Connect with Moms of Medicine: - Instagram @moms_of_medicine - Momsofmedicine@gmail.com Connect with Dr. Suzanne Koven: - Substack on writing - Instagram - Website Ali reconnects with Dr. Suzanne Koven to talk about the writing life, why clinicians feel compelled to tell stories, and how to start when the blank page feels intimidating. They also discuss the tension between medicine, humanity, and AI, plus the personal experience that became the basis of Suzanne’s upcoming memoir, The Mirror Box.In this episode: Suzanne says the first step in writing is to honor the impulse and ask why a story matters now She explains why the best entry point is often an unstable moment rather than a huge topic like childhood, equity, or doctor-patient relationships She shares her approach to getting words onto the page: capture fragments, trust the unconscious, and do not wait for a perfect outline Suzanne breaks down why she relies on deadlines instead of daily word-count routines She and Ali talk about how creative thoughts show up during real life, like showering, parenting, walking, or seeing patients They discuss the fear of sitting with not knowing, which medicine often trains clinicians to avoid Suzanne argues that literature and the humanities belong in medicine because they teach ambiguity, grief, racism, injustice, love, and family dynamics The conversation turns to AI, which Suzanne sees as impressive and seductive, but limited because it cannot replace human interpretation, intuition, or reading a patient’s cues She describes how burnout can come from being forced to ignore the moments when a clinician wants to pay closer attention and be more human Suzanne shares the central event behind The Mirror Box: a fall that ended her primary care practice, followed by a mysterious hand syndrome that changed how she understood herself and her patients She reflects on chronic pain, chronic fatigue, disability, and how illness alters identity Ali and Suzanne discuss how deeply personal writing becomes a mirror for readers, not a window into the author Suzanne revisits Letters to a Young Female Physician and says many of the concerns in that book still feel urgent today, especially sexism, imposter syndrome, pregnancy, and career pressure Timestamps: (0:00) Catching up after a year and a half away from clinical medicine (1:15) Why clinicians want to write, and what blocks them at the start (2:45) Honoring the impulse before trying to write (4:27) Finding the real story inside a single unstable moment (5:55) Why writing from a full outline makes boring prose (7:20) Why writing is not like checking off chart notes (8:57) Deadlines, not daily quotas, as Suzanne’s writing method (9:56) John Hersey, notes on the nightstand, and trusting the unconscious (12:41) Building the reflex to follow a story you cannot yet name (13:28) The “s****y first draft” and tolerating not knowing (14:46) Why literature belongs in medical training (16:37) Suzanne’s concerns about AI in medicine (18:51) Medicine as more than facts and memorization (20:02) Burnout, billing, and ignoring the moments that matter (23:33) Introducing the memoir The Mirror Box (24:17) What a mirror box is and why the title matters (25:46) The fall, the broken wrist, and the end of primary care (27:25) Situation versus story in memoir (28:19) The strange hand syndrome and the deeper meaning of the diagnosis (31:43) Chronic pain, chronic fatigue, and difficult-to-diagnose illness (33:26) Looking back at how she may have practiced differently (38:32) Whether retirement and identity loss shaped the illness narrative (41:27) How disability and trauma alter identity (42:18) Why personal writing works as a mirror for readers (46:02) Publishing a deeply personal book without shame (47:23) Wanting the book to help patients and clinicians (48:25) What still feels urgent from Letters to a Young Female Physician (50:35) The Mirror Box publication date and preorder details (51:32) Suzanne’s new Substack, Practice, for health professionals who love stories (53:17) Closing thanks and final reflections Support the show