Contact Dr. Wible.

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Yes! You can open your dream clinic—without completing residency. →

Hi, my name is Dr. Kat Lopez and I unfortunately know what you are going through if you are suffering in conventional medical training or a conventional treadmill medicine job. I was really afraid of going to residency because I had heard of the abuse that I would undergo. And even though my residency program in family medicine was overall a great and supportive program,

I came to feel during my first year of training that the medicine that I was practicing was simply a training to become a robot doctor. It was to be able to see patients as fast as possible as we were given shorter and shorter time slots in clinic. And it was to learn how to both prescribe and manage a polypharmacy of drugs as efficiently as possible and with the least amount of litigious risk.

And this was never the type of healing that I signed up to learn. And I was deeply hungering to learn about nutritional healing of disease, nutritional prevention of disease, alternative approaches including mind-body-medicine, Chinese medicine. What about these things people have been using for centuries?

Kat Lopez MD

I grew more and more bored and more and more desperate to start to live my passion and my dream of becoming the doctor that I knew could do great things in the world and my residency program was not able to educate me in that way. So I actually resigned from my residency program after the first year. I announced about halfway through and completed my intern year in my family medicine program. I did this with the support of several mentors in my life and I also learned that in a number of states in our fine union physicians can obtain their general medical license with only one year of post-graduate training. I had never been told that. Nobody ever talked about that. There are even D.O. [Doctor of Osteopathy] PGY-1 spots all over the country that are intended to be complete for one year if that D.O. will be going into primary care. 

So I spent about all told from the beginning of residency until I found my dream (where I live now) just in absolute emotional turmoil from feeling like a total failure, a total screw up, feeling like my genius was absolutely unappreciated and unimportant. That all these passions I had for real health and real healing were useless at best and dangerous at worst, that were causing me to become a problem to my residency program and a problem to the conventional medical system in general. I was in absolute grief and despair over thinking that I could never be the healer I was meant to be. I started looking at other educational programs and thought what I can do other than work under my medical license if I can’t get my medical license. I considered things like selling my soul to the pharmaceutical rep industry and taking a job there so I could be paid to drive around and sell devices or pharmaceutical medications. 

And then through meeting Dr. Pamela Wible—who is a liberator of physicians from treadmill medicine—I started to realize that I have all of the emotional intelligence, the educational prowess, the passion and the drive to truly live my personal dream even though I did not have a mentor outside of myself to show me “Hey I want to practice like you. I want to do what you do. I want to work like you work.” I did not have that exactly presented to me and I was empowered by Dr. Wible to define that for myself. Ultimately her support of patting me on the back and saying, “You can do it! You’re going to be great! Your patients will love you!” gave me this fuel through a lot of other healing processes to define what I wanted to be really in my life. And how I wanted to live each day both impassioned by the subject matter in front of me, both in service to the people who can benefit from my personal form of healing and genius and to make a lot of money while doing it. 

So what I ended up creating in my life was a beautiful collaborative practice where I met an experienced mentor in naturopathic and Chinese medicine, Dr. Satya Ambrose. She had just opened a new wellness center in Happy Valley, Oregon, which is about half an hour outside of Portland (where I lived at the time) and she became a close mentor and teacher of mine and over the past two years I’ve essentially developed my personal private practice as an independent contractor in a group of really forward-thinking, loving, relaxed, interesting people with diverse capabilities of healing from acupuncture to body work to naturopathy and as an independent practitioner work on a percent-split basis to enjoy the benefits of the wellness center staff. I have my own staff. I have assistants. I have front office scheduling and website maintenance and these kind of things. In addition, I’ve gotten to essentially grow into a functional medicine approach to diagnosing and treating both complex chronic disease and simply prevention medicine for the people who are feeling kind of crappy in their fifties and maybe 30 pounds overweight and need a little bit of guidance to kind of guidance to get healthy in this second phase of their life.

I not only as my own boss have all of the ability to dictate my schedule, how much money I really want to make, how to go into my community as a grassroots marketer of myself whereby interacting as a teacher, a lecturer, a demonstrator, a colleague, I am basically marketing my group and myself as the community-based wellness-type of physician that I truly am. So marketing feels effortless, attracting patients has felt completely effortless and over the course of two years my practice is filling beautifully with basically no effort on my own other than personally following my passion to learn the functional and natural medicine approach to complex chronic disease. So I am happier amd more fulfilled than I could have possibly imagined. 

This type of practice which is both financially sustainable and extremely fun and basically a deep and intensive learning process as I expand my toolbox from sort of from the pharmaceutical-based medicine that I was taught and trained in. This process has been so easeful and harmonious as soon as I got in touch with what I really cared about, the vision I really held for my life, and got empowered to learn what I needed to learn to make that happened as well as connected with people who were right there helping me from the business sense to how do you write office policies. Well, I guess I can make them up myself. What do I want my office policies to be? So currently I work as an out-of-network doctor. I’m not contracted with any insurance companies and I have a scale for my cash-pay patients, many of whom are uninsured. I give discounts for various things such as for people who have Medicare. I also have a biller in my office who will bill people’s insurance if they have out-of-network benefits for our office visits.

The care that I am able to provide absolutely fills me and my patients with joy. And learning along this process has been so empowering and liberating from the do medical school, do a residency, and get a job—one of these jobs that you’re offered on a piece of paper sent to you in the mail at a big-box clinic. I knew that that job wasn’t for me. It wasn’t harnessing my genius. And I could not express my personal passion for health and wellness through that model. Guess what? I’m not a quick doctor. I would have never succeeded in anyone’s model that requires me to see people in 10-20 minutes. Just never. So fortunately I get to succeed as my own boss in my own practice with a beautiful group of collaborative naturopaths who are helping each other and see our patients together to do an awesome, awesome brand of really true healing. 

So if you’re an exhausted, overworked medical student, intern, resident, or physician in treadmill medicine, I want to summarize for you that I was hopeless, totally discouraged, very, very bored by the type of treadmill medicine I was being trained in and exhausted physically from lack of sleep. I was undernourished and filling up on more junky sort-of calorie-dense stuff so I could make it through the day while shoving as little volume down my mouth and in the bathroom stall as I could so I could not pass out on rounds, really, really suffering in the system that is designed to disempower very intelligent people and wring every bit of productivity out of you as deeply as possible no matter the personal price. And now as my own boss having been supported by other doctors to realized that I can figure all this out on my own just like the dry cleaner business down the street can take money from satisfied clients to do their business. Gosh darn it I can learn how to do the same thing in medicine.

I roll into work at nine or ten or eleven or twelve, depending on the day. I set my own schedule. I can block off days for any of the things I would like or need to do—educational purposes, recreational purposes. And in my clinic itself, the staff juices for us green juices everyday. I can wander around between patients with a quick acupuncture treatment. If I drop something on the floor, I don’t feel like I have drug resistant bacteria everywhere, but can like wash it off and put it back on the table where I was eating. It’s a clean, wholesome environment that I just never thought would be possible. Medical students come through from the naturopathic school and practice their massage and craniosacral work on me so I truly am living in a wellness center where we practice what we preach and I had no clue it could be this good. Just two years after quitting my residency, I’m truly living my dream. I have enough and the horizon is only growing brighter. So thanks for listening! Contact me to find out more!

STATE-SPECIFIC REQUIREMENTS FOR INITIAL MEDICAL LICENSURE

Pamela Wible, M.D. is a family physician and “liberator of physicians from treadmill medicine.” This video was filmed by GeVe at our biannual physician retreat. Come join us! Questions? Contact Dr. Wible.

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Are euphemisms killing physicians? →

Pamela Wible Euphemisms Kill

A euphemism is a vague and indirect expression substituted for a fact to avoid something unpleasant or embarrassing.

Each year more than one million Americans lose their doctors to suicide. Across the country, our doctors are jumping from hospital rooftops, overdosing in call rooms, found hanging in hospital chapels. It’s medicine’s dirty secret. And it’s covered up by our hospitals, clinics, and medical schools—often with euphemisms.

That’s not science. It’s deception.

Though suicides may be investigated, we rarely learn the truth. No follow-up articles. Autopsy reports never revealed. So how can we solve a medical condition that’s actively hidden by our own medical institutions? We can’t.

To date, I’ve compiled 265 cases of physician and medical student suicides. Here’s how some suicides are actually reported by medicine and the media to the public:

      Euphemisms to cover up doctor suicides

  • Doctor passed away unexpectedly in his sleep.
  • Doctor found dead in hospital. Declared non-suspicious. 
  • Doctor’s death an inconvenience for patients.
  • His light went out too soon.
  • Medical student passed into eternity.
  • Doctor found dead on interstate. No foul play.
  • Doctor died by “accidental overdose.” (unlikely—doctors dose drugs for a living)
  • Doctor died suddenly.
  • She passed away peacefully at home.
  • He went to be with the Lord.

Words matter. When we hide the truth, we prevent the collection of data and the implementation of strategies to prevent suicides. Hiding behind misleading phrases that obscure diagnoses will never prevent suicide. So what can we all do now?

Here’s an idea—Let’s tell the truth.

Pamela Wible, M.D., is a family physician, truth seeker, and activist in physician suicide prevention.

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