Episode 5: Divorced After 40

Episode 5: Rewriting Your Story — Lessons from “Divorced After 40”

In this episode of Medical Mentor Coaching, Dr. Stacey Ishman sits down with her co-host and coach, Kirsten F. Bombdiggity, to explore the art of reinvention — not just after divorce, but after any major career or life transition. Drawing lessons from Kirsten’s book, Divorced After 40: The F** Yes Guide for Women Rewriting Their Second Act*, the conversation turns raw, honest, and surprisingly applicable for physicians navigating professional crossroads, denied promotions, or leadership shifts.

This episode reminds us that whether it’s your career, your relationships, or your identity — growth often begins where “shoulds” end.

No need to take notes — the highlights are summarized here and expanded in the blog.

If you’re in your first 10 years of practice and want structured guidance for building a career that fits you, not the other way around, DM me on Instagram @sishmancoach or email [email protected]  to learn more about the Academic Accelerator Course.

This course is designed to help you set up your practice, build your research and national reputation, and create a personalized path to promotion — without burning out or losing sight of your life outside medicine.

Key Points

1. Introduction: Reinvention and Relevance (00:00 – 02:15)

  • Dr. Stacey Ishman introduces co-host Kirsten Bombdiggity and her book Divorced After 40.

  • The conversation connects themes of personal reinvention with career transitions common to early-career physicians — denied promotions, role shifts, and the identity loss that can come with them.

2. Getting Out of Your Own Way (03:00 – 05:30)

  • Kirsten discusses how self-sabotage often comes from fear and familiarity.

  • “Fun feels dangerous” — even joy can feel unsafe to high achievers used to control and overwork.

  • Stacey relates this to academic physicians who resist change even when it could bring balance.

3. The Lighthouse vs. the Lifeboat (07:45 – 09:20)

  • Kirsten’s “lighthouse” tattoo becomes a metaphor for boundaries.

  • Physicians often act as lifeboats for patients, teams, or institutions — constantly drained.

  • Becoming a lighthouse means standing firm, guiding others without drowning yourself.

4. The “Should” Trap (12:00 – 13:45)

  • Stacey challenges the word should — noting that it often signals someone else’s expectations, not your own.

  • Physicians frequently operate from inherited definitions of success (mentors, institutions, family).

  • The key: ask “Whose voice is this?” before you commit to another obligation or project.

5. Neuroplasticity and Narrative (10:00 – 15:00)

  • Kirsten explains how mindset alone doesn’t shift behavior — your nervous system must learn safety in change.

  • Her “Neuro-Proof Narrative Quest” framework helps people rewrite their internal stories with real evidence.

  • In medicine, this translates to recognizing that thoughts and feelings aren’t facts — you can challenge both.

6. Rebuilding Community Intentionally (16:45 – 19:00)

  • Both hosts reflect on the difficulty of rebuilding connection after professional or personal loss.

  • Stacey admits she still has to coach herself into social events — one real connection at a time.

  • Kirsten offers a reframe: “Make someone else’s day better.” Helping others helps us reconnect to meaning.

7. Summary and Takeaways (19:00 – End)

  • Reinvention isn’t just for divorce — it’s for any transition where your old identity no longer fits.

  • Let go of “shoulds,” redefine success, set boundaries, and give yourself permission to choose joy.

  • The same tools that rebuild a life can rebuild a career — with compassion, courage, and curiosity.

Summary

Reinvention doesn’t require a crisis — it requires honesty.
This episode reframes “failure” as feedback, showing physicians how to reimagine their second act in medicine. Whether you’re recovering from burnout, navigating leadership shifts, or questioning what’s next, the tools of narrative coaching, boundary-setting, and self-compassion can guide your next move.

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