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October 24, 2025 22 mins

We reflect on the quiet truth about winning through the lens of palliative care, legacy, and faith. We question success that “works,” name the soul cost of the hedonic treadmill, and offer three questions to build a life that holds when the applause fades.

• what palliative care really does
• the danger of success that feels empty
• the hedonic treadmill and validation addiction
• aligning goals with values and relationships
• three legacy questions for love, impact, becoming
• surrender as strength, not weakness
• numbering our days to gain wisdom
• practical ways to choose what endures




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Episode Transcript

Available transcripts are automatically generated. Complete accuracy is not guaranteed.
SPEAKER_00 (00:00):
Let me take you to a moment that's been sitting with
me for some time now.
I want you to picture this inyour mind's eye.
I want you to picture twograves.
In one grave is a man who hasbuilt empires.
His name is known in boardrooms,maybe known all across America.

(00:22):
His calendar was full.
His life looked like the kind ofsuccess that we're taught to
chase.
And in the other grave lies aman who lived a quiet life.
No headlines, no great wealth.
Maybe only a few people actuallyknew his name.

(00:46):
And yet they're buried in thesame earth.
Same silence, same end.
What really separated them?
What actually made them thesame?
Because at the end, titles don'tmatter.

(01:09):
Your resume doesn't matter.
All of your accomplishments,they don't follow you.
The applause fades.
You can't take all the wealthand riches and stuff that you've
accumulated with you.

(01:31):
So what's left?
What's actually left is the lifethat you actually lived.
So today, what I just sharedwith you, I want you to keep
that in your mind's eye as wetalk about the quiet truth about

(01:52):
winning.
Not just winning for the sake ofwinning, but what it means to
win well.
In what I do as a physician, oneof the hats that I wear is a
palliative care physician.
In palliative medicine, I get afront row seat to some very

(02:16):
intense and oftentimes verydifficult and sad situations and
circumstances.
I have a front row seat to enterinto patients' and families'
sufferings at a time when lifeis beginning to transition for
people.

(02:36):
At times patients are at a forkin the road.
And with their with theirfamilies by their sides and
their input of their physicians,they have to come up with a
decision to decide which path doI take.
Do we take the path of doingeverything we can to treat
everything that we can to extendlife, to live longer?

(02:58):
Or do we choose a differentpath?
One that focuses exclusively oncomfort, quality of life, not
living longer, but living assymptom-free as you can for the
time that you have left.
A path that might include maybehospice care.
Now, in palliative care, weoftentimes hear that word and we

(03:22):
think, oh, that's all hospice orend-of-life care.
And that's not necessarily true.
Palliative care is a specialtythat helps patients and families
that are navigating seriousillnesses to help them improve
their quality of life in any waythat we can, whether they're
doing everything they can tolive longer or if they want to
transition to end-of-life care.

(03:44):
We help patients navigate thesevery difficult to control
symptoms.
We help cancer patients,particularly dealing with the
effects of chemo or radiation,or even the pain that the cancer
is causing them.
But a big part of what we do inpalliative care is we help
patients and families reallynavigate complex medical

(04:04):
decision making to help themnavigate that fork in the road.
And again, it's a very uniquespecialty in that we really
enter into these difficult timesto come alongside and support
families and patients throughsome very difficult decisions.
And so in doing this over theyears, I've really seen how

(04:26):
different families, differentpatients, different cultures,
different backgrounds navigatethese difficult times and
difficult decisions.
And it reminds me daily.
I am daily reminded of howprecious and how short life

(04:49):
really is.
And I don't know if it's thefact that I'm getting older,
probably has something to dowith that.
But the reality is that we havea short time on this planet to
find meaning and find purposeand find joy and find happiness.

(05:12):
And so I'm daily reminded when Iam visiting with patients and
families, I get to witness thesethings.
And it makes me think, as a man,as a husband, as a father, as a
physician, it makes me startthinking about my life and
wanting to examine things and bea little more introspective.

(05:33):
And it has me thinking about howdo I want to live my life?
And how maybe we can encourageone another to live a life of
meaning.

So here's the reality (05:50):
we live in a culture that pushes us to
keep climbing, to make moremoney, to gain more recognition,
to be more productive.
And if you're wired like me, youmight even enjoy the pressure

(06:10):
sometimes.
You might feel most alive whenyou're working towards
something.
But here's the danger.
Sometimes the most dangerouskind of success is the one that
works.
Let me say that again.
Sometimes the most dangerouskind of success is the one that

(06:32):
works.
Because when it works, when youfinally get the thing you
thought would fulfill you, andit doesn't, that's when you
realize you've built somethingimpressive on the wrong
foundation.
And we don't talk about thatenough.
We think success will solve allour restlessness, will solve all

(06:56):
of our problems, but often itreally just masks it.
Let me ask you a different kindof question.
If your life was a business andyou were the CEO, how would you
rate your leadership?
Not in terms of hustle or goals,but in terms of alignment.

(07:22):
Are you actually running yourlife?
Or is it running you?
Here's the truth that mostpeople don't want to hear.
But it's about legacy.
Legacy isn't something you buildsomeday.
It's actually being built today.

(07:45):
In your habits, in yourcalendar, in the things that you
say yes to, in the things thatyou keep tolerating.
Every decision you make has acost, not just a financial one,
but a soul cost.
And if you don't slow down tocount it, you'll wake up one day

(08:09):
wildly successful, but painfullydisconnected from yourself, from
your people, maybe even fromGod.
Let's call something out.
Most people aren't chasingpurpose.
They're chasing a feeling.
That feeling that you get whenmaybe people admire you, the

(08:33):
thrill of a win, the I matterthat you feel when your phone
doesn't stop buzzing.
But the truth is, those feelingsdon't last.
And when the dopamine fades, westart chasing again.
The cycle starts over, lookingfor that dopamine hit, right?

(08:55):
More work, more validation, moredistraction.
That's not ambition, that'saddiction.
Oftentimes referred to sometimesas the hedonic treadmill.
Constantly moving, neversatisfied.
If you don't get off that ride,you'll trade peace for pace.

(09:19):
And you might even call itprogress.
So if I'm being honest, and Iam, I've been there.
I've been on that treadmill.
And it's not something that umnecessarily goes away.
It's always there, it's alwaystempting me to get on.

(09:40):
And I have been on thattreadmill.
I have chased what I thought wassuccess or what would give me
that feeling that I've finallyaccomplished something.
And our culture sort of set upfor this.
I was in high school and Ithought, well, if I get to a
good college, then that'llthat'll help me get to the next
level.
And if I get good grades incollege, then maybe I can get to

(10:02):
a great med school.
And then once I accomplish that,well, if I get to great med
school, maybe I can get to agreat residency program.
And if I get a great residencyprogram, maybe then I can I can
find a great uh position, agreat job, and and I've finally
arrived.
But it seems like every time Iarrived, I always felt like I

(10:23):
had to keep chasing something.
And in my own life, and maybe inyours, maybe we're chasing
success or the idea of successor accomplishment because maybe
we've been hurt or wounded alongthe path, and maybe we are in
some ways kind of avoidingdealing with our own pains and
our own issues, or maybe we wehave experienced some things

(10:45):
that that have set us on thiscourse of chasing goals and
success.
And goals and success in and ofthemselves aren't evil, right?
It's not bad.
But in my own journey, in my ownlife, no, no matter the reality
that I have accomplished somesome some things.
I have tasted of financialsuccess.

(11:08):
I've made a lot of money.
I I have a lot of cars, and Ihave a nice big house, etc.
You know, my my bank account maybe full by most accounts, right?
But the reality is that all ofthat stuff at the end of the day

(11:32):
that I thought mattered reallydoesn't matter.
When you look at the bigpicture, when you look at what
really fills you up, makes youhappy, those things don't bring
you happiness.
And I've wrestled with that.
I'm just being honest, I'vewrestled with that over the

(11:54):
years.
Thought I might have to have acertain lifestyle or a certain
this or that or a certain car ora certain size house.
And you might say, oh, well,Doc, that's easy for you to say.
You make a lot of money.
You've made a lot of money.
But the sacrifices that I'vemade along the way, the pain
that I have incurred, and thetruth is the pain that I've

(12:20):
caused others.
I've missed out on a lot.
Time with my wife, time with mychildren.
I've made a lot of mistakes inmy own ways of coping,
problematic ways of coping.
I've I've hurt a lot of people,I've hurt myself.
But thank God that I've beenwaking up, so to speak.

(12:47):
And look, there's nocondemnation.
If you're in this season of lifeand you're on that treadmill,
hey, I get it.
But as I'm learning, as I'mgrowing, as I'm developing into
the person that I believe I'msupposed to be and become, I'm
really understanding more andmore every day the pitfalls and

(13:11):
the traps that this world setsfor us.
And so let's dig into that alittle bit more.
What actually matters?

(13:31):
I think it comes down to threequestions.
One, how well did you love?
Two, what did you build thatwill outlast you?
And three, who did you become inthe process?

(13:51):
So let's take the firstquestion.
How well did you love?
Not perform.
Not impress, but love.
How well did you love the peoplein your home?
How well did you love the peoplethat no one else sees?

(14:15):
Those are some importantquestions.
And I try every day to checkmyself and say, am I really
loving well?
Am I really loving the peoplethat God has put in my path
today?
I challenge you.
Do the same thing.
Are you loving the people thatmatter most in your life?

(14:37):
Are you loving people that arein your path?
Number two.
Again, what did you build thatwill outlast you?
Not what you consumed, not whatyou earned, not the stuff, but

(14:58):
what you planted that will keepgrowing long after you've gone.
Think about that.
We can't take things with us,but what can we truly leave this
world?
How can we leave this world abetter place?
How can you make a difference inyour corner of the universe, in
your sphere of influence?
What did you build?

(15:19):
Not just materially, but whatdid you build that you know will
definitely outlive you?
What did you share with yourfamily?
What did you share with yourkids that they will take with
them and then share with theirkids and their kids and so on
and so forth?

(15:40):
That's really where legacy, Ibelieve, really starts to
develop.
Number three, who did you becomein the process?

Because here's the reality (15:54):
you can achieve everything and lose
yourself along the way.
You can have a brand, but notknow your own soul.
The real work in your life isn'tout there in your
accomplishments.
It's in here.

(16:16):
It's in your character, it's inyour spirit, it's in your
surrender.
My life has not been perfect.
I'm very imperfect.
I've made a lot of mistakes inmy life.
But I've learned through thevarious mistakes and the things

(16:37):
that I've that have hurt myselfor hurt others along the way,
I've learned more about God'sgrace, forgiveness, forgiveness
of self, forgiveness of others.
And in this life, in differentthings, in successes and
failures, it's it all isadditive in becoming who I am

(17:01):
today.
And it will still continue toevolve, and I will continue to
hopefully be better down theroad, days, years from now.
I want to keep growing and Iwant to in, I want to look at
the man that I am and the manthat I'm becoming and say, yeah,
I like who that guy is.
He's not perfect, but I like whohe's becoming in the process.

(17:25):
Now here's where everythingshifts.
The invitation isn't to hustleharder, okay?
The invitation is to surrenderdeeper.
The word surrender maybe soundssoft to some of you, maybe even
weak, but I believe in God'skingdom, surrender is actually a
sign of great strength.

(17:47):
Surrender, in my humble view, isa path to clarity.
It's a path of peace, and it's apath of power.
You're not surrendering becauseyou gave up, you're surrendering
because you've finally alignedyourself with what actually
matters.

(18:07):
It's not just giving up what youhave, it's giving all that you
are.
And in giving all that you are,you're realizing that what that
means is that you're givingsomething that is actually
eternal, that is beyondyourself.
So that brings me to really oneof my favorite psalms in the

(18:30):
Bible.
It's Psalm 90.
And again, as I mentioned, inwhat I do, I get a front row
seat to death and dying and howpeople choose to live their
lives in every season of theirlife, at every stage and
whatever season they findthemselves in.
But Psalm 90 says, teach us tonumber our days that we may gain

(18:56):
a heart of wisdom.
Teach us to number our days sothat we may gain a heart of
wisdom.
That's not about being afraid ofdeath, it's really about
learning how to live.
It's learning how to live likeyour time matters, like your

(19:16):
choices count, to live likeyou've actually care about what
you're doing, to live likeyou're actually giving an
account.
I like what Tolstoy says, and hesaid something like this live in

(19:36):
such a way that you're alwaysready to die.
Live in such a way that you'realways ready to die.
Again, not out of fear.
That's where we miss it.
We think about death and dying,and immediately we feel fear
because we live in a culturethat's very death phobic, right?
But it's really not about fear.
It's not out of fear.

(19:57):
We live in such a way that we'realways ready to die, not out of
fear, but out of freedom.
It's actually very liberating.
Because when you live with theend in mind, you really stop
wasting time on things thatdon't last, on things that don't

(20:19):
matter, on things that have noeternal significance or
consequence.
So I'll leave you with this.
You're already buildingsomething every day, everything
that you say yes to, everyscroll, every sacrifice.

(20:41):
The question I have is, will ithold?
Will it still matter when theapplause fades?
Will it still stand when theseason shifts?
Will it still be beautiful whenno one's watching?

(21:01):
The world may never see all ofit.
But heaven will.
And at the end of your life, theloudest applause won't come from
a crowd.
It will hopefully come from theone who saw it all.

(21:21):
Well done, good and faithfulservant.
That's the only win that lasts.
See you next time.
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