Suitcases, Boxes, and Possibilities

In this short reflection, I explores what it means to work within real constraints; whether it’s packing a carry-on for a winter trip or trying to create system change in medicine. When influence stops moving the needle, frustration is natural, but creativity still has room to breathe. Using a story from an early chapter of my career journey; launching an indigent-care clinic with seemingly immovable barriers—she shows how “inside-the-box” problem solving can reveal pathways hiding in plain sight. This episode highlights practical discernment, reframing, and the power of asking, “Given the constraints, what now?”