Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
  • About KevinMD | Kevin Pho, MD
  • Be heard on social media’s leading physician voice
  • Contact Kevin
  • Discounted enhanced author page
  • DMCA Policy
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • Group vs. individual disability insurance for doctors: pros and cons
  • KevinMD influencer opportunities
  • Opinion and commentary by KevinMD
  • Physician burnout speakers to keynote your conference
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Primary care physician in Nashua, NH | Kevin Pho, MD
  • Privacy Policy
  • Recommended services by KevinMD
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The biggest mistake doctors make when purchasing disability insurance
  • The doctor’s guide to disability insurance: short-term vs. long-term
  • The KevinMD ToolKit
  • Upgrade to the KevinMD enhanced author page
  • Why own-occupation disability insurance is a must for doctors

How this physician lives his life in the margins

Jeffrey McWilliams, MD
Physician
August 11, 2017
Share
Tweet
Share

Do you ever have that “aha!” moment? That moment when a revelation hits you with such a level of intensity that your physical being is jolted. Attention is obtained as if a Louisville slugger or defibrillator pad made contact at an opportune moment. That moment of revelation when a crimson string interwoven through the fabric of your life makes a connection, transcending childhood, college, young adulthood, professional and personal relationships. All of a sudden, memories flood in at the speed of light — coalescing into a head of revelation. I had one of those moments.

Emergency medicine is an intense, full-contact profession. We live in the trenches of life and death while wading the waters of government regulations, insurance carriers and best practices. Full engagement is essential often making it difficult to disengage when we leave the bay doors. My personal haven or disengagement comes in the way of an elevated heart rate, ear buds and a sweat laden endeavor. This is my time to decompress, reflect and refuel. Whether I’m lifting weights, pounding the pavement on a midnight run or strapped in the saddle of my road bike, it makes no difference. This is where I refuel, clear my head and return to baseline. During these pilgrimages I listen to the sounds of Sinatra, interlaced with a little Lecrae or Queen, finishing up with a TED talk or podcast. It’s my mosaic, duplicated daily with intrinsic variation.

I was recently riding my bike on an East Texas county road. The wind was brisk on my face as I felt the vibrations of the road and pounding of my heart. Sweat was dripping from my brow as I ascended a steep hill, looking forward to the restful plateau in sight. My glutes ached as lactic acid built up and filled with anaerobic metabolism. It was here, while listening to a podcast by Mark Batterson that I was hit with that “aha moment,” literally stopping my bike in the tracks. I stood there, sweat drenched as the words resonated as my crimson string, connecting the dots in my fabric. He said, “Live your life in the margins.”

“Live your life in the margins.” What does this mean? What did it mean to me?

Personally speaking, it meant I couldn’t live my life focused always on the big events, the main story or dialogue, but rather be intentional with the journey. It’s those small, seemingly meaningless interactions that often resonate the loudest and can have the biggest effect on others. In my personal life, it’s the morning drives while taking my children to school or the time spent in the checkout line at the grocery store. These moments or margins are often hidden in the storyline of evening meals, work deadlines or school concert events. It’s the time of preparation, travel or brief, unplanned interaction that is neglected as an afterthought. In the hospital or ER, it’s the brief passing in the hallway or momentary interaction with a family member. It’s the conversation in passing with a consultant or staff member while dealing with a complex cardiac event or surgical procedure. I’m not undermining the complex or obvious storyline of our daily personal or professional interaction but rather amplifying the power of being intentional with our margins.

As in Hesse’s Journey to The East, I understood that sometimes, the revelation lies in the journey and not necessary the destination. Don’t underestimate the power of a kind word or warm cup of coffee in the margins as your daily story unfolds. The reach of the crimson string in the fabric of the lives of others has a much farther reach than you may realize.

Jeffrey McWilliams is an emergency physician who blogs at Advocates Of Excellence.

Image credit: Shutterstock.com

Prev

Doctors have weight problems, too. Here’s my story.

August 11, 2017 Kevin 0
…
Next

MKSAP: 54-year-old man with dysphagia

August 12, 2017 Kevin 0
…

Tagged as: Emergency Medicine, Hospital-Based Medicine, Primary Care

< Previous Post
Doctors have weight problems, too. Here’s my story.
Next Post >
MKSAP: 54-year-old man with dysphagia

ADVERTISEMENT

More by Jeffrey McWilliams, MD

  • True happiness and fulfillment come in servitude of others

    Jeffrey McWilliams, MD
  • Thank you nurses, for rushing in when we need you most

    Jeffrey McWilliams, MD
  • This doctor defines himself as a Christian, not a physician

    Jeffrey McWilliams, MD

Related Posts

  • A physician’s addiction to social media

    Amanda Xi, MD
  • Why academic medicine needs to value physician contributions to online platforms

    Ariela L. Marshall, MD
  • Ethical humanism: life after #medbikini and an approach to reimagining professionalism

    Jay Wong
  • The life cycle of medication consumption

    Fery Pashang, PharmD
  • Medicine vs. racism: white coats for black lives

    Divya Seth, MD, MPH
  • Medicine rewards self-sacrifice often at the cost of physician happiness

    Daniella Klebaner

More in Physician

  • Why false accusations against doctors destroy careers

    Olumuyiwa Bamgbade, MD
  • Dual physician marriage: stories of love and partnership in medicine

    Deborah Shlian, MD, MBA and Joel Shlian, MD, MBA
  • First-generation physician: Navigating the first attending contract

    Sagar Chapagain, MD
  • Workplace boundaries: How to stop answering e-mails at 5 p.m.

    Yekaterina Angelova, MD
  • The lost art of connection: Why medicine needs to slow down

    Dean Robosa, MD
  • The health care economic crisis: Why the system is failing in 2026

    Harry Severance, MD
  • Most Popular

  • Past Week

    • The dangers of vertical integration in health care

      Stephanie Waggel, MD | Policy
    • The 9 laws of health care quality: Why metrics miss the point

      Constantine Ioannou, MD | Physician
    • The quiet paradox of physician mental health and medication

      Timothy Lesaca, MD | Physician
    • Navigating the patchwork of CME requirements by state

      Vladislav Tchatalbachev, MD | Physician
    • Securing physician autonomy with employer-sponsored direct primary care

      Dana Y. Lujan, MBA | Physician
    • Autonomous AI agents could strip the soul from medicine [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

      Arthur Lazarus, MD, MBA | Conditions
    • Menstrual health in medicine: Addressing the gender gap in care

      Cynthia Kumaran | Conditions
    • The dangers of vertical integration in health care

      Stephanie Waggel, MD | Policy
    • The 9 laws of health care quality: Why metrics miss the point

      Constantine Ioannou, MD | Physician
    • Why does sex work seem like a more viable path than medicine in 2026?

      Corina Fratila, MD | Physician
    • From Singapore to Canada: a blueprint for primary care transformation

      Ivy Oandasan, MD | Policy
  • Recent Posts

    • Autonomous AI agents could strip the soul from medicine [PODCAST]

      The Podcast by KevinMD | Podcast
    • The hidden cost of ignoring public health infrastructure

      Lujain Mattar | Education
    • The truth about psychiatric supplements and mental health

      Muhamad Aly Rifai, MD | Meds
    • Rethinking health care for older adults beyond lab results

      Gerald Kuo | Conditions
    • Why false accusations against doctors destroy careers

      Olumuyiwa Bamgbade, MD | Physician
    • Tracheostomy communication barriers: a gap in medical training

      Alyssa Lambrecht, DO | Conditions

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

Leave a Comment

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • The dangers of vertical integration in health care

      Stephanie Waggel, MD | Policy
    • The 9 laws of health care quality: Why metrics miss the point

      Constantine Ioannou, MD | Physician
    • The quiet paradox of physician mental health and medication

      Timothy Lesaca, MD | Physician
    • Navigating the patchwork of CME requirements by state

      Vladislav Tchatalbachev, MD | Physician
    • Securing physician autonomy with employer-sponsored direct primary care

      Dana Y. Lujan, MBA | Physician
    • Autonomous AI agents could strip the soul from medicine [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

      Arthur Lazarus, MD, MBA | Conditions
    • Menstrual health in medicine: Addressing the gender gap in care

      Cynthia Kumaran | Conditions
    • The dangers of vertical integration in health care

      Stephanie Waggel, MD | Policy
    • The 9 laws of health care quality: Why metrics miss the point

      Constantine Ioannou, MD | Physician
    • Why does sex work seem like a more viable path than medicine in 2026?

      Corina Fratila, MD | Physician
    • From Singapore to Canada: a blueprint for primary care transformation

      Ivy Oandasan, MD | Policy
  • Recent Posts

    • Autonomous AI agents could strip the soul from medicine [PODCAST]

      The Podcast by KevinMD | Podcast
    • The hidden cost of ignoring public health infrastructure

      Lujain Mattar | Education
    • The truth about psychiatric supplements and mental health

      Muhamad Aly Rifai, MD | Meds
    • Rethinking health care for older adults beyond lab results

      Gerald Kuo | Conditions
    • Why false accusations against doctors destroy careers

      Olumuyiwa Bamgbade, MD | Physician
    • Tracheostomy communication barriers: a gap in medical training

      Alyssa Lambrecht, DO | Conditions

MedPage Today Professional

An Everyday Health Property Medpage Today

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Leave a Comment

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...