1 00:00:00,000 --> 00:00:02,600 Welcome to another week on the doctor nurse podcast. 2 00:00:02,600 --> 00:00:05,000 I hope your each doing well, and enjoying your Journeys. 3 00:00:05,300 --> 00:00:07,500 This week. On the podcast, we hear from 4 00:00:07,500 --> 00:00:10,300 Leah gagan. She is a board certified adult, 5 00:00:10,300 --> 00:00:12,300 primary care and functional medicine. 6 00:00:12,300 --> 00:00:15,800 Nurse practitioner, who helps individuals overcome chronic 7 00:00:15,800 --> 00:00:18,500 illness and Achieve Optimal Wellness, by naturally, 8 00:00:18,500 --> 00:00:22,300 balancing the body restoring function, in alleviating pain at 9 00:00:22,300 --> 00:00:25,600 her practice. Emergence Health, she Blends the 10 00:00:25,600 --> 00:00:28,200 best of conventional and functional medicine to deliver 11 00:00:28,400 --> 00:00:31,400 personalized care. She shares how she started her 12 00:00:31,400 --> 00:00:34,500 business and what it takes for an NP to Branch out on her own. 13 00:00:35,000 --> 00:00:37,100 Now let's hear from one of our sponsors. 14 00:00:37,200 --> 00:00:40,600 I am so excited to tell you guys about the newest sponsorship 15 00:00:40,600 --> 00:00:44,400 between the doctors podcast and NP Hub. 16 00:00:44,600 --> 00:00:47,900 NP Hub is the leading NP preceptor and student connector 17 00:00:47,900 --> 00:00:51,000 business on the market. Today, they work with NP 18 00:00:51,000 --> 00:00:54,200 students that are struggling to find preceptors locate and 19 00:00:54,200 --> 00:00:57,100 connect with local nurse practitioners and a variety of 20 00:00:57,100 --> 00:00:59,900 Specialties. 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Guys, thank you so much for 36 00:01:49,800 --> 00:01:52,900 listening to the podcast, and let's dive into today's episode. 37 00:01:54,000 --> 00:01:58,000 Hi, doctor, nurse podcast, welcome guys. 38 00:01:58,000 --> 00:02:02,000 Today we have Leah gagan, And she is a board certified adult, 39 00:02:02,000 --> 00:02:04,500 primary care, and functional medicine, nurse practitioner, 40 00:02:04,500 --> 00:02:09,000 who owns her own business called emergence health. 41 00:02:09,000 --> 00:02:11,600 And so, she's going to be talking guys about her journey. 42 00:02:11,700 --> 00:02:14,900 How she's gotten gotten to the spot that she is today. 43 00:02:15,100 --> 00:02:18,600 And we decided to talk to her because, again, I've had 44 00:02:18,600 --> 00:02:21,600 requests for functional medicine nurse practitioner to come on 45 00:02:21,600 --> 00:02:24,100 and share their Journeys. And so, I'm seeking them out 46 00:02:24,100 --> 00:02:25,900 guys, that I happy to have her on today. 47 00:02:25,900 --> 00:02:29,300 So Leah, welcome. Thanks for having me Santa, 48 00:02:29,400 --> 00:02:31,100 yeah. Thanks for coming on. 49 00:02:31,300 --> 00:02:35,600 So let's start off with kind of what your role is at your 50 00:02:35,600 --> 00:02:39,000 current job and what it is that you do on a day-to-day basis. 51 00:02:39,100 --> 00:02:42,700 So I am a primary care and functional medicine nurse 52 00:02:42,700 --> 00:02:45,900 practitioner and most people would probably know what a 53 00:02:45,900 --> 00:02:49,000 primary care nurse practitioners who are listening to this 54 00:02:49,000 --> 00:02:53,900 podcast but functional medicine is probably a bit of a new term 55 00:02:54,300 --> 00:02:58,300 and just to get started it is a route based approach to health 56 00:02:58,300 --> 00:03:00,800 care that. Looks at how the Systems of your 57 00:03:00,800 --> 00:03:04,100 body work to identify the root cause of disease. 58 00:03:04,100 --> 00:03:08,400 So, I use a lot of Lifestyle treatments in my practice, in 59 00:03:08,400 --> 00:03:11,300 addition to some conventional therapies, as well. 60 00:03:11,300 --> 00:03:13,900 I like to blend both the conventional and functional 61 00:03:13,900 --> 00:03:17,100 modalities in order to help people heal. 62 00:03:17,400 --> 00:03:21,700 Mostly from chronic illness and I see people via Telehealth 63 00:03:21,700 --> 00:03:24,500 really anywhere in the United States, but also, I do home 64 00:03:24,500 --> 00:03:27,200 care. So, I'm licensed in Pennsylvania 65 00:03:27,200 --> 00:03:29,800 and New York and will do physical exams. 66 00:03:29,900 --> 00:03:33,100 And functional medicine appointments in people's homes. 67 00:03:33,100 --> 00:03:36,600 Wow, what kind of patients are you seeing on a day-to-day 68 00:03:36,600 --> 00:03:39,500 basis? So functional medicine is like, 69 00:03:39,600 --> 00:03:43,000 a specialty in and of itself, but it's kind of being a master 70 00:03:43,000 --> 00:03:45,900 of all. So I do see a lot of people who 71 00:03:45,900 --> 00:03:49,400 have hormone imbalance issues like we were talking about 72 00:03:49,400 --> 00:03:52,500 before PCOS, infertility problems. 73 00:03:52,700 --> 00:03:55,200 I see a lot of people with digestive issues. 74 00:03:55,400 --> 00:03:59,100 Yes, Crohn's disease. I see people who have a lot of 75 00:03:59,100 --> 00:04:01,300 heavy. Overload that need help with 76 00:04:01,300 --> 00:04:06,100 detoxing specifically from old. I see a lot of patients for and 77 00:04:06,100 --> 00:04:08,600 autoimmunity. Because the the way that 78 00:04:08,600 --> 00:04:11,900 conventional Healthcare treats autoimmunity is through 79 00:04:11,900 --> 00:04:15,900 suppressing, the immune system and seems counterintuitive. 80 00:04:15,900 --> 00:04:19,800 Yeah, yeah, instead of really like addressing why somebody is 81 00:04:19,800 --> 00:04:24,400 having that autoimmune reaction, and I kind of Akin it to 82 00:04:24,400 --> 00:04:26,900 somebody having like a smoke alarm and their house. 83 00:04:27,200 --> 00:04:30,400 And basically conventional medicine for a Out of things is 84 00:04:30,400 --> 00:04:31,900 just shutting off the smoke alarm. 85 00:04:31,900 --> 00:04:35,200 It's trying to mask the symptoms that people are experiencing 86 00:04:35,200 --> 00:04:38,300 instead of looking for the fire. So that's like the very basic 87 00:04:38,300 --> 00:04:41,500 way of how I describe what I do is I don't just shut off the 88 00:04:41,500 --> 00:04:44,100 alarm. I'm looking for that fire that 89 00:04:44,100 --> 00:04:46,800 root cause of what is what is leading to you? 90 00:04:46,800 --> 00:04:50,900 Not feeling well, I love this approach in health care because 91 00:04:50,900 --> 00:04:55,000 it I feel like Western medicine is very good at being reactive. 92 00:04:55,000 --> 00:04:57,700 You have a disease and then they're really good at, just 93 00:04:57,700 --> 00:05:01,500 reacting to what? Here's the thanks or this is bit 94 00:05:01,500 --> 00:05:04,600 into the problem more so than what I love about functional 95 00:05:04,600 --> 00:05:08,200 medicine is I've been diving into this area of Health Care is 96 00:05:08,200 --> 00:05:11,200 that you guys are way more interested in like you said 97 00:05:11,200 --> 00:05:15,200 looking for the fire what's causing this instead of just 98 00:05:15,200 --> 00:05:18,900 looking to fix it and I love that you're merging I can help 99 00:05:18,900 --> 00:05:23,200 fix it but I also really want to dive into what's going on and so 100 00:05:23,200 --> 00:05:26,000 I was looking through your website I saw that you do a ton 101 00:05:26,000 --> 00:05:30,800 of testing very specific testing I'm assuming like Gut microbiome 102 00:05:30,800 --> 00:05:32,800 type stuff. You're looking at people's 103 00:05:32,800 --> 00:05:35,600 genetic makeup to getting that like that, that I owe 104 00:05:35,600 --> 00:05:39,500 individuality that I want to has and really tailoring Health Care 105 00:05:39,700 --> 00:05:43,200 to the person. Because again, I think we all 106 00:05:43,200 --> 00:05:46,300 know this, there are genetic differences between people. 107 00:05:46,300 --> 00:05:48,400 Every single person is different. 108 00:05:48,400 --> 00:05:50,800 Could you touch on a little bit about what it is? 109 00:05:50,800 --> 00:05:54,400 That kind of sets, functional medicine apart and that bio 110 00:05:54,400 --> 00:05:58,800 individuality that you tailor your care to compared to 111 00:05:59,000 --> 00:06:01,300 Conventional medicine. It's just kind of a one shoe 112 00:06:01,300 --> 00:06:05,200 fits all which knows like this new shoe that fits everybody 113 00:06:05,300 --> 00:06:07,800 model of healthcare. Could you kind of differentiate 114 00:06:07,800 --> 00:06:09,600 that for my listeners? Yeah, absolutely. 115 00:06:09,600 --> 00:06:12,400 We all went into healthcare because we wanted to help people 116 00:06:12,900 --> 00:06:15,300 at the root, especially us nurses. 117 00:06:15,300 --> 00:06:19,600 And at least when I peeked under the hood of working in a 118 00:06:19,600 --> 00:06:23,300 hospital for a long time, I became frustrated because we 119 00:06:23,300 --> 00:06:27,200 worked mostly on protocols that were determined from the top 120 00:06:27,200 --> 00:06:32,800 down that every single person. If they were septic got XYZ 121 00:06:32,800 --> 00:06:36,700 which of course for certain things like emergencies, I still 122 00:06:36,700 --> 00:06:39,600 do believe very much in conventional medicine but 123 00:06:39,900 --> 00:06:44,600 percent young framework does not work for chronic disease, which 124 00:06:44,600 --> 00:06:49,300 is an epidemic here in the United States and around 80%. 125 00:06:49,300 --> 00:06:53,800 They've done a study that 80% of chronic illness, can be healed, 126 00:06:53,800 --> 00:06:57,600 through lifestyle, through diet, through exercise, through 127 00:06:57,600 --> 00:06:59,800 nutrition. And yet, those are the things. 128 00:06:59,900 --> 00:07:03,900 We were not trained in in school, you know, maybe you had 129 00:07:03,900 --> 00:07:07,800 one nutrition class that was for one semester that was very 130 00:07:07,800 --> 00:07:11,700 surface level but nothing that was really applied to Patient 131 00:07:11,700 --> 00:07:13,800 Care. And the way that functional 132 00:07:13,800 --> 00:07:18,400 medicine looks at Health Care, is we do still value evidence 133 00:07:18,400 --> 00:07:22,700 based practice, which is very conventional, I guess in 134 00:07:22,700 --> 00:07:25,500 perspective. But it's not the only thing that 135 00:07:25,500 --> 00:07:30,500 we use to direct care. We use both Evidence-based, 136 00:07:30,500 --> 00:07:33,500 practice provider expertise and experience. 137 00:07:33,500 --> 00:07:37,100 And then also patient preference and how people want to delete 138 00:07:37,400 --> 00:07:40,700 their care, delivered. What type of care do they want? 139 00:07:40,700 --> 00:07:44,700 What is their life like and what will fit best into their 140 00:07:44,700 --> 00:07:47,100 lifestyle versus the other way around? 141 00:07:47,100 --> 00:07:51,000 And that's the aspect of the personalization that, yes, we 142 00:07:51,000 --> 00:07:52,800 can do. Also, the advanced genetic 143 00:07:52,800 --> 00:07:55,700 testing that's a whole new level of personalized care. 144 00:07:55,700 --> 00:07:59,000 But even just at the surface, just asking people what they 145 00:07:59,000 --> 00:08:04,000 want, Having enough time to really understand those persons 146 00:08:04,000 --> 00:08:07,900 needs understand their history. We go all the way back to when 147 00:08:07,900 --> 00:08:10,300 you were born, where you breast or bottle. 148 00:08:10,500 --> 00:08:14,100 Well, were you a C-section baby or vaginal delivery? 149 00:08:14,400 --> 00:08:17,100 Because all of those things, play a role in two, canoes 150 00:08:17,100 --> 00:08:21,100 developed into today and what your individual risks are, and 151 00:08:21,100 --> 00:08:24,300 what systems of your body could be out of balance, where should 152 00:08:24,300 --> 00:08:27,800 we look first in terms of our investigation, through that 153 00:08:27,800 --> 00:08:32,600 functional lens, And the average Primary Care visit here in the 154 00:08:32,600 --> 00:08:35,900 u.s. is 15 minutes. Like, what can you get done in 155 00:08:35,900 --> 00:08:39,799 15 minutes of time? I Rely very heavily on the 156 00:08:39,799 --> 00:08:42,299 patient history. I really do believe that 157 00:08:42,299 --> 00:08:44,400 patients know what is wrong with them. 158 00:08:44,400 --> 00:08:48,900 They might just not know the medical terms or pathophysiology 159 00:08:48,900 --> 00:08:51,900 behind it. And my job is to be almost like 160 00:08:51,900 --> 00:08:55,400 a Rosetta Stone for them like hearing what they're saying 161 00:08:55,400 --> 00:08:59,500 about their health and translating it into a way that 162 00:08:59,500 --> 00:09:03,200 they I understand but also playing on my medical expertise. 163 00:09:03,200 --> 00:09:06,300 I love that approach. That you're describing, it is so 164 00:09:06,400 --> 00:09:10,800 it's it is I believe for example I'll just start with an example. 165 00:09:10,800 --> 00:09:14,500 I had a patient just yesterday or two days ago in clinic, when 166 00:09:14,500 --> 00:09:17,900 I was in clinic, I think was Friday, Thursday, and he had 167 00:09:17,900 --> 00:09:21,500 described after getting an L agard injection for prostate 168 00:09:21,500 --> 00:09:25,200 cancer that something's been off with his heart ever since. 169 00:09:25,500 --> 00:09:27,200 And he's like, No One Believes Me. 170 00:09:27,400 --> 00:09:31,600 And I just felt like this Man has been living in his body for 171 00:09:31,600 --> 00:09:35,200 65 years. Who am I to tell him that? 172 00:09:35,200 --> 00:09:39,300 This wasn't something that he was experiencing because I feel 173 00:09:39,300 --> 00:09:41,600 like and this was the thing that I was getting from him and that 174 00:09:41,600 --> 00:09:44,900 you're adequately describing that there's this disconnect 175 00:09:44,900 --> 00:09:47,800 between providers, where we only look at this list of things. 176 00:09:47,800 --> 00:09:50,700 And we say, well, if it's on the list and you can't be true, or 177 00:09:50,800 --> 00:09:53,800 if it's not common, that it can't be true, it really 178 00:09:53,800 --> 00:09:56,100 invalidates people. And I think it actually ends up 179 00:09:56,100 --> 00:09:58,600 sending them into kind of an anxiety spin where they're just 180 00:09:58,600 --> 00:10:01,000 like, well, then why is this happening Cause I I noticed that 181 00:10:01,000 --> 00:10:04,000 this happened and this happened. And so I just feel like over 182 00:10:04,000 --> 00:10:08,200 time, what we've done is we've created actually more anxiety by 183 00:10:08,200 --> 00:10:11,100 not listening to people, by just kind of having that revolving 184 00:10:11,100 --> 00:10:14,400 door of like, okay, get in, get out, get in, get out instead of 185 00:10:14,400 --> 00:10:16,900 spending that time. I said, I spent so much time on 186 00:10:16,900 --> 00:10:18,700 the phone with him that day. And at the end of the 187 00:10:18,700 --> 00:10:22,100 conversation, he said, thank you so much for just believing as I 188 00:10:22,108 --> 00:10:24,400 know. I can't fix it, but I believe 189 00:10:24,400 --> 00:10:26,600 you. And it was just that statement 190 00:10:26,600 --> 00:10:31,600 alone that I could tell curb the T that he was just like I know 191 00:10:31,600 --> 00:10:33,800 things happen. Like I know you take things and 192 00:10:33,800 --> 00:10:35,900 so things can happen and I said that's it. 193 00:10:35,900 --> 00:10:38,800 Like unfortunately, that's that's Healthcare. 194 00:10:38,800 --> 00:10:41,000 Is there side effects of the stuff that we do? 195 00:10:41,000 --> 00:10:44,300 And so if you're experiencing this and this is true for you, 196 00:10:44,600 --> 00:10:46,700 who am I to tell you that you're wrong? 197 00:10:46,700 --> 00:10:49,600 And so that approach I think has been through my deep dive and 198 00:10:49,600 --> 00:10:52,000 functional medicine and just in my own experience it. 199 00:10:52,000 --> 00:10:55,400 So just realizing like sometimes you just need to be believed and 200 00:10:55,400 --> 00:10:58,300 somebody just needs to go. Like I see you like. 201 00:10:58,400 --> 00:10:59,600 I know that this is something you were. 202 00:10:59,800 --> 00:11:01,300 Very easy. Do you think there's something 203 00:11:01,300 --> 00:11:03,300 very therapeutic just in that right? 204 00:11:03,300 --> 00:11:06,700 Like and so there have been studies on that to that the 205 00:11:06,700 --> 00:11:11,300 patient provider relationship, feeling heard actually will 206 00:11:11,300 --> 00:11:14,400 increase. Somebody's immune defenses that 207 00:11:14,400 --> 00:11:17,800 their natural killer cells actually go up when they feel 208 00:11:17,800 --> 00:11:21,300 like they have a strong relationship with their 209 00:11:21,300 --> 00:11:24,000 provider. So there's healing listening, 210 00:11:24,000 --> 00:11:28,100 and being heard even before you do any intervention, so you've 211 00:11:28,100 --> 00:11:31,200 got four that I could tell. That that was that was 212 00:11:31,200 --> 00:11:33,100 therapeutic for him. That alone. 213 00:11:33,100 --> 00:11:36,700 Just calm the situation down, I was like, he's like if this is 214 00:11:36,700 --> 00:11:39,000 all we do today, I was like nothing. 215 00:11:39,000 --> 00:11:41,400 I've just been listening to him, you know like if that is like 216 00:11:41,400 --> 00:11:43,000 that's all we do today. It's been a great day. 217 00:11:43,000 --> 00:11:47,100 I was like, okay, again you see it in practice and you start to 218 00:11:47,100 --> 00:11:48,500 kind of notice the themes in your. 219 00:11:48,500 --> 00:11:51,300 Like, I don't think we're doing a good job here as providers. 220 00:11:51,300 --> 00:11:52,800 And I know we don't have the time, right? 221 00:11:52,800 --> 00:11:55,200 Because we've got our use that. We need to be balancing out. 222 00:11:55,200 --> 00:11:58,700 We've got all these metrics that we need to hit but I really want 223 00:11:58,700 --> 00:12:01,800 to dive into how you Into functional medicine from your 224 00:12:01,800 --> 00:12:03,500 start. I know you would School. 225 00:12:03,500 --> 00:12:05,900 You've got experience working in New York City. 226 00:12:05,900 --> 00:12:10,400 And you've been Arena worked in a functional medicine, practice, 227 00:12:10,400 --> 00:12:13,100 and then decided to go off on your own, and then kind of hit 228 00:12:13,100 --> 00:12:15,700 some snags along the way, powered through. 229 00:12:15,700 --> 00:12:18,600 I love these stories. So I'd love to kind of hear your 230 00:12:18,600 --> 00:12:21,800 journey to this specific spot that you are at today if you 231 00:12:21,800 --> 00:12:23,100 wouldn't mind sharing with my listeners. 232 00:12:23,200 --> 00:12:26,200 Yeah, absolutely. So yeah, everybody has a story 233 00:12:26,200 --> 00:12:28,200 behind why they're doing what they're doing. 234 00:12:28,200 --> 00:12:31,200 And for me, like, I saw I'll get us started with when I was 235 00:12:31,200 --> 00:12:33,900 working in the emergency department and a really busy New 236 00:12:33,900 --> 00:12:37,000 York City. ER, and this is exactly what 237 00:12:37,000 --> 00:12:39,100 happened to me where you were nervous a nurse before. 238 00:12:39,100 --> 00:12:42,300 And after my sister, and I was getting my masters in adult 239 00:12:42,300 --> 00:12:45,300 primary care. And I went to NYU and they have 240 00:12:45,300 --> 00:12:47,800 a pretty unique program in the sense that they have a 241 00:12:47,800 --> 00:12:51,000 subspecialty for holistic medicine that you can actually 242 00:12:51,000 --> 00:12:54,800 sort of Phi in through the yeah, through the university. 243 00:12:54,800 --> 00:12:57,800 I started noticing this pattern that we're talking about you 244 00:12:57,800 --> 00:12:59,600 know, these frequent flyers coming in. 245 00:12:59,800 --> 00:13:03,600 An end as just patching up, whatever was going on with them, 246 00:13:03,600 --> 00:13:06,100 to send them home to see them, come back again. 247 00:13:06,100 --> 00:13:10,300 And I realized that I went into medicine in order to help people 248 00:13:10,300 --> 00:13:13,300 heal. And although I was trying not to 249 00:13:13,300 --> 00:13:16,800 do harm, I wasn't actually fixing the problems that people 250 00:13:16,800 --> 00:13:21,000 are coming to see me for. And so, when I graduated, I had 251 00:13:21,000 --> 00:13:24,000 this job in both primary care and functional medicine in a 252 00:13:24,000 --> 00:13:27,800 private practice in Manhattan. And I was really able to hone a 253 00:13:27,808 --> 00:13:31,700 lot of those skills of both. The standard primary care and 254 00:13:31,700 --> 00:13:34,400 then also weaving in the functional medicine piece for 255 00:13:34,400 --> 00:13:37,400 people. But the real transition Point 256 00:13:37,400 --> 00:13:40,600 happened for me during the pandemic, because I feel like a 257 00:13:40,600 --> 00:13:42,600 lot of people especially in healthcare have a pandemic 258 00:13:42,600 --> 00:13:45,500 story. It was a very trying time to be 259 00:13:45,500 --> 00:13:48,800 a provider and show up for your patience with so much 260 00:13:48,800 --> 00:13:53,300 uncertainty about what covid-19 out how people heal from it. 261 00:13:53,300 --> 00:13:55,300 What exactly happens in the body. 262 00:13:55,300 --> 00:13:58,300 There's so much that we've learned over the past two years 263 00:13:58,300 --> 00:14:01,300 about it since this moment. I meant, but whenever somebody 264 00:14:01,300 --> 00:14:05,500 is met with a difficult situation, I feel like that's 265 00:14:05,500 --> 00:14:07,900 when people's true character often comes out. 266 00:14:07,900 --> 00:14:10,800 It's not when things are hunky-dory and you know, 267 00:14:10,800 --> 00:14:14,100 everything's flowing well that you really get to see how 268 00:14:14,100 --> 00:14:18,200 somebody shows up to difficult situations and quite candidly. 269 00:14:18,200 --> 00:14:21,500 I just realized through the pandemic that the practice I was 270 00:14:21,500 --> 00:14:25,200 working at was not aligned with my health care goals. 271 00:14:25,300 --> 00:14:28,200 Nor did it really give me Integrity for what I was doing? 272 00:14:28,200 --> 00:14:31,500 If I decided to stay there. R, because some of the practices 273 00:14:31,500 --> 00:14:34,900 we were doing just didn't make me feel comfortable and I think 274 00:14:34,900 --> 00:14:39,200 violated patient trust, which is first and foremost to any 275 00:14:39,600 --> 00:14:42,400 patient provider relationship and care that you're delivering. 276 00:14:42,800 --> 00:14:47,000 So it was really scary. I'm not going to lie, I didn't 277 00:14:47,000 --> 00:14:51,600 have a plan when I quit my job and this was in May 2020, when 278 00:14:51,800 --> 00:14:54,800 many people were getting laid off from their jobs. 279 00:14:54,800 --> 00:14:58,500 It was scary because I had always known what my next step 280 00:14:58,500 --> 00:15:02,300 was or I was always Hot like have another job lined up before 281 00:15:02,300 --> 00:15:06,100 you leave a current one. So this is definitely out of 282 00:15:06,100 --> 00:15:10,700 character for me, but I felt so strongly about it that I just 283 00:15:10,700 --> 00:15:14,200 trusted in myself, that things would work out the way that they 284 00:15:14,200 --> 00:15:17,000 were meant to do. And two years later, I feel 285 00:15:17,000 --> 00:15:20,000 really grateful that I had the strength and the support to make 286 00:15:20,000 --> 00:15:22,700 that decision. Because that was really the 287 00:15:22,700 --> 00:15:26,600 foundation, through which I built my practice and the way 288 00:15:26,600 --> 00:15:29,500 that I wanted to care for patients because too often 289 00:15:29,700 --> 00:15:33,200 Especially as NP or dmps, you know, you're working in a 290 00:15:33,200 --> 00:15:37,900 healthcare structure where you might not always be valued as a 291 00:15:38,100 --> 00:15:41,400 equal provider to physicians in the healthcare team. 292 00:15:41,700 --> 00:15:47,100 And one of my goals of practice is to work to the maximum 293 00:15:47,200 --> 00:15:51,600 capacity of my degree and to show people value that through 294 00:15:51,600 --> 00:15:54,300 the outcomes of the Care in which I deliver. 295 00:15:54,500 --> 00:15:56,200 Yeah. And that was part of. 296 00:15:56,200 --> 00:15:59,500 So, I Foundation of you have, what I built is of Lon. 297 00:15:59,700 --> 00:16:00,800 Hang out. Yeah. 298 00:16:01,000 --> 00:16:03,100 So I hope I knew two things from your story. 299 00:16:03,100 --> 00:16:05,900 I've won the first one was, I know that your fiancé ended up 300 00:16:05,900 --> 00:16:08,800 losing his job during the pandemic, which is always so 301 00:16:08,800 --> 00:16:12,100 interesting that, like, at this moment that you decide I'm 302 00:16:12,100 --> 00:16:14,000 launching out like I'll just done now. 303 00:16:14,000 --> 00:16:18,800 You're he's husband-to-be is like struggling to find work and 304 00:16:18,800 --> 00:16:20,300 you're just like, oh my gosh, I quit my job. 305 00:16:20,300 --> 00:16:22,600 Like what am I doing? And there's always these moments 306 00:16:22,600 --> 00:16:26,300 of like kind of testing you in the fire of like, how serious 307 00:16:26,300 --> 00:16:28,900 are you? And you still stayed with your 308 00:16:28,900 --> 00:16:31,000 conviction. And you were like, I can't do 309 00:16:31,000 --> 00:16:32,200 this. I'm just interested. 310 00:16:32,200 --> 00:16:34,900 I don't know if you can share but like what was going on at 311 00:16:34,900 --> 00:16:37,500 this practice that you were just like I can't do this with a 312 00:16:37,500 --> 00:16:40,400 prescribing medication that you were just like, I know this 313 00:16:40,400 --> 00:16:43,000 isn't correct. Or were they just not treating 314 00:16:43,000 --> 00:16:45,800 people appropriately? Or can you not say if it's can 315 00:16:45,800 --> 00:16:48,200 say you can't say? But if you can say like this is 316 00:16:48,200 --> 00:16:50,700 what was going on, I'd be interested to hear. 317 00:16:50,900 --> 00:16:52,900 What were they doing? That, made you go like I can't 318 00:16:52,900 --> 00:16:55,000 sleep at night knowing this stuff is going on. 319 00:16:55,300 --> 00:16:57,800 Yeah, really good question. I think it goes down to just 320 00:16:57,800 --> 00:17:01,000 broadly, some of the perspectives A lot of providers 321 00:17:01,000 --> 00:17:04,099 have about health care that we were just talking about. 322 00:17:04,200 --> 00:17:07,000 If you don't know the answer to something, do you say like, you 323 00:17:07,008 --> 00:17:12,500 don't know or do you make up or project it back onto the 324 00:17:12,500 --> 00:17:14,900 patient? Like, oh, there's nothing wrong, 325 00:17:14,900 --> 00:17:17,900 it must be you. And I feel like I was talking 326 00:17:17,900 --> 00:17:21,500 about that and especially with something like covid. 327 00:17:21,500 --> 00:17:24,800 A lot of us were in the dark. At first, we didn't know what 328 00:17:24,800 --> 00:17:27,400 the long-term side effects of it, where we didn't know how it 329 00:17:27,400 --> 00:17:31,800 fully worked in the body and And some people felt comfortable, 330 00:17:31,800 --> 00:17:35,000 like, I'm always someone of the belief that if I don't know 331 00:17:35,300 --> 00:17:38,700 something, I will admit that. I don't even to my patients and 332 00:17:38,800 --> 00:17:42,000 I will make it my goal to find out, answer to their question 333 00:17:42,000 --> 00:17:45,800 and to investigate and to bring in other providers and 334 00:17:45,800 --> 00:17:48,400 collaborate. In order to answer that question 335 00:17:48,400 --> 00:17:51,100 fully to somebody but other people don't have that 336 00:17:51,100 --> 00:17:54,100 perspective or that philosophy. And a lot of the patients that 337 00:17:54,100 --> 00:17:58,300 come to see me fall into that category where they've seen many 338 00:17:58,300 --> 00:18:02,300 specialists who Have followed their treatment protocol of 339 00:18:02,300 --> 00:18:05,400 assessing them. So like for example, somebody 340 00:18:05,400 --> 00:18:08,800 who has irritable bowel symptoms, like diarrhea 341 00:18:08,800 --> 00:18:12,300 abdominal pain, they'll get a colonoscopy that's normal. 342 00:18:12,400 --> 00:18:17,400 They'll have glutenin antibodies tested for celiac and their -. 343 00:18:17,800 --> 00:18:21,500 And when all of those tests come back negative, the practitioner 344 00:18:21,500 --> 00:18:24,100 just says, well, nothing's wrong with you, because all of my 345 00:18:24,100 --> 00:18:28,300 testing was was normal instead of saying or holding that space, 346 00:18:28,300 --> 00:18:31,100 that there's something that I I'm missing here or I'm not 347 00:18:31,100 --> 00:18:35,100 looking at this in the right way and maybe I'm not the best fit 348 00:18:35,100 --> 00:18:37,500 to do that. Here's another resource or 349 00:18:37,500 --> 00:18:40,500 here's another connection. Yeah and I don't really know 350 00:18:40,500 --> 00:18:43,700 what I'm putting it on the patient that the patient doesn't 351 00:18:43,900 --> 00:18:46,800 you know there's nothing wrong with you but whatever you're 352 00:18:46,800 --> 00:18:50,500 experiencing clearly is just not a big deal even though they're 353 00:18:50,500 --> 00:18:52,400 like no it's affecting my quality of life. 354 00:18:52,400 --> 00:18:55,000 Like I don't feel good, I'm having bloating I'm having all 355 00:18:55,000 --> 00:18:57,600 these other symptoms. It goes back to kind of that 356 00:18:57,600 --> 00:19:00,800 invalidating. And where people just kind of 357 00:19:00,800 --> 00:19:04,000 sit there and they think, like, I must be losing my mind again, 358 00:19:04,000 --> 00:19:07,500 long covid symptoms and I have family that's experienced long 359 00:19:07,500 --> 00:19:09,600 covid. I had Cove it and just been like 360 00:19:09,608 --> 00:19:12,600 I couldn't make my bed like I was struggling with like 361 00:19:12,600 --> 00:19:16,400 shortness of breath and I was like I miss them like I work out 362 00:19:16,400 --> 00:19:19,400 two or three times a week. Like I walk my kid and I was 363 00:19:19,400 --> 00:19:21,100 like, I can't make my bed like I'm tired. 364 00:19:21,200 --> 00:19:23,300 What is this? What is this covid thing? 365 00:19:23,300 --> 00:19:28,000 Like, I've had colds and flus and been like, okay, I'm okay 34 366 00:19:28,000 --> 00:19:31,200 days, but suppose that like the week, Mark and ten days in and 367 00:19:31,200 --> 00:19:33,000 so, you're right. We didn't know. 368 00:19:33,000 --> 00:19:36,700 And again, I just trusted my trusted like, okay, as long as 369 00:19:36,700 --> 00:19:39,900 I'm not, you know, having cleared respiratory distress. 370 00:19:40,100 --> 00:19:42,500 I'm going to keep just kind of gave myself, but my body time to 371 00:19:42,500 --> 00:19:44,700 heal. But you see the CDC, say you 372 00:19:44,700 --> 00:19:47,600 need 10 days to recover now, you need five days to recover. 373 00:19:47,600 --> 00:19:50,900 And it's like, so, what is it like, what about if somebody 374 00:19:50,900 --> 00:19:54,500 needs 10 days and you've only said five, like, who everyone 375 00:19:54,500 --> 00:19:56,400 might need something different. I like what you said so 376 00:19:56,400 --> 00:19:57,900 perfectly that we just don't know. 377 00:19:57,900 --> 00:20:01,500 And instead of pretending like Well, then it must just be your 378 00:20:01,500 --> 00:20:03,200 problem. You're just kind of like, we 379 00:20:03,200 --> 00:20:05,500 don't know. And I'm willing to help Journey 380 00:20:05,500 --> 00:20:07,000 with you. I'm willing to help find those 381 00:20:07,000 --> 00:20:10,100 answers if they're there. I'll help look for them for you. 382 00:20:10,100 --> 00:20:13,300 Even if you never find the answer, at least know that 383 00:20:13,300 --> 00:20:15,900 someone's trying and they're not just writing them off, so, 384 00:20:15,900 --> 00:20:17,500 that's exactly it. Yep. 385 00:20:17,500 --> 00:20:20,400 And there's somebody who genuinely cares who's going to 386 00:20:20,400 --> 00:20:24,400 show up to bat for you? Who's going to always be curious 387 00:20:24,400 --> 00:20:28,700 and leverage their Network and and learn when you become a 388 00:20:28,700 --> 00:20:31,700 provider, all Oh, it feels so satisfying to like have that 389 00:20:31,700 --> 00:20:35,200 degree in your hand like your work does not end there. 390 00:20:35,200 --> 00:20:38,800 If anything it's where it begins because your patients will help 391 00:20:38,800 --> 00:20:41,900 inform you. Or tell you what you need to 392 00:20:42,000 --> 00:20:46,000 continue to dive into and of in both your practice and the way 393 00:20:46,000 --> 00:20:49,800 that you think and it's so much a two-way street at least with 394 00:20:49,800 --> 00:20:53,500 the patients that I've partnered with where I help them. 395 00:20:53,500 --> 00:20:57,100 And then they also really helped me to hone my skills and to to 396 00:20:57,100 --> 00:21:00,800 learn Always Forever student. I Where would like to go? 397 00:21:00,800 --> 00:21:04,200 Next is kind of seeing how you set up your practice because I 398 00:21:04,208 --> 00:21:06,300 know that there might be nurse practitioners and nurses out 399 00:21:06,300 --> 00:21:08,400 there, they're like, okay, well, maybe I want to do my own 400 00:21:08,400 --> 00:21:11,100 practice, briefly explain, kind of how you set up your practice 401 00:21:11,300 --> 00:21:14,300 and I know you said you'd left the private, you know, the 402 00:21:14,300 --> 00:21:16,700 private group that you were with to go and make your own 403 00:21:16,700 --> 00:21:19,000 business. But how did you navigate like 404 00:21:19,100 --> 00:21:21,500 all like, starting your own practice, I just want to hear 405 00:21:21,500 --> 00:21:23,100 about it. So thanks for listening to the 406 00:21:23,100 --> 00:21:24,600 podcast. I hope you're enjoying the 407 00:21:24,608 --> 00:21:26,800 conversation. I want to take a second and 408 00:21:26,800 --> 00:21:29,600 remind you guys to join the doctor nurse podcast. 409 00:21:30,000 --> 00:21:33,200 Email list. I send out weekly emails about 410 00:21:33,200 --> 00:21:36,800 podcast episodes blogs that. I'm creating with information 411 00:21:36,800 --> 00:21:40,900 about motherhood, finances, health, and wellness, and how to 412 00:21:40,900 --> 00:21:43,200 build side hustles. Click my link in the show. 413 00:21:43,200 --> 00:21:48,100 Notes to subscribe to my email list and the doctors podcast is 414 00:21:48,100 --> 00:21:49,800 also sponsored by the net worth nurse. 415 00:21:50,100 --> 00:21:53,400 You guys know that I love Savannah Arroyo and her whole 416 00:21:53,400 --> 00:21:56,100 team at the net worth nurse. I've actually had it on my 417 00:21:56,100 --> 00:21:59,200 podcast so check out her episode if you're wanting to know more 418 00:21:59,200 --> 00:22:04,300 about Out what her and her team are doing to advance the wealth 419 00:22:04,300 --> 00:22:06,900 of nurses. Savannah and her team can also 420 00:22:06,900 --> 00:22:10,000 get you involved in a real estate deals called syndications 421 00:22:10,200 --> 00:22:13,600 and if you're interested in this type of investing again check 422 00:22:13,600 --> 00:22:16,300 out that podcast. Here about what she's doing for 423 00:22:16,300 --> 00:22:19,400 healthcare professionals, her networks nurse team is on a 424 00:22:19,400 --> 00:22:23,400 mission to empower nurses to take control of their finances 425 00:22:23,400 --> 00:22:27,000 and their net worth through their educational site where you 426 00:22:27,000 --> 00:22:29,600 can learn about wealth building strategies. 427 00:22:29,800 --> 00:22:33,200 They also have video courses on real estate and financial 428 00:22:33,200 --> 00:22:36,500 investing that can help you learn how to get started. 429 00:22:36,500 --> 00:22:39,900 If you're wanting to diversify your asset portfolio, the net 430 00:22:39,900 --> 00:22:43,000 worth nurse has everything you need to grow wealth and be sure 431 00:22:43,000 --> 00:22:46,200 to check them out on the links in my show notes and let's get 432 00:22:46,200 --> 00:22:48,000 back to the conversation. Sounds incorrect. 433 00:22:48,000 --> 00:22:50,500 Yeah, absolutely. I'm happy to share, you know, 434 00:22:50,500 --> 00:22:55,000 nurses, we learn a lot in school but we're never actually told or 435 00:22:55,000 --> 00:22:58,800 trained about business. It even as an NP in a state, 436 00:22:58,800 --> 00:23:00,700 that's green. In like a full practice 437 00:23:00,700 --> 00:23:03,800 Authority State. We were never told any of these 438 00:23:03,800 --> 00:23:06,100 steps that you need to take in order to set up your own 439 00:23:06,100 --> 00:23:09,100 practice. So a lot of it was reaching out 440 00:23:09,100 --> 00:23:12,500 to networks and leveraging. The people that I know and I 441 00:23:12,500 --> 00:23:16,500 trust to help me and I'm fortunate that, I have three 442 00:23:16,500 --> 00:23:19,800 immediate family members, who are entrepreneurs, not in the 443 00:23:19,808 --> 00:23:22,700 healthcare space, but including my husband. 444 00:23:22,700 --> 00:23:26,800 So I really heavily relied on them and their experience and 445 00:23:26,800 --> 00:23:29,400 their support to help me build this. 446 00:23:29,600 --> 00:23:34,600 And build it, very smartly and intentionally around my life and 447 00:23:34,600 --> 00:23:37,400 not the other way around. So thinking about my girl, 448 00:23:37,400 --> 00:23:40,700 something that was really important to me was flexibility 449 00:23:40,700 --> 00:23:46,400 and being able to travel, being able to continue to learn and 450 00:23:46,400 --> 00:23:49,600 having continuing communication and education, building a 451 00:23:49,600 --> 00:23:53,100 network of support of Staff like collaborating with an 452 00:23:53,100 --> 00:23:58,400 acupuncturist collaborating with naturopaths and chiropractors 453 00:23:58,400 --> 00:24:02,100 people who I have received training and alternative 454 00:24:02,100 --> 00:24:05,100 medicine but through a different lens than what I was looking at 455 00:24:05,100 --> 00:24:08,400 with Healthcare so that I could provide my patients with that 456 00:24:08,400 --> 00:24:13,400 truly holistic care and leverage that Network when I needed to 457 00:24:13,400 --> 00:24:17,700 phone a friend, when I needed a question answered so that took a 458 00:24:17,708 --> 00:24:21,800 lot of time and thoughtfulness, but I like to think that because 459 00:24:21,800 --> 00:24:26,100 I invested that time at the start, it helped me be able to 460 00:24:26,100 --> 00:24:31,700 scale and grow very thoughtfully into a Does that even as we've 461 00:24:31,700 --> 00:24:34,800 grown in numbers I have over 100 patients. 462 00:24:34,800 --> 00:24:37,300 Now enrolled in the practice after a year-and-a-half in 463 00:24:37,300 --> 00:24:40,900 business that I'm still very true to those core beliefs of 464 00:24:40,900 --> 00:24:44,500 how I wanted to build it. And that I feel good about that 465 00:24:44,500 --> 00:24:46,600 both myself. And then the patients, you know 466 00:24:46,600 --> 00:24:49,300 what they're expecting? That is so cool. 467 00:24:49,300 --> 00:24:53,400 So give 100 patients. And then you have a practice 468 00:24:53,400 --> 00:24:56,700 clearly you have a site that you work out of or is it on your 469 00:24:56,700 --> 00:24:59,500 like personal property or do you like you own a building? 470 00:24:59,600 --> 00:25:02,400 In that you see patients or do mostly just do tell health. 471 00:25:02,500 --> 00:25:04,500 So I mostly see patients Telehealth. 472 00:25:04,500 --> 00:25:07,600 I would say about 80% of my patients, see me strictly 473 00:25:07,600 --> 00:25:11,600 virtually and then, the remaining percentage, I see via 474 00:25:11,600 --> 00:25:13,800 home care. So, oh, that's right. 475 00:25:13,800 --> 00:25:16,300 You go to that homes. The majority of my care is 476 00:25:16,300 --> 00:25:18,600 really rooted in the history, especially the functional 477 00:25:18,600 --> 00:25:22,600 medicine piece but you know physical exams virtually don't 478 00:25:22,600 --> 00:25:25,400 really hold the same weight as doing them in person so I like 479 00:25:25,400 --> 00:25:28,200 providing that option to patients to but especially 480 00:25:28,200 --> 00:25:31,400 because of the environment. Post covid, or during the 481 00:25:31,400 --> 00:25:35,900 pandemic, more and more people were really open to both 482 00:25:35,900 --> 00:25:38,600 alternative medicine care, because I saw how our 483 00:25:38,608 --> 00:25:44,000 conventional system was not able to accommodate covid and how a 484 00:25:44,000 --> 00:25:47,400 lot of these old systems kind of fell apart through the pandemic, 485 00:25:47,400 --> 00:25:51,600 and they felt more comfortable being seen in a private space. 486 00:25:51,600 --> 00:25:55,300 Like, they're whore, virtually, because of that, that fear, at 487 00:25:55,300 --> 00:25:58,000 least in the beginning of going into a practice and possibly 488 00:25:58,000 --> 00:26:02,000 getting infected. So, I really tried to listen to 489 00:26:02,000 --> 00:26:05,900 what people's needs were and built my practice around them 490 00:26:06,100 --> 00:26:10,400 versus what I thought that they wanted, and that's one piece of 491 00:26:10,400 --> 00:26:13,100 advice for anybody who wants to start a business. 492 00:26:13,100 --> 00:26:16,500 Is know that there is demand, listen to the people that you 493 00:26:16,500 --> 00:26:19,500 want to help. And then build based on that, 494 00:26:19,500 --> 00:26:21,300 it'll save. You just a lot of time and 495 00:26:21,300 --> 00:26:24,600 effort and make sure that what you're doing is something that 496 00:26:24,600 --> 00:26:28,700 people will actually use and find Value in versus building 497 00:26:28,700 --> 00:26:32,000 something and You know if you build it they will come is 498 00:26:32,000 --> 00:26:35,000 definitely not something that really works in practice. 499 00:26:35,000 --> 00:26:39,100 Although it sounds very nice. I heard there was a college that 500 00:26:39,100 --> 00:26:41,700 instead of putting in sidewalks because you know you put in 501 00:26:41,700 --> 00:26:45,500 sidewalks and you assume that people walk these paths, they 502 00:26:45,500 --> 00:26:48,600 actually did not put in sidewalks and they let people 503 00:26:48,600 --> 00:26:52,300 make the path and run the path down with how often that they 504 00:26:52,300 --> 00:26:54,400 would just okay. We're just this is the easiest 505 00:26:54,400 --> 00:26:57,500 way because people tend to kind of make their own paths and then 506 00:26:57,500 --> 00:27:00,100 they put sidewalks and wherever they started noticing Missing 507 00:27:00,100 --> 00:27:03,000 the, the dirt was starting to get worn down because they're 508 00:27:03,000 --> 00:27:06,300 like, let's just let them show us where we need to put this on. 509 00:27:07,700 --> 00:27:10,400 It's gotten that same perspective of like, okay, let 510 00:27:10,400 --> 00:27:14,100 me figure out what you need and then let me Taylor might care to 511 00:27:14,100 --> 00:27:16,900 what people want. Is that same philosophy? 512 00:27:16,900 --> 00:27:20,500 And I think that's really wise. And so you said your big, big 513 00:27:20,500 --> 00:27:23,100 Focus was flexibility. Being able to travel. 514 00:27:23,300 --> 00:27:26,000 You still been able to scale and grow your practice, as you've 515 00:27:26,000 --> 00:27:28,700 kept the main things, the main things. 516 00:27:29,000 --> 00:27:30,800 Do you work? Monday through Friday, or you 517 00:27:30,800 --> 00:27:33,600 just have certain appointments lot times, people slip into, and 518 00:27:33,600 --> 00:27:36,300 you just kind of structure your day around the patients, getting 519 00:27:36,300 --> 00:27:39,500 scheduled on, you know, getting or being put on the schedule 520 00:27:39,500 --> 00:27:41,100 that you create approve. Yeah. 521 00:27:41,100 --> 00:27:43,400 Good question. So I mostly work Monday through 522 00:27:43,400 --> 00:27:47,100 Friday, but that's by choice. And then if I do want to take a 523 00:27:47,100 --> 00:27:51,100 day off here there, or if something personal comes up, I 524 00:27:51,100 --> 00:27:53,800 do have the flexibility to adjust my schedule, which is 525 00:27:53,800 --> 00:27:56,900 really nice. But I see patients mostly in two 526 00:27:56,900 --> 00:27:59,400 main ways. I see people fee-for-service. 527 00:27:59,600 --> 00:28:02,000 I swear, they just if they want an appointment with me, they 528 00:28:02,000 --> 00:28:05,000 sign up and they get charged for the amount of time that were 529 00:28:05,000 --> 00:28:07,300 together. And I see the majority of my 530 00:28:07,300 --> 00:28:10,200 patients under membership models, which are slightly 531 00:28:10,200 --> 00:28:13,900 different than what we're used to with insurance model of care. 532 00:28:13,900 --> 00:28:19,000 It's basically when people will pay for, they pay a monthly fee 533 00:28:19,100 --> 00:28:22,600 that includes a fixed number of services that they have control 534 00:28:22,600 --> 00:28:27,200 over when they use them. So these plans are annual plans, 535 00:28:27,200 --> 00:28:31,600 where patients will get for Will my basic plan, Complete Care. 536 00:28:31,600 --> 00:28:33,700 Has three and a half hours of visit time. 537 00:28:33,800 --> 00:28:36,800 So patients can use that throughout the year and whatever 538 00:28:36,800 --> 00:28:40,700 Cadence that they see fit versus me, telling them how often to 539 00:28:40,700 --> 00:28:43,900 see me and it includes discounts and support for all of these 540 00:28:43,900 --> 00:28:46,900 other pieces of healing that I found to be valuable. 541 00:28:46,900 --> 00:28:50,000 So it includes discounts on things like acupuncture it 542 00:28:50,000 --> 00:28:54,200 includes discounts on supplements and most of my plans 543 00:28:54,200 --> 00:28:57,200 include some element of unlimited messaging with me as 544 00:28:57,200 --> 00:29:01,900 well, because that was something that I realized was so important 545 00:29:01,900 --> 00:29:05,600 to helping support people through chronic disease, is 546 00:29:05,600 --> 00:29:09,000 knowing that they have a point person that they know, who 547 00:29:09,000 --> 00:29:12,900 knows, their story that will be there on the other line, to help 548 00:29:12,900 --> 00:29:14,700 them. Not somebody else that they need 549 00:29:14,700 --> 00:29:17,100 to get up to speed. Every time they come in, they 550 00:29:17,100 --> 00:29:20,800 see somebody different that that relationship is really important 551 00:29:20,800 --> 00:29:24,300 for me to curate and I try and continue that that support with 552 00:29:24,300 --> 00:29:27,200 the same people throughout that full year plan and the 553 00:29:27,200 --> 00:29:29,400 beginning, when we talked about having that relationship with 554 00:29:29,600 --> 00:29:33,400 One with somebody knowing them and again being able to piece 555 00:29:33,400 --> 00:29:37,000 like okay so you might be more at risk for this because you 556 00:29:37,000 --> 00:29:39,600 really weren't breastfed very long as an infant. 557 00:29:39,600 --> 00:29:42,500 And so I know that this could be something that you're going to 558 00:29:42,500 --> 00:29:44,400 struggle with or you were C-section born. 559 00:29:44,400 --> 00:29:48,400 And so these are things that kids that are born via C-section 560 00:29:48,400 --> 00:29:51,700 struggle with more because of that got not being colonized as 561 00:29:51,700 --> 00:29:54,700 well when your first born and so you're more prone to celiac 562 00:29:54,700 --> 00:29:56,800 disease you're more prone to type 1 diabetes. 563 00:29:57,000 --> 00:30:00,700 We count on our environment to keep Us healthy that we just 564 00:30:00,700 --> 00:30:02,100 think. Okay, we can sterilize 565 00:30:02,100 --> 00:30:05,500 everything and we'll be fine and you find that is not the case. 566 00:30:05,500 --> 00:30:09,300 You just you it's not the same but these things are designed 567 00:30:09,300 --> 00:30:12,600 and made with a purposeful intention and that when we 568 00:30:12,600 --> 00:30:17,800 disrupt that then we encounter that imbalance that occurs when 569 00:30:17,800 --> 00:30:21,200 you when you disrupt the natural order of things if there's 570 00:30:21,400 --> 00:30:24,500 emergencies or things that aren't happening, I'm a mom of a 571 00:30:24,508 --> 00:30:27,600 C-section babies. I had no idea that C-section 572 00:30:27,600 --> 00:30:31,400 impacted the rest of your like Like this but I'm thankful for 573 00:30:31,400 --> 00:30:34,800 C-sections and so you have to balance it all out but just 574 00:30:34,800 --> 00:30:37,400 realizing are we over using these therapies thinking that 575 00:30:37,400 --> 00:30:40,000 they're convenient? And unfortunately this is the 576 00:30:40,000 --> 00:30:42,600 way nature, designed it knowledge just comes right. 577 00:30:42,700 --> 00:30:45,700 Knowing what happens in the body based on those choices and 578 00:30:45,700 --> 00:30:48,700 sometimes they're not choices. Like for you, you didn't go into 579 00:30:48,700 --> 00:30:52,500 a precipitous labor, like you had to have a C-section and 580 00:30:52,500 --> 00:30:55,100 that's not something that you should be made to feel bad about 581 00:30:55,100 --> 00:30:58,200 because a lot of things that happened to us in childhood are 582 00:30:58,200 --> 00:31:00,800 out of our control. You know, it's there things that 583 00:31:00,800 --> 00:31:04,100 have happened to us due to our environment or due to our 584 00:31:04,100 --> 00:31:09,100 upbringing with our parents and part of I guess, helping people 585 00:31:09,100 --> 00:31:13,500 heal is showing them that they do have control over what 586 00:31:13,500 --> 00:31:17,100 happens from this point forward. And that, even though there are 587 00:31:17,100 --> 00:31:21,100 risk factors associated with parts of their history, knowing 588 00:31:21,100 --> 00:31:25,600 about it testing for it, and then doing targeted treatment 589 00:31:25,600 --> 00:31:29,100 can make a world of difference throughout the Life Span, you 590 00:31:29,100 --> 00:31:31,500 know? Ever like oh darn your past. 591 00:31:31,500 --> 00:31:33,500 This point. There's a point of no return. 592 00:31:33,500 --> 00:31:36,000 There's always something that you do to move the needle. 593 00:31:36,200 --> 00:31:39,800 I didn't functional medicine, gives so much hope and I want 594 00:31:39,800 --> 00:31:44,900 all my listeners, black brown, white asian, one to hear that 595 00:31:44,900 --> 00:31:48,600 this is for you. It is not just some tiny sector 596 00:31:48,600 --> 00:31:50,500 of the population that has access to this. 597 00:31:50,500 --> 00:31:54,000 But like, again, reach out to functional medicine, providers, 598 00:31:54,300 --> 00:31:56,300 look for nurse practitioners that are doing this stuff, 599 00:31:56,300 --> 00:31:58,900 because I think more of us are starting to look at this model, 600 00:31:58,900 --> 00:32:03,500 and Question, our role in healthcare when we're just 601 00:32:03,700 --> 00:32:05,500 prolonging disease were watching. 602 00:32:05,500 --> 00:32:08,100 People just get amputations for diabetes. 603 00:32:08,100 --> 00:32:11,100 Were not really moving the needle and changing people's 604 00:32:11,100 --> 00:32:13,000 outcomes. And we're just kind of believing 605 00:32:13,000 --> 00:32:18,100 that your genes load the gun and fire the gun, and you can't stop 606 00:32:18,100 --> 00:32:20,500 it. Whereas, when you really see 607 00:32:20,700 --> 00:32:24,000 that, you know what, my gun might be loaded, but the things 608 00:32:24,000 --> 00:32:29,100 in the choices that I make fire the gun, then maybe I can start 609 00:32:29,100 --> 00:32:33,400 to Change things and this is so funny but it's for my kid 610 00:32:33,500 --> 00:32:36,500 because he's missing certain bacteria icon it. 611 00:32:36,500 --> 00:32:41,000 I do a probiotic. I do kimchi, I do sauerkraut. 612 00:32:41,000 --> 00:32:44,100 I'm giving him fermented. Yeah, it's not because I know 613 00:32:44,100 --> 00:32:46,600 definitively this is going to change anything but because I 614 00:32:46,608 --> 00:32:49,900 understand that there is bacteria that if he's got a 615 00:32:49,900 --> 00:32:52,500 couple strands, I'm trying to grow mom, you know? 616 00:32:52,500 --> 00:32:54,900 So there's a little, you know, things that you can do that one 617 00:32:54,900 --> 00:32:57,100 again, when you have that knowledge, like you said, you 618 00:32:57,100 --> 00:32:59,400 have the power and you can do little things. 619 00:32:59,500 --> 00:33:01,400 Things that I know my child. There is so funny. 620 00:33:01,400 --> 00:33:03,200 Everyone laughs like your toddler eats kimchi. 621 00:33:03,200 --> 00:33:06,000 I'm like, be so spicy kimchi. Just sits there with his 622 00:33:06,000 --> 00:33:08,800 breakfast eating kimchi. So, yeah, I would have never 623 00:33:08,800 --> 00:33:11,100 done that. Had I not delve into functional 624 00:33:11,100 --> 00:33:13,800 medicine and figure out like, oh, like, there's little things 625 00:33:13,800 --> 00:33:15,600 I can do. And yeah, maybe it doesn't 626 00:33:15,600 --> 00:33:18,900 change anything, but at least, I feel like I have a hope and 627 00:33:18,900 --> 00:33:20,700 that's what I love about functional medicine and I want 628 00:33:20,700 --> 00:33:22,900 more people to hear and know about what it is that you're 629 00:33:22,900 --> 00:33:25,600 doing that. You're getting people hope that 630 00:33:25,600 --> 00:33:27,700 it's not game over. It's no. 631 00:33:27,700 --> 00:33:31,300 Like, you've got you We've got some tools that can maybe help 632 00:33:31,300 --> 00:33:34,200 have you had any, like you said, mentors anybody along the path? 633 00:33:34,200 --> 00:33:38,600 That's really helped you as you have been coming into this new 634 00:33:38,600 --> 00:33:41,900 role, as a nurse practitioner functional medicine and then 635 00:33:41,900 --> 00:33:44,500 also as an entrepreneur the you'd like to shout out and just 636 00:33:44,500 --> 00:33:47,600 say like this person helped me and they were vital and me 637 00:33:47,600 --> 00:33:49,900 starting this whole thing definitely my three family 638 00:33:49,900 --> 00:33:54,000 members who are entrepreneurs Have Been instrumental to 639 00:33:54,000 --> 00:33:57,000 helping me. My husband is my business 640 00:33:57,000 --> 00:34:00,700 partner now. So although Those things at the 641 00:34:00,700 --> 00:34:03,600 time of starting it. Where stressful like, oh no, he 642 00:34:03,600 --> 00:34:07,200 got furloughed from his job. What are we going to do? 643 00:34:07,400 --> 00:34:11,400 It just made things even more clear that you want to partner 644 00:34:11,400 --> 00:34:14,800 with the right people and it's really important who you place 645 00:34:14,800 --> 00:34:19,400 your trust in to make sure that they also understand the value 646 00:34:19,600 --> 00:34:23,500 of what you're building and what your intention behind it is and 647 00:34:23,699 --> 00:34:27,199 I attribute a lot of My Success and just my ability to set this 648 00:34:27,199 --> 00:34:32,100 up to people that I've had. In my family, who really know me 649 00:34:32,100 --> 00:34:35,500 and believe in me and are willing to invest their time and 650 00:34:35,500 --> 00:34:40,500 their their experience to share. So he's really been instrumental 651 00:34:40,600 --> 00:34:45,300 and it really is a two-person partnership in so many ways, 652 00:34:45,300 --> 00:34:49,300 although he's not client-facing, I wouldn't have known how to 653 00:34:49,300 --> 00:34:51,400 build the back. End of the business 654 00:34:51,400 --> 00:34:56,000 operationally, how to Market, how do you collect data, you 655 00:34:56,000 --> 00:34:59,100 know, on different outcomes or on different demographics of 656 00:34:59,100 --> 00:35:00,800 people? Now that I'm seeing how to 657 00:35:00,800 --> 00:35:04,300 figure out pricing models for services, so that they're 658 00:35:04,300 --> 00:35:07,900 profitable. I mean, it's really, really been 659 00:35:07,900 --> 00:35:12,000 instrumental in helping me build, so that is one thing I 660 00:35:12,000 --> 00:35:15,000 would recommend. People just be very wary of, and 661 00:35:15,000 --> 00:35:18,100 take their time of if they do want to start their own practice 662 00:35:18,100 --> 00:35:21,300 of finding those people that believe in you and Believe in 663 00:35:21,300 --> 00:35:26,600 Your Vision who are willing to work with you to manifest that. 664 00:35:26,900 --> 00:35:29,300 I just think that's really neat that you guys are partnering. 665 00:35:29,500 --> 00:35:32,100 One another and that's power couple stuff, right? 666 00:35:32,100 --> 00:35:35,600 Like, for the last question that I ask is, what is a piece of 667 00:35:35,607 --> 00:35:39,000 advice that you would give a new nurse or nurse practitioner 668 00:35:39,000 --> 00:35:40,800 starting off that. You wish, you would have known 669 00:35:40,800 --> 00:35:43,400 at the start of your career because none of us really. 670 00:35:43,400 --> 00:35:45,100 Again, like you said, we don't learn about business. 671 00:35:45,100 --> 00:35:46,900 We don't know about these things, we come out of school 672 00:35:46,900 --> 00:35:50,400 and we're pretty green and you look back at that person and who 673 00:35:50,400 --> 00:35:52,300 you are today and you're so different. 674 00:35:52,300 --> 00:35:56,800 You're so you've got different insecurities but also different 675 00:35:56,800 --> 00:35:58,700 confidences that you didn't have back then. 676 00:35:58,700 --> 00:36:01,800 So what's up That you would say to an ER nurse that you. 677 00:36:01,800 --> 00:36:03,900 Do you want her to know starting off? 678 00:36:04,000 --> 00:36:07,300 Yeah. I would recommend or something 679 00:36:07,300 --> 00:36:11,700 that I wish that I knew was just to take every experience that 680 00:36:11,700 --> 00:36:17,000 you have and just be observant of it try and go in without any 681 00:36:17,000 --> 00:36:20,500 preconceived, notions, try and give yourself as much exposure 682 00:36:20,500 --> 00:36:23,900 as possible to different areas in the healthcare field. 683 00:36:23,900 --> 00:36:26,300 It's okay. If you don't know what you want 684 00:36:26,300 --> 00:36:29,200 to do, I didn't know that this was going to be my path. 685 00:36:29,200 --> 00:36:33,700 When Graduated from school, but I tried to just enter every 686 00:36:33,700 --> 00:36:39,200 single opportunity or job that I had with just an open mind and 687 00:36:39,400 --> 00:36:43,800 observing how I felt how patients responded to certain 688 00:36:43,800 --> 00:36:46,900 care. And it's just as important to 689 00:36:46,900 --> 00:36:51,400 recognize the things that you like about a job as it is to 690 00:36:51,400 --> 00:36:53,400 recognize the things that you don't like. 691 00:36:53,700 --> 00:36:57,200 And that's part of why I decided to build my own business at a 692 00:36:57,207 --> 00:37:01,200 very rudimentary level. Is that at when I quit my job, I 693 00:37:01,200 --> 00:37:04,300 knew the things that I wanted out of my career and I looked 694 00:37:04,300 --> 00:37:06,600 for it. I looked for jobs but nothing 695 00:37:06,600 --> 00:37:08,900 actually fit what I was looking for. 696 00:37:09,200 --> 00:37:13,700 And so instead of just fitting myself into a box or taking 697 00:37:13,700 --> 00:37:16,800 something that wouldn't have made me fully happy, I took the 698 00:37:16,800 --> 00:37:19,700 harder Road of building it myself, which might not be the 699 00:37:19,700 --> 00:37:21,700 journey for everybody. Sure. 700 00:37:21,700 --> 00:37:25,100 But those are also the people that I want to bring into my 701 00:37:25,100 --> 00:37:29,300 circle to the people who are genuinely curious, who want to 702 00:37:29,500 --> 00:37:33,000 Make positive impact who maybe don't want to start things but 703 00:37:33,000 --> 00:37:36,500 want to work for a company where they're not just seen as a 704 00:37:36,500 --> 00:37:40,900 number or a replaceable person, but somebody who really has 705 00:37:40,900 --> 00:37:44,600 value and is cared for. And that's kind of I guess what 706 00:37:44,600 --> 00:37:47,400 I'm trying to call in with my practice in the people that I 707 00:37:47,400 --> 00:37:50,100 partner with and that's also something that you shouldn't 708 00:37:50,100 --> 00:37:53,400 compromise as a nurse that there are jobs out there that will 709 00:37:53,400 --> 00:37:57,500 value you and that will invest in you and your growth just 710 00:37:57,500 --> 00:38:00,700 being open and looking for them. I like that you're wanting to 711 00:38:00,700 --> 00:38:04,400 call that to yourself in people that partner with you as well 712 00:38:04,400 --> 00:38:07,300 because eventually as you grow you will need to hire other 713 00:38:07,300 --> 00:38:09,500 nurse practitioners. You will need to bring people 714 00:38:09,500 --> 00:38:12,800 onto your business. And I say this all the time, 715 00:38:12,800 --> 00:38:17,200 like, you know, when you feel like your employer values you 716 00:38:17,200 --> 00:38:19,800 and that you're part of a team and all the different things 717 00:38:19,800 --> 00:38:23,100 that you're that you're talking about, you do work differently, 718 00:38:23,200 --> 00:38:25,800 you move to Philly, you treat your patients differently. 719 00:38:26,100 --> 00:38:29,600 And yeah, I think one of the things I'd like to ask you This 720 00:38:29,600 --> 00:38:30,900 question came up as you were talking. 721 00:38:31,200 --> 00:38:34,400 So you built this from the ground up, all by yourself. 722 00:38:34,400 --> 00:38:37,400 Or did you take a crash course that like helped you build the 723 00:38:37,408 --> 00:38:39,100 business? No course. 724 00:38:39,200 --> 00:38:44,100 No, because you just feel a lot of it was just a ton of time and 725 00:38:44,100 --> 00:38:48,900 research and something on the way of oh no like this is 726 00:38:48,900 --> 00:38:52,700 actually how you set up a pllc in New York not this way. 727 00:38:53,400 --> 00:38:56,000 Yeah yeah I just want to know that because I was thinking 728 00:38:56,000 --> 00:38:58,000 about that you're talking. I was like did she really just 729 00:38:58,000 --> 00:39:00,000 all by herself? No she Really did. 730 00:39:00,000 --> 00:39:03,100 That is not all by myself are really at least the medical 731 00:39:03,100 --> 00:39:06,200 parts of setting up the practice I did by myself but I really 732 00:39:06,200 --> 00:39:09,800 couldn't have done it without the support of my team and of my 733 00:39:09,800 --> 00:39:11,500 family truly. Yeah. 734 00:39:11,800 --> 00:39:14,400 But yes I like that. You say that because no one is 735 00:39:14,400 --> 00:39:17,500 ever self-made right. I think it's so important like 736 00:39:17,500 --> 00:39:21,200 too much with social media. And with the way certain people 737 00:39:21,200 --> 00:39:25,500 pitch their story, they don't give any credit to the people 738 00:39:25,500 --> 00:39:28,200 that have helped them get there. And I don't want people to think 739 00:39:28,200 --> 00:39:32,000 that I just emerged. To this level all by myself just 740 00:39:32,000 --> 00:39:36,600 out of sheer luck a lot of it came from just grit and asking 741 00:39:36,600 --> 00:39:40,400 the right questions to the right people and building slowly but 742 00:39:40,400 --> 00:39:43,400 intentionally I agree with you I was actually thinking about that 743 00:39:43,400 --> 00:39:46,500 for my podcast. I was like I can take no credit 744 00:39:46,500 --> 00:39:49,600 for this because literally my whole podcast is talking to 745 00:39:49,600 --> 00:39:52,900 other people like so like I could never take any credit for 746 00:39:52,900 --> 00:39:55,400 anything that the doctor just popped as does ever the last 747 00:39:55,400 --> 00:39:57,200 part of the interview. It's the rapid fire. 748 00:39:57,900 --> 00:40:00,700 These you cannot prepare for you can Not study, these are just 749 00:40:00,700 --> 00:40:02,400 five minutes of your pants. Are you ready? 750 00:40:02,400 --> 00:40:05,700 Bring It On favorite holiday? Favorite holiday Christmas. 751 00:40:07,300 --> 00:40:09,700 Know what I've recently found that I think about it to be like 752 00:40:09,700 --> 00:40:12,200 a July 4th person. Like, really Christmas are 753 00:40:12,200 --> 00:40:16,000 starting to compete a little bit like, July 4th is so much fun. 754 00:40:16,000 --> 00:40:17,700 I don't know. I like that one a lot. 755 00:40:17,700 --> 00:40:19,900 Okay, so tell me a little bit about a choro. 756 00:40:20,100 --> 00:40:22,000 What's one Shore that you hate doing that? 757 00:40:22,000 --> 00:40:24,100 If you could be like, I will pay for this forever. 758 00:40:24,200 --> 00:40:28,900 Which word would it be laundry? I'm lucky that my husband does 759 00:40:28,900 --> 00:40:32,400 the lon Most of the time, I will empty the dishwasher day after 760 00:40:32,400 --> 00:40:36,800 day but the laundry. Mmm, scored. 761 00:40:36,900 --> 00:40:39,100 And I like to ask. This works is very interesting 762 00:40:39,100 --> 00:40:43,500 to me, people say, so what is something that you do to 763 00:40:43,500 --> 00:40:45,400 distress as a functional medicine? 764 00:40:45,400 --> 00:40:49,400 Provider, what is something that again we know stress is huge on 765 00:40:49,400 --> 00:40:50,400 the body? Oh yes. 766 00:40:50,400 --> 00:40:53,900 What do you tell like? So I have a unique living 767 00:40:53,900 --> 00:40:59,000 situation during the pandemic. I moved into a home inside of a 768 00:40:59,300 --> 00:41:03,600 Eight Park in Pennsylvania. So it's a historic home that 769 00:41:03,600 --> 00:41:07,000 used to be a Farmstead that is owned by the government. 770 00:41:07,000 --> 00:41:10,000 That now my husband and I are stewards of the land here, we 771 00:41:10,000 --> 00:41:13,200 live on 23, Acres of property and we're in the middle of a 772 00:41:13,207 --> 00:41:15,900 state park. So we've got a crease, you've 773 00:41:15,900 --> 00:41:19,800 got hiking trails, we've got nature right, outside our door. 774 00:41:19,800 --> 00:41:23,000 And that is just been fundamental to keeping me sane 775 00:41:23,000 --> 00:41:26,600 while building this practice, being able to go outside my door 776 00:41:26,600 --> 00:41:29,200 and here in nature and go on my way. 777 00:41:29,400 --> 00:41:35,000 Ox and just really take it all in and unplug, did you grounding 778 00:41:35,000 --> 00:41:38,300 walking outside. Barefoot connecting, all that 779 00:41:38,300 --> 00:41:42,000 stuff, solutely my God. So we've got just all kinds of 780 00:41:42,000 --> 00:41:45,000 Nature and I mean we were transplants from New York city. 781 00:41:45,000 --> 00:41:48,200 So you can imagine there could be like a whole probably 782 00:41:48,200 --> 00:41:51,100 hilarious documentary about our experience. 783 00:41:51,100 --> 00:41:54,400 Here is like the hustle bustle to you or to like go over to the 784 00:41:54,400 --> 00:41:56,900 state park with you know nobody around you for 3. 785 00:41:56,900 --> 00:41:59,200 Miles is like a pretty big pin do. 786 00:41:59,300 --> 00:42:02,000 Oh, of swindling swing, you know, from one to the other. 787 00:42:02,000 --> 00:42:04,500 So it's about practicing What You Preach, right. 788 00:42:04,500 --> 00:42:08,800 If I'm telling people to distress and to be in nature and 789 00:42:08,800 --> 00:42:12,100 to focus on the more important things in life, it's important 790 00:42:12,100 --> 00:42:14,200 for me to also value those things. 791 00:42:14,200 --> 00:42:18,400 And to be a good example and it's a gift that keeps on giving 792 00:42:18,400 --> 00:42:21,500 towards me and my relationship to and just the way that I'm 793 00:42:21,500 --> 00:42:24,900 able to show up for other people, if I'm really taking 794 00:42:24,900 --> 00:42:30,000 good care of myself and we will end on that note guys, check Out 795 00:42:30,000 --> 00:42:33,100 Leah's page. I'll tag it in the show notes 796 00:42:33,100 --> 00:42:35,300 below. Check out what she's doing and 797 00:42:35,300 --> 00:42:38,500 in her social media stuff. I'll tag as well so you can see 798 00:42:38,700 --> 00:42:42,200 her. And again we as nurses have so 799 00:42:42,200 --> 00:42:46,000 many options and I love that you're focusing in on doing the 800 00:42:46,000 --> 00:42:49,300 things that are good for your health teaching others that as 801 00:42:49,300 --> 00:42:51,900 well. And then also prioritizing your 802 00:42:51,900 --> 00:42:57,200 work to fit into your life, not your life to fit into your work. 803 00:42:57,200 --> 00:43:00,200 And that you are just creating really good balance and creating 804 00:43:00,200 --> 00:43:03,900 an example for us to go like be true to look what's inside of 805 00:43:03,900 --> 00:43:06,400 you and move in that space and things will work out. 806 00:43:06,400 --> 00:43:09,100 Like it's going to be okay. I just feel like there's a lot 807 00:43:09,100 --> 00:43:11,200 of Peace in what you've done and it's really, really cool. 808 00:43:11,300 --> 00:43:12,800 So, thank you for sharing. Thank you. 809 00:43:12,900 --> 00:43:15,300 Thanks for coming on. And guys, don't forget to enjoy 810 00:43:15,300 --> 00:43:23,100 the journey. Gee Mom, Dad. 811 00:43:23,400 --> 00:43:27,500 I love you mama. So that's a wrap. 812 00:43:27,600 --> 00:43:31,100 Be sure to subscribe to the show so you don't miss an episode and 813 00:43:31,100 --> 00:43:33,500 leave me a review. If you like the show, I would 814 00:43:33,500 --> 00:43:36,700 love to get 5 stars. The doctors podcast is on the 815 00:43:36,700 --> 00:43:40,400 world wide web, YouTube Instagram, Facebook, Twitter, 816 00:43:40,400 --> 00:43:44,800 patreon, and Tick-Tock subscribe to my newsletter for updates on 817 00:43:44,800 --> 00:43:48,600 new podcast episodes and other information to help you on your 818 00:43:48,600 --> 00:43:51,000 own nursing Journey. You can always message me at the 819 00:43:51,000 --> 00:43:54,000 doctor nurse podcast at gmail.com with any career 820 00:43:54,000 --> 00:43:56,700 professions that you're interested in hearing about and 821 00:43:56,800 --> 00:43:59,300 just a friendly. Reminder, the information on 822 00:43:59,300 --> 00:44:02,300 this podcast is for educational purposes only and the 823 00:44:02,300 --> 00:44:05,400 information should not be used in substitute for Professional 824 00:44:05,400 --> 00:44:08,800 Care by a medical provider. The information in this podcast 825 00:44:08,800 --> 00:44:12,800 does not represent medical or professional advice or services.