Skip to content
  • About
  • Contact
  • Contribute
  • My Book
  • Careers
  • Podcast
  • Transcripts
  • Speaking
KevinMD
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
    • All
    • Physician
    • Burnout
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • About
    • Contact
    • Contribute
    • My Book
    • Careers
    • Podcast
    • Transcripts
    • Speaking
KevinMD
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
    • All
    • Physician
    • Burnout
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • About
    • Contact
    • Contribute
    • My Book
    • Careers
    • Podcast
    • Transcripts
    • Speaking
  • About Kevin Pho, MD, Founder of KevinMD
  • Be heard on social media’s leading physician voice
  • Contact Kevin
  • Custom enhanced author page pricing
  • DMCA Policy
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • 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
  • Upgrade to the KevinMD enhanced author page

Unlock your freedom: Replace “should” with “could”

Diane W. Shannon, MD, MPH
Physician
May 8, 2024
Share
Tweet
Share

Intriguing question: What is one word that can free us?

You might think it is love.

Love is so powerful in lifting shame, sadness, and loneliness, but that’s not the kind of freedom I’m referring to. Instead, I’m referring to the freedom to put aside others’ presumed or verbalized expectations of us and do something in our own best interest.

That magical word is “could.” At first glance, this might not seem like a term that holds the power to free our inner potential and help us achieve our dreams, but try using it in place of should, and doors swing open.

“I should do the laundry instead of the 30-minute yoga class” becomes “I could do the laundry instead of the 30-minute yoga class.” I might still give up a half-hour of self-care for clean sheets, but it is a choice instead of an absolute requirement with moral overtones.

“Should” is a signal that someone else’s agenda is showing up in our heads. Sometimes, it is helpful to identify that someone, but what’s more important is to recognize it as a sign that we are not owning our power. Instead, we are adopting the values and priorities of another person (who may or may not be present in our lives today) as our navigation system.

Awareness is the first step. Acceptance of the fact that we have been denying our choices is second. Action is the third. Action may mean doing exactly what followed the should, but knowing we have a choice. Or, it might mean taking a different path. If so, we will need to rustle up the courage to feel discomfort as we step into the unknown, often under the shroud of guilt.

A mentor of mine used to say, “Feel the guilt and do it anyway.” (I should clarify that she was not referring to violent or immoral acts.) She meant that we need to give ourselves permission to do what’s best for us—our well-being—and not let our behavior be dictated so much by others’ needs and desires. For people with a tendency toward people-pleasing (which many of us women in medicine seem to have), this is radical advice.

I need to repeat my mentor’s mantra often; this sort of thinking isn’t my default. However, I’ve found that it is possible for myself and my coaching clients to move beyond our default modes and prioritize ourselves and our needs on our to-do list.

Today, see what happens if you replace those shoulds with coulds.

Diane W. Shannon is an internal medicine physician and physician coach and can be reached at her self-titled site, Diane W. Shannon.

Prev

Challenging health care norms with collaboration and EMRs [PODCAST]

May 7, 2024 Kevin 0
…
Next

AvertD: Can a simple test help reduce opioid addiction?

May 8, 2024 Kevin 1
…

Tagged as: Primary Care

< Previous Post
Challenging health care norms with collaboration and EMRs [PODCAST]
Next Post >
AvertD: Can a simple test help reduce opioid addiction?

ADVERTISEMENT

More by Diane W. Shannon, MD, MPH

  • Why physicians get stuck in productive and numbing cycles

    Diane W. Shannon, MD, MPH
  • Physician burnout solutions: Why system change isn’t enough

    Diane W. Shannon, MD, MPH
  • How physician coaching helps restore energy reserves

    Diane W. Shannon, MD, MPH

Related Posts

  • More physician responsibility for patient care

    Michael R. McGuire
  • The health care system will cause its own physician shortage

    Advait Suvarnakar and Aashka Suvarnakar
  • How non-physician practitioners are pawns of large health care organizations

    Anonymous
  • The triad of health care: patient, nurse, physician

    Michele Luckenbaugh
  • Female physician burnout and its impact on patient care

    Raya Iqbal
  • Combating physician burnout: the case for subsidized vacations

    Angel Garcia Otano, MD

More in Physician

  • Physician burnout is not the whole diagnosis

    Gus W. Krucke, MD
  • Physician advocacy can close the gap between appointments

    Samantha Jackson Dilts, MD
  • Medical hierarchy is silencing young doctors who want to write

    Dr. Buga Charles George Kenyi
  • Why military patients carry pain a chart can’t explain

    Ann Lebeck, MD
  • Leaving medicine is a translation problem, not a loss

    Shveta Gupta, MD, MBA
  • When a divorce ends a physician’s career

    Donald J. Murphy, MD
  • Most Popular

  • Past Week

    • DEA fear is reshaping how doctors prescribe

      Ronald L. Lindsay, MD | Physician
    • The MCAT requirement persists as a norm, not as a tool

      Aniruth Ananthanarayanan | Medical Education
    • The double standard at the heart of chronic pain treatment

      Joshua Saylor | Conditions and Diseases
    • Your sinus infection may not be an infection

      Franklyn R. Gergits, DO, MBA | Conditions and Diseases
    • Insurance denial after transplant: Approval isn’t access

      Payton Herres | Conditions and Diseases
    • Pregnant resident discrimination nearly cost me everything

      Elham N. Samani, MD | Physician
  • Past 6 Months

    • Primary care crisis requires new training and skills

      Justin Oldfield, MD | Physician
    • Polycystic ovary syndrome is more than ovarian

      Oluyemisi Famuyiwa, MD | Conditions and Diseases
    • DEA fear is reshaping how doctors prescribe

      Ronald L. Lindsay, MD | Physician
    • The handwashing standard nobody finished. Until now.

      Bernadette Burroughs, RN | Conditions and Diseases
    • Primary care access is the real problem, not the system

      Payam Zamani, MD | Physician
    • Why bipolar II is not just a milder version of bipolar I

      Ethan Evans, MD | Conditions and Diseases
  • Recent Posts

    • Insurance denial after transplant: Approval isn’t access

      Payton Herres | Conditions and Diseases
    • The MCAT requirement persists as a norm, not as a tool

      Aniruth Ananthanarayanan | Medical Education
    • Physician burnout is not the whole diagnosis

      Gus W. Krucke, MD | Physician
    • Prenatal testing for Down syndrome is not a verdict

      Laurel A. Coons, PhD | Conditions and Diseases
    • Why scientific creativity and aging defy citations

      Rao M. Uppu, PhD | Medical Education
    • What does mental health when bedbound actually look like?

      Kristian Keefer | Conditions and Diseases

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

    • DEA fear is reshaping how doctors prescribe

      Ronald L. Lindsay, MD | Physician
    • The MCAT requirement persists as a norm, not as a tool

      Aniruth Ananthanarayanan | Medical Education
    • The double standard at the heart of chronic pain treatment

      Joshua Saylor | Conditions and Diseases
    • Your sinus infection may not be an infection

      Franklyn R. Gergits, DO, MBA | Conditions and Diseases
    • Insurance denial after transplant: Approval isn’t access

      Payton Herres | Conditions and Diseases
    • Pregnant resident discrimination nearly cost me everything

      Elham N. Samani, MD | Physician
  • Past 6 Months

    • Primary care crisis requires new training and skills

      Justin Oldfield, MD | Physician
    • Polycystic ovary syndrome is more than ovarian

      Oluyemisi Famuyiwa, MD | Conditions and Diseases
    • DEA fear is reshaping how doctors prescribe

      Ronald L. Lindsay, MD | Physician
    • The handwashing standard nobody finished. Until now.

      Bernadette Burroughs, RN | Conditions and Diseases
    • Primary care access is the real problem, not the system

      Payam Zamani, MD | Physician
    • Why bipolar II is not just a milder version of bipolar I

      Ethan Evans, MD | Conditions and Diseases
  • Recent Posts

    • Insurance denial after transplant: Approval isn’t access

      Payton Herres | Conditions and Diseases
    • The MCAT requirement persists as a norm, not as a tool

      Aniruth Ananthanarayanan | Medical Education
    • Physician burnout is not the whole diagnosis

      Gus W. Krucke, MD | Physician
    • Prenatal testing for Down syndrome is not a verdict

      Laurel A. Coons, PhD | Conditions and Diseases
    • Why scientific creativity and aging defy citations

      Rao M. Uppu, PhD | Medical Education
    • What does mental health when bedbound actually look like?

      Kristian Keefer | Conditions and Diseases

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...