Leadership is not about being the most important person in the room.

It's about creating a room full of capable people.

When information is shared, leadership is distributed, and people are trusted with ownership, communities become stronger, more creative, more resilient, and more effective.

That's how movements grow.

What happened when I moved through healthcare as a fat clinician who refused to disappear

Perimenopause strips away our capacity to tolerate the intolerable. The people-pleasing stops working. The masking stops working. The endless emotional labor stops working. We become less willing to abandon ourselves for institutions that would replace us in a week.

Maybe this transition is not asking us to become calmer, quieter, prettier, or more accommodating.

Maybe it is asking us to become fully awake.