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Unclenching the Wheel: White Knuckling and Practical Mindfulness

Have you ever been told that you are moving through your career like you are holding onto a steering wheel during a severe rainstorm? In this solo episode of The Hidden Load, Dr. Santina Wheat reflects on a vivid piece of feedback from her early clinical training and explores how high-achieving physicians, educators, and leaders walk through life with "white knuckles"—operating in a state of constant, bracing defense.

Dr. Wheat breaks down why hypervigilance is an adaptive survival skill in acute clinical spaces (ICUs, trauma calls, labor floors) that becomes a destructive, biological threat…

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