The Story Behind The Book
As a young physician, trained as an infectious disease specialist, I had a passion for taking care of very sick people. Typically I spent the majority of my workday in the hospital treating individuals with serious illnesses – bone and joint infections, bacterial sepsis, pneumonia and the like. It was an intellectual challenge and very rewarding to make a difference at such a critical time in the lives of others.
Although happy with that position, one thing led to another when a new health insurance company was formed by the local healthcare system and needed a Medical Director. While helping the new health plan manage some drug formulary issues I became friends with its leaders. Eventually I was asked to serve as Medical Director, and after much consideration I accepted the position.
This new role was an eye opener. An entirely new way of looking at health and illness was required. No longer was I concerned with helping one person at a time, but instead I began working to create a better healthcare system to ensure that the “right things” happened for all of our members. The idea was that if the members received “quality care” they would be well. I spent a lot of time trying to ensure our members received all the “right care” at the “right time” from the “right doctor.”
Gradually it became clear to me that all my effort wasn’t really resulting in improved health or wellness for most of our members. Sure some were getting care that they wouldn’t have if not for the work of the health plan, but we weren’t really making a significant difference overall. For instance, our members were just as overweight as before. Diabetes and hypertension were still developing in our members just as in the population at large. In short, more care wasn’t producing more health.
I realized that the greatest burden of illness in our members was directly related to their lifestyles, and that more or better care wasn’t going to help most of them. Thereafter, I became much more interested in what I could do to help individuals change their life to improve their health and avoid illness in the first place.
At the same time I was becoming increasingly dissatisfied with my job in general. Working for any large firm can be frustrating, but this was really just my ego getting the best of me. Eventually I worked through the issues to once again be happy in my position. However, for a while I would think about quitting and going into practice as a primary care doctor.
Frankly, it was mostly a fantasy to avoid productively dealing with my personal issues, but I did get some useful thinking done. Some of the things I turned over in my mind were: What kind of doctor should I be? I don’t want to be the usual doctor giving pills to those who don’t get well. How can I be different? How am I going to help people change? How do people actually change anyway? What gets them to start and maintain new behaviors?
With time, I began to gain some clarity around these issues, especially as I worked through the frustrations I had with my job and changed myself. I realized how our minds can keep us trapped in old behaviors and how we can initiate change by first learning new patterns of thought and behavior. The principles of effective change and of helping others to change were becoming clear to me and I decided to try to get them down in writing.
With that, the book “just happened.” The words came easily and all the help I needed appeared in my life without much effort on my part. Within 18 months of beginning to write, I had a finished product ready for publication. I thank God for giving me this book. There is no better way for me to explain it.
I hope it helps you.
Dr. Pete