According to a recent report from the Mayo Clinic, 52 percent of physicians report being burned out, and their incidence of PTSD is 15 percent, four times the levels in the regular workforce and three percentage points higher than the levels found in veterans of the wars in Iraq and Afghanistan. These sky-high stress levels inevitably have quantifiable and negative effects on both patient care and physician well-being. The Mayo Clinic found not only that a 1 percent increase in measured burnout led to a 20 to 30 percent decrease in patient satisfaction but, more worryingly still, that 15 percent of all doctors have issues with substance abuse during their careers, and that their rates of depression and suicide are twice the national levels.

The only job harder than being a doctor—so the data tells us—is being an emergency-room nurse, which comes with higher levels of burnout and depression and (at 19 percent) almost twice the level of PTSD seen in combat veterans.

And in case you’re wondering, the data reveals that, for most of us, the problem of loveless work lies less in the fact that our job is too constricted and more in the fact that we can’t figure out how to weave. The ADP Research Institute’s global engagement study revealed that only 16–17 percent of workers say they have a chance to play to their strengths every day, whereas their surveys of a representative sample of the US working population reveal that 72 percent of workers say, “I have the freedom to modify my role to fit my strengths better.” In psychology we refer to this as an attitude-behavior consistency problem—we know we can modify our roles to fit ourselves better, but most of us simply don’t.

2. WHERE DID THE LOVE GO?

“At work, according to the most recent data, less than 16 percent of us are fully engaged, with the rest of us just selling our time and our talent and getting compensated for our trouble. In the worst extremes of always-on, high-stress jobs, such as distribution centers, emergency room nursing, and teaching, incidences of PTSD are higher than they are for veterans returning from war zones. Imagine that. We’ve created work conditions that are so blind to the needs of each human being that they wind up experiencing more soul-destroying distress than soldiers who’ve witnessed the killing and harming of other human beings.

Use your emotional reaction to the raw material of your life to pinpoint which activities have these red-thread qualities.

Once you identify these red threads, your challenge will be to weave them into the fabric of your life, both at home and at work. We’ll get into how to do that later in the book, but for now please know that you do not need an entire quilt made up of only red threads. You don’t need to “do only what you love.”

Instead, you need only to find specific loves—red threads—within what you do. Recent research by the Mayo Clinic into the well-being of doctors and nurses reveals that 20 percent is the threshold level: spend at least 20 percent of your time at work doing specific activities you love and you are far less likely to experience burnout. Research by colleagues at the ADP Research Institute reinforces this finding. According to their recent global study of twenty-five thousand workers, if you have a chance to do something you love each and every day (even if you aren’t good at it yet), you are 3.6 times more likely to be highly resilient.

So, yes, love matters, but you don’t need to love all you do. You just need to find the love in what you do. And as the Mayo Clinic research reveals, even a little love goes a long, long way