Dr. Marci Nelson has delivered hundreds of babies in the Edmonds community over the past 25 years — and in some cases, she's now caring for the families those babies started. This fall, she's opening Trillium Concierge Medicine, finally giving her the time and structure to practice the kind of longitudinal, relationship-driven medicine she's built her career around.

Dr. Jill Casey knows her patients well enough to run into them at the farmer's market and on the sidelines of her daughters' soccer games. This fall, she's co-founding Trillium Concierge Medicine in Edmonds, bringing rare dual expertise in family medicine and lactation care to a practice built around long-term relationships and unhurried appointments.

Approximately 87 percent of midlife women with menopause symptoms did not seek medical care for those symptoms. Among those who did, only 25 percent received treatment. This is not a niche problem. It is one of the clearest clinical opportunities in medicine right now.

Nearly 42 percent of U.S. physicians reported at least one burnout symptom in 2025. One in four is considering leaving clinical medicine entirely. The reasons are not mysterious — and the physicians leaving are not the ones who were unsuited for the work.

You took time off. You slept. You did what people say is supposed to help. And when you came back, nothing had changed. If rest did not fix it, the problem may not be burnout. It may be something the research has only recently found language for.

The mean age at which physicians leave clinical practice has dropped from 57 to 48 in a single generation. That is not a trend. It is a structural collapse — and the data on why it is happening, especially for women physicians, is worth reading carefully.