The School of Greatness - Rebuild Your Identity in 3 Steps and Finally Make Habits Last | Dr. Kim Foster
Episode Date: September 16, 2026You can have every fact, every plan, and still quit by Thursday, because the story underneath never changed.Dr. Kim Foster, a family physician who practiced for twenty years, sat down with Lewis after... a patient with rising blood pressure told her, “I'm just not an exercise person.” That one line reframed everything: behavior change is an identity problem wearing an information costume. Her book, Redesigning You, turns that into a three-step method of recognizing the old story, redesigning it, and then going out to collect proof.She talks about the bridge identity, the small believable stretch your brain will actually accept instead of a mirror affirmation it answers with, “Interesting. Based on what?” Habit stacking is the app. Identity is the operating system, and glitchy apps on an old system crash on the hard days.Then she tells on herself. She walked into the woods behind her clinic after stitching a patient's hand, realized she never wanted to go back, wrote her resignation letter, and then stayed through an entire pandemic wave anyway rather than leave at the worst moment. Her last day came in her birthday month, and she sat in her car and cried for fifteen minutes before driving home with the windows down, free.Listen for the moment a senior resident nodded at her to keep going while ribs cracked under her hands, and for what that taught her about self-doubt. You'll start catching your own identity statement, about money, sleep, confidence, relationships, the ones you say like they're just facts. Then you get to argue back.Redesigning You: Change Your Inner Story, Transform Your HealthDr. Kim's WebsiteDr. Kim's YouTubeDr. Kim's InstagramIn this episode you will:Discover with Dr. Kim Foster why lasting change fails as an identity problem rather than an information problemApply the Recognize, Redesign, Ritualize framework to build an identity your brain actually believesBuild a bridge identity that gives your mind proof instead of forcing affirmations you secretly rejectOvercome the fear that keeps you loyal to a role you have outgrown, even a prestigious oneReframe self doubt as useful data and stop letting shame drive your attempts to improveBecome genuinely magnetic in conversation without slipping into performanceFor more information go to https://lewishowes.com/1981More SOG episodes we think you’ll love! Get More From Lewis! Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
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There was one patient, late 40s, a little bit overweight, her blood pressure was going up,
and she knew that she wanted to exercise.
I was supporting her on this, so we were talking about different things that she could do.
I made some suggestions.
At one point, she said, this is great, Dr. Fon.
Thank you, but the thing is, I'm just not an exercise person.
I never have been, it's just not me.
And at that moment, I thought, oh, this is not an information problem.
This is an identity problem.
She's a formerly trained family physician.
She's an author and one of the clearest voices on why lasting change starts with identity.
Today's guest is Dr. Kim Foster.
This is one of the key reasons why it's so hard to change identities because up until this point,
your brain has had a whole lot of evidence that you are this kind of person.
So you can look at yourself in the mirror and say, I'm very confident, but your mind is like,
interesting based on what?
What's the framework for creating a new identity?
So there's three parts.
So recognize is the first, and that for many of us is the hardest part.
You spent two decades as a physician telling people essentially how to improve their lives.
But you also observe very few people.
that changed their identity in this process.
Why is it so difficult for so many of us to shift our identity, even though we know what to do,
but how to shift our identity seems so challenging?
Yeah.
Well, you're right.
I mean, the identity piece is the key there.
So I did spend two decades working as a family doctor, and I saw people come in all day long,
and I would give them advice, the stuff that I had been trained to do.
so trained to tell people what they needed to do, how they needed to do it, give them the evidence,
give all of those pieces, and then they would walk out motivated.
So these are people who are intelligent, they're motivated, they have a lot at stake.
And they're in pain or something, right?
They're in pain.
They're scared for what is coming for them or what has already happened or what their family
history would tell them is coming for them.
So they would really be very motivated to change.
So motivation was not the problem.
and information was not the problem.
And they would walk out and then I'd see them months again later and nothing had changed.
Or maybe they had changed something for a short time.
They'd tried and then they'd kind of stopped.
They fell off.
They went back to old habits, old patterns.
And I became really curious about that because, you know, I like to think that I was pretty good at giving explanations and, you know, helping people to understand.
I like that piece of it to educate them and help them understand why it was important and what they needed to do.
So regular exercise and getting more sleep.
And we know all of the stuff.
We know vegetables are involved.
All of that stuff.
So I became very curious about that gap.
So what is that gap?
And over time, well, I remember actually there was one patient who she was late 40s, a little bit overweight, her blood pressure was going up.
and she knew that she wanted to exercise, get started exercising.
And I was supporting her on this.
So we were talking about different things that she could do.
And I made some suggestions.
You know, you could, doesn't need to take, or she had objections, right?
The usual objections.
Like, I don't have much time.
So I said, well, that's no problem.
10 minutes even at a time can make a difference.
There's research on that, giving her all the information, right?
There's all these excuses of why we can't do something that's,
better for us. Yeah. Yeah. There's always reasons. And they sound very rational. I've got three jobs. I've got
three kids. I've got no time. I'm exhausted already. How could I find more time to do this?
Struggling in these areas. It all sounds rational, I guess, right? Exactly. And then it was like,
oh, I don't like going to the gym and I was no problem. You can do all kinds of things at home.
And so I had all these things. And then at one point, she said, this is great, Dr. Foster. Thank you. I really appreciate this.
But the thing is, I'm just not an exercise person.
I never have been.
It's just not me.
And at that moment, I thought, oh, this is not an information problem.
This is an identity problem.
She just really does not see herself as someone who exercises.
And then she went a little bit further and said that her sister was always the one who was the sporty one.
And she was the bookish one, right?
So she had, it had come from what her family had told her,
that she'd played, all of that that she'd accumulated, and then she just really didn't see herself
as someone who exercised. So it didn't matter how bite size I made it or how easy I made it or
lay your workout clothes out the night before, all of that. If she just ultimately did not see
herself as someone who exercised, it was just never really going to stick. She was, it was friction
every time she was trying to enact that behavior. And so once I saw that, though, I could see,
that that applied across the board for so many things that we tried to change, not just exercise
or eating well. I had a guy who many people who would say, you know, I'm not a health net, so don't
talk to me about like lentils and things. But if you have this identity of you being this
kind of person or not that kind of person, then it is absolutely going to just be your instruction
manual for how you live your life, the choices that you make. And when people say these identity
statements, it sounds like fact. It sounds like it's the truth. Like it's a neutral fact, like
eye color or your height or something. Like, I'm not an exercise person. I'm a night owl. Whatever.
You know, we have all these identity statements. And once I started hearing people saying
these things, it really just, I heard it all the time. And I began to recognize,
it as that's the difference maker. That's the thing. Because I certainly also had patients who had
more empowering identities. I had this 70-year-old guy who was very fit and like a big strong
guy who had been active his whole life. And I, because in your 60s, 70s, that's when you really
start to see the differences in how you have lived your life because there, I certainly had many
patients who were in those decades who were not looking quite so robust and fit and strong.
But he was and he was waiting for a knee surgery, but he was a skier.
And he was frustrated because it was meaning that he was losing out, missing out on the ski
season being on this waiting list.
And because I was curious about him, I was curious about what had made it so that his life,
he had chosen this particular trajectory.
But the way, the language that he used was, I'm a skier, I'm an active guy, I need to get back out there, I've always taken care of myself.
So he had these empowering identity statements that he's volunteered for how he saw himself, what his self-concept was.
And that had dictated his choices through his whole lifetime.
So if we have an identity that says, I'm just not a workout type person, right?
just not a healthy eater type of person. But then we know we're supposed to start eating healthier
if it's going to solve a health problem we have or something, an ailment we have,
eating better, sleeping better, moving more is going to help that pain. But if we have an identity
that says, no, you're not that person, you're this person. And we start taking those actions
that we know are better for us, but go against our identity, what ultimately happens when we go
against our identity even for good. Yeah, when we go against our identity, even though we know
cognitively, it's for our own good, it's going to lead somewhere that we want it to go. But every
time you do that action, it creates friction. And it creates like an identity mismatch. Because then,
and our brains do not like that kind of, you know, disconnect or this incongruence. So we are,
we have a belief about ourselves on one level, and then we have what we're doing, what the
actions and behaviors that we're doing on another level, and that feels uncomfortable.
So our minds are looking to resolve those kinds of conflicts and that kind of cognitive dissonance.
And there's two different ways to resolve that conflict.
Obviously, you can stop going to the gym or you can start considering yourself to be an athlete.
and change your identity.
And the easier thing for us to do is to just stop doing the behavior that feels uncomfortable.
And just to go back to what feels comfortable, what feels safe, familiar.
Familiar.
Because we can get a lot out of identities that aren't even particularly positive.
Sometimes it gives us a feeling of safety or a feeling of belonging.
If it's, especially it's in your social circle, everybody is kind of the same.
So you feel like you belong.
you know who you are in that role, in that identity. So even though you might know that is better for you,
it's not what feels right. It doesn't feel safe. And our brains, you know, our job, our primitive brain
job is to help us to survive. So if something feels like this is not safe, this is not right,
this doesn't, I've never done this before. So it's not guaranteed with my survival because this is new.
So our brains are going to want to default to patterns that feel safe, normal, new, familiar,
what everyone else around us is doing, even though we know it would be better.
Isn't it interesting?
You could be in the worst situation of your life or the worst relationship of your life or the
worst body of your life.
But the unknown of taking the actions that will support you are more frightening than the actual
fear of the familiarity of the environment you're in right now. It's like, it seems crazy when you're
not in that situation to be able to see someone else's situation and say, just leave, just start
working out, just get rid of that career if it's driving you crazy. If that relationship is
killing you, literally get out. It seems easy to tell someone else. But when you're in that identity,
it seems so scary of the unknown on what's the other side, right? Yeah, exactly. Because our mind's
job isn't to be like, oh, what would be really great for my growth or my development? What's
inspiring? Like, our primitive brains just want us to survive. And so, yeah, I mean, you can,
you can for a while, right? Convince yourself that this is better. But it's ultimately,
you're going to, when you're busy, when you're tired, when you're stressed, you're going to
start to default back. So, you know, you can be motivated on a good day and, and feel inspired to do a
particular thing that you know is better for you when you are well rested and don't have a lot
going on and all of those pieces. But when it rains, when it's your cold, tired, sick, have a super
busy week, then it's so much easier just to default back to what is safe. I mean, so how does someone
actually change their identity and how quick can you change your identity? Does it take months,
years, decades, or can you change your identity in a moment? Yeah, this is a great question. And this is
the key because it sounds, it sounds really simple. Just change your identity. Just decide to be somebody
different. And you can make that decision quickly and overnight. Once you become aware,
and really that's kind of, that is a big key, is becoming aware because like I said,
most people just report these identity statements like it's just fact. Once you become aware of it,
and once you realize that you want to change and adopt a new, more empowering identity,
you can make that decision right away, but it's the stabilization that takes a while. And that
process requires proof. So your mind, because this is why it is, this is one of the key reasons why
it's so hard to change our identities, because up until this point, your brain has had a whole
lot of evidence that you are this kind of person. So, you know, let's say that you are, you don't
feel very confident. You want to be, because it's not just health, right? Of course.
this applies to so many different realms. You want to be socially confident, but you've always
identified yourself as really awkward. Interverted shy. Introverted shy. Yes, that was me as a kid.
But so you can decide that you want that, but your brain has got so much evidence to the contrary.
So you can look at yourself in the mirror and say, I'm very confident, but your mind is like,
interesting based on what? There's no evidence yet. Yeah, no evidence. So it's like one day at a time.
So you need to start to gather proof.
You need to start to log actual evidence that you can do things in a different way.
However, it can be very difficult if you just try to leap straight from like, I'm super awkward and shy to I am like a socially confident, social butterfly.
That's just, and your brain is just going to reject that completely.
And that's often why affirmations like big grandiose affirmations do not work for people.
But if you can choose what I call a bridge identity, so bridge identity.
Yeah.
So something that is, it's a bit of a stretch, but it's not the full way.
It's one step away.
So if you're, let's go back to the socially confident.
So instead of saying I'm super socially confident in all environments, it could be I'm somebody
who is embracing the challenge of starting one new conversation each day.
I'm somebody who can start up a conversation even when I feel uncomfortable or something like that, right?
Like it's it's just one little step off of and it's believable, but it's also a stretch.
And then you go out and gather some proof for that.
So then you put yourself into a situation and you just do that one little action even though it feels really uncomfortable.
And then you have to to really make that, pay attention to that piece of,
action and so that you can internalize it and say, okay, that's what I did. I kept that promise to
myself and then you keep going. And eventually, you call that the stabilization time. Yeah, that's,
that's when you have to, you're stabilizing the identity so that it actually becomes real to you and
so that your mind actually starts to believe it. And importantly, believes it even when
some contrary evidence shows up, like even when maybe something didn't go,
so great that you wanted it to because that's another key is that when you have a particular
identity of yourself as somebody in particular and then you know something happens that is in accordance
with that you're like see not me right so like it goes back to the old belief it goes back to the
old belief yeah i knew that that i knew that i wasn't somebody who could do that that's whatever um but
it's when you have an identity that is upgraded from that those
contrary piece of evidence can you can still have a bad day. You can still skip a run,
but it doesn't shake who you actually fundamentally believe yourself to be. If you still believe
yourself to be a runner, it rains, you decide not to go. It doesn't mean you're not a runner anymore.
It just means that you just decided to give yourself a break that one day. But somebody who doesn't
think of themselves as a runner is going to be like, oh yeah, see, I skipped that run. I knew that it
wasn't for me. I knew that's never been me anyway. She calls the bridge. Yeah, bridge identities.
Bridge identities. What's the framework for creating a new identity then? You have this three-part
framework, recognize, redesign, ritualize. What is that? And how do we use that? Yes. So exactly,
like you said. So there's three parts. So recognize is the first. And that for many of us is the
hardest part. Because like I said, we have just believed a certain thing about ourselves and we've been logging
proof for our whole lifetime. And so it just sounds like a fact. So you have to really start to
recognize, well, what is the identity that I have been operating as? And then start to call that
into question, is that true? Does that have to always be true? Where did that come from? Who told me
that that was true? You know, those kinds of questions, just really recognizing that it's not the
truth. It's just a story that you have been telling.
yourself about what's possible for you, what's not possible for you. And then once you have
kind of detached yourself a little from the stone cold truth of this identity story that you've
been telling yourself, then it's redesign. So then you get to really identify, okay, what is the,
who do I need to be for my next chapter? At the school, I have something that I would like to achieve.
Who is the person who achieves that? Who is the person that, that's, that's,
act like that has that
life. And
that's the fun part too, is to really
start to re- Imagine a dream.
Yeah. Yeah. And you get
to redesign a new
identity for yourself.
But then the third part is the key
that's ritualized. Because then that's
really what I was talking about is you have to go
out there and log proof because
it's not just a thought exercise.
It's not good enough to just choose a new
identity and just be like, okay, job done.
You really have to go out
there and start to collect proof in tiny, small, probably uncomfortable ways in the beginning.
And then you start to, it becomes part of who you are.
And then eventually you wake up and like, actually, I am this kind of person now.
Now, for two decades, you worked as a family doctor.
When did you realize that you didn't want to be in that practice anymore or you wanted
to reimagine your work?
and how hard was it to let go of an old identity of being a doctor?
I mean, I had been practicing for 20 years, and, I mean, ultimately, I ended up practicing
for 20 years. It was a few years before that that I started to feel called to help people
in a different way. Because as a doctor, so much of my work happened after something had already
gone wrong. So somebody had developed heart disease, diabetes, chronic pain, or they were so,
exhausted and overwhelmed that their health was really starting to suffer. And I kept thinking,
I want to get further upstream here. I wanted to help people to change their choices and their
behavior and how they thought about themselves. Yeah. When there was still possibility ahead.
And at the same time, I started to feel an increasingly strong pull, like a creative pull.
So I wanted to create stuff with my own and write and speak and, you know, do things like that.
And so I started dabbling a little.
I started making some YouTube videos on the side.
I started writing.
I started coaching.
And I got to a point where I realized that this thing that I was doing on the side was really, that was the work that I wanted to do.
Yeah.
You loved it.
I loved it.
I loved it.
And it was meeting all of my, you know, inner needs for that sense of meaning and helping people
upstream, all of those pieces.
However, just knowing what I wanted to do, again, it was not enough because I had a very ingrained
identity as doctor, very ingrained.
You know, probably since you're a teenager, you're on college, you're like, I'm going to go to med
school and I'm going to be in residency and I'm going to be a doctor.
And it's like your whole adult life was around an identity.
Yes.
You talked about being a doctor. You met with patients every day. You got your credibility from this as well. You got so many things from. You got your money from this. All these things came from being a doctor. Yeah. So leaving that identity must be challenging. It was incredibly challenging. It took me a long time to actually realize that so much of my identity was wrapped up in this. And yes, exactly. I decided when I was 17 that I wanted to go to medical school. And so,
everything from that point onwards was because being an achiever, good student type, I was like,
okay, that's the goal. Now what do I need to do to get there? Then it was just a matter of execute.
So I needed to get the grades. I needed to write the MCAT. Like I needed to do all the things.
And then get into medical school and now can get through med school. And so I really adopted,
what I realized later is that I adopted a survivor identity. Really? So yes, because I
I survive this, survive the test of five med schools.
Survive the residency.
Stick it out.
No matter what, no matter how hard things get.
16 hour days, no sleep, whatever it takes.
Yeah, there were times in the hospital when I'd be, like in residency especially, I'd be so exhausted.
I'd been working so many hours.
It's the middle of the night.
The pager goes off again and I just wanted to ignore it.
Go to sleep.
Go back.
Yeah.
And I put my head down, cry.
for a minute and then pull myself together, walk out, and do the thing they needed to be done.
Survive.
Survive.
One more call.
Yeah.
Just keep going.
So when I reached a point in my medical career where I was like, I need to make this move.
I need this new chapter.
I need to go.
My survivor had a lot to say about that.
My survivor was like, this is hard.
No problem.
We can do hard.
Keep going.
And so I really had to.
understand that endurance isn't a virtue in all situations. Sometimes you need to know when to make a choice.
Just because you can keep going, it doesn't mean that you have to keep going and that the strength can
come from making a choice, especially making an unconventional choice. And walking away from something
that I get a lot of validation from status. Like, you know, it was very confusing for a lot of people
why I would actually...
Why would you walk away from this?
This is what you worked for your whole life.
Oh, and the sunk cost.
The sunk cost was huge.
Medical school or this, the investment.
Why would you throw this all away?
Why would you throw it all away?
And I was asking myself that too.
Like, it wasn't just people external to me saying,
why would you throw it all?
Although I certainly had that.
But it was, yeah, the feeling of I invested so much
and now I'm just going to walk away.
That's crazy.
Who does that?
And so that was really...
hard. And what I came to realize, the permission that I gave myself on that is that I didn't
get that education to limit my life. I didn't get it so that I could only do this one thing
forever and ever until I die. I gave it to my, I gave myself that education because I wanted
to have a meaningful life. And I couldn't have foretold when I was 17 that I was going to reach a
point that it didn't feel like it was giving me that meaningful life. And I couldn't have foretold.
life anymore, but I had to give myself permission to just let that go. And it also didn't mean
that none of that stuff mattered. It didn't mean, I didn't have to pretend that it didn't happen or
consider it all a waste. Just because you're not continuing on something doesn't mean that the
years that came before were a total waste of time. I learned so much. I mean, all of those years
deeply shaped who I am and how I think and the patterns that I recognize and how I relate to people.
So I get to bring all of that with me.
I'm just doing a different thing now.
And it's okay.
It's not a loss.
I brought it all with me.
Wow.
So when was like the last day you, I guess, had your practice or before you moved on,
what was that like?
And why did you decide to say, now is the time to move forward into a new identity?
Yeah.
I had two days that were significant.
One was the day that I decided to go and one was the day that I actually did go.
How much time was in between?
There was a solid year in between those, too.
He made a decision like, all right, I'm done.
Yeah.
Done with this.
I'm going to go create this new thing.
Yes.
And take a leap.
But then a year, you said, did you say, I'm going to give it a year?
I'm going to wait until this moment or you were just waiting until you knew the right time to leave?
Yeah.
Well, the day that I decided, I was working at a university clinic and I had just finished
suturing up a patient's hand, which is something that I really like to do.
Stitching?
Yeah.
And I like to think I was pretty good at it.
but it was a pretty intense repair.
It was just a little bit more complicated than usual.
Anyway, I did a good job, but I wanted to kind of decompress a little bit.
And at the back of the clinic, it was on a university campus, so there's woods out there.
So I walked out, just put my earbuds in and listened to some things and went for a walk out of the woods before my next patient.
And as I'm walking, I realized I don't want to go back.
You don't want to go back in.
Don't want to go back.
And it wasn't, I didn't.
The nature was calling you.
You were like, I want to stay in this, this woods.
Well, what I realized is that I didn't want to, it's not that I wanted to go, didn't want to go back that afternoon.
I didn't want to go back at all.
I wanted to keep walking through the woods and go emerge the other side.
I had this vision of like emerging the other side into a completely new chapter of my life.
And it was, and it wasn't because I had come.
The interesting part to me when I think back about it is it wasn't because I had had a really
bad thing. Like, I just done a really good thing. I just sutured somebody's hand and did a good job.
And I was doing what I had been trained to do and was quite capable of doing at that time. But I still
didn't want to go back and keep doing it. So I did go back, though, that afternoon. I didn't walk
through the door and throw my stethoscope across the room. Oh, God. It wasn't like that.
because I still had, I knew that I still had some work to do because that's when I realized,
because the other thing is, I mean, I started dabbling with YouTube and coaching and all
of that.
And I was starting to make money enough that I knew I could actually support myself and my family.
We wouldn't have to sell her house.
And I was like, okay.
So you actually logistically could leave now.
So why aren't you?
You were making enough.
Maybe it wasn't exactly match you're making as a doctor, but it was enough.
It was enough that I could go.
So what was it that was holding your back?
Well, that was when I really had to get intensive and intentional about addressing that identity
piece, about who am I here?
Like, what, why?
Who will I be without being a doctor?
Because I just couldn't let it go.
I just, it had been so wrapped up in my entire adult life that I just couldn't, I couldn't
walk away yet.
So I needed to really think about, well, what is that going to be like?
Like, what do I write on forms when they ask me?
your occupation and you know what do i say i just needed to to to be a YouTuber well that's it
actually i did it's actually funny i did have with the first time that i introduced myself as a
YouTuber was pretty crazy because that's that is a strange you're just a YouTuber you're not a doctor
right yeah yeah like at dinner parties your uncle isn't like so your doctor well what are you
really going to do with your life but they do have that response when you tell people that you're
interesting that's so funny because do you know Ali Abdul
Yeah, I met Ali last summer.
Really?
Yes, yes, yes.
So I've known him for a while, and I was, or maybe he was interviewing me.
That's what he was doing.
He was interviewing me, I think, and he was still a doctor, like two days a month or something.
Yeah.
But he was making more just as much as a YouTuber.
And I go, what are you waiting for me?
And he was holding onto this identity of, well, how are people going to look at me without
me saying I'm not a doctor anymore?
You know, I'm not practicing.
It was tied into his identity.
He's like, then he finally took the leap, I think a few months later.
And then he made millions of dollars, you know, pretty quickly after that, being a YouTuber.
Yeah, right?
Right.
Just a YouTube.
And but I think there's a, for him, it was challenging, for you was challenging.
But when did you finally come to grips with like, it's going to be okay if I'm not identified as a doctor?
I'm not getting this validation or this credibility that I've had for so long.
Well, I finally came to terms with it.
And I actually had written up my resignation letter.
And I was, I was feeling really at peace with it.
And I was good to go.
And in the new year, like in January, I was going to just let people know.
And I needed to, you know, I had obligations to make sure that everything was going to be taken care of.
All of those things.
And the new year was 2020.
Oh.
And COVID happened.
Yeah.
And I thought, this is not the moment when I can walk away.
I can't abandon the health care profession at the absolute.
worst moment.
You can't abandon them, but did they abandon you?
Well, the healthcare profession
of you in some ways. Yes, possibly.
But I just felt like, in my core, I was like,
this is not how I want to leave.
This is not what I want to do.
And so I stayed through the first wave of COVID.
And really, I mean, it was terrifying,
personally, absolutely terrifying,
professionally and personally terrifying time
to be practicing medicine, but
especially primary care front line.
And, but it was beautiful.
and like the banging pots and everything like that's for me.
And my boys were proud of that.
They were terrified for me too.
But it was a really nice sort of end.
And then we went through the summer and then it was October, my birthday month.
And things were really quieting down, 2020.
Things were very much quieting down in our area anyway.
On the island.
Yeah.
On the island.
Yeah.
The wave had passed.
And so I was like, okay, this is my time.
So October of my birthday month, I sent in that letter.
And then I was done.
And on my last day, that when I was finished seeing my very last patient, so last day, last patient.
Five o'clock.
Yeah, I walked out of the clinic and I got into my car and I ugly cried for 15 minutes.
Wow.
I just cried.
It just all came pouring out because I knew I wasn't going back.
And I knew that that was the end.
And I just had visions of my 17-year-old self.
who had all like starry-eyed, I want to be a doctor, got into medical school, had worked so hard,
and it was all over. And I wasn't going to see patients anymore. And I wasn't going to be Dr. Foster
anymore. Like it was all at a chapter end. So, so clearly. And so that was identity grief.
What I recognize now is that it was like a cathartic moment of letting that
old identity go.
And it was huge.
How long did it take for you to step into the new identity after leaving being a doctor?
The next five minutes.
Really?
Yes.
So you cried out.
You'd also process for a year beforehand.
I had been processing.
You were ready to leave.
All of my stuff on that.
I was ready.
And then I had actually been ready and then was sort of held back by the world global crisis.
And so, yeah.
So then I stopped crying.
And I turned down the music, I put the windows down, and it was a beautiful day.
And I drove home, and I felt so free.
Freedom.
Total, complete.
Freedom.
I own my day.
I own my life again.
And I can do whatever I want.
I mean, I knew what I wanted to do because it was already very much in play.
You're already doing it.
I mean, I did in some ways, I think of myself as leaping out of a parachute airplane without a parachute.
But I knew what I was going to do.
Yeah.
My friend, I hope you're enjoying this episode.
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Now, let's get back to the conversation.
Now, you also disagree with the self-help advice that some people give.
where they focus on shaming people into becoming a better person or a new person or changing
their beliefs or habits.
Why does shaming people to improve who they are not actually help them?
It's a really easy thing to think.
And we all kind of do this.
So we want to make a change because we, I mean, if it's weight, we catch a photograph of
ourselves and we're like, oh, is that what I look like?
I'm disgusting.
I need to make a change now.
So we do this as kind of a knee-jerk reaction.
And it is quite normal, I think, to initially want to make a change out of that feeling of kind of self-loathing.
But we know that self-loathing is never how you're going to actually make a longstanding change.
It is so much more helpful to make a change because you love yourself.
I mean, cliche, it sounds, but it's absolutely true and backed up by research, is that you want to, if we just stick with the weight loss example,
for example, lose weight and become fit and healthy because you love your body, not because you
hate your body. It's just so much more effective long term. You're going to be able to stick with it
because, again, the idea is sustainability, right? So as I said, when I was practicing, people
would do stuff temporarily. And then they'd come back and I'm like, I went back to the way that it was.
And so if you're making a change because you hate yourself or you're so mad about that,
you've let yourself fall into this pattern or that you are so useless or whatever, whatever negative
thing that you're telling yourself, that's not a sustainable way of staying motivated.
Yeah. Some of the people in this personal development space talk about stacking habits.
A lot of people say, you know, just stack these habits. You know, if you're running, also listen to
something or also do this or whatever might be or drinking water. It's like, how do you stack two or three
habits at a time in order to shift the person you want to become. So your approach is a little bit
different though. You say we should be putting belief before ritual. Why is that? I love habit stacking.
Like I love those tactics and those strategies. And I think that there are a lot of great
techniques and approaches that you can take in order to help to facilitate the change that you want
to make and make the actions that you want to take easier. But,
if that's all you're doing, you really are just addressing things on that one surface level.
You're not really, so you can maybe like make some changes and stack some habits onto something that you're already doing.
But again, like we were saying before, if you on a hard day, a tough week, if you fundamentally don't believe yourself to be that kind of person, then it's just so much easier to be like, I don't really, that's not me anyway.
And then, you know, it, yeah, sure, I have a stack of habits, but maybe if I just lop off the top couple, like, it was going to, it just feels more comfortable anyway.
So yes, absolutely do all of those bite size habits, stack your habits, create a trigger, create a reward.
All of those things are so great.
But you also at the same time need to be addressing that deeper foundational identity level.
It's like the example that I often, the metaphor that I give is like your operating system.
and your apps. So the apps are like your goals and your habits and habit stacking and all that stuff.
But when you, so you can download all kinds of fancy new apps, but you open up your phone and
those apps are glitching or they're not loading or they're crashing or whatever is happening.
What you realize is that the operating system is, hasn't been updated in a couple of years.
You need to update that operating system so that the apps can run correctly in your actual life
on a, not just on your best day, but on.
a random Tuesday when things are really tough otherwise in your life or you're busy or you're
tired or the kids need you or whatever needs you. Yeah. If someone listening or watching right now
is stuck in a pattern that they find hard to break, where do they actually start today that you
think will help them to become a better person? Well, the very first thing, of course, is that
recognized step. So that's when you really need to, rather than blaming the habit or blaming
yourself or blaming external circumstances or genetics or whatever it is that you know you're
blaming on the outside is to really recognize the story that you have been running underneath
really recognize that oh I've not really been thinking that this is available to me
I have really been thinking that I am this kind of person not that kind of person and those
kinds of statements that's just stories that we we don't just make them up
up randomly. I mean, it comes to us from a whole bunch of accumulated evidence and sources as
we're growing up and going through life. So it's not just random. It came from somewhere,
but it still is a story. And since it's a story that was written, it means it can be rewritten
into something else. And so that's really the starting point is to just get curious and question.
And detached curiosities is so key because we can beat ourselves up, be like, why do I,
Why have I always believed this?
Oh, I'm the worst.
And that's not helpful either.
So, you know, it's a matter of becoming, just granting yourself some grace and saying, well, of course, this is what I've been thinking because there's been a whole lot of proof that I've been accumulating for, you know, how I'm going to live and exist in the world.
Yeah.
What's the biggest thing you struggle with today still?
After knowing all that you know from creating your content, coaching people, writing the book, where do you struggle around identity?
My favorite lab currently for personal development and identity is golf.
So I've become completely obsessed with golf.
Really?
Yes, completely obsessed.
And that's because one of the things that I absolutely love about it is that it is such a pure personal development lab.
It shows all of your stuff.
If I am distracted, if I am not trusting myself, it shows up in the flight of the ball immediately.
And I love that.
So committing to my shot, but then being totally detached from the outcome is the key that I have learned.
And that's what I'm practicing all the time. And that applies not just to golf, obviously, but to life.
So making a decision, being fully committed to the swing, to the action, whatever it is that you're taking, but then not making it mean something.
if it catches a bad balance, if the wind catches it, like, whatever.
These are life circumstances.
And so, you know, beep, but not making that mean that I didn't do my job of making the
decision, being committed and doing the thing.
And that's detaching from it.
Well, what do you think most people get wrong in the self-help space about motivation and
goal setting?
I think that people do focus excessively on the goal.
like what is this goal that I need to achieve.
Actually, I mean, honestly, as boring as it might be to go back to the golf example too, right?
So the goal clearly is to get the ball in the hole, right?
There's a lot of different ways that you can get there.
And it's a matter of, like I said, detaching from that goal.
But who are you being in that whole process is so much more important than whether you actually achieve that goal?
You know, you can have a great committed swing and then it ends up in the rough and you are, you can be all mad about that for a long time.
But ultimately, you have to walk over and be like, okay, this is where we are.
And that's where the whole is.
And so how am I going to get there now?
So it's, but who are you being in that moment?
How are you handling the adversity?
So that's why who you're being, like your identity is so much more important than just achieving the goal, which is just one.
metric. It's just one marker, but there's so much more that goes into it. So yeah. What's a mental
reframe that people need to apply when they have self-doubt? Self-doubt is a fascinating kind of thing.
And I think it kind of gets a bad rap because we think that we shouldn't have self. I think that a lot of
people feel like if I feeling self-doubt, that must mean something about my capability or about
what's possible, maybe this is the wrong thing, maybe I can't really do this. So for me,
the goal isn't to never have self-doubt. It's to manage, to figure out how to work through it.
The story that I think of most when I think about self-doubt in my own life was when I was a
resident and the very first time, like, so I'm working in the hospital, and it's very tough.
And I'm on call that night and it's the middle of the night and we get called to a code.
So that's when somebody's having cardiac arrest.
Wow.
So I'm in, so I'm in first year.
So I'm very new on the team.
They're having a heart attack in the hospital.
They are in the hospital.
Yeah, cardiac arrest in the hospital.
So we have to do the resuscitation and the defibrillation, everything.
That's a lot.
Yes.
It's probably intense.
Oh, yeah.
But it happened all the time.
Like this was quite, quite normal.
Like every week?
Almost every shift that you're on.
Someone's having a heart attack, every shift?
Almost, yeah.
Yeah.
Yeah, typically.
Yeah.
If you're on the code team.
You bring the whole thing in?
Yes.
Wow.
That's intense.
Yeah.
Yeah.
Adrenaline must always be on edge.
Because mostly you're getting woken up out of the death sleep and then you're running
before you're even fully awake.
In the hospital?
In the hospital.
Yes.
That's intense.
Yeah.
That is like survival energy constantly, right?
Constantly, yes.
You're surviving to make someone else survive.
Exactly.
Yeah.
Holy.
Yeah.
We get called to this code.
It's my first.
So I'm, like I said, junior.
And so the senior resident.
Something.
How old was I?
25.
Wow.
Okay.
Something like that.
and my senior resident was running the code.
So he's interpreting the rhythms and he's looking at and deciding what medications
need to be given, what needs to happen next.
And he tells me to take over chest compressions.
So chest, so I'm like, right, eight years of studying.
Now it's ready.
Here we are.
Yeah, go time.
So I climb up onto the bed to do the chest compressions.
And up until this point, I've only ever done them on a mannequin, you know, practice.
So I'm start doing the chest compressions.
And they're like, no, more, deeper.
Because you really need to compress the chest enough to get,
squeeze the blood through the heart so that they can start to see a blip on the monitor
that you're actually pushing blood through the body.
So I start going deeper.
And then I feel the ribs crack.
No.
Oh, no.
And they say that's normal.
And I flinch, of course, because I just cracked a guy's ribs.
Oh, gosh.
And I looked up and my senior resident, his eyes met me, and he just nodded.
He's like, keep going.
Keep going?
Because that's what you had to do.
Oh, gosh.
Right?
So I just had to keep going.
So that was a pure moment of self-doubt.
I'm like, of course.
He said, yes, go.
And you're like, uh-huh, crack, crack,
and every few thrusts, I would just, I'd be cracking more ribs.
And this is so anathema to what you're supposed to be doing as a doctor.
Trying to save someone, not break their bones.
Yes, breaking their body.
So anyway.
But I think about that, because in that moment of doubt,
like I don't I can't, am I supposed to keep doing this? Is this right? This feels wrong. My resident was there to look at me and say, yes, keep going. In life, we rarely have the equivalent of a senior resident who's like, it's fine. I know you're uncomfortable. I know this feels weird and wrong, but you have to keep going because you're doing the right thing. And so I often think of like, okay, well, I'm feeling the self-doubt. Is it still the right thing that I am doing to keep going here and keep pressing board?
No, I don't have my resident.
They're nodding at me to keep going.
But we can create that for ourselves.
Wow.
This is just a curiosity.
Did you always break someone's ribs?
Or is it like sometimes?
It was like...
Well, he was particularly elderly, this guy.
So, yes, he had very fragile bones.
But it's not uncommon.
It's not uncommon.
Oh, no.
Yeah.
Gosh.
That's not fun.
Yeah.
But it has to be done.
Man, that's not fun.
Yeah.
Because it's life or death, I guess, no moment.
It's like, you have to do whatever it takes to save a life.
Yes.
Even it means cracking up your ribs.
Oh my gosh.
I broke three ribs twice, back-to-back ears.
And I just, I just know the pain of that.
It's so painful.
It is exquisitely painful.
There's a lot of nerve endings in your rib cage.
You can't breathe for months.
Yeah.
You can't move.
I want to know how someone can become more magnetic.
Someone doesn't feel like they're energetically attractive.
Like, they don't create opportunities for themselves.
Like, they're not developing luck.
every single day for themselves? What are a few small habits that can make you instantly more
magnetic? Yeah, this was actually quite a popular video on my YouTube channel, a little unexpectedly.
I mean, we make these videos and then you never know. Yeah, but I really had a lot of fun with this one.
And the core of it certainly is, I mean, it's the stuff that we've been talking about is your identity.
So you first of all need to stop telling yourself that you're not magnetic or that you're not confident or any of that kind of thing.
Because when you carry that energy, that does a couple of things.
First, it limits what you even put yourself out for.
You just decide you don't even see opportunities because you've already pre-decided that that's not for you.
So that's the first thing really is to decide that it's just find a more empowering identity.
And again, maybe like the big.
Meg, I'm a super
attractor, like that might be too far.
A bridge. A bridge identity.
Yeah, you can absolutely do that and then start to gather proof for that.
But then the other sort of more practical thing would be,
and this also comes from having a disempowering identity,
is to stop monitoring yourself so much.
What does that mean?
So you are checking in like, see, how am I coming across?
How do I look?
How do I sound?
What am I doing with my hands?
Am I awkward now?
that kind of thing, which pulls you right out of the energy of actually being present in the room
and present with another person and listening to what's happening because you're just all entirely
in your own head.
Self focused.
Self focused.
So be outward focused, not self-focused.
Okay.
What's the next tiny little habit?
Another one is pause.
Slow down.
So rather than rushing into a thing and just blurting something out because of it,
you need to fill that silence or fill that awkwardness, just pausing, taking your time.
And again, that's a present being present kind of thing.
And the first time that I learned that was actually also in medical residency.
See, that this is the thing is that I actually learned a ton about myself and life and people
going through that training because it's so intense.
There's so much going on.
So, again, I get to bring that all with me, even though I'm not practicing clinically anymore.
But yeah, I was doing a radiology rotation.
So it's like x-rays, reading images and films and things.
And so the attending physician would put a film up.
This is when we used film, not digital.
But anyway, put a film up.
And he'd say, okay, so Dr. Foster, what do you see?
And the impulse, of course, is just to like immediately just grasp at something
because it's awkward.
Everybody is there.
It's like a large group.
It's not just a scene we're doing round.
and it's a big group of people, I trained myself to not immediately grasp for the first answer
to just look and be okay with their being silence as I'm processing and read it and then start
to come with my initial thoughts, my initial impressions, that kind of thing. And it was really
tough, but I trained myself to do that. And it made a big difference, I think. And one of the
senior residents on the team actually pulled me aside and he's like really you've got great composure.
You really, it's like impressive how when they ask you a question, you're not just like babbling
and blurting something out.
And that probably feels like a lifetime.
But if it's five to ten seconds, when everyone's waiting for you to answer, you're like,
just pausing, observing.
And you're like, okay, now I'll answer.
It seems like a lifetime.
Right.
And it feels like it looks like.
It looks like, on the inside, it looks like you're uncertain and you don't know and you're, you know, too new.
But on the outside, it actually reads as composure and confidence that you're gathering yourself,
you're assessing the situation properly and taking your time so that you're not rushing into an answer.
Interesting.
Was there another tiny habit that you liked?
I like eye contact.
I think that I can't, and especially, my goodness, now, eye contact, like everybody's looking down.
it's crazy how we are becoming so not used to looking at people.
And, yeah, I mean, it's, I think it makes a huge difference.
Like, even an extra couple of beats of eye contact with someone, like with a stranger,
the barista at the coffee shop or somebody that you pass by or anybody.
And it really, that even just like two extra seconds makes that extra connection.
And I think that makes a huge difference.
Makes you more magnetic.
Yeah. I love those. Those are easy things that people can do every single day. What would you say is the difference between being magnetic and being performative?
It can be very tricky in the beginning to distinguish those things. And that's because in the beginning, it can actually be a little bit of a performance, right? Because it's not, you're not used to it yet. It's not natural. But I think we can confuse something feeling comfortable with something being,
inauthentic. It's not necessarily inauthentic. You are working, you can work towards inhabiting
a new identity, a new presence for yourself, a new way of being. And it's okay that it feels
uncomfortable. It doesn't mean that something has gone wrong in the beginning. And so it's over time
things start. Every new action or behavior feels uncomfortable to people in the beginning. It's after,
it's over a period of time and with reps that it starts to feel more like, yeah, this is
actually just how I operate.
Your six years removed now from being a full-time doctor.
Yeah.
If you could go back to the morning of the last day when you were a doctor, your last day
of practice before you ugly cried at the end of the day and were free and could finally
walk out in the forest like you wanted to a year before that, what advice would you give
her right now?
Six years ago, the day you were about to leave being a doctor.
It's kind of interesting.
I would tell her it's absolutely going to be okay.
You are absolutely doing the right thing, except at the time, I actually knew that.
But you didn't know what you'd create.
I didn't know what I was going to create.
So, yes, I mean, now the validation has come.
Now the proof has all come.
And so, yes, it would have been nice to have received some extra reassurance that, like,
It's going to be completely fine.
You are 100% making the right decision.
You're going to be so happy on the other side of it.
And it's going to be all worthwhile.
Do you feel like it's all been worth it?
Yeah.
Really?
It's all been worth it.
It's all been worth it.
Not just the walking away, but also the doing, the training, deciding.
People have asked me if I regretted going into medicine.
And I absolutely don't.
It made me who I am.
And again, I don't have to abandon.
that. I don't have to pretend that I didn't go to medical school, that I wasn't a doctor.
It does require some explanation afterwards, and even now, people still don't really understand.
I think I met somebody last month who didn't really understand why I'd stopped practicing medicine.
And it's a pretty long story, and we didn't have 90 minutes to go through it like we are now.
Because most people don't become a doctor and then stop.
Most people don't.
They just do it forever.
Yeah, yeah. And I do catch actually quite a bit of criticism on my YouTube channel for that.
whenever I do actually address the fact that I left medicine and maybe talk a little bit about that,
there are definitely some people who don't appreciate it and don't understand.
There's various criticisms.
I mean, one that does come up quite a bit is that I took a spot in medical school away from
somebody who would practice forever.
And I'm like, well, I did practice for 20 years.
That's a long time.
That's actually quite a bit of time.
I didn't just abandon it immediately.
And I didn't go into it thinking I'm going to stop doing it.
I mean, that would have been a different story if I had done that.
Exactly.
But still, as with all YouTube commenters, I think, okay, well, this person, maybe they had
actually wanted to go to medical school and they didn't get in.
So I totally understand that there could be other things that I do not understand about
their lens.
And it doesn't mean you can't still help people in a doctor mindset.
You know, if someone's sick or hurting, you could give them, I guess, some type of treatment
that you're aware of.
Maybe you can't prescribe something.
Right.
But you can say, oh, we need to get you stitches.
We need to do this.
you should go see someone and get you this medicine.
You can give them insights based on what you know to still help people.
Totally.
And yeah, the knowledge is all still there.
And I think the reassurance is there too.
I remember I was working in a clinic and a guy fell down on the sidewalk just outside of the clinic.
And so somebody said, oh, come out and see this guy.
And I went out and saw him.
And I said, it's okay.
I'm a doctor.
And the relief on his face in his eyes.
I mean, I wasn't going to do anything at the sent that he needed to get his, but just to know, just to go from being a guy on a pavement who just hit his head and was very confused to suddenly having somebody standing over him saying, I'm a doctor. That relief was there. And then I, and so I get to, I'm not going to practice medicine, yes, obviously. But that role, I mean, those are the sorts of things, though, that kind of role in society was part of what kept me in it for a long time.
Of course. Yeah. And if you're on a plane, if someone's going to do you.
something you can go and support them or whatever might be.
Someone feints if someone has an issue or whatever.
It's so much more about the reassurance and support,
not necessarily like exactly technically what I would do.
So I still get to inhabit that role.
It's exciting.
You got this book out called Redesigning You,
which is about how to change your inner story to transform your health.
And I want everyone to go get this book because for me,
from all the information that I've learned on this show,
I truly believe that identity is at the root of so many things.
And when we have an identity or a belief about ourselves that is limiting us,
it's going to be hard to create an abundant, free life.
But when we learn the tools on how to shift the identity and the storing the beliefs about who we are,
and we start living into them with new evidence and start building the identity brick by brick with new evidence,
it unlocks a whole new world of possibilities for us.
It unlocks better health, better relationships, more financial freedom, better opportunities, better relationships with friends, whatever it might be that we want.
Shifting our identity creates better opportunities.
So for me, I want people to get the book, redesigning you by Kim Foster.
There's a lot of great content in here, a lot of great mindset strategies, information, and tools that will support you.
in shifting out of the things that block you into the things that help you create breakthroughs.
So I'm very excited about you having this book.
And people can check out your YouTube channel.
You've got a lot more great content there.
Before I ask the final couple of questions, I want to acknowledge you, Kim, for taking that leap
because that's not easy to do.
And for, you know, where a lot of people might have criticized you for leaving,
I want to acknowledge you for leaving because you were stepping into who you believed
you were meant to be. And you stepped into, not that you weren't helping a lot of people as a doctor,
but now you're able to help more people with what you love in a new level, in a new identity.
And I think it's a beautiful testimony to what's possible for people. So I acknowledge you for
being on this journey, for constantly evolving and helping people, even though it's not
what your 17-year-old self set out to do. I think it's what she truly wanted to be,
which is how you can serve the maximum number of people.
And your videos and your coaching and your book
are able to reach more people at a time
rather than you one-on-one.
And so there's no right or wrong,
but I feel like that's truly what your heart desired
and you're doing it.
So I acknowledge you for that.
Thank you so much for that, Lewis.
I really appreciate that.
Yeah, it's inspiring to see.
And I can't wait to see more of your stuff online.
This is a question called The Three Truths.
I ask it towards the end.
Imagine you get to live as long as you want
and create whatever you want, but it's the last day for you, and you have to take all of your work
with you. So the book, your content is all gone from this world. And you only get to leave behind
three final lessons to the world. That's all we would have of your content. What would those three
truths be for you? Truth number one is that you're not fixed. I think that we really underestimate
how much we can actually change and evolve over the course of a lifetime. And yes, your history
absolutely influences you, but it doesn't dictate what's possible for you. And I like to say
your past is not your prophecy. So that's truth number one. And then truth number two is don't
confuse who you had to become with who you have to remain. So like the story that I was telling
you about the survivor in me, so I had to become the survivor to get through what I was doing.
And that I'm very grateful for that identity.
It wasn't a bad identity.
It helped me achieve things and get through.
But I don't have to remain that.
That doesn't have to be what I stay doing forever.
You are allowed to evolve beyond something that once served you beautifully.
And then number three is your life is happening right now.
because I think that it's really easy to spend, I know I spent a lot of time preparing for the next thing.
Once I achieve this, once the kids get older, once they get more clarity.
And it's a bit of a, it can be a trap for people who are ambitious to spend so much of their energy and time building the future, but forget to inhabit the life that you're in right now.
So, you know, take the trip, take the risk, be here for it.
That's beautiful.
And final question for you, Kim, what's your definition of greatness?
So my definition of greatness has actually changed quite a bit over the years.
And I think that my younger self would have said that greatness is a lot about excellence.
So discovering what you're capable of and then proving it and achieving really hard things
and becoming exceptional at something that is ideally measurable and visible to other people.
But now I think that greatness is much more about discernment.
So meaning becoming really deeply discerning about what deserves your life.
Just because you're capable of doing something doesn't mean that you are obligated to do it.
and of course that's my story too
but I think that it's really important
getting clear on what actually deserves your effort
and your precious life
and the years that you have
and then going all in on that
like giving yourself fully to that
becoming discerning and giving yourself fully to that
that's beautiful Kim thank you so much for being here
appreciate it yeah it's my pleasure it's a great conversation
my friend I hope you're enjoying this episode right now
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