Physician, Heal Thy Profession

I just stumbled upon this link: When Doctors Kill Themselves.

The unsettling truth is that doctors have the highest rate of suicide of any profession. Every year, between 300 and 400 physicians take their own lives—roughly one a day. And, in sharp contrast to the general population, where male suicides outnumber female suicides four to one, the suicide rate among male and female doctors is the same. (Newsweek)

Interestingly, it was written in April 2008 and not at all in response to the Ft. Hood incident yesterday. It reminded me of my thoughts from earlier today while listening to WWL talk radio. I guess because the gunman hadn't been deployed yet, it didn't occur to the callers or the host that occupational stress might have played a role -- at least not during the 45 mins. of the show that I heard.

There are obviously other factors involved (so do not go the hell off in my comments section about me being a "liberal/socialist" apologist for terrorists who hate America, or about Muslims, or tea bags, or big government, or whatever), but as a mental health professional, my first reaction was to wonder what stress military psychiatrists and psychologists, as well as civilian ones working for the VA, must be under. It's no secret that the soldiers returning from war have experienced serious psychiatric illnesses, and that the VA system is stretched very thin right now and, by extension, so are the doctors.

I wouldn't be surprised if being a doctor played a significant role in leading this psychiatrist to such a low point in his life. Physician suicide vs. going the hell off and killing others are two different things, but the two scenarios share some of the same causes.

Article on physician suicide:

they worry—not without reason—that if they admit to a mental-health problem they could lose respect, referrals, income and even their licenses...

...physicians are supposed to be the strong ones who care for the sick, not the sick ones who need to be cared for. "I did not want it to go on my medical record that I had been treated for depression," says Dr. Robert Lehmberg, 60, whose moving account of his struggle with the condition—and the stigma it carries.

Article on the Ft. Hood shooting:

The consensus at Walter Reed, Casscells said, was that Hasan was sent to Fort Hood for "a fresh start" after a difficult time at the medical center.

Hasan received a poor performance evaluation there, the Associated Press reported, quoting an official who spoke on condition of anonymity. While he was an intern, Hasan had some "difficulties" that required counseling and extra supervision, according to Dr. Thomas Grieger, who was the training director at the time...

...The military will look at all this closely and decide if there is any mental or physical illness, whether this is just a lonely guy with a remote personality who got a bad officer evaluation report and lost the confidence of his peers...

...Our focus was on the doctors to dig deep and do all they can for these guys (troops) and to have one of our own do this is personally crushing.

Healthcare providers, especially doctors, are supposed to "push through it" and perform perfectly no matter what is going on, an expectation that's hard to argue with since they're responsible for human lives. Still, at a certain point and with enough pressure, something's gotta give.

The Tebo on CNN. Gotta Lurve the TEBO!!

Would a Real Leader Please Report to the Principal's Office?

At this point, if we could just manage to smuggle a real leader into Louisiana, I'd be satisfied.

First, we've had nearly all of our state and Congressional politicians who themselves make their living off of "big government," say nothing to point out to the paranoid mobs trying to kill healthcare reform that the big scary "socialist" government is entirely run by fellow Americans and is not some strange other-worldly evil force trying to take away our rights. (When you get down to it, the government is run by the same people exerting their democratic right to bad mouth their democratic government. Otherwise, there would be no town hall meetings because what would be the point of trying to influence government policy if we had no control over it?)

Now we have school officials wasting their time -- and our money and our children's education -- trying to figure out how to accommodate parents who don't want the President to tell their children to stay in school and work hard. These are the very same parents, mind you, who send their children to school precisely so they can get an education and in doing so hopefully learn the value of hard work.

My 17-year-old son shared with me Thursday a letter distributed in school from Gayle Sloan, superintendent of St. Tammany Parish Schools. The letter explains that President Barack Obama will address schoolchildren nationwide next week, and that "he will challenge students to work hard, set educational goals, and take responsibility for their learning."

The letter also adds the following: "If you prefer for your child not to participate, please contact the school principal so that an alternate assignment can be provided outside the classroom." (Times Picayune Letter to the Editor, 9-4-2009)

From Sen. Mary Landrieu, seemingly the last "Democrat" remaining in public office, to St. Tammany Parish Schools Superintendent Gayle Sloan, it seems like no one we've put in charge of looking after our best interests has the leadership ability to do so. They'd rather take the easy way out and kowtow to the ignorant screams of those hellbent on screwing themselves out of what is in their and in their children's own best interests.

When did REAL leadership stop including the very basic role of taking an unpopular stand every now and then? If our public officials aren't willing to point out foolishness, or at the very least, the holes in their constituents' logic, then there is no reason to believe that they possess the desire or even moral conviction to lead us in the right direction at all on any issue. These are not even hard stances to take. Saying there already are people (i.e., the insurances companies) standing between us and our doctors and that Republican presidents have given similar back-to-school addresses have nothing to do with whether you support the Democrats' and the President's policy agenda.

If our leaders cannot, or worse, are unwilling to bring reason and calm to chaos, why do we need them at all?

But What Do the Parents Think?

I was heartened to read the headline "New Poll Shows N.O. Voters Like Changes in City's School System" this morning. I was even more pleased to read in the article:

The group says 74 percent of those polled said they hope leaders continue with the changes they've made in the school system.(T-P 8/27/09)

I really do hate to piss in anyone's cornflakes, especially since hope and satisfaction are rare in this town, and the opinion of voters DO reflect some truth, but this was not a survey of parents with children in these schools. So really, this is nice to know, but it's hardly solid evidence of how good our schools are.

That's when I wondered whether a survey of parents of schoolchildren would produce similar numbers. I went to the LA Dept. of Education website which has a plethora of performance data, but it's all test scores, and technology surveys, and every "accountability" measure you could think of -- except parent and student satisfaction surveys. At least not that I could find. Just to be sure, I called the Division of Standards, Assessments, and Accountability in Baton Rouge and asked the nice lady who answered if she knew of any state evaluations of parent and student satisfaction with their schools. She said not that she knew of.

That was by no means a thorough investigation (I do have a day job, people), but enough to indicate to me that this very important piece of information -- what the parents and students experiencing the changes in our schools think of them -- either doesn't exist or is nowhere as easy to find as LEAP scores and graduation rates.

I'm hoping someone tells me that I'm wrong and points me in the right direction.