<?xml version="1.0" encoding="UTF-8"?><rss xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:content="http://purl.org/rss/1.0/modules/content/" xmlns:atom="http://www.w3.org/2005/Atom" version="2.0" xmlns:itunes="http://www.itunes.com/dtds/podcast-1.0.dtd" xmlns:googleplay="http://www.google.com/schemas/play-podcasts/1.0"><channel><title><![CDATA[Lumani Unfiltered]]></title><description><![CDATA[Writer exploring the emotional side of healthcare, womanhood, intuition, and everything we carry with us.  Come sit on the couch with me — let’s talk about the real stuff.]]></description><link>https://www.lumaniunfiltered.com</link><image><url>https://substackcdn.com/image/fetch/$s_!64MA!,w_256,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2c225db6-7cc5-4169-b848-39325efe59e3_500x500.png</url><title>Lumani Unfiltered</title><link>https://www.lumaniunfiltered.com</link></image><generator>Substack</generator><lastBuildDate>Sat, 09 May 2026 11:27:35 GMT</lastBuildDate><atom:link href="https://www.lumaniunfiltered.com/feed" rel="self" type="application/rss+xml"/><copyright><![CDATA[Stephanie Marie Lapré]]></copyright><language><![CDATA[en]]></language><webMaster><![CDATA[hello@lumanihealth.com]]></webMaster><itunes:owner><itunes:email><![CDATA[hello@lumanihealth.com]]></itunes:email><itunes:name><![CDATA[Stephanie Lapre]]></itunes:name></itunes:owner><itunes:author><![CDATA[Stephanie Lapre]]></itunes:author><googleplay:owner><![CDATA[hello@lumanihealth.com]]></googleplay:owner><googleplay:email><![CDATA[hello@lumanihealth.com]]></googleplay:email><googleplay:author><![CDATA[Stephanie Lapre]]></googleplay:author><itunes:block><![CDATA[Yes]]></itunes:block><item><title><![CDATA[freight train]]></title><description><![CDATA[Some seasons move like a freight train and then one day, the speed changes and you&#8217;re not sure what you&#8217;re carrying anymore.]]></description><link>https://www.lumaniunfiltered.com/p/freight-train</link><guid isPermaLink="false">https://www.lumaniunfiltered.com/p/freight-train</guid><dc:creator><![CDATA[Stephanie Lapre]]></dc:creator><pubDate>Sat, 14 Feb 2026 00:00:52 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!64MA!,w_256,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2c225db6-7cc5-4169-b848-39325efe59e3_500x500.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<div class="preformatted-block" data-component-name="PreformattedTextBlockToDOM"><label class="hide-text" contenteditable="false">Text within this block will maintain its original spacing when published</label><pre class="text">Seasonal.

No announcement.
No ceremony.

Just weight
and forward.

You don&#8217;t question the speed
when you&#8217;re inside it.

You call it life.
You call it responsibility.
You call it love.

The tracks feel automatic.

Next thing.
Next thing.
Next thing.

There&#8217;s a rhythm to urgency.
A low hum
that passes for purpose.

You get used to it.

You stop noticing
how fast the scenery blurs.

And then one day
the path slows.

Not because it broke.
Not because anything failed.

Just because
the cargo shifted.

The quiet after momentum
isn&#8217;t peaceful at first.

It&#8217;s disorienting.

Your body still leans forward.
Your thoughts still brace.

You check your pulse
like there&#8217;s supposed to be
an update.

But the landscape
isn&#8217;t rushing past anymore.

There&#8217;s space
between crossings.

Room
to look out the window.

Room
to wonder
if you were ever meant
to move that fast.

The engine still hums.

You&#8217;re just not sure
what it&#8217;s pulling now.

And maybe
that&#8217;s the part
you&#8217;re still learning
to sit with.</pre></div><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Thanks for reading Lumani Unfiltered! Subscribe for free to receive new posts and support my work.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/p/freight-train?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.lumaniunfiltered.com/p/freight-train?utm_source=substack&utm_medium=email&utm_content=share&action=share"><span>Share</span></a></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/p/freight-train/comments&quot;,&quot;text&quot;:&quot;Leave a comment&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.lumaniunfiltered.com/p/freight-train/comments"><span>Leave a comment</span></a></p><div class="community-chat" data-attrs="{&quot;url&quot;:&quot;https://open.substack.com/pub/lumanihealth/chat?utm_source=chat_embed&quot;,&quot;subdomain&quot;:&quot;lumanihealth&quot;,&quot;pub&quot;:{&quot;id&quot;:4192480,&quot;name&quot;:&quot;Lumani Unfiltered&quot;,&quot;author_name&quot;:&quot;Stephanie Lapre&quot;,&quot;author_photo_url&quot;:&quot;https://substackcdn.com/image/fetch/$s_!QpNS!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fca70cc31-172d-433a-97be-61c5c8f911e7_896x1088.jpeg&quot;}}" data-component-name="CommunityChatRenderPlaceholder"></div><p></p>]]></content:encoded></item><item><title><![CDATA[Fall Forward]]></title><description><![CDATA[Living alone at 47 is less about reinvention and more about learning that quiet doesn&#8217;t mean something&#8217;s wrong.]]></description><link>https://www.lumaniunfiltered.com/p/fall-forward</link><guid isPermaLink="false">https://www.lumaniunfiltered.com/p/fall-forward</guid><dc:creator><![CDATA[Stephanie Lapre]]></dc:creator><pubDate>Fri, 13 Feb 2026 15:27:27 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!64MA!,w_256,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2c225db6-7cc5-4169-b848-39325efe59e3_500x500.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>It&#8217;s been a month.</p><p>Which feels like something I need to keep reminding myself of.  I didn&#8217;t just move yesterday.  This isn&#8217;t week one chaos.  The boxes are gone.  The walls aren&#8217;t echoing anymore.  I know where the forks are.  I have a rhythm.</p><p>And also, this is the first time in my adult life that no one is waiting for me to come home.</p><p>That sentence lands differently than I expected.</p><p>Empty nest is such a polite phrase.  It sounds seasonal.  Temporary.  Like everyone should clap and say, &#8220;Look at you! Freedom!&#8221;</p><p>But the reality is quieter.</p><p>The girls don&#8217;t need me in the same way.  They&#8217;re building their lives.  As they should.  I&#8217;m proud of them in that deep, cellular way only mothers understand.</p><p>And still.</p><p>There&#8217;s a shift in the energy of your body when you&#8217;re no longer the center of daily gravity.</p><p>For decades, my energy went outward first.</p><p>Schedules.  Appointments.  School things. Emotional temperature checks.  Logistics.  Late-night talks.  Even love has a momentum to it when you&#8217;re actively mothering.</p><p>Now the momentum is different.</p><p>Some evenings I come home and realize no one is about to ask me anything.</p><p>No one needs a ride.</p><p>No one needs dinner.</p><p>No one needs reassurance.</p><p>And I don&#8217;t quite know where to put that energy yet.</p><p>Part of me wants to immediately fill it.</p><p>New hobbies.  New goals.  New structure.  Be productive.  Reinvent yourself.  You&#8217;re 47; this is your era.</p><p>The other part of me feels tired.</p><p>Not depressed.  Not lost.  Just&#8230; like I ran a long marathon of caring and I&#8217;m only now noticing my legs are sore.</p><p>In my downtime, I feel this urge to recover.  To recharge.  To sit on the couch and let my nervous system exhale.</p><p>And then, almost instantly, the guilt.</p><p>Are you wasting time?</p><p>Shouldn&#8217;t you be doing more?</p><p>Is this what you moved for?</p><p>It&#8217;s absurd when I say it out loud.</p><p>No one is grading my evenings.</p><p>No one is monitoring my productivity.</p><p>But somewhere along the way I internalized the idea that rest has to be earned through exhaustion.  And even then, it should look purposeful.</p><p>This week I caught myself feeling guilty for having a calm day.</p><p>A calm day.</p><p>Work was steady.  I went for a walk.  I ate well.  I didn&#8217;t cry about the girls.  That part feels important.  I&#8217;m crying less now.  The ache is softer.  Less sharp.  More like background music instead of a siren.</p><p>And instead of celebrating that, my brain wanted to escalate it.</p><p>Shouldn&#8217;t you be building something?</p><p>Shouldn&#8217;t you be maximizing this chapter?</p><p>Shouldn&#8217;t you be further along in your &#8220;living again&#8221; era?</p><p>And that&#8217;s when the healthcare parallel slid back in.</p><p>You know that phrase, &#8220;we&#8217;ll call if anything looks concerning.&#8221;</p><p>It&#8217;s meant to soothe.</p><p>But it leaves you suspended.</p><p>Silence becomes a test.</p><p>No call.  Okay.  That&#8217;s good.</p><p>Unless it&#8217;s not.</p><p>Unless something got missed.</p><p>Unless you misunderstood.</p><p>It&#8217;s amazing how quickly we treat quiet as suspicious.</p><p>I&#8217;ve refreshed a portal like it was a slot machine. I&#8217;ve stared at my phone like the absence of a call contained hidden data.</p><p>This month, I realized I do the same thing with my own life.</p><p>If it&#8217;s calm, I assume I&#8217;m missing something.</p><p>If I&#8217;m resting, I assume I&#8217;m falling behind.</p><p>If no one needs me, I assume I&#8217;m less relevant.</p><p>Which is such a brutal thing to admit at 47.</p><p>I have built a life.  Raised children.  Led teams. Managed crises.  Held space for everyone else&#8217;s emotions.</p><p>And now that the daily intensity has shifted, I&#8217;m standing here asking myself who I am when my energy isn&#8217;t being actively pulled outward.</p><p>It&#8217;s not a crisis.</p><p>It&#8217;s quieter than that.</p><p>It&#8217;s rediscovery.</p><p>I&#8217;ve started picking up pieces of myself that were always there but never had room.  Music playing just because I like it.  Writing because it feels good, not because it&#8217;s strategic.  Walking at sunset without explaining where I&#8217;m going.</p><p>Tiny habits of joy.</p><p>Day by day.</p><p>It&#8217;s almost embarrassingly simple.</p><p>But simplicity feels foreign after decades of momentum.</p><p>There are nights I sit on the couch and feel both lucky and exposed.</p><p>Lucky because this space is mine.</p><p>Exposed because there&#8217;s nothing distracting me from myself.</p><p>No immediate demands.</p><p>Just the slow work of rebuilding new rhythms.</p><p>I thought living alone would feel dramatic. Cinematic.  Big declarations.</p><p>Instead it feels like rehabilitation.</p><p>Not from something terrible.  Just from constant output.</p><p>I&#8217;m rediscovering my own personal energy, what it feels like when it isn&#8217;t already spoken for.</p><p>And sometimes, in the stillness, I want to interpret that as emptiness.</p><p>But it isn&#8217;t.</p><p>It&#8217;s recovery.</p><p>It&#8217;s recalibration.</p><p>It&#8217;s my body learning that it doesn&#8217;t have to be on call all the time.</p><p>There&#8217;s something deeply humbling about realizing how much of your identity was tied to being needed.</p><p>And something equally powerful about learning to enjoy being chosen, by yourself.</p><p>No callback came this week.</p><p>No urgent update.  No crisis.  No dramatic shift.</p><p>Just a string of ordinary days.</p><p>And instead of reading into it, I&#8217;m trying to let that be enough.</p><p>The girls are great.</p><p>Work is fantastic.</p><p>I am good.</p><p>And for once, the quiet doesn&#8217;t have to mean anything more than that.</p><p>Day by day, I&#8217;m building new habits.  Of joy.  Of health.  Of presence.</p><p>I&#8217;m crying less.</p><p>I&#8217;m resting more.</p><p>I&#8217;m living again, not in a loud way.  In a steady one.</p><p>And maybe that&#8217;s the real plot twist at 47.</p><p>Not reinvention.</p><p>Just learning how to be here without waiting for the phone to ring.</p><div><hr></div><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Thanks for reading Lumani Unfiltered! Subscribe for free to receive new posts and support my work.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/p/fall-forward?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.lumaniunfiltered.com/p/fall-forward?utm_source=substack&utm_medium=email&utm_content=share&action=share"><span>Share</span></a></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/p/fall-forward/comments&quot;,&quot;text&quot;:&quot;Leave a comment&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.lumaniunfiltered.com/p/fall-forward/comments"><span>Leave a comment</span></a></p><div class="community-chat" data-attrs="{&quot;url&quot;:&quot;https://open.substack.com/pub/lumanihealth/chat?utm_source=chat_embed&quot;,&quot;subdomain&quot;:&quot;lumanihealth&quot;,&quot;pub&quot;:{&quot;id&quot;:4192480,&quot;name&quot;:&quot;Lumani Unfiltered&quot;,&quot;author_name&quot;:&quot;Stephanie Lapre&quot;,&quot;author_photo_url&quot;:&quot;https://substackcdn.com/image/fetch/$s_!QpNS!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fca70cc31-172d-433a-97be-61c5c8f911e7_896x1088.jpeg&quot;}}" data-component-name="CommunityChatRenderPlaceholder"></div><p></p><p></p>]]></content:encoded></item><item><title><![CDATA[daydream]]></title><description><![CDATA[Sometimes I call it patience.  Sometimes I call it process. Meanwhile, life keeps moving.]]></description><link>https://www.lumaniunfiltered.com/p/daydream</link><guid isPermaLink="false">https://www.lumaniunfiltered.com/p/daydream</guid><dc:creator><![CDATA[Stephanie Lapre]]></dc:creator><pubDate>Fri, 06 Feb 2026 15:02:42 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!64MA!,w_256,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2c225db6-7cc5-4169-b848-39325efe59e3_500x500.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>I&#8217;m not avoiding it.<br>I&#8217;m waiting<br>for it to feel official.</p><p>A deadline.<br>A symptom.<br>A tone shift.</p><p>Something to say,<br><em>now counts.</em></p><p>But I&#8217;m a dreamer,<br>I tell myself.</p><p>I&#8217;m a creative.<br>A visionary.<br>I need time,<br>I remind myself.</p><p>So I watch.<br>I wait.</p><p>Calling it patience,<br>calling it process,<br>while life<br>very politely<br>keeps moving.</p><div><hr></div><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Thanks for reading Lumani Unfiltered! Subscribe for free to receive new posts and support my work.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/p/daydream/comments&quot;,&quot;text&quot;:&quot;Leave a comment&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.lumaniunfiltered.com/p/daydream/comments"><span>Leave a comment</span></a></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/p/daydream?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.lumaniunfiltered.com/p/daydream?utm_source=substack&utm_medium=email&utm_content=share&action=share"><span>Share</span></a></p><div class="community-chat" data-attrs="{&quot;url&quot;:&quot;https://open.substack.com/pub/lumanihealth/chat?utm_source=chat_embed&quot;,&quot;subdomain&quot;:&quot;lumanihealth&quot;,&quot;pub&quot;:{&quot;id&quot;:4192480,&quot;name&quot;:&quot;Lumani Unfiltered&quot;,&quot;author_name&quot;:&quot;Stephanie Lapre&quot;,&quot;author_photo_url&quot;:&quot;https://substackcdn.com/image/fetch/$s_!QpNS!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fca70cc31-172d-433a-97be-61c5c8f911e7_896x1088.jpeg&quot;}}" data-component-name="CommunityChatRenderPlaceholder"></div>]]></content:encoded></item><item><title><![CDATA[Permission Granted]]></title><description><![CDATA[Turns out I don&#8217;t procrastinate, I wait for permission.  And healthcare doesn&#8217;t always give it.]]></description><link>https://www.lumaniunfiltered.com/p/permission-granted</link><guid isPermaLink="false">https://www.lumaniunfiltered.com/p/permission-granted</guid><dc:creator><![CDATA[Stephanie Lapre]]></dc:creator><pubDate>Wed, 04 Feb 2026 15:02:33 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!64MA!,w_256,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2c225db6-7cc5-4169-b848-39325efe59e3_500x500.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>I think I&#8217;ve been a procrastinator my whole life.</p><p>Not in the &#8220;I don&#8217;t care&#8221; way.  More in the <em>I swear I work better like this</em> way.</p><p>Like finishing my algebra homework on the bus at 6:45 in the morning.  Spiral notebook balanced on my lap.  Pencil moving fast.  First period looming.  Just enough time to not have a missing assignment on my record.  Or worse, anything less than an A.</p><p>I told myself it was time management.<br>That I was conserving brain power.<br>That I focused better under pressure.</p><p>And honestly? It worked.</p><p>I didn&#8217;t miss assignments.  I was an A student.  And without realizing it, I learned something early and very well: if I waited long enough, adrenaline would take care of the rest.</p><p>Fast forward a few decades and the setting has changed, but the pattern hasn&#8217;t.</p><p>Now it&#8217;s decks instead of homework.<br>Final slides getting polished the morning of a big presentation.<br>Reworking the opening while my mocha in hand.<br>Hitting send and immediately switching into &#8220;presenter mode.&#8221;</p><p>And then, because the universe loves reinforcing questionable habits &#8212; it goes great.</p><p>Peers say the storyline landed.  Someone compliments the clarity.  Leadership nods along.  There&#8217;s this quiet little reward that says, <em>See? You work best like this.</em></p><p>And that&#8217;s the part no one talks about enough: when procrastination is successful, it doesn&#8217;t get questioned.  It gets validated.</p><p>So the belief hardens.</p><p>That pressure equals productivity.<br>That urgency creates clarity.<br>That waiting is part of the process.</p><p>Except somewhere along the way, I started noticing that I wasn&#8217;t really procrastinating, I was waiting for pressure to give me permission.</p><p>Permission to act.<br>Permission to care.<br>Permission to take something seriously.</p><p>And that works great in school.<br>It works pretty well at work.<br>It even gets rewarded.</p><p>But it does something strange when you apply it to healthcare.</p><p>Because healthcare doesn&#8217;t hand you deadlines the same way.</p><p>There&#8217;s no &#8220;due by Friday&#8221; attached to preventative care.  No bolded timeline that says, <em>Now is the moment.</em>  Just vague reassurances like <em>we&#8217;ll keep an eye on it</em> or <em>call us if anything changes</em> or <em>check back in six months.</em></p><p>Which sounds reasonable. Calm. Responsible.</p><p>Until you realize how much that relies on you knowing when &#8220;later&#8221; has quietly become &#8220;too late.&#8221;</p><p>This week, I kept thinking about how often that pressure-based pattern shows up in the most common, everyday healthcare decisions.  Not emergencies, not dramatic diagnoses, just the slow, unglamorous stuff we all mean to get to.</p><p>Like the toothache you&#8217;ve had for a few weeks.</p><p>It&#8217;s not terrible.  It comes and goes.  You chew on the other side.  You tell yourself you&#8217;ve just been busy.  You&#8217;ll make the dentist appointment once things slow down.</p><p>Except things don&#8217;t really slow down, do they?</p><p>Or the dermatology appointment you&#8217;ve canceled for the third time.</p><p>There&#8217;s that mole.  You&#8217;ve noticed it looks a little different.  Not alarming, just different enough to register.  But the appointment never quite fits into your schedule. Something always feels more urgent.  A meeting.  A trip.  Life.</p><p>So you reschedule.  Again.  And again.</p><p>And then there&#8217;s the mammogram you were supposed to get last year.<br>And the year before that.</p><p>You know you&#8217;re high risk.  You know the guidelines.  You know better.</p><p>But knowing isn&#8217;t the problem.</p><p>There&#8217;s no immediate pressure.<br>No pain demanding attention.<br>No crisis forcing your hand.</p><p>So your brain does what it was trained to do.</p><p>It waits.</p><p>It tells you you&#8217;re managing your time.  That you&#8217;re being practical.  That you&#8217;ll handle it when things calm down; when there&#8217;s space, when there&#8217;s urgency, when it feels justified.</p><p>And the tricky part is that it doesn&#8217;t feel irresponsible.  It feels reasonable.</p><p>I think we underestimate how much healthcare relies on people being able to act <em>without</em> pressure.</p><p>Preventative care asks you to show up when nothing is screaming yet.<br>To take action when the stakes are theoretical.<br>To trust yourself before fear or pain does the motivating for you.</p><p>That&#8217;s a skill.  And not everyone was taught it.</p><p>Some of us were taught to shine under pressure.<br>To pull it together at the last minute.<br>To wait until the stakes were undeniable.</p><p>So when healthcare asks for early action, quiet vigilance, and self-initiated follow-through, it&#8217;s asking us to operate outside the system that made us successful everywhere else.</p><p>And then we blame ourselves when we don&#8217;t.</p><p>We call it procrastination.<br>We call it irresponsibility.<br>We tell ourselves we&#8217;re &#8220;bad patients.&#8221;</p><p>But I&#8217;m starting to think it&#8217;s something else.</p><p>I think a lot of people are just waiting for permission.</p><p>Permission to take something seriously before it becomes urgent.<br>Permission to make time for care that doesn&#8217;t feel dramatic.<br>Permission to believe that prevention is productive, even when it doesn&#8217;t come with immediate payoff.</p><p>Because here&#8217;s the quiet truth no one really says out loud:</p><p>Preventative care doesn&#8217;t reward adrenaline.<br>It rewards consistency.</p><p>It doesn&#8217;t come with applause.<br>It comes with normal results and the absence of crisis.</p><p>And if you&#8217;ve built your identity around performing well under pressure, that can feel strangely unsatisfying, even when it&#8217;s exactly what your body needs.</p><p>I don&#8217;t think this is about being better or more disciplined.</p><p>I think it&#8217;s about noticing the pattern.</p><p>About recognizing when <em>I&#8217;ll get to it</em> is really <em>nothing is forcing me yet.</em><br>About understanding that waiting doesn&#8217;t always mean calm; sometimes it just means habit wearing a nicer outfit.</p><p>This week reminded me that healthcare doesn&#8217;t always need us at our most heroic.</p><p>It needs us earlier than that.<br>Quieter than that.<br>Before the deadline appears.</p><p>And learning how to show up there, without fear, without urgency, without a crisis,  might be one of the hardest and most important things we&#8217;re ever asked to do.</p><div><hr></div><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Thanks for reading Lumani Unfiltered! Subscribe for free to receive new posts and support my work.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/p/permission-granted?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.lumaniunfiltered.com/p/permission-granted?utm_source=substack&utm_medium=email&utm_content=share&action=share"><span>Share</span></a></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/p/permission-granted/comments&quot;,&quot;text&quot;:&quot;Leave a comment&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.lumaniunfiltered.com/p/permission-granted/comments"><span>Leave a comment</span></a></p><div class="community-chat" data-attrs="{&quot;url&quot;:&quot;https://open.substack.com/pub/lumanihealth/chat?utm_source=chat_embed&quot;,&quot;subdomain&quot;:&quot;lumanihealth&quot;,&quot;pub&quot;:{&quot;id&quot;:4192480,&quot;name&quot;:&quot;Lumani Unfiltered&quot;,&quot;author_name&quot;:&quot;Stephanie Lapre&quot;,&quot;author_photo_url&quot;:&quot;https://substackcdn.com/image/fetch/$s_!QpNS!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fca70cc31-172d-433a-97be-61c5c8f911e7_896x1088.jpeg&quot;}}" data-component-name="CommunityChatRenderPlaceholder"></div><p></p>]]></content:encoded></item><item><title><![CDATA[record player]]></title><description><![CDATA[some beginnings don't need to be played yet.]]></description><link>https://www.lumaniunfiltered.com/p/record-player</link><guid isPermaLink="false">https://www.lumaniunfiltered.com/p/record-player</guid><dc:creator><![CDATA[Stephanie Lapre]]></dc:creator><pubDate>Wed, 21 Jan 2026 15:03:02 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!64MA!,w_256,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2c225db6-7cc5-4169-b848-39325efe59e3_500x500.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>somewhere<br>a beginning is being held</p><p>there&#8217;s comfort<br>in the way nothing rushes<br>the way motion doesn&#8217;t insist</p><p></p><div><hr></div><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Thanks for reading Lumani Unfiltered! Subscribe for free to receive new posts and support my work.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/p/record-player?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.lumaniunfiltered.com/p/record-player?utm_source=substack&utm_medium=email&utm_content=share&action=share"><span>Share</span></a></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/p/record-player/comments&quot;,&quot;text&quot;:&quot;Leave a comment&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.lumaniunfiltered.com/p/record-player/comments"><span>Leave a comment</span></a></p><div class="community-chat" data-attrs="{&quot;url&quot;:&quot;https://open.substack.com/pub/lumanihealth/chat?utm_source=chat_embed&quot;,&quot;subdomain&quot;:&quot;lumanihealth&quot;,&quot;pub&quot;:{&quot;id&quot;:4192480,&quot;name&quot;:&quot;Lumani Unfiltered&quot;,&quot;author_name&quot;:&quot;Stephanie Lapre&quot;,&quot;author_photo_url&quot;:&quot;https://substackcdn.com/image/fetch/$s_!QpNS!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fca70cc31-172d-433a-97be-61c5c8f911e7_896x1088.jpeg&quot;}}" data-component-name="CommunityChatRenderPlaceholder"></div>]]></content:encoded></item><item><title><![CDATA[The Amazon Cart is Full]]></title><description><![CDATA[I just moved, my Amazon cart is full, and my brain is doing that thing where it narrates everything.]]></description><link>https://www.lumaniunfiltered.com/p/the-amazon-cart-is-full</link><guid isPermaLink="false">https://www.lumaniunfiltered.com/p/the-amazon-cart-is-full</guid><dc:creator><![CDATA[Stephanie Lapre]]></dc:creator><pubDate>Tue, 20 Jan 2026 15:03:02 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!64MA!,w_256,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2c225db6-7cc5-4169-b848-39325efe59e3_500x500.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>I moved in and now my brain won&#8217;t shut up.</p><p>Not in a dramatic way.  Just in that constant, low-grade hum of questions that don&#8217;t line up neatly.  Like&#8230;<br>Is this exciting?<br>Is this sad?<br>Is this brave?<br>Is this temporary?<br>Am I doing this right?</p><p>I keep wondering when people will come see me.  Or if they will.  No one has actually committed yet.  Which I&#8217;m trying not to make mean anything.</p><p>But obviously I&#8217;m making it mean something.  Because I can feel my brain quietly building stories around it.  Little ones.  Unhelpful ones.  The kind that show up before you even realize you&#8217;ve started narrating.</p><p>I tell myself it&#8217;s early.  Everyone&#8217;s busy.  I just moved in.  Of course no one has plans yet.<br>And then five minutes later my brain is like, <em>Or maybe they just won&#8217;t.  Maybe this is the part where you&#8217;re the one who left, so you&#8217;re the one who has to go back.</em></p><p>I hate that thought.  I pretend it doesn&#8217;t exist.  It sits anyway.</p><p>To cope, I scroll Amazon like it&#8217;s my job.</p><p>Add to cart.<br>Remove.<br>Add again.<br>Different color.<br>Different size.<br>Do I need a throw blanket or is that just emotional support in fabric form?</p><p>In the moment, it feels urgent.  Like if I don&#8217;t find the exact right lamp or rug or sliding cabinet, I&#8217;ll never feel comfortable here.  Like comfort is a thing you can accidentally miss if you don&#8217;t choose correctly.</p><p>I know how ridiculous that sounds.<br>I also know how real it feels at 10:47 p.m. when the apartment is quiet and my phone is glowing and I&#8217;m convincing myself that <em>this</em> candle will fix everything.</p><p>Somewhere in the middle of all this, I realize something mildly annoying.</p><p>I&#8217;m my own therapist this week.</p><p>No appointments.  No processing after the fact.  Just me, noticing patterns in real time.  Recognizing when I&#8217;m spiraling.  Naming it.  Watching myself reach for distraction and calling it what it is.</p><p>Which makes me wonder.  Wasn&#8217;t all the wellness stuff supposed to prevent this?</p><p>The habits.<br>The routines.<br>The walks.<br>The breathing.<br>The whole idea that if you do enough &#8220;good&#8221; things, you build some kind of protective bubble around your nervous system.</p><p>Apparently not.</p><p>Apparently the bubble has a door.  And life still knocks.</p><p>Then there&#8217;s the bigger question hovering behind all of it.</p><p>Where do you even build a sense of community when you&#8217;re gone from the house at 7 a.m. and home at 6 p.m.?  When you&#8217;re not 25.  When you don&#8217;t drink like you used to. When part of you genuinely wants book clubs and music meetups and Pilates and another part of you wants to be at home in sweats, binging <em>RHOSLC</em>, in bed by 8:30 p.m.</p><p>I keep wondering where that kind of balance is supposed to live.<br>And whether it&#8217;s something you find or something you allow yourself to want without apologizing.</p><p>Some moments I feel excited about it.  Like this is a blank slate.  Like choose your adventure.<br>Other moments it feels like standing in a huge open space wondering if anyone else is going to walk into it with me.</p><p>There&#8217;s another thing I&#8217;ve been circling but haven&#8217;t wanted to name yet.</p><p>I keep calling my old place <em>home</em>.  I notice it every time I say it.  I still haven&#8217;t changed my permanent address anywhere.  Part of me tells myself it&#8217;s practical.  Another part knows it feels symbolic, like changing it would be a declaration.  Like I&#8217;d be saying <em>this is permanent</em>, <em>there&#8217;s no return</em>, <em>this is the line in the sand</em>.</p><p>And I&#8217;m not sure I&#8217;m ready to make it feel that final.</p><p>I can feel how much of that hesitation is tied to other people.  To whether they&#8217;ll come see me.  To whether this move gets validated by connection instead of just&#8230; choice.  To the quiet hope that someone else will make it feel real so I don&#8217;t have to hold it alone.</p><p>But here&#8217;s the part I&#8217;m trying to practice in real time:</p><p>I can decide that this is my home now without erasing what came before.  I can let this be permanent and still return to what once was home whenever I choose.  The people I love aren&#8217;t gated by geography.  They&#8217;re not revoked by an address change. And the ones who matter will still welcome me with open arms, whether I drive back or stay put.</p><p>This doesn&#8217;t have to be something that happens <em>to</em> me.</p><p>I can choose it.</p><p>And choosing it doesn&#8217;t mean cutting myself off.  It means trusting that I don&#8217;t have to wait for permission to belong to my own life.</p><p>That&#8217;s when the question shows up.</p><p>Not one clear question.  More like a pile of them.  Tangled together.  About belonging. About comfort.  About whether this is the start of something expansive or just&#8230; quiet.</p><p>I almost don&#8217;t ask any of it.  Because asking makes it real.  And because right now, nothing is technically wrong.  I&#8217;m safe.  I&#8217;m fine.  I&#8217;m functional.  I&#8217;m doing what I said I wanted to do.</p><p>But there&#8217;s a difference between <em>fine</em> and <em>settled</em>.<br>And I can feel that gap.</p><p>So I ask the questions anyway.  Not out loud.  Not formally.  Just to myself, standing in the kitchen, phone in hand, Amazon cart open, wondering if I should buy the stupid pillows.</p><p>I don&#8217;t get answers.  Not yet.<br>But I do feel slightly less alone in my own head when I admit what I&#8217;m actually thinking.</p><p>Maybe that&#8217;s all this moment is asking of me.</p><p>Not certainty.<br>Not confidence.<br>Just honesty, even when it&#8217;s messy and contradictory and a little embarrassing.</p><p>The boxes are still here.<br>The cart is still full.<br>The questions are still unanswered.</p><p>And somehow, I&#8217;m still okay.</p><div><hr></div><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Thanks for reading Lumani Unfiltered! Subscribe for free to receive new posts and support my work.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/p/the-amazon-cart-is-full?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.lumaniunfiltered.com/p/the-amazon-cart-is-full?utm_source=substack&utm_medium=email&utm_content=share&action=share"><span>Share</span></a></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/p/the-amazon-cart-is-full/comments&quot;,&quot;text&quot;:&quot;Leave a comment&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.lumaniunfiltered.com/p/the-amazon-cart-is-full/comments"><span>Leave a comment</span></a></p><div class="community-chat" data-attrs="{&quot;url&quot;:&quot;https://open.substack.com/pub/lumanihealth/chat?utm_source=chat_embed&quot;,&quot;subdomain&quot;:&quot;lumanihealth&quot;,&quot;pub&quot;:{&quot;id&quot;:4192480,&quot;name&quot;:&quot;Lumani Unfiltered&quot;,&quot;author_name&quot;:&quot;Stephanie Lapre&quot;,&quot;author_photo_url&quot;:&quot;https://substackcdn.com/image/fetch/$s_!QpNS!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fca70cc31-172d-433a-97be-61c5c8f911e7_896x1088.jpeg&quot;}}" data-component-name="CommunityChatRenderPlaceholder"></div><p></p>]]></content:encoded></item><item><title><![CDATA[No Pause Button]]></title><description><![CDATA[Turns out there isn&#8217;t always a pause button when the room keeps moving.]]></description><link>https://www.lumaniunfiltered.com/p/no-pause-button</link><guid isPermaLink="false">https://www.lumaniunfiltered.com/p/no-pause-button</guid><dc:creator><![CDATA[Stephanie Lapre]]></dc:creator><pubDate>Thu, 15 Jan 2026 16:15:02 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!64MA!,w_256,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2c225db6-7cc5-4169-b848-39325efe59e3_500x500.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>By the time I closed the car door, the visit was technically over.</p><p>The seatbelt clicked into place.  The engine stayed off.  My hands rested on the steering wheel longer than they needed to.  I could still feel the scratchy gown on my skin, the way it never quite covers you no matter how carefully you pull it closed.</p><p>I&#8217;m thinking about that appointment again because I&#8217;m supposed to go back this month.</p><p>One year later.  A follow-up.  Routine, technically.  That word again.  My brain understands it.  My body doesn&#8217;t really respond to it the same way.</p><p>I didn&#8217;t expect the last visit to stay with me like this.  Not because anything catastrophic happened on paper.  I wasn&#8217;t given bad news in that room.  No one said anything alarming out loud.</p><p>But physically, it was not nothing.</p><p>The biopsy was debilitating.  It was painful in a way I hadn&#8217;t been prepared for.  By the time I left the office, I could barely drive myself home.  I cried the entire way, partly from the pain, partly from the shock of how different the experience was from how it had been described.  Walking was hard for the next couple of days.  Everything hurt.</p><p>In the office, it had been framed as simple.  Quick.  Manageable.  Something routine enough to fit into the middle of a regular appointment.  That framing stayed with me, because my body experienced something else entirely.</p><p>Sitting in the car afterward, engine off, hands on the steering wheel, I felt disoriented. Not just physically, but emotionally.  Like I had been told one story and lived another.</p><p>Someone should have been with me.</p><p>That thought landed hard and didn&#8217;t leave.</p><p>Not because I needed rescuing.  But because this wasn&#8217;t minor.  It wasn&#8217;t something I should have had to drive myself home from, or process alone, or push through quietly while in pain.</p><p>The appointment itself wasn&#8217;t supposed to be a big thing.  It was scheduled as routine. An office visit.  A check-in.  The kind of thing you don&#8217;t emotionally prepare for.</p><p>The biopsy wasn&#8217;t part of the plan.</p><p>It came up in the middle of the visit, almost casually.  Something we could do now. Something that would save time.  Something that made sense.  It felt optional in theory, but in practice it already felt decided.</p><p>So I nodded.</p><p>I listened.</p><p>I said okay.</p><p>I didn&#8217;t ask what waiting would mean.  I didn&#8217;t ask if same-day meant they were more concerned than they were saying out loud.  I didn&#8217;t ask the question that was sitting very clearly in my chest.</p><p>Does this mean you&#8217;re worried about cancer?</p><p>I can see now that there were moments where I could have asked.  Small pauses. Openings.  But the room kept moving, and I moved with it.  I didn&#8217;t want to interrupt. I didn&#8217;t want to slow things down.  I didn&#8217;t want to seem dramatic or unprepared.</p><p>I told myself I was being flexible.  That this was proactive.  That same-day meant efficient, not alarming.  I told myself that if it were serious, someone would say so directly.</p><p>I told myself I was fine.</p><p>I wasn&#8217;t.</p><p>The room was cold.  I was alone.  I hadn&#8217;t come prepared for pain or invasiveness or decisions that needed more than a few seconds of thought.  I hadn&#8217;t brought anyone with me because, until a few minutes earlier, there hadn&#8217;t been a reason to.</p><p>I work in healthcare.  I understand how these decisions get made.  I know how timing, access, and efficiency shape what gets offered and how.  I know that acting quickly can sometimes be the right call.</p><p>But knowing all of that didn&#8217;t help me feel grounded.</p><p>In that room, I wasn&#8217;t empowered or confident or clear.  I was just trying to keep up.</p><p>Once the biopsy started, everything felt locked in.  You don&#8217;t interrupt once something is already happening.  You don&#8217;t reassess.  You assume that if there were other options, medication, waiting, support, someone would have mentioned them already.</p><p>No one did.</p><p>Later, when the pain settled into something deeper and heavier, I still thanked everyone.  I still acted like I was fine.  I still drove myself home when I probably shouldn&#8217;t have.</p><p>That&#8217;s when my brain really got going.</p><p>Could I have waited?</p><p>Should I have waited?</p><p>Could I have asked for something for the pain?</p><p>Could I have come back another day with someone with me?</p><p>Did the urgency mean something they weren&#8217;t saying?</p><p>It&#8217;s frustrating how clear everything feels afterward.  I suddenly know exactly what I would have said.  Exactly how calm and reasonable I would have sounded.</p><p>In hindsight, I&#8217;m very articulate.</p><p>In the moment, I wasn&#8217;t.</p><p>What surprised me most later was how angry I felt.  Not at the provider.  Not at the system.</p><p>At myself.</p><p>Which usually tells me I didn&#8217;t feel like I had a real choice, even if technically I did.</p><p>Sitting there in pain that was worse than when I arrived, I started noticing how automatic it is for me to be agreeable instead of protected.  I didn&#8217;t stay quiet because I didn&#8217;t have questions.  I stayed quiet because everything moved faster than my fear could organize itself into words.</p><p>Staying quiet felt easier than slowing the room down.  Easier than saying I wasn&#8217;t ready.  Easier than asking for more time.</p><p>In the moment, that silence felt like being capable.  Like being mature.</p><p>Later, it felt like I had left myself behind.</p><p>What I keep thinking about now, especially with another appointment coming up, is how much this assumes a level of fluency most people don&#8217;t have.  I know how healthcare rooms work, and even I lost my footing.  I keep wondering how someone without that background is supposed to know what&#8217;s optional, what&#8217;s urgent, what questions even exist.</p><p>I don&#8217;t know how you&#8217;re meant to learn that in real time.  In a gown.  In pain.  Alone. With the room already moving forward.</p><p>That thought stays with me.</p><p>After a while, once the adrenaline wore off and the pain was more manageable, I did ask.  Not bravely.  Not eloquently.  I just said I hadn&#8217;t understood everything in the moment.  That I hadn&#8217;t known what my options were.  That fear got there before my voice did.</p><p>Nothing bad happened.</p><p>No one made me feel foolish.  No one implied I should have known better.</p><p>And the relief I felt wasn&#8217;t really about the answers.  It was about realizing I could still speak up, even after the fact.</p><p>I think that&#8217;s why this is coming back to me now.  Because I&#8217;m about to go back. Because my body remembers what my brain would rather keep filed away.  Because I want to walk into the next appointment differently.</p><p>Not louder.</p><p>Not confrontational.</p><p>Just more present.</p><p>I don&#8217;t think the point is that acting quickly is always wrong.  Sometimes it&#8217;s necessary.  Sometimes it&#8217;s the right thing.</p><p>I just know that this time, I want to stay with myself a little longer.  I want to slow the room down if I need to.  I want to ask the questions before my body has to carry them for me.</p><p>I don&#8217;t always remember to do that in real time.</p><p>But I&#8217;m paying attention now.</p><div><hr></div><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Thanks for reading Lumani Unfiltered! Subscribe for free to receive new posts and support my work.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/p/no-pause-button?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.lumaniunfiltered.com/p/no-pause-button?utm_source=substack&utm_medium=email&utm_content=share&action=share"><span>Share</span></a></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/p/no-pause-button/comments&quot;,&quot;text&quot;:&quot;Leave a comment&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.lumaniunfiltered.com/p/no-pause-button/comments"><span>Leave a comment</span></a></p><div class="community-chat" data-attrs="{&quot;url&quot;:&quot;https://open.substack.com/pub/lumanihealth/chat?utm_source=chat_embed&quot;,&quot;subdomain&quot;:&quot;lumanihealth&quot;,&quot;pub&quot;:{&quot;id&quot;:4192480,&quot;name&quot;:&quot;Lumani Unfiltered&quot;,&quot;author_name&quot;:&quot;Stephanie Lapre&quot;,&quot;author_photo_url&quot;:&quot;https://substackcdn.com/image/fetch/$s_!QpNS!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fca70cc31-172d-433a-97be-61c5c8f911e7_896x1088.jpeg&quot;}}" data-component-name="CommunityChatRenderPlaceholder"></div>]]></content:encoded></item><item><title><![CDATA[little violinist]]></title><description><![CDATA[Sometimes what feels right is just what we&#8217;ve learned to hold.]]></description><link>https://www.lumaniunfiltered.com/p/little-violinist</link><guid isPermaLink="false">https://www.lumaniunfiltered.com/p/little-violinist</guid><dc:creator><![CDATA[Stephanie Lapre]]></dc:creator><pubDate>Wed, 07 Jan 2026 15:03:40 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!64MA!,w_256,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2c225db6-7cc5-4169-b848-39325efe59e3_500x500.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>Strings don&#8217;t complain.<br>They hold.<br>They adapt to the pull.</p><p>And if you listen closely,<br>they&#8217;ll keep doing it<br>long after the sound feels right.</p><p>Until one day<br>the pitch drifts<br>and something notices first.</p><p>Not loudly.<br>Just enough<br>to say<br>this isn&#8217;t comfort.</p><p>It&#8217;s familiar.</p><div><hr></div><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Thanks for reading Lumani Unfiltered! Subscribe for free to receive new posts and support my work.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/p/little-violinist?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.lumaniunfiltered.com/p/little-violinist?utm_source=substack&utm_medium=email&utm_content=share&action=share"><span>Share</span></a></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/p/little-violinist/comments&quot;,&quot;text&quot;:&quot;Leave a comment&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.lumaniunfiltered.com/p/little-violinist/comments"><span>Leave a comment</span></a></p><div class="community-chat" data-attrs="{&quot;url&quot;:&quot;https://open.substack.com/pub/lumanihealth/chat?utm_source=chat_embed&quot;,&quot;subdomain&quot;:&quot;lumanihealth&quot;,&quot;pub&quot;:{&quot;id&quot;:4192480,&quot;name&quot;:&quot;Lumani Unfiltered&quot;,&quot;author_name&quot;:&quot;Stephanie Lapre&quot;,&quot;author_photo_url&quot;:&quot;https://substackcdn.com/image/fetch/$s_!QpNS!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fca70cc31-172d-433a-97be-61c5c8f911e7_896x1088.jpeg&quot;}}" data-component-name="CommunityChatRenderPlaceholder"></div><p></p>]]></content:encoded></item><item><title><![CDATA[Who’s Afraid of Little Red Riding Good?]]></title><description><![CDATA[This is a reflection on politeness, people-pleasing, and the quiet ways being &#8220;good&#8221; taught me to disappear.]]></description><link>https://www.lumaniunfiltered.com/p/whos-afraid-of-little-red-riding</link><guid isPermaLink="false">https://www.lumaniunfiltered.com/p/whos-afraid-of-little-red-riding</guid><dc:creator><![CDATA[Stephanie Lapre]]></dc:creator><pubDate>Tue, 06 Jan 2026 15:02:42 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!64MA!,w_256,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2c225db6-7cc5-4169-b848-39325efe59e3_500x500.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>I didn&#8217;t realize I was being a &#8220;good&#8221; patient.</p><p>I thought I was just being polite.</p><p>Polite felt like maturity.  Like emotional intelligence.  Like knowing how to move through adult spaces without friction.  I wore it the way I wore competence.  Quietly, proudly, like proof I belonged.</p><p>I softened my messages.  Added context.  Reassured.  Apologized for asking questions I was absolutely allowed to ask.  I adjusted my tone before anyone could misunderstand me.  I told myself this was kindness.</p><p>It took me a long time to notice how automatic it was.</p><p>People-pleasing has a way of disguising itself as virtue.  For years, it felt like a badge of honor.  I was easy.  Adaptable.  Low-maintenance.  I didn&#8217;t need much.  I could read a room and adjust myself accordingly.</p><p>Or at least that&#8217;s how it looked.  Inside, I was kind of screaming and actually needed quite a bit.</p><p>There&#8217;s a subtle reward system in that.  Approval.  Smooth interactions.  Fewer raised eyebrows.  Less tension.</p><p>It can feel almost addictive, like if you calibrate yourself correctly, everything will stay calm.</p><p>Healthcare became another place where that instinct showed up without asking my permission.</p><p>I didn&#8217;t walk into exam rooms as myself.  I walked in already managing the dynamic. Anticipating tone.  Editing my questions.  Preparing to be agreeable before anyone had spoken.</p><p>I treated doctors like they might have god complexes before I ever met them.  Not because they had shown me anything, but because I had learned it was safer to defer than to disrupt.  Safer to behave well than to risk being labeled difficult.</p><p>So I asked questions carefully.  Sparingly.  With disclaimers.</p><p>I made sure they knew I respected their time.  Their expertise.  Their workload.  I wanted to be seen as informed, but not threatening.  Engaged, but not demanding.</p><p>I didn&#8217;t think of this as fear.</p><p>I thought of it as understanding the environment.</p><p>Because environments teach you things.  Quietly.  Repeatedly.</p><p>They teach you who is allowed to ask.</p><p>Who should wait.</p><p>Who gets clarity.  Who should be grateful for whatever arrives.</p><p>Somewhere along the way, I learned how to behave in professional systems: be pleasant, be prepared, don&#8217;t challenge too directly, don&#8217;t ask the same question twice.</p><p>Especially if you already &#8220;know better.&#8221;</p><p>Especially if you&#8217;re articulate.  Capable.  Experienced.</p><p>The expectation becomes unspoken but heavy: you should know how this works.</p><p>So I behaved.</p><p>I didn&#8217;t notice how much energy it took to keep that posture.  How often I managed tone instead of advocating for outcomes.  How frequently I protected other people from my needs.</p><p>Until one small moment cracked it open.</p><p>I was drafting another follow-up message, another carefully worded nudge into silence when I realized I was reassuring someone else that I wasn&#8217;t upset.</p><p>Even though I was.</p><p>Not angry.  Just unsettled.  Still waiting.  Still unclear.</p><p>I had written around <em>my</em> need instead of naming it.</p><p>That&#8217;s when it landed: this wasn&#8217;t just politeness.</p><p>It was people-pleasing.</p><p>And worse&#8230;it wasn&#8217;t helping anyone.</p><p>I&#8217;ve done this before.</p><p>Years earlier, with endometriosis, I learned how to narrate pain in a way that sounded reasonable.  Palatable.  I learned to preface symptoms with apologies.  To laugh a little.  To soften what my body was doing so it didn&#8217;t sound dramatic.</p><p>I remember sitting in an exam room explaining something that had become routine for me but clearly sounded inconvenient to say out loud.  I remember backtracking mid-sentence.  Saying, &#8220;It&#8217;s probably nothing.&#8221;  Saying, &#8220;I might just be overthinking it.&#8221;</p><p>I said it before anyone else could.</p><p>And when it got worse, when it became undeniable, I didn&#8217;t feel validated.  I felt angry with myself.  Not for being wrong, but for knowing something was wrong and still talking myself out of it.</p><p>That&#8217;s the quiet damage of being the &#8220;good&#8221; patient.</p><p>Clarity delayed doesn&#8217;t magically become clarity.  Needs that stay hidden don&#8217;t resolve themselves.  Silence doesn&#8217;t make systems work better, it just makes the burden invisible.</p><p>Being &#8220;good&#8221; felt safe.</p><p>But safety came at a cost.</p><p>Delay.</p><p>Confusion.</p><p>The slow erosion of self-trust.</p><p>Did I do this wrong?  Should I wait longer?  Should I soften this more?</p><p>I started to see how often I was carrying responsibility that wasn&#8217;t mine.  How much emotional labor I volunteered in spaces where I was already vulnerable.</p><p>Because it&#8217;s harder to take up space when your body is already asking for attention. When you&#8217;re waiting for answers.  When you don&#8217;t feel steady.</p><p>People-pleasing thrives in vulnerability.  It promises control.  If you&#8217;re good enough, kind enough, patient enough, things will work out.</p><p>Until they don&#8217;t.</p><p>The shift didn&#8217;t come from confrontation or resolve.  It came quietly.</p><p>I sent a message without cushioning it.</p><p>No apology.</p><p>No extra context.</p><p>No reassurance folded around a reasonable question.</p><p>Just the question.</p><p>Then I sat with the discomfort.</p><p>I noticed how exposed that felt.  How quickly my instinct was to smooth it over.  To manage how I might be perceived.</p><p>I didn&#8217;t.</p><p>Nothing dramatic happened.  No reprimand.  No rupture.</p><p>But something inside me steadied.</p><p>I saw how often I had mistaken self-erasure for grace.  How deeply I had equated being agreeable with being worthy of care.</p><p>I&#8217;m still unlearning that.</p><p>I still feel the pull to apologize for existing inside systems meant to serve me.  Still catch myself shaping myself around other people&#8217;s comfort.</p><p>But now I notice it.</p><p>Now, before I soften myself, I pause and ask: Am I being kind or am I being afraid?</p><p>Sometimes it&#8217;s kindness.</p><p>Sometimes it&#8217;s habit.</p><p>This isn&#8217;t about becoming demanding or hard-edged.  It&#8217;s not about treating doctors and clinicians like adversaries or abandoning empathy.</p><p>It&#8217;s about remembering that my needs don&#8217;t become unreasonable when I state them clearly.</p><p>That respect doesn&#8217;t require silence.</p><p>That being &#8220;good&#8221; isn&#8217;t the same thing as being honest.</p><p>And that maybe, just maybe, the version of me who asks without apology isn&#8217;t difficult at all.</p><p>I&#8217;m simply done disappearing.</p><div><hr></div><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Thanks for reading Lumani Unfiltered! Subscribe for free to receive new posts and support my work.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/p/whos-afraid-of-little-red-riding?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.lumaniunfiltered.com/p/whos-afraid-of-little-red-riding?utm_source=substack&utm_medium=email&utm_content=share&action=share"><span>Share</span></a></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/p/whos-afraid-of-little-red-riding/comments&quot;,&quot;text&quot;:&quot;Leave a comment&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.lumaniunfiltered.com/p/whos-afraid-of-little-red-riding/comments"><span>Leave a comment</span></a></p><div class="community-chat" data-attrs="{&quot;url&quot;:&quot;https://open.substack.com/pub/lumanihealth/chat?utm_source=chat_embed&quot;,&quot;subdomain&quot;:&quot;lumanihealth&quot;,&quot;pub&quot;:{&quot;id&quot;:4192480,&quot;name&quot;:&quot;Lumani Unfiltered&quot;,&quot;author_name&quot;:&quot;Stephanie Lapre&quot;,&quot;author_photo_url&quot;:&quot;https://substackcdn.com/image/fetch/$s_!QpNS!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fca70cc31-172d-433a-97be-61c5c8f911e7_896x1088.jpeg&quot;}}" data-component-name="CommunityChatRenderPlaceholder"></div><p></p>]]></content:encoded></item><item><title><![CDATA[Protective Bubble]]></title><description><![CDATA[I didn&#8217;t realize how much effort goes into staying steady in urgent places until I noticed how I do it.]]></description><link>https://www.lumaniunfiltered.com/p/protective-bubble</link><guid isPermaLink="false">https://www.lumaniunfiltered.com/p/protective-bubble</guid><dc:creator><![CDATA[Stephanie Lapre]]></dc:creator><pubDate>Tue, 23 Dec 2025 15:03:04 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!64MA!,w_256,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2c225db6-7cc5-4169-b848-39325efe59e3_500x500.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>There are chairs, yes.  A television mounted too high in one corner, tuned to something benign, rather loud&#8230;oh, it's the <em>Today Show</em>.  A stack of magazines that no one touches anymore.  The illusion of order.  But the air is busy.  It hums.  It carries stories that haven&#8217;t been told yet and fears that are already halfway formed.  Urgent care waiting rooms are never quiet, even when they look like they should be.</p><p>This one is crowded.  Not dramatically, just enough.  People close enough that you can hear each other breathe if you listen for it.  A woman pacing near the check-in desk.  A man hunched forward, elbows on knees, scrolling and unscrolling on his phone as if he&#8217;s trying to rub the anxiety away with his thumb.  A little girl, with a high pony, brown soft curl wrapped around her shoulder, swinging her feet against the chair leg, rhythmically, blissfully unaware of how loud that small sound feels when you&#8217;re already on edge.</p><p>I sit down and immediately start doing what I always do.</p><p>I take stock.</p><p>Not of symptoms.  Of energy.</p><p>Who looks scared.  Who looks annoyed.  Who looks like they&#8217;re pretending not to be either.  I notice the receptionist&#8217;s voice, steady but clipped and how often she repeats the same sentence with different inflections.  I notice the way the nurse calls names, the slight pause before each one, as if bracing herself for whatever emotion will meet her when she looks up.</p><p>This is the part that happens automatically.  I don&#8217;t decide to do it.  It just&#8230; clicks on.</p><p>Somewhere along the way, I learned how to read rooms faster than I read instructions.  How to sense urgency without asking for details.  How to become very still inside myself when everything around me is not.</p><p>The urgent care doesn&#8217;t really allow waiting.  It creates a strange hybrid state, half emergency, half patience exercise.  Everyone is here because something tipped from manageable into concerning.  Everyone has already rehearsed the story they&#8217;ll tell when their name is called. Everyone believes, at least a little, that their situation is both uniquely important and probably not important enough.</p><p>I am no exception.</p><p>But instead of rehearsing what I&#8217;ll say, I start building something else: a bubble.</p><p>It&#8217;s not visual, exactly.  It&#8217;s more like a soft perimeter.  A way of shrinking the space just enough so it doesn&#8217;t press in on me.  I adjust my posture.  I slow my breathing without making it obvious.  I fix my gaze somewhere neutral, not on the TV, not on anyone else, and I let the noise move around me instead of through me.</p><p>I&#8217;ve done this before.  Hundreds of times, probably.  In places much louder than this. Places where the stakes felt higher.  Places where emotions were sharper, less contained.</p><p>The bubble isn&#8217;t about escaping.  It&#8217;s about regulating.</p><p>Sometimes the bubble needs a seal.</p><p>I slip my earbuds in, quietly, deliberately, and the room finally loses its grip on me.  The hum, the sighs, the television laughter, the small collisions of sound all fade until there&#8217;s just what I&#8217;ve chosen to let in.  I don&#8217;t overthink the music.  I never do.  I open Steph&#8217;s Fav&#8217;s List and let it decide for me &#8212; the steadiness of Doris Day, the unexpected lift of Vampire Weekend, the familiar comfort of Paul Simon.  Melodies I trust.  Voices that don&#8217;t demand anything from me.  The effect is almost immediate.  My shoulders drop a fraction.  My breath lengthens.  My mind, which has been hovering just above alert, finally settles into my body.</p><p>If I can come down enough, if the noise inside me quiets alongside the noise outside, I give myself permission to drift.  I scroll Instagram aimlessly.  Or I pull out a book and read the same paragraph twice, not because I&#8217;m distracted, but because reading itself feels like proof that I&#8217;m safe enough to be somewhere else for a moment.  This, too, is part of the bubble.  Not escape exactly, more like a gentle refusal to be consumed by the urgency of a room that never actually waits.</p><p>I don&#8217;t think about the possibility of bad news yet.  I don&#8217;t catastrophize.  I don&#8217;t spiral.  That comes later, sometimes.  Right now, I&#8217;m busy doing something else: managing the room.</p><p>I lower my expectations of time.  I stop tracking minutes.  I release the idea that this will move efficiently or logically.  I let myself believe that sitting here, breathing, watching, is the only thing required of me for now.</p><p>This is the part that looks calm from the outside.</p><p>Inside, it&#8217;s a little more complicated.</p><p>Because while I&#8217;m slowing myself down, I&#8217;m also staying alert.  Attuned.  Ready.  There&#8217;s a tension there, a quiet one, between surrender and vigilance.  I notice it in my shoulders first.  Then in my jaw.  The way my body wants to be both relaxed and prepared, just in case.</p><p>There&#8217;s one sound I never fully tune out, even inside the bubble.</p><p>The door.</p><p>Every time it opens, my attention lifts instinctively, before I tell it to.  The hinge, the brief pause, the inhale before a name is called.  I look up without meaning to, listening closely &#8212; is it mine?  No. Not yet.  The door closes again, and I settle back, only to repeat the same quiet cycle minutes later.  It&#8217;s a strange kind of vigilance, not panic exactly, but readiness.  As if missing my name would be some small personal failure.  As if hesitation could cost me my place entirely.</p><p>A man across from me sighs loudly.  It&#8217;s the kind of sigh that wants acknowledgment.  No one gives it.  A few minutes later, he sighs again, louder.  I feel the reflex before I stop it, the urge to look up, to offer some small human signal that says yes, I see you, this is hard.</p><p>I don&#8217;t do it.</p><p>Not because I&#8217;m unkind.  But because I&#8217;ve learned that if I open that door, even a crack, I&#8217;ll spend the rest of the time holding space for everyone but myself.</p><p>This is another pattern I recognize only after it&#8217;s already in motion.</p><p>In chaotic spaces, I become quietly responsible.</p><p>Not in a formal way.  No one assigns it to me.  I just step into it.  I absorb the atmosphere.  I soften sharp edges.  I make myself smaller so the room feels more manageable.</p><p>It&#8217;s a skill.  And like most skills, it comes with a cost.</p><p>The nurse calls a name that isn&#8217;t mine.  Someone stands too quickly, knocking their knee against the chair.  I flinch, then smile to myself for flinching.  I take another slow breath.</p><p>I wonder, briefly, when I learned to do this.</p><p>Was it family dinners that felt one question away from unraveling?  Waiting rooms long before this one?  Being the person who could stay steady while others spun?  I don&#8217;t chase the answer.  I just notice the familiarity of the motion the way calm has become something I manufacture rather than something I expect to be given.</p><p>The TV laughs at something canned.  No one else does.</p><p>Time moves strangely here.  It stretches, then snaps back.  Five minutes feels like fifteen. Fifteen feels like nothing at all.  I glance at my phone, then put it face down again.  I don&#8217;t want updates.  I want containment.</p><p>My name is called eventually.  It always is.  When I stand, my bubble dissolves instantly.  The noise rushes back in.  The room resumes its scale.  I&#8217;m aware of my body again, the weight of it, the reason I&#8217;m here.  There&#8217;s a sudden urgency in my body that surprises me.  I stand too quickly, move too fast, smiling as if to reassure everyone, including myself, that I&#8217;m ready, that I heard, that I won&#8217;t slow things down.  Somewhere in me is the irrational fear that if I don&#8217;t respond immediately, I&#8217;ll be skipped, quietly returned to an invisible line I can&#8217;t see but deeply believe in.  That the moment will pass without me.  That waiting, once again, will start over.</p><p>As I follow the nurse down the hallway, I feel something I didn&#8217;t expect: a small flicker of recognition.</p><p>Not about the visit.  About the ease with which I navigated the chaos.  About how practiced I am at finding quiet in places that don&#8217;t offer it. About how natural it feels to regulate myself instead of asking for space to be made.</p><p>It&#8217;s not a dramatic realization.  Just a gentle one.</p><p>The room doesn&#8217;t change.</p><p>The waiting doesn&#8217;t either.</p><p>I notice how I move through it &#8212;</p><p>and then I let it keep moving.</p><p></p><div><hr></div><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Thanks for reading Lumani Unfiltered! Subscribe for free to receive new posts and support my work.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/p/protective-bubble?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.lumaniunfiltered.com/p/protective-bubble?utm_source=substack&utm_medium=email&utm_content=share&action=share"><span>Share</span></a></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/p/protective-bubble/comments&quot;,&quot;text&quot;:&quot;Leave a comment&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.lumaniunfiltered.com/p/protective-bubble/comments"><span>Leave a comment</span></a></p><div class="community-chat" data-attrs="{&quot;url&quot;:&quot;https://open.substack.com/pub/lumanihealth/chat?utm_source=chat_embed&quot;,&quot;subdomain&quot;:&quot;lumanihealth&quot;,&quot;pub&quot;:{&quot;id&quot;:4192480,&quot;name&quot;:&quot;Lumani Unfiltered&quot;,&quot;author_name&quot;:&quot;Stephanie Lapre&quot;,&quot;author_photo_url&quot;:&quot;https://substackcdn.com/image/fetch/$s_!QpNS!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fca70cc31-172d-433a-97be-61c5c8f911e7_896x1088.jpeg&quot;}}" data-component-name="CommunityChatRenderPlaceholder"></div><p></p>]]></content:encoded></item><item><title><![CDATA[Note to Self]]></title><description><![CDATA[A small end of week realization I&#8217;m sitting with.]]></description><link>https://www.lumaniunfiltered.com/p/note-to-self-ffe</link><guid isPermaLink="false">https://www.lumaniunfiltered.com/p/note-to-self-ffe</guid><dc:creator><![CDATA[Stephanie Lapre]]></dc:creator><pubDate>Fri, 19 Dec 2025 15:00:45 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!64MA!,w_256,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2c225db6-7cc5-4169-b848-39325efe59e3_500x500.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>Interesting how quickly I want clarity.  </p><p>Also interesting that I don&#8217;t always need it.</p><p></p><p>Breathe.</p><p>Enjoy.</p><p></p><div><hr></div><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Thanks for reading Lumani Unfiltered! Subscribe for free to receive new posts and support my work.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/p/note-to-self-ffe?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.lumaniunfiltered.com/p/note-to-self-ffe?utm_source=substack&utm_medium=email&utm_content=share&action=share"><span>Share</span></a></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/p/note-to-self-ffe/comments&quot;,&quot;text&quot;:&quot;Leave a comment&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.lumaniunfiltered.com/p/note-to-self-ffe/comments"><span>Leave a comment</span></a></p><div class="community-chat" data-attrs="{&quot;url&quot;:&quot;https://open.substack.com/pub/lumanihealth/chat?utm_source=chat_embed&quot;,&quot;subdomain&quot;:&quot;lumanihealth&quot;,&quot;pub&quot;:{&quot;id&quot;:4192480,&quot;name&quot;:&quot;Lumani Unfiltered&quot;,&quot;author_name&quot;:&quot;Stephanie Lapre&quot;,&quot;author_photo_url&quot;:&quot;https://substackcdn.com/image/fetch/$s_!QpNS!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fca70cc31-172d-433a-97be-61c5c8f911e7_896x1088.jpeg&quot;}}" data-component-name="CommunityChatRenderPlaceholder"></div><p></p>]]></content:encoded></item><item><title><![CDATA[Just Enough Information to Be Dangerous]]></title><description><![CDATA[Turns out we&#8217;re very confident with incomplete information.]]></description><link>https://www.lumaniunfiltered.com/p/just-enough-information-to-be-dangerous</link><guid isPermaLink="false">https://www.lumaniunfiltered.com/p/just-enough-information-to-be-dangerous</guid><dc:creator><![CDATA[Stephanie Lapre]]></dc:creator><pubDate>Thu, 18 Dec 2025 15:02:48 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!64MA!,w_256,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2c225db6-7cc5-4169-b848-39325efe59e3_500x500.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>If anyone knows me, they know this about me:<br>I love reality TV.</p><p>I&#8217;m a devoted Bravo loyalist.<br>I&#8217;ll defend the Kardashians without shame.<br>I sing along to <em>American Idol</em>.<br>And I&#8217;ve absolutely imagined myself racing around the world on <em>The Amazing Race</em> more times than I&#8217;d like to admit.</p><p>So my entry point into <em>The Secret Lives of Mormon Wives</em> was actually pretty innocent.  I had just finished cheering Whitney on during <em>Dancing With the Stars</em> this season and like a lot of people, I was genuinely bummed when she was devastatingly voted off.  I liked her.  I was rooting for her. </p><p>End of story.</p><p>Or so I thought.</p><p>Then she went on <em>Call Her Daddy</em>.</p><p>And suddenly my entire understanding of who she was &#8212; and where she came from &#8212; flipped.  I had no idea what her origin story was.  I had no idea what #MomTok even meant.  And within about fifteen minutes of that interview, I knew I needed the backstory.  All of it.  Immediately.</p><p>So I did what any reasonable person would do and jumped straight into <em>The Secret Lives of Mormon Wives</em>.</p><p>What shocked me wasn&#8217;t just the content.<br>It was the reaction.</p><p>Watching the show, and then watching the internet watch the show, I couldn&#8217;t stop noticing how intensely people were reacting to individuals they don&#8217;t actually know. The certainty.  The disappointment.  The loyalty.  The outrage.  The way people spoke as if they had been personally wronged&#8230; or personally represented.</p><p>People weren&#8217;t just reacting to behavior.<br>They were reacting to meaning.</p><p>To who they thought these women were.<br>To what they stood for.<br>To the stories they&#8217;d already built in their heads.</p><p>And what made it even more fascinating was seeing how those reactions landed on the people in the show itself.  How it affected them differently.  How some leaned into it.  How some seemed blindsided.  How some internalized it.  How some pushed back.</p><p>It&#8217;s wild to watch in real time.</p><p>And it clicked for me that this isn&#8217;t really about reality TV at all.  It&#8217;s about how quickly we form emotional relationships with partial information and how personal those relationships feel once we&#8217;ve invested in them.</p><p>We do this everywhere now.</p><p>We interpret.<br>We project.<br>We attach.</p><p>Reality TV just makes it louder because the feedback loop is public and immediate.</p><p>What stayed with me wasn&#8217;t whether anyone was right or wrong.<br>It was how human the whole thing is.</p><p>We&#8217;re meaning-makers.<br>We decide who people are based on what we see.<br>And when the story changes, it can feel strangely disorienting, for the audience and the people living inside it.</p><p>Watching <em>The Secret Lives of Mormon Wives</em> felt less like watching a show and more like watching a mirror of various realities.  How quickly we fill in gaps.  How personally we take things.  How confident we are in stories built from fragments.</p><p>Which, honestly, just made it even harder to stop watching.</p><p>What I keep coming back to is how easily we form relationships with whatever gives us just enough access to feel close.  A show.  A platform.  A story.  A screen.  A glimpse.  We fill in the rest ourselves, sometimes with curiosity, sometimes with confidence, sometimes with far more certainty than the moment can actually support.</p><p>There&#8217;s something deeply human about that impulse.  The desire to understand, to connect, to make sense of what we&#8217;re given.  We don&#8217;t like gaps.  We don&#8217;t like unfinished narratives.  So we step in and complete the story, even when the information was never meant to carry that much meaning.</p><p>Watching all of this unfold made me realize how often I do the same thing in my own life, not because I&#8217;m careless or dramatic (okay, yes to the dramatic), but because I&#8217;m relational.  Because I notice.  Because I care.  Because I&#8217;m wired to look for context and tone and intention, even in places that were never designed to offer them.</p><p>And maybe the work isn&#8217;t to stop doing that entirely.<br>Maybe it&#8217;s just to notice when I&#8217;m filling in space that was always meant to stay open.</p><div><hr></div><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Thanks for reading Lumani Unfiltered! Subscribe for free to receive new posts and support my work.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/p/just-enough-information-to-be-dangerous?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.lumaniunfiltered.com/p/just-enough-information-to-be-dangerous?utm_source=substack&utm_medium=email&utm_content=share&action=share"><span>Share</span></a></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/p/just-enough-information-to-be-dangerous/comments&quot;,&quot;text&quot;:&quot;Leave a comment&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.lumaniunfiltered.com/p/just-enough-information-to-be-dangerous/comments"><span>Leave a comment</span></a></p><div class="community-chat" data-attrs="{&quot;url&quot;:&quot;https://open.substack.com/pub/lumanihealth/chat?utm_source=chat_embed&quot;,&quot;subdomain&quot;:&quot;lumanihealth&quot;,&quot;pub&quot;:{&quot;id&quot;:4192480,&quot;name&quot;:&quot;Lumani Unfiltered&quot;,&quot;author_name&quot;:&quot;Stephanie Lapre&quot;,&quot;author_photo_url&quot;:&quot;https://substackcdn.com/image/fetch/$s_!QpNS!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fca70cc31-172d-433a-97be-61c5c8f911e7_896x1088.jpeg&quot;}}" data-component-name="CommunityChatRenderPlaceholder"></div><p></p>]]></content:encoded></item><item><title><![CDATA[Ember]]></title><description><![CDATA[There&#8217;s an unsung bravery in me,]]></description><link>https://www.lumaniunfiltered.com/p/ember</link><guid isPermaLink="false">https://www.lumaniunfiltered.com/p/ember</guid><dc:creator><![CDATA[Stephanie Lapre]]></dc:creator><pubDate>Wed, 17 Dec 2025 15:02:56 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!64MA!,w_256,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2c225db6-7cc5-4169-b848-39325efe59e3_500x500.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>There&#8217;s an unsung bravery in me,<br>a quiet one,<br>the kind that appears<br>in the very moment<br>my doubt gets loud.</p><p>It doesn&#8217;t fight the fear.<br>It just stands closer<br>than it used to.</p><p></p><p></p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Thanks for reading Lumani Unfiltered! Subscribe for free to receive new posts and support my work.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/p/ember?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.lumaniunfiltered.com/p/ember?utm_source=substack&utm_medium=email&utm_content=share&action=share"><span>Share</span></a></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/p/ember/comments&quot;,&quot;text&quot;:&quot;Leave a comment&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.lumaniunfiltered.com/p/ember/comments"><span>Leave a comment</span></a></p><div class="community-chat" data-attrs="{&quot;url&quot;:&quot;https://open.substack.com/pub/lumanihealth/chat?utm_source=chat_embed&quot;,&quot;subdomain&quot;:&quot;lumanihealth&quot;,&quot;pub&quot;:{&quot;id&quot;:4192480,&quot;name&quot;:&quot;Lumani Unfiltered&quot;,&quot;author_name&quot;:&quot;Stephanie Lapre&quot;,&quot;author_photo_url&quot;:&quot;https://substackcdn.com/image/fetch/$s_!QpNS!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fca70cc31-172d-433a-97be-61c5c8f911e7_896x1088.jpeg&quot;}}" data-component-name="CommunityChatRenderPlaceholder"></div><p></p>]]></content:encoded></item><item><title><![CDATA[Why the Portal Feels Personal]]></title><description><![CDATA[The patient portal and I are in a situationship.]]></description><link>https://www.lumaniunfiltered.com/p/why-the-portal-feels-personal</link><guid isPermaLink="false">https://www.lumaniunfiltered.com/p/why-the-portal-feels-personal</guid><dc:creator><![CDATA[Stephanie Lapre]]></dc:creator><pubDate>Tue, 16 Dec 2025 15:00:37 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!64MA!,w_256,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2c225db6-7cc5-4169-b848-39325efe59e3_500x500.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>The patient portal and I are in a situationship.<br>I refresh.  It ignores.  I pull away.  It pings.  Repeat.</p><p>And yes, I know I wrote about all this last week, but apparently this relationship has layers.  I didn&#8217;t plan on giving the portal a sequel, but here we are.  It sent me into another emotional subplot.</p><p>What makes this ridiculous is that I <em>know</em> the portal isn&#8217;t personal.  It doesn&#8217;t judge, roll its eyes, or think, &#8220;Wow, she needs a lot today.&#8221;  But somehow I still talk to it like a person.</p><p>And honestly?<br>It&#8217;s even weirder now that my situationship has shifted <em>from my doctor to my portal</em>.  My doctor doesn&#8217;t call me with results anymore.  My portal does.  Somewhere along the line, the relationship flipped.  Now, instead of a voice talking me through something, I get numbers, ranges, bolded flags, and timestamps.  I&#8217;ve had to learn a whole new emotional language &#8212; interpreting results, gauging timing, trying to understand tone where there is none.  It feels impersonal in a way that somehow makes everything feel <em>more</em> personal.</p><p>Every time I send a message, I write it like I&#8217;m texting someone who might misinterpret my tone.<br>Softener.<br>Clarifier.<br>Politeness multiplier at the end.</p><p>Who taught me to communicate with an app like it has feelings?</p><p>This week, I caught myself reacting to a completely neutral portal message as though it were feedback on my entire personality.  It said: &#8220;This does not require follow-up at this time.&#8221;<br>Totally standard.<br>Totally expected.</p><p>And yet my brain immediately went to:<br>&#8220;You&#8217;re overreacting.&#8221;<br>&#8220;You&#8217;re bothering them.&#8221;<br>&#8220;This isn&#8217;t important.&#8221;<br>&#8220;Calm down.&#8221;</p><p>Not a single one of those things was written.<br>But they were implied&#8230;by my own insecurities.</p><p>That&#8217;s the thing about the portal.<br>It doesn&#8217;t reflect the system.<br>It reflects <em>me</em>.  My people-pleasing, my tone awareness, my reflex to minimize myself, my nervous habit of reading emotional tone into neutral spaces.</p><p>A few days ago, I refreshed the portal with the energy of someone checking to see if a crush viewed their story.  It&#8217;s embarrassing to even type that.  But it&#8217;s true.  There I was, pretending I wasn&#8217;t waiting for an update from a software platform.</p><p>And then I got one:<br>&#8220;Your test result is now available.&#8221;</p><p>Every person with health anxiety or any level of emotional intelligence knows that micro-moment, that breath you hold before clicking.  That suspended second where your mind tries to interpret the future before the page even loads.</p><p>And then the result were&#8230; fine.  Normal.  Uneventful.<br>A complete anticlimax after all that emotional build-up.</p><p>At brunch, I joked that the portal and I were in couples therapy, and my friends didn&#8217;t even blink.  One said her portal &#8220;sounds irritated sometimes.&#8221;  Another said she had been rewriting messages to avoid sounding rude, only to realize she was writing to an automated inbox.  We all laughed because it&#8217;s absurd.  And also true.</p><p>The portal isn&#8217;t personal.<br>But our relationship to being seen and acknowledged is.<br>The portal just gives us a surface to project that onto.</p><p>Silence hits differently when you&#8217;re used to interpreting tone.<br>Delays hit differently when you&#8217;ve been conditioned to &#8220;not bother anyone.&#8221;<br>Neutral messages hit differently when you&#8217;ve spent your life trying to minimize your needs.</p><p>The portal didn&#8217;t create these patterns.<br>It just activated them.</p><p>I didn&#8217;t have a grand revelation this week.<br>The app didn&#8217;t suddenly become kinder or faster.<br>I didn&#8217;t stop overthinking notifications.</p><p>But I did notice something.<br>Somewhere along the way, care became less about people and more about platforms and my emotional reactions got caught in the shift.  I&#8217;m learning, slowly, to separate the two.</p><p></p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Thanks for reading Lumani Unfiltered! Subscribe for free to receive new posts and support my work.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/p/why-the-portal-feels-personal?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.lumaniunfiltered.com/p/why-the-portal-feels-personal?utm_source=substack&utm_medium=email&utm_content=share&action=share"><span>Share</span></a></p><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/p/why-the-portal-feels-personal/comments&quot;,&quot;text&quot;:&quot;Leave a comment&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.lumaniunfiltered.com/p/why-the-portal-feels-personal/comments"><span>Leave a comment</span></a></p><div class="community-chat" data-attrs="{&quot;url&quot;:&quot;https://open.substack.com/pub/lumanihealth/chat?utm_source=chat_embed&quot;,&quot;subdomain&quot;:&quot;lumanihealth&quot;,&quot;pub&quot;:{&quot;id&quot;:4192480,&quot;name&quot;:&quot;Lumani Unfiltered&quot;,&quot;author_name&quot;:&quot;Stephanie Lapre&quot;,&quot;author_photo_url&quot;:&quot;https://substackcdn.com/image/fetch/$s_!QpNS!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fca70cc31-172d-433a-97be-61c5c8f911e7_896x1088.jpeg&quot;}}" data-component-name="CommunityChatRenderPlaceholder"></div><p></p>]]></content:encoded></item><item><title><![CDATA[Note to Self]]></title><description><![CDATA[If this felt like a long pause, let it be that.]]></description><link>https://www.lumaniunfiltered.com/p/note-to-self</link><guid isPermaLink="false">https://www.lumaniunfiltered.com/p/note-to-self</guid><dc:creator><![CDATA[Stephanie Lapre]]></dc:creator><pubDate>Fri, 12 Dec 2025 15:02:49 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!64MA!,w_256,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2c225db6-7cc5-4169-b848-39325efe59e3_500x500.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>If this felt like a long pause, let it be that.<br>Not every moment needs motion.<br>Some just ask to be noticed.</p><p></p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Thanks for reading Lumani Unfiltered! Subscribe for free to receive new posts and support my work.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/p/note-to-self/comments&quot;,&quot;text&quot;:&quot;Leave a comment&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.lumaniunfiltered.com/p/note-to-self/comments"><span>Leave a comment</span></a></p><div class="community-chat" data-attrs="{&quot;url&quot;:&quot;https://open.substack.com/pub/lumanihealth/chat?utm_source=chat_embed&quot;,&quot;subdomain&quot;:&quot;lumanihealth&quot;,&quot;pub&quot;:{&quot;id&quot;:4192480,&quot;name&quot;:&quot;Lumani Unfiltered&quot;,&quot;author_name&quot;:&quot;Stephanie Lapre&quot;,&quot;author_photo_url&quot;:&quot;https://substackcdn.com/image/fetch/$s_!QpNS!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fca70cc31-172d-433a-97be-61c5c8f911e7_896x1088.jpeg&quot;}}" data-component-name="CommunityChatRenderPlaceholder"></div><p></p>]]></content:encoded></item><item><title><![CDATA[When the World Moves Slower Than You Need]]></title><description><![CDATA[There&#8217;s a moment we all know: when our inside world is miles ahead of the one around us.]]></description><link>https://www.lumaniunfiltered.com/p/when-the-world-moves-slower-than</link><guid isPermaLink="false">https://www.lumaniunfiltered.com/p/when-the-world-moves-slower-than</guid><dc:creator><![CDATA[Stephanie Lapre]]></dc:creator><pubDate>Thu, 11 Dec 2025 15:02:51 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!64MA!,w_256,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2c225db6-7cc5-4169-b848-39325efe59e3_500x500.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>I saw a video this week that&#8217;s been circulating everywhere, the one of the woman in Dallas, sitting in a hospital waiting room in active labor, gripping a wheelchair, breathing through contractions, while a staff member asked her to finish intake paperwork.  She gave birth twelve minutes later.</p><p>The internet did what it does: immediate outrage, opinions, debate, everyone choosing a side in seconds.  But the part that stayed with me wasn&#8217;t the noise.  It was her face: the horrible mix of pain, fear, bracing, and a very human question that didn&#8217;t need words:</p><p>&#8220;Can someone please see me right now?&#8221;</p><p>And because I&#8217;m wired the way I am &#8212; part nurse, part people-watcher, part &#8220;read the whole room in 2.5 seconds&#8221; &#8212; I couldn&#8217;t stop thinking about everyone in that moment.  The staff trying to follow the rules as they&#8217;ve been taught.  Her mom filming because she didn&#8217;t know what else to do with her fear and her hands.  The people nearby unsure if stepping in would help or overwhelm.  A whole room full of humans moving at different speeds, none of them matching the urgency of her body.</p><p>What struck me wasn&#8217;t the drama.  It was the gap.</p><p>Her body was moving fast.<br>The environment around her was moving slow.<br>And she was stuck in the space between the two, trying to bridge an impossible difference with nothing but her writhing pain.</p><p>It reminded me of that uncomfortable emotional space we all end up in sometimes, where what we&#8217;re feeling internally and what the world is offering externally are completely out of sync.  When you&#8217;re ready for the next thing but the moment you&#8217;re in hasn&#8217;t caught up yet.  When you know what you need, but you&#8217;re still waiting for someone else to catch on.</p><p>And watching her, I kept thinking about how many of us live out quieter versions of that all the time; not dramatic, but real.  Moments where our inside world and outside world are speaking two different languages.  Moments where we&#8217;re holding ourselves together in places that weren&#8217;t designed to hold us.</p><p>It wasn&#8217;t the shock of the video that stayed with me.<br>It was the truth in her expression, that very human moment when everything inside you asks to be met.</p><p>And honestly, I think we&#8217;ve all been in a moment where what we needed moved a lot faster than the world around us.</p><p></p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Thanks for reading Lumani Unfiltered! Subscribe for free to receive new posts and support my work.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/p/when-the-world-moves-slower-than/comments&quot;,&quot;text&quot;:&quot;Leave a comment&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.lumaniunfiltered.com/p/when-the-world-moves-slower-than/comments"><span>Leave a comment</span></a></p><div class="community-chat" data-attrs="{&quot;url&quot;:&quot;https://open.substack.com/pub/lumanihealth/chat?utm_source=chat_embed&quot;,&quot;subdomain&quot;:&quot;lumanihealth&quot;,&quot;pub&quot;:{&quot;id&quot;:4192480,&quot;name&quot;:&quot;Lumani Unfiltered&quot;,&quot;author_name&quot;:&quot;Stephanie Lapre&quot;,&quot;author_photo_url&quot;:&quot;https://substackcdn.com/image/fetch/$s_!QpNS!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fca70cc31-172d-433a-97be-61c5c8f911e7_896x1088.jpeg&quot;}}" data-component-name="CommunityChatRenderPlaceholder"></div><p></p>]]></content:encoded></item><item><title><![CDATA[Hummingbird]]></title><description><![CDATA[The in-between has its own rhythm.]]></description><link>https://www.lumaniunfiltered.com/p/hummingbird</link><guid isPermaLink="false">https://www.lumaniunfiltered.com/p/hummingbird</guid><dc:creator><![CDATA[Stephanie Lapre]]></dc:creator><pubDate>Wed, 10 Dec 2025 15:03:20 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!64MA!,w_256,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2c225db6-7cc5-4169-b848-39325efe59e3_500x500.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>The in-between has its own rhythm.<br>It hums.<br>It nudges.<br>It asks small questions you can&#8217;t quite answer.<br>And maybe the point isn&#8217;t to fix the moment,<br>but simply to notice it.</p><div><hr></div><p></p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Thanks for reading Lumani Unfiltered! Subscribe for free to receive new posts and support my work.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/p/hummingbird/comments&quot;,&quot;text&quot;:&quot;Leave a comment&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.lumaniunfiltered.com/p/hummingbird/comments"><span>Leave a comment</span></a></p><div class="community-chat" data-attrs="{&quot;url&quot;:&quot;https://open.substack.com/pub/lumanihealth/chat?utm_source=chat_embed&quot;,&quot;subdomain&quot;:&quot;lumanihealth&quot;,&quot;pub&quot;:{&quot;id&quot;:4192480,&quot;name&quot;:&quot;Lumani Unfiltered&quot;,&quot;author_name&quot;:&quot;Stephanie Lapre&quot;,&quot;author_photo_url&quot;:&quot;https://substackcdn.com/image/fetch/$s_!QpNS!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fca70cc31-172d-433a-97be-61c5c8f911e7_896x1088.jpeg&quot;}}" data-component-name="CommunityChatRenderPlaceholder"></div><p></p>]]></content:encoded></item><item><title><![CDATA[The Appointment That Never Comes]]></title><description><![CDATA[Maybe it was the way I worded the message, polite but firm, breezy but clearly hopeful, the kind of tone I have perfected when I&#8217;m trying to look relaxed while absolutely needing something.]]></description><link>https://www.lumaniunfiltered.com/p/the-appointment-that-never-comes</link><guid isPermaLink="false">https://www.lumaniunfiltered.com/p/the-appointment-that-never-comes</guid><dc:creator><![CDATA[Stephanie Lapre]]></dc:creator><pubDate>Tue, 09 Dec 2025 15:02:30 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!64MA!,w_256,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2c225db6-7cc5-4169-b848-39325efe59e3_500x500.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>Maybe it was the way I worded the message, polite but firm, breezy but clearly hopeful, the kind of tone I have perfected when I&#8217;m trying to look relaxed while absolutely needing something.  Maybe it was the post-therapy clarity.  Maybe it was simple delusion.</p><p>Or maybe it was just that I genuinely needed the appointment.</p><p>Either way, when the patient portal pinged with <strong>&#8220;We received your request&#8221;</strong>, I let myself feel hopeful.  Five minutes later, that hope dissolved into the void where unanswered messages go to evaporate.  No follow-up.  No reassurance.  Not even the vague, performative &#8220;Your request has been routed.&#8221;  Just&#8230; nothing.</p><p>A very particular kind of silence that starts out mildly annoying and slowly becomes its own character in your day.</p><p>Three days in, I was refreshing the portal like it was a slot machine I was emotionally invested in.  And you&#8217;d think, after two decades in healthcare, I&#8217;d be over this.  I <em>know</em> how this works.  I understand the backlogs, the triage queues, how the way one message can get lost under twelve new admissions and fourteen medication questions.  But knowing doesn&#8217;t actually protect you from feeling.</p><p>By day four, my inner narrator had fully taken over.</p><p>Maybe someone forwarded my message to someone who forwarded it to someone who minimized the window and never returned.  Maybe it was sitting in a triage bucket titled &#8220;urgent-but-not-critical.&#8221;  Maybe the scheduler took lunch and then twelve crises happened.  Or maybe my request was quietly pushed to &#8220;tomorrow,&#8221; the way adults push their dental cleanings.</p><p>Then my nurse-brain kicked in.<br>Which is never good.</p><p>Because nurses don&#8217;t wait, not well, anyway.  We troubleshoot.  We anticipate.  We diagnose the problem and then diagnose ourselves.  We try to hack time and space and portals and logic.</p><p>I started doing all the insider workaround tricks nurses do:</p><p>Refreshing at unreasonable intervals.<br>Checking every tab as though one might magically reveal a secret appointment slot.<br>Convincing myself a nurse triage line could &#8220;accidentally&#8221; fast-track me.<br>Staring at past messages to see if I could decode a pattern.</p><p>And then, my personal favorite&#8212;the self-regulation-through-self-diagnosis spiral.</p><p>Maybe I didn&#8217;t need it.<br>Maybe the symptoms were just hormones.<br>Or dehydration.<br>Or stress.<br>Or parenting.<br>Or spiritual misalignment.<br>Or &#8220;just one of those days.&#8221;</p><p>Nurses are elite self-diagnosers.  Our brains hold encyclopedias of symptoms, which means we&#8217;re equally likely to shrug something off or assume it&#8217;s a medical plot twist requiring a team of specialists.</p><p>There is no middle ground.  We don&#8217;t live there.</p><p>And then came the phone call.</p><p>I finally caved and called to check on the delay, prepared with my calmest voice.  The representative was kind, which almost made this worse, because her tone softened right before she gave me the news.</p><p>The neurology panel was full.</p><p>Now, for anyone who doesn&#8217;t speak healthcare fluently, let me translate:<br>There were no neurologists available.  At all.<br>Not in-network, not adjacent-network, not &#8220;we can squeeze you in for a quick visit.&#8221; Nothing.</p><p>She explained, gently, that they were calling outside providers; essentially ringing up neurologists like, &#8220;Hey&#8230; any chance you&#8217;re accepting&#8230; one more human?&#8221;  And if none said yes, the wait would be over nine months.</p><p>Nine.<br>For something I was told could be serious.</p><p>The nurse part of me understood how this happens&#8212;provider shortages, capacity issues, demand outpacing supply.  But the human part of me sat there thinking, <em>I am not emotionally stable enough for a nine-month cliffhanger.</em></p><p>And suddenly, all my portal refreshing and self-diagnosing and mental acrobatics made sense.</p><p>At dinner a few nights later, I told the story to my girlfriends.  Before I reached the nine-month punchline, someone said, &#8220;Oh my god, SAME.&#8221;  Another admitted she refreshes her portal like it owes her money.  Someone else said she assumes messages just disappear into a digital black hole and now waits for signs from the universe.</p><p>It hit me then:<br>This wasn&#8217;t just my private unraveling.<br>It was&#8230; universal.</p><p>Anyone who has ever tried to navigate care knows how to wait.  But we don&#8217;t wait quietly.  We wait with a full internal monologue running at all times:</p><p>Should I follow up?<br>Am I being annoying?<br>Is this normal?<br>Is this serious, or am I just tired?<br>Am I supposed to know what to do next?<br>Does asking twice make me difficult?<br>Is this my fault somehow?</p><p>Waiting is not stillness.<br>Waiting is motion.<br>Internal, exhausting motion.</p><p>A few days later, when my nervous system finally unclenched, (and other body parts, thanks to the gym and a glass of wine), I caught myself laughing.  Not because any of this was funny, but because I realized something: even with all my insider knowledge, even with twenty years of seeing how care works, I am still just a person waiting for someone to call me back.</p><p>I don&#8217;t get a shortcut.<br>I don&#8217;t get a VIP lane.<br>I don&#8217;t get emotional immunity.</p><p>Being inside healthcare doesn&#8217;t make waiting easier.<br>Sometimes it makes it louder.</p><p>Eventually, the appointment did show up, anticlimactically, in the middle of Trader Joe&#8217;s while I was comparing frozen dumpling options like a responsibly overwhelmed adult.  No explanation.  No phone call.  Just a random, miraculous little notification that a time slot had opened.</p><p>I stared at it for a moment, partly relieved, partly amused at the emotional gymnastics that tiny update had put me through.  As ridiculous as it sounds, that moment told me more about myself than about the system.  It reminded me how much energy I spend trying to interpret things that offer no explanation, how quickly I shift into problem-solving even when problem-solving isn&#8217;t an option, and how deeply uncomfortable the in-between can be.</p><p>Not dramatic.<br>Just human.</p><div><hr></div><p>Until next time, stay curious &#8212; and be gentle with yourself.</p><p>With gratitude,</p><p>Steph</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Thanks for reading Lumani Unfiltered! Subscribe for free to receive new posts and support my work.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/p/the-appointment-that-never-comes/comments&quot;,&quot;text&quot;:&quot;Leave a comment&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.lumaniunfiltered.com/p/the-appointment-that-never-comes/comments"><span>Leave a comment</span></a></p><div class="community-chat" data-attrs="{&quot;url&quot;:&quot;https://open.substack.com/pub/lumanihealth/chat?utm_source=chat_embed&quot;,&quot;subdomain&quot;:&quot;lumanihealth&quot;,&quot;pub&quot;:{&quot;id&quot;:4192480,&quot;name&quot;:&quot;Lumani Unfiltered&quot;,&quot;author_name&quot;:&quot;Stephanie Lapre&quot;,&quot;author_photo_url&quot;:&quot;https://substackcdn.com/image/fetch/$s_!QpNS!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fca70cc31-172d-433a-97be-61c5c8f911e7_896x1088.jpeg&quot;}}" data-component-name="CommunityChatRenderPlaceholder"></div><div class="captioned-button-wrap" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/p/the-appointment-that-never-comes?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;}" data-component-name="CaptionedButtonToDOM"><div class="preamble"><p class="cta-caption">Feel free to share!</p></div><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/p/the-appointment-that-never-comes?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.lumaniunfiltered.com/p/the-appointment-that-never-comes?utm_source=substack&utm_medium=email&utm_content=share&action=share"><span>Share</span></a></p></div>]]></content:encoded></item><item><title><![CDATA[Let’s Pick Up Where We Left Off]]></title><description><![CDATA[A few stories, a warm cup of coffee, and a fresh beginning.]]></description><link>https://www.lumaniunfiltered.com/p/lets-pick-up-where-we-left-off</link><guid isPermaLink="false">https://www.lumaniunfiltered.com/p/lets-pick-up-where-we-left-off</guid><dc:creator><![CDATA[Stephanie Lapre]]></dc:creator><pubDate>Mon, 08 Dec 2025 23:17:18 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!64MA!,w_256,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2c225db6-7cc5-4169-b848-39325efe59e3_500x500.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>Hello!  It&#8217;s been a while, hasn&#8217;t it?</p><p>I&#8217;ve been gathering stories again and I&#8217;m excited to pick up our conversation where we left off.</p><p>New pieces start this week.</p><p>Grab your coffee.  Let&#8217;s catch up.</p><div><hr></div><p>With gratitude,</p><p>Steph</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Thanks for reading Lumani Unfiltered! Subscribe for free to receive new posts and support my work.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://www.lumaniunfiltered.com/p/lets-pick-up-where-we-left-off/comments&quot;,&quot;text&quot;:&quot;Leave a comment&quot;,&quot;action&quot;:null,&quot;class&quot;:null}" data-component-name="ButtonCreateButton"><a class="button primary" href="https://www.lumaniunfiltered.com/p/lets-pick-up-where-we-left-off/comments"><span>Leave a comment</span></a></p><div class="community-chat" data-attrs="{&quot;url&quot;:&quot;https://open.substack.com/pub/lumanihealth/chat?utm_source=chat_embed&quot;,&quot;subdomain&quot;:&quot;lumanihealth&quot;,&quot;pub&quot;:{&quot;id&quot;:4192480,&quot;name&quot;:&quot;Lumani Unfiltered&quot;,&quot;author_name&quot;:&quot;Stephanie Lapre&quot;,&quot;author_photo_url&quot;:&quot;https://substackcdn.com/image/fetch/$s_!QpNS!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fca70cc31-172d-433a-97be-61c5c8f911e7_896x1088.jpeg&quot;}}" data-component-name="CommunityChatRenderPlaceholder"></div><p></p>]]></content:encoded></item><item><title><![CDATA[Am I Crazy, or Is Healthcare Actually Broken? How a $5,000 Ambulance Bill Proves You’re Not the Problem]]></title><description><![CDATA[Vol 1, Issue 11]]></description><link>https://www.lumaniunfiltered.com/p/am-i-crazy-or-is-healthcare-actually</link><guid isPermaLink="false">https://www.lumaniunfiltered.com/p/am-i-crazy-or-is-healthcare-actually</guid><dc:creator><![CDATA[Stephanie Lapre]]></dc:creator><pubDate>Tue, 13 May 2025 14:01:06 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!lkBU!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fabed3f4d-3b7f-450a-be0c-bb8456366be9_1472x832.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<div class="captioned-image-container"><figure><a class="image-link image2" target="_blank" href="https://substackcdn.com/image/fetch/$s_!lkBU!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fabed3f4d-3b7f-450a-be0c-bb8456366be9_1472x832.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="https://substackcdn.com/image/fetch/$s_!lkBU!,w_424,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fabed3f4d-3b7f-450a-be0c-bb8456366be9_1472x832.jpeg 424w, https://substackcdn.com/image/fetch/$s_!lkBU!,w_848,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fabed3f4d-3b7f-450a-be0c-bb8456366be9_1472x832.jpeg 848w, https://substackcdn.com/image/fetch/$s_!lkBU!,w_1272,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fabed3f4d-3b7f-450a-be0c-bb8456366be9_1472x832.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!lkBU!,w_1456,c_limit,f_webp,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fabed3f4d-3b7f-450a-be0c-bb8456366be9_1472x832.jpeg 1456w" sizes="100vw"><img src="https://substackcdn.com/image/fetch/$s_!lkBU!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fabed3f4d-3b7f-450a-be0c-bb8456366be9_1472x832.jpeg" width="194" height="109.65796703296704" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/abed3f4d-3b7f-450a-be0c-bb8456366be9_1472x832.jpeg&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:null,&quot;height&quot;:823,&quot;width&quot;:1456,&quot;resizeWidth&quot;:194,&quot;bytes&quot;:81495,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;image/jpeg&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:false,&quot;topImage&quot;:true,&quot;internalRedirect&quot;:&quot;https://www.lumaniunfiltered.com/i/163438373?img=https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fabed3f4d-3b7f-450a-be0c-bb8456366be9_1472x832.jpeg&quot;,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="https://substackcdn.com/image/fetch/$s_!lkBU!,w_424,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fabed3f4d-3b7f-450a-be0c-bb8456366be9_1472x832.jpeg 424w, https://substackcdn.com/image/fetch/$s_!lkBU!,w_848,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fabed3f4d-3b7f-450a-be0c-bb8456366be9_1472x832.jpeg 848w, https://substackcdn.com/image/fetch/$s_!lkBU!,w_1272,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fabed3f4d-3b7f-450a-be0c-bb8456366be9_1472x832.jpeg 1272w, https://substackcdn.com/image/fetch/$s_!lkBU!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fabed3f4d-3b7f-450a-be0c-bb8456366be9_1472x832.jpeg 1456w" sizes="100vw" fetchpriority="high"></picture><div></div></div></a></figure></div><blockquote><p><strong>Disclaimer:</strong> All experiences and opinions shared here are personal and should not be taken as professional medical, mental health, or financial advice.  For decisions related to healthcare, insurance appeals, or any treatment, always consult a licensed healthcare professional and carefully review your specific policy details.</p></blockquote>
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