Latest / Deep Dive Ortho — Orthopaedic Surgery, AI & Digital Health Podcast. / The Miracle Morning
Transcript
- 0:00Welcome, welcome to the deep dive. Today, we're
- 0:02going to dig into something that honestly could
- 0:05really elevate your daily experience and unlock
- 0:07your full potential, particularly for those of
- 0:09you in really demanding fields, maybe medicine,
- 0:12law, anywhere where the pressure is high, finding
- 0:15that sustained energy, that focus, and crucially,
- 0:18that inner peace while it's not just nice to
- 0:20have, is it? It feels like an absolute necessity.
- 0:23Imagine starting your day or your shift, not
- 0:26just feeling prepared, but actually excited,
- 0:28clear -headed, and genuinely effective. So. Our
- 0:32mission today is to explore this really transformative
- 0:35framework, a kind of strategic blueprint designed
- 0:38to help you thrive even when things get incredibly
- 0:40stressful or emotionally taxing. And this isn't
- 0:42about adding more to your already packed schedule,
- 0:44not at all. It's about optimizing, really fine
- 0:46-tuning how you approach those precious morning
- 0:48and evening hours. The aim, to dramatically improve
- 0:51everything, your personal well -being, your professional
- 0:53output, your resilience in what can be a very
- 0:56demanding career. And to guide us through this,
- 0:58we have a truly insightful voice with us today,
- 1:00Professor Mo Imam. Your ability to break down
- 1:03complex ideas into something really actionable
- 1:05is going to be invaluable here. It's brilliant
- 1:08to have you with us. Let's dive straight in,
- 1:10shall we? This idea of personal evolution and
- 1:13why our mornings seem to hold such power. Thank
- 1:16you. It's genuinely a pleasure to be here. Well,
- 1:19often a good starting point is what we sometimes
- 1:21call the 95 % reality check. Now, this isn't
- 1:24meant to be judgmental in any way, but it's more
- 1:27a stark observation, actually backed by quite
- 1:29a bit of data. It suggests that a huge majority
- 1:31of people, maybe around 95%, don't quite achieve
- 1:34that life of, let's say, true freedom, deep fulfillment,
- 1:37and sustained joy they genuinely aspire to. And
- 1:40this tends to show up in various ways, struggles
- 1:42with physical health, mental clarity, emotional
- 1:45balance, relationships, even financial stability.
- 1:47That is quite a sobering thought, isn't it? And
- 1:49it's easy to think of these as big societal things,
- 1:52but they really hit home for individuals, especially
- 1:55in those high -stress roles like medicine. You
- 1:58see statistics that really things like what nearly
- 2:01half of Americans meeting criteria for a mental
- 2:03health condition by age 14, where the average
- 2:05person being significantly overweight, carrying
- 2:08thousands in debt. These aren't just numbers,
- 2:11they reflect a real underlying struggle. Professionals
- 2:14feel it acutely, the exhaustion after a long
- 2:16shift, the mental weight of complex cases, perhaps
- 2:19the strain of student debt. Precisely. And it
- 2:22often boils down to a fundamental, maybe slightly
- 2:24uncomfortable truth. Life stays the same because
- 2:27we stay the same. So to defy those statistics,
- 2:30to really unlock that potential and avoid the
- 2:32burnout we see so often, particularly in fields
- 2:35like healthcare, it requires a conscious, consistent,
- 2:39and deeply committed effort towards personal
- 2:41transformation. It's about recognizing that while
- 2:43the external stuff, hospital politics, caseloads,
- 2:46emergencies, might be challenging and often outside
- 2:49our immediate control, our internal state, our
- 2:52resilience, our own development, well, that's
- 2:55largely profoundly within our grasp. And that
- 2:57drive for change, that deep need for it often
- 3:00comes from a place of real adversity, doesn't
- 3:02it? The understanding of this whole approach
- 3:03seems rooted in a very personal story, born out
- 3:06of, well, desperation really. Indeed, yes. The
- 3:09individual whose journey really informed a lot
- 3:11of this thinking, Hal Elrod, went through two
- 3:14particularly challenging periods, rock bottoms
- 3:17you might call them, that acted as catalysts.
- 3:20The first was a truly horrific car accident when
- 3:22he was just 20. A head -on collision at over
- 3:2670 miles an hour, he actually stopped breathing
- 3:28for six minutes, suffered devastating injuries,
- 3:3011 broken bones, femur through the skin, shattered
- 3:33elbow, severed nerve, nearly lost an ear, shattered
- 3:36eye socket, fractured pelvis. Just awful. Doctors
- 3:39were incredibly bleak. They told him he might
- 3:42never walk again. Probably face life in a wheelchair.
- 3:44Yet through sheer mental grit, determination,
- 3:47and consistent visualization, imagining himself
- 3:49healing, walking. He didn't just walk again.
- 3:52He did it in three weeks. Astonishing, really.
- 3:54Confounding all the medical expectations. That's
- 3:57just an incredible physical recovery. A real
- 4:00testament to the power of the mind over the body
- 4:02and trauma. But the second rock bottom you mentioned.
- 4:04That sounds like a different kind of struggle
- 4:06altogether. Something maybe more relatable for
- 4:08professionals who might seem successful on the
- 4:10outside but are struggling internally. Absolutely.
- 4:13Years later, during the 2008 financial crisis,
- 4:15he hit a wall financially that triggered a profound
- 4:17mental and emotional breakdown. He'd been successful
- 4:20in sales but lost over half his income, wrapped
- 4:23up huge credit card debt, faced losing his home.
- 4:26It drove him into a really deep depression to
- 4:28the point where he genuinely considered suicide.
- 4:31And he described this period quite vividly as
- 4:33feeling worse than death. The contrast is stark,
- 4:36isn't it? With the accident, he had visible support
- 4:39doctors, nurses, family, friends, all rallying
- 4:41around. Clear steps for recovery. But during
- 4:44the financial crisis, he felt completely alone.
- 4:47No roadmap, no external structure overseeing
- 4:49his recovery. Just him and his despair. That
- 4:52really hits home how isolating those mental and
- 4:54emotional battles can feel, even for people used
- 4:56to overcoming huge physical hurdles. So what
- 4:59was the turning point? What shifted things for
- 5:01him? Well, the breakthrough came during a run,
- 5:03actually. A friend suggested he go for a run
- 5:06when he was at his absolute lowest point, feeling
- 5:08completely hopeless. And while he was running,
- 5:10listening to a personal development audio, he
- 5:12heard this quote from Jin Ron. Your level of
- 5:15success will seldom exceed your level of personal
- 5:18development because success is something you
- 5:20attract by the person you become and That single
- 5:24sentence heard that moment of utter desperation
- 5:26was like a light bulb going on. It was the missing
- 5:28piece He realized he'd been chasing say level
- 5:3210 success in his career health relationships
- 5:35But he only been putting in level 2 effort towards
- 5:38developing himself into the person capable of
- 5:40attracting and sustaining that success It was
- 5:43a profound shift He understood. To have better,
- 5:46he needed to become better first. Wow. That is
- 5:48a powerful realization. Moving the focus from
- 5:51chasing outcomes to internal growth. Becoming
- 5:54the person who naturally draws success in. But,
- 5:57and this is the big one for so many people, especially
- 5:59busy professionals, doctors, lawyers, anyone
- 6:02with a packed schedule, the immediate question
- 6:04is, where on earth do I find the time? Adding
- 6:07anything new feels almost impossible sometimes.
- 6:10Precisely. That's the immediate hurdle. He initially
- 6:13thought about evenings, you know, dedicate time
- 6:15then. But quickly realized, after a long day,
- 6:18you're either knackered, mentally drained, or
- 6:20you rightly want to spend time with family. Afternoons,
- 6:22just not realistic. Two unpredictable calls,
- 6:26meetings, emergencies popping up. So that lists
- 6:28the morning. And his initial reaction was apparently
- 6:30quite vehement. He described himself as absolutely
- 6:33not a morning person. Which is something we hear
- 6:35all the time, isn't it? Especially from people
- 6:37whose jobs already mean early starts or weird
- 6:39hours. Oh, I can definitely relate to that initial
- 6:42pushback. The idea of waking up even earlier
- 6:45can feel almost painful when you're already sleep
- 6:48deprived. But the insights that came out of that
- 6:50struggle are really quite compelling, aren't
- 6:52they? They tap into something fundamental about
- 6:54how we start our day. They really are. Two key
- 6:57insights cemented the morning as the best, maybe
- 7:00the truly viable time for this kind of transformative
- 7:03work. Firstly, and this is crucial, the morning
- 7:07sets the tone, the whole trajectory, for the
- 7:10entire day. As he put it, it's the rudder of
- 7:12the day. If you have a focused, intentional,
- 7:15productive morning, it tends to lead to a focused,
- 7:18intentional, productive day. Conversely, if you
- 7:21start chaotically, reactively checking emails
- 7:23in bed, rushing, well, the rest of the day often
- 7:26follows suit. So it's about being proactive from
- 7:28the get -go rather than reacting to whatever
- 7:30the day throws at you. And the second insight.
- 7:32Secondly, doing your personal development first
- 7:34thing effectively bypasses all the excuses that
- 7:37inevitably creep in later. You know, that internal
- 7:40voice, oh, I'm too tired now. I just don't have
- 7:42time, maybe tomorrow. By doing it first, before
- 7:45anything else gets in the way, you guarantee
- 7:48it happens. You've ticked off the most important
- 7:50personal task before the day's demands hit. This
- 7:53is absolutely vital for, say, medical professionals
- 7:56whose days can be completely unpredictable. Get
- 7:59it done before the first pager goes off or the
- 8:01first patient arrives and it's banked. That makes
- 8:04total sense. It's a deliberate choice to prioritize
- 8:07yourself and your growth before the world starts
- 8:10demanding your attention. Which brings us back
- 8:12to that core conviction. If you want your life
- 8:15to be different, you have to be willing to do
- 8:16something different first. Simple to say, but
- 8:19often the hardest thing to actually do consistently.
- 8:22Deceptively simple, yes. And it was this unwavering
- 8:26commitment to doing something different in the
- 8:28morning, day after day, that eventually led to
- 8:30this synergistic framework, a powerful, yet really
- 8:34practical daily ritual designed to make personal
- 8:36development achievable and, importantly, sustainable
- 8:39for anyone, no matter how busy they think they
- 8:41are. And that framework is the Life Essay VERS.
- 8:45Could you introduce us to this acronym? Explain
- 8:48how these six sort of timeless practices become
- 8:50so powerful when you combine them daily. It sounds
- 8:53like the whole is much more than the sum of its
- 8:55parts. Certainly. SAVERS basically bundles six
- 8:59fundamental personal development practices into
- 9:01a memorable, actionable daily routine. They are
- 9:04silence, affirmations, visualization, exercise,
- 9:08reading, and scribing, which is just another
- 9:10word for writing or journaling. Now, individually,
- 9:13none of these are radically new. Philosophers,
- 9:15athletes, top performers, and all sorts of fields
- 9:17have sworn by them for centuries. But the real
- 9:20magic, the transformative power, comes from doing
- 9:22them together consistently every single day.
- 9:24Think about it. The clarity you get from silence
- 9:27might make your affirmations feel more potent.
- 9:29The energy boost from exercise sharpens your
- 9:31focus for reading. Each one amplifies the others.
- 9:34It creates this amazing compound effect. And
- 9:36yes, we know words like meditation, affirmations,
- 9:39maybe visualization can sometimes trigger a bit
- 9:41of skepticism, maybe conjure up slightly silly
- 9:43images. But the approach here is profoundly practical.
- 9:46It's evidence -based and is really focused on
- 9:48getting tangible results. That's a really important
- 9:51distinction, moving beyond maybe a superficial
- 9:53idea to something that actually drives change.
- 9:56Okay, let's start with S for silence. In today's
- 10:00world, which is just constant noise and stimulation,
- 10:02especially for professionals juggling patient
- 10:04calls, monitors beeping endless information,
- 10:06Purposeful silence sounds like, well, almost
- 10:09revolutionary. It truly is. Purposeful silence
- 10:11isn't just not talking. It's about creating a
- 10:14deliberate, intentional space for quiet contemplation.
- 10:17It's an antidote to that relentless, modern,
- 10:20overwhelming cognitive load, which is so characteristic
- 10:22of professions like medicine. Think about it,
- 10:25the constant alerts, urgent calls, team meetings,
- 10:28electronic records, professionals often desperately
- 10:30lack this vital quiet time. The benefits are
- 10:33really profound and well documented. Things like
- 10:35heightened self -awareness, deeper insight, significant
- 10:37stress reduction, and actual measurable improvements
- 10:40in brain activity, metabolism, even blood pressure.
- 10:43There are, I think, over 1 ,400 scientific studies
- 10:45just on meditation alone showing its benefits.
- 10:48Physiologically, engaging in silence, especially
- 10:50mindfulness or meditation, can enhance vagal
- 10:53tone. That's the activity of the vagus nerve,
- 10:55which helps regulate our rest and digest system.
- 10:57This can lower cortisol, the main stress hormone,
- 11:00and shift brainwaves towards calmer states like
- 11:02alpha waves. So it's not just passive quiet.
- 11:04It's an active process, almost like rewiring
- 11:07your nervous system. You mentioned a specific
- 11:10technique within this emotional optimization
- 11:12meditation. How does that work? How is it different
- 11:15from just trying to empty your mind? Yes. Emotional
- 11:17optimization meditation is slightly different
- 11:19from some traditional forms that aim purely for
- 11:21emptiness. Here, the goal is to consciously choose
- 11:25and then actively hardwired desired mental and
- 11:29emotional states into your nervous system. States
- 11:32like peace, confidence, gratitude, compassion,
- 11:35whatever you need regardless of what's going
- 11:37on around you. This is incredibly valuable in
- 11:40high stress environments where your emotions
- 11:42can easily get hijacked by external events. By
- 11:46consciously choosing and practicing these states,
- 11:48you're essentially using neuroplasticity, retraining
- 11:51your brain's default pathways. The process is
- 11:53quite practical, three steps really. First, consciously
- 11:57choose the state you want. Maybe unwavering calm
- 11:59before a complex procedure or deep empathy for
- 12:01a difficult patient interaction. Second, focus
- 12:04intently on your breath. This calms the mind,
- 12:06brings you into the present moment, anchors you.
- 12:08And third, intentionally direct your thoughts
- 12:10and even your physiology towards that chosen
- 12:13state. You might visualize embodying that calm,
- 12:15feel it physically, maybe even adjust your posture
- 12:17slightly to reflect it. That sounds incredibly
- 12:20empowering, especially when facing the unpredictable
- 12:22pressures of healthcare. Practically speaking,
- 12:25how long should someone aim for? Shift patterns
- 12:28can make finding time tricky. Well... Any amount
- 12:31is better than nothing, of course. But starting
- 12:34with at least 10 minutes is generally recommended
- 12:35to feel the deeper benefits. Even five minutes
- 12:38consistently can make a real difference. It can
- 12:41feel challenging at first, especially for minds
- 12:43trained to constantly analyze and solve problems.
- 12:47But consistency is key. Over time, it gets easier,
- 12:50you go deeper, and the benefits become really
- 12:52profound and lasting. You're building a new mental
- 12:56muscle essentially. Imagine the cumulative effect
- 12:59of priming your mind for calm before every single
- 13:01shift. Okay, from inner calm through silence,
- 13:03let's move to A for affirmations. Now this is
- 13:06one that for some people might bring up slightly
- 13:08cheesy images, maybe that Stuart Smalley character
- 13:10looking in the mirror. But the way you describe
- 13:13it, it's much more robust, isn't it? It's about
- 13:15consciously programming your subconscious. Precisely.
- 13:19Affirmations in this context are absolutely not
- 13:21about reciting fluffy, baseless wishes. They're
- 13:25a strategic tool. They help you articulate and
- 13:27then embody the person you need to become to
- 13:30achieve your goals. It's about actively counteracting
- 13:33that often unconscious negative internal chatter,
- 13:37the self -doubt, the imposter syndrome, the fear
- 13:39of failure, which can be so prevalent in demanding
- 13:41professions. Think of famous athletes who affirmed
- 13:44their greatness before they achieved it. What
- 13:46we repeatedly tell ourselves at a deep level
- 13:48shapes our internal reality. And that internal
- 13:51reality profoundly impacts our ability to create
- 13:54our desired external reality. So it's about systematically
- 13:57replacing those limiting beliefs, maybe that
- 13:59nagging thought, I'm not cut out for this or
- 14:01I can't handle this pressure with empowering
- 14:03truths. How do you craft these results oriented
- 14:06affirmations that actually stick? There's a really
- 14:08effective three -step framework. The first step
- 14:11is to affirm what you're committed to. This means
- 14:14focusing on specific outcomes or actions using
- 14:17a really strong non -negotiable statement. Something
- 14:20like, I am committed to no matter what, there
- 14:22is no other option. This reinforces that real
- 14:26commitment often comes before you have absolute
- 14:28clarity on the how. For example, I am committed
- 14:31to mastering this new surgical technique. No
- 14:33matter what, there is no other option. You decide
- 14:36what you will do, even if the exact path isn't
- 14:38fully mapped out yet. That's a big shift from
- 14:40just wanting something to being unequivocally
- 14:42committed. What's step two? Second, you must
- 14:45affirm why it's deeply important to you. This
- 14:48is crucial. You need to connect your commitment
- 14:51to meaningful, compelling, emotional reasons.
- 14:54Why do you really want this? What are the benefits
- 14:57for you, for your patients, for your family?
- 15:00The stronger and more emotional your why, the
- 15:02more fuel you have to push through when things
- 15:04get tough, when doubts creep in, or when you're
- 15:06simply exhausted. A clinician might affirm their
- 15:09commitment to self -care because it means they
- 15:11can provide better, more empathetic care, be
- 15:14a role model for colleagues, and still have energy
- 15:16left for their family. And the third step, the
- 15:19really actionable one that makes it happen. Yes.
- 15:21The third step is absolutely critical and often
- 15:24missed. Affirm which specific actions you'll
- 15:26take and when. Without this, affirmations can
- 15:29just be positive thoughts floating around. You
- 15:31need to specify the concrete, measurable actions.
- 15:34Include the frequency, the timing. For instance,
- 15:37I will dedicate 30 minutes every Tuesday and
- 15:39Thursday evening to reviewing literature on X
- 15:41condition. or I will complete my 10 minutes of
- 15:44silence and five minutes of affirmations every
- 15:47morning before 6 a .m. without fail. This gives
- 15:49your subconscious a clear directive. It turns
- 15:51intention into actual behavior, like the example
- 15:54of making 20 specific calls daily to double income
- 15:56or exercising for 10 minutes every morning. That
- 15:59makes it so much more concrete, turns wishes
- 16:00into plans. Any other tips for making them truly
- 16:03effective and avoiding that? Well, that cheesy
- 16:05feeling. Yes, consistency is absolutely paramount.
- 16:08Reading and reciting them daily is vital, just
- 16:11like physical exercise needs consistency. Also,
- 16:14say them with real emotion and conviction. Feel
- 16:17it. Align your body language, sit up straight,
- 16:20maybe smile slightly if affirming confidence
- 16:22or gratitude, and crucially, make sure they feel
- 16:25true to you. Even foundational affirmations like,
- 16:28I'm just as worthy, deserving, and capable can
- 16:31be incredibly powerful against deep -seated imposter
- 16:34syndrome, which is surprisingly common in high
- 16:36achieving fields. OK, from internal programming,
- 16:39we shift to V for visualization, often linked
- 16:41with elite athletes. But you're saying it's more
- 16:43than just sticking pictures on a board. It's
- 16:45about mental rehearsal. Indeed. Visualization
- 16:48or mental rehearsal is the process of vividly
- 16:52imagining your desired outcomes. Yes, but critically,
- 16:55also imagining the specific actions needed to
- 16:58get there. And you do this while generating the
- 17:00optimal emotional state. It's not just seeing
- 17:02the finish line. It's feeling the journey. Roger
- 17:05Bannister is the classic example, isn't he? First
- 17:07man under the four minute mile back in 54. Before
- 17:10that race, he relentlessly visualized the whole
- 17:13thing, the pace, the feeling in his muscles,
- 17:15the crowd crossing the line. This mental practice
- 17:17created a powerful sense of certainty and possibility
- 17:20in his mind and body that directly fueled his
- 17:23groundbreaking performance. A brilliant historical
- 17:26example of mind over matter. But you mentioned
- 17:28a problem with just using vision boards alone,
- 17:30focusing only on the outcome. Yes. The common
- 17:32pitfall with only sticking pictures of your dream
- 17:35car or perfect job on a board is that it often
- 17:38neglects the mental rehearsal of the actions
- 17:39required. It can sometimes create a false sense
- 17:42that things will just magically happen without
- 17:44the necessary effort or navigating the inevitable
- 17:47challenges. True, result -oriented visualization
- 17:50compels action because it primes your brain for
- 17:53the steps you actually need to take. It turns
- 17:55passive wanting into active preparation. And
- 17:57Hal Elrod's own story has a really compelling
- 17:59example of this action -focused visualization,
- 18:02doesn't it? The ultramarathon going from hating
- 18:04running to running 52 miles. Yes, it's quite
- 18:07remarkable. Despite genuinely hating running
- 18:09his whole life, after about six months of his
- 18:11miracle morning practice, he committed to running
- 18:14a 52 -mile ultramarathon. Audacious. He used
- 18:18visualization not just to picture crossing the
- 18:20finish line, but to mentally rehearse the entire
- 18:23process of his daily training runs. He'd vividly
- 18:26imagine waking up, getting dressed, stepping
- 18:27outside, and crucially feeling excited about
- 18:30the run, the cool air, the rhythm, the accomplishment.
- 18:34This daily mental rehearsal, packed with positive
- 18:37emotion, essentially overrode his deep -seated
- 18:39resistance. When the alarm went off, he'd just
- 18:42get up and do it, exactly as he'd visualized.
- 18:44without the usual internal battle or hitting
- 18:46snooze. It shifted his whole internal state towards
- 18:49the activity. That's incredible. Turning lifelong
- 18:52dread into genuine drive through mental practice.
- 18:55So what's the practical three -step process someone
- 18:58could use, maybe before a challenging operation
- 19:00or a difficult conversation? It's quite straightforward.
- 19:03First, prepare your environment. Find a quiet
- 19:05spot. Get comfortable. Minimize distractions.
- 19:08Second, visualize your ideal outcome vividly.
- 19:11Engage all your senses. See yourself performing
- 19:15flawlessly in that operation. Hear clear communication
- 19:18with the team. Feel the confidence. Imagine the
- 19:20positive patient outcome. Build that motivation.
- 19:24Third, and this is key, visualize yourself taking
- 19:27the necessary actions. See yourself making those
- 19:29tough decisions calmly, communicating with empathy,
- 19:32collaborating effectively. See yourself enjoying
- 19:34the process, handling challenges with resilience,
- 19:36maintaining that peak emotional state. This rehearsal
- 19:39primes your brain and body to execute in real
- 19:41time, builds that mental blueprint for success.
- 19:44Next up is E for exercise. Seems obvious, maybe,
- 19:48but you suggest even a tiny amount has immediate
- 19:50benefits, especially for brain function through
- 19:52a long day. Absolutely. Even really short bursts,
- 19:56like 60 seconds of intense movement, get blood
- 19:59and oxygen pumping throughout your body, and
- 20:01importantly, straight to your brain. This gives
- 20:04you an immediate energy boost, sharpens cognitive
- 20:06function, improves mood through endorphins. For
- 20:10professionals needing sustained mental sharpness,
- 20:12quick decision making, and emotional resilience
- 20:14over long hours, this immediate physiological
- 20:17kickstart is invaluable. You're not just waking
- 20:19up your body, you're actively optimizing your
- 20:23brain for focus and problem solving right from
- 20:25the start. There's also some interesting evidence,
- 20:27like a study from Cambridge University suggesting
- 20:30that exercising in a fasted state before breakfast
- 20:32might increase fat burning. potentially providing
- 20:35more sustained energy without a post meal slump.
- 20:37So it doesn't have to be a marathon session at
- 20:39the gym or even a 30 minute run, just getting
- 20:41moving early doors. Yeah, exactly. The aim is
- 20:45just to get your heart rate up, get the blood
- 20:46flowing before the day's excuses pile up or the
- 20:49first urgent task hits your desk. It could literally
- 20:52be a few minutes of jumping jacks, push ups,
- 20:55a quick burst on a stationary bike or a brisk
- 20:58walk around the block. The point is consistency.
- 21:01doing it first thing, starting your day with
- 21:03that physical vigor and mental readiness. It
- 21:05integrates exercise before you have a chance
- 21:07to talk yourself out of it, ignites the engine.
- 21:11Okay, then we have R for reading. In a world
- 21:13drowning in information, why is this specific
- 21:16practice -focused nonfiction reading so important
- 21:19in this framework? Reading specifically targeted
- 21:22nonfiction is one of the most efficient ways
- 21:24to gain knowledge and dramatically accelerate
- 21:26your success. Why? Because you can model people
- 21:29who've already achieved what you want to achieve.
- 21:31You don't have to reinvent the wheel, make all
- 21:33the same mistakes, spend years learning by trial
- 21:36and error. It shortens the learning curve enormously.
- 21:39It's like having a direct line into the minds
- 21:40of the greatest thinkers and achievers, allowing
- 21:42you to bypass potentially decades of struggle.
- 21:45And the impact of just reading, say, 10 pages
- 21:48a day doesn't sound like much, but cumulatively,
- 21:51the cumulative effect is massive. Thanks to compounding
- 21:53just 10 pages a day, maybe 10, 20 minutes adds
- 21:56up to roughly 3650 pages a year. That's equivalent
- 22:01to about 18, 200 page books annually. Imagine
- 22:05the leap in knowledge, capability, confidence
- 22:07you'd gain from absorbing the wisdom of 18 targeted
- 22:10books each year. Whether it's on leadership,
- 22:12emotional intelligence, stress management, financial
- 22:14planning, or even new clinical approaches outside
- 22:16your immediate specialty. As the saying goes,
- 22:19reading 10 pages per day won't break you, but
- 22:21it will make you. It's about consistent incremental
- 22:23growth, building your intellectual capital. So
- 22:26strategic reading, aligning it with your goals.
- 22:28What should people be reading? Precisely. It
- 22:31should align with where you want to grow or what
- 22:33challenges you face. Want more well -being. Maybe
- 22:36the happiness equation. Financial security. Think
- 22:39and grow rich. Better relationships. The five
- 22:43love languages. For medical professionals, perhaps
- 22:46books on preventing burnout, healthcare leadership,
- 22:49negotiation skills for dealing with hospital
- 22:51admin, or biographies of resilient figures in
- 22:53medicine. The aim is to acquire knowledge that
- 22:56directly helps you solve problems and improve
- 22:58your situation. Any tips for getting the most
- 23:00out of that reading time? Yes, definitely. Start
- 23:03with intention. Before you open the book, ask,
- 23:05what do I want to learn here? How will I apply
- 23:07it? Hmm. Some people integrate spiritual or religious
- 23:11texts here too, finding it grounding. Actively
- 23:14engage with the material underline, highlight,
- 23:16make notes in the margins, fold page corners,
- 23:18make the book your own. This helps internalize
- 23:21it and makes reviewing key ideas much easier
- 23:23later. And don't underestimate the power of rereading
- 23:26truly impactful books. The first read often just
- 23:28introduces ideas. Rereading helps achieve mastery
- 23:31and deeper application. And finally, as for scribing
- 23:34or journaling, this can sometimes feel like a
- 23:37luxury, maybe not essential. What makes it so
- 23:39powerful here, especially for professionals carrying
- 23:41a heavy mental load? Scribing, just writing down
- 23:44your thoughts, feelings, experiences, is fundamentally
- 23:47about getting things out of your head and onto
- 23:49paper. This simple act provides immense mental
- 23:52clarity. It helps you focus on wins and gratitude
- 23:55rather than just problems. And it accelerates
- 23:58results by making thoughts tangible, observable.
- 24:01For professionals juggling complex cases, difficult
- 24:04conversations, constant decisions, the cognitive
- 24:07and emotional load is huge. Journaling is incredibly
- 24:10therapeutic and strategically useful. It prevents
- 24:13that feeling of mental overwhelm, allows conscious
- 24:15processing. And you mentioned Howell's personal
- 24:18journey with journaling, how it shifted for him.
- 24:20Yes. Like many people, apparently his journals
- 24:23often stayed mostly blank after the initial burst
- 24:26of enthusiasm. usually set aside due to tiredness
- 24:29or lack of routine, it was integrating it into
- 24:32the structure of the miracle morning, dedicating
- 24:34specific time to scribing that finally made it
- 24:37a consistent and actually very gratifying habit
- 24:39for him. It wasn't just the daily clarity, but
- 24:43the power of looking back over past entries later
- 24:45on. The annual journal review you mentioned.
- 24:48How does looking back accelerate growth? Reviewing
- 24:51past entries allows you to recapture valuable
- 24:54lessons you might have forgotten, see patterns,
- 24:56acknowledge successes, and identify areas for
- 24:59growth that might have stayed hidden. This deliberate
- 25:01reflection, seeing how far you've come, the challenges
- 25:04overcome, the wisdom gained, and then making
- 25:06new commitments based on those insights, that's
- 25:08what leads to accelerated growth. You're leveraging
- 25:11your own history to inform your future progress,
- 25:14rather than repeating mistakes or feeling stuck.
- 25:17It provides this tangible personal record of
- 25:19your journey, which is incredibly motivating.
- 25:21OK, so we've unpacked the SAVERS, the Foundation
- 25:24for Transforming the Morning. But making these
- 25:27practices stick, truly embedding them, requires
- 25:30understanding habits. Let's talk about the three
- 25:33-phase 30 -day habit strategy. This isn't just
- 25:35do it for 30 days. It's a roadmap for the emotional
- 25:38journey, isn't it? It is, yes. It's a strategic
- 25:41map, not just a challenge. It provides a clear,
- 25:43quite empathetic framework for installing any
- 25:45new habit or ditching an old one because it anticipates
- 25:49the predictable emotional roller coaster involved.
- 25:52It divides the 30 days into three distinct 10
- 25:54-day phases, each with its own typical psychological
- 25:57feel and internal experience. Understanding these
- 26:00phases helps you prepare, persist, and ultimately
- 26:02succeed. Right. Let's break that down. Phase
- 26:05one, the first 10 days. What should people expect?
- 26:08Why do you push through, especially if you're
- 26:09already under pressure? Phase one, days one to
- 26:12ten, is often described as feeling almost unbearable,
- 26:15honestly. The first day or two might feel exciting,
- 26:17new, but that fades quickly as the reality hits.
- 26:21Your mind might scream, I hate this. Your body
- 26:23might protest, this feels awful. If the habit
- 26:25is waking up earlier, you'll almost certainly
- 26:27battle the snooze button, thinking, I need more
- 26:29sleep, this is dreadful. The crucial thing to
- 26:32grasp here is that this intense discomfort is
- 26:35completely normal. And most importantly, it's
- 26:38temporary. It's simply the price of admission
- 26:40for success, if you like. The cost of overcoming
- 26:43inertia. Knowing this intellectually helps enormously.
- 26:46Understanding that resistance is predictable
- 26:48allows you to push through, knowing it will ease
- 26:50up. Like muscle soreness after starting exercise,
- 26:53it's adaptation, not failure. So bracing yourself
- 26:56for that initial pain, almost welcoming it as
- 26:58part of the process, is key. What about phase
- 27:00two, days 11 to 20? Phase two is noticeably easier.
- 27:04The habit starts feeling merely uncomfortable,
- 27:06rather than unbearable. Phew. You're starting
- 27:09to get used to it. You've likely built a bit
- 27:11of confidence, maybe started noticing some early
- 27:13benefits, which helps. However, it still requires
- 27:16conscious effort, deliberate discipline. Those
- 27:19old ingrained patterns are still tempting. You
- 27:21might still wobble. It's a phase where you need
- 27:24to stay vigilant stay committed, knowing you're
- 27:26building vital momentum. But it's not the same
- 27:29intense uphill struggle as the first 10 days.
- 27:31You're shifting from pure willpower towards developing
- 27:34a desire. And then the final phase, phase three,
- 27:37which you call unstoppable. What happens here
- 27:39and why is this last 10 day stretch so vital,
- 27:42especially countering that common idea that 21
- 27:44days is enough? Phase three from day 21 to day
- 27:4730 is where the magic really happens. This is
- 27:50where the habit starts to feel automatic. deeply
- 27:52ingrained, often genuinely enjoyable. But here's
- 27:56where many people fall down. They stop after
- 27:5821 days, based on that popular but incomplete
- 28:01myth about habit formation. These final 10 days
- 28:05are absolutely crucial for positively reinforcing
- 28:07the new habit. You're wiring in the association
- 28:10between the habit and pleasure or satisfaction,
- 28:13rather than pain or obligation. Taking days off
- 28:16during this still fragile period makes it incredibly
- 28:18hard to get back on track. because the behavior
- 28:20isn't yet fully cemented at a subconscious level.
- 28:23This phase is where you start seeing exponential
- 28:25benefits, where it becomes part of your identity,
- 28:28making long -term sustainability much more likely.
- 28:30It's about discipline transforming into natural,
- 28:33almost effortless desire. So the morning ritual
- 28:36lays the foundation. But for sustained well -being
- 28:39and peak performance, how we end the day matters
- 28:41just as much. The miracle evening. What's the
- 28:43main goal here? The miracle evening is the essential,
- 28:46often neglected bookend to the morning routine.
- 28:48Its purpose is really twofold. First, to guarantee
- 28:52restorative deep sleep, which, as we know, is
- 28:55absolutely non -negotiable for mental clarity,
- 28:57physical repair, emotional regulation, especially
- 29:00for medical professionals. Second, it's about
- 29:03consciously preparing your mind and body for
- 29:05an optimal start the next day. It's about deliberately
- 29:08closing out the current day, not just collapsing,
- 29:11thereby setting yourself up for success tomorrow.
- 29:13critically important for healthcare workers,
- 29:15where sleep quality directly impacts performance,
- 29:18patient safety, and personal resilience. And
- 29:20there's a framework for this too, similar to
- 29:22SAVERS, Guiding Principles for an Intentional
- 29:25Evening. Yes, there are core steps, though people
- 29:28obviously adapt them. Generally, they include
- 29:31things like stopping eating a few hours before
- 29:33bed, consciously letting go of the day's stress,
- 29:36perhaps using natural sleep aids cautiously if
- 29:38needed, Mapping out the next day briefly, avoiding
- 29:41blue light, shifting into a peaceful state with
- 29:43bedtime affirmations, maybe reading something
- 29:46calming, and ultimately aiming to sleep deeply.
- 29:49Each step works together to prep your body and
- 29:51mind for proper rest and a great morning. Let's
- 29:54unpack a couple of those. Stop eating three to
- 29:55four hours before bed. Why is that timing so
- 29:58important, especially if people grab late meals
- 30:00after long shifts? Digestion is actually one
- 30:02of the most energy -intensive processes your
- 30:04body performs. Eating a large meal close to bedtime
- 30:07means your body is working hard digesting all
- 30:10night rather than focusing on rest and repair.
- 30:13This can really disrupt your ability to get into
- 30:15those deeper restorative sleep stages like REM
- 30:18sleep, which are vital for your brain. While
- 30:20food takes ages to fully clear the system, that
- 30:23crucial phase of moving from the stomach to the
- 30:25small intestine takes roughly 3 -4 hours. Giving
- 30:29your body that window allows digestive processes
- 30:31to quiet down before you try to sleep. If you
- 30:34absolutely must eat late, lighter, high fiber
- 30:36options are better, but the ideal is that digestive
- 30:39downtime. So that's a practical tip that could
- 30:41make an immediate difference. Okay, next. Let
- 30:44go of stressful thoughts and feelings. For clinicians
- 30:47dealing with life and death situations, ethical
- 30:49knots, system frustrations, this sounds like
- 30:52a massive ask at the end of the day. It is for
- 30:54many the hardest, but maybe the most crucial
- 30:57step. When we lie in bed ruminating, replaying
- 31:00a difficult case, worrying about tomorrow's list,
- 31:04fretting about things outside our control, we
- 31:06keep triggering the body's stress response, the
- 31:08fight or flight mechanism. This makes it impossible
- 31:11to feel psychologically safe and relaxed, which
- 31:14is fundamental for sleep. To tackle this, there's
- 31:17a really practical tool called the five minute
- 31:19rule. The five minute rule. Tell us more. Sounds
- 31:22like it could be brilliant for processing the
- 31:24day's emotional baggage. The idea is simple,
- 31:26but powerful. When something negative happens,
- 31:29or when you catch yourself stewing over something
- 31:31stressful at the end of the day, frustration,
- 31:33anger, sadness, worry, you set a timer for five
- 31:36minutes. For those five minutes, you give yourself
- 31:38full permission to feel it. Bitch, moan, complain,
- 31:42cry, vent internally, whatever you need to do.
- 31:45Acknowledge the feeling completely. But, and
- 31:48this is the crucial bit when that timer goes
- 31:50off, you make a conscious decision to accept
- 31:52what happened or what is and move on. The key
- 31:56phrase to accompany this, often said aloud, is
- 31:58simply, can't change it. It's a stark reminder.
- 32:02Since you cannot alter the past event or the
- 32:04thing you're worrying about that's outside your
- 32:05immediate control right now, continuing to dwell
- 32:08on it only causes unnecessary emotional pain
- 32:10and stops you moving forward. So it's not bottling
- 32:13it up, but giving it a defined space, then consciously
- 32:16releasing it, stopping it from hijacking your
- 32:19night. Precisely. It allows for emotional processing
- 32:22without getting stuck in that destructive loop.
- 32:24Hal tells a story about losing a massive sales
- 32:27order late one Sunday night after working incredibly
- 32:30hard for it. He felt sick with disappointment,
- 32:33but he set his five -minute timer, paced around,
- 32:35felt the frustration fully, and then, even before
- 32:38the five minutes were up, he apparently just
- 32:40stopped, took a deep breath, and said aloud,
- 32:43can't change it. and instantly felt peace. That
- 32:47conscious shift freed him. Acceptance isn't resignation.
- 32:50It's reclaiming your emotional energy to focus
- 32:52on what you can influence. For clinicians, maybe
- 32:54it's lamenting a difficult outcome for five minutes,
- 32:57accepting it, then focusing on learning or supporting
- 32:59colleagues. That sounds incredibly liberating.
- 33:02You also mentioned natural sleep aids, if needed.
- 33:04What might help, and what's the big caveat for
- 33:06our medically -minded listeners? For people really
- 33:09struggling with sleep, cautiously trying some
- 33:11natural compounds might be beneficial, but...
- 33:13And this is absolutely crucial. Always consult
- 33:16with a doctor or qualified healthcare professional
- 33:19first. Especially for anyone in healthcare who
- 33:22might be on other medications or have underlying
- 33:24conditions, you understand the complexities.
- 33:26Some things that have shown promise for some
- 33:28people include magnesium for relaxation, L -theanine,
- 33:31promotes calm without drowsiness, glycine, an
- 33:34amino acid linked to sleep quality, maybe 5 -HDP,
- 33:38precursor to melatonin, or valerian root. But
- 33:41responses vary hugely. Someone might react badly
- 33:44to something like ashwagandha, for example, finding
- 33:46it increases anxiety instead of reducing it,
- 33:48as happened in one case study. These are just
- 33:51potential supports within a holistic approach.
- 33:53They won't fix poor sleep hygiene, high stress,
- 33:56or a bad diet on their own. They're aides, not
- 33:59magic bullets. A very important and responsible
- 34:01point. Okay, map out your next day before bed.
- 34:04How does that simple act of planning help with
- 34:06sleep and morning clarity? Gina Wickman talks
- 34:09about this brilliantly. The act of writing down
- 34:11tomorrow's schedule or key tasks digitally or
- 34:14on paper essentially clears it out of your active
- 34:17mental ram. It stops your brain from churning
- 34:19over things you need to remember or do. It's
- 34:22like offloading the mental to -do list. This
- 34:24allows your subconscious mind to potentially
- 34:26work on solutions or integrate information overnight,
- 34:29rather than being preoccupied with just holding
- 34:31onto the list. So you tend to wake up feeling
- 34:33less overwhelmed, with greater clarity, maybe
- 34:36even with answers or ideas that surfaced overnight.
- 34:39Your brain hasn't been on duty all night worrying
- 34:42about forgetting something. Simple yet effective
- 34:44mental decluttering. And boycott blue light,
- 34:47we hear this a lot. Why is it so specifically
- 34:49bad for sleep, especially if people are reviewing
- 34:51charts or research on screens late? Blue light,
- 34:54the kind emitted strongly by phones, tablets,
- 34:57computers, even some modern lighting, sends a
- 34:59powerful signal to your brain. It's daytime.
- 35:02Stay awake. This signal directly suppresses the
- 35:05production of melatonin by the pineal gland.
- 35:08Melatonin is the key hormone that regulates your
- 35:10sleep -wake cycle and tells your body it's time
- 35:13to wind down. Suppressing melatonin makes it
- 35:15harder to fall asleep, can delay sleep onset,
- 35:18and crucially reduces the quality and depth of
- 35:21your sleep, especially REM sleep. Avoiding blue
- 35:24light for an hour or ideally two before bed allows
- 35:26your natural melatonin production and sleep cycle
- 35:28to kick in properly. Blue light blocking glasses
- 35:31might be a compromise if screen use is unavoidable
- 35:34for urgent work. Right. Then enter a blissful
- 35:36state with bedtime affirmations. How do these
- 35:39differ from the morning ones? What's their role?
- 35:42While morning affirmations are often action -oriented
- 35:44commitments, goals, actions, actions, bedtime
- 35:48affirmations are purely about fostering peace,
- 35:51gratitude, and calm anticipation for sleep in
- 35:54the morning. They should be soothing, empowering,
- 35:58aimed at quieting the mind. Things like affirming
- 36:01you did your best today. releasing what you can't
- 36:03control, trusting you'll get the rest you need,
- 36:06giving yourself permission to let go of worries.
- 36:08People who use these consistently often report
- 36:10that on nights they skip them, they're ironically
- 36:13more likely to sleep poorly or through their
- 36:15alarm, suggesting the affirmations really do
- 36:17help prepare the mind for restful sleep and positive
- 36:19waking. They consciously steer your mind towards
- 36:22tranquility. And lastly, read a book that makes
- 36:24you feel good. Sounds like a lovely way to wind
- 36:26down. It is. The key is choosing something light,
- 36:30familiar, positive, maybe spiritually uplifting.
- 36:33Unlike morning reading focused on learning, bedtime
- 36:35reading is purely about creating a calm mental
- 36:38state without taxing the brain. Rereading a favorite
- 36:41novel, a book on happiness, poetry, spiritual
- 36:43texts, anything that helps you gently drift off
- 36:46feeling grateful, content and at peace. The whole
- 36:48point of the evening routine is to orchestrate
- 36:50things so you fall asleep in that state of profound
- 36:52peace and gratitude, leading to waking up genuinely
- 36:55refreshed and ready. We've covered so much ground
- 36:58transforming mornings with SAVRS, optimizing
- 37:01evenings, mastering habits. These are the tools.
- 37:04But the ultimate goal you describe is cultivating
- 37:06the miracle life, this state of inner freedom.
- 37:09What exactly is inner freedom and why is it so
- 37:11vital, especially in high -stakes worlds like
- 37:13healthcare? Inner freedom is essentially your
- 37:16inherent ability, once cultivated, to consciously
- 37:19choose how you experience any given moment, regardless
- 37:22of what's happening externally. Think of it as
- 37:25your superpower to decide you want to feel peace
- 37:27or happiness or gratitude or compassion, even
- 37:30when faced with difficulty, pressure, or tragedy.
- 37:34This is the opposite of being conditioned, as
- 37:36most of us are, to let outside events dictate
- 37:38our feelings. Good thing happens, I feel good.
- 37:40Bad thing happens, I feel bad. Inner freedom
- 37:43breaks that reactive cycle. It allows you to
- 37:45maintain an optimal internal state even amidst
- 37:48external chaos. Shifting from external dependency
- 37:51to internal agency for our emotional state. Hugely
- 37:54liberating. So what stops us? What's the main
- 37:56barrier to achieving this inner freedom? The
- 37:58primary obstacle is usually what we call inner
- 38:00turmoil. This internal conflict, this suffering,
- 38:04is largely caused by our unconscious resistance
- 38:07to reality. Our tendency to constantly wish things
- 38:09were different, especially when they're difficult
- 38:11or painful. This shouldn't be happening, it's
- 38:13not fair. When we mentally fight against what
- 38:16is, we create and perpetuate our own emotional
- 38:19pain, stress, fear, anger, resentment. It's often
- 38:22not the event itself causing the deepest suffering,
- 38:25but our internal resistance to the event. As
- 38:28the saying goes, pain might be inevitable, but
- 38:31suffering is optional. That's a powerful reframe
- 38:33that we're often maybe unknowingly creating our
- 38:36own suffering by resisting reality. So how do
- 38:38we cultivate inner freedom? You mentioned the
- 38:40ABCs of the miracle life. Let's start with A.
- 38:42A stands for accept life exactly as it is. This
- 38:45directly tackles that resistance we just talked
- 38:47about. The five minute rule and the can't change
- 38:50it mantra are tools for this. They help you acknowledge
- 38:53feelings, but release the struggle against unchangeable
- 38:55reality. Peace, in this context, isn't necessarily
- 38:59giddy happiness. It's a deeper, emotionally neutral,
- 39:03but sustainable state. A calm foundation from
- 39:05which you can make clear choices and take effective
- 39:08action. Accepting the present moment rather than
- 39:10fighting it frees up enormous mental and emotional
- 39:13energy for constructive use. Acceptance is the
- 39:16foundation. Okay, what about B? B is for be grateful
- 39:19for each moment. And this goes way beyond just
- 39:22being thankful when things are good. It's about
- 39:24cultivating the capacity to find genuine gratitude,
- 39:27even in the face of hardship, pain, adversity.
- 39:31Hal Elrod's cancer journey is a profound, if
- 39:33extreme, example. Diagnosed with a rare aggressive
- 39:35leukemia given only a 20 -30 % chance of survival.
- 39:39He made the conscious, incredibly difficult choice
- 39:41to be the most grateful I had ever been, even
- 39:43while enduring excruciating pain from treatment.
- 39:45That's just extraordinary resilience, choosing
- 39:49gratitude in that. How did it impact his experience?
- 39:52What's the takeaway for us? He found that when
- 39:53you consciously choose gratitude in the midst
- 39:55of adversity, somehow the adversity loses its
- 39:59power over us. Gratitude becomes this lens through
- 40:02which you can view all experiences, even the
- 40:04painful ones, as opportunities for learning,
- 40:07growth, deeper appreciation. It fundamentally
- 40:11frees you from being defined or destroyed by
- 40:13suffering. It allows you to maintain a proactive,
- 40:16resilient mindset. For medical professionals
- 40:18dealing with suffering and loss regularly, cultivating
- 40:21this deep unconditional gratitude can be a powerful
- 40:23buffer against burnout and compassion fatigue.
- 40:26It allows you to stay present and empathetic
- 40:29without being consumed. And the final letter,
- 40:31C. C is for choose your optimal state of consciousness.
- 40:34This highlights the difference between fleeting,
- 40:36reactive emotions and deeper, intentionally chosen
- 40:39states of being. It empowers you to realize you
- 40:42can consciously choose to cultivate and embody
- 40:44states like love, joy, confidence, or peace rather
- 40:48than being constantly tossed about by external
- 40:50triggers, a difficult colleague, a bad outcome,
- 40:53system pressures. You're not defined by what
- 40:55happens to you, but by how you consciously choose
- 40:58to be and feel in response. It's about actively
- 41:00creating an inner environment that supports your
- 41:03well -being and performance. regardless of the
- 41:05outer weather. So how do we leave these ABCs
- 41:07into daily life, make them our default setting,
- 41:09not just an idea? The Miracle Morning Routine,
- 41:12especially the SAVERS of silence and affirmations,
- 41:16provides the perfect practice ground. During
- 41:18your silence, you can actively practice accepting
- 41:21reality, cultivating gratitude for the present
- 41:23moment, difficult or not. With affirmations,
- 41:26you can literally hardwire your commitment to
- 41:29owning your optimal state, reminding yourself
- 41:31daily of your power to choose your experience
- 41:33to be that calm center. It's this consistent,
- 41:36deliberate conditioning, like building muscle,
- 41:39that allows inner freedom to shift from an effortful
- 41:41practice to your natural state of being. We've
- 41:44covered such a rich landscape today, the power
- 41:46of intentional mornings with S -A -V -E -R -S,
- 41:49optimizing evenings, strategies for habit change,
- 41:53and delving into that profound state of inner
- 41:55freedom. This isn't just about being more productive,
- 41:57it's about building a foundation for sustained
- 41:59well -being, deep personal resilience, and performing
- 42:03at your best, which is so vital in demanding
- 42:05professions. If this deep dive has resonated
- 42:08with you today, perhaps consider leaving a rating,
- 42:10or maybe share it with a colleague who you think
- 42:12might find these insights valuable for navigating
- 42:15their own daily challenges. And as we finish,
- 42:18here's something to perhaps mull over. What if
- 42:21your greatest potential isn't some far -off destination
- 42:24you need to reach, but actually a state of being
- 42:26you cultivate right here, right now, one intentional
- 42:29morning and evening at a time? What might truly
- 42:32be possible for you, for your work, for your
- 42:34whole life, if you fully embrace the extraordinary
- 42:37power held within your daily choices starting
- 42:39today?