Category: Entrepreneurship
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The High Cost of Refusing to Quit
There is a word I refused to acknowledge for the first 50 years of my life. That word was “unsustainable.” I refused to acknowledge—ever—that something couldn’t continue. That something needed to end. I was resilient, tenacious, driven, ambitious and more. What I wasn’t open to was the possibility of failure. This is not something I’m writing…
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You Don’t Have to Choose Change
The strange freedom in knowing that change is coming anyway I had two conversations this week that were remarkably similar. One was with a physician. The other was with a founder whose company was in crisis. Different lives, different circumstances, but the same problem. Both felt trapped. They knew something needed to change, but every…
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Work Self vs. Caregiver Self
The disorienting shift from professional mastery to caring for an aging parent You can run a casualty drill at the hospital, restructure a division, create a performance improvement plan, or sit across from a board and defend a number down to the decimal. You can walk into a crisis meeting and be the calmest person…
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Burnout Is Decreasing. So Why Do So Many Physicians Want Out?
Maybe we’re measuring the wrong problem Yet another weekend spent staring at the screen: refilling prescriptions, approving prior-authorization requests, making specialist referrals, charting, reviewing faxes (aren’t those supposed to be gone by now?), and finally spending some time reviewing test results. By Sunday evening, she felt like she’d worked an entire week. Only to arrive…
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From The Outside-In
What almost getting hacked taught me about AI, human experience, and what it means to understand I am fairly new to Substack and love it! I have naively scrolled and typed and restacked and made notes. I’ve been happy. Then one day I came across someone, Derek Hughes, an expert who helps with writing. And,…
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So I Changed the Situation. Why Is the Pattern Still Here?
Why awareness alone isn’t enough. So I Changed the Situation. Why Is the Pattern Still Here? People often contact me with issues around their relationship with money. Maybe they were raised in an environment of scarcity and don’t quite know how to develop a different relationship to earning, spending, saving, or simply having enough. They’ve…
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When the Truth Becomes Too Expensive
The hidden cost of maintaining a reality that is no longer true What happens to us when the truth, the unvarnished truth, becomes socially, professionally, relationally, or psychologically too expensive to tell? Justin was out on the golf course with some friends as one of his buddies shared the latest and greatest achievement his wife…
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The Impossible Life You’re Trying To Lead
When every choice feels like the wrong one Someone shared a quote with me the other day: “Never give up your right to do the next right thing, for this is how we find home.” It sounds lovely, right? But I think many of us abandoned the idea of simply finding our way home a long time ago.…
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The Return
And why getting back to normal may be the wrong goal I took some time away this week to honor an important anniversary. And this morning, I found myself thinking about how we return to “normal.” To our sense of self and the rhythm of those around us. To our routines. After grief, illness, disappointment,…
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The New Double Bind of AI: “Use It. But Not Like That.”
I’m noticing something interesting with the professionals I work with. There are ongoing anxieties about using AI, but those anxieties are shifting. The anxiety is no longer only about whether we should use AI. It’s increasingly about whether we’re using it correctly, acceptably, transparently, legally, ethically, and according to rules that are still being written. You’ve heard…