As I've written, I first saw how abusive hospitals could be -- especially surgeons working in the operating room -- when my collage Dan Denison spent a week observing a team of operating room nurses in the early 1980's. The worst actions we were by a surgeon we dubbed Dr.Gooser. And I was writing The No Asshole Rule, and since I started writing this blog, I've encountered more and more research, and been told more and more stories, suggesting that nurses are among the consistently bullied workers, and doctors are often the culprits.
I just got a long, sad, and quite articulate email from a scrub nurse who feels trapped in one of these asshole infested places. I suggested that if she could possibly get out, that might be the best thing for her mental health, but it is unclear that she has this option. If not, as I've written in my tips for victims of assholes, this might be one of those cases were organized action could help, but she and others have tried that too. Despite my hesitation about recommending legal action, this just might be a case where that is the best option. Read it and tell me -- and especially her -- what you think is her best course of action. Here is the email with only the names removed to protect innocent and the guilty -- she first presents what I found to be a very thoughtful contrast between Frankl's classic and The No Asshole Rule, and then gets on to her difficult cas:
I read your book. You said that we could write to
you, so I am. Right after reading Viktor Frankl's book "Man's Search
For Meaning", I read your book. There are a lot of similarities
between the two books about how to get along in a bad work
environment, even though the content is different. Frankl survived
four Nazi prison camps and wrote about it. I read Frankl's
book and then re-read it, typing important passages into my computer since it
was a library book. By the end, I realized that I should have just
bought the book. Anyway, if you do a quick read of the first half of his
book (before the section on Logotherapy), you will see that the similarities on
how to deal with the SS and how to deal with today's work bullies are
similar.
I've read most of the how-to-deal-with-bullies-at-work books
and I think yours is the most pragmatic. You use multiple scientific
articles to back up your ideas. Furthermore, most of the other bullying
books only deal with what to do if you're the CEO or middle management.
If there is a section on what to do if you're a peon, they were obviously
written by non-peons and their suggestions were not practical (i.e. quit;
go to HR and complain <HR sides with the bully>; explain yourself to the
bully; work harder, maybe it IS you after all; support anti-bullying
legislation). Your book gets into the psyche of the asshole/bully and is
more helpful to the peons with better suggestions, even though you cover
the CEO's, too.
Some of your suggestions overlapped Frankl's solutions which
were: know what you're getting into before you accept "the job"; let
fate take its course and learn to tolerate the abuse; appreciate the good
things that happen; escape if you can; avoid the assholes in life if
possible; keep your mouth shut and blend in; always let them see you working
hard; fantasize about other things; become apathetic to your abuse or other
people's abuse; die with dignity by not succumbing to becoming an asshole
yourself. One thing he said that you didn't that I thought might help in
another publication was that the prisoner/worker should develop
relationships with lateral next line up managers. In his situation, they
were called Capos--inmate prisoner first-line supervisors. In our day, it
would be considered shmoozing or networking with lateral managers (not
your own) so that some day, you may get to make a lateral move out from under
an abusive boss or maybe another lateral manager that you have befriended will
put in a good word for you. Frankl thought that contemplating winning the
war was pointless. I bet he'd think that anti-bullying legislation was a
pie in the sky idea and didn't help the bullying victim in the 'here and
now'.
I work with cardiac surgeons. They are all pretty much
cut from the same cloth. They're all certified assholes, except for
one and I've worked with many over the years. I've been working with one
really mean surgeon on a daily basis for 20 years now. He throws things,
calls us names, charges at us like he's going to punch us or shove us, he
screams incessantly, he makes jokes about whoever is or isn't there for the
amusement of the team. The team has exhibited mobbing behavior and help
to laugh at or target whoever is the target of the day, then they go pat the
target on the back after the 8-10 hours of abuse as a parting gift for being
the abuse receptacle for the day.
Several years ago, the surgeon went absolutely nuts and pushed
a huge table full of heavy instruments. Someone caught it before it
slammed a nurse into the wall who had her back to the flying table.
It could have killed her. He physically backed up one of the scrub techs
against the wall and shook his fists at her, his face beet red and his whole
body shaking with anger. This type of behavior went on for hours as the
case dragged on. He threw things, he screamed and called people
names. In his eyes, everyone was incompetent! He was hoarse from
all of the screaming. The anesthesiologist (a doctor) who witnessed the
whole thing said that the target should have called a lawyer. Did he go
to bat for her to administration? No. Did he try to stop the
surgeon from ranting? No. After the ordeal, one of the other scrub
techs wrote a synopsis of what happened and reported the doctor to Human
Resources for what he did. Doctors at our hospital are
self-employed. They are not employees of the hospital. Furthermore,
they bring in a lot of business. They are in the asset column, we are in
the debit column. We are there to serve the physicians. A case was
built against the girl who filed the complaint. They looked into her EAP
(work sponsored counseling) files to find out if she had gone for counseling
(against the law). They looked into her medical claims to see if she had
any counseling and found that she had gone to counseling (also against the
law), and she had, for marital counseling. They called her into the head
physician's