Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • 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

Mindfulness in the journey: Finding rewards in the middle

Diane W. Shannon, MD, MPH
Physician
December 29, 2025
Share
Tweet
Share

I recently returned from a truly magical trip to Iceland. While there, my husband and I hiked, ate wonderful food, and soaked in a different culture.

On day five of six, we ventured out to find what was described as a “hot springs river,” a body of water fed equally by glacier melt and geothermal hot springs. As a floating enthusiast, this was a must-see for me.

We hiked for an hour, mostly up, then stripped down to our bathing suits and, with an international cadre, lay ourselves down in 85-degree, crystal-clear water. It was soothing, restful, and worth every step up that mountain.

Now, upon returning home, the experience has me thinking about rewards. This excursion held a precious prize for me: I was giddy with the idea of indulging my favorite hobby in a mountain pass on a day when the temperature reached a high of 52 degrees.

But what if there is no reward at the end? What if the hard work, sacrifice, and suffering don’t lead to a payoff at the end? What then?

The challenge I’m being drawn to these days is learning to celebrate, revel in, and enjoy the middle, whether or not the reward shows up later. That means appreciating that my legs can carry me up, up, up. It means pausing to notice the change in flora as we ascend. It means standing in awe of a perfect rainbow, arcing over a series of waterfalls.

This is mindfulness. Being in the present. Letting the moment sink in, rather than flash by.

What rewards might be in the middle for you today or this week?

Will you notice them? Will you let them sink in? If you do, I’d love to hear what you find.

Diane W. Shannon is an internal medicine physician and physician coach.

Prev

Treating your bone density like a retirement account [PODCAST]

December 28, 2025 Kevin 0
…
Next

Why patient trust in physicians is declining

December 29, 2025 Kevin 5
…

Tagged as: Primary Care

Post navigation

< Previous Post
Treating your bone density like a retirement account [PODCAST]
Next Post >
Why patient trust in physicians is declining

ADVERTISEMENT

More by Diane W. Shannon, MD, MPH

  • How physician coaching helps restore energy reserves

    Diane W. Shannon, MD, MPH
  • Why doctors struggle with setting boundaries

    Diane W. Shannon, MD, MPH
  • Creating safe, authentic group experiences

    Diane W. Shannon, MD, MPH

Related Posts

  • How Russian studies enriched my journey to become a physician

    Alexander Camp
  • From physician to holistic healer: my journey on Clubhouse

    Holly MacKenna, MD
  • Medicine rewards self-sacrifice often at the cost of physician happiness

    Daniella Klebaner
  • I was trolled by another physician on social media. I am happy I did not respond.

    Casey P. Schukow, DO
  • My healer, please guide me on this journey

    Michele Luckenbaugh
  • How representation in medicine transformed my journey as a medical student

    Adith Arun

More in Physician

  • Demedicalize dying: Why end-of-life care needs a spiritual reset

    Kevin Haselhorst, MD
  • Physician due process: Surviving the court of public opinion

    Muhamad Aly Rifai, MD
  • Spaced repetition in medicine: Why current apps fail clinicians

    Dr. Sunakshi Bhatia
  • When diagnosis becomes closure: the harm of stopping too soon

    Ann Lebeck, MD
  • From flight surgeon to investor: a doctor’s guide to financial freedom

    David B. Mandell, JD, MBA
  • The surgical safety checklist: Why silence is the real enemy

    Brooke Buckley, MD, MBA
  • Most Popular

  • Past Week

    • Health care as a human right vs. commodity: Resolving the paradox

      Timothy Lesaca, MD | Physician
    • My wife’s story: How DEA and CDC guidelines destroyed our golden years

      Monty Goddard & Richard A. Lawhern, PhD | Conditions
    • The gastroenterologist shortage: Why supply is falling behind demand

      Brian Hudes, MD | Physician
    • Why voicemail in outpatient care is failing patients and staff

      Dan Ouellet | Tech
    • Alex Pretti’s death: Why politics belongs in emergency medicine

      Marilyn McCullum, RN | Conditions
    • U.S. opioid policy history: How politics replaced science in pain care

      Richard A. Lawhern, PhD & Stephen E. Nadeau, MD | Meds
  • Past 6 Months

    • How environmental justice and health disparities connect to climate change

      Kaitlynn Esemaya, Alexis Thompson, Annique McLune, and Anamaria Ancheta | Policy
    • Will AI replace primary care physicians?

      P. Dileep Kumar, MD, MBA | Tech
    • A physician father on the Dobbs decision and reproductive rights

      Travis Walker, MD, MPH | Physician
    • What is the minority tax in medicine?

      Tharini Nagarkar and Maranda C. Ward, EdD, MPH | Education
    • Why the U.S. health care system is failing patients and physicians

      John C. Hagan III, MD | Policy
    • Alex Pretti: a physician’s open letter defending his legacy

      Mousson Berrouet, DO | Physician
  • Recent Posts

    • AI censorship threatens the lifeline of caregiver support [PODCAST]

      The Podcast by KevinMD | Podcast
    • Demedicalize dying: Why end-of-life care needs a spiritual reset

      Kevin Haselhorst, MD | Physician
    • Physician due process: Surviving the court of public opinion

      Muhamad Aly Rifai, MD | Physician
    • Spaced repetition in medicine: Why current apps fail clinicians

      Dr. Sunakshi Bhatia | Physician
    • When the doctor becomes the patient: a breast cancer diagnosis

      Sue Hwang, MD | Conditions
    • My journey with fibroids and hysterectomy: a patient’s perspective

      Sonya Linda Bynum | 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

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Health care as a human right vs. commodity: Resolving the paradox

      Timothy Lesaca, MD | Physician
    • My wife’s story: How DEA and CDC guidelines destroyed our golden years

      Monty Goddard & Richard A. Lawhern, PhD | Conditions
    • The gastroenterologist shortage: Why supply is falling behind demand

      Brian Hudes, MD | Physician
    • Why voicemail in outpatient care is failing patients and staff

      Dan Ouellet | Tech
    • Alex Pretti’s death: Why politics belongs in emergency medicine

      Marilyn McCullum, RN | Conditions
    • U.S. opioid policy history: How politics replaced science in pain care

      Richard A. Lawhern, PhD & Stephen E. Nadeau, MD | Meds
  • Past 6 Months

    • How environmental justice and health disparities connect to climate change

      Kaitlynn Esemaya, Alexis Thompson, Annique McLune, and Anamaria Ancheta | Policy
    • Will AI replace primary care physicians?

      P. Dileep Kumar, MD, MBA | Tech
    • A physician father on the Dobbs decision and reproductive rights

      Travis Walker, MD, MPH | Physician
    • What is the minority tax in medicine?

      Tharini Nagarkar and Maranda C. Ward, EdD, MPH | Education
    • Why the U.S. health care system is failing patients and physicians

      John C. Hagan III, MD | Policy
    • Alex Pretti: a physician’s open letter defending his legacy

      Mousson Berrouet, DO | Physician
  • Recent Posts

    • AI censorship threatens the lifeline of caregiver support [PODCAST]

      The Podcast by KevinMD | Podcast
    • Demedicalize dying: Why end-of-life care needs a spiritual reset

      Kevin Haselhorst, MD | Physician
    • Physician due process: Surviving the court of public opinion

      Muhamad Aly Rifai, MD | Physician
    • Spaced repetition in medicine: Why current apps fail clinicians

      Dr. Sunakshi Bhatia | Physician
    • When the doctor becomes the patient: a breast cancer diagnosis

      Sue Hwang, MD | Conditions
    • My journey with fibroids and hysterectomy: a patient’s perspective

      Sonya Linda Bynum | Conditions

MedPage Today Professional

An Everyday Health Property Medpage Today
  • 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...