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Right Pause, Right Time Story and Reflection

by Dr. Tonya Caylor
Jul 31, 2025

Years ago, I was leading a medical team in Southeast Asia after the tsunami. Infrastructure was gone, local health workers were either missing or tending to their own communities, and our team, hosted by a local NGO, was running long, hot, and emotionally heavy days.

One morning, something was off. Normally steady and cohesive, team members were sharp-edged, drained, disjointed. The local lead was ready to get going. There was a full day ahead, logistics to juggle, patients waiting... The pressure to keep moving was real. But my gut said: not yet.

I asked for five minutes.

We gathered in a circle, and I invited everyone to answer just two questions:

  • What’s eating at you?
  • What are you grateful for?

 

That pause changed everything. Some frustrations were named and addressed. Others just needed to be said out loud - naming them helped people let go. Everyone named something they appreciated. And the mood shifted—tension softened, humor returned, and we moved into the day with clarity and cohesion.

I don’t always catch those moments. There’ve been plenty of times I’ve missed the cues, or ignored the nudge for a needed pause, whether for myself or someone on the team. But this time, the pause landed just right.

This came to mind recently on a hike, when I found myself reflecting on how small, intentional pauses can transform an experience - just like what Dr. Mukta Panda practices with her teams during busy inpatient rounds. Amid the clinical push, she’ll pause and ask a single question like “What surprised you today?” or “What gave you hope?” A brief check-in like that reconnects people, not just to each other, but to purpose.

We often think of rest as stopping. But a well-timed pause isn’t quitting or indulgent, it’s humanizing the work. Like someone on a steep trail who stops at each switchback to catch their breath, take in the view, and share a quick word. It doesn’t delay the summit; it makes the journey more sustainable and more enjoyable.

In medicine and leadership, there are days that feel like one relentless uphill climb. But even a two-minute pause, hydrating, breathing, asking a thoughtful question, can shift how we show up. It makes us more present, more effective, and often, even more efficient.

Reflection: Where might you or your team benefit from a well-timed pause—not to slow the mission, but to restore the humanity and connection that fuel it?

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Joy in Family Medicine – Stories & Reflections

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