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    Edward T. Creagan, M.D.

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  • Nov. 1, 2008

    Shifting the odds in your favor

    By Edward T. Creagan, M.D.

4 comments posted

"It all depends on your attitude." This wise advice was shared with me by a fascinating gentleman who was coming to Rochester for a routine cancer evaluation. Fortunately, his evaluations were encouraging and the cancer had not recurred. But, let me share with you the rest of the story.

It is my practice to inquire about the occupation of patients. How can we interact with the patient if we do not know their social background and the kind of work that they do? The gentleman described himself as a "corrections professional." I assumed that this was some type of law enforcement position, but his responsibilities provided a keen insight into the role of stress. Please read on.

He was an official in a "super max" facility in a distant state which focused on some of the more difficult and challenging inmates in that state's correctional environment. Our gentleman shared with me the constant sense of danger, the palpable feeling that an eruption could take place at anytime, and the sense of profound vulnerability since he was not armed.

He explained that he thought "almost everyone" who worked in that environment had stress-related illnesses such as high blood pressure, eating disorders as well as an overarching sense of anxiety. My question to him was, "How do you do this everyday?"

Here is what he told me. He emphasized the importance of an attitude of being professional, proactive, and anticipating danger but also to maintain a fundamental level of fitness. In other words, he did everything he possibly could to shift the odds in his favor to avoid a confrontation. He was psychologically and physically prepared to deal with the unexpected.

So, this is important for each of us. What can we do to be proactive, to be preemptive, and care for ourselves to shift the odds in our favor?

4 comments posted

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