Saying Goodbye

This week marked the beginning of a big change: I shared with my partners, team and patients that I will close my practice at the end of November. Our youngest child is a senior, and the nest will be empty soon. My work in value-based care will generously allow me the flexibility to travel while working. The COVID pandemic has been difficult for healthcare workers everywhere; it certainly contributed to my decision to take a break from clinical medicine. For all these reasons, the timing is right to make a career change to administrative medicine.

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First Light

I went back to running outside this week as the weather in Kansas turned to spring. I am a planner by nature, so I always check on various must-haves before venturing out: temperature (which ranged from 80 degrees to snow this week!), wind (anything less than 10 mph is golden, up to 20 mph is tolerable), when the sun comes up and how much time that leaves me post-run before I need to be ready to roll for the day. I prefer to run at first light, in those perfect moments before the sun is above the horizon. Some days all the details line up, other days I head to the treadmill in my basement. Today was one of the perfect days: temperature low 40’s, wind speed 7 mph, sunrise 7:04am.

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Lessons from a Pandemic

I tell my children that they will be able to share firsthand stories with their children and grandchildren about a significant piece of history: the pandemic in their lifetime. It gives me perspective for this very interesting time in my own life and helps me slow down and appreciate all that is happening and everything I am learning. COVID19 has made a big impression: in 2020, in the world, in the US, in Kansas, in the healthcare community, in my own work, family and life. Some changes are negative (fear, economic impact, morbidity and mortality). And some are positive. Those useful changes are the ones I am working to recognize, learn from and pivot toward in the longer-term.

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Meadowlarks

This morning, I heard a meadlowlark outside. This bird’s song always makes me think of spring, and of hope. It made me think about all the meadowlarks in my own life, especially those who made such a difference in the last week. You know these folks, too: they build hope using their actions and words, they help us think of spring. We will make it to spring, and summer, and the end of the coronavirus pandemic. Thanks, meadowlarks. Keep singing; we need you.

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Gratitude Once More

As an early career family physician, I was blessed with three incredible mentors. From these family docs, I learned the science of medicine, and more importantly, I realized the necessity of practicing the art. I’ve been working on sharing my gratitude with those who make my life better on the regular, so I’m taking time to say thanks to those who shared so much with me and helped “grow me up” to be the family physician I am.

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Coming Home

Thanksgiving is my favorite holiday. For all of my adult life, I have preferred the quiet joy that the fourth Thursday in November brings over the hustle and bustle of Christmas. Over the years, my family built traditions that give me a moment of rest in this busy world and resonate with my soul. This year I noticed a new emotion as I think about the holiday: excited anticipation.

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Phoning a Friend

I have been practicing full scope, rural family medicine for 18 years now and I still don’t know everything I need to know. When I come upon a puzzle I don’t know how to solve, I joke with patients that I need to “phone a friend” to get help with the answer.

Some days, I am privileged to be the friend someone else is phoning for a tough problem; those opportunities allow me to give back just a little bit of the support I have received over the course of my career. If your number is in my contacts app, it’s time to say thanks. You know I’ll be calling you for more great advice real soon.

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#Gratitude

I started a gratitude journal recently - a reminder to myself that despite some crazy moments, many things in my life are GOOD. After just a day of jotting down people, events and things that I was thankful for, I felt lifted by the task. The list stretched quite long in the ensuing week, and I wanted to share a few of my favorites.

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