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Physician Work Environment:
••Summer 2002/Vol. 6, No. 3

Comments from the Journal EditorsCommentaryAbstracts from articles published in other journals
Clinical articles on the practice of Permanente medicine
Poetry, Art, Musings from Permanente clinicians
Articles on KP researchArticles from a Systems perspectiveNonclinical articles on external issues
Humor tied to practice of medicine
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Soul of the Healer


By Ek Ursin, MD

 

I Need a Compass for Retirement
Or: Outline for a Life after Paycheck


A glorious ride into the sunset, or a
Semi-tragic tale of self-pity
Real tragedy:

      
Real, not perceived
  
Poor health
Death one week after retirement

Motives that trigger action
  
It is high time
  
   I can hardly wait
  
I have a right to it
     
I've worked my ... off (expletive deleted)
     
I was taken advantage of
  
I have a second career planned out
  
I need to take care of family
  
I have health problems
     
Real or perceived
  
I fear the innuendoes
     
from a boss or colleague
        
getting too old
         
judgment slipping

Factors that delay decision making
  Lack of money
     Real or perceived
  Fear of being useless
     In family
     In my head
  "I still have boundless energy"
     Real or perceived
        Reality, or wishful thinking

Fear of more time with spouse
  
Real or perceived

Other ...
  
Illusions
     
Gadgets
     
Quick fixes, and
     
Computers

Established Retirement
"Success"

  
Attitude
     
Optimist, pessimist
     
Active, passive
     
Self-centered, people-oriented
     
Fearful, accepting
Resourcefulness
  
Never had it; that's a pity
  
"Have it just like grandpa"
Hobbies
  
A panacea? For many
  
Exercise? Within reason
     
Golf's okay; avoid hang-gliding
Finances
  
Complex
     
See an expert
Family
  
Marriage, treasure it
  
Nuclear and extended, be a diplomat
  
Disability--carry the cross

Potential trouble spots; networth not the same as selfworth    Money
   Health, any doubts see your doctor

  
Depression, see your shrink
  
Isolation, see people

Real trouble spots
  
Memento Mori
  
Mental problems
  
Finances
     
Real or perceived

Can the leopard change its spots?
  
What will you/can you be?
     
Philosopher, Grandma Moses, Boulevardier, Philanderer,
      Bridgeplayer, Skydiver ...
      or blow it really big! Casino?

Practical steps
  
Attitude--being, not doing;
   networth not the same as selfworth

Values
    Combat feelings of guilt
  
 Become a joiner, if it is your cup of tea
   
AARP
   
Elderhostel (www.elderhostel.org)
   
Projects: Joy without fanaticism
Reasonable care of health
   
Exercise
   
KP "Silver Sneakers" program
   
Avoid having a fool for a doctor
   
Vaccinate
   
Diet without fanaticism
   
Two glasses Merlot, 81mg ASA/d.

The Inevitable Last Chapter
   
The cliché: sudden and unexpected,
    a blessing

   The final diagnosis given in advance,
   fate.

 

Epilogue
We should not lose sight of our glorious workdays, invigorating climate, congeniality. Dr José Bilbao defines Retirement as Life-W2 (R = L-W2).

Can we sum up our life in a clever outline or poem? Of course not. The reality of our being is much more adventuresome, challenging, hopeful, as well as hopeless, able to organize, irrational and rational, sad and cheerful.

Can we prepare for life without challenges and boundaries? You know the answer. The gurus of many persuasions have part of the answer and so had giants such as Leo Tolstoy and Thomas Mann. Our Medical Group has shown talents in many fields from learning to sculpture to writing a book about religion. Do these talented people experience happiness? Again, components of luck, fate, and genes play a large, if not major, part. Are we immortal? Not in the same body, of course, but in our children and in the writings, creations, or, for a while at least, in the memory of those who know or knew us. In summary: All is well!

Bon voyage.

 

 

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