When Simone Biles withdrew from the Olympic women’s gymnastics team final last week because of her mental health, I couldn’t help but think of another Olympian — Canadian sports legend Hayley Wickenheiser — and what happens when culture tries to eat champions for breakfast.

Wickenheiser is a five-time Olympic medalist — four golds, one silver — in women’s hockey. As a trailblazer in a male-dominated sport, she knows something about challenging stereotypes and changing culture. Several years ago, in a career full of surprises, she unleashed the biggest one of all: She went to medical school.

Wickenheiser had keen observations about the similarities and differences between medicine and Olympic sport … and how odd it is that any pursuit would equate “excellence” with personal self-destruction. One particular story stuck out.

Wickenheiser was describing her first shift on the medical wards. She worked a 20-hour stretch with a single break of 20 minutes, ate one hurried meal, used the washroom once and stumbled through four Code Blues. She described the blur of the next several days, during which she, an Olympic champion, struggled to recover from the physical impact of medical shift. Then she had a sudden insight.

She would never do that to herself again. She had the wisdom to know there wouldn’t be a prize for martyrdom. And she was smart enough not to want it anyway.

Like Biles, Wickenheiser was turning an age-old myth on its head: That to be the best, you have to compromise everything, including your health. You don’t, of course, and being an Olympian with more than 20 years of experience under her belt allowed Wickenheiser to see in a few days what it took me more than two decades to really understand.

As a chronic overachiever, I bought into old, toxic myths about excellence for much of my life. I grew up thinking that rest was a waste of time, and that self-care should be scheduled about as frequently as an oil change.

Later, the unforgiving culture of medicine programmed me to work myself to the bone. It taught me to suppress emotion, to ignore my own health, to work through any conditions, regardless of whether that was necessary or even helpful to patients.

I’m nearly twice as old as Simone Biles. It’s taken me almost all of those years to be anywhere near as brave as she is, to put up my hand and say “enough!” when my job threatened my physical and mental health. If that’s been hard for me, what’s it been like for her, a woman of color in a notoriously white field who is a survivor of sexual abuse, suffered while training in the very sport in which she excels?

I’ll never forget Wickenheiser telling me that the stress of becoming a doctor was nothing compared with her years as an Olympian, when she felt the weight of an entire country on her shoulders. Yes, medicine and many other high-pressure professions can be grueling, but the sports competitions that entertain us can create a level of stress that many of us will never understand. And changing that culture can only be undertaken by real champions — the precious few who cannot be eaten for breakfast.

What Simone Biles chose to do last week on the Olympic stage is nothing short of revolutionary. She delivered a message much of the world wasn’t ready to hear. She put her health first — and that may be her greatest signature move of all.

Jillian Horton is a writer and physician. She is the author of “We Are All Perfectly Fine: A Memoir of Love, Medicine and Healing. © 2021 Los Angeles Times. Distributed by Tribune Content Agency.