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The presence of the following signs can identify an individual whose health or performance may be impaired. Even if you are not certain a problem exists, it is important to contact the Physicians’ Health Committee for assistance.
Attitude/Behavior Changes
• Rapidly turns from compassionate and caring to abrupt/caustic
• Withdraws from friends and activities
• Becomes mistrusting, anxious, depressed, irritable
Physical Changes
• Loss of appetite or reduced level of exercise
• Looks tired; admits to insomnia
• Personal hygiene deteriorates
• Physical problems are self-treated
Performance Changes
• Misses appointments
• Makes rounds at unusual hours
• Can’t be reached when on call
• Sloppy charting
• Smell of alcohol on breath during the day
Relationship Changes
• Family communication deteriorates
• Frequent arguments, spouse blamed
• Occurrence of spouse, child abuse
• Children may exhibit poor school performance
• Jealousy, infidelity leading to separation, divorce
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