In this episode, Dr. Mel Thacker sits down with cardiac surgeon, Dr. Alexandra Kharazi. Together, they explore what it means to operate—literally and figuratively—from a place of purpose rather than fear.

We discuss:

• The emotional rewards of caring for high-risk cardiac patients who have few options left
• The "Black Swan" framework for surgical decision-making: a grounded process for choosing wisely when the stakes are highest
• Why just because we can, doesn’t mean we should—and how she decides when not to operate
• Why post-op cardiac care is never à la carte—and how communication defines outcomes
• Why self-flagellation after a complication sabotages future decision-making—and how to shift from fear-based to mission-based thinking
• What skydiving teaches about emergency preparedness, trust, and rapid execution
• How anxiety, fear, and trauma must be processed after the fact—not in the middle of the OR
• Using celebration and reflection to build self-trust and resilience
• Reclaiming your identity in medicine by anchoring to mission, not job title

This episode is a powerful invitation to rethink risk, courage, and how we serve. If you've ever struggled with self-doubt, anxiety about litigation and complications, or the emotional toll of high-stakes surgery—this conversation is for you.

Alexandra Kharazi, MD, is a board-certified cardiothoracic surgeon, author, speaker and skydiver.

​Dr. Kharazi is board certified in general surgery and cardiothoracic surgery. She has publications in numerous medical journals including The Annals of Thoracic Surgery, Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery, and Journal of Innovations in Cardiac Rhythm Management.

In addition to her medical degree, Dr. Kharazi holds a masters degree in biology, having completed a masters thesis titled "Generation and molecular analysis of dominant negative alleles of anthrax lethal factor in Drosophila."

Having received multiple honors and recognition for patient satisfaction, she has been featured in regional and national media outlets and peer-review journals, Medium, KevinMD, and Doximity among a few. Dr. Kharazi is the author of “The Heart of Fear” and offers realistic success plans that help her audience to become better … both personally and professionally.​

She is a member of the American College of Surgeons.

Follow Dr. Alexandra Kharazi on instagram here.

Connect with her on her website here.

Learn more about Empowered Surgeons Group here.

Learn more about Empowered Surgeons Group here.

In a profession that demands perfection and endurance, it’s easy to default to survival mode. But what if the real evolution happens when we shift from self-preservation to purpose?

In this episode, we unpack the 6 core human needs—belonging, autonomy, mastery, esteem, trust, and purpose—and how understanding them can change the way you show up in the OR, in leadership, and in life.

We dive into powerful mindshifts specifically for surgeons, like:

🔹 Perfectionism → Service

🔹 Scarcity → Abundance

🔹 "I have to" → "I get to"

🔹 "I don't know" → "I'm figuring it out"

🔹 Triggered → Curious

🔹 "I can’t say no" → "I only say yes when it’s a hell yes"

🔹 Self-focus → Other-focus

🔹 Waiting for the other shoe to drop → Trusting you'll be okay no matter what

These aren’t just affirmations. They’re tools for resilience and power—the kind that help you lead, advocate, and operate from your values, not just your training.

Whether you're burned out, bored, or just ready for something more aligned—this episode will help you remember what’s possible when you start leading from your whole self.

Dr. Sharon Stein is a colorectal surgeon, professor, coach, and creator of The Intentional Surgeon. In this episode, she shares her unconventional path to medicine—from outdoor education and real estate to academic surgery—and how she carved out a career aligned with her values. We explore her rise through academic leadership, the stresses of trying to fix a broken system, and the moment she realized the job she worked so hard for wasn’t the job she wanted.

We talk about the cost of “doctor-pleasing,” the power of saying “no,” and the importance of waking up to the beliefs we inherit from medicine. Sharon opens up about taking a sabbatical, discovering coaching, and now enjoying a mix of surgery, speaking, and professional development—all rooted in her values.

If you’ve ever questioned the system or felt torn between who you are and what medicine asks of you, this one’s for you.

Sharon Stein, MD, FACS, FACRS is a Harvard trained colon and rectal surgeon with over 10,000 cases under her belt. Laparoscopic, robotic, open - all of the cases. Textbook author. The kind of surgeon people went to when other surgeons couldn't figure out what to do next. Always an advocate for her patients. Professor of surgery with over 150 articles in peer reviewed journals. Moderator, course director and faculty for more than 150 programs internationally. Program director for surgical fellowship. Board examiner. Former president of Association of Women Surgeons, Committee chair for American College of Surgeons, Executive Council for American Society of Colon and Rectal Surgeons. With 100's of hours of coaching under her belt, Sharon provides her clients with insight, perspective and skills that they need to be more effective as a surgeon and communicator. Sharon trained as a coach at Weatherhead School of Business, Case Western Reserve and completed diversity and leadership training at Kellogg School of business/ Northwestern University. She is internationally known as a coach, speaker, and host of the Intentional Surgeon Podcast.

Connect with Dr. Sharon Stein via her website here.

Learn more about Empowered Surgeons Group here.

Anonymously share your story with me here.