316. How to Follow Your Inner Knowing When Logic Says Otherwise

What does following your inner knowing actually look like — not in theory, but in real life, with a mortgage, three kids, and twenty years practicing medicine inside an institution? In this solo episode, Jessie shares the long-form version of her story: how she went from Kaiser pediatrician of 20 years to leading 38 retreats, coaching hundreds of physicians, building Pause & Presence with her husband Mark, moving to Nicasio Creek Farm, and stepping onto the TEDx stage.  Every turn was an act of trust. None of it was a plan. This is not a story about leaving medicine.  It is a story about what becomes possible when you stop overriding your inner knowing — and what changes for the people around you when you do. Listen to hear: Why every turning point was an act of trust, not a plan Where the name Pause & Presence actually came from Working backward from how you want to feel The catalyst that actually moves physicians to change Why making decisions from depletion keeps you stuck What intentional healing spaces make possible The unexpected ripple effect on family, marriage, and kids Pearls of Wisdom Every turn we take toward our inner knowing is an act of trust — and trust grows by following it. What we model is far more powerful than what we say. The biggest gift of change is often the ripple effect on the people we love most. You cannot know the how until you get there — you can only set yourself up well for the process. Your best ideas come in a parasympathetic state, not when you are pushing. Without the pause, we react. Without the presence, we miss our own life. Working backward from how we want to feel is one of the most underused tools in medicine. Suffering is not required to make meaningful change. Reflection Questions Where in your life are you choosing fine over alive? How do you want to feel most days — and how do you feel now? What is one small act of trust you could make this week? What are you modeling for the people we love, whether you mean to or not? Where might support help you trust your own inner knowing more? Ways to work with Jessie Mahoney MD 1:1 Coaching: www.jessiemahoneymd.com CME Wellness Retreats: www.jessiemahoneymd.com/retreats Nothing shared in the Healing Medicine Podcast is medical advice. The Healing Medicine Podcast was formerly known as the Mindful Healers Podcast.