Latest / Author Hour / There'll Never Be a Right Time: Dr. Richard Harris on White Coat, Heavy Soul
Transcript
- speaker-0: There'll never be a right time, a sign or a signal, right? You just start. Don't be in such a hurry to get your work out there that you forget to enjoy the journey. And so, yeah, I'm connected with people in this amazing spiderweb or six degrees of separation, however you want to call it, because another person that I'm close to believed in my work so much that he wanted to share it with others. And that was something I never expected. But it's been really, really magical seeing that and hearing from these people who secondhand got in contact with my book because of someone who believes in you. speaker-1: I want to start with your title because I think it carries a lot of weight and it's one of the best titles I've seen this year. So White Coat Heavy Soul, how did you arrive at that? speaker-0: Being a doctor is wearing multiple hats, right? And I felt like proverbially when you're an intern, well, not proverbial, literally when you're an intern, your coats are heavy because you're packed with tons of gear. You've got books and stethoscopes and charts and all of that. And as you go on in your career, it gets lighter where you just really have your stethoscope. So at first there's this heavy actual physical weight, but the coat gets lighter. But then as you progress into your career out of residency into being an attending and taking care of patients, then there became this mental and spiritual load. And that weight kept getting heavier and heavier as I got further from the vision of medicine that I had when I was a child. And that's where the title came from was being crushed under that title of being a physician, that image of the guy in the white coat. And how do I practice how I want to practice? How do I help people how I want to help people? But at the same time, have the ability to live my life the way I want to live my life. speaker-1: What was the biggest source of that tension? speaker-0: I think for me, I've always been focused more on preventative care, right? Ben Franklin said, in health and prevention is worth a pound of cure. We've known this for a long, long time. And the American healthcare system is dominated by private equity, hospital groups. These groups are trying to squeeze as much revenue out of the system, which may not necessarily be the best thing for patient care. Right. And I ran into that where it was all about metrics and. reimbursable things and not really anybody was asking, well, how are your patients doing? And that created a lot of angst for me and a lot of pain because I really cared about my patients. And then at the same time, a lot of my patients, I would care more about their health than they cared about their health. And that's really, really hard when you're pouring everything into somebody and they're just like, ⁓ I don't really care. speaker-1: Yeah, I imagine that gets heavy. So when did the sort of kernel of the idea for this book first emerge for you? speaker-0: think it's something I'd always wanted to do. If I look back, I thought it'd be really cool to be an author because it's hard. And I'm the kind of person that I love doing hard things. I don't shy away from hard things. turn into hard things. And I had this idea kind of rattling around in my head and it went through multiple iterations and people kept telling me I need to write a book and I didn't have the story together. I didn't really know what direction I wanted to go. And then our son was born and we went through a traumatic birth. And I said, This is the end of this part of the chapter. This is the end of this part of the story. I've accumulated everything I need to write the journey that I want to write. And I stepped away from our companies at the time and I started working on the book. Newborns just sleep all the time and my wife. So I had a lot of time, so I poured like 12 hours a day into writing this book for about three months. And that was the essence, the backbone of the story. speaker-1: Wow. So this is something you'd yearn to do for a long time. I imagine you could have written any number of books. What was the process of sort of arriving at this particular shape and frame and, you know, target reader, like this specific version of the book? speaker-0: Yeah, that was really tough for me because I'm a professional speaker. I've spoken across stages all across the U S about lifestyle medicine and personalized care. My audience is so varied. It's pharmacists, it's physicians, it's researchers, it's patients. And how did I or how could I craft the story that reaches all of those different groups? Right. And so I decided to settle on more of a human centered view of what it's like to be a physician. Because that's something that everybody can resonate with because I bet you every person in this country has seen a doctor at least once in their lives and have some association or experience with healthcare. And that was what I decided to speak to. And being on stage, I had all of these ideas that I had tried out before and talks that I had given and talks that worked and didn't work. And really a lot of the book comes from talks that really resonated with diverse audiences. And I said, okay, if this can resonate with an audience of all of those people I mentioned, I can write this and it can reach a large amount of people. speaker-1: It is a universal experience that people have. sort of what you hinted at earlier, which is like you have this, as a child, you have this notion of like doctors as heroes and almost kind of mystical, like arcane knowledge that they've accumulated. And in particular with the technology we have, feel like it's, we're really performing miracles. And then you get into the nitty gritty of the system and the constraints and the challenges that you actually have in. once you're on the inside of that kind of process and seeing. little more close up how challenging it is to actually perform some of that stuff. I can imagine there's so much curiosity and it's a common social issue. Like healthcare is an issue every election, every politician. it's a system that needs work. And I'm glad that we've got people like you kind of telling the story from the inside. They can help people understand what's going on and empathize with the humans who are caught up in that system on both sides. speaker-0: Yeah, absolutely. feel bad for everyone, every stakeholder in this. That's the actual person, right? The system's not working for doctors. It's not working for patients. And I just wanted to shed a little bit of light in my journey through as a pharmacist, as a physician, what I've experienced, how I've learned to practice how I want to practice. And hopefully it helps patients engage with a health care version that suits them and it helps future providers become the type of clinician or doctor or pharmacist or nurse or whatever that they envisioned when they were kids. speaker-1: Yeah, so is that the goal of the book to kind of give every stakeholder a little bit of a transformation that will help them get closer to their ideal role in the system or to change the system itself? speaker-0: I think so. think to change the system, it's going to have to come from all of us asking and demanding better of the system. Right. Because if you look at it from an economic perspective, if people stop buying something, if they stop using something, the manufacturer or whatever company makes it will change it to consumer preference. Right. And so if we all start demanding better systems, I think that'll happen. But in order to do so, we have to know that those options are out there. Most people don't know that those options are out there. and that they can really find a type of healthcare that fits them or their needs. And that was really what I wanted to do was show my experience navigating through all of that to help patients find what suits them and help other providers find what suits them. speaker-1: You made a pretty big choice to go off on your own. You went to do direct primary care, right? And you left the kind of classical hospital system. speaker-0: Yep, that's correct. speaker-1: Okay, so tell me about that decision. Because I imagine that was a big, like a massive life change. And also that was your kind of relationship to, all right, I'm controlling what I can control here. I'm controlling how I participate in this. speaker-0: Sure, if that decision stemmed from the moment I was doing a performance review of my first job and they were looking at how many of my patients got colonoscopies, how many of my patients were on statins, and I was like, wait a minute, I'm never gonna be the type of doc that wants to be judged by how many of my patients are on a medication. That's a surrogate outcome. The outcome is actually how are their labs doing? How are they feeling? How has their risks changed over time? That's what matters. And that's what I realized that You have to get outside of that traditional system in order to do that kind of medicine. And that's where direct primary care came in, because there's no hidden fees, there's no surprise billing. You know exactly what you pay upfront. It's usually a monthly subscription that may include labs, some clinics that may include certain medications. And it's just an easier way to interact with your physician. It's an easier way for you to know exactly. what your finances are going to look like when you interact with health care. And it's just a way for people to get out of the system what they need. know, most of these direct primary care clinics, you can spend an hour with your physician regularly. They have appointments the same day or the next day. So you don't have to turn to chat GPT or something else to try to figure out what's going on with you. You can actually talk to an expert. And so it's beautiful what's happening inside these these direct primary care clinics. And I think it's something that you're going to continue to see grow in the future. speaker-1: Yeah. mean, I would rather just pay someone to take good care of me than worry that there's, I mean, a quota or an incentive to prescribe something or do a procedure that, you know, a patient may or may not need. Like that's a fucking nightmare. That is a horrific thing. Not only are they not trying to ⁓ do the lowest intervention possible or Encourage lifestyle changes that actually make you healthier or prevent the case in the first place, but they're incentivized actually to, you know, over prescribe over intervene. That's pretty dark. speaker-0: Yeah. Yeah. Cause if you look at our guidelines that I wrote about this in the book, they're written at the population level. Right. And that makes sense. If you've got a hundred million people that you're looking at and you're giving advice, you're going to give advice. That's going to work for the most amount of people that overall causes the least amount of harm. That may not necessarily be the best thing for the person who's right in front of you. And last I checked, I'm not a population doctor. I'm an individual doctor. Right. And so I have to have the leeway to do what I think is best for the person right in front of me. And if you work in a health care system, you're often told what you can and can't do, what you can and can't prescribe, what procedures you can and can't do. So it really takes your autonomy away to deliver individualized care, which is essentially what the patients want. They don't want to be treated like they're in an assembly line. They want to be treated like they're their unique individual that they are. speaker-1: Yeah, of course. Well, we kind of breeze through your writing of the manuscript. I don't know if it was as easy as you made it sound, but you're like, yeah, no, we had a baby and then I wrote 12 hours a day and I finished it in three months. Does it actually feel easy to you or like let's go deeper on that process? speaker-0: I think for me it did because I had known that this was something I wanted to do for a long time. And I had a lot of mental notes. And then being a speaker to an author, I think a lot of people do it the other way. They author to speaker. I had already taken a lot of material and converted it into a format that was deliverable to an audience. And so having that experience for eight years, really made it easy to sequence through the information that I wanted to. And I'd already had, like I said, a library of talks that I had done where I'd found things that worked, things that resonated. People had come back to me and said, hey, your talk on this was really great. I learned this or I did this with my patient because of your talk. So I knew that material was good material. And then it was just a matter of packaging it in written word. to where that logically flowed. And I had the time. I didn't have any other distractions. speaker-1: Yeah, ability to focus deeply on it, whether that comes in an hour a day early in the morning or just a period of life where the other responsibilities kind of fall away and you've got space, makes totals. Some of the most productive writing I had was after I got out of the hospital after a procedure and I just had an absolutely clear calendar and I was stuck in bed and I had nothing else to do. I was like, all right, 12 hours a day on the laptop, no opportunity costs, here we go. So that does resonate. And I think what you're saying about the speaking thing makes a ton of sense too. A lot of authors, I feel like fly blind. They just sit there and try to come up with something that they think will resonate and they don't have a feedback loop. They don't have historical data on what works in the same way that speakers do or bloggers. Some of the most successful authors over the last 10 years have been big on blogs and social media, James Clear and Morgan Housel and my own work. is how. You of see what resonates and close this feedback loop. And when people start saying things back to you, or you can just watch them light up when you say something, you're like, ⁓ my God, that's a chapter title. And when you've got the talks and the feedback from it, I think that's a huge advantage coming into a manuscript. Because you give, not only do have the material, but you have conviction in the material. And it really removes a lot of that kind of creative doubt that you might get as you go through the process. speaker-0: I still had that for sure. Really? Because it's, know, you're, sitting in a room and my wife was the only person who read certain areas of it. And there still is that fear because it's personal. Right. So sitting at the someone and then them critiquing the book. I remember when I got the first draft back from the editor, I was super emotional about that. Right. And then you have to get outside and say, no, this person is not trying to tear your work apart. They're not trying to hurt you. You know, this is not an emotional thing. They're really just trying to make your work better. And this is what they do as a profession. And so you have to fight against that, that emotional and that fear, that anxiety response and just keep going and putting out the best material that you can. And I think at the end of the day, when I sat down, when everything was done, I asked myself, did you do the best job that you possibly could have done? with what you knew at the time, with the resources you had at the time, with your time constraints and everything else. And the answer to me is resounding yes. I think I did the best book that I could possibly do at this point in my life. And I'm very, happy with that. speaker-1: That's an incredible feeling and a great mindset, right? I think so many people, they imagine a future version of themselves that could hypothetically do a better book and they get stuck on waiting for that future version of themselves. And I think that is, you phrased it exactly right, which is like, did you do the best you could as who you are now within the constraints that you have? And that gets you to the threshold of like, okay, I'm comfortable and confident publishing this book. I don't think anybody's ever, nobody's sane has ever had 110 % conviction in pushing a book out into the world. Like it's too scary, it's too personal, it's too intimate, it's too hard. It's too like, you you're too close to it as a creator to ever kind of get rid of that last 0.01 % of like, maybe there's something else I could do. But that's a really, that is a great frame in particular, I think for first time authors to appreciate. It's a personal thing. And I appreciate what you said about the. feelings too. One of our internal mantras is we'll hurt your feelings before we let you publish a bad book. And is so much of it is managing the emotions or the ego or processing information that feels like criticism and is only ever in the interest of making the book better so that it's something that you're really, proud of. we want you to be proud enough of your book to put it in front of the most intimidating person in your network. If you're not proud to hand this to every new patient who comes in your your practice or your peers or your supervisors in the hospital, then maybe we didn't do enough collectively to make this something that you're really proud of representing you. speaker-0: Yeah. You just hit on something big that I didn't know what happened after I wrote the book. Right. Cause so any authors out there, one of the mistakes that I made is that I researched, you know, the, the writing process and the publication process and what happens when you do an editor. I didn't research what happens post-production and I didn't talk to anybody about what happens post-production. And so it's a whole different ball game. Once your work is out there and what happens. And one of the things that I didn't expect was there's a close family friend of ours who's a retired judge and he lives in a small town in Indiana and he's walking around his small town of Indiana with my book, just giving it out to people. Right. And some of those people have reached out to me. And so, yeah, I'm connected with people in this amazing spiderweb or six degrees of separation, however you want to call it, because another person that I'm close to believed in my work so much that he wanted to share it with others and that was something I never expected but it's been really really magical seeing that and hearing from these people who secondhand got in contact with my book because of someone who believes in you. speaker-1: That's so cool. Yeah. The, the, loops that close like these long loops, they kind of make their way back to you are really wonderful. And for context, like, I mean, it's only been what six or seven weeks since you published your book, right? speaker-0: Yes. ⁓ February 24th, the day the print copy went live and then the audible went live, I think, ⁓ three weeks ago, something like that. So it really hasn't been that much time. And I've seen so many rewards. Of course there's the monetary stuff, but everybody always says, don't write a book anticipating huge monetary rewards. Right. speaker-1: Yeah. Yeah, especially if you're a doctor. speaker-0: Yeah. ⁓ But that's like anything in life. If you do it just for the money, it's probably not going to go the way you think it's going to go. Right. But all of the other things that I've seen happen because of the book and. One of the really surprising things was. My wife and her coming to me and just be like, I am so, so, so, so proud of you for doing this. And now having my son. who can one day read this book and look at what happened in my life and then having the ability to talk to my son about, son, we're a family who does hard things. And here's the proof right here. This is our legacy. This is the legacy of a Harris. We do hard things. And it's just all of those other aspects and benefits. I think our reasons why you should write a book and not just look at, okay, what can I profit from it or what? goal does it help me achieve? had all that. This was a platform book for me. I wanted to get on more stages. That's what the original goal was. But now I've seen all these other secondary benefits. And those to me are way more impactful than the goals that I started off with when I wrote the book. speaker-1: That's so cool. And it's very hard to fully explain this to somebody who hasn't sort of felt it themselves. you know, sometimes I say like a book is a tailwind on everything else you ever do, or it's a multiplier effect, or doors will open that you didn't even know were there. You know, these unexplained good things sort of start to happen as a result of just having this new surface area out into the world. I talked to somebody yesterday who was like, I had a rough sense that it would help my consulting practice. I did not expect to get invited to do a workshop at the UN General Assembly. I was like, really, really cool. Yeah, that's just unexplained good stuff just starts to happen. To your point about the legacy, it goes for years. Our books will outlive us. I think a lot of people spend so much time focused on the- the financial inheritance or legacy and not the intellectual, the cultural heritage of the family. And I would say there's no book, there's no object I wish existed more than a book written by my father. And I know that I will have left a shelf of books behind of like, here's how I thought about different things. Here's what I thought was important. Here's what I thought was worth immortalizing. And your kids at different ages will be able to. understand you ⁓ as they go through those ages and the decision that you made and how you laid the foundation of the family that they're growing up in, which I think is just a really incredible thing. ⁓ Podcasts are great and videos are great and social media is great, but there's a longevity and a stickiness to books that just is different. We're still reading books from 2000 years ago. It is just a very different kind of medium. speaker-0: Yeah, absolutely. I don't think it's anything that will ever be replaced. There's something inherently human about taking your knowledge and putting it on paper. And that survived the test of time. We know in medicine and certain things that we've been doing forever. Before we knew there was benefit for them, we still passed them on things like yoga. Right. I don't even know how long humans have been doing yoga, but speaker-1: and speaker-0: It's been consistently human and now we know there's all these benefits for it. And I think the same thing is true about transmitting knowledge in written form and even doing so in audio form. There is some data, some interesting data on that, the on retention of information between like audio and spoken or audio and written books. And there really doesn't seem to be that much difference. But I think it's that mindset that you're in. It's a different mindset that you're in when I'm listening to a podcast versus when I'm listening to a book or when I'm reading, you know, a magazine versus when I'm reading a book. There's a, there's a special mindset that I go into with a book. And I, I don't know where that comes from or you have that or if other people do, but that's just the way I look at it. speaker-1: I generally feel happier and more fulfilled when I'm consuming longer form content. Basically, I'm happier listening to a book than a podcast. I'm happier listening to a podcast than a short form social media, watching TikToks or whatever. Yeah, same thing with books. So yeah, I definitely feel that same thing. I'm curious, you've dropped one or two of these already, but looking back, if you were speaking to someone who's maybe a year or two kind of... behind you on the road towards becoming an author. They have the same inkling you did. It's like, think I want to write a book someday. I know I have this in me. I'm looking for either the sign or the signal or the fog to clear, whatever it is. What sort of guidance would you offer somebody in that position? speaker-0: There will never be a right time, a sign or a signal. Right. You just start. So I talk about this all the time on stages. A lot of people get motivation wrong. They think that in order to act, they have to be motivated. And that's not how our brains are wired. Our brains are wired to act first. And then the motivation comes. Right. And so if you're just waiting for this magical sign or the universe to give you something or to feel motivated to start, it won't happen. Everyone I've ever talked to that's written a book, just they made a conscientious decision that, for example, on February 1st, 2027, I'm going to sit down and I'm going to write 10 pages. And they just start that way. And then everything kind of goes from there. And it doesn't matter if it takes you five years or five days to write your book. Just get it done, get it out there, refine it, tinker with it. And you will earn so much from that process. Another thing I tell people is don't be in such a hurry to get your work out there that you forget to enjoy the journey. This is something I talk about in the book that I was in such a hurry to get through medical school and to become a physician that I rushed like 13 years of my life and didn't stop to enjoy the moments along the way. The really cool and interesting things like I got to do. I got to save people's lives. You know, that's That's a really, really cool experience. And I didn't really stop along the way to take pause and say, reflect on, wow, what really just happened and. What did I learn from it? And so those are just some some things that I would tell prospective authors. speaker-1: I love it. Yeah. It's one decision to start and then a thousand to not quit and just keep going. Yep. What are you looking forward a little bit? We're only a month or two out from your launch so far. I would love to talk to you again in two years. What do you hope will have happened over the next two years around your book? speaker-0: I think the coolest thing would be, and I talk about this in the book, I read Gifted Hands by Ben Carson. And at that moment is when I decided that I wanted to be a doctor. And I got to meet Ben Carson and I got to tell him that. And I watched his face just beam with pride. It was radiating off of him. And in two years, if some kid comes up to me and says, hey, I became a doctor because I read your book. That would be the coolest full circle moment of my life. speaker-1: love that. It is really interesting how often the answer to that question is actually one person, right? So, a lot of the most motivated and successful authors that I talk to have a story like that. want one person to choose to become a doctor. I want one person to choose to not go down a dark path personally or legally or logistically or whatever that is. I want to say one person from an abusive relationship. Those are such powerful and personal motivators. And I think there's actually a paradox where those end up becoming some of the most successful books because it's really easy to stay in the mindset of I'm talking to one person. I'm not trying to broadcast something to a million people and affect all of them. This is a very intimate one-to-one thing and you can really bring an authenticity and an energy to that that can affect a lot of people by focusing on just affecting one. speaker-0: Yep, that was my prayer from the beginning that I pray that this book just helps one person and it would be all worth it if it changes the trajectory of one person, one family, one friend group. That's a truly magical experience when you get to do that. speaker-1: Incredible. And I have no doubt that it will. When you were sitting with this manuscript and looking at the broad landscape of different ways to sort of get it out into the world, how did you approach that? You said you researched the publication process thoroughly and editors and it's a tough thing to navigate. How did you approach that and how did you make the decision? speaker-0: I looked at what was important to me. And I think the number one decision I made was I wanted full autonomy, right? And being a physician for so long and having my autonomy stripped from me, I couldn't go through that process again. All right. So that was something that I was totally unwilling to do. And so that played a big part in it. But then I also realized that I couldn't do the best work possible on my own. I needed subject matter experts to help me along the way. And That's when I decided that the hybrid publishing model would be the best for me and my goals. And I've always been someone who's been collaborative. If I don't know something, if I don't know how to do something, I'm reaching out for help immediately. The people smarter than me, better than me, people who have experience, that's always been in my workflow. And so this publishing model that you have is exactly what I wanted. It allowed me to retain my autonomy. but at the same time get the help I needed to deliver the best possible work that I could. speaker-1: Awesome. Love it. It's been a huge honor for us and across our whole team and extended team to play a part in bringing this book out into the world and helping you kind of realize this vision. Really appreciate you taking the time. I love the story. I love the book. I have no doubt that it'll have the impact that you're hoping for, praying for, and more. And I really do hope we get to close this loop in a year or two. And you got a lot more stories to lavish on us about how successful the book has been and how many doors it's opened for you and all the loops it's closed. helps more doctors and aspiring doctors find a ⁓ healthy win-win path into medicine and care and preventative medicine. Because I think this is one of the most important questions of our time. So thank you for working on it. Thank you for teaching people about it. Thank you for speaking and thanks for being here today. speaker-0: Yeah, I appreciate you have me and I appreciate your staff and everything they did for me. It was a five star wonderful experience. I would do it again. In fact, I already have some ideas for the next one. speaker-1: Right. It's a little addicting, isn't it? Yeah. Once you've been through the maze, you're like, ⁓ I can run that again. That sounds fun. Where should people go to follow along, learn more about you, get the book? speaker-0: Yeah, so easiest place is my website drharrismd.com drharrismd.com. It has everything about me, my social media links. I post a lot on YouTube and Instagram about just lifestyle medicine and preventative medicine. Easy things that you can do to improve your health today. That's really what my passion is. speaker-1: Love it. All right. I'll see you there. Take care. speaker-0: Alright, appreciate it. you