Compassion fatigue is an overused buzzword. But it’s appropriate nonetheless. For all of you who work in the animal biz, you know this well. You don’t need me to tell you how much more likely you are to work longer hours for less pay than your human service counterparts. And you don’t need me to quote your actuarial stats for the dreaded “burnout” you’ve witnessed among your colleagues.
And if you work as a volunteer in this arena (as I know many of you do), you certainly don’t need me to tell you how underappreciated your work tends to go—save by the animals whose limited cognitive abilities render an appropriate expression of thanks to it’s most basic: a purr, a nuzzle and, lest you revel too much in their praise, even the occasional bite.
You also don’t need me to remind you of your frustration over the Sisyphean task before you every day as you do your part to right the world’s wrongs—one creature at a time.
I know it sucks sometimes. But it beats the alternative, right? A desk job or a sedentary life, the concern that you should be putting your money where your mouth is. We don’t have to contend with those issues. We tend to sleep OK, I think—and that usually outweighs the risk of burnout.
I know you don’t need to hear another handwrung post on the evils of backyard breeders, puppy millers, untimely euthanasias or underappreciative clients. You get those all the time.
So this one is more an indictment of vets and pet service personnel who occasionally take themselves and their mission too seriously and consequently court burnout in an inefficient spree of “save-the-worldism.”
I’m one that often counsels clients against much of the same behavior. When I recognize a client’s pathological tendency to take on too much work on behalf of a population of cats or a cadre of rescue dogs I’ll say something. Occasionally, I’ll see myself going the same way and take my own advice, too.
If you look at this blog as a “diary of a burnt-out vet,” I think you’ll discern cyclical patterns in my stress levels I believe are typical of others in this field and related animal endeavors. I’m actually considering mapping my “Vet Stress” blog entries on a calendar to identify patterns in my own personal behavior.
I’m the first to admit that professional burnout is a fear of mine and that recognition of one’s faults in that direction is the first step in reversing its effects. That’s why I look to those in my profession who model the kind of behavior I want to emulate: people who love their work and stress out minimally when things fall apart.
As a rule, these individuals display an ability to divorce themselves as much from the finances of animal medicine as humanly possible. When pets die, they know they did their best and they don’t beat themselves about the head with a stack of textbooks thinking they should have known better.
Which is not to say I want to be a heartless, money-grubbing, know-it-all vet. But I’d like to hang out long enough in this profession to say I made choices that balanced my sanity with my financial survival and professional satisfaction. For example, I’d like for once not to have to consult my budget and my weekend schedule of hospitalized patients before throwing a dinner party.
I know vets who don’t have to do this. And while you might not consider their lives as blog-worthy as mine, I think I’d trade places with them in a blink of an eye if I could get myself to follow their lead.
After all, how long can some of us live like this? How long can we work at breakneck stress pace at the expense of our own comfort and sanity? Maintaining the right foothold on that highwire business consultants call “the balancing act” is the key. And if you need a cautionary tale to prove the point, here’s a recent one:
One of our clients, a cat colony devotee, recently burnt out in spectacular fashion. So tired was she during a late night trapping session she forgot to put her large SUV in park. Opening the hatch set it in motion and it rolled right over her. She’s still in ICU.
While you my not think of this as burnout, that’s exactly what it looks like to those of us who know her well and care about her well-being. Something like this had been looming for months.
Watching her tragedy unfold had the eye-opening effect on all of us you might expect it would. That’s why I’m here to remind you to go home a little earlier. Come in a little later. Check your phone messages and emails a little les assiduously. And, most of all, hug your family a whole lot more. Ultimately, we all need to live to fight another day, right?
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Dr. Patty,
You make some very good points. It is easy to burn out on anything that is routine in our lives. Even the most spectacular of jobs would cause a person to go crazy after a while. You have every right to want something different - the question is, how will you do it? Maybe you should set aside 2 nights a week (full nights, from 5 or 6 pm until the next morning) where you have no obligations to anyone or anything but yourself. If you want to go to a movie on the whim - just go. If you want to take a Tylenol PM and sleep from 5 pm - the next morning, just do it! Burn out is a crazy thing that will get the best of you one little bit at a time. As a grad student who also works full time, I constantly have to remind myself to just FORGET ABOUT EVERYTHING ELSE for a full 24 hours at least once a month. I also try to take at least half a day out of the week on a day off from work where I do nothing but sleep or watch an On Demand movie. If nothing else, its good for the soul and it resets my engines.
That poor woman in the ICU. I often think that I could go off the deep end one day and have 100 rescue cats in my house. Last night, I was watching an animal adoption show and saw a cat that looked just like Thumbs (completely white). For a brief moment, I wanted to call the shelter and have her adopted out to my home. Thankfully, the moment of sanity hit and I realized that being an all-white cat does not obligate the cat to being anything like Thumbs. That cat doesn't deserve to be held up to "Thumbs Standards" and I don't deserve to have to buy yet another lint roller. This morning, I got up and wrote a small check to an Animal Rescue Fund in Alabama. I felt a lot better knowing that I had done "something" but had not over-extended myself in the process. (Besides, I couldn't possibly deal with one more cat who wants to sit on my laptop or its keyboard for warmth:) )
Try to take some time for YOU!
Wendy January 17th, 2008 09:02:00 AM
Wendy: My favorite approach is to warn clients ahead of time that I will be on a boat, in the Keys, away at a conference or visiting family in New York. I try to devote one weekend a month to this. If I spy an "inactive" month coming up I make sure I plan something (trip to the Everglades, kayaking or boating) so that I force myself to be away. That usually works.
Dr. Patty Khuly January 17th, 2008 09:48:00 AM
I am pretty good about blocking out time where I am unavailable--both my boss and a co-worker have smart phones so they can get email on the fly. I don't, and I won't.
I am considering taking a sabbatical next summer--I have money in the bank and I'll likely knock out my student loan by the end of the year, meaning I will be 100% debt free. The idea of taking mid June to mid September to just go down the shore or putter in my garden and only play with MY cat is really attractive for me!
I don't know how it will fly with my employer, of course--he's the one I need to get around. It can be REALLY tough working for a workaholic--he doesn't see that my need to make sure I eat lunch (and not some stuff my face in 30 seconds deal) or get out on time so I can go exercise, or being able to step out of the office for 20 minutes to do errands is something that will keep me healthy...so that I can continue to keep his clients happy.
I really would love to see some cultural shift that takes some of the guilt out taking time to take care of one's self.
DrSteggy January 17th, 2008 12:01:00 PM
What are the aspects of your job that help you feel like going on? One of my vets told me something that lifts her spirits are good owners with well-cared for pets. Last week I had seven-year-old Eli in to have blood drawn to check his thyroid. I asked my vet for a reference to a chiroprator because I could feel heat on his back and he had balked at the A-frame the day before. She felt his back and was surprised to feel how hot it was - then looked him in the face and said, " Eli, you are lucky to have a Mom so in tune with you." Of course, it doesn't hurt that my dogs are always happy to see the vet. One of them would push the door to the clinic open to get to his friends. Like dentists, it must wear on vets that so many of their patients are afraid to be there. As I was reminded by the dog in front of us, an overweight Lab who slunk into the examining room with her tail between her legs.
What makes your day?
Linda H January 17th, 2008 01:06:00 PM
Hmmm...compliant owners and recovering cases. My intussusception patient, for example. He's going home today two days post-op--hooray! Thanks for asking!
Dr. Patty Khuly January 17th, 2008 02:44:00 PM
Even working well away from the front lines I sometimes get exhausted dealing with the things people do with animals. I like to go to sites like dailypuppy to see that many people have great relationships with happy thriving pets that they love. It's all too easy to forget.
emily January 17th, 2008 04:31:00 PM
I’ve burnt-out on a few issues over the years, the chief of which is dealing with the unwitting shenanigans of an intellectually disabled sister, unfortunately.
It seems to me you are really at risk of burnout when you are getting really high value rewards out of a situation or activity which is also significantly destructive to you in some way. The exceptional joy of reaping those rewards can blind you to the downside so that you fail to protect yourself from the more negative aspects as you usually would. The damage quietly accumulates, nonetheless, until it is overwhelming – and something has to give. There often seems to be something of the addiction in these situations.
Alison January 18th, 2008 12:52:00 AM
Is there recovery? I have been a vet tech for 21 years and I felt "something" coming on. I changed jobs and now I am so screwed up in the head. Have every symptoms going for burn out. I want to feel normal again.
Joan C March 3rd, 2008 08:21:00 AM
I am just so sick of clients and incompetent staff and an uncaring, oblivious boss. My stress level and burn out meter have reached such levels that I am becoming intolerant of anything less than 100% effort from staff and clients, and how unreal is that?? I am just so sick of clients, who B.S. me about how much they love their pet and that they dont know what to do now that fifi has some horrible problem for which they have no money to treat, and proceed to assume a service will be provided for free, bc that is the compassionate thing to do, while they have never put the dog on HW prevention and the thing is crawling with fleas, has horrible periodontitis, pus coming out of an ear (which they had no idea was there until the appointment with me)! I mean come the f... on!! When I go to Midas and have $700 worth of work done on my car which was okd by me on an estimate, they expect payment up front (all of it) when I pick up the car, otherwise I DONT GET THE CAR BACK! I've worked hard to be where I am and have lost a lot along the way, bc I wanted to become a veterinarian, just to have some idiot play the compassion card on me so that they can go get their nails done, buy their pack of cigarettes or display the latest in cell phone tech, while driving away in a dam hummer, while I cant even afford medical insurance for myself. Im just sick of it, people suck, how they treat their animals is borderline neglect/abuse, and I dont know how not to feel ugly and dirty inside being part of this game, while having to be courteous and polite.
Anyway im just venting, not all days are this bad but when they're bad, they are really bad.
joyce October 9th, 2008 11:53:00 AM
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