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Surgery taught me precision. It also showed me everything a scalpel can’t fix.
I watched physicians pushed past their limits—not dramatically, but slowly, predictably—until something essential gave way. Colleagues leaving medicine entirely. Colleagues dying by suicide at a rate of about one a day in the U.S. The rest of us trying to absorb the loss without breaking stride.


Patients weren’t doing any better. They came in prepared, motivated, carrying family histories like warnings. They wanted to understand their risks and change their trajectory. Too often they left with nothing but a pat on the shoulder and a “you’re fine,” even when they weren’t. The system didn’t have time for their fear or their urgency, and it showed.

I started writing to make sense of all of it—the burnout, the detachment, the way medicine quietly trains you to shut down the very parts of yourself that make you human. The more I wrote, the clearer the pattern became: disconnection wasn’t a symptom; it was the root cause. For doctors. For patients. For me.


So I kept writing—not to diagnose the problem, but to find my way back to something real. To trace where meaning had slipped, where agency had collapsed, where connection could be rebuilt. The book grew out of that search.

author dr lily johnston
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Beyond 

the scalpel

I’m not offering answers. I’m mapping the terrain as honestly as I can

Because once you see the pattern, you can’t pretend you don’t.

If you are ready to face the fact that true healing comes from restoring human connection and reclaiming agency, then know it is already available right now for those who refuse to look away and dare to choose differently.

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Disconnected: A surgeon’s search for healing in a broken system

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