1 00:00:01,300 --> 00:00:03,900 Hi everyone. I'm Sandra provenza and I'm the 2 00:00:03,900 --> 00:00:07,000 host of the doctrine Earth podcast and I am so happy you 3 00:00:07,000 --> 00:00:08,900 decided to join me on today's episode. 4 00:00:09,400 --> 00:00:13,100 This podcast is a platform for nurses to share their Journey as 5 00:00:13,100 --> 00:00:16,200 they made their way in the diverse field of nursing as 6 00:00:16,200 --> 00:00:20,100 either entrepreneurs and Academia private practice or 7 00:00:20,100 --> 00:00:23,300 even corporate world. I think we should celebrate just 8 00:00:23,300 --> 00:00:26,100 how diverse the field of nursing is through mentoring one. 9 00:00:26,100 --> 00:00:30,200 Another with the stories of our careers, nothing is too much. 10 00:00:30,400 --> 00:00:32,500 Ending because each journey is unique. 11 00:00:32,900 --> 00:00:35,900 This podcast will address exactly how to make the most of 12 00:00:35,900 --> 00:00:38,500 your career and maybe inspire you to make a change. 13 00:00:38,500 --> 00:00:41,600 If you're looking for something different, I am motivated to see 14 00:00:41,600 --> 00:00:44,700 you live your best nursing life and that looks different for 15 00:00:44,700 --> 00:00:47,000 everyone. Let's get started with today's 16 00:00:47,000 --> 00:00:54,500 guests. Today I have the privilege of 17 00:00:54,500 --> 00:00:57,700 chatting with IV a family nurse practitioner from Greenville, 18 00:00:57,700 --> 00:01:01,500 North Carolina. She graduated with her BSN from 19 00:01:01,500 --> 00:01:06,000 East Carolina University in 2001 and worked in various areas of 20 00:01:06,000 --> 00:01:09,700 nursing, for five years before, acquiring her master's degree in 21 00:01:09,700 --> 00:01:14,900 2007, she is currently enrolled in the postmasters dnp program 22 00:01:14,900 --> 00:01:20,600 at ECU as a nurse practitioner. Ivy has worked for 13 years at 23 00:01:20,600 --> 00:01:23,600 the CHS Pediatrics. First in Greenville, North 24 00:01:23,600 --> 00:01:26,300 Carolina. She has a desire to deliver. 25 00:01:26,300 --> 00:01:29,400 Excellent, patient care to help her patients, achieve Optimal 26 00:01:29,400 --> 00:01:33,100 Health, as a family unit, she has obtained. 27 00:01:33,100 --> 00:01:36,300 Her certificate of advanced education in obesity medicine 28 00:01:36,500 --> 00:01:39,300 with Oma. She sits on their National 29 00:01:39,300 --> 00:01:42,300 pediatric committee. And for the last eight years, 30 00:01:42,300 --> 00:01:44,000 she's been an international board. 31 00:01:44,000 --> 00:01:48,600 Certified lactation consultant IV, enjoys, her long-term 32 00:01:48,600 --> 00:01:52,300 relationship with her boyfriend, Mark, as well as hiking and for, 33 00:01:52,400 --> 00:01:54,800 Geography. Hi Ivy. 34 00:01:54,800 --> 00:01:57,000 Thank you for coming onto the doctor nurse podcast. 35 00:01:57,000 --> 00:01:58,700 Today. Thank you so much for having me. 36 00:01:58,800 --> 00:02:02,600 We're going to first start with what's your current role or job 37 00:02:02,600 --> 00:02:04,500 title? Explain what you do for a living 38 00:02:04,500 --> 00:02:06,700 there. I'm a family nurse practitioner. 39 00:02:06,700 --> 00:02:10,699 I've been at the Pediatric Office, I work at for. 40 00:02:10,900 --> 00:02:14,400 This is your 13, actually starting here, 14 soon. 41 00:02:14,700 --> 00:02:17,800 And I'm also a board. Certified lactation consultant 42 00:02:17,800 --> 00:02:20,900 at that practice. So I actually get to see babies 43 00:02:20,900 --> 00:02:24,100 for a lactation issue. He's like, tations support in 44 00:02:24,100 --> 00:02:28,600 addition to seeing regular, well visits or visits, do you just 45 00:02:28,600 --> 00:02:33,400 deal with moms having issues with lactation latching? 46 00:02:33,400 --> 00:02:36,100 Or are you seeing anything that walks in the door? 47 00:02:36,100 --> 00:02:40,200 Pediatric wise, so I can see anything that is what that kind 48 00:02:40,200 --> 00:02:43,100 of comes in. So I have 18 year old patients. 49 00:02:43,100 --> 00:02:47,200 I see, I have you know, newborns in addition to the lactation 50 00:02:47,200 --> 00:02:51,000 Services which is a little bit of a Juggle sometimes because 51 00:02:51,000 --> 00:02:54,200 when moms need help on Tell people, they don't need help. 52 00:02:54,200 --> 00:02:56,200 You know Monday through Friday 8 to 5. 53 00:02:56,200 --> 00:02:59,200 A lot of times they need help on the evenings or in the evenings 54 00:02:59,200 --> 00:03:02,100 or on the weekends. And so some of that I have to be 55 00:03:02,100 --> 00:03:05,900 a little flexible at times and I've gone in and seeing patients 56 00:03:05,900 --> 00:03:08,100 on the weekend. You know if I saw them on Friday 57 00:03:08,100 --> 00:03:11,400 or another provider, saw them and realized they had issues to 58 00:03:11,400 --> 00:03:15,000 sort of accommodate that, but I do have scheduled times for 59 00:03:15,000 --> 00:03:19,600 lactation and we try to utilize those first but I also have been 60 00:03:19,600 --> 00:03:24,800 able to use Telehealth or I was one of the first providers at 61 00:03:24,800 --> 00:03:28,300 our practice to really start using Telehealth and and we've 62 00:03:28,300 --> 00:03:31,100 been able to increase that. And so when the pandemic hit, a 63 00:03:31,108 --> 00:03:34,200 lot of prices were switching to Telehealth options. 64 00:03:34,200 --> 00:03:36,800 We were already ahead of the game because I had, well, you 65 00:03:36,800 --> 00:03:40,700 don't want that. And so you're giving care for 66 00:03:40,900 --> 00:03:44,300 like Tatian or just anything that walks in the door with 67 00:03:44,300 --> 00:03:47,300 Telehealth. So for Telehealth, I do focus a 68 00:03:47,308 --> 00:03:51,700 little more on the lactation part now, but I still will see a 69 00:03:51,700 --> 00:03:56,300 lot of my My attention deficit or behavioral concerns through 70 00:03:56,400 --> 00:03:59,900 Telehealth. I see some rashes different 71 00:03:59,900 --> 00:04:01,600 different little sicknesses like that. 72 00:04:01,600 --> 00:04:03,800 You know I feel comfortable doing through Telehealth as 73 00:04:03,800 --> 00:04:05,800 well. So you're on The Cutting Edge of 74 00:04:05,800 --> 00:04:08,800 the Telehealth Journey that the rest of the country is now on, 75 00:04:08,900 --> 00:04:11,800 which is pretty cool. What do you think is great about 76 00:04:11,800 --> 00:04:13,700 it though? For a mom who has a baby at 77 00:04:13,700 --> 00:04:15,600 home. That's having a breast feeding 78 00:04:15,600 --> 00:04:18,600 issue, the thought of having to kind of and sometimes there are 79 00:04:18,600 --> 00:04:22,000 certain issues we have to see in clinic, but sometimes I can talk 80 00:04:22,000 --> 00:04:23,200 with them. Rue things. 81 00:04:23,200 --> 00:04:26,400 And it's a secure site that we use, they're not having to come 82 00:04:26,400 --> 00:04:28,700 into the office. They're able to be right at 83 00:04:28,700 --> 00:04:30,800 home. I can see there are set up as 84 00:04:30,800 --> 00:04:34,000 far as how they have their pillows plays, what options do 85 00:04:34,000 --> 00:04:37,000 they have for positioning? So it gives me a little more 86 00:04:37,000 --> 00:04:39,500 insight and it's a little more comfortable. 87 00:04:39,500 --> 00:04:42,200 I think sometimes for them versus having to get out and try 88 00:04:42,200 --> 00:04:44,100 to get to the office with a newborn. 89 00:04:44,600 --> 00:04:47,700 I think it's the convenience a lot of people truly love the 90 00:04:47,700 --> 00:04:49,400 convenient. I had a mom actually, right 91 00:04:49,400 --> 00:04:52,500 before we jumped on, who was sending a message that Through 92 00:04:52,500 --> 00:04:55,300 our portal saying, hey, I need to schedule a Telehealth for 93 00:04:55,300 --> 00:04:57,200 this tomorrow. Can you can you get that 94 00:04:57,200 --> 00:04:59,200 scheduled for me? A lot of our parents are really 95 00:04:59,200 --> 00:05:02,700 falling in love with certain aspects of it being through 96 00:05:02,700 --> 00:05:04,700 Telehealth. I remember when I was a new mom, 97 00:05:04,800 --> 00:05:07,500 you're right having to juggle the baby bag. 98 00:05:07,700 --> 00:05:12,700 On top of that, I bring enough toys and oh my gosh, I have the 99 00:05:12,700 --> 00:05:14,500 baby putting him in the car seat. 100 00:05:14,500 --> 00:05:17,500 Is he perfectly in the car seat? There's so much anxiety when 101 00:05:17,500 --> 00:05:19,600 you're trying to take a newborn that it would be. 102 00:05:19,600 --> 00:05:21,800 So nice to just be able to open your computer. 103 00:05:22,400 --> 00:05:24,700 And have somebody there to help you. 104 00:05:24,800 --> 00:05:26,500 That's really cool. That's a neat service. 105 00:05:26,500 --> 00:05:29,600 You guys are offering. So, how did you choose what 106 00:05:29,600 --> 00:05:32,100 you're doing right now? What was your specific journey 107 00:05:32,100 --> 00:05:38,000 to this position and this job? So, when my mom, well, I was 13 108 00:05:38,000 --> 00:05:40,100 at the time. My mom and I were involved in a 109 00:05:40,100 --> 00:05:43,600 very serious car accident and it was driver side impact. 110 00:05:43,600 --> 00:05:46,800 She was hit, they estimated. We were basically at a stoplight 111 00:05:46,800 --> 00:05:49,800 and just started to advance and she was hit in the door. 112 00:05:49,900 --> 00:05:54,900 They estimated going 75 to 85. Miles around, and she was 113 00:05:54,900 --> 00:05:59,200 airlifted from our local facility to a level one. 114 00:05:59,200 --> 00:06:02,400 Trauma center and a trauma surgeon saved her life. 115 00:06:02,400 --> 00:06:05,900 And so, I was 13 at the time, and I actually thought I was 116 00:06:05,900 --> 00:06:10,100 going to be a trauma surgeon. And when I started looking at 117 00:06:10,100 --> 00:06:14,500 that, I realized I wanted a little more interaction with 118 00:06:14,800 --> 00:06:17,700 patient. I started praying about it and I 119 00:06:17,700 --> 00:06:21,400 really felt led to go to nursing school and so I said, okay God, 120 00:06:21,400 --> 00:06:24,200 if I get accepted Nursing school that I'm going to trust that 121 00:06:24,200 --> 00:06:25,600 swear. I meant to be and I was 122 00:06:25,600 --> 00:06:27,900 accepted. And I started at East Carolina 123 00:06:27,900 --> 00:06:31,200 University, Go Pirate, in Greenville, North Carolina. 124 00:06:31,200 --> 00:06:35,400 And so, I did my bachelor's in nursing and then I became a 125 00:06:35,400 --> 00:06:38,200 nurse on the cardiac Intermediate Unit, which I 126 00:06:38,200 --> 00:06:40,200 loved. And I still I'm passionate about 127 00:06:40,200 --> 00:06:45,100 cardiac nursing but at the time I started feeling led to 128 00:06:45,100 --> 00:06:48,400 consider the nurse practitioner program at the time I was on 129 00:06:48,400 --> 00:06:49,900 that unit. I work night. 130 00:06:49,900 --> 00:06:52,700 They basically were not going to be able to offer me a Add a 131 00:06:52,700 --> 00:06:56,000 position and I knew I could not go back to school or work and 132 00:06:56,000 --> 00:06:58,700 night, so it's just not going to be feasible for me. 133 00:06:58,800 --> 00:07:02,000 So, a friend said, have you ever thought about newborn Nursery? 134 00:07:02,000 --> 00:07:03,900 We love it down here, you love kids. 135 00:07:03,900 --> 00:07:06,800 And I babysat all through college and and I do have a 136 00:07:06,800 --> 00:07:09,800 passion for children and I said, okay, I've never thought about 137 00:07:09,800 --> 00:07:12,600 newborn Nursery but I'm going to apply and see and in the end of 138 00:07:12,600 --> 00:07:16,100 my interview, the unit manager said, Well normally we have a 139 00:07:16,100 --> 00:07:20,300 long list of candidates but everybody, we called had already 140 00:07:20,300 --> 00:07:22,200 found another job or just wasn't interested. 141 00:07:22,400 --> 00:07:25,500 Come into the nursery, she's like, when can you start? 142 00:07:25,500 --> 00:07:29,800 And so, I transferred to the newborn nursery and I remember, 143 00:07:29,800 --> 00:07:32,100 I started taking some of my basic classes. 144 00:07:32,200 --> 00:07:34,100 I was really nervous about applying to the nurse 145 00:07:34,100 --> 00:07:37,600 practitioner program and several of the ladies prayed with me, I 146 00:07:37,600 --> 00:07:42,000 said again, God at this is your plan then it's going to the door 147 00:07:42,000 --> 00:07:46,600 is going to open and it did. And so I started the journey for 148 00:07:46,600 --> 00:07:49,900 the nurse practitioner program and I've completed that and in 149 00:07:49,900 --> 00:07:52,700 the middle of that the position of Assistant. 150 00:07:52,700 --> 00:07:55,900 That was working with dr. Holbrook, who is the owner of 151 00:07:55,900 --> 00:07:57,000 the practice? At the time? 152 00:07:57,000 --> 00:07:59,600 One of the owners was going to retire and they approached me 153 00:07:59,600 --> 00:08:02,300 and said, would you like a position and I really had not 154 00:08:02,300 --> 00:08:06,000 fully considered Pediatrics. So I did a rotation with their 155 00:08:06,000 --> 00:08:08,300 office and I fell in love with her office. 156 00:08:08,300 --> 00:08:10,100 I guess the rest is sort of History. 157 00:08:10,100 --> 00:08:13,300 So what made you? Because I heard you say, I 158 00:08:13,300 --> 00:08:16,600 decided to go be a nurse practitioner like, what was that 159 00:08:16,600 --> 00:08:18,900 turning point for you? What made you decide? 160 00:08:18,900 --> 00:08:22,200 I'm interested in this role. I think for being a new album. 161 00:08:22,400 --> 00:08:26,400 To advance my education. I knew I wanted to be a little 162 00:08:26,400 --> 00:08:30,300 more involved in making the decisions for my patient. 163 00:08:30,300 --> 00:08:33,400 I value bedside nursing. I think it's an excellent. 164 00:08:33,400 --> 00:08:35,500 It's actually roll on, we need more bedside. 165 00:08:35,600 --> 00:08:37,299 Nurses. And we know that we're in a 166 00:08:37,299 --> 00:08:39,900 shortage actually right now, but I think it's going to probably 167 00:08:39,900 --> 00:08:43,100 get worse with the pandemic and we're seeing nursing burnout. 168 00:08:43,100 --> 00:08:46,000 And so I do value those. No, those nurses that I valued 169 00:08:46,000 --> 00:08:48,600 that role and I learned a lot in that that time. 170 00:08:48,600 --> 00:08:52,200 But I knew I wanted a little more involvement. 171 00:08:52,300 --> 00:08:54,700 With my patient. One of the things I didn't like 172 00:08:54,700 --> 00:08:57,800 is we take care of in the hospital and we send them home 173 00:08:57,800 --> 00:09:00,300 and we don't have those connections and I guess I sort 174 00:09:00,300 --> 00:09:03,300 of have the mindset of the Little Country Doctor, I grew up 175 00:09:03,300 --> 00:09:06,200 in a very rural part of North Carolina and eventually, God, 176 00:09:06,200 --> 00:09:08,200 may leave me back there, but he hasn't yet. 177 00:09:08,200 --> 00:09:10,500 I want to know, I want to go to the kids ballgame. 178 00:09:10,500 --> 00:09:13,800 I want to be the provider who watches them grow up, and I've 179 00:09:13,800 --> 00:09:17,500 had already some patients who were older when I started at the 180 00:09:17,500 --> 00:09:20,300 practice time at who are now coming back with their babies. 181 00:09:20,300 --> 00:09:24,200 And so I'm getting to see sort of those Rations and, and really 182 00:09:24,200 --> 00:09:26,400 fell apart of their family at times. 183 00:09:26,400 --> 00:09:28,800 And I think that's one of the things that makes us different 184 00:09:28,800 --> 00:09:31,800 as a nurse practitioners. I think we have that connection 185 00:09:31,800 --> 00:09:35,700 piece, sometimes that I think sometimes is potentially missing 186 00:09:35,700 --> 00:09:40,300 and other Healthcare roles, and I love that I have had kids that 187 00:09:40,300 --> 00:09:42,300 have asked me to go to their Christmas programs. 188 00:09:42,300 --> 00:09:45,600 And I try to find a way to go to their Christmas programs. 189 00:09:45,600 --> 00:09:47,700 And, you know, obviously, I can't go for every kid and I 190 00:09:47,700 --> 00:09:50,800 can't go every year, but those are things that I think are 191 00:09:50,800 --> 00:09:53,600 important to kids. That's one of the things that I 192 00:09:53,600 --> 00:09:57,500 also liked about nursing was the ability that I felt like we had 193 00:09:57,500 --> 00:10:02,800 to connect to patients in a way that just felt really real and 194 00:10:02,800 --> 00:10:06,600 tangible compared to what I saw in Physicians where they just 195 00:10:06,600 --> 00:10:08,200 kind of walk in. They give a diagnosis. 196 00:10:08,200 --> 00:10:10,100 They got what the plan and they just walk out. 197 00:10:10,100 --> 00:10:13,900 I felt the same way that like nurse practitioners tended, to 198 00:10:13,900 --> 00:10:16,200 be more, the role of just listening. 199 00:10:16,200 --> 00:10:19,600 And I think that goes back to our nursing training and one of, 200 00:10:19,600 --> 00:10:24,200 you know, the nursing empathy that we're To just put yourself 201 00:10:24,200 --> 00:10:28,300 in people's shoes and it just exudes itself when you're a 202 00:10:28,300 --> 00:10:31,600 nurse practitioner because you don't know how to be any other 203 00:10:31,600 --> 00:10:34,600 way but that way so it's like I've just I've got a little more 204 00:10:34,600 --> 00:10:36,000 knowledge. I've got a little more 205 00:10:36,000 --> 00:10:40,300 understanding but I'm still a nurse and I say that it's funny. 206 00:10:40,300 --> 00:10:43,900 You say it that way but you know I said that to one of my 207 00:10:43,900 --> 00:10:48,000 physician colleagues one day and her response was but you're a 208 00:10:48,000 --> 00:10:50,800 provider now and I'm like but you have to understand, I will 209 00:10:50,800 --> 00:10:56,500 always be A nurse and and that is our mindset and it is very, 210 00:10:56,500 --> 00:10:58,100 very different, you know, I think. 211 00:10:58,100 --> 00:11:01,600 We and if you look at some of the studies you know I'm back in 212 00:11:01,600 --> 00:11:05,900 school now and so I'm juggling a lot of different learning needs 213 00:11:05,900 --> 00:11:08,400 and for myself and growing in that area. 214 00:11:08,400 --> 00:11:16,600 But we tend to definitely have that patient Focus, which can be 215 00:11:16,600 --> 00:11:19,900 bad sometimes because we can, you know, take it to a little 216 00:11:20,000 --> 00:11:21,700 extreme. I think some people do but so 217 00:11:21,700 --> 00:11:28,200 it's about But we focus more on our there and all their needs 218 00:11:28,200 --> 00:11:31,700 met. Does this Mom, if you, if you're 219 00:11:31,700 --> 00:11:34,300 going to send in this prescription, can she afford 220 00:11:34,300 --> 00:11:36,800 that? Are you going to tell her to 221 00:11:36,800 --> 00:11:41,500 take this, you know, put this baby on formula and she can't 222 00:11:41,500 --> 00:11:45,200 afford a forty seven dollar can of formula because it's a 223 00:11:45,208 --> 00:11:47,800 special brand. Have you really considered that 224 00:11:47,800 --> 00:11:50,200 I think are nursing Rowley as bedside? 225 00:11:50,200 --> 00:11:52,100 Nurses were able to sort of work through that. 226 00:11:52,200 --> 00:11:54,200 That and our training in general. 227 00:11:54,200 --> 00:11:57,300 I think what you're talking about is the forest through the 228 00:11:57,300 --> 00:12:02,200 trees, like holistically. I felt like my training was 229 00:12:02,400 --> 00:12:07,100 constantly reminding me. Holistic Viewpoint, don't just 230 00:12:07,100 --> 00:12:10,900 look at the individual issue. Look at the full person. 231 00:12:11,100 --> 00:12:15,900 I agree with you 100% on that. So IV give me an example of one 232 00:12:15,900 --> 00:12:20,100 of your biggest challenges and one of your biggest successes in 233 00:12:20,100 --> 00:12:21,900 your career, to where you are now. 234 00:12:22,300 --> 00:12:27,500 Stuff because I could think of a lot of challenges do. 235 00:12:27,500 --> 00:12:31,500 I think for me right now, a challenge that I have and it's 236 00:12:31,500 --> 00:12:34,300 not just it's not just in my practice. 237 00:12:34,300 --> 00:12:35,800 I want to be very clear about that. 238 00:12:35,800 --> 00:12:40,800 But the lactation roll, sometimes I think it's very hard 239 00:12:41,100 --> 00:12:46,900 for pediatricians are providers in the Pediatric world to sort 240 00:12:46,900 --> 00:12:51,100 of bring like, Tatian Consultants to the table and I 241 00:12:51,100 --> 00:12:55,800 think that they They struggle sometimes with that, I think 242 00:12:55,800 --> 00:12:58,700 it's easy for them to say, especially if they are female 243 00:12:58,700 --> 00:13:02,500 and they breastfed, I think it's very easy for them to say, oh I 244 00:13:02,500 --> 00:13:06,100 breastfed a baby and I know this is how it's supposed to go, and 245 00:13:06,100 --> 00:13:09,400 sometimes I feel sort of caught in the middle because now I've 246 00:13:09,400 --> 00:13:12,100 got a mom who's calling me and they're saying this isn't going 247 00:13:12,100 --> 00:13:15,600 well, but yet I have a provider who saying, well, it's going 248 00:13:15,600 --> 00:13:17,900 great. And I think you're doing fine 249 00:13:17,900 --> 00:13:21,500 and I have no concerns. And so I think that's probably 250 00:13:21,500 --> 00:13:25,200 my biggest Biggest struggle right now is how to find that 251 00:13:25,200 --> 00:13:27,900 happy medium ballot and of course my patients are always 252 00:13:27,900 --> 00:13:31,400 going to come first and I think some people don't necessarily 253 00:13:32,400 --> 00:13:35,900 they see that. Maybe it's negative that I'm 254 00:13:35,900 --> 00:13:38,100 going to be a little more patient advocate. 255 00:13:38,400 --> 00:13:43,700 And so I don't know if that's an ego thing or what the situation 256 00:13:43,700 --> 00:13:45,700 is with that. I still struggle with finding 257 00:13:45,700 --> 00:13:50,300 out exactly what causes that. I was going to ask you what you 258 00:13:50,300 --> 00:13:54,500 think is the reason for the discrepancy between what you're 259 00:13:54,500 --> 00:13:58,700 getting from the patient and what the, you know, the provider 260 00:13:58,700 --> 00:14:01,900 is saying because I remember when I was a nurse IV and I 261 00:14:01,908 --> 00:14:04,300 would walk into the room or the patient would tell me. 262 00:14:04,300 --> 00:14:08,600 Like my pain is a 10/10 and so I would go like okay let me get 263 00:14:08,600 --> 00:14:12,100 the doctor and then I'd walk with the doctor and the patient 264 00:14:12,100 --> 00:14:15,100 would be just like I'm fine. And I'm like, you did not just 265 00:14:15,100 --> 00:14:17,800 tell me like two seconds ago when I was in here. 266 00:14:18,100 --> 00:14:20,500 That there was a Current story and now you're changing it. 267 00:14:20,500 --> 00:14:22,000 Do you think it's something like that? 268 00:14:22,000 --> 00:14:25,100 Or do you think it's that doctors aren't hearing their 269 00:14:25,100 --> 00:14:27,900 patients or other providers aren't truly listening to their 270 00:14:27,900 --> 00:14:31,900 patients? Because I do also seen that from 271 00:14:31,900 --> 00:14:34,100 the, from the side of the patient where I've gone to see a 272 00:14:34,100 --> 00:14:36,700 provider. And I'm describing something, or 273 00:14:36,700 --> 00:14:40,600 I'm trying to explain something, and they're almost like 274 00:14:40,600 --> 00:14:42,700 railroading me. I don't know if that's the right 275 00:14:42,700 --> 00:14:47,500 word but to their just like completely ignoring what I'm 276 00:14:47,500 --> 00:14:50,100 saying and I'm like, you're not You're sending me and I know I'm 277 00:14:50,100 --> 00:14:51,800 speaking in a way, that's very clear. 278 00:14:51,800 --> 00:14:55,500 So, I do think, I think sometimes it can be, we're not 279 00:14:55,500 --> 00:14:57,300 sitting down and listening with the patient. 280 00:14:57,500 --> 00:15:01,600 I've had a couple patients who had breast feeding issues from 281 00:15:01,600 --> 00:15:06,000 the get-go and now I'm just sort of finding out behind the eight 282 00:15:06,000 --> 00:15:09,600 ball so to speak that they were having all these issues and I 283 00:15:09,600 --> 00:15:13,200 think part of it is, we just didn't sit down with the mom and 284 00:15:13,200 --> 00:15:15,700 say, let's talk about what's really going on. 285 00:15:17,000 --> 00:15:19,900 I think that guy that can play You play a huge role. 286 00:15:19,900 --> 00:15:24,800 And I think, for some women even now, this is the first, they're 287 00:15:24,800 --> 00:15:27,700 the first generation in their family, to breastfeed, you know, 288 00:15:27,700 --> 00:15:31,400 we've got a long history of women who were told not to 289 00:15:31,400 --> 00:15:33,800 breastfeed for various reasons and we could have a whole 290 00:15:33,800 --> 00:15:39,200 separate conversation on that. And so we have some women who 291 00:15:39,300 --> 00:15:41,500 they don't have a mom, who breastfed. 292 00:15:41,600 --> 00:15:46,100 They may not even have a friend to who breastfed for greater 293 00:15:46,100 --> 00:15:48,500 than a few weeks. Or, you know, if they're talking 294 00:15:48,500 --> 00:15:52,100 about I wanted to do, and I like the term extended breastfeeding, 295 00:15:52,100 --> 00:15:55,000 but that's what we call it because I think babies should be 296 00:15:55,000 --> 00:15:58,400 able to choose sort of when they, when they're ready to 297 00:15:58,400 --> 00:16:02,300 wean. Self weaning, not dictated by 298 00:16:02,300 --> 00:16:04,800 all they turn a year, boom. Let's stop them from 299 00:16:04,800 --> 00:16:07,800 breastfeeding. And, you know, some of your big 300 00:16:07,800 --> 00:16:12,200 organizations, still really say, a year to a year, and I think 301 00:16:12,200 --> 00:16:15,800 some of that is have to have some goals and so that can be 302 00:16:15,800 --> 00:16:18,200 considered a goal for moms because we want them to 303 00:16:18,200 --> 00:16:19,400 breastfeed. Longer. 304 00:16:19,400 --> 00:16:23,700 But I also think that for some people in their mind, always 305 00:16:23,700 --> 00:16:26,500 supposed to be a year. And if we get past that your 306 00:16:26,500 --> 00:16:29,400 point, you're doing something odd, you know, or it's not 307 00:16:29,400 --> 00:16:32,400 beneficial to the baby in the mom and I'm like, that is not 308 00:16:32,400 --> 00:16:34,300 true. So ivy can I say something 309 00:16:34,300 --> 00:16:38,000 really fast? I surely am breastfeeding a 20 310 00:16:38,000 --> 00:16:40,200 month old baby? I love it. 311 00:16:40,300 --> 00:16:44,100 I love it. I so love that you were like 312 00:16:44,400 --> 00:16:49,900 totally like pushing this because I get so much Black from 313 00:16:49,900 --> 00:16:53,400 co-workers because I still have to pump occasionally at work, 314 00:16:53,400 --> 00:16:56,900 not all the time but sometimes at work I have to pump and 315 00:16:56,900 --> 00:16:59,800 people are like you're still doing that and I am so 316 00:16:59,800 --> 00:17:02,000 emboldened. I'm like yep. 317 00:17:02,000 --> 00:17:08,800 And then I remember Allah. So, I took my little bags of 318 00:17:08,800 --> 00:17:11,400 milk and I put it in the refrigerator, no. 319 00:17:11,400 --> 00:17:14,800 But like, it was just so funny, and I love that you're 320 00:17:14,800 --> 00:17:18,200 supporting this because I feel in my heart, I'm supposed to do 321 00:17:18,200 --> 00:17:22,200 this, and I feel it in my soul that Benji's and my son's name 322 00:17:22,200 --> 00:17:26,599 is Benjamin still needs milk and he hasn't wean himself off. 323 00:17:26,599 --> 00:17:30,000 And so I'm like whenever he's ready, you know, and by the 324 00:17:30,000 --> 00:17:33,300 grace of God which is complete, it is completely from the Lord 325 00:17:33,400 --> 00:17:37,900 that I still have leche. I just decided Added whenever 326 00:17:37,900 --> 00:17:40,000 he's ready. He'll make a clear and then 327 00:17:40,000 --> 00:17:43,500 we'll make the move. But I don't feel I and I am 328 00:17:43,500 --> 00:17:46,000 telling you. I've gotten so much slack about 329 00:17:46,000 --> 00:17:47,900 it, so it is such. I would love it. 330 00:17:47,900 --> 00:17:52,200 So much to have a provider like just, you know, encourage me. 331 00:17:52,200 --> 00:17:55,300 I've been if we lived in other countries, it would be totally 332 00:17:55,300 --> 00:17:58,800 accepted as the norm. And, and I think that that's 333 00:17:59,000 --> 00:18:02,200 sort of, we have to change the mindset of the culture here that 334 00:18:02,200 --> 00:18:06,900 it is a okay, and I think it starts with the providers. 335 00:18:07,000 --> 00:18:09,700 And I think it starts with this is much encouragement. 336 00:18:09,700 --> 00:18:14,000 You know, we have a lactation support group that I lead and, 337 00:18:14,000 --> 00:18:20,600 and, you know, those moms are so great and we do it once a month, 338 00:18:21,400 --> 00:18:25,900 Zoom right now meeting and they're able to kind of support 339 00:18:25,900 --> 00:18:27,400 each other. Because again, some of those 340 00:18:27,400 --> 00:18:32,500 moms in that group or that I see, they don't have anybody to 341 00:18:32,500 --> 00:18:37,100 really be their cheerleader. And I true, the role that You 342 00:18:37,100 --> 00:18:39,800 have to play one of the roles as a lactation consultant is. 343 00:18:39,800 --> 00:18:43,300 You have to play that and I think for some providers that's 344 00:18:43,300 --> 00:18:45,500 really really hard for them to grasp. 345 00:18:45,500 --> 00:18:48,300 So what do you mean you're talking to this Mom at 7:30 at 346 00:18:48,300 --> 00:18:51,000 night? Well, okay, she had an issue and 347 00:18:51,000 --> 00:18:53,200 that can't wait, can't really wait. 348 00:18:53,200 --> 00:18:56,800 Sometimes and, you know, I've been on vacation and did a 349 00:18:56,800 --> 00:19:01,400 Telehealth from the mountains because the mom had issues and 350 00:19:01,400 --> 00:19:03,900 was in tears. And that mom's gone on to 351 00:19:03,900 --> 00:19:06,500 breastfeed. I think we're at, we have to at 352 00:19:06,500 --> 00:19:09,600 least At Alma said a year now because of the timing of the 353 00:19:09,600 --> 00:19:13,100 trip and so had she not had that encouragement would she have 354 00:19:13,100 --> 00:19:14,900 continued? I don't know the answer to that 355 00:19:14,900 --> 00:19:17,200 but by mine sort of thinks she may not have. 356 00:19:17,500 --> 00:19:20,300 Or if she'd had the mom there who said, well, I gave you 357 00:19:20,300 --> 00:19:22,800 formula just, you know, you need rest. 358 00:19:22,800 --> 00:19:24,900 Give you, you know, because Mom's are moms want to be 359 00:19:24,900 --> 00:19:27,000 protective of us. And so that's sort of their 360 00:19:27,000 --> 00:19:30,100 protectiveness mechanism. I've had an interesting 361 00:19:30,100 --> 00:19:33,000 conversation with my mom as well, where she would kind of go 362 00:19:33,000 --> 00:19:35,900 like, okay, are you getting enough nutrition? 363 00:19:35,900 --> 00:19:38,300 And because they're worried about About your their baby, 364 00:19:38,300 --> 00:19:40,600 right? And so they want to make sure 365 00:19:40,600 --> 00:19:42,900 that you're taking care of yourself and that's important 366 00:19:42,900 --> 00:19:46,800 for breastfeeding, moms to have encouragement tips on how to 367 00:19:46,800 --> 00:19:50,700 keep going, because it is something that, you know, I 368 00:19:50,700 --> 00:19:53,800 remember reading a statistic, we're like one in ten. 369 00:19:54,000 --> 00:19:58,300 Women are breastfeeding working moms or breastfeeding six 370 00:19:58,300 --> 00:19:59,600 months. I think it was. 371 00:20:00,700 --> 00:20:05,500 And I remember thinking one in ten moms or breastfeeding at six 372 00:20:05,500 --> 00:20:10,200 months that are Working and it's because the system is not built 373 00:20:10,400 --> 00:20:16,100 to keep those moms encouraged and to keep them working and 374 00:20:16,100 --> 00:20:21,000 also being able to provide you know milk for their children and 375 00:20:21,000 --> 00:20:25,400 so you're so rundown. But I'm so thankful that my job 376 00:20:25,400 --> 00:20:28,800 that I currently have is encouraging of moms and just 377 00:20:28,800 --> 00:20:31,200 gives you the space and so they're like we need to set your 378 00:20:31,200 --> 00:20:34,200 schedule up so that you can go and do this and all that kind of 379 00:20:34,200 --> 00:20:38,400 advocacy and change. So the system is what I think 380 00:20:38,400 --> 00:20:41,800 this country needs to do. Because if we do think that our 381 00:20:41,800 --> 00:20:45,300 children are the most important things, and breast milk is an 382 00:20:45,300 --> 00:20:48,700 incredible resource for them. Then why wouldn't we set up the 383 00:20:48,700 --> 00:20:51,400 system to make more mom's successful at this? 384 00:20:51,400 --> 00:20:53,800 It's not for everyone. And so, if this is something 385 00:20:53,800 --> 00:20:56,800 that if you're not able to do, or it's hard for you, or you're 386 00:20:56,800 --> 00:20:59,200 not having, you're not enjoying this and you want to stop or 387 00:20:59,200 --> 00:21:02,100 whatever, the reason is, you know, of course, we're not 388 00:21:02,100 --> 00:21:04,300 pushing right now, anything on people. 389 00:21:04,300 --> 00:21:09,500 But it's it's of the It's of my mindset that man, if we could 390 00:21:09,500 --> 00:21:12,900 just have more mom's encouraged than, I think that we would have 391 00:21:12,900 --> 00:21:15,500 a higher compliance. For example, I have a friend 392 00:21:15,500 --> 00:21:23,300 who's a PA who legitimately told me she had to stop breastfeeding 393 00:21:23,300 --> 00:21:27,100 because her son's breastfeeding time was cutting into her 394 00:21:27,100 --> 00:21:30,900 patient load and how much she would get paid per patient. 395 00:21:30,900 --> 00:21:34,900 And so, she looked at how much formula would cost versus seeing 396 00:21:34,900 --> 00:21:38,000 the patients that she could see and She said that she was going 397 00:21:38,000 --> 00:21:41,300 to be making more money to see the patient then to continue 398 00:21:41,300 --> 00:21:43,500 breastfeeding. And I was like, why is this 399 00:21:43,500 --> 00:21:46,500 system designed this way? Yeah, this moment to continue 400 00:21:46,500 --> 00:21:50,500 breastfeeding if it wasn't for her job and it was just a cyst 401 00:21:50,500 --> 00:21:53,800 disheartening, the other going to be outside this, you know, we 402 00:21:53,800 --> 00:21:57,600 have a country that, you know, I'm big on pediatric obesity, I 403 00:21:57,600 --> 00:22:02,600 sit on the oh, Mac, pediatric committee and which is a 404 00:22:02,608 --> 00:22:04,800 national board. And you know, that's that's a 405 00:22:04,800 --> 00:22:07,200 passion I have. Well, it's very Ink to 406 00:22:07,200 --> 00:22:09,600 breastfeeding. We know that those babies tend 407 00:22:09,600 --> 00:22:14,700 to have lower issues with obesity later on in life and it 408 00:22:14,700 --> 00:22:16,900 helps so many benefits to Mom, too. 409 00:22:16,900 --> 00:22:20,000 But we need to look at our society and I think, if that's 410 00:22:20,000 --> 00:22:21,900 the one thing, the pandemic has taught us. 411 00:22:21,900 --> 00:22:24,400 We have a problem with people who have it. 412 00:22:24,400 --> 00:22:26,200 Be City in are overweight. Let's say it the right way. 413 00:22:26,200 --> 00:22:28,600 Yeah, we have a problem, they need help. 414 00:22:28,600 --> 00:22:34,000 And so I think it's very easy to say, get out there and exercise, 415 00:22:34,100 --> 00:22:36,800 get out there and choose a healthy diet. 416 00:22:36,900 --> 00:22:39,400 And that doesn't address all the issues that is important 417 00:22:39,400 --> 00:22:41,200 important component. But we need to go back to the 418 00:22:41,200 --> 00:22:44,100 drawing board and say, what are the things we can do. 419 00:22:44,100 --> 00:22:47,400 And one of the things we need to do is we need to promote 420 00:22:47,400 --> 00:22:51,700 breastfeeding, we're helping in that issue and start with that. 421 00:22:51,700 --> 00:22:55,500 And I tell give a lecture and I say, when does obesity 422 00:22:55,500 --> 00:22:59,500 management start in the Pediatric population? 423 00:23:00,200 --> 00:23:03,300 And a lot of people say, oh, well when they're too, or I have 424 00:23:03,300 --> 00:23:06,000 different answers that I've been given, but I always say it 425 00:23:06,000 --> 00:23:10,000 starts when moms Pregnant because we need to address with 426 00:23:10,000 --> 00:23:15,600 her how important it is for her to breastfeed for her health and 427 00:23:15,600 --> 00:23:19,500 also for her baby's Health. Wow, you start to realize that 428 00:23:19,500 --> 00:23:23,600 this starts even before you come out of your mom's womb that this 429 00:23:23,800 --> 00:23:27,100 programming is going on inside your cells. 430 00:23:27,400 --> 00:23:31,700 I don't disagree with you. I think that you are 100% 431 00:23:31,700 --> 00:23:34,500 correct. And I think it does require a 432 00:23:34,500 --> 00:23:38,600 shift and I think we have to create systems that allow women 433 00:23:38,600 --> 00:23:43,800 to be able to comply with really something that is so important 434 00:23:43,800 --> 00:23:46,600 to the beginning of your life, to the end. 435 00:23:46,700 --> 00:23:50,200 Like it begins to shape the trajectory of where you go. 436 00:23:50,300 --> 00:23:52,400 So we talked a little bit about your biggest challenge. 437 00:23:52,400 --> 00:23:54,100 What about one of your biggest successes? 438 00:23:54,100 --> 00:23:57,900 I think for May 7th, my biggest successes have actually been 439 00:23:57,900 --> 00:24:00,000 through my patients. I have some patience. 440 00:24:00,000 --> 00:24:02,600 You know, I've mentioned the Obesity that I really have a 441 00:24:02,608 --> 00:24:06,000 strong passion for that. I have a few patients right now 442 00:24:06,000 --> 00:24:11,500 that really struggled and we are really on the right track and 443 00:24:11,500 --> 00:24:15,100 they're making such good healthy choices and I can sort of feel 444 00:24:15,100 --> 00:24:19,100 like I'm a part of their success and so to me knowing that 445 00:24:19,100 --> 00:24:22,100 they're going to be healthier, I consider that a successful 446 00:24:22,100 --> 00:24:27,100 moment as a provider, I think going through the certification 447 00:24:27,100 --> 00:24:31,700 for my lactation and at the time I didn't have as much support as 448 00:24:31,700 --> 00:24:36,500 I have more support now but that was a challenge and I think wow 449 00:24:36,500 --> 00:24:40,800 I was Actually pretty successful to make it and to pass boards on 450 00:24:40,800 --> 00:24:42,800 the first time. And so, I think there's been 451 00:24:42,800 --> 00:24:45,200 little successes along the way I witnessed her ass. 452 00:24:45,200 --> 00:24:49,100 I have had one giant success, although some people might say 453 00:24:49,100 --> 00:24:52,700 different, but and you said you're currently going to school 454 00:24:52,700 --> 00:24:55,200 right now. There are I made the decision 455 00:24:55,200 --> 00:24:59,100 after a lot of almost a pressure but they did. 456 00:24:59,300 --> 00:25:04,300 I was teaching for ECU and also I teach some for you and C as 457 00:25:04,300 --> 00:25:07,600 well just classes here and there but I have Didn't I have nurse 458 00:25:07,600 --> 00:25:09,900 practitioner students? I have for years, I'm very 459 00:25:09,900 --> 00:25:11,600 passionate about having students. 460 00:25:12,200 --> 00:25:15,700 It's very difficult for a nurse practitioner program to find 461 00:25:15,900 --> 00:25:18,500 placement for a Pete for Pediatric. 462 00:25:18,600 --> 00:25:22,200 And I actually have three ECU nurses Nurse Practitioner 463 00:25:22,200 --> 00:25:24,900 students right now in one semester, so it's been a 464 00:25:24,900 --> 00:25:26,800 challenging, but a good semester there. 465 00:25:26,800 --> 00:25:29,900 There are three great students are going to be awesome 466 00:25:29,900 --> 00:25:36,100 additions to the the profession and I'm excited for them, but I 467 00:25:36,100 --> 00:25:39,400 made the decision. Vision that I should consider 468 00:25:39,400 --> 00:25:42,700 going by for my doctorate because when I came through the 469 00:25:42,700 --> 00:25:46,600 ECU program was a master's level, and there's a couple 470 00:25:46,600 --> 00:25:49,300 reasons for that one. Is if my students are going to 471 00:25:49,308 --> 00:25:52,700 be held at that level, I should be at that level. 472 00:25:53,300 --> 00:25:58,000 And the second reason, is it opens the door if I ever decide 473 00:25:58,200 --> 00:26:02,500 I want to teach more there, certain positions in, you know, 474 00:26:02,500 --> 00:26:06,000 universities that I wouldn't be qualified with just a master's 475 00:26:06,000 --> 00:26:08,900 ivy. I think that is amazing. 476 00:26:09,000 --> 00:26:13,000 I have my doctorate and the name of this podcast is the doctor 477 00:26:13,000 --> 00:26:19,600 nurse podcast, because I feel so passionately that as nurses, we 478 00:26:19,600 --> 00:26:23,200 should reach the highest level of Education that we possibly 479 00:26:23,200 --> 00:26:28,800 can. And I love to hear when nurses 480 00:26:28,800 --> 00:26:32,100 are like, I'm not done, I'm going to keep going back and I'm 481 00:26:32,100 --> 00:26:37,700 going to keep learning because I believe that that we set 482 00:26:37,700 --> 00:26:41,300 ourselves apart it's necessary. But it is something that I think 483 00:26:41,300 --> 00:26:45,600 shows other, you know, students like you're saying or other 484 00:26:45,600 --> 00:26:49,400 providers that I don't. I take my nursing career very 485 00:26:49,400 --> 00:26:54,200 seriously and I have pushed myself to get, get everything I 486 00:26:54,200 --> 00:26:59,000 can from this educational process that I have a career in. 487 00:26:59,000 --> 00:27:03,900 And so I admire that so much that makes my heart so happy to 488 00:27:03,900 --> 00:27:08,100 hear because it was the same part and And that drove me to 489 00:27:08,100 --> 00:27:11,000 get my doctorate as well. Well, thank you for that any 490 00:27:11,000 --> 00:27:12,800 mentors. Do you have anybody helping you 491 00:27:12,800 --> 00:27:15,800 along the way there are, I will say this. 492 00:27:16,600 --> 00:27:18,100 I've always loved. You see you. 493 00:27:18,100 --> 00:27:21,400 And I knew, you know at this is my third degree from them and 494 00:27:21,600 --> 00:27:24,700 some people say oh you should go to a different school and I just 495 00:27:24,700 --> 00:27:28,200 knew that I needed to go after going through the mattress 496 00:27:28,200 --> 00:27:33,200 program there and how well I was trained and how passionate they 497 00:27:33,200 --> 00:27:34,400 are. I knew that was where I want to 498 00:27:34,408 --> 00:27:39,500 go for my doctorate and my Parents unfortunately had covid 499 00:27:39,500 --> 00:27:45,300 in November and EC you had actually, as part of trying to 500 00:27:45,300 --> 00:27:49,500 figure out how do we do school with the pandemic, had students 501 00:27:49,500 --> 00:27:54,600 start early and end the semester by Thanksgiving. 502 00:27:54,600 --> 00:27:58,800 And my parents got sick, the Sunday after Thanksgiving. 503 00:27:58,800 --> 00:28:03,700 And so I've always said that that was a blessing that, you 504 00:28:03,700 --> 00:28:06,200 know, if they had to get sick, I mean it was all, it's still bad. 505 00:28:06,200 --> 00:28:09,600 My mom's doing A lot of health problems from it but God just 506 00:28:09,600 --> 00:28:11,800 sort of made sure that that was protected. 507 00:28:11,800 --> 00:28:15,900 But with that said, so many of the professor's. 508 00:28:15,900 --> 00:28:20,000 As soon as they found out immediately, what can we do? 509 00:28:20,000 --> 00:28:22,000 What do you need, how can we help you? 510 00:28:22,400 --> 00:28:25,900 You know, your semesters done, don't. 511 00:28:25,900 --> 00:28:29,100 But if you need something next semester or even even in between 512 00:28:29,100 --> 00:28:33,000 and so, you know dr. Tillman is my advisor, but I 513 00:28:33,008 --> 00:28:36,300 consider her a good friend. Dr. Michelle Skipper, she's the 514 00:28:36,300 --> 00:28:38,900 head of the The program. I mean, she's been great. 515 00:28:38,900 --> 00:28:42,200 And then dr. Hodges, she's a friend. 516 00:28:42,300 --> 00:28:44,900 And we actually went through the master's program together and 517 00:28:45,100 --> 00:28:48,400 she's had her doctorate for a while, but she was really 518 00:28:48,400 --> 00:28:51,400 encouraged me to go back and they've all just really 519 00:28:51,400 --> 00:28:53,800 supported me. And, you know, even even through 520 00:28:53,800 --> 00:28:56,600 this semester just sort of checked in, are you okay? 521 00:28:56,700 --> 00:28:59,500 I was very hesitant to take two classes. 522 00:28:59,500 --> 00:29:02,100 This semester just with everything going on with my 523 00:29:02,100 --> 00:29:04,200 parents and I'm not going to lie there some days. 524 00:29:04,200 --> 00:29:06,200 I'm like, I don't know how I'm keeping all these glass balls 525 00:29:06,200 --> 00:29:08,000 up. The Lord does and I'm going to 526 00:29:08,000 --> 00:29:10,300 trust him but they encouraged me. 527 00:29:10,300 --> 00:29:12,500 They said I think that you know, they said I really think you're 528 00:29:12,500 --> 00:29:17,000 going to be fine but if you get into trouble you talk to us and 529 00:29:17,000 --> 00:29:19,600 we will let you take an incomplete or we'll figure out 530 00:29:19,600 --> 00:29:21,700 whatever we need to do at that point. 531 00:29:22,100 --> 00:29:25,500 And so I as of right now, no, not everything's turned in, I 532 00:29:25,500 --> 00:29:29,100 have to Ace and those classes and I just, I give it, I think 533 00:29:29,100 --> 00:29:32,500 it's just really their encouragement that I can do 534 00:29:32,500 --> 00:29:35,500 this, you know, balancing things, it's hard. 535 00:29:35,500 --> 00:29:38,400 There's some tights that. You know, it's a long night, and 536 00:29:38,600 --> 00:29:42,500 I'm working through lunch on a paper and, you know, but I see 537 00:29:42,500 --> 00:29:44,100 that light at the end of the tunnel, I can't get it out. 538 00:29:44,100 --> 00:29:46,900 I'm very glad that I went ahead and did that because it would 539 00:29:46,900 --> 00:29:49,300 have delayed it. I think you actually would have 540 00:29:49,300 --> 00:29:52,200 ended up delaying my graduation a little bit really, really 541 00:29:52,200 --> 00:29:53,600 proud of you. Thank you. 542 00:29:53,800 --> 00:29:57,800 Last question. What advice do you have for any 543 00:29:57,800 --> 00:30:00,400 nurses that are just starting off in their careers? 544 00:30:00,400 --> 00:30:04,200 I think two things that I really think we don't address enough 545 00:30:04,200 --> 00:30:07,600 with with new nurses and that's whether you're a new Brand new 546 00:30:07,600 --> 00:30:10,700 nurse, or if you're down a new role as a nurse practitioner, 547 00:30:10,700 --> 00:30:13,700 you need to make sure you have self care and you need to accept 548 00:30:13,700 --> 00:30:15,700 that it is. Okay, to take care of you. 549 00:30:15,800 --> 00:30:18,100 I think it's really easy to get burnout. 550 00:30:18,100 --> 00:30:21,400 I think during the pandemic we've seen that at much, higher 551 00:30:21,400 --> 00:30:25,300 levels for many reasons, but I also think that nurses tend to 552 00:30:25,300 --> 00:30:27,300 be the ones who take care of themselves. 553 00:30:27,300 --> 00:30:31,600 Laughs, the reality is we have to put ourselves first and I'm 554 00:30:31,600 --> 00:30:34,000 still learning this. So there's plenty of times that 555 00:30:34,000 --> 00:30:37,600 I don't put IV first. So, I mean, I'm preaching to the 556 00:30:37,600 --> 00:30:40,700 choir here on this, but you definitely have to learn self 557 00:30:40,700 --> 00:30:43,400 care. I think that self care is vital, 558 00:30:43,400 --> 00:30:47,500 that convey being 10 minutes of a walk or, you know, one of the 559 00:30:47,500 --> 00:30:50,400 things I've learned to do is no matter how crazy my day is at 560 00:30:50,400 --> 00:30:52,200 the office that I can have days where I work. 561 00:30:52,300 --> 00:30:55,100 I mean, I'm booked through lunch sometimes when you've been there 562 00:30:55,100 --> 00:30:57,800 for a while, if you have a lot of patience and it's a little 563 00:30:57,800 --> 00:31:00,300 bit harder. I don't say no very easily, but 564 00:31:00,300 --> 00:31:03,800 what I'm learning is it's okay to take 10 minutes to go to 565 00:31:03,800 --> 00:31:06,400 stretch and stand outside and just take a deep breath. 566 00:31:06,400 --> 00:31:10,700 It's Okay, to take a few minutes and, and meditate, I love yoga. 567 00:31:10,900 --> 00:31:14,600 I keep a yoga mat in my office. Sometimes it's nothing more than 568 00:31:14,800 --> 00:31:17,800 a few minutes of yoga, or I have about 10 minutes to play. 569 00:31:17,800 --> 00:31:19,800 And so, I think that's one of the number. 570 00:31:19,800 --> 00:31:23,800 One thing I would say is self-care, but I also would say, 571 00:31:24,000 --> 00:31:26,500 make sure you take care of your family too. 572 00:31:26,500 --> 00:31:31,200 Because I think it's very easy to, but your family below. 573 00:31:31,200 --> 00:31:34,200 Other people sometimes, especially if you're an advanced 574 00:31:34,200 --> 00:31:36,500 practice role, I think I see that a little more. 575 00:31:36,700 --> 00:31:39,100 With that because the one thing about being a nurse at the 576 00:31:39,100 --> 00:31:42,200 hospital if you're a bedside nurse, you clock out and for the 577 00:31:42,200 --> 00:31:45,600 most part, you don't tell always take it home. 578 00:31:45,600 --> 00:31:48,000 You may take emotions home, you may take some of that home. 579 00:31:48,100 --> 00:31:51,600 One of the things I have on my door, as I come in from the 580 00:31:51,600 --> 00:31:55,300 garage, is your home now? It's okay to breathe and I have 581 00:31:55,300 --> 00:31:58,600 that up there and I literally sometimes just look at it and 582 00:31:58,600 --> 00:32:02,300 say, okay, I'm home now. Everything is at the office. 583 00:32:02,300 --> 00:32:04,700 Yes, I'm breastfeeding, questions may come up, yes, some 584 00:32:04,800 --> 00:32:08,300 other things may come up but Home and I can so I think 585 00:32:08,300 --> 00:32:11,300 putting your family up there and yourself. 586 00:32:11,300 --> 00:32:14,700 Alrighty. So the last part of this podcast 587 00:32:14,700 --> 00:32:17,400 is just rapid. Fire questions, subdue, three 588 00:32:17,400 --> 00:32:21,000 questions of quick, rapid-fire questions and then we'll wrap it 589 00:32:21,000 --> 00:32:23,700 up. What is your most used Emoji? 590 00:32:23,700 --> 00:32:26,100 I'll heart. And what book are you currently 591 00:32:26,100 --> 00:32:30,000 reading day? I am currently reading the new 592 00:32:30,000 --> 00:32:31,600 book and I can't remember the title of. 593 00:32:31,600 --> 00:32:34,400 It's just come out. Oh my gosh, I can't remember. 594 00:32:34,400 --> 00:32:36,600 I just got it yesterday and I just started it. 595 00:32:36,700 --> 00:32:40,200 It's it's a family that does the, the Christmas Jammies. 596 00:32:40,200 --> 00:32:42,000 Have you seen them? No. 597 00:32:42,400 --> 00:32:45,800 Okay, they're so hilarious. But anyway, they actually live 598 00:32:45,800 --> 00:32:49,700 in North Carolina, which is where I'm from, and they wrote a 599 00:32:49,700 --> 00:32:52,100 just fin. Its fin has the guy's name, oh, 600 00:32:52,100 --> 00:32:54,800 I have to, I have to send it to you, but it's a great book. 601 00:32:54,900 --> 00:32:56,700 Well, I really read a little bit awesome. 602 00:32:57,100 --> 00:32:58,900 Okay. And then if you could win an 603 00:32:58,900 --> 00:33:02,100 Olympic medal for any sport, real or fake, what would it be? 604 00:33:03,300 --> 00:33:10,000 So I am not athletic. I would probably say if I could 605 00:33:10,000 --> 00:33:13,700 be great at any sport that I would love to be great at 606 00:33:13,700 --> 00:33:15,400 skiing. I've always wanted to be a great 607 00:33:15,400 --> 00:33:20,200 skier, but I am not talented. And so I've broken both my feet 608 00:33:20,200 --> 00:33:23,100 and other accidents. That's why not there? 609 00:33:23,100 --> 00:33:25,200 I'm not sure. I need to get on skis. 610 00:33:28,000 --> 00:33:31,900 Well, that's a wrap. Thank you so much for coming 611 00:33:31,900 --> 00:33:34,300 onto the podcast today and chatting with me. 612 00:33:34,300 --> 00:33:40,000 It's been an absolute Joy. You are so amazing and I'm so 613 00:33:40,000 --> 00:33:43,600 just your, I'm your fan with getting your doctorate degree. 614 00:33:43,600 --> 00:33:45,400 Well, done. Keep going. 615 00:33:46,500 --> 00:33:49,000 We can do hard things. He's so much. 616 00:33:49,000 --> 00:33:52,200 Yeah, thanks for coming on, and we'll catch you next time. 617 00:33:52,200 --> 00:33:55,900 Sounds great. Well, we're at the end of our 618 00:33:55,900 --> 00:33:58,100 time together. I hope you enjoyed the chat. 619 00:33:58,400 --> 00:34:00,400 The dark Turner's podcast is on Instagram. 620 00:34:00,400 --> 00:34:03,300 So please follow us there for any updates on your podcast and 621 00:34:03,300 --> 00:34:05,800 send information to follow up. On the podcast. 622 00:34:06,000 --> 00:34:09,100 Please leave A comment down below if you like this podcast 623 00:34:09,100 --> 00:34:12,400 or if you have another great idea for a topic want to hear in 624 00:34:12,400 --> 00:34:14,400 the future. Thanks for listening. 625 00:34:14,900 --> 00:34:17,600 And just a reminder the information in this podcast is 626 00:34:17,600 --> 00:34:20,500 for educational purposes. Only and the information should 627 00:34:20,500 --> 00:34:24,699 not be used in substitute for Professional Medical Care by a 628 00:34:24,699 --> 00:34:27,300 provider. The information in this podcast 629 00:34:27,300 --> 00:34:30,699 is not represent medical a professional advice or Services. 630 00:34:31,000 --> 00:34:31,800 Thanks for listening.