Member Stories

The Benefits Of FSPHP From The Colorado Physician Health Program

Monday, February 8, 2016
FSPHP Member Stories

The Federation of State Physician Health Programs (FSPHP) has not only been a catalyst in increasing the presence and the face of physician health, but has been pivotal in the Colorado Physician Health Programs’ position in the sector. CPHP recognizes many benefits of the umbrella organization; best practice discussions on broader administrative (nonprofit) issues, quality improvement initiatives and inspiration, and unique perspectives on an industry that does not really “fit” into traditional forms.  CPHP has been fortunate to be an active participant within FSPHP since the organization’s founding in 1990.

In the recent past, FSPHP has become aware that the field of physician health is gaining interest from unexpected communities. This trend has led to what CPHP has deemed of the most essential aspects of the organization; a deliberate quality improvement emphasis. Each member physician health program (PHP) has wholeheartedly endeavored to become the best program they possibly can, and improve not only their clinical expertise in the field of physician health, but their presence in their communities, their impact on physicians (and often other healthcare professionals) and their image across all facets. CPHP has relied upon the quality improvement and best practice conversations among FSPHP participants and leaders to guide our improvement and continual growth. More than the answers offered by this organization, it’s the questions posed and the honest dialogue across the FSPHP that makes us be assured we are providing the best care for CPHP clients.

--Sarah Early, PsyD Executive Director

My Story Is A Miracle

Monday, February 1, 2016
PHP Participant Stories

Oct. 12, 1988: DEA agents invaded my home in search of evidence regarding distribution of controlled substances. More than 70,000 doses were registered to me and not accounted for. That day was the first time I ever admitted (to the agents) that I was a drug addict. They had other ideas. This was the end of life as I knew it. 

My Pennsylvania medical license and DEA registration were suspended and revoked, as were hospital privileges. Felony charges were issued three years later. I had to stop using narcotics and that was not possible.

On Oct. 14, two days later, knowing that my supply was frighteningly low, I prepared for suicide. I prepared two syringes: one with Midazolam, and one filled with Pavulon. They were placed in my top drawer. That same day, an old acquaintance of mine, who had previously been in much trouble, accepted my call. He gave me a phone number and said, “You do not have to feel this way anymore.” And, he said, “Life can be beyond your wildest dreams.” 

The phone number was for the Pennsylvania Physicians’ Health Program. I spoke slightly honestly for the first time about my addiction. They sent a gentleman to my home to escort me to Marworth ― a rehabilitation facility. I have been involved with PHP as a participant, monitor, and committee member over the past 27+ years with continuous sobriety since day ONE. PHP provided the framework for my recovery, monitoring, and letters of support whenever needed. I owe them my life.

I resumed practicing anesthesia in 1989 and have been professionally successful since that time. This is a direct result of PHP intervention. My story is a miracle. My path would not have been feasible without the support and guidance of PHP.

Respect For PHP Participants

Sunday, January 31, 2016
FSPHP Member Stories

I wish to reiterate my support for the Missouri Physicians Health Program and the graduates of that program. I have found the typical graduate, in my personal experience, to be hard working, conscientious, and eager for a second chance. The benefits they have brought to my organization and my patients have more than outweighed any inconvenience or fear of bad publicity their history might have posed. Whether or not such an individual is right for your organization is, of course, for you to say. However, I wish to endorse giving these individuals a second chance and looking past your understandable fears and stigma. I’ll close with the heartfelt comments of a former patient and RESPECT institute speaker: 

What I would like people to learn from me is this. The definition of stigma for those with a mental illness is the rejection and blaming of people whose conditions are considered so fearful and disgraceful that they are judged to deserve their fate.”  

Recognizing & Addressing Depression

Monday, November 23, 2015
PHP Participant Stories

When I was referred to the state PHP, I was in my second year of residency.  The residency director recognized there were some things that weren’t quite right and said that I wasn’t performing to expectations.  “Not being quite right” is a good term for what I was feeling.  I had lack of concentration, was very cynical and extremely down.  I had no energy level and couldn’t remember anything.  As much as I wanted to deny I was depressed, there was no denying it.  Even though I had heard about our state PHP during orientation, I didn’t contact them because I didn’t want that label of depression.

One thing I’ve learned from our PHP and my private therapist is a lot of people diagnose depression as having low self-esteem or constantly out of energy.  When I described what I was feeling to the PHP Associate Medical Director, she told me these feelings and events were all normal reactions associated with depression. Though a part of me didn’t want to hear this, it was helpful because it motivated me to get treatment.  It’s been a complete 180 for me now.  After a couple of weeks, I noticed a change in mood and my colleagues have said I’ve made remarkable progress.   I’ve learned I need to take care of myself.  Doctors are usually not very good at this. 

While a part of me resented being sent to the PHP, I know it was the best thing that could have happened to me, personally and as a practicing physician.  I’m probably one of the best people in my clinic for screening and addressing mental health problems.  As I explain to my patients who deny they are depressed, it’s a funny thing in our culture that you can have diabetes, heart problems or endocrine problems associated with hormone levels in your body.  Why can’t you have something wrong with hormone levels in the brain? 

Confidential Support

Wednesday, November 11, 2015
PHP Participant Stories

The first time I knew our state PHP existed was when I received a call from a PHP clinician after my husband had his initial appointment. We were dealing with some health issues, but also his drinking. The clinician was very warm, asked questions to help with the PHP’s assessment of my husband’s condition, and encouraged me to call back if I had questions or needed support.  

 Despite being reassured, I was hesitant to talk much at that time. I had the notion that the PHP was connected with the Medical Licensing Board. The longer we were involved with the PHP, the more I understood the confidentiality policy and that the PHP was independent from the Medical Licensing Board, the less fear I had. The hardest part about doctors getting help is they can’t say “I have a problem” and get help without worrying about losing their license or being subjected to public scrutiny.

My husband’s drinking was affecting our relationship and our kids, but I also worried that it could affect his ability to do his job. He didn’t drink until work was over, but I wondered how long he could be on this path without it affecting every area of his life. The ironic part was the same year he was publicly recognized for his work. 

I believe that being in recovery has had a positive impact on my husband’s practice. It’s changed him overall. When we first got married, he was a caring person who I thought would be a great doctor. And as the problem progressed, I noticed him getting less that way, he seemed more quick to judge, probably because he was stressed. With treatment, he’s become the nice guy he used to be!

A PHP Helping Physicians Succeed In The Workplace

Thursday, November 5, 2015
Workplace Stories

As a large medical group, we partner extensively with our state PHP to address various issues that arise. We strive to keep the concept of using the PHP pretty high profile.  To encourage self-referrals, we try to make sure our chiefs and physicians are comfortable recommending PHP as a resource. The state PHP brochures are included in our new physician orientation materials and we discuss the PHP in our leader training.  

Certainly if we have a physician who is identified as having a drug dependence problem we get the PHP involved immediately. Much more common though is the physician who is disruptive, burned out, or having difficulty keeping up with the workload. Our overwhelming interest is to support our physicians and improve our work environment. Improving the work environment for physicians can certainly include addressing the disruptive or low performing physician. It can also mean addressing specific beliefs or behaviors that physicians might have that are sabotaging their ability to be successful at work. Our state PHP can be helpful in determining if there is a substance abuse or mood disorder underlying such problems, but often there is not. The PHP can also help the physician understand the gravity of these disruptive behaviors, and can be there to help the physician deal with the potential for losing their job if they don't change their behavior.

Recognizing that our PHP offers its core physician health services at no cost to workplaces like ours, we proudly became a donor.  We encourage other workplaces and individuals to do so as well.

FSPHP Experience & Devotion

Wednesday, November 4, 2015
FSPHP Member Stories

Upon arrival to my first FSPHP meeting in 2005, I was warmly welcomed as a “new comer” to the field of physician health and PHPs.  At the time the state PHP where I worked was at a grassroots level of developing a physician’s health program supported by all of organized medicine including the licensure boards. 

Utilization of the FSPHP Guidelines, experience and assistance of many program directors and the leadership of the FSPHP we began the arduous process of legislative development, bylaws and ultimate incorporation into a non-profit 501(c)(3) in August 2007.  We were also able to pass legislation in 2010 providing partial funding of the PHP.  We took our first participant in November 2007 and grew 1000+% by November of 2012.  

Without the leadership of the FSPHP, devoted and experienced passionate membership of the state members and all the other associate, international and honorary members, the PHP would not be where it is today. 

Restoring My Life And Profession

Tuesday, November 3, 2015
PHP Participant Stories

My recovery started with a five month stay at a professional health treatment program  in 1989. My disease had been all-consuming for 10 years prior and included asylums, suicide attempts, jails and loss of my medical license. I had been attending physician peer support meeting since 1985 usually fortified by lortab or tylox. On release from long-term treatment, I had a full year to establish a recovery lifestyle. I went to meetings, worked and reworked the steps, established healthy relationships and eventually got my license back. I worked in prisons and free clinics the first several years, a much-needed dose of humility for a vascular surgeon.

Eventually the PHP needed an associate director and I was asked to serve, much to my surprise.  Since 2004, I have found my place in medicine and in the universe. I work shoulder to shoulder with the state director, and participate in the miracles of life-transforming recovery for me and others. My wife runs a wonderfully functional family program in conjunction with our Caduceus meeting. I am grateful for the PHP process.   

A Life Worth Living

Monday, November 2, 2015
PHP Participant Stories

My story is typical of those who have an addiction. Like others, I fell farther and farther into the depths of lying to myself and to others - that I was able to control my ability to drink, but my episodes of drinking grew more and more out of control. I was perplexed as to why I was so smart and capable, yet I could not stop myself from drinking.  Things seemed hopeless. One incident in particular woke me up to the truth: I was an alcoholic, and I needed help right away.

I remembered a presentation by the PHP in my state and I called them for help. They immediately enrolled me in the program and oversaw my aftercare and counseling programs. I practiced their advised actions and I worked closely with them to learn self-discipline and surrender. In the first year, I began to recover from this deadly disease. My process of recovery is life-long, but I am confident that the tools gained from working with the PHP will help me stay on track. I am absolutely grateful to the PHP, to all those who participate in the program, and to the governing bodies that oversee it.

Because of the PHP, I now have a wonderful life for myself and for my family. My ability to practice in my chosen profession is restored and I often volunteer in my community. Most importantly, I respect myself again and I have a life worth living.

A Safety Net Of Sobriety

Sunday, November 1, 2015
PHP Participant Stories

I have been acquainted with PHP since 1996 when I agreed to a five year commitment. I graduated from the program in 2001 and remained clean and sober for about another three years. My sponsor moved away and I thought that I could 'go it alone' and 'the result was nil, until I let go entirely. I agreed to another contract with the PHP in 2006, but could not stay sober. I returned to treatment for three months at a professional health treatment program in 2008 and again entered into a five year contract with the PHP.

Those last five years with the PHP were quite remarkable for me and my family. This PHP was a real part of my 'safety net' of sobriety, both early on and even at the end of my commitment. Early on, even though I had had an amazing time, I still needed the kinship of other PHP members in my local area. Later on during that five year time span, my wife developed multiple myeloma, a form of bone marrow cancer. Without a doubt in my mind, I know that this would have led me back into my addiction. Also during this time, a colleague overdosed and died. The PHP was there to support all of us in the area recovering community. The PHP has been blessed to have the stability and support of their staff.