For fifteen years I ran on a single belief, that a good doctor simply pushes through. I saw more patients, worked longer days, and slowly gave up almost everything that made me feel like a person, and I told myself the exhaustion was just the price of caring.

Then came the year when everything broke at the same time. My finances fell apart, a malpractice claim landed on me, my marriage ended, and my own health gave out. Somewhere in the middle of all of it I lost track of where the hard season ended and where I began, because I had spent so long being Dr. Pierre that there was barely a Jude left underneath to take the hits.

That was rock bottom, and it turned out to be the beginning. I had to learn the one boundary that medical school never teaches, the line between who you are and what you do. Once I found it, I could start to rebuild. I changed the way I practiced so that I could breathe again, and slowly my health came back, my relationships came back, and the work I loved came back with them, because I finally had a life to bring to it.

None of my training changed during those years. What changed is that I stopped letting the job be the whole of me, and that one shift is the heart of everything I teach now.