Fri. May 3rd, 2024

Since I have started my own practice, I have had hard days.

Yesterday was hard.

My Schedule included:

  • Seeing Patients
  • Business Meetings
  • Attending Graduation Services for a Family Member
  • Deep Cleaning of the Office (I’m not making enough money yet to hire a cleaning service!)

At the end of the day, I was quite tired. I hit the bed at 9:30 and was OUT! I woke up this morning – feeling refreshed! Did some yoga and meditation and now I am ready and excited for what today holds!

Before I started my practice, I had hard days. But it was quite different. On these days I would brace myself for a day of seeing 20-25 patients in time slots I knew were too short (15 minutes), but I did not have the power to change that. I’d run deep into my lunch hour and not have enough time to eat and fully decompress. I’d probably sit in my car for a while and cry for a minute that I couldn’t attend the graduation services, because canceling appointments that were made 6 months ago would take an act of healthcare congress. I’d go home with more than a dozen charts to finish and countless emails, refill requests, and messages unanswered that would linger overhead for the weekend. I could rest, but never fully, because I’d know I had so much left over work.

I would get sleep – but it was not restorative. Those kind of hard days I couldn’t just sleep off. You can’t sleep, breathe, or meditate your way out of moral injury. You can pause just long enough to get back in the game – but you know at some point that life is going to knock you down completely…

To all my friends, especially physicians and healthcare workers, who feel like making a change is too hard, please know that staying in a situation where you are undervalued and not in control is actually much harder. Yes, change is hard. You WILL have hard days, but those hard days will hit differently, and you will be able to recover.

I wish you the faith and courage you need to make the change that you know deep down is right for you. Don’t keep believing that it’s easier to stay where you are – it’s actually much harder than you think, but its the devil you know.

Dr. Cooke’s website is Sol Direct Primary Care

167820cookie-checkThe Hard Days are Different Now (A Reflection of the Power of Change) by Michelle Cooke, MD
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By Douglas Farrago, MD

Douglas Farrago MD is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Douglas Farrago, MD received his Bachelor of Science from the University of Virginia in 1987, his Masters of Education degree in the area of Exercise Science from the University of Houston in 1990, and his Medical Degree from the University of Texas at Houston in 1994. His residency training occurred way up north at the Eastern Maine Medical Center in Bangor, Maine. In his final year, he was elected Chief Resident by his peers. Dr. Farrago has practiced family medicine for twenty-three years, first in Auburn, Maine and now in Forest, Virginia. He founded Forest Direct Primary Care in 2014, which quickly filled in 18 months. Dr. Farrago still blogs every day on his website Authenticmedicine.com and lectures worldwide about the present crisis in our healthcare system and the effect it has on the doctor-patient relationship. Dr. Farrago’s has written three books on direct primary care: The Official Guide to Starting Your Own Direct Primary Care Practice, The Direct Primary Care Doctor’s Daily Motivational Journal and Slowing the Churn in Direct Primary Care (While Also Keeping Your Sanity) are all best sellers in this genre. He is a leading expert in direct primary care model and lectures medical students, residents, and doctors on how to start their own DPC practice. He retired from clinical medicine in October, 2020.

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