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Episode 47: Signs You're Not In Control of Your Career—And What You Can Do About It with Erika Ayers Badan
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How to Talk About Health Issues at Work

For those of us with chronic health issues, it’s a topic of constant concern. Here's how to be upfront with your boss about health issues so that you can get the care you need.

We live in a culture of perpetual oversharing these days.
That can lead to a blurry line about how much to share about your personal life while at work. Depending on your relationship with your coworkers and the type of work environment you find yourself in, you may feel more inclined to be open about your personal life. But how much is too much, especially when it comes to revealing information about your health?
For those of us with mental health issues, invisible disabilities, or chronic health issues, it’s a topic of constant concern. You're stuck wondering whether your privacy will remain intact, if a job offer will be rescinded, or even whether your supervisor will believe you!
As someone with a lifelong health condition that forces me to have lengthy doctor appointments for treatment every couple of weeks, this is something that’s been on the top of my mind since I entered the workforce.

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No matter how cool or understanding your boss or company may be, it can feel like an awkward dance to explain a complicated health situation to an employer. While your boss and colleagues understand the flu or fever, a chronic health condition is tougher to explain—and it's exhausting to try.
While you are so much more than your health issues, taking the time to explain your situation to your boss can help remove some of the unnecessary stress. Here are a few tips for navigating that conversation:
All employers are legally required to give their employees reasonable accommodations to complete their jobs.

1. Know Your Rights

First and foremost, understand the law. All employers are legally required to give their employees reasonable accommodations to complete their jobs.
That means that your company cannot penalize or fire you for asking for some sort of exception to the standard way they operate (assuming you’re still completing the scope of work required in your job description).
For example, long before working from home was as widely allowed or encouraged, I’ve had to ask managers for permission to work remotely in order to accommodate my medical appointment schedule. Back then, using my available sick time or cobbling together a few sick days just wouldn’t have cut it.
When navigating a chronic illness, know your employee handbook—especially as it relates to communicating doctor's appointments, any doctor's note you might need to provide, and how much notice you're expected to give.
For more information and resources on protecting your personal health information and your employee rights, refer to these resources:
Although medical privacy laws differ in language, all employers are held to strict confidentiality rules when in comes to acquiring and disclosing any part of an employee's medical information. 

2. Consider the What and Why

Before speaking with your manager, think about what—if anything—you really need to share. Your health conditions don't necessarily translate to an obligation to share your medical history.
Is there a component of your health condition that will actually impact your role at work? Would your condition require extra support? Do you get chronic migraines and need the fluorescent lighting turned off over your cubicle? Do you require a flexible work schedule to seek treatment during office hours?
Get crystal clear on what you need to open up about.
While your workplace can, by law, require you to bring in a medical note explaining your situation, you should not feel forced to share any extra information.

3. Leave the Oversharing to Social Media

No, seriously—concise is best, at least to begin the conversation. Keep your conversation with your manager high-level—just the facts—and as simple as possible. In other words, tell your boss only what she needs to know and how it will impact your work.
If you’re a particularly open person or have a close relationship with your manager, you can consider sharing more details, but only do so when you’re absolutely, 100% comfortable. While your workplace can, by law, require you to bring in a medical note explaining your situation, you should not feel forced to share any extra information.

4. Opt for In-Person

While you can certainly do this over email, talking about complex topics like your health is often better explained in person. Disclosure in person allows your employer to ask questions, provide support, and understand what's happening.
One of the potential disadvantages of writing an email is sharing too much. Crafting an email—or many sick leave emails—can sometimes lead to overthinking and/or sharing unnecessary information.
Sure, talking in person might feel uncomfortable or more vulnerable, but think of it like ripping off a bandaid—you’ll be better off after it’s done, and it most likely won’t be as painful as you anticipate.
However, if you do feel uncomfortable discussing your medical conditions in an open office or over Zoom, describe the circumstances in an email. Emailing does have the added benefit of providing a paper trail in the case of discrimination. 
Don’t feel guilty about needing any extra support to maintain a healthy and productive life.

5. Be Confident and Solution-Oriented

Come ready with alternatives, reasonable adjustments, and solutions when chatting with your manager. In other words, really own your role and explain how you’ll be able to carry out your responsibilities successfully.
Be clear about expectations—both yours and your manager’s—and don’t feel guilty about needing any extra support to maintain a healthy and productive life.

6. Don’t Abuse Your Employer’s Flexibility or Trust

Trust is key! If your manager is going out of her way to support and help you have a more conducive work environment, make sure to stick to (or exceed) any goals or promises you may make. Don't make too many promises in exchange for human decency. 
For example, say you had surgery on your knee; if your boss requests that you email a heads-up letting her know when you’ll be ducking out for your physical therapy appointments, be sure to send that email, come rain or shine.
If you're setting out to have a conversation with your boss about a chronic health issue, don't feel the need to offer excuses. Once you've reached an agreement, you should be free to navigate appointments and rest to recover.
While perhaps a small and simple ask, the gesture can prove your reliability and commitment to your job. Once trust in the workplace has been lost, it’s almost impossible to get it back.
Stay positive and remember that good health is one of the most important aspects of life—without it, not much else is really possible—so stand up for yourself and what you need.
Are You Suffering from Workplace Burnout

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