Meet the Coach Testimonials Physician Growth Framework Self-Coaching Program Resource Hub
← Back to all posts

Optional Suffering

by Dr. Tonya Caylor
Jun 08, 2025

This week I invite you to look for one area of optional suffering you may want to address.

That is one in which you allow your mind to automatically go. I experienced it firsthand after a bike crash left me with broken ribs. (There's not even a cool story to go along with it - I just make a rash decision to get out of the way of a car by "gliding up onto the sidewalk" 🤦🏼).

Something stood out to me one evening a couple of weeks later as I was trying to sleep in the only position I could - supine (normally, I'm a rotisserie sleeper). I was adequately comfortable while not moving. I wished silently to be able to turn on my side. And then I thought of how long it had been since I had been able to roll over - and that's when I noticed it...

The increase in suffering. It was such a subtle shift in my thoughts. One from the present (adequately comfortable) to wishing for something different (craving-induced discomfort) to that of the past many nights (intensified misery). In just a couple of seconds, I had gone from adequately comfortable to miserable without moving a muscle!

As I coached the next few weeks, I began to see others increasing their distress due to bringing the past into it. "I was thinking of all the patients I have to have this same difficult conversation with." "They continue to schedule this category of patients wrong."

What would it be like to stay in the moment - feel the discomfort of the conversation or the scheduling error and not bring the past into that moment? No other patients allowed in the room. No other patients allowed on that schedule in your mind. Keep in mind - this strategy doesn't make the discomfort disappear but keeps it from escalating unnecessarily. It also doesn't preclude you from thinking through how to put systems in place to lessen the conversations or errors.

Once I came back to the moment that night, I was like - 'yes, adequately comfortable' - and drifted off to sleep.

Responses

Join the conversation
t("newsletters.loading")
Loading...
When Difficult Gets Interesting
I was recently talking with a leader who had navigated a complex, high-stakes situation. We discussed the stress she had experienced. I asked if in the midst of it, she had also felt energized by the challenge. I saw a little twinkle in her eye as she said, “a little.” And so, no surprise, that got me thinking about people I've known who, even during extraordinarily difficult circumstances, fin...
Asking a Better Question
One of the most powerful things we can learn is that the way we think about a situation shapes how we experience it. The facts of a situation may be outside our control. (Other people certainly are.) But between what happens and how we respond, our brains are busy making meaning – it automatically offers us thoughts, which influence how we feel, which influences how we behave, and ultimately th...
Called Up
Not too long ago, I was coaching a resident who had been struggling. Over the course of our work together, we unpacked a lot. On the last session, she said something that I will carry forward from here on out. When I asked what she was taking away from our coaching, she told me she had remembered who she truly was. She had regained perspective, empathy, and compassion, not only for others, but ...

Joy in Family Medicine – Stories & Reflections

Lessons, lightbulb moments, and honest reflections from life inside and outside medicine - served with a side of perspective.
Powered by Kajabi

Stay Connected


Join my mailing list to receive free weekly tips and insights!