Growing up, my world consisted of good kids like Spook, Ryan, Barry, Jean, and Christy. Especially Jean, she would draw fun pictures and write nice things in a note folded up for me at school: "To Tonya, my friend. From: Jean, your friend." There were bad kids like Eddie - who would come to our s...

Over the past several weeks, I’ve introduced you to John, a fictional physician whose story reflects common themes many physicians wrestle with. He’s a mid-career family physician struggling with a career dilemma I hear often: “I’ve never stayed in one job more than x number of years. I feel like...

And just like that, it’s 2026! The perfect time for the final piece in a five-part series exploring what helps when you care deeply about something, your influence no longer influences, and meaningful change seems unlikely. Over the past several weeks, I’ve shared a few different approaches to ha...

This is Week 4 of a 5-part series exploring those moments when you care deeply about an issue, and nothing you do seems to move the needle. So far, we’ve looked at three different approaches to that situation: • Week 1: Redefining success when outcomes aren’t changing • Week 2: Navigating real co...

This is Part 3 of a 5-part series exploring what helps when influence has stopped working. Nothing moves. No matter how much skill, strategy, data, coalition-building, or heart you bring. And it’s something you care deeply about. Earlier pieces focused on redefining success and navigating constra...