I was very unhappy with my life when I applied to medical school. My decision to pursue a career in medicine was borne out of a desire to fix myself in equal measure with a desire to help others. I had a naïve notion that becoming a physician, with the high income and prestige I believed would follow, would remedy my discontent.

Upon realizing my goal, I quickly learned the pitfalls of conflating my career with my identity. I took it very personally when patients had bad outcomes. I viewed my professional weaknesses as personal defects. My self-esteem declined, and I developed problems with addictive substances and even contemplated suicide during my residency training.

My state's Physicians Health Program offered a crucial lifeline to help me address and resolve problems with substance use and self-harm. However, discovering a sense of purpose outside the workplace did not come easily. My job as a physician eventually acquired a sense of drudgery, and I aspired to nothing. This malaise bled into my day-to-day life at home, too.

I discovered distance running during this period in my life. I embarked on a journey from a sedentary lifestyle to one that involved continuous training and running six full marathons over three years. The immediate benefit was that my work stressors suddenly seemed small when measured against the challenge of running 26.2 miles. I learned I was capable of more than I realized. Yet, the most valuable reward was the acquisition of self-acceptance and gratitude.

Every marathon that I ran was a physical ordeal and a desperate struggle to make it to the finish line within the 6-hour course cut-off time. As much as I tried to improve, I needed to accept that my best effort involved finishing close to last every time. My most effective tool for coping with pain and exhaustion during a race was to remind myself to be grateful that my family would be waiting for me at the finish line.

I no longer try to run marathons; my body appreciates that kindness. However, I still carry the self-acceptance and gratitude that I learned during those years into the workplace. When I receive constructive feedback about my job performance, I acknowledge opportunities to improve and accept my limitations. When I find myself dissatisfied working as a physician, I find it helpful to remind myself to be grateful that I have such a privileged job in the first place.

Me, I am the last person who would ever develop an “addiction”. I never drank much in college, never took or felt the need to experiment with hard drugs. However, a few years into the practice of medicine, I got involved in a toxic relationship and in a moment of weakness, took a sample hydrocodone that had been in my medicine cabinet for years. I did not take it for physical pain, but for emotional pain and you know what, it worked. A little too well. I was amazed at how all of my problems just vanished. I was then off to the races. I tried the geographic cure, but we all know that doesn’t work. I brought my problems with me during my move, and my addiction as well. Eventually, I got caught and was sent to the PAP of my state where they tried to protect me from board action, but I was not ready and needed to hit my bottom, which I eventually did and a consent order later, I finally was able to get sober. At first it is difficult knowing that this information is out there for anyone and everyone to see, patients, employers, family, but I found humility at that time and have repaired all of my relationships. I was able to advance my career to a point where I never thought that I could be. My work is highly respected and sought out by many patients and employers now and have over 15 years sober. I credit my state PAP, friends, the AOAAM, and family (as well as the 12 steps) to helping me achieve over 15 years of sobriety. I’ve learned that life will throw adversity at all of us, several times throughout our lives, but you have to keep going no matter what.