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Doctors Handle Being Sick Better Than Their Spouse

Jul 13, 2024

My wife is one of those people who likes to be babied when she's ill or injured, while I prefer to act like nothing's wrong and keep rolling with everything. Over the years, we've learned to navigate these differences, but it's always made me wonder: Do all doctors handle their illnesses better than their spouses? Like me, do most doctors have a "superman" mentality?

Turns out, there might be some truth to this. Studies have shown that doctors often manage their illnesses differently than non-medical spouses. For example, a survey published in the Journal of General Internal Medicine found that doctors are more likely to self-diagnose and self-treat their conditions, often delaying seeking professional medical care compared to their non-medical spouses. This might be due to their medical training, which gives them a level of confidence (or perhaps overconfidence) in their ability to handle their own health issues.

So, while my wife is wrapped up in blankets with a hot cup of tea and the remote control, I'm more likely to be found popping a couple of ibuprofen and heading out for a run, convinced that "mind over matter" will conquer all. Of course, this isn't always the best approach, but it certainly makes for some interesting dynamics in our household.

You might find that you manage being sick better than your spouse, influenced by your medical knowledge, stress management techniques, and professional support systems. Understanding this dynamic can offer valuable insights for everyone. For example, when I had a bike accident six weeks ago and injured my radial head, my wife wanted me to go to the ER for X-rays and treatment. However, the logical sports med doctor in me knew that even if there was a fracture, conservative treatment and eventual rehab would be the best course of action. So, I self-managed the injury, didn’t get an xray, and now my elbow is back to 80-90% functionality. Ligament damage for sure, fracture maybe, exact MRI based diagnosis—not needed in my humble opinion.

Let’s take a look why some of you may manage illness differently than your spouse, and it’s not necessarily because you have a “superman” mindset, rather there may be other rational factors involved like those listed below.

The Medical Mindset: Analyzing Illness Objectively

Education and Training Your extensive education and training equip you with a deep understanding of the human body and disease mechanisms. This fosters a logical mindset, enabling you to approach your own illnesses with the same analytical rigor you apply to patients. Your medical training emphasizes evidence-based decision-making, helping you assess symptoms, consider differential diagnoses, and select appropriate treatments methodically, reducing panic and allowing for effective self-care.

Experience with Illness You frequently encounter sick patients, familiarizing yourself with a wide range of symptoms and illnesses. This constant exposure reduces fear and uncertainty, making you more adept at managing your own health. Recognizing symptoms early on can prevent conditions from worsening, which is a significant advantage. When I injured my elbow, my familiarity with musculoskeletal injuries and the typical course of treatment helped me avoid unnecessary medical visits and interventions.

Not only do you have more experience but due to the rigors of your job, you are more likely to engage in regular mindfulness and resilience practices. These practices are essential for maintaining mental well-being and preventing burnout.

Stress Management Techniques

Meditation and Mindfulness: Stress management techniques, such as prayer, meditation and mindfulness, are integral to your routine. These ancient practices are now widely adopted globally, offering a powerful means of cultivating inner peace and mental clarity. Meditation involves focused attention and controlled breathing, allowing you to observe your thoughts without judgment. Mindfulness, often practiced in conjunction with meditation, encourages living in the present moment and developing a heightened awareness of your surroundings and internal states. These practices help you maintain calm and focus, essential for effective illness management. By engaging in regular meditation and mindfulness exercises, you can reduce cortisol levels, lower blood pressure, and improve emotional regulation. This mental resilience equips you with the tools to navigate the challenges of managing an illness with greater equanimity and reduced stress.

Regular Physical Exercise: Regular physical exercise, another common strategy you adopt, boosts the immune system, reduces stress hormones, and improves overall health, enhancing your resilience. Engaging in consistent physical activity provides a multitude of benefits that extend beyond mere fitness. Exercise stimulates the production of endorphins, often referred to as "feel-good" hormones, which can elevate mood and reduce pain perception. Moreover, regular exercise contributes to better cardiovascular health, improved muscle strength and flexibility, and enhanced metabolic function. These physical improvements can directly impact your ability to manage illness-related symptoms and maintain a higher quality of life. Additionally, exercise can serve as a form of active meditation, allowing you to focus on your body's movements and sensations, further reinforcing the mind-body connection crucial for holistic health management. Personally I have found that when I am not feeling 100% my exercise regimen plays in important role in my physical and mental recovery. Rather than stepping away from exercise when I don’t feel good, it’s actually important that I do it (which really confounds my wife!).

On top of this, your training has provided with additional medical resources that the average non-medical person doesn’t have. Those include:

Access to Medical Knowledge

Understanding Pathophysiology.

Access to medical knowledge provides significant benefits for individuals. Understanding pathophysiology, which is the study of how diseases and injuries affect the body, enables one to:

1. Anticipate potential complications associated with various conditions

2. Take informed steps to support the body's healing processes

3. Implement effective preventive measures to maintain health

This knowledge equips individuals with the tools to actively participate in their healthcare, make informed decisions, and potentially improve health outcomes. By comprehending the underlying mechanisms of diseases and injuries, people can work more effectively with healthcare providers and take proactive steps in managing their well-being.

Familiarity with Treatment Options Familiarity with treatment options enables you to make quick, informed decisions, reducing recovery time and preventing complications. For instance, my immediate self-assessment and appropriate management of my elbow injury ensured a smoother and quicker recovery.

Professional Support Networks

Consulting Colleagues and Mentors Professional support networks also play a crucial role. You can consult colleagues and mentors for advice and second opinions, ensuring you make informed health decisions.When I reviewed my injury with one of my family medicine colleagues who loves sports medicine as well, he affirmed by conservative approach ± and xray. This network of professional advice was invaluable during my injury, as I could rely on trusted peers for reassurance and guidance.

While it's important to acknowledge personal health challenges, you must be mindful of it’s far-reaching effects. Your illness rarely remains an isolated issue, particularly for those with partners or family members. It's crucial to consider how your health conditions may impact your professional life and your loved ones, potentially altering their daily lives and emotional well-being. We should approach this reality with care and thoughtfulness, recognizing that our health journey extends beyond ourselves and requires sensitive navigation within our relationships.

Impact on Professional Life

Coping Mechanisms You develop robust coping mechanisms through your training and experience, including staying solution-focused, maintaining a positive outlook, and relying on your medical knowledge.

I'll be straight with you. I'm one of those people who's always been a bit obsessive about showing up. Never missed school as a kid, and in 27 years of practice, I've never once canceled a clinic because I was sick. I even scheduled my prostate surgery for a Friday morning just so I wouldn't miss my Monday to Thursday clinic. And yeah, I was back at work the following Monday, OB call and all. My wife thinks I'm nuts, and honestly, she might be right.

But here's the thing - it's not because I think I'm some kind of superhero. It's more about feeling responsible for my patients. I can't stand the thought of messing up their lives because of my own stuff. And let's be real, in my rural clinic, rescheduling 30 patients is a nightmare. It's not like we can just send them somewhere else - they're stuck waiting for me to come back. It makes the other days a total circus with double and triple bookings.

Sure, it's job security, knowing they'll always be there waiting. But man, it's relentless. There's no break, no letting up. It's just the reality of rural medicine. Not always pretty, but that's how it is.

I suspect some of you feel the same when it comes to how your own illness can affect others in your professional circle, including patients. It’s just easier and simpler to power through the illness and show up with a smile on your face. We are trained and conditioned to do this.

Then there is there is the consideration of how it affects you at home.

Impact on Family Dynamics

Role Reversal in Caregiving Your ability to handle illness effectively impacts family dynamics. When you fall ill, caregiving roles may reverse, with your non-medical spouse stepping into the caregiver role. This shift can be challenging but fosters mutual understanding and empathy. In my case, my wife’s support and understanding were vital in managing the household and my recovery. While she would have managed it differently, she gracefully supports my approach. Transparently, I’m not always as good with reciprocating her preferences when she is ill. While I’m great at taking over all the tasks and roles she filled when is out of commission—I’m not so great at “nursing, mothering, and babying” her—at least that is what she says:)

Gender Differences in Handling Illness Societal expectations and biological factors influence how men and women approach illness, affecting family dynamics. I don’t think I want to touch this hot potato, but I do acknowledge there are differences.

Practical Advantages and Cultural Perspectives

Access to Medications Practical advantages, like easy access to medications through your professional network, your practical knowledge about OTC medications, and knowing when to seek medical help, further aid in illness management.

Integrating Medical Traditions Cultural perspectives on illness management can influence your approach, integrating both Western and Eastern medical traditions. Understanding cultural attitudes towards illness helps you navigate expectations and manage your health effectively as well.

Conclusion

In conclusion, you likely handle being sick better than your spouse due to your medical training, experience, stress management techniques, and access to resources. These factors collectively contribute to your resilience and effective illness management. Understanding these dynamics can help your family support each other better during illness, enhancing mutual empathy and care.

I want you to know that your approach to managing your illness is deeply personal, and there's no one-size-fits-all solution. It's completely understandable if you don't feel like being a superhero when it comes to your health – that's okay. Your well-being is what matters most, and only you can decide what feels right for you. I've noticed, both personally and professionally, that doctors often handle illness differently than their spouses do. This observation isn't meant to judge, but rather to acknowledge the unique perspectives we all bring to our health journeys. Whatever path you choose for your self-care, please know that your feelings and choices are valid, and you deserve support and understanding along the way.

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