1 00:00:01,500 --> 00:00:03,400 Hi there. My name is dr. 2 00:00:03,400 --> 00:00:06,600 Presenta, and I'm the host of the doctor nurse podcast. 3 00:00:06,700 --> 00:00:09,000 I'm an advanced nurse practitioner and I want to be 4 00:00:09,000 --> 00:00:11,700 your guide into the world of nursing professions. 5 00:00:12,000 --> 00:00:15,500 This podcast is a platform for nurses to share their Journeys 6 00:00:15,500 --> 00:00:18,700 as they made their way in the diverse field of nursing as 7 00:00:18,700 --> 00:00:22,800 either entrepreneurs, Academia private, practice or even the 8 00:00:22,800 --> 00:00:25,700 corporate world. I think we should celebrate just 9 00:00:25,700 --> 00:00:28,800 how diverse the field of nursing is through mentoring one. 10 00:00:28,800 --> 00:00:30,400 Another, with the stories of our career. 11 00:00:30,500 --> 00:00:34,100 Our Journeys, nothing is too mundane because each journey is 12 00:00:34,100 --> 00:00:36,700 unique. This podcast will showcase 13 00:00:36,700 --> 00:00:39,900 career options to encourage nurses to view their degrees 14 00:00:39,900 --> 00:00:43,000 with a business mindset. After all we work in the 15 00:00:43,000 --> 00:00:46,000 healthcare business and ultimately I hope I might 16 00:00:46,000 --> 00:00:48,500 inspire you to make a change. If you're looking for something 17 00:00:48,500 --> 00:00:52,000 different, I am motivated to see you live, your best, nursing 18 00:00:52,000 --> 00:00:54,500 life and that looks different for everyone. 19 00:00:54,800 --> 00:00:56,800 Thanks for joining me on today's podcast. 20 00:00:56,800 --> 00:00:58,800 And let's get started with today's guests. 21 00:01:01,900 --> 00:01:04,900 Hey, guys. Today we have the really unique 22 00:01:04,900 --> 00:01:07,700 privilege of hearing from dr. Elizabeth winnings. 23 00:01:08,000 --> 00:01:12,100 She is a board certified family, mental health, psychiatric nurse 24 00:01:12,100 --> 00:01:15,300 practitioner, who completed both her undergraduate and graduate 25 00:01:15,300 --> 00:01:18,500 education in nursing at the University of Florida. 26 00:01:18,900 --> 00:01:22,600 She has an advanced training and plant-based nutrition and she 27 00:01:22,607 --> 00:01:25,800 completed her doctoral internship in nutrition and 28 00:01:25,800 --> 00:01:28,100 lifestyle medicine. At the True North Health Center 29 00:01:28,100 --> 00:01:31,300 in Santa Rosa, California. And plant-based nutrition 30 00:01:31,300 --> 00:01:36,100 certification through ecornell. She specializes in the 31 00:01:36,100 --> 00:01:39,600 relationship between Diet lifestyle, and mental health and 32 00:01:39,600 --> 00:01:41,800 works primarily with Children and Families. 33 00:01:41,800 --> 00:01:46,400 She has experience as a surgical nurse and also working in the 34 00:01:46,400 --> 00:01:49,000 Ed. She practices locally in the 35 00:01:49,000 --> 00:01:53,300 Jacksonville area at the windings wellness and nationally 36 00:01:53,300 --> 00:01:55,100 with the plant strong Retreat team. 37 00:01:55,100 --> 00:01:59,500 She believes the power of healing through communication 38 00:01:59,500 --> 00:02:01,900 restoring. Chips and living a healthy 39 00:02:01,900 --> 00:02:03,800 lifestyle. Please enjoy the conversation 40 00:02:03,800 --> 00:02:07,100 between my friend. Elizabeth and I, alrighty, 41 00:02:07,100 --> 00:02:08,699 welcome. Elizabeth to the doctor nurse 42 00:02:08,699 --> 00:02:10,699 podcast. So happy to have you on today. 43 00:02:10,800 --> 00:02:12,200 Thank you. I'm glad to be here. 44 00:02:12,300 --> 00:02:15,200 All right, let's dive in. So can you describe to our 45 00:02:15,200 --> 00:02:18,700 listeners? What is your current job role in 46 00:02:18,700 --> 00:02:19,800 title? Sure. 47 00:02:20,000 --> 00:02:24,100 So my current job role is actually as the owner of 48 00:02:24,100 --> 00:02:26,500 windings, wellness. It's an outpatient private, 49 00:02:26,500 --> 00:02:29,200 practice for mental health, in Jacksonville, Florida. 50 00:02:29,200 --> 00:02:33,300 And I am a Board certified, family psychiatric nurse 51 00:02:33,300 --> 00:02:36,000 practitioner. So I specialize in medication 52 00:02:36,000 --> 00:02:38,500 management, and therapy, and lifestyle medicine. 53 00:02:38,600 --> 00:02:41,600 And my favorite populations to work with our children 54 00:02:41,600 --> 00:02:45,000 adolescents and families. But I also do enjoy working with 55 00:02:45,000 --> 00:02:47,900 adults. I just for my day-to-day work, 56 00:02:47,900 --> 00:02:50,600 have more children and adolescents in my practice, is 57 00:02:50,600 --> 00:02:52,700 there anything else that you're involved in outside of your 58 00:02:52,700 --> 00:02:53,900 practice? Yes. 59 00:02:53,900 --> 00:02:58,800 So, I also work with a national organization called plant-strong 60 00:02:58,800 --> 00:03:02,300 and we have the privilege, Of Hosting five to seven day 61 00:03:02,300 --> 00:03:06,300 Retreats for adults, who would like to make a lifestyle change 62 00:03:06,300 --> 00:03:10,300 and we specialize in plant-based nutrition, and lifestyle 63 00:03:10,300 --> 00:03:14,200 medicine and it's really fun. It's like an educational 64 00:03:14,200 --> 00:03:16,800 vacation where you get to eat a lot of yummy food. 65 00:03:16,800 --> 00:03:19,100 So, I am part of the medical team. 66 00:03:19,100 --> 00:03:21,600 Overseeing participants during those Retreats. 67 00:03:21,800 --> 00:03:25,600 Wow, that's really cool. So, how did you get to this 68 00:03:25,600 --> 00:03:28,200 specific spot in your career? What was your journey? 69 00:03:28,200 --> 00:03:33,400 So, I started as a Mr. Nurse at the Malcolm Randall VA and 70 00:03:33,400 --> 00:03:36,000 Gainesville Florida after attending the University of 71 00:03:36,000 --> 00:03:40,900 Florida and I was on a surgery floor and unfortunately there 72 00:03:40,900 --> 00:03:44,800 were multiple veterans who had complications due to 73 00:03:44,800 --> 00:03:49,000 uncontrolled diabetes and so they would have amputations and 74 00:03:49,000 --> 00:03:53,000 it was really hard for me as a new nurse to have the same 75 00:03:53,000 --> 00:03:56,300 patient come back for subsequent amputations. 76 00:03:56,400 --> 00:03:59,800 So I may be their nurse for a toe being removed and then a 77 00:03:59,808 --> 00:04:03,700 foot Then below the knee and it actually moves a little 78 00:04:03,700 --> 00:04:09,000 traumatizing to see that the medical system continued to just 79 00:04:09,000 --> 00:04:13,000 remove parts of the human body for a disease that I was under 80 00:04:13,000 --> 00:04:15,400 the impression. We should be able to manage 81 00:04:15,400 --> 00:04:18,399 through medication diet and lifestyle, so it kind of sent me 82 00:04:18,399 --> 00:04:22,600 down a rabbit hole to better understand nutrition and 83 00:04:22,600 --> 00:04:25,000 lifestyle medicine. And there was actually a 84 00:04:25,008 --> 00:04:28,400 dietician on the floor who encouraged me to read the 85 00:04:28,400 --> 00:04:30,300 Omnivore's Dilemma by Michael Paul. 86 00:04:30,400 --> 00:04:32,600 Island. And then I watched Forks Over 87 00:04:32,600 --> 00:04:37,400 Knives, which is a lovely documentary that highlights how 88 00:04:37,400 --> 00:04:40,100 plant-based diet can improve your health. 89 00:04:40,100 --> 00:04:44,700 In Reverse disease States like diabetes and I actually at the 90 00:04:44,700 --> 00:04:48,900 time would contact one of my undergraduate nursing professors 91 00:04:48,900 --> 00:04:52,900 and say, we really need to get nurses in here doing, you know, 92 00:04:52,900 --> 00:04:55,800 their clinicals or doing a project to support patients. 93 00:04:55,800 --> 00:04:59,000 After they've had an amputation to help them make these changes 94 00:04:59,100 --> 00:05:02,300 and she would reply you Need to go back to school to be a 95 00:05:02,300 --> 00:05:06,300 psychiatric nurse practitioner and I was like, no, no, that's 96 00:05:06,300 --> 00:05:08,700 not me. I want to be in the acute care. 97 00:05:08,800 --> 00:05:13,400 You know, I always wanted to be in the hospital so the more I do 98 00:05:13,400 --> 00:05:16,800 of into the literature and the research the more I realized 99 00:05:16,800 --> 00:05:20,100 that was a natural. Inclination for me to want to 100 00:05:20,100 --> 00:05:23,100 know about, human behavior, and behavior change. 101 00:05:23,200 --> 00:05:28,600 And my next job was actually in the emergency room at North 102 00:05:28,600 --> 00:05:33,400 Florida Regional where Again, just seeing complications due to 103 00:05:33,400 --> 00:05:37,600 either lifestyle, and, or disease states, that could be 104 00:05:37,600 --> 00:05:41,600 mitigated by Behavior change or lifestyle change and that 105 00:05:41,600 --> 00:05:43,900 solidified my decision to go into mental health. 106 00:05:43,900 --> 00:05:47,500 I went back to school became board certified in family 107 00:05:47,500 --> 00:05:52,100 psychiatric, mental health, and started practicing at the time. 108 00:05:52,100 --> 00:05:54,600 I had already moved to Jacksonville, Florida, and I 109 00:05:54,600 --> 00:05:58,500 started practicing in an outpatient clinic here and it 110 00:05:58,500 --> 00:06:02,400 was great, you know, learning. About the role as much as soon 111 00:06:02,400 --> 00:06:04,700 as great, it was also really challenging because there were 112 00:06:04,700 --> 00:06:06,700 no other nurse practitioners at my clinic. 113 00:06:06,800 --> 00:06:12,100 So it felt quite isolating to have to continually advocate for 114 00:06:12,200 --> 00:06:16,600 either supervision or just the opportunity to have 115 00:06:16,600 --> 00:06:20,100 collaboration with other. Prescribing providers, not just 116 00:06:20,100 --> 00:06:23,500 therapist, and I worked with really supportive, Physicians 117 00:06:23,500 --> 00:06:27,400 that did help me, it just wasn't a seamless transition. 118 00:06:27,400 --> 00:06:31,000 So I think that was discouraging at the time but Ended up working 119 00:06:31,000 --> 00:06:31,600 out. Okay. 120 00:06:31,600 --> 00:06:35,300 But it was hard and isolating. And I think, you know, that's 121 00:06:35,300 --> 00:06:38,600 part of where, when, when you sent this podcast idea to me I 122 00:06:38,608 --> 00:06:41,600 was like, this is so important because I didn't have someone I 123 00:06:41,608 --> 00:06:44,800 could turn to or I didn't know any other psychiatric nurse 124 00:06:44,800 --> 00:06:49,100 practitioners besides those in my cohort or my professors, then 125 00:06:49,100 --> 00:06:53,200 I did continue with my education after my masters and they got my 126 00:06:53,200 --> 00:06:55,200 doctorate. And while I was doing my 127 00:06:55,200 --> 00:06:59,700 doctorate, this plant-based nutrition piece of my life had 128 00:06:59,700 --> 00:07:03,700 really become Important, not only to me but also to the way I 129 00:07:03,707 --> 00:07:06,300 was practicing and it's very important that we're practicing 130 00:07:06,300 --> 00:07:09,800 evidence-based interventions. And the evidence is there. 131 00:07:09,800 --> 00:07:12,800 It's no longer a question is plant-based nutrition. 132 00:07:12,900 --> 00:07:15,700 An important part of the medical conversation which is 133 00:07:15,700 --> 00:07:19,800 encouraging, however, in 2014, 15 and 16, I think the 134 00:07:19,800 --> 00:07:23,500 psychiatric professors didn't really want to hear about it. 135 00:07:23,600 --> 00:07:28,200 And I had to petition my committee to do my doctoral 136 00:07:28,200 --> 00:07:32,900 research project on nutrition. So as a graduate student in 137 00:07:32,900 --> 00:07:36,400 Psychiatry pursuing my doctorate, I wanted to do my 138 00:07:36,500 --> 00:07:39,300 project on the relationship between diet and lifestyle and 139 00:07:39,300 --> 00:07:43,100 depression and ultimately I was able to do that but again it 140 00:07:43,100 --> 00:07:46,900 took a lot of advocacy and back me continuing to say like I 141 00:07:46,900 --> 00:07:49,700 would like to do this. So what was, what was their 142 00:07:49,700 --> 00:07:53,700 rationale for pushing back? Oh, that we already know there's 143 00:07:53,700 --> 00:07:56,500 a correlation between your lifestyle and mental illness. 144 00:07:56,600 --> 00:08:01,900 So we cannot say that there's a causation, how New prove with a 145 00:08:01,907 --> 00:08:05,200 dnp project or how can you do something that's a cue? 146 00:08:05,200 --> 00:08:10,000 I intervention because the DMP is not a full research project 147 00:08:10,000 --> 00:08:13,400 like the PHD level so you're trying to stay at a lower level 148 00:08:13,400 --> 00:08:17,500 of the IRB approval so I think they were saying this is either 149 00:08:17,500 --> 00:08:20,300 beyond the scope of the degree that you're getting and if you 150 00:08:20,300 --> 00:08:24,200 want to do it you can get a PhD or just pick something else. 151 00:08:24,300 --> 00:08:26,100 Wow. And this is what they said to 152 00:08:26,100 --> 00:08:28,900 you. Oh, but I'll just show you like 153 00:08:28,900 --> 00:08:30,100 how genius. What? 154 00:08:30,300 --> 00:08:34,200 You were pursuing was because they were like in order to do 155 00:08:34,200 --> 00:08:36,900 what you want to do. You have to go get a PhD like, 156 00:08:36,900 --> 00:08:39,799 like if you just, you know, this sounds great, but you need to do 157 00:08:39,799 --> 00:08:41,799 the work for it, which is, it is what it is. 158 00:08:41,900 --> 00:08:44,000 I am grateful. You know, is able to string 159 00:08:44,000 --> 00:08:46,900 something together that was meaningful met the criteria for 160 00:08:46,900 --> 00:08:50,900 my degree but what I will say was the most pivotal experience 161 00:08:50,900 --> 00:08:54,600 throughout that part of my journey is actually had the 162 00:08:54,600 --> 00:08:58,700 privilege to do an internship at the True North Health Center in 163 00:08:58,700 --> 00:09:03,800 Santa Rosa, California. So, with the dnp, you cannot do 164 00:09:03,800 --> 00:09:08,300 additional clinical hours in your current specialty or where 165 00:09:08,300 --> 00:09:09,400 you're working. Yes. 166 00:09:09,400 --> 00:09:12,000 And so, right, and then it's like, are you kidding me? 167 00:09:12,000 --> 00:09:15,200 I have to do more work and not get paid and needs to be 168 00:09:15,200 --> 00:09:20,100 meaningful and enjoyable. So I spent five weeks and Santa 169 00:09:20,100 --> 00:09:24,000 Rosa, and I had I think a total of five days off. 170 00:09:24,000 --> 00:09:27,800 I mean, I worked for the whole time I was there and the True 171 00:09:27,800 --> 00:09:32,500 North Health Center has been In practice since the 80s and what 172 00:09:32,500 --> 00:09:36,900 they do is they actually bring people in for water only fasting 173 00:09:37,000 --> 00:09:41,100 juice fasting as well as just to come in and you could have an 174 00:09:41,100 --> 00:09:43,100 evaluation. And if you just wanted to eat 175 00:09:43,100 --> 00:09:45,300 healthy and be a part of the community there, you can do 176 00:09:45,300 --> 00:09:47,800 that. So this was a completely 177 00:09:47,800 --> 00:09:51,700 different practice of medicine and it was really rewarding. 178 00:09:51,800 --> 00:09:57,400 So that was just great because it Not only was clinicians using 179 00:09:57,400 --> 00:10:00,200 evidence-based, practice for lifestyle medicine. 180 00:10:00,400 --> 00:10:04,500 And, but it was the first time in my nursing career, I saw 181 00:10:04,500 --> 00:10:07,000 people getting. Well, I mean, I could remember 182 00:10:07,000 --> 00:10:09,900 like tears in my eyes like taking someone's blood pressure, 183 00:10:09,900 --> 00:10:12,400 who had had, chronic hypertension and been told you 184 00:10:12,400 --> 00:10:15,700 will never come off of your blood pressure medicine and we 185 00:10:15,700 --> 00:10:19,800 had started titrating. And then we're day 3 of a normal 186 00:10:19,800 --> 00:10:22,000 blood pressure. We are saying to them. 187 00:10:22,000 --> 00:10:24,300 Hey I think we're going to stop your blood pressure medicine 188 00:10:24,300 --> 00:10:28,500 today and it's a really moving experience to have that 189 00:10:28,500 --> 00:10:31,500 privilege of being welcomed into such Such a vulnerable moment 190 00:10:31,500 --> 00:10:35,200 with individuals and it's hard not to take that. 191 00:10:35,200 --> 00:10:39,000 And then to continue pursuing it, you know what I mean to see 192 00:10:39,000 --> 00:10:41,500 something. So, profound and then go out, 193 00:10:41,500 --> 00:10:43,400 whatever. I'm just going to go back to my 194 00:10:43,400 --> 00:10:45,300 job and keep doing what I'm doing. 195 00:10:45,400 --> 00:10:50,000 So I think that was really, or like, I'm not crazy like this, 196 00:10:50,200 --> 00:10:53,800 this is Meaningful stuff and more people should know about 197 00:10:53,800 --> 00:10:56,200 it. So that is kind of, you know, 198 00:10:56,300 --> 00:11:01,700 the journey for me from the bedside, all the A through my 199 00:11:01,700 --> 00:11:05,300 doctorate and then I did have some very traditional roles as a 200 00:11:05,300 --> 00:11:08,600 psychiatric nurse practitioner. I worked at a local children's 201 00:11:08,600 --> 00:11:12,900 hospital and was on the inpatient pediatric psychiatric 202 00:11:12,900 --> 00:11:15,000 unit. I've also been carrying out 203 00:11:15,000 --> 00:11:19,400 patient clients since 2014 right after I graduated. 204 00:11:19,400 --> 00:11:23,700 And so, I definitely have immersed myself in the medical 205 00:11:23,700 --> 00:11:27,800 model and kind of our standards of practice for Behavioral 206 00:11:27,800 --> 00:11:29,600 Health Care and psychiatric care. 207 00:11:29,600 --> 00:11:32,500 However, /. It's married with lifestyle 208 00:11:32,500 --> 00:11:36,800 medicine and looking at the whole person which I think on a 209 00:11:36,900 --> 00:11:39,600 couple of episodes I've already heard on your podcast, you know, 210 00:11:39,600 --> 00:11:43,300 really the nursing model is that's formative to our training 211 00:11:43,300 --> 00:11:46,400 looking at the person and what is their lived experience. 212 00:11:46,500 --> 00:11:50,200 And so, I think that also is just foundational to my 213 00:11:50,200 --> 00:11:52,400 practice. I'm like, smiling ear to ear 214 00:11:52,400 --> 00:11:55,900 because listening to you talk, I'm like, she gets it like she 215 00:11:55,900 --> 00:11:57,600 does. She's looking at the total 216 00:11:57,600 --> 00:12:01,400 person, she's not just saying like, oh, Sister Sam ads, you'll 217 00:12:01,400 --> 00:12:03,000 be fine. Let's just cut a total. 218 00:12:03,000 --> 00:12:05,200 Let's cut the foot off. Liquor looking at the total 219 00:12:05,200 --> 00:12:08,800 person and that really is what we're taught in our training to 220 00:12:08,800 --> 00:12:11,300 do as nurses and I just think it's so beautiful. 221 00:12:11,300 --> 00:12:14,600 How you've married your medical training as a nurse practitioner 222 00:12:14,600 --> 00:12:18,900 in psychiatric medicine with nutrition and lifestyle changes 223 00:12:18,900 --> 00:12:23,500 and how you are, you found an area that needed a nurse to step 224 00:12:23,500 --> 00:12:26,700 in and bridge that Gap and you stepped in and did it and you're 225 00:12:26,700 --> 00:12:30,000 doing it and that's what more nurses need to do because we are 226 00:12:30,000 --> 00:12:33,800 so, So close to the bed side, we have the opportunity to see 227 00:12:33,800 --> 00:12:37,800 what's missing, we have the opportunity to be annoyed at how 228 00:12:37,800 --> 00:12:41,900 something is not really great for the patient's overall, even 229 00:12:41,900 --> 00:12:45,800 though it might get them out of the hospital today or tomorrow, 230 00:12:45,800 --> 00:12:49,900 it doesn't affect their longevity or their life, right? 231 00:12:50,000 --> 00:12:53,200 And I think that was as a new nurse, the biggest challenge 232 00:12:53,200 --> 00:12:56,500 because I would see something. And I would go to the surgeon 233 00:12:56,500 --> 00:13:01,000 and say, hey, who talks to the patient about the fact that Sad 234 00:13:01,000 --> 00:13:04,100 that they used to have two feet and now they only have one and 235 00:13:04,100 --> 00:13:07,700 the surgeons would just kind of look at me, perp a perplexed and 236 00:13:07,700 --> 00:13:11,900 say, I don't know, we can put in a consult, you know, they're 237 00:13:11,900 --> 00:13:15,800 healing, great, their wounds are not infected, they're going to 238 00:13:15,800 --> 00:13:18,300 be discharged within however many days. 239 00:13:18,300 --> 00:13:20,800 So I think that's also a barrier. 240 00:13:20,800 --> 00:13:23,700 When you're new, you don't understand the system or who to 241 00:13:23,700 --> 00:13:27,700 go to and it's so fragmented but you as the nurse are stuck in 242 00:13:27,708 --> 00:13:30,100 the room with the patient after everyone else. 243 00:13:30,200 --> 00:13:32,000 Leaves. And so then it's that very 244 00:13:32,000 --> 00:13:34,600 palpable Gap. Like what you're saying, like 245 00:13:34,600 --> 00:13:37,200 some of the moments where you're just feeling annoyed or 246 00:13:37,200 --> 00:13:40,700 frustrated or confused but you're like, I don't know how to 247 00:13:40,700 --> 00:13:43,500 implement the change. I'm amazed at what you've done. 248 00:13:43,500 --> 00:13:45,600 I'm amazed at how you've built your career. 249 00:13:45,600 --> 00:13:49,600 I think that you provide such an incredible service and then your 250 00:13:49,600 --> 00:13:53,400 wellness company that you own. Tell us a little bit about that. 251 00:13:53,400 --> 00:13:57,500 I am practicing in Jacksonville, Florida right now, I'm just in 252 00:13:57,500 --> 00:14:00,100 clinic three days weekly. So I'm working too. 253 00:14:00,300 --> 00:14:02,600 Wednesday, Thursday, and their full Clinic days. 254 00:14:02,600 --> 00:14:06,200 I have outpatient Behavioral Health clients. 255 00:14:06,200 --> 00:14:09,600 So, I'm doing therapy and medication management, and then 256 00:14:09,700 --> 00:14:13,100 it's out of network. So, everything is not built to 257 00:14:13,108 --> 00:14:17,200 insurance, which as much as I would love to be able to open up 258 00:14:17,200 --> 00:14:20,300 and have more access to families, who need to see 259 00:14:20,300 --> 00:14:22,900 someone on their insurance. Again, the system is incredibly 260 00:14:22,900 --> 00:14:28,200 broken and that is so incredibly cumbersome as a solo provider, 261 00:14:28,300 --> 00:14:31,800 but I'm full. So I mean, I and in January of 262 00:14:31,800 --> 00:14:36,400 this year and I've had for the month of May, I'll have 90 total 263 00:14:36,400 --> 00:14:39,500 visits give or take, who wants to come in this week, that's not 264 00:14:39,500 --> 00:14:43,400 on my schedule, but it's busy and we need more mental health 265 00:14:43,400 --> 00:14:45,800 providers. So, you know, I'm grateful for 266 00:14:45,800 --> 00:14:48,500 the work that I do. It's been a hard year for 267 00:14:48,600 --> 00:14:50,500 everyone. Our kids are feeling it or 268 00:14:50,500 --> 00:14:52,200 parents are feeling it. And so, a lot of what I'm doing 269 00:14:52,200 --> 00:14:55,200 right now is therapy and then medication management when 270 00:14:55,200 --> 00:14:57,800 indicated. And I know it's different, not 271 00:14:57,800 --> 00:15:02,800 part of my own practice, but I did get The go for our lifestyle 272 00:15:02,800 --> 00:15:05,100 medicine, Retreats for this coming fall. 273 00:15:05,100 --> 00:15:08,800 So our team is gearing up for those events that will be in 274 00:15:08,800 --> 00:15:10,600 September and October of this year. 275 00:15:10,600 --> 00:15:14,400 So that's also on my radar which I'm excited about what 276 00:15:14,400 --> 00:15:18,100 throughout this process. Would you identify as a big 277 00:15:18,100 --> 00:15:20,600 success? Something that you think this 278 00:15:20,600 --> 00:15:24,000 was really a turning point or this was really a moment that I 279 00:15:24,000 --> 00:15:26,100 think back was a high in my career. 280 00:15:26,100 --> 00:15:28,700 I would say choosing to go to True. 281 00:15:28,700 --> 00:15:35,800 North Health was a huge risk. It was undefined to my program, 282 00:15:35,900 --> 00:15:40,200 to my current place of work. I took 6 weeks of unpaid leave 283 00:15:40,200 --> 00:15:45,000 to travel and to do that and it was a huge risk, but it was one 284 00:15:45,000 --> 00:15:48,200 of the things that I would do again, if I could. 285 00:15:48,200 --> 00:15:49,800 So I'm really, really grateful for that. 286 00:15:49,800 --> 00:15:54,000 And it led to so many wonderful relationships and opportunities, 287 00:15:54,000 --> 00:15:57,200 and also education that I'm really thankful for. 288 00:15:57,300 --> 00:16:01,800 And then I would also say another SAS is learning how to 289 00:16:01,800 --> 00:16:06,500 advocate for myself and leave positions that were no longer in 290 00:16:06,500 --> 00:16:09,300 alignment with my values, whether that's personally or 291 00:16:09,300 --> 00:16:11,800 professionally and that's really scary. 292 00:16:11,900 --> 00:16:15,900 I have done that two times in my career, where I've chosen to 293 00:16:15,900 --> 00:16:19,700 leave an organization where I might really value people on my 294 00:16:19,700 --> 00:16:25,900 team or my direct supervisor, but the organization did not 295 00:16:25,900 --> 00:16:29,800 either value nurse practitioners or facilitate growth. 296 00:16:30,300 --> 00:16:32,200 Unity's. I think those were hard 297 00:16:32,200 --> 00:16:35,700 decisions, but they were huge successes because out of them 298 00:16:35,700 --> 00:16:37,900 came opportunities. I couldn't have scripted. 299 00:16:37,900 --> 00:16:40,900 And so, when you're standing on one side of a decision, you 300 00:16:40,900 --> 00:16:43,500 can't really see the other side, that's just scary, but I'm 301 00:16:43,508 --> 00:16:47,100 grateful to have been able to have enough opportunities that 302 00:16:47,100 --> 00:16:50,100 I've just taken the risk and seen it worked out, okay or 303 00:16:50,100 --> 00:16:52,300 better. That was so well said and then I 304 00:16:52,308 --> 00:16:55,600 was thinking like that's also one of your biggest challenges 305 00:16:55,600 --> 00:16:57,900 which is another question that I typically ask, but you kind of 306 00:16:57,900 --> 00:16:59,900 answered. Both of them is just having to 307 00:17:00,300 --> 00:17:05,400 For yourself, ended up leading to you overcoming jobs that were 308 00:17:05,400 --> 00:17:08,700 going to hold you back from being able to apply for 309 00:17:08,800 --> 00:17:11,700 autonomous practice. I mean to give you that ability 310 00:17:11,700 --> 00:17:15,599 to advocate for yourself is the biggest reward and now you're 311 00:17:15,599 --> 00:17:18,599 actually an autonomous provider. Can you tell us a little bit 312 00:17:18,599 --> 00:17:20,300 about that process? Oh for sure. 313 00:17:20,300 --> 00:17:23,400 So in the State of Florida if you have been out of school for 314 00:17:23,400 --> 00:17:26,900 a longer than five years, you need to out of graduate school. 315 00:17:27,099 --> 00:17:30,100 You will need to do. I believe it's 40 hours. 316 00:17:30,200 --> 00:17:33,000 Hours of continuing education and psycho Farm. 317 00:17:33,300 --> 00:17:35,700 Nope, you're not all Psych, sorry in Pharmacology. 318 00:17:35,700 --> 00:17:39,100 So 40 hours of pharmacology and then 40 hours of a differential 319 00:17:39,100 --> 00:17:43,900 diagnosis and there are enough continuing education providers 320 00:17:43,900 --> 00:17:48,700 out there now that are ancc certified or the equivalent so 321 00:17:48,700 --> 00:17:51,300 that graduate level certification for continuing 322 00:17:51,300 --> 00:17:53,400 education. So those are the two biggest 323 00:17:53,400 --> 00:17:57,400 hurdles as far as things that require time and energy and then 324 00:17:57,400 --> 00:18:01,000 you have to have been in practice I believe it. 3000, 325 00:18:01,000 --> 00:18:05,700 supervised hours and you have to have your own malpractice 326 00:18:05,700 --> 00:18:09,200 insurance. So I mean it's not cumbersome 327 00:18:09,200 --> 00:18:12,900 and and no egregious acts with the Board of Nursing or the 328 00:18:12,900 --> 00:18:15,000 state like, your license has to be in good standing. 329 00:18:15,100 --> 00:18:19,200 So the criteria is actually quite simple and you just submit 330 00:18:19,200 --> 00:18:21,000 everything to the Board of Nursing. 331 00:18:21,000 --> 00:18:23,000 And it's there's no fee Associated. 332 00:18:23,000 --> 00:18:26,600 You just have to apply. So I was really excited. 333 00:18:26,600 --> 00:18:29,300 I was so nervous that I wouldn't get everything in and time 334 00:18:29,300 --> 00:18:31,700 because it Passed early December. 335 00:18:31,900 --> 00:18:36,900 And my last graduate course, where I had psycho Farm hours 336 00:18:36,900 --> 00:18:40,800 that would go towards my license was in December of 2015. 337 00:18:40,900 --> 00:18:42,400 Anyway. So I was like--figured cross 338 00:18:42,400 --> 00:18:44,500 please please, please. So, anyways, everything went 339 00:18:44,500 --> 00:18:47,400 through, they processed it relatively quickly, so, I was, 340 00:18:47,400 --> 00:18:50,400 it was a good experience for me, that's great, and working for 341 00:18:50,400 --> 00:18:53,700 yourself by yourself. How is that experience been? 342 00:18:53,800 --> 00:18:56,700 It's great. I will say, I am a rather social 343 00:18:56,700 --> 00:19:00,100 person I do enjoy interacting with others. 344 00:19:00,300 --> 00:19:04,100 Given this current year with covid and how we're still coming 345 00:19:04,100 --> 00:19:07,500 out of social distancing and all of these protocols that are 346 00:19:07,500 --> 00:19:09,900 needed right now. It has been ideal. 347 00:19:10,100 --> 00:19:14,100 So I have my own little Private Practice where I can sanitize 348 00:19:14,100 --> 00:19:16,100 and make sure all those things are in place. 349 00:19:16,100 --> 00:19:18,400 And I would say about 60 percent of my clients. 350 00:19:18,400 --> 00:19:22,900 Do come in person and then 40%, I'm doing Telehealth with but 351 00:19:22,900 --> 00:19:24,700 it's lovely. I can manage my own schedule. 352 00:19:24,700 --> 00:19:29,900 I can give the clients that I'm seeing my time and I have a 353 00:19:29,908 --> 00:19:32,100 great. Great EMR and billing platform. 354 00:19:32,100 --> 00:19:35,400 It's all seamless. So all in all how if you don't 355 00:19:35,400 --> 00:19:38,200 have administrative skills, you will need someone to help with 356 00:19:38,200 --> 00:19:40,400 that. But other than that, I would say 357 00:19:40,500 --> 00:19:43,500 it's really wonderful. If you are a clinician who 358 00:19:43,500 --> 00:19:46,800 enjoys what you're doing, and you're competent and capable and 359 00:19:46,800 --> 00:19:49,500 you have administrative skills, and you can get those things in 360 00:19:49,500 --> 00:19:52,500 order. Then this is so cool and I'm so 361 00:19:52,500 --> 00:19:55,800 happy that you're sharing your story for other nurses out there 362 00:19:55,800 --> 00:19:58,300 to hear. Just that it's doable that it's 363 00:19:58,300 --> 00:20:00,100 possible that it's not this crazy. 364 00:20:00,200 --> 00:20:03,500 A labor-intensive process that you can do it. 365 00:20:03,500 --> 00:20:05,800 That's really cool. And even towards anybody along, 366 00:20:05,800 --> 00:20:09,100 the way that helped you get here that you'd like to shout out or 367 00:20:09,100 --> 00:20:12,300 just say, like this was big for me to get me to where I am 368 00:20:12,300 --> 00:20:14,200 today. I would say, my life has been 369 00:20:14,200 --> 00:20:19,000 shaped by amazing mentors. So prior to nursing, but then in 370 00:20:19,000 --> 00:20:23,400 nursing absolutely and you know, in school. 371 00:20:23,400 --> 00:20:26,700 Definitely dr. Schneider was with somebody who 372 00:20:26,700 --> 00:20:30,000 was phenomenal and I've maintained a relationship with 373 00:20:30,200 --> 00:20:34,500 post-graduation, some really grateful for her and then I 374 00:20:34,500 --> 00:20:37,500 actually did something called The Valor program through the 375 00:20:37,500 --> 00:20:40,600 VA, when I was an undergrad nursing student and Kathy, 376 00:20:40,600 --> 00:20:44,600 Galvin was my nurse, and I worked with her for a full year, 377 00:20:44,600 --> 00:20:49,200 and I think a lot of the courage that I had to do, what, the 378 00:20:49,200 --> 00:20:53,600 patient needed, no matter what not to break rules, but right to 379 00:20:53,600 --> 00:20:56,800 see the patient to advocate for the patient to go back to the 380 00:20:56,800 --> 00:21:00,800 physician to speak up is because Did that? 381 00:21:00,800 --> 00:21:04,200 And she, instilled, that in me. And so, I'm really grateful. 382 00:21:04,300 --> 00:21:06,900 I think a lot of that, the kind of like core identity as a 383 00:21:06,908 --> 00:21:10,800 nurse, was shaped by her. And my mother is also a nurse. 384 00:21:10,800 --> 00:21:13,400 And so, I think, you know, there are ways that that is impacted 385 00:21:13,400 --> 00:21:15,700 my life that I probably don't even know. 386 00:21:15,700 --> 00:21:19,300 And I couldn't articulate, but I definitely know that that she 387 00:21:19,300 --> 00:21:23,000 has been a wonderful guide and Mentor in my life. 388 00:21:23,000 --> 00:21:27,300 And then my dad, I think one of the things that I'm so grateful 389 00:21:27,300 --> 00:21:30,000 for is I've had a team of parents. 390 00:21:30,200 --> 00:21:34,300 We're if I've wanted to take a risk and do something they'll 391 00:21:34,300 --> 00:21:37,500 troubleshoot with me and then they're like, all right, go for 392 00:21:37,500 --> 00:21:40,800 it, you know, and it's not that every single thing I've done has 393 00:21:40,800 --> 00:21:44,600 been wonderful or succeeded by any means, I definitely have a 394 00:21:44,600 --> 00:21:48,000 long line of failures and life lessons and times when I've 395 00:21:48,000 --> 00:21:52,400 crashed and been frustrated, but I've had parents who I could 396 00:21:52,400 --> 00:21:56,900 turn to and, and they've been, you know, phenomenal and I did 397 00:21:56,900 --> 00:22:00,100 get married really young. So I actually got married when I 398 00:22:00,100 --> 00:22:04,300 was As in nursing school as an undergrad and I don't know that 399 00:22:04,300 --> 00:22:08,700 my husband's a mentor, but I would say he is the most 400 00:22:08,700 --> 00:22:11,300 supportive like he's probably, you know, most supportive 401 00:22:11,300 --> 00:22:16,700 biggest fan like, he helps me visualize my dreams and to have 402 00:22:16,700 --> 00:22:20,200 a spouse who says, oh, this is this is super important to you. 403 00:22:20,200 --> 00:22:22,400 I know, it's totally fine. If you need to take five weeks 404 00:22:22,400 --> 00:22:25,700 and go like, do this grueling internship, I definitely 405 00:22:25,700 --> 00:22:29,400 couldn't have taken all the risks that I have, or I wouldn't 406 00:22:29,400 --> 00:22:31,700 be where I am. I am without his support. 407 00:22:31,700 --> 00:22:33,500 So I definitely forgiven shoutouts. 408 00:22:33,500 --> 00:22:36,900 We've got a shout out to Jordan whinings, because he's the most 409 00:22:36,900 --> 00:22:40,800 patient, supportive person. And, and, I mean, I have a lot 410 00:22:40,800 --> 00:22:43,200 of ideas Sandra, like all the time. 411 00:22:43,200 --> 00:22:45,100 I'm like, oh, what about this? What about that? 412 00:22:45,200 --> 00:22:47,500 And so Jordans really good at helping me. 413 00:22:47,500 --> 00:22:51,700 Like, but something boil to the top and go with it, that's 414 00:22:51,700 --> 00:22:54,900 amazing. Just to have support, which fun 415 00:22:54,900 --> 00:22:57,700 fact. He was a paramedic firefighter 416 00:22:57,700 --> 00:23:01,400 for quite a while and he is no nurse So we'll see where his 417 00:23:01,400 --> 00:23:03,600 nursing Journey takes him, but that's cool. 418 00:23:03,600 --> 00:23:06,600 You've probably inspired him watching your career and what 419 00:23:06,600 --> 00:23:08,800 you were doing. That's really cool. 420 00:23:08,900 --> 00:23:12,300 So, what advice do you have for a new nurse at starting off in 421 00:23:12,300 --> 00:23:14,900 her career? That has got her piece of paper 422 00:23:14,900 --> 00:23:18,000 certificate in hand, and she's standing there with the world in 423 00:23:18,000 --> 00:23:20,300 front of her? What advice would you give her? 424 00:23:20,400 --> 00:23:23,500 Oh, I would say, be brave. You need to try things. 425 00:23:23,500 --> 00:23:28,400 You need to work and not like work hard but you need to figure 426 00:23:28,400 --> 00:23:30,000 out what you like and what you don't like. 427 00:23:30,100 --> 00:23:34,100 Like in nursing and there is no rush. 428 00:23:34,100 --> 00:23:38,500 I think one of the biggest challenges throughout nursing 429 00:23:38,500 --> 00:23:42,200 education. Is there is this sense of a Time 430 00:23:42,200 --> 00:23:43,900 Clock? You've got to figure it out by a 431 00:23:43,908 --> 00:23:45,800 certain time. You have to go back to school by 432 00:23:45,800 --> 00:23:47,400 a certain time. It's just not true. 433 00:23:47,500 --> 00:23:51,700 Every experience you have is going to build towards who you 434 00:23:51,700 --> 00:23:54,400 are as a nurse, and who you are as a person. 435 00:23:54,400 --> 00:23:57,000 And so I think it's really important for new nurses, 436 00:23:57,100 --> 00:24:02,800 whether that means RN or APRN To take their time because we don't 437 00:24:02,800 --> 00:24:06,100 we don't get that back and I think that is the biggest lesson 438 00:24:06,100 --> 00:24:09,400 I've learned from my patients is to just be present and take your 439 00:24:09,400 --> 00:24:10,800 time. Other things that I would tell 440 00:24:10,800 --> 00:24:15,000 new nurses is ask for help, don't worry about, not knowing 441 00:24:15,000 --> 00:24:17,200 what you're doing, you're not supposed to like you're supposed 442 00:24:17,200 --> 00:24:20,800 to know the general rules and keep people safe and follow the 443 00:24:20,800 --> 00:24:24,200 rules of your license, but ask for help sleep. 444 00:24:24,200 --> 00:24:27,200 If if all of us could just prioritize sleep, I think the 445 00:24:27,200 --> 00:24:31,000 world would be a nicer place. I think work would Be easier. 446 00:24:31,100 --> 00:24:35,000 And I think our brains would be happier since I think nursing is 447 00:24:35,000 --> 00:24:38,100 hard and exhausting. So if new nurses could 448 00:24:38,100 --> 00:24:41,600 prioritize sleep, get Sunshine, eat your veggies and make 449 00:24:41,600 --> 00:24:44,600 memories. I think one of the things that I 450 00:24:44,600 --> 00:24:49,600 cherish the most, so I'm like my 10-year anniversary of 451 00:24:49,600 --> 00:24:55,000 graduating with my undergraduate degree and I love looking back 452 00:24:55,000 --> 00:24:58,100 on all of the environments. I've worked on, or the people 453 00:24:58,100 --> 00:25:02,300 that I met, and it's just Cool. So you know if you're in a hurry 454 00:25:02,300 --> 00:25:04,200 and you're rushing through everything, it's really hard to 455 00:25:04,200 --> 00:25:06,500 savor it or make memories don't learn. 456 00:25:06,500 --> 00:25:09,400 But I think if you're kind of looking at each part of your 457 00:25:09,400 --> 00:25:14,300 career as an opportunity to grow and or just have fun, you're 458 00:25:14,300 --> 00:25:17,100 going to make great memories and that's going to add up to pretty 459 00:25:17,100 --> 00:25:20,000 wonderful career. So I think those are the things 460 00:25:20,000 --> 00:25:22,500 that come to my mind. When I think about, I wish 461 00:25:22,500 --> 00:25:25,200 someone would have told me those things when I was a nurse, not 462 00:25:25,200 --> 00:25:29,500 just all of the be on time. Don't get stuck by a needle. 463 00:25:29,500 --> 00:25:31,600 Make sure. Sure, you're wearing the right 464 00:25:31,600 --> 00:25:35,400 shoes, that kind of stuff like, okay, we need to know that, but 465 00:25:35,400 --> 00:25:38,900 what about me as a person and as a nurse and as a provider? 466 00:25:38,900 --> 00:25:42,700 I think that got overlooked beautifully, said, beautifully 467 00:25:42,700 --> 00:25:44,600 said and I agree. I agree. 468 00:25:44,600 --> 00:25:48,100 And I think that's why the doctor nurse podcast has come 469 00:25:48,100 --> 00:25:50,600 about is because I felt the same. 470 00:25:50,600 --> 00:25:55,500 I felt that that slow down. Take your time saver what you're 471 00:25:55,500 --> 00:25:59,800 in glean, like, in the moment knowledge, because it'll just 472 00:25:59,800 --> 00:26:02,000 take. You so much further, I really 473 00:26:02,000 --> 00:26:06,100 feel like that is so important and I didn't hear it enough, 474 00:26:06,200 --> 00:26:09,500 what you said was so encouraging to the new to the new nurses. 475 00:26:09,500 --> 00:26:11,600 And even the ones that are currently in their jobs and in 476 00:26:11,608 --> 00:26:14,700 their roles to just say, like, just soak up what you've got 477 00:26:14,700 --> 00:26:18,300 going on now, pay attention, make memories and take care of 478 00:26:18,300 --> 00:26:21,500 yourself and I think the rest of it starts to fall in place when 479 00:26:21,500 --> 00:26:25,100 you put those big things in the right frame of reference. 480 00:26:25,100 --> 00:26:29,300 So alright the next part is the rapid fire questions so tell us 481 00:26:29,300 --> 00:26:32,100 a book you're currently Reading. Whoo, maybe you should talk to 482 00:26:32,100 --> 00:26:34,600 someone set. The title of the book, it's a 483 00:26:34,600 --> 00:26:38,800 book written by a therapist, and it's about her experience, going 484 00:26:38,800 --> 00:26:42,500 to therapy, and I had a few people recommend it to me. 485 00:26:42,500 --> 00:26:44,300 So I started reading it. Very cool. 486 00:26:44,400 --> 00:26:48,500 What do you got on your Netflix? Okay, hang on cuz there's a few. 487 00:26:48,600 --> 00:26:53,300 Well if I could have something on repeat on Netflix right now, 488 00:26:53,300 --> 00:26:59,800 it would be schitt's Creek, so good so good, give it a chance. 489 00:27:00,100 --> 00:27:03,100 Crunchy. But it's so good and another 490 00:27:03,100 --> 00:27:06,200 one. If there could be a movie actor 491 00:27:06,200 --> 00:27:09,400 to play you in a movie who would play you, the Reese Witherspoon. 492 00:27:09,400 --> 00:27:12,700 That one was easy. We are like soul mates. 493 00:27:12,700 --> 00:27:14,000 Oh my gosh. I see it. 494 00:27:14,000 --> 00:27:17,300 Now she would, I don't know if she would do your roll justice 495 00:27:17,300 --> 00:27:19,300 but she can do it. I believe in reese. 496 00:27:19,300 --> 00:27:22,700 Well, Elizabeth it has been such a joy chatting with you. 497 00:27:22,800 --> 00:27:26,300 Your journey is incredible and super inspirational. 498 00:27:26,300 --> 00:27:28,400 So keep doing you girl, think what? 499 00:27:28,400 --> 00:27:29,900 Thanks so much. And I'm so grateful that you're 500 00:27:30,000 --> 00:27:32,200 You're putting all of these episodes out there. 501 00:27:32,200 --> 00:27:36,300 It's really meaningful. Well, this is the end of our 502 00:27:36,300 --> 00:27:38,900 time together. I really hope you enjoyed the 503 00:27:38,900 --> 00:27:41,600 chat. Please be sure to subscribe to 504 00:27:41,608 --> 00:27:45,100 the show so you don't miss an episode and leave us a review. 505 00:27:45,100 --> 00:27:48,400 If you like the show, I would love to get 5 stars. 506 00:27:48,700 --> 00:27:51,300 The doctors podcast is on Instagram. 507 00:27:51,300 --> 00:27:55,400 So please follow us there for any updates on new podcast and 508 00:27:55,400 --> 00:27:59,000 other inspirational information to help you on your own Journey. 509 00:27:59,600 --> 00:28:03,300 You can Search me at the doctor's podcast at gmail.com 510 00:28:03,400 --> 00:28:06,900 with any career professions you are interested in hearing about 511 00:28:06,900 --> 00:28:11,600 I'll do my best to find them and as always thanks for listening. 512 00:28:12,600 --> 00:28:16,300 And just a reminder the information in this podcast is 513 00:28:16,300 --> 00:28:19,800 for educational purposes only and the information should not 514 00:28:19,800 --> 00:28:23,300 be used in substitute for Professional Care by a medical 515 00:28:23,300 --> 00:28:26,300 provider. The information in this podcast 516 00:28:26,300 --> 00:28:29,900 does not represent medical or other professional advice. 517 00:28:30,000 --> 00:28:31,200 Ice or services.