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Being Nice Can Be Hazardous to Your Health

"Mom, what did the doctor say about your asked to volunteer,
liver function instead of jumping in with a "Yes", say,
tests?" Martha and her mother Leah spent instead, "I'll get
plenty of time on back to you on that." You will come to
the phone the days before the follow-up understand that "no"
doctor visit talking is a complete sentence, and you can
about what this abnormal blood test utter the word! If you
could mean. With a heavy can't imagine doing this, use this "fake
sigh Leah said, "Well, the doctor looked it till you make it
like he was having trick"...tell yourself that you're
a hard day, and there were lots of taking care of your
people in the waiting children's father, your mother's
room and they looked very sick, so I daughter or your pet's
didn't ask." Martha owner.Take care of yourself every
said, "If you took care of yourself with day.Get exercise, nutrition and rest
just a fraction of every day. Do something
the nurturing you give to everyone else that recharges your batteries every day
in the whole world, no matter what. It's
you would be in great shape."Leah's life a cliché, but when you're on a plane
is guided by two words: "Be nice." In her you're instructed to
perfect day, everyone gets along, she put on your own mask before taking care
anticipates and meets of others.Bring an advocate with you to
the needs of others and goes to sleep the doctor.Engaging in acts of self-care,
knowing she's a worthy like going to the doctor, can
person because people tell her so. Leah feel like swimming upstream to a
avoids conflict and people-pleaser. Being nice
she would never dream of making a scene. takes the form of being a good patient
When she gave the who doesn't make
cashier at the grocery store a $20 bill waves.Here is something critical to
for a $7 item and remember: You are not there to
got back $3 she didn't say a word. Her take care of your doctor; your doctor is
perfectionism usually there to take care
heads off criticism, but sometimes it of you. In the past you may have made
backfires. She tried your medical choices
to help her adult son, who said with by raising your antennae and tuning into
annoyance, "Mom, stop what you think will
being such a people-pleaser." Leah's make your doctor happy. You certainly
darkest fear is that want your doctor's
she will not give enough and wind up all opinion, and in most cases you will
alone, abandoned by agree with your doctor's
her friends and family.While being nice recommendations. Sometimes getting good
sounds like a good idea, there's a care means making
problem. waves, like asking , "What are the other
It doesn't work. People pleasers often treatment options?"
take care of others or requesting a more complete
at the expense of themselves. Activities explanation or seeking a
that promote second medical opinion.While it's always
health, like the daily walk and a good a good idea to take a second set of
night's sleep are listening ears to a doctor appointment,
sacrificed when someone else is in need. it's particularly
Trying to avoid or important if you're a people-pleaser. An
ignore conflict and anger is like trying advocate will
to hold a beach assure that you and your health care
ball under water. Unexpressed feelings team stay focused on
can pop up as taking care of you.Accept
physical ailments, such as heartburn or help.People-pleasers can give from dawn
depression or back to dusk, but they rarely
pain. When your value as a person is accept help, even when they're sick.
defined by what other When I ask my patients
people think about you, and you don't who are people-pleasers how it feels to
measure up, food or help a friend
alcohol medicate the emptiness.If you're struggling with illness, the answer is a
a people-pleaser who gets sick, the same broad smile. Then I
behaviors remind them that when they accept help,
that got you to the doctor in the first they give their
place may stand in friends a chance to have those same good
the way of getting good health care. You feelings.If you are a people-pleaser,
might not want to your heart might be racing. I
"trouble your doctor" with your assure you I'm not asking to give up
problems. If you have side serving others. I'm
effects from a medication, you might suggesting that a healthy life is a life
simply stop taking the in balance, and I
pills rather than tell your doctor that encourage you to treat yourself as
you want to try a nicely as you treat
different medication. A cross look from others. When you take care of yourself,
the front office you offer us the
staff when you ask for a copy of your gift of most fully who you are. Then you
medical record may be can really serve.It's more important than
all you need to decide that you're not ever to take an active role in your
doing that again.The bottom line is that healthcare. The best way to get
being nice can be hazardous to your top-quality, safe and
health. It erodes your health and effective healthcare is to actively and
impairs your ability to knowledgably
get better if you're sick.I invite you participate. Visit for the
to examine how being nice is working for tools to get you there.Copyright ©
you. Vicki Rackner MD, 2005Vicki Rackner, MD,
Serving others offers great rewards. president of Medical Bridges, is a board-
Serving at the expense certified surgeon who left the operating
of yourself comes with a huge cost that room to help
ultimately limits employees become active participants in
your ability to serve. You can be freed their health care.
from the She is a consultant, speaker and author
imprisonment of people-pleasing. If you of the *Personal
want to treat Health Journal*, author/editor of
yourself with more love and respect, *Chicken Soup for the
here are some thoughts.Re-think being Healthy Heart Soul* and author of the
nice.People-pleasing is a learned lead story for
behavior that can be unlearned. *Chicken Soup for the Breast Cancer
Although habits may be deeply engrained, Soul.* Dr. Rackner can
small changes can be reached at or
make a huge difference. Next time you're (425) 451-3777.




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