1 00:00:01,500 --> 00:00:03,400 Hi there. My name is dr. 2 00:00:03,400 --> 00:00:06,600 Presenta, and I'm the host of the doctor nurse podcast. 3 00:00:06,700 --> 00:00:09,000 I'm an advanced nurse practitioner and I want to be 4 00:00:09,000 --> 00:00:11,700 your guide into the world of nursing professions. 5 00:00:12,000 --> 00:00:15,500 This podcast is a platform for nurses to share their Journeys 6 00:00:15,500 --> 00:00:18,700 as they made their way in the diverse field of nursing as 7 00:00:18,700 --> 00:00:22,800 either entrepreneurs, Academia private, practice or even the 8 00:00:22,800 --> 00:00:25,700 corporate world. I think we should celebrate just 9 00:00:25,700 --> 00:00:28,800 how diverse the field of nursing is through mentoring one. 10 00:00:28,800 --> 00:00:30,400 Another, with the stories of our career. 11 00:00:30,500 --> 00:00:33,000 Journeys. Nothing is too mundane because 12 00:00:33,100 --> 00:00:36,600 each journey is unique. This podcast will showcase 13 00:00:36,600 --> 00:00:39,900 career options to encourage nurses to view their degrees 14 00:00:39,900 --> 00:00:43,000 with a business mindset. After all we work in the 15 00:00:43,000 --> 00:00:46,000 healthcare business and ultimately I hope I might 16 00:00:46,000 --> 00:00:48,500 inspire you to make a change. If you're looking for something 17 00:00:48,500 --> 00:00:52,000 different, I am motivated to see you live, your best, nursing 18 00:00:52,000 --> 00:00:54,500 life and that looks different for everyone. 19 00:00:54,800 --> 00:00:56,900 Thanks for joining me on today's podcast. 20 00:00:56,900 --> 00:00:58,800 And let's get started with today's guests. 21 00:01:01,900 --> 00:01:04,000 Hey guys. On today's episode, I have an 22 00:01:04,000 --> 00:01:07,500 conch lie. She has an MBA MSN, and she is 23 00:01:07,500 --> 00:01:10,400 in a PRN in a clinical nurse Midwife. 24 00:01:10,600 --> 00:01:15,700 She is a certified life coach for women in nurses, who want to 25 00:01:15,700 --> 00:01:18,700 cultivate their next level of life and business. 26 00:01:18,700 --> 00:01:22,800 She's the founder and owner of authentic coaching LLC, and she 27 00:01:22,800 --> 00:01:26,600 creates time, and space and offers tools for her clients to 28 00:01:26,600 --> 00:01:30,300 cultivate change, through coaching and mindset, work and 29 00:01:30,300 --> 00:01:32,200 zwarst. To date honors her purpose and 30 00:01:32,200 --> 00:01:35,300 her passion of supporting women on their journey. 31 00:01:35,300 --> 00:01:39,800 I am so excited to share this conversation with you guys today 32 00:01:40,000 --> 00:01:43,600 and I hope that it inspires you to think about business 33 00:01:43,600 --> 00:01:46,800 differently and to think about your jobs as nurses and nurse 34 00:01:46,800 --> 00:01:49,100 practitioners and a different light. 35 00:01:49,200 --> 00:01:52,900 So let's hear from and welcome and to the doctor nurse podcast. 36 00:01:52,900 --> 00:01:55,700 So happy to have you on today. Hi, thanks for having me. 37 00:01:56,100 --> 00:01:59,400 Let's Dive Right In, what's your job title? 38 00:01:59,500 --> 00:02:00,800 My name is Ann kaczka. Ugly. 39 00:02:00,800 --> 00:02:03,500 I'm a certified nurse Midwife and a life coach and I'm the 40 00:02:03,500 --> 00:02:07,700 founder of a business that's called authentic coaching LLC. 41 00:02:08,000 --> 00:02:12,600 My role is that I provide group coaching and one-on-one coaching 42 00:02:12,800 --> 00:02:16,200 to advanced, practice nurses, and two women, entrepreneurs, 43 00:02:16,400 --> 00:02:19,100 who are looking for some support of cultivate. 44 00:02:19,100 --> 00:02:22,900 Their next level. My role is a life coach. 45 00:02:22,900 --> 00:02:25,400 I am a listener, I am all the things. 46 00:02:25,600 --> 00:02:28,800 Yeah, and it Master supporter guide. 47 00:02:29,000 --> 00:02:30,300 Got it. Do you currently? 48 00:02:30,500 --> 00:02:33,600 Because a midwife or are you just doing the life coaching 49 00:02:33,700 --> 00:02:35,400 left? My clinical practice is a 50 00:02:35,400 --> 00:02:39,000 certified nurse Midwife back in the middle of 2018 by was 51 00:02:39,000 --> 00:02:43,100 serving as a medical director for Women's Health practice. 52 00:02:43,100 --> 00:02:46,600 And I left that role at being a full scope Midwife, and a 53 00:02:46,600 --> 00:02:49,200 medical director, and a co-director of our centering 54 00:02:49,200 --> 00:02:51,400 pregnancy program, and left that role. 55 00:02:51,400 --> 00:02:54,600 Am a clinical practice, the middle 2018 and opened my 56 00:02:54,600 --> 00:02:59,000 business, incredibly Brave. How did you get to this spot in 57 00:02:59,000 --> 00:03:00,300 your career cuddle? Walk me. 58 00:03:00,400 --> 00:03:03,900 Through that process from when you decided to be a nurse until 59 00:03:04,400 --> 00:03:06,300 right now. We're you decided it's time to 60 00:03:06,300 --> 00:03:09,400 bust out on my own. I knew really I wanted to be a 61 00:03:09,400 --> 00:03:12,800 midwife first. I saw, when I was probably five 62 00:03:12,800 --> 00:03:18,500 or six a berth on 60 Minutes Or Dateline, some sort of a show, 63 00:03:18,500 --> 00:03:21,400 we were watching as a vampire, I'm forget it, but I saw this 64 00:03:21,400 --> 00:03:24,700 water birth and I was glued to the TV and I'll never forget it. 65 00:03:24,700 --> 00:03:26,700 I thought I want to do that. Whatever that is. 66 00:03:27,100 --> 00:03:30,100 When I was in high school, I did a rotation with a midwife and 67 00:03:30,100 --> 00:03:33,600 then An OBGYN like cock set of twins with the Midwife at the 68 00:03:33,600 --> 00:03:35,900 outpatient setting and it was phenomenal. 69 00:03:36,000 --> 00:03:39,900 I decided then that I wanted to again it confirmed. 70 00:03:39,900 --> 00:03:43,800 My interest in birth. I went to my undergrad at Loyola 71 00:03:43,800 --> 00:03:47,700 University in Chicago and was considering medical school and 72 00:03:47,700 --> 00:03:49,500 considering, but wait for a school. 73 00:03:49,800 --> 00:03:53,100 I chose Midwifery school because it felt more authentic to what I 74 00:03:53,108 --> 00:03:55,200 wanted to do, which was to catch babies. 75 00:03:55,400 --> 00:03:57,300 I had very little interest in surgery. 76 00:03:57,600 --> 00:04:00,600 I went to the nursing program. I got it accelerate at As in 77 00:04:00,600 --> 00:04:03,800 nursing after finishing up, I first bachelor's in psychology 78 00:04:03,900 --> 00:04:06,100 and then I started to work in labor delivery. 79 00:04:06,100 --> 00:04:08,700 I was there for about a year, but the only reason I knew going 80 00:04:08,700 --> 00:04:12,000 to nursing school was a step to Midwifery school. 81 00:04:12,000 --> 00:04:15,200 I literally despise every moment that was not labor. 82 00:04:15,200 --> 00:04:18,399 The one day that I was on labor delivery, I worked for a year 83 00:04:18,399 --> 00:04:20,800 because the requirement for when I was in Chicago, I went to 84 00:04:20,800 --> 00:04:23,700 University Illinois, Chicago requirement, was that I did have 85 00:04:23,700 --> 00:04:27,500 a Year's worth of experience. So I worked a year and Alan d. 86 00:04:27,800 --> 00:04:31,900 I apply very quickly thereafter and Was accepted EYC. 87 00:04:32,100 --> 00:04:36,100 I then went on and completed the Dual certification program for 88 00:04:36,100 --> 00:04:39,100 Midwifery and to be a woman thought that Pete, I graduated I 89 00:04:39,100 --> 00:04:41,800 did the part-time program, works the whole time did some travel 90 00:04:41,800 --> 00:04:44,700 nursing through that. And, and then graduated in three 91 00:04:44,700 --> 00:04:47,700 years that was in Chicago, I husband, and I are both from 92 00:04:47,700 --> 00:04:49,800 Cleveland. We decided to move back from 93 00:04:49,800 --> 00:04:52,900 Whole, to be closer as a family. We were ready to start a family 94 00:04:52,900 --> 00:04:55,200 of our own. We moved back to Cleveland in 95 00:04:55,400 --> 00:04:58,800 2008. And, and then I started working. 96 00:04:58,800 --> 00:05:02,000 I worked for Kaiser Permanente. Initially they over like don't 97 00:05:02,000 --> 00:05:05,000 tell anybody or Midwife we just want you to work as an NP at the 98 00:05:05,000 --> 00:05:06,800 office. And I was like, fine, the, 99 00:05:06,800 --> 00:05:09,400 Midwifery community and Cleveland is a little bit more 100 00:05:09,400 --> 00:05:12,400 tight-knit and I was really coming in as an outsider, their 101 00:05:12,400 --> 00:05:15,200 work just as many opportunities that I didn't have that Network 102 00:05:15,200 --> 00:05:17,500 established to really use it to my advantage. 103 00:05:17,500 --> 00:05:20,300 Like I did it to cago. I love Chicago, three offers and 104 00:05:20,500 --> 00:05:22,100 coming back here. It was like starting over a 105 00:05:22,108 --> 00:05:24,000 little bit just in terms of building on that work. 106 00:05:24,300 --> 00:05:27,600 My aunt was worked at Kaiser. She hooked me up with the chair 107 00:05:27,600 --> 00:05:29,200 of the department. He was great. 108 00:05:29,200 --> 00:05:32,500 I started there. I negotiated with them to or to 109 00:05:32,500 --> 00:05:35,100 begin to take call and to begin to catch babies. 110 00:05:35,100 --> 00:05:37,900 And so I was there for a couple years and then a full scope 111 00:05:37,900 --> 00:05:40,700 position opened up at a large academic Medical Center here in 112 00:05:40,700 --> 00:05:42,300 Cleveland called University Hospitals. 113 00:05:42,800 --> 00:05:45,900 And I applied for that knowing full well that I love academic 114 00:05:45,900 --> 00:05:49,200 medicine and I just love the, the learning opportunities of 115 00:05:49,200 --> 00:05:51,900 grand rounds, that guidelines and all that stuff. 116 00:05:52,000 --> 00:05:56,000 I was there for about eight years total and through that. 117 00:05:56,000 --> 00:05:59,700 I grew and became an assistant medical director to the clinic. 118 00:05:59,700 --> 00:06:03,700 One of the X where our Midwifery division did about 60% of the 119 00:06:03,700 --> 00:06:06,600 visits. And that 40% was the resident 120 00:06:06,600 --> 00:06:10,000 continuity clinic for our Residency program, I became the 121 00:06:10,000 --> 00:06:12,100 assistant medical director. And then I moved into the 122 00:06:12,100 --> 00:06:16,000 medical director role, and we built a large ambulatory Medical 123 00:06:16,000 --> 00:06:20,400 Center and along the way I convinced my chair to, I thought 124 00:06:20,400 --> 00:06:23,200 it would be cool to be a coach and there was this program here 125 00:06:23,200 --> 00:06:26,300 at case where I done some Executive Education. 126 00:06:26,300 --> 00:06:30,300 I just asked him like Hey would you pay for me to go and get 127 00:06:30,400 --> 00:06:32,700 Coaching certificate and he said, yeah, no problem. 128 00:06:32,700 --> 00:06:36,000 And I was like how we use it and I've always loved the 129 00:06:36,000 --> 00:06:38,900 mentorship. I had always been the go-to 130 00:06:39,000 --> 00:06:41,900 person and my department, whether it was for friends or 131 00:06:41,900 --> 00:06:44,200 colleagues or whatever, I'm like hey I was like that. 132 00:06:44,200 --> 00:06:47,100 Hey, what do you think of pay? Can you talk to you about this? 133 00:06:47,100 --> 00:06:50,200 We're just figuring what let me just let me get some skills more 134 00:06:50,200 --> 00:06:52,200 Tools in my tool belt. So I did the coaching 135 00:06:52,200 --> 00:06:55,400 certification program, he paid for it and which was awesome. 136 00:06:55,700 --> 00:06:58,900 And then, at the same time is gave my NBA it case because I 137 00:06:58,900 --> 00:07:02,800 was also going through a very Very it had a pretty impressive 138 00:07:02,800 --> 00:07:04,900 shoulder dystocia during one of my births. 139 00:07:04,900 --> 00:07:08,600 And if so, I was catching this baby and had a this baby just 140 00:07:08,600 --> 00:07:13,300 had a tough birth and, and all worked out we had, but healthy 141 00:07:13,300 --> 00:07:16,400 mom, healthy baby and I just really do after that. 142 00:07:16,400 --> 00:07:20,200 It just shook me to my core in terms of just the all the so 143 00:07:20,200 --> 00:07:24,900 long to know the feelings and just the like what it was, a 144 00:07:24,900 --> 00:07:28,100 moment of where I really just questioned. 145 00:07:28,100 --> 00:07:32,600 Can I do this and I, okay. If I can't, I've caught, I don't 146 00:07:32,600 --> 00:07:35,900 know, seven, 700 750 babies, something like that at this 147 00:07:35,900 --> 00:07:38,800 point and I've witnessed thousands of births at this 148 00:07:38,800 --> 00:07:41,400 point. I've seen many shoulder dystocia 149 00:07:41,400 --> 00:07:44,600 as I was catching this baby during this one in particular 150 00:07:44,900 --> 00:07:47,300 with one of my physician colleagues because we kind of 151 00:07:47,300 --> 00:07:50,100 had a sense that we were going to have a bigger baby that we 152 00:07:50,100 --> 00:07:53,300 may have some more challenges with the birth. 153 00:07:53,300 --> 00:07:56,800 So we would put there and we were like fully prepared as much 154 00:07:56,800 --> 00:08:00,200 as you can because we cannot provide we cannot predict and 155 00:08:00,300 --> 00:08:03,000 Cannot really prevent shoulder. So she said, to be honest, 156 00:08:03,400 --> 00:08:05,500 that's at least what the research supports and I would 157 00:08:05,500 --> 00:08:07,000 agree. Anecdotally is clinician. 158 00:08:07,000 --> 00:08:10,000 That's true, we got in there, we had an entire team. 159 00:08:10,100 --> 00:08:14,300 I had all everything I had exerted as much control and I 160 00:08:14,308 --> 00:08:18,300 could, and that situation and I still felt like, oh, it's white 161 00:08:18,300 --> 00:08:21,400 control. Yeah, and so I thought, I don't 162 00:08:21,400 --> 00:08:23,000 know if I'm okay with that. How am I? 163 00:08:23,000 --> 00:08:26,300 He wore experiences and this I can do because when cell so 164 00:08:26,300 --> 00:08:29,800 interesting, is that from being, I know you said, you're coming 165 00:08:29,800 --> 00:08:31,800 up on You have 15 years of Health Care. 166 00:08:32,200 --> 00:08:35,900 I had gotten to the point where the worked nights for 15 years. 167 00:08:35,900 --> 00:08:38,700 Whether it was, I'll call as a midwife or it was s analogy 168 00:08:38,700 --> 00:08:42,500 Durst and between that. And then some of the tralala, 169 00:08:42,500 --> 00:08:47,400 Etc, of the black sleeve, I had gone through a year or two worth 170 00:08:47,400 --> 00:08:50,800 of this, finding a goiter being diagnosed with Hashimoto's 171 00:08:50,800 --> 00:08:55,100 thyroiditis, multiple thyroid, biopsies, fearing that I cancer. 172 00:08:55,100 --> 00:08:57,700 And that I had two young kids and I was going to like Diet, 173 00:08:57,700 --> 00:09:00,100 leave them mother lives. And if these are all that felt 174 00:09:00,100 --> 00:09:02,700 like Like these are all the thoughts that were Brewing going 175 00:09:02,700 --> 00:09:05,600 on in my head and then I was like, what am I doing? 176 00:09:05,800 --> 00:09:07,200 Like is the juice worth the squeeze? 177 00:09:07,200 --> 00:09:09,900 That was this. Thought this question, I have it 178 00:09:09,900 --> 00:09:12,700 just kept coming up again and again and again. 179 00:09:12,700 --> 00:09:16,000 And so I knew from when I started working with a life 180 00:09:16,000 --> 00:09:19,400 coach through my coaching certification program, I started 181 00:09:19,400 --> 00:09:23,700 to just see like that there was a could be some other options, 182 00:09:23,900 --> 00:09:26,300 but I had to do something and sit, right? 183 00:09:26,300 --> 00:09:30,100 And so and then I was also in this MBA course called, living 184 00:09:30,100 --> 00:09:32,500 the Life in. The only reason I took a way, 185 00:09:32,500 --> 00:09:36,200 I'm just talking with another it's practicers yesterday about 186 00:09:36,200 --> 00:09:40,800 how we don't, I think as a profession have like 187 00:09:40,800 --> 00:09:43,800 entrepreneurship is not really a very common word in our 188 00:09:43,800 --> 00:09:47,700 vocabulary, right? And so so I even had, then 189 00:09:47,700 --> 00:09:49,900 course, been titled entrepreneurship 101. 190 00:09:49,900 --> 00:09:52,400 I want to take it because I would have been like what what 191 00:09:52,400 --> 00:09:55,000 is that like who? I've not, that's not me. 192 00:09:55,300 --> 00:09:57,900 I don't even know that word is, but it was called living the 193 00:09:57,900 --> 00:09:59,400 good life. And I was like, I want that. 194 00:09:59,400 --> 00:10:02,500 I'm just I don't know, it's under the guise of living, the 195 00:10:02,500 --> 00:10:04,600 good life and suddenly entrepreneurship. 196 00:10:04,600 --> 00:10:08,300 Yeah, and I was like that. I want that I want that, I want 197 00:10:08,300 --> 00:10:11,700 to of those like sighting of. I'll be there every night. 198 00:10:11,700 --> 00:10:14,500 I don't care about it since the way there are Super Size Me. 199 00:10:14,700 --> 00:10:16,700 Yes, okay. What is this? 200 00:10:16,700 --> 00:10:20,200 So I got in there and my professor was, it was really 201 00:10:20,200 --> 00:10:22,100 good. He's an entrepreneur and he 202 00:10:22,100 --> 00:10:24,300 brought in many people who talked us. 203 00:10:24,300 --> 00:10:28,100 One of whom was hell, Elrod who wrote The Miracle morning and 204 00:10:28,100 --> 00:10:30,200 brought in all these guest speakers to talk. 205 00:10:30,300 --> 00:10:32,200 Talk about how they build their businesses. 206 00:10:32,200 --> 00:10:34,900 I mean, it was like guy if you ever watch guy Roz, how I built 207 00:10:34,900 --> 00:10:37,600 this on a PR. It was like he put his own, 208 00:10:37,600 --> 00:10:40,500 like, how I built this together for our class and that was our 209 00:10:40,500 --> 00:10:44,000 entrepreneurship present. Fascinating to just understand 210 00:10:44,100 --> 00:10:47,700 that there was you could take something and idea that you had 211 00:10:47,700 --> 00:10:51,600 and you could build it. And I just that wasn't even in 212 00:10:51,600 --> 00:10:54,800 my awareness. It just, I just did. 213 00:10:54,800 --> 00:10:57,900 And then, you know, right? And the other thing I know, and 214 00:10:57,900 --> 00:11:00,700 I live in the state of Ohio. We do not yet have full Practice 215 00:11:00,700 --> 00:11:02,700 Authority. And so, in my mind I'm big 216 00:11:02,700 --> 00:11:06,300 barrier that I had put up was like, you can't ever do it 217 00:11:06,300 --> 00:11:08,300 practices. You don't have full practice 218 00:11:08,300 --> 00:11:10,000 Authority well but that's total BS. 219 00:11:10,100 --> 00:11:12,100 I mean in general, right? Like you could do anything on 220 00:11:12,100 --> 00:11:15,200 bright and full practice their Authority and not like can still 221 00:11:15,200 --> 00:11:18,500 make things happen, but to me, that felt very real. 222 00:11:18,500 --> 00:11:20,000 That was a story that felt very real. 223 00:11:20,000 --> 00:11:22,800 Like I can't that's not for me that life. 224 00:11:22,900 --> 00:11:25,300 I went through this class and one of the gals who he 225 00:11:25,300 --> 00:11:29,300 interviewed was Julia. Reisler, who is a life coach at 226 00:11:29,300 --> 00:11:32,600 a long table? Career career at Panera and she 227 00:11:32,600 --> 00:11:36,200 built this big business and I was like taking notes furiously, 228 00:11:36,300 --> 00:11:39,000 because I thought, what is this thing? 229 00:11:39,000 --> 00:11:42,200 Like life coaching? And I was in this coaching 230 00:11:42,200 --> 00:11:45,400 certification program and I thought I had this thought, 231 00:11:45,600 --> 00:11:48,100 which will be more. Took this alongside your MBA 232 00:11:48,100 --> 00:11:50,800 correctly, you were in your NBA NBA. 233 00:11:50,800 --> 00:11:52,500 I'm getting my coaching certification. 234 00:11:52,500 --> 00:11:55,800 We're building the clinic, I'm acting as medical director. 235 00:11:55,800 --> 00:11:57,800 I'm like, oh my God, these two babies. 236 00:11:57,800 --> 00:12:00,600 And I know a partner at home and all, it's just Going on. 237 00:12:00,600 --> 00:12:03,000 And then it was this like this perfect storm. 238 00:12:03,000 --> 00:12:05,500 And, and I also dealing with some of these like Health, 239 00:12:05,500 --> 00:12:08,200 concerts and so's this perfect storm, and I had this one 240 00:12:08,200 --> 00:12:11,400 thought of when Julie started talking about this business that 241 00:12:11,400 --> 00:12:13,500 she built. And that book that she wrote, I 242 00:12:13,500 --> 00:12:15,600 was like, oh my God, I can do that. 243 00:12:15,600 --> 00:12:18,100 And I was like, Wow. And I was like life coaching. 244 00:12:18,100 --> 00:12:20,900 I was like, I don't even know, I don't have to have a physician 245 00:12:20,900 --> 00:12:23,400 collaborator. I can open my own business, I 246 00:12:23,408 --> 00:12:27,400 can charge whatever I want. I can provide whatever service I 247 00:12:27,400 --> 00:12:30,000 think is useful to the people who I want to sir. 248 00:12:30,300 --> 00:12:34,200 And I literally it was that one thought, which I can do this, I 249 00:12:34,200 --> 00:12:37,000 when I looked at the catalyst. So funny I looked at the girl 250 00:12:37,000 --> 00:12:40,200 next to me who she was so nice to meet Anna and she and I had 251 00:12:40,200 --> 00:12:42,800 been like NBA Buddy's gone through many courses together 252 00:12:43,100 --> 00:12:47,200 and she I was again taking notes furiously and she say next and 253 00:12:47,200 --> 00:12:49,800 she and I experienced that class very differently. 254 00:12:50,000 --> 00:12:53,500 My experience was that I literally was like, I'm out. 255 00:12:53,500 --> 00:12:56,700 I'm out, I'm going, I'm going to quit my job. 256 00:12:56,700 --> 00:12:59,000 I'm going to open a business. I would build it. 257 00:12:59,100 --> 00:13:01,400 I'm going to be a life. Coach and I'm going to provide, 258 00:13:01,400 --> 00:13:03,800 I'm going to build an Empire that was like literally the 259 00:13:03,800 --> 00:13:05,800 birth of that. And she was sitting there and 260 00:13:05,800 --> 00:13:07,700 she was like, wow, that was interesting and I was like, 261 00:13:07,700 --> 00:13:10,100 interesting. I was like, wait a minute like 262 00:13:10,300 --> 00:13:12,900 I'm gonna do that. She was like, oh yeah, yeah, 263 00:13:12,900 --> 00:13:15,800 everybody was like, packing up their things like I, maybe 264 00:13:15,800 --> 00:13:17,600 should go. And I was like, did you guys did 265 00:13:17,600 --> 00:13:22,000 you guys cure that she go out and I was like, where you just 266 00:13:22,000 --> 00:13:23,800 like witness to that whole thing? 267 00:13:23,800 --> 00:13:26,700 Because I was and it like, literally changed. 268 00:13:27,100 --> 00:13:31,400 I ended up I went home that night and I Like second, my 269 00:13:31,400 --> 00:13:33,400 husband and I was like, I'm quitting my job. 270 00:13:33,400 --> 00:13:36,400 Like, I'm quitting my job in six months, I'm gonna be a life 271 00:13:36,400 --> 00:13:37,900 coach. I'm going to build a business. 272 00:13:37,900 --> 00:13:41,100 I'm I'm glad it out. He was like, all right, let's do 273 00:13:41,100 --> 00:13:44,100 it. So we have a good partnership 274 00:13:44,100 --> 00:13:47,200 and we kind of came up with just a scenario in terms of how to 275 00:13:47,200 --> 00:13:50,600 float whether or not we could do it with one salary and, and how 276 00:13:50,600 --> 00:13:52,800 to, we were all sort of make to my kids. 277 00:13:52,800 --> 00:13:56,500 And just got out of daycare. We paid off our cars and I 278 00:13:56,500 --> 00:14:02,400 finished school and I was like, Frida is Costly one Scout. 279 00:14:02,400 --> 00:14:06,200 Then I just started from there. I gave my word to give 120 days 280 00:14:06,200 --> 00:14:07,800 notice at work and so I did that. 281 00:14:07,800 --> 00:14:11,000 I plan to leave. We just opened our this Ability 282 00:14:11,000 --> 00:14:12,200 Center. We've been working on this 283 00:14:12,200 --> 00:14:14,900 project for three or four years of Designing. 284 00:14:14,900 --> 00:14:17,800 It building it going to do site visits of other places across 285 00:14:17,800 --> 00:14:19,800 the country. And so I wanted to get them 286 00:14:19,800 --> 00:14:21,700 through the first year. I did. 287 00:14:21,700 --> 00:14:25,500 I just, I got just shy of about that first year, left in the 288 00:14:25,500 --> 00:14:27,600 June, and then I was Off to the Races. 289 00:14:28,100 --> 00:14:30,100 Wow. And the rest is history. 290 00:14:30,300 --> 00:14:34,900 You have had your own business now for how many excuse me. 291 00:14:35,200 --> 00:14:37,200 Okay. Two years, one of the things 292 00:14:37,200 --> 00:14:41,400 that as you were talking I think it's so true that you do get 293 00:14:41,400 --> 00:14:45,800 inspired when people tell you. This is what I did to go get 294 00:14:45,800 --> 00:14:48,600 free. There are moments in your career 295 00:14:48,600 --> 00:14:51,200 especially as a nurse practitioners, where you start 296 00:14:51,200 --> 00:14:55,300 to realize, like, okay, what is my business potential here? 297 00:14:55,400 --> 00:14:58,000 You don't get that training in school where you start to learn, 298 00:14:58,000 --> 00:15:00,100 like, okay, what's the business side? 299 00:15:00,200 --> 00:15:02,300 I'd of things you just think like, okay, I'm just gonna go 300 00:15:02,300 --> 00:15:03,800 out. I'm just going to start curing 301 00:15:03,800 --> 00:15:05,300 patients. I'm just going to start seeing 302 00:15:05,300 --> 00:15:07,000 people. I'm just gonna start making a 303 00:15:07,008 --> 00:15:10,700 difference and then you start realizing in the rat race of 304 00:15:10,700 --> 00:15:15,200 work and also risk, you're taking while you're doing 305 00:15:15,200 --> 00:15:18,800 whatever field you're doing, you might want to consider taking 306 00:15:18,800 --> 00:15:22,600 the risk on yourself and our profession has always been where 307 00:15:23,100 --> 00:15:25,400 the rvu system. And productivity has been 308 00:15:25,400 --> 00:15:28,900 measured right where war in at the past probably 10 years of 309 00:15:29,100 --> 00:15:31,900 this universe. Our movement toward compensation 310 00:15:31,900 --> 00:15:34,700 based on productivity, but it wasn't always that way. 311 00:15:35,000 --> 00:15:38,600 But we've always had this broad measure of productivity for our 312 00:15:38,600 --> 00:15:42,900 views, but I think as you've seen incident to building, 313 00:15:42,900 --> 00:15:46,100 essentially on her physician or building other than Pi, many 314 00:15:46,100 --> 00:15:47,500 organizations. And rightfully. 315 00:15:47,500 --> 00:15:50,700 So I've just discourage any of that practice because it really 316 00:15:50,700 --> 00:15:52,800 doesn't show all the value that we create. 317 00:15:53,000 --> 00:15:55,800 And so, when you begin to get a better sense, whether you're 318 00:15:55,800 --> 00:15:58,700 looking at data from MGM a where you're looking from Sullivan 319 00:15:58,700 --> 00:16:01,900 Cotter, you start to look at Productivity and how much value 320 00:16:01,900 --> 00:16:05,500 we create in terms of gross billable revenue on a yearly 321 00:16:05,500 --> 00:16:08,800 basis or or are you. So we produce or procedures that 322 00:16:08,800 --> 00:16:12,800 are done or break down a few? When you begin to see that you 323 00:16:12,800 --> 00:16:17,400 create five hundred thousand, six hundred thousand eight 324 00:16:17,400 --> 00:16:20,300 hundred thousand dollars in Revenue a year and that's not 325 00:16:20,300 --> 00:16:22,900 from what, you know, your partners are doing. 326 00:16:22,900 --> 00:16:24,600 That's not from what your colleagues. 327 00:16:24,600 --> 00:16:27,100 This is just what you produce this. 328 00:16:27,100 --> 00:16:31,100 You begin to see that and it's measure all and Understand like 329 00:16:31,100 --> 00:16:33,100 many kites who go through this right after we're having light 330 00:16:33,100 --> 00:16:34,900 bulb. Moments of like wait a minute, 331 00:16:34,900 --> 00:16:37,400 wait a minute, like hold on. Yep. 332 00:16:37,400 --> 00:16:38,600 What is ebbing whack? Right? 333 00:16:38,600 --> 00:16:41,800 Because if I producing seven hundred thousand dollars worth 334 00:16:41,800 --> 00:16:46,200 of gross billable revenue for about an axis but I am getting 335 00:16:46,200 --> 00:16:47,700 possible. Have your grandpa. 336 00:16:48,000 --> 00:16:51,500 Yeah, so there's this many going and so sometimes it take, it's 337 00:16:51,500 --> 00:16:55,600 just that it's the necessary. Like it's almost that pain of 338 00:16:55,600 --> 00:16:58,700 being witness to be. Wait a minute, I'm making one 339 00:16:58,700 --> 00:17:00,900 seventh of what I produce. Yet if I were a private 340 00:17:00,900 --> 00:17:04,700 practice, I would be able to make roughly about a third. 341 00:17:04,700 --> 00:17:07,099 I mean right? Like owners pay can convey very 342 00:17:07,099 --> 00:17:10,000 at were 30 or 50 percent on a private practice. 343 00:17:10,000 --> 00:17:12,400 The more freaking boring that I think, the more technical that 344 00:17:12,400 --> 00:17:15,700 we get in terms of skills, procedures and tools of use the 345 00:17:15,700 --> 00:17:19,099 higher our operating costs do. But the reality is, there's 346 00:17:19,099 --> 00:17:21,599 still a March in. There it is a health lot better 347 00:17:21,599 --> 00:17:25,800 than it is when you are sitting and working 80 hours a week on 348 00:17:26,000 --> 00:17:30,000 and salaried, we're covering somebody else's vacation and 349 00:17:30,200 --> 00:17:31,900 Working an extra 10 hours a week. 350 00:17:31,900 --> 00:17:35,000 In terms of finishing up notes doing extra result management. 351 00:17:35,000 --> 00:17:36,700 And you're like, what am I doing? 352 00:17:36,900 --> 00:17:40,000 Yep. Hundred percent correct. 353 00:17:40,000 --> 00:17:43,800 I totally agree with you and I think that that's what I have so 354 00:17:43,800 --> 00:17:45,800 enjoyed interviewing entrepreneurs. 355 00:17:45,800 --> 00:17:49,400 Interviewing people that have taken their careers into their 356 00:17:49,400 --> 00:17:53,900 own hands is that other people can see, like, wake up sister, 357 00:17:54,000 --> 00:17:58,500 brother, whoever you are wake up and see your value because if 358 00:17:58,500 --> 00:18:01,000 not just if you really like your job, Job and go back into go, 359 00:18:01,000 --> 00:18:03,600 she ate four more like you don't necessarily have to go bust out 360 00:18:03,600 --> 00:18:05,400 on your own. That might not be what you want 361 00:18:05,400 --> 00:18:08,200 but at least go back and go listen I know what I bring in 362 00:18:08,200 --> 00:18:10,500 and do the math and go back in with numbers. 363 00:18:10,500 --> 00:18:13,600 So go in with a motion going with numbers they talk a lot 364 00:18:13,600 --> 00:18:16,400 louder than I don't feel like I'm getting paid. 365 00:18:16,400 --> 00:18:19,100 Well it's like okay let me show you what I'm bringing in me. 366 00:18:19,100 --> 00:18:21,900 Show you what I'm worth and I think I could do better. 367 00:18:21,900 --> 00:18:24,200 I can have somebody else pay me more because that's what these 368 00:18:24,200 --> 00:18:26,800 numbers are showing. I think that's that's great 369 00:18:26,800 --> 00:18:29,500 advice. That's what I think as a 370 00:18:29,500 --> 00:18:32,500 realization that Came to my career that spurred me to want 371 00:18:32,500 --> 00:18:34,500 to talk to other people about this because I think nurses need 372 00:18:34,500 --> 00:18:36,500 to know that. I was actually like go from a 373 00:18:36,500 --> 00:18:40,000 job because of numbers and it was really painful that I was 374 00:18:40,000 --> 00:18:41,400 sleeping. I wasn't awake. 375 00:18:41,400 --> 00:18:44,300 I wasn't paying attention and my boss pulled me in and he's like, 376 00:18:44,300 --> 00:18:46,700 we don't have the money for you and I'm watching new buildings. 377 00:18:46,700 --> 00:18:49,100 Go up all around me and I'm watching all this stuff and I'm 378 00:18:49,100 --> 00:18:51,100 just like, wait why you don't have money for me, what does 379 00:18:51,100 --> 00:18:52,600 this mean? And he's like you're not 380 00:18:52,600 --> 00:18:55,700 bringing in your salary, you're not bringing in RV, use and we 381 00:18:55,700 --> 00:18:59,700 and almost like I will never be in this position again. 382 00:18:59,700 --> 00:19:01,500 Once you Get caught sleeping like that. 383 00:19:01,700 --> 00:19:03,700 You never want to be asleep again. 384 00:19:03,800 --> 00:19:05,800 I want to know what I'm doing. When I'm bringing hear, what my 385 00:19:05,800 --> 00:19:08,400 value, what my productivity is. I need to know those numbers in 386 00:19:08,408 --> 00:19:10,400 those metrics. Tell me about one of your 387 00:19:10,400 --> 00:19:13,800 biggest successes and our highs in your career up into this 388 00:19:13,800 --> 00:19:15,900 Polo. There are several, but my 389 00:19:16,200 --> 00:19:20,900 purpose really is to be like to support women on their Journey, 390 00:19:20,900 --> 00:19:22,800 right? And so I've done that, probably 391 00:19:22,800 --> 00:19:24,900 two big ways. I've done that and my work as a 392 00:19:24,900 --> 00:19:28,100 midwife and have contributed tremendously to this Center. 393 00:19:28,100 --> 00:19:32,100 The 35,000, what Square foot in Beltre Center. 394 00:19:32,100 --> 00:19:36,000 That's like at this, buzzing bee hive of activity, with several 395 00:19:36,000 --> 00:19:40,300 Support Services to sign for our community in Cleveland Ohio, 396 00:19:40,300 --> 00:19:43,200 where our infant mortality in particular for black women and 397 00:19:43,200 --> 00:19:47,400 black infants is vastly higher than it is for white women. 398 00:19:47,600 --> 00:19:50,700 White mom said, white infants, part of the work that I'm so 399 00:19:50,700 --> 00:19:58,100 proud of is being able to be a part of the solution to provide 400 00:19:58,400 --> 00:20:01,500 care. That is literally designed for 401 00:20:01,700 --> 00:20:06,500 to help create more equity and it birth and more equity and 402 00:20:06,800 --> 00:20:09,200 decreasing infant mortality. And so, and that's, that's a 403 00:20:09,200 --> 00:20:11,900 huge investment. I think of Landry time. 404 00:20:11,900 --> 00:20:13,700 Yeah. So I actually have a question 405 00:20:13,700 --> 00:20:19,000 about that because I am half African-American and I do read 406 00:20:19,000 --> 00:20:23,000 those statistics. It is very disturbing to me. 407 00:20:23,000 --> 00:20:25,200 That, that is something that is going on. 408 00:20:25,200 --> 00:20:27,600 And it's truth, right? Like now Carlos of your 409 00:20:27,600 --> 00:20:30,500 political views, don't politicize Isis. 410 00:20:30,500 --> 00:20:33,000 Just look at the numbers, right? Going back to those numbers. 411 00:20:33,200 --> 00:20:36,700 The numbers don't don't lie. What do you think are some other 412 00:20:36,700 --> 00:20:38,500 reasons why? That is the case? 413 00:20:38,800 --> 00:20:42,300 Why are black women dying at higher rates than other racial 414 00:20:42,300 --> 00:20:44,200 groups? It's like you said, like you 415 00:20:44,200 --> 00:20:47,500 can't like numbers, don't lie. You can't look at two groups and 416 00:20:47,500 --> 00:20:51,400 say that into mortality rate for black infants and the Huff 417 00:20:51,400 --> 00:20:54,300 neighborhood is six to seven times higher than it is for 418 00:20:54,300 --> 00:20:56,900 white infants, right? Or it Cuyahoga County, which is 419 00:20:56,900 --> 00:20:59,000 our County which is where Cleveland is here, right? 420 00:20:59,000 --> 00:21:01,600 Like you can A look at the preacher birth rates and say, 421 00:21:01,600 --> 00:21:04,700 like merge dimes gives us a grade of D, right? 422 00:21:04,700 --> 00:21:07,300 For our preacher level rates and we know preterm birth is one of 423 00:21:07,300 --> 00:21:09,600 the biggest drivers it's immortality. 424 00:21:09,700 --> 00:21:14,400 There are so many oppressive systems that exist that 425 00:21:14,400 --> 00:21:19,300 contribute to the poor health outcomes for certain individuals 426 00:21:19,500 --> 00:21:21,400 who those systems weren't designed for. 427 00:21:21,500 --> 00:21:23,700 Whether it's you're talking about by the levels. 428 00:21:23,700 --> 00:21:26,100 It Flint Michigan. And you're talking about infant 429 00:21:26,100 --> 00:21:27,900 mortality level about rates here. 430 00:21:27,900 --> 00:21:30,000 Cleveland namely that are higher for black and pencil. 431 00:21:30,200 --> 00:21:33,000 Wait, intense and Machoke mortality rates which are higher 432 00:21:33,100 --> 00:21:35,600 right on average rate of 3 to 4 times. 433 00:21:35,600 --> 00:21:38,000 This is it on, this depends on your on where you are. 434 00:21:38,000 --> 00:21:41,500 And because the data Cleveland Ohio is not the same as it is in 435 00:21:41,500 --> 00:21:42,700 New York. It's not the same because it is 436 00:21:42,700 --> 00:21:45,800 the LA or any other Chicago. But here in Cleveland, we're 437 00:21:45,800 --> 00:21:48,600 looking at three to four times higher rate of death, more Town, 438 00:21:48,600 --> 00:21:51,300 mugs for months, right? And maternal mortality rate for 439 00:21:51,300 --> 00:21:53,900 black hoodies. That's right back because you 440 00:21:53,900 --> 00:21:56,400 have to the right, you have systems that of Oppression, you 441 00:21:56,408 --> 00:22:00,500 have a medical hierarchy that was built on the Backs and 442 00:22:00,500 --> 00:22:03,400 patriarchy, right? That really isn't always favored 443 00:22:03,400 --> 00:22:07,600 white cisgendered nails. Every system is designed to 444 00:22:07,600 --> 00:22:10,000 produce the results that it produces right? 445 00:22:10,000 --> 00:22:12,900 Like systems. Are they do, right, weather and 446 00:22:12,900 --> 00:22:14,700 you've talked about this whether or not you're talking about 447 00:22:14,700 --> 00:22:19,300 incentivizing, Physicians with higher rvu that C-section versus 448 00:22:19,300 --> 00:22:22,000 vaginal births like, which do you get rev, right? 449 00:22:22,000 --> 00:22:25,800 Well, yes, there's all sorts of but systems are designed to give 450 00:22:25,800 --> 00:22:28,900 the results that they give. You just have to be curious 451 00:22:28,900 --> 00:22:31,300 enough to look and say Ludo. What what systematically 452 00:22:31,300 --> 00:22:34,800 actually designers Ambulatory Care Center that you set up, you 453 00:22:34,800 --> 00:22:38,500 were working to break down. Those barriers org and smarter 454 00:22:38,500 --> 00:22:40,800 create opportunity. We had a lot of community 455 00:22:40,800 --> 00:22:43,600 involvement from the people of the huff. 456 00:22:43,600 --> 00:22:46,100 And I mean, if you look at the state of Ohio, the data that 457 00:22:46,100 --> 00:22:48,700 comes out of Huff, the Huff neighborhood, which is in the 458 00:22:48,700 --> 00:22:50,700 city of Cleveland, which is in crap at County. 459 00:22:51,000 --> 00:22:55,600 If we can address that it, our infant mortality rates for black 460 00:22:55,600 --> 00:22:58,300 babies and for the maternal mortality rates for black mom's, 461 00:22:58,500 --> 00:23:01,500 we will improve the Entire steel, that's Ground. 462 00:23:01,500 --> 00:23:05,200 Zero in terms of where the most attention needs to be right now 463 00:23:05,200 --> 00:23:08,500 today. And so we so our centers built 464 00:23:08,500 --> 00:23:11,500 there and that was that was not an accident. 465 00:23:11,500 --> 00:23:15,700 And I was on a very purposeful and intentional move to create a 466 00:23:15,700 --> 00:23:20,200 space that provides multiple Services, its mental health, and 467 00:23:20,200 --> 00:23:23,600 psychiatrists and psychologists and it provides quick and then 468 00:23:23,600 --> 00:23:25,800 there's free parking. And then we worked with the RTA 469 00:23:25,800 --> 00:23:27,700 to make sure that the bus light stopped in front of the 470 00:23:27,700 --> 00:23:29,600 building. So that people the majority of 471 00:23:29,600 --> 00:23:31,300 our patients. Who may not have access to a 472 00:23:31,308 --> 00:23:34,800 car, who could have access to public transportation that they 473 00:23:34,800 --> 00:23:36,900 could get there. And then providing also people 474 00:23:36,900 --> 00:23:41,300 with bus tickets and rides with Uber to improve their ability to 475 00:23:41,300 --> 00:23:43,700 get to us, right? And then also offering a 476 00:23:43,700 --> 00:23:47,500 pharmacy in house offering a lab and bringing as many services 477 00:23:47,500 --> 00:23:50,500 and now with building. So that it's amazing, right? 478 00:23:50,500 --> 00:23:53,900 And then also the other part of this too is creating a safe 479 00:23:53,900 --> 00:23:58,300 space for programs. And for care, that is provided 480 00:23:58,300 --> 00:24:00,800 to the community. So Programs like centering 481 00:24:00,800 --> 00:24:04,800 pregnancy that have much better rates in terms of preterm birth 482 00:24:04,800 --> 00:24:07,200 than traditional and apart and care. 483 00:24:07,500 --> 00:24:09,900 So, integrating or centering pregnancy. 484 00:24:10,000 --> 00:24:12,500 It's a multi-prong approach. It's not perfect. 485 00:24:12,600 --> 00:24:14,900 People will say, yeah, you don't have enough black midwives and 486 00:24:14,900 --> 00:24:17,600 yes, there, we don't have enough black midwives and state of 487 00:24:17,600 --> 00:24:18,600 Ohio. We don't have enough black 488 00:24:18,600 --> 00:24:21,200 midwives in the United States to my dress like all of the 489 00:24:21,200 --> 00:24:22,500 Midwifery care. That's delivered. 490 00:24:22,500 --> 00:24:27,200 It's very white, Midwifery population, and especially 491 00:24:27,200 --> 00:24:29,900 delivering care in many places to eat. 492 00:24:30,100 --> 00:24:33,400 Not quite population, right? And that means a whole nother. 493 00:24:33,600 --> 00:24:37,400 Breeding brag or worms? Yeah, I also feel like just to 494 00:24:37,400 --> 00:24:41,200 give a shout out like, some of the best nurse midwives I've 495 00:24:41,200 --> 00:24:43,600 ever met. They just, they care about 496 00:24:43,600 --> 00:24:45,600 people. And I feel like, regardless of 497 00:24:45,600 --> 00:24:48,900 your skin color, if I had a nurse practitioner that walked 498 00:24:48,900 --> 00:24:53,100 in that just cares. I don't care what you look like. 499 00:24:53,200 --> 00:24:57,300 And so I kind of feel like I agree with you, like you connect 500 00:24:57,300 --> 00:25:01,100 more as an African-American to Someone who's African-American, 501 00:25:01,100 --> 00:25:04,100 I get that. But also I've had nurses that 502 00:25:04,100 --> 00:25:08,000 are just white or Hispanic or whatever and they walk into the 503 00:25:08,000 --> 00:25:11,000 room and you just go like this person just cares about. 504 00:25:11,000 --> 00:25:13,000 That's one of the things that made the difference in my 505 00:25:13,000 --> 00:25:15,700 journey. When I was having my son I had a 506 00:25:15,700 --> 00:25:20,200 Hispanic nurse practitioner Midwife and she changed the 507 00:25:20,200 --> 00:25:23,100 whole thing. She just walked in and was like 508 00:25:23,300 --> 00:25:27,200 you're going to be okay and just having that person there I think 509 00:25:27,200 --> 00:25:29,900 as an African-American part African-American. 510 00:25:30,100 --> 00:25:34,400 You feel like someone's looking out for me and that immediately 511 00:25:34,600 --> 00:25:38,700 brings the energy down and I've spoken to many African-American 512 00:25:38,700 --> 00:25:41,200 women as well. And they've had people in that 513 00:25:41,200 --> 00:25:45,200 same situation like they're midwives or their doulas, not 514 00:25:45,200 --> 00:25:47,600 just care. I want to say that because I 515 00:25:47,608 --> 00:25:51,100 know that we are lacking black midwives and if you're a black 516 00:25:51,100 --> 00:25:54,900 nurse and you like Midwifery go be a midwife we need you like 517 00:25:55,100 --> 00:25:58,800 but in the same time I feel like the white people that are there 518 00:25:58,900 --> 00:26:00,900 are doing. I feel Like so many of them are 519 00:26:00,900 --> 00:26:03,300 doing a really good job. I just want to say that, okay, I 520 00:26:03,308 --> 00:26:06,600 think the other piece so here we have to acknowledge our 521 00:26:06,600 --> 00:26:09,300 maternal. Mortality rate is not on 522 00:26:09,300 --> 00:26:11,800 accident. I'm still have structures that 523 00:26:11,800 --> 00:26:14,700 favor with a lot of white privilege, especially the 524 00:26:14,700 --> 00:26:18,100 medical hierarchy and that also moves down into Midwifery. 525 00:26:18,100 --> 00:26:20,400 It's in, it's pervasive in nursing. 526 00:26:20,600 --> 00:26:22,100 I was just talking about this one of the events. 527 00:26:22,100 --> 00:26:24,700 I said that, like, we even have a pay Gap right? 528 00:26:24,700 --> 00:26:27,800 For nurses who were does site versus nurses who identifies one 529 00:26:27,800 --> 00:26:29,300 day. And you'd that's not even 530 00:26:29,300 --> 00:26:32,100 getting into the That the secretary could have level of 531 00:26:32,100 --> 00:26:36,700 differentiation right by your B skin color or level of 532 00:26:36,708 --> 00:26:40,000 Education. We have these systems in place. 533 00:26:40,000 --> 00:26:42,800 And so even though despite the fact that we have individuals 534 00:26:42,800 --> 00:26:45,700 for think come into the profession, just as I did which 535 00:26:45,700 --> 00:26:47,900 is being a being someone who wants to catch a baby at, who 536 00:26:47,900 --> 00:26:49,900 wants to be a good change and create impact. 537 00:26:49,900 --> 00:26:53,000 We have people who come in, who are good inherently, good 538 00:26:53,000 --> 00:26:56,700 individuals and their with draped in the systems that are 539 00:26:56,700 --> 00:26:58,800 creative. They're big, and they're 540 00:26:58,800 --> 00:27:01,500 definitely needed to produce. This the outcomes of that, the 541 00:27:01,700 --> 00:27:06,200 results they produce, and the individuals within systems, 542 00:27:06,200 --> 00:27:09,200 especially the bigger that they get, the less ability that the 543 00:27:09,200 --> 00:27:12,000 individuals have to have voices that are heard. 544 00:27:12,200 --> 00:27:14,400 You just get this perpetuation. I agree. 545 00:27:14,500 --> 00:27:17,600 Does it actually starts to take away from what the individual 546 00:27:17,600 --> 00:27:19,900 person is doing. If the system is working against 547 00:27:19,900 --> 00:27:21,500 the person. Yeah, hundred percent agree. 548 00:27:21,500 --> 00:27:24,400 If we had red, we and individuals who were who were 549 00:27:24,400 --> 00:27:26,700 saying, no, we will not agree to. 550 00:27:26,800 --> 00:27:28,900 We will we will look at every policy. 551 00:27:28,900 --> 00:27:31,400 Make sure that it does not Discriminate People based on 552 00:27:31,400 --> 00:27:34,700 skin color, we will make sure that we have, you know, equity 553 00:27:34,700 --> 00:27:37,300 and Turks are hiring practices. We will make sure that we set up 554 00:27:37,300 --> 00:27:40,400 the system, right? We don't often do that, right? 555 00:27:40,400 --> 00:27:43,300 This is a broader industry standard of starting to say, oh, 556 00:27:43,300 --> 00:27:46,100 we have to have a diversity equity and inclusion officer. 557 00:27:46,300 --> 00:27:47,800 I don't know. What were we doing that in, for 558 00:27:47,800 --> 00:27:51,200 the past 400 years? Yeah, no, I think you're right. 559 00:27:51,200 --> 00:27:54,200 I think that as you describe this whole process, especially 560 00:27:54,200 --> 00:27:57,000 the position that you were in. You really did get a bird's-eye 561 00:27:57,000 --> 00:27:59,800 view of the business aspect of healthcare, right? 562 00:27:59,900 --> 00:28:02,400 Like yup. You worked on putting together a 563 00:28:02,408 --> 00:28:06,700 system and you also have an MBA. You've got that mindset of like 564 00:28:06,700 --> 00:28:09,500 how is this system working either for the people or against 565 00:28:09,500 --> 00:28:11,900 the people. And so I know that you've got a 566 00:28:11,900 --> 00:28:16,000 really good understanding where the disparities are because you 567 00:28:16,000 --> 00:28:17,500 can see them and you can go listen. 568 00:28:17,500 --> 00:28:20,800 Like this isn't going to set up for this to be successful. 569 00:28:20,800 --> 00:28:24,800 Like, we've got a change have or at least have somebody in there 570 00:28:25,000 --> 00:28:27,000 pointing out. Like okay, wait a minute, I get 571 00:28:27,000 --> 00:28:28,000 that. You want to move forward with 572 00:28:28,000 --> 00:28:29,700 their, but do you realize that this is going to occur? 573 00:28:30,000 --> 00:28:31,200 Load these people. Yes. 574 00:28:31,200 --> 00:28:32,900 And the other has a very pointed that out. 575 00:28:33,000 --> 00:28:34,700 Yes. The you hundred percent to and 576 00:28:34,700 --> 00:28:37,100 then I think too just to be my fault. 577 00:28:37,100 --> 00:28:39,900 The reality is that the Endeavor, I think that I 578 00:28:39,900 --> 00:28:44,200 contributed to was in terms of the center that we've built. 579 00:28:44,300 --> 00:28:47,600 And I think the broader kind of Realm of such as these projects 580 00:28:47,600 --> 00:28:51,500 get bigger and bigger, like, I started to realize that my role 581 00:28:51,500 --> 00:28:53,800 was just in helping to facilitate conversations and 582 00:28:53,800 --> 00:28:56,300 creating the space and then allowing the space and to 583 00:28:56,300 --> 00:28:59,300 flourish allowing the people who needed it to be able to access 584 00:28:59,300 --> 00:29:02,500 it in a way that That felt safe in trustworthy to them and that 585 00:29:02,500 --> 00:29:05,500 all, and also brings in all your Community Partners. 586 00:29:05,800 --> 00:29:08,000 It has to be like a big approach. 587 00:29:08,100 --> 00:29:11,500 Like a big ending approach. This isn't that systems, are big 588 00:29:11,500 --> 00:29:14,600 and in order to kind of dismantle some of the systems 589 00:29:14,600 --> 00:29:19,400 that exist, you have to kind of get real creative about how we 590 00:29:19,400 --> 00:29:23,200 were going to create if we could create a system that served in 591 00:29:23,200 --> 00:29:26,100 the way that we need it to do. So how could we do that? 592 00:29:26,300 --> 00:29:27,700 And that's what we do, that's really cool. 593 00:29:27,900 --> 00:29:31,700 So give me one of the Challenges that you had to overcome in your 594 00:29:31,700 --> 00:29:34,700 career, something that you said, I mean it could even be some of 595 00:29:34,700 --> 00:29:36,100 the health issues that you described it. 596 00:29:36,100 --> 00:29:39,400 Just something that you say this was really hard and I had to I 597 00:29:39,400 --> 00:29:42,800 had to work to overcome it. Oh, you want to someone if they 598 00:29:42,800 --> 00:29:45,600 be thinking about 10 know, I think there's a lot. 599 00:29:45,600 --> 00:29:49,200 I think one of the biggest ones you know, for me is that that 600 00:29:49,200 --> 00:29:52,900 comes out more and more terms of the coaching that I do is that I 601 00:29:52,900 --> 00:29:56,700 think we clinicians. We a test only speak for my own 602 00:29:56,700 --> 00:30:01,600 experience of being a woman but I think there's this tendency 603 00:30:01,600 --> 00:30:05,500 for perfectionism, there's a tendency for people, pleasing, 604 00:30:05,900 --> 00:30:10,900 there's tendency for that I have had for and cheating in order to 605 00:30:11,100 --> 00:30:16,100 prove my worth and to be right to feel worthy only in the past 606 00:30:16,100 --> 00:30:18,200 couple of years. Can I look back at that and say, 607 00:30:18,200 --> 00:30:21,500 oh, that's an interesting that's just when I there's a, there's a 608 00:30:21,508 --> 00:30:23,900 process for understanding how to create worth and that does it 609 00:30:23,900 --> 00:30:25,800 come from a new certification, it doesn't come for 610 00:30:25,800 --> 00:30:28,200 people-pleasing and it doesn't come protectionism. 611 00:30:28,200 --> 00:30:34,400 It comes from a really deep They routed intuitive sense of Ivanov 612 00:30:34,400 --> 00:30:37,600 and that I work with my life coach and that's something that 613 00:30:37,600 --> 00:30:41,100 I struggle with, and I wish I could say that. 614 00:30:41,300 --> 00:30:43,200 Well, I don't even wish I could say it was different because 615 00:30:43,200 --> 00:30:46,300 this is what it is. And so disturbing my, it's a 616 00:30:46,300 --> 00:30:49,400 journey of my work. Now is to begin to say, okay, 617 00:30:49,700 --> 00:30:53,900 what stories, my willing to put on heavy grade Pete and allow to 618 00:30:53,900 --> 00:30:55,700 be present in terms of the impact. 619 00:30:55,700 --> 00:30:57,900 I want to create the business that I want to build and the 620 00:30:57,900 --> 00:31:00,000 lives that I want to support that's Ali. 621 00:31:00,000 --> 00:31:02,900 Cool, and any mentors along the way. 622 00:31:03,000 --> 00:31:05,100 Here you talk a little bit about a love life coach. 623 00:31:05,100 --> 00:31:07,100 So you are a life coach and you have a life coach. 624 00:31:07,300 --> 00:31:10,000 Any other mentors that you felt like along the way, really 625 00:31:10,000 --> 00:31:12,800 helped you like to get to the point where you are today. 626 00:31:12,900 --> 00:31:15,400 Yeah, I think there have been so many and each season. 627 00:31:15,400 --> 00:31:18,800 There's always been one or two. Will have really stepped up and 628 00:31:18,800 --> 00:31:23,100 where I've I'm someone who enter her later and so like to have 629 00:31:23,300 --> 00:31:26,000 relationships in this comes out of Clifton streets which is the 630 00:31:26,200 --> 00:31:28,100 backbone of some of the coaching that I do. 631 00:31:28,400 --> 00:31:30,400 I'm a person who like closer Relationships. 632 00:31:30,400 --> 00:31:33,900 I don't need a high quantity, but I want high quality of 633 00:31:33,900 --> 00:31:36,700 relationships. And so, I have had one or two 634 00:31:36,700 --> 00:31:40,200 people, essentially who are now on my, what I call my personal 635 00:31:40,200 --> 00:31:42,600 board of directors. They are the people to whom. 636 00:31:42,600 --> 00:31:44,400 I go. When I have, I'm trying to 637 00:31:44,408 --> 00:31:46,800 figure something out, I'm kind of trying to sort out and I know 638 00:31:46,800 --> 00:31:49,900 I can go to them and they will give me an Essence like a clear 639 00:31:49,900 --> 00:31:52,500 opinion, they'll bring that to the surface where sometimes I 640 00:31:52,500 --> 00:31:56,100 want, but there have been people all along the way and there. 641 00:31:56,100 --> 00:31:59,600 They now sit they have a seat at my board table as my personal 642 00:31:59,600 --> 00:32:01,600 bar. Directors team, they are the 643 00:32:01,600 --> 00:32:05,300 ones that I go to for all sorts of questions and when I need a 644 00:32:05,300 --> 00:32:07,500 little bit extra But it includes a life coach and includes a 645 00:32:07,508 --> 00:32:10,300 business coach includes some of the past positions I've worked, 646 00:32:10,300 --> 00:32:13,400 but that includes some close friends who will tell it like it 647 00:32:13,400 --> 00:32:17,300 is and not feed bunch of BS. Yeah, no the board structure. 648 00:32:17,500 --> 00:32:21,500 So, it's community. And what advice would you have 649 00:32:21,500 --> 00:32:23,800 for a nooner starting off in her career? 650 00:32:24,200 --> 00:32:28,200 That is wondering where to get started, or what is something 651 00:32:28,200 --> 00:32:29,600 that you wish you would have known? 652 00:32:29,900 --> 00:32:33,500 Start of your career. I think that you get to choose 653 00:32:33,500 --> 00:32:36,400 how you do it. There's not a right way, there's 654 00:32:36,400 --> 00:32:39,300 not a wild way despite what you will be told there is no. 655 00:32:39,300 --> 00:32:40,900 Right. There's there's really not a 656 00:32:40,900 --> 00:32:43,800 right way to do things. I mean even we know with art of 657 00:32:43,800 --> 00:32:47,800 medicine like there's a handful of antibiotics that can work in 658 00:32:47,800 --> 00:32:50,300 multiple situations, right like inescapable. 659 00:32:50,300 --> 00:32:53,000 So there's you get to choose whether or not you focus on 660 00:32:53,000 --> 00:32:55,700 getting it right? Or you allow yourself the 661 00:32:56,000 --> 00:32:59,700 opportunity to create and know that there are many ways to do. 662 00:32:59,800 --> 00:33:02,800 Due to do a thing that that's something I always share with 663 00:33:02,800 --> 00:33:05,900 clients and all of my mentees, very good. 664 00:33:06,000 --> 00:33:08,900 The last part before we get into the rapid-fire where can people 665 00:33:08,900 --> 00:33:11,300 find you? If they want life coaching? 666 00:33:11,300 --> 00:33:13,100 If they think? What I think would be really 667 00:33:13,100 --> 00:33:15,900 cool to talk to it and what where can they find you? 668 00:33:16,100 --> 00:33:19,100 Give a Shameless plug you can find me on my website which is 669 00:33:19,400 --> 00:33:23,600 www.hyken.com Clay CNN.com or you can find me. 670 00:33:23,600 --> 00:33:28,600 My handle is and concretely. CNN on Instagram, Facebook, 671 00:33:28,600 --> 00:33:32,200 Twitter and like Then please connect feel free and reach out 672 00:33:32,300 --> 00:33:34,300 connect. I love to connect with people 673 00:33:34,300 --> 00:33:37,000 and I love what I do. So, if you have any questions, 674 00:33:37,200 --> 00:33:38,700 you're like his life coaching for me. 675 00:33:38,700 --> 00:33:41,800 I don't know what's a business coach and send me a DM or an 676 00:33:41,800 --> 00:33:45,100 email, happy to connect you, you know, with someone in mind that 677 00:33:45,100 --> 00:33:48,300 worker, that's not me, but happy to provide the resources. 678 00:33:48,600 --> 00:33:50,300 Very cool. And for the last part, the 679 00:33:50,300 --> 00:33:52,500 rapid-fire questions? Questions questions question. 680 00:33:52,800 --> 00:33:55,700 If you could spend a day at someone else's shoes, who would 681 00:33:55,700 --> 00:33:57,900 they be Cobra? I want to see that. 682 00:33:57,900 --> 00:34:01,400 How could I, when I have the chef I want to have Gail. 683 00:34:01,500 --> 00:34:04,400 I wouldn't have said, man. I think I love that. 684 00:34:04,400 --> 00:34:06,300 I don't either. I've never seen her. 685 00:34:06,300 --> 00:34:10,100 Like I'm like, oh, wow. Look at like, what that looks 686 00:34:10,100 --> 00:34:12,400 like a closet. Like that's and if someone were 687 00:34:12,400 --> 00:34:15,300 to play you in a movie, who would you want it to be? 688 00:34:15,400 --> 00:34:19,600 God could prepare for this? Could have prepare. 689 00:34:19,600 --> 00:34:22,300 No, I couldn't. I always used to get like that. 690 00:34:22,300 --> 00:34:25,000 It looks like Alyssa Milano, but I think that's just from look 691 00:34:25,000 --> 00:34:26,600 standpoint. Not necessarily like might 692 00:34:26,600 --> 00:34:29,500 actually be if I probably wanted somebody to play me. 693 00:34:29,900 --> 00:34:31,900 Have anybody? That's all right. 694 00:34:32,000 --> 00:34:34,699 And what is one thing that your mother and father taught you 695 00:34:34,699 --> 00:34:36,300 that completely changed your life. 696 00:34:36,600 --> 00:34:39,900 If you have anything to share, it's probably something under 697 00:34:39,900 --> 00:34:44,000 the guise of, do the thing. Do it with Integrity? 698 00:34:44,400 --> 00:34:45,500 Yeah. Keep going. 699 00:34:45,600 --> 00:34:48,400 Rinse and repeat rinse and repeat. 700 00:34:48,400 --> 00:34:50,699 And it has been a joy to talk to you today. 701 00:34:50,699 --> 00:34:53,500 Thank you so much for coming on the podcast and chatting with 702 00:34:53,500 --> 00:34:54,600 me. Thank you for having me. 703 00:34:54,600 --> 00:34:56,100 It was nice to speak with you as well. 704 00:34:57,500 --> 00:34:59,400 We are at the end of our time together. 705 00:34:59,400 --> 00:35:02,700 I really enjoyed the chat, please be sure to subscribe to 706 00:35:02,700 --> 00:35:05,700 the show so you don't miss an episode and leave us a review. 707 00:35:05,700 --> 00:35:08,400 If you like the show, I would love to get 5 stars. 708 00:35:08,700 --> 00:35:10,600 The doctors podcast is on Instagram. 709 00:35:10,600 --> 00:35:14,600 So please follow us there for any updates on new podcasts and 710 00:35:14,600 --> 00:35:17,000 inspirational information to help you on your own Journey. 711 00:35:17,400 --> 00:35:19,900 You could always message me at the doctor nurse podcast at 712 00:35:19,900 --> 00:35:23,800 gmail.com with any Career Information or professions that 713 00:35:23,800 --> 00:35:25,900 you're interested in hearing about. 714 00:35:25,900 --> 00:35:27,700 And as always, Thanks for listening. 715 00:35:28,200 --> 00:35:31,000 I want to thank my biggest fan supporter on patreon. 716 00:35:31,100 --> 00:35:33,600 Kevin prior for your support of this podcast. 717 00:35:33,800 --> 00:35:36,400 If you love this podcast and want to throw some support my 718 00:35:36,400 --> 00:35:38,100 way, I would greatly appreciate it. 719 00:35:38,100 --> 00:35:41,600 My link is in the show notes and just a reminder the information 720 00:35:41,600 --> 00:35:44,800 in this podcast is for educational purposes only and 721 00:35:44,800 --> 00:35:47,200 the information should not be used in substitute for 722 00:35:47,200 --> 00:35:49,200 Professional Care by medical provider. 723 00:35:49,600 --> 00:35:52,300 The information. This podcast is not represent 724 00:35:52,300 --> 00:35:55,400 medical or other, professional advice or services.