I’m Dr. Susan Karki, a board-certified pathologist and mom to a beautiful 4-year-old. For years, I felt the quiet ache that so many physician women carry—the pull between an all-consuming career and the people, moments, and version of myself I didn’t want to miss. Through my own coaching journey and deep self-reflection, I discovered something transformative: it’s not about finding more time, it’s about how you show up to the time you have. Home by Four is built on the principle of Einstein Time—learning to move through your day with presence instead of urgency, so the work that used to stretch until 6pm gets done by 4, leaving space for the life waiting for you at home.

Home by Four is a soft place to land—a space as warm as morning sunlight, as comforting as your child’s arms around your neck after a long day, as refreshing as cool water after sunset. Whether you’re a resident or fellow navigating brutal schedules, a mom planning for a new baby or returning from leave, starting a new job or considering a change, deep in the beautiful chaos of early parenting, or simply feeling low and longing for more joy, you’ll find support, accountability, and real transformation here. You’re never doing this alone—you have a real person in your corner when you need a quick reset, a pep talk, or someone to remind you that you’ve got this.