Balance your work, home life
. . . on most days there are too many balls in the air. I cant keep them all the in the air and under control.
Orthopaedists tell how they reorder their lives
By Sandra Lee Breisch
The sign hanging in his office reads: "Focus, Tempo, Balance." Its a daily reminder of how he can achieve happiness and personal well-being in his life.
"All three are critical parts of an orthopaedic surgeons life," stresses Lowell D. Lutter, MD, a foot and ankle specialist in St. Paul, Minn. "Early in my career, the emphasis on performing or producing in the field of orthopaedics pushed other parts of my life out of balance. I think my three children, who are now 29, 30 and 34 years old, chose careers other than medicine because they were not interested in science. But I also wonder if one of the factors that nudged them that way was how they saw me as a doctor. To work 70 hours a week, to be on call weekends, to return home fatigued and crabby was not something they thought personally desirable."
Dr. Lutters quest to find balance between his professional and personal life is a constant struggle shared by fellow orthopaedists.
Fortunately, Dr. Lutter experienced a wake-up call early in his career.
"My wife, Judy, told me she desired to continue her graduate studies and needed some help," he says. "Although the help mostly involved getting my children off in the morning and was miniscule in the grand scheme of things, it made me realize I must slow down the speedy pursuit of a career. I found that the required modification to my program was not huge. It meant delaying a morning clinic until 9 a.m. and starting my surgical schedule later than 7:30 a.m. Minor [adjustments], but this was a break in the ironclad schedule I was led to believe I needed for success."
Every day is a balancing act for Steven E. Koop, MD, a devoted husband to Debbie and father of four young adults, ages 19 to 24, and a Deacon for the (Catholic) Archdiocese of St. Paul. He is also medical director for Gillette Childrens Specialty Healthcare and associate professor of orthopaedic surgeons at the University of Minnesota Medical School.
"Medicine is an obstacle because its time-consuming and unpredictably time-consuming," says Dr. Koop. "It would not be very accurate for me to say that every day and every week: Ive got it all put together. Things go haywire, schedules dont work and commitments dont always pan-out.
"Ive come to this realization: on most days there are too many balls in the air. I cant keep them all in the air and under control. I have to make choices each day-about what it is I can and I cannot manage that day."
So, how does Dr. Koop handle the lack of balance in his life?
"For starters, I handled the lack of balance with Gods spiritual guidance and my wife, who is my balancing indicator," he explains. "Weve had a 26-year marriage and my wife is a wonderful source of advice and a good listener. Shes very supportive, but also very honest in pointing out what Im doing that is on-track and off-track."
Dr. Koop says he was guilty of compartmentalizing. "I realized that sometimes we orthopaedists try to put things into little compartments," says Dr. Koop. "Certain parts of the day would be the compartment for family or spouse; another part of the day would be a compartment for medicine; the other would be for faith and spirituality. What I realized was that those compartments werent real. There are separations between them, of course, but the walls are pretty permeable. You cant separate like that. And when you try, you realize that all of the organizational skills and time management skills arent going to make the impossible happen. The day is going to come when conflicts emerge and thats because you insist on compartmentalizing things."
A six-month sabbatical helped Amy L. Ladd, MD, an upper extremity specialist in academic practice at Stanford Universitys orthopaedic department, do a little soul searching. She wondered how she could spend more time with her husband, three young children, practice medicine and do something goal-oriented. "I really wanted a changeto have more flexibility with family and to do something creative and academic that involved a multidisciplinary approach," she says. "Journal writing helped me figure out what was important in life, and to redirect my goals. I now have a part-time appointment to focus on the medium of computer education and graphics in medical education. Now, my professional side is more in balance due to creativity and interactivity with others outside my discipline. This permits me to work at home with some projects, which allows more flexible time with my family."
For Helen Horstmann, MD, a foot and ankle specialist who is mother of six girls ages 12 to 24 and married to a busy attorney, having time to breathe is a challenge. After all, shes also chief of the foot and ankle service, orthopaedic division, Medical College of Pennsylvania, regularly on call at a busy Level I trauma center and on various editorial boards related to her specialty.
"If you havent experienced some feeling of your life being out of balance, then youre probably not aware of it and/ or not a parent," she chides. "One of the things I tell women orthopaedic surgeons, We ladies dont have the luxury of saying to our families, I cant do it, after all, Im a doctor," she says.
Nonetheless, she "wants to" and "tries" to do it all.
"I have to keep some perspective on whats important," Dr. Horstmann says. "Maybe thats not having things in perfect order and things going just right. Our family doesnt put a high priority on material possessions and consequently, my job is not centered particularly on making the most money, but rather on something that is going to fit in with our family. For instance, I havent made career moves that might be optimal because the cost to the family would be too much."
Dr. Horstmann says that having a very supportive husband helps. "We have a value-centered life where we put God and religion as a high priority," she says. "This keeps a perspective on what were doing and where were going. We also spend as much time together as we can."
And prioritizing plays a key role in everything Dr. Horstmann does. "I think you have to prioritize whether its at home or work," Horstmann stresses. "My strengths are in running organizations, but Ive had to leave some other things on the backburner such as research. One just cant do it all. Everybody thinks that somebody is so great from afar, but often something is lacking. Somebody is running around the country as top dog, but maybe theyre not seeing their patients or their personal life is falling apart. You really have to pick and choose the things you want to do."
Because orthopaedists are often torn between professional and internal conflicts, learning to say "no" is an important element in gaining balance.