In this conversation, Ali and Shani revisit the realities of burnout, perfectionism, and rebuilding a career in medicine in a way that actually fits your life. Shani shares how closing her practice, going part time, and coaching women in medicine all connect to one idea: you do not have to wait for some future milestone to feel joy. We discuss practical mindset tools for handling difficult moments, how to reframe failure and sunk cost thinking, and why small daily actions matter more than waiting for the “right” time to change. Key topics Shani shares what has changed since her last visit, including selling her practice in January and continuing to work part time as a retina specialist.In this episode, she explains why closing a practice is not automatically a failure and how it can actually create more alignment and joy.We discuss the concept of duality and how two things can be true at once, like being worried about a patient complication and still being fully present with your kids at Disneyland.Shani breaks down a step-by-step approach for handling stressful moments: feel the feelingsseparate facts from fictioncreate a plantrust your decisionsShe explains the “arrival fallacy” and why so many physicians keep postponing joy until after the next exam, promotion, publication, or career milestone.We talk about making goals smaller and more specific so progress feels achievable and worth celebrating along the way.Shani reflects on her own burnout experience, including ending up in the ER, and uses The Gap and the Gain to show how the same story can be framed as shame or growth.In this episode, she emphasizes that burnout is largely system driven, but there is still a portion within your control, especially around boundaries, mindset, and rest.She shares practical ways she recovered, including slowing down, going part time, journaling, yoga, friendship, and creative work.We discuss why people know what would help them feel better yet still self-sabotage, often because of fear, guilt, perfectionism, or identity shifts.Shani closes with the idea that saying yes to yourself strengthens your boundaries and helps you show up better for patients, kids, and partners. Support the show