1 00:00:01,000 --> 00:00:03,100 Welcome to the doctor nurse podcast. 2 00:00:03,100 --> 00:00:05,100 I'm your host, dr. Sandra contenta. 3 00:00:05,200 --> 00:00:07,400 I'm a doctor, Lee prepared nurse practitioner. 4 00:00:07,600 --> 00:00:10,300 And I am so glad you decided to join me today. 5 00:00:10,600 --> 00:00:13,900 The doctor nurse podcast is a podcast for nurses and nurse 6 00:00:13,900 --> 00:00:17,400 practitioners that are wanting to understand what exactly their 7 00:00:17,400 --> 00:00:21,400 degrees can do for them. After the birth of my son, I had 8 00:00:21,400 --> 00:00:24,500 this baking desire to have more flexibility in my career 9 00:00:24,500 --> 00:00:27,100 choices. Despite feeling like all the 10 00:00:27,100 --> 00:00:30,200 alphabet soup, after my name didn't really afford me. 11 00:00:30,400 --> 00:00:34,900 Me very many options, I launched the podcast to find the answers 12 00:00:35,000 --> 00:00:38,200 that I, so desperately needed. I also knew I couldn't be the 13 00:00:38,200 --> 00:00:42,500 only nurse who felt this way. This is sound like you, if so, 14 00:00:42,600 --> 00:00:45,400 come and hang out with me as I figure out what our nursing 15 00:00:45,400 --> 00:00:48,800 degrees can give us access to as far as career flexibility 16 00:00:48,900 --> 00:00:53,100 control over our schedules and Entrepreneurship my talking with 17 00:00:53,100 --> 00:00:56,500 NPCs and our friends who are doing exactly that. 18 00:00:56,600 --> 00:00:59,900 Sit back and enjoy the conversation before we start the 19 00:00:59,900 --> 00:01:01,600 episode. Would I want to tell you about a 20 00:01:01,608 --> 00:01:05,000 sponsor of the doctor nurse podcast latrina Walden exam 21 00:01:05,000 --> 00:01:09,100 Solutions or L Wes, the founder latrina Walden shows you how to 22 00:01:09,100 --> 00:01:13,400 transition from RN to NP by helping you prepare and pass 23 00:01:13,400 --> 00:01:16,800 your NP boards. She has live and On Demand study 24 00:01:16,800 --> 00:01:21,100 reviews and courses as well as a test Bank questions. 25 00:01:21,200 --> 00:01:24,200 To teach you everything you need to know to help you pass. 26 00:01:24,200 --> 00:01:27,700 Your NP board exams. She is personally guided over 27 00:01:27,700 --> 00:01:31,700 30,000 students through their Journey from Our n 2N P with a 28 00:01:31,700 --> 00:01:35,100 98 percent pass rate, guys. That's huge. 29 00:01:35,100 --> 00:01:36,700 Right? I've been going through her test 30 00:01:36,700 --> 00:01:40,300 Bank, actually, and it was a much-needed refresher. 31 00:01:40,300 --> 00:01:43,800 She also has a community for practicing NPS if you were 32 00:01:43,800 --> 00:01:45,700 looking for connection and networking. 33 00:01:46,000 --> 00:01:48,200 I have linked her in the show notes, so check her out. 34 00:01:48,200 --> 00:01:51,100 And let's support nurse owned businesses. 35 00:01:51,600 --> 00:01:54,700 Doctor nurse podcast, fam. Welcome to another episode of 36 00:01:54,700 --> 00:01:58,600 the doctor nurse podcast. Today, I have on Shira page, she 37 00:01:58,600 --> 00:02:03,100 is a nurse practitioner Is the Bobby medical community manager 38 00:02:03,100 --> 00:02:07,200 for the Bobby formula company. Her career has centered around 39 00:02:07,200 --> 00:02:09,600 improving, clinical care of people, in their most 40 00:02:09,600 --> 00:02:13,100 challenging moments, she studied nutrition, and dietetics, and 41 00:02:13,100 --> 00:02:15,200 fall and followed by a masters in nursing. 42 00:02:15,200 --> 00:02:17,400 At the University of Massachusetts Medical School. 43 00:02:17,600 --> 00:02:20,500 Her expertise, is in endocrinology, Women's Health, 44 00:02:20,500 --> 00:02:22,700 and weight medicine. She worked as a nurse 45 00:02:22,700 --> 00:02:24,900 practitioner and mount Urban Hospital. 46 00:02:25,100 --> 00:02:28,800 Focusing on intercom concerns during pregnancy postpartum 47 00:02:29,000 --> 00:02:32,400 after becoming a mother. Mom, she saw firsthand the 48 00:02:32,400 --> 00:02:35,300 challenges of infant feeding and became a certified lactation 49 00:02:35,300 --> 00:02:38,800 consultant like certified. Lactation counselor, before 50 00:02:38,800 --> 00:02:42,300 joining Bobby, she serves as the medical director as we said 51 00:02:42,300 --> 00:02:46,300 earlier, at the community continuing medication, medical 52 00:02:46,300 --> 00:02:48,600 education company and a continuing. 53 00:02:48,800 --> 00:02:50,800 Oh, do you did that before you were at Bobby? 54 00:02:50,800 --> 00:02:52,200 I think I read that in your history. 55 00:02:52,200 --> 00:02:55,100 Yeah. You served as a medical director 56 00:02:55,100 --> 00:02:59,700 at a community at a can say that word continuing education, Edge 57 00:02:59,700 --> 00:03:02,700 company. And she was designing, clinical 58 00:03:02,700 --> 00:03:06,400 education materials, I'm assuming to improve patient 59 00:03:06,400 --> 00:03:09,200 outcomes and she lives in Boston, with her husband and her 60 00:03:09,200 --> 00:03:12,100 two babies. Welcome to the podcast. 61 00:03:12,400 --> 00:03:13,200 Thank you. What? 62 00:03:13,200 --> 00:03:17,000 A beautiful introduction. Yeah, yeah, so happy to have you 63 00:03:17,000 --> 00:03:19,300 on. I'm really excited to be here. 64 00:03:19,500 --> 00:03:24,900 I am big fan, I just love nurse podcast, the talk about career. 65 00:03:25,000 --> 00:03:29,500 I think, you know, like five years ago, there were that many 66 00:03:29,500 --> 00:03:32,800 of them. And I that was when I was really 67 00:03:32,800 --> 00:03:36,100 at a turning point in my career and I was trying to like, so got 68 00:03:36,100 --> 00:03:38,000 any information that was out there. 69 00:03:38,400 --> 00:03:41,800 Find other people in the space, we were looking to make career 70 00:03:41,800 --> 00:03:44,700 changes or look outside of clinical care. 71 00:03:44,700 --> 00:03:47,200 And I felt totally alone and isolated. 72 00:03:47,200 --> 00:03:51,400 And now that industry is like booming and people like, you are 73 00:03:51,400 --> 00:03:55,900 Paving the way to elevate nurses and make them feel like the 74 00:03:55,900 --> 00:03:58,400 world is their oyster and they're just so many options out 75 00:03:58,400 --> 00:04:00,200 there and Empower them and their career. 76 00:04:00,400 --> 00:04:03,800 I'm not sneaking instead he said thank you for the work that you 77 00:04:03,800 --> 00:04:05,700 do, and thank you for doing this work. 78 00:04:05,700 --> 00:04:11,000 As a new mom life deep in it really appropriate that look, 79 00:04:11,000 --> 00:04:14,500 thank you for saying all that. That is so just kind very very 80 00:04:14,500 --> 00:04:17,399 kind sure. Uh so when you reach out to me 81 00:04:17,700 --> 00:04:21,399 about the podcast, I was so excited to talk about the thing 82 00:04:21,399 --> 00:04:23,600 that we're going to talk about today which is a little bit 83 00:04:23,600 --> 00:04:25,900 about your career, kind of how you got started what you're 84 00:04:25,900 --> 00:04:30,100 doing and then also the conversation around breast. 85 00:04:30,300 --> 00:04:34,500 Of elk formula mom, shame, and that whole like that whole 86 00:04:34,500 --> 00:04:36,700 thing. So what we're going to do is 87 00:04:36,700 --> 00:04:38,500 we're going to start off a little bit with you, just 88 00:04:38,500 --> 00:04:40,000 telling us kind of what your job is. 89 00:04:40,000 --> 00:04:43,900 Most people don't even know what a medical community manager is. 90 00:04:43,900 --> 00:04:46,500 I don't know, you know, fully, I know a little bit now that I've 91 00:04:46,500 --> 00:04:49,500 met you but outside of that kind of explain to my listener who's 92 00:04:49,500 --> 00:04:52,700 just like, wait, what is she kind of what you do for a living 93 00:04:52,700 --> 00:04:55,500 and then, yeah, we'll dive into the other things, totally. 94 00:04:55,600 --> 00:04:58,800 So actually, my title has changed a bit. 95 00:04:59,000 --> 00:05:02,000 It's medical Partnerships me. You're now because I think, you 96 00:05:02,000 --> 00:05:04,700 know, medical community manager and Partnerships are very 97 00:05:04,700 --> 00:05:08,000 similar, but we started focusing a little bit more. 98 00:05:08,400 --> 00:05:10,200 The Partnerships aspect of thing. 99 00:05:10,400 --> 00:05:12,900 So I joined Bobby of almost a year ago. 100 00:05:12,900 --> 00:05:16,400 Now I was coming from Lake you noted from the continuing 101 00:05:16,400 --> 00:05:19,100 medical education space which is very much in. 102 00:05:19,100 --> 00:05:23,200 Try to spin it was a magical journey including clinical 103 00:05:23,200 --> 00:05:27,000 challenges and assisting with rebuilding this, the Deeds, 104 00:05:27,000 --> 00:05:30,500 you've got funding from pharmaceutical companies for Ian 105 00:05:31,100 --> 00:05:33,800 and I kind of looking for something that felt more Mission 106 00:05:33,800 --> 00:05:36,300 driven under the line was something that I was super 107 00:05:36,300 --> 00:05:39,000 profitable. Really, I wanted to be the one 108 00:05:39,000 --> 00:05:40,900 in housemates very, very long time. 109 00:05:41,500 --> 00:05:45,900 It's test with the Parvati motherhood isn't beating my 110 00:05:45,900 --> 00:05:48,600 whole life. Obviously, there's certain 111 00:05:49,200 --> 00:05:52,100 things, I'm sorry. Certification along women called 112 00:05:52,100 --> 00:05:58,400 them identical kurihara ecology and so miss Rolle at which was 113 00:05:58,400 --> 00:06:01,100 really working to engaged. Clinicians. 114 00:06:02,800 --> 00:06:08,200 So you know, we do and bench from not on the market but also 115 00:06:08,200 --> 00:06:12,100 just helps improve infant feeding clinical care through 116 00:06:12,100 --> 00:06:16,400 provider education, because you and I probably post no infant 117 00:06:16,400 --> 00:06:20,300 feeding your knowledge back here. 118 00:06:20,300 --> 00:06:23,600 So you know if you are a physician you've been in 119 00:06:24,000 --> 00:06:27,200 Pediatrics residency your education 120 00:06:39,500 --> 00:06:43,000 On that topic less, you seek it out and you will be a great 121 00:06:43,000 --> 00:06:46,500 delivery nurse. Even if you are set up to pursue 122 00:06:46,500 --> 00:06:52,000 your ibclc within doing labor and delivery nurse care, you can 123 00:06:52,000 --> 00:06:55,300 have very limited mentorship and just have someone sign off on 124 00:06:55,300 --> 00:06:58,100 your hours. So there's all these spaces for 125 00:06:58,400 --> 00:07:01,300 massive gaps to be created in the end point. 126 00:07:01,400 --> 00:07:06,400 Which is providers supporting parents infant feeding and not 127 00:07:06,400 --> 00:07:09,000 having the knowledge or evidence-based has to do 128 00:07:09,000 --> 00:07:11,200 something. So that's something I'm really 129 00:07:11,200 --> 00:07:15,400 passionate about fixing and part of my role is creating education 130 00:07:15,400 --> 00:07:18,900 so that we can fill that Gap. I also help Healthcare 131 00:07:18,900 --> 00:07:21,800 Providers, just get content around infant feeding help to 132 00:07:21,800 --> 00:07:26,100 understand our product both on the ground in medical offices. 133 00:07:26,500 --> 00:07:30,800 Medical conferences, through continuing education, content 134 00:07:30,800 --> 00:07:35,100 resources, Has and then very focused on creating a community 135 00:07:35,100 --> 00:07:38,400 of healthcare providers that are passionate about infant feeding. 136 00:07:38,800 --> 00:07:43,600 And they kind of see that dichotomy that exist are instant 137 00:07:43,600 --> 00:07:47,300 beating narrative, which is either that breastfeeding, is 138 00:07:47,300 --> 00:07:51,300 the only way that parents should feed at all costs, regardless of 139 00:07:51,300 --> 00:07:54,200 what's going on with them, or their babies, or how challenging 140 00:07:54,200 --> 00:08:02,300 it is for their situation, the feeding experience or side, See, 141 00:08:02,300 --> 00:08:05,500 I think that meeting I just like, well, you know, this is 142 00:08:05,500 --> 00:08:08,700 really working out, like, here's formula I just it's not that big 143 00:08:08,700 --> 00:08:11,200 deal, just go and do it and they're not acknowledging 144 00:08:11,200 --> 00:08:14,300 parents that maybe breastfeeding is really important to them. 145 00:08:14,500 --> 00:08:19,100 So trying to get rid of that dichotomy and bring providers 146 00:08:19,100 --> 00:08:22,800 together to have more nuanced conversations about this topic 147 00:08:22,800 --> 00:08:27,000 so that we can actually support parents in reaching their goals 148 00:08:27,200 --> 00:08:30,700 in feeling like this is an empowering experience from start 149 00:08:30,700 --> 00:08:33,000 to finish. Instead of something that has 150 00:08:33,000 --> 00:08:38,299 just become so wrought with shame and suffering and just 151 00:08:38,299 --> 00:08:42,700 people dread like people started to fear have stated by The Dread 152 00:08:42,700 --> 00:08:45,400 of being their babies when they get pregnant and start to think 153 00:08:45,400 --> 00:08:49,600 about new motherhood because all they hear horror stories or they 154 00:08:49,600 --> 00:08:53,700 don't feel like they time and space or resources to feed their 155 00:08:53,700 --> 00:08:55,600 baby. They want the way they want to, 156 00:08:55,600 --> 00:08:58,900 or they know that they're going to feed their baby in a way that 157 00:08:58,900 --> 00:09:01,200 they're not going to feel supported in doing so. 158 00:09:01,400 --> 00:09:04,800 Always breastfeeding and formula feeding parents time to feel 159 00:09:04,800 --> 00:09:07,300 this way either. They feel like their seems buy 160 00:09:07,300 --> 00:09:09,300 their freedom or year or their health care provider or they're 161 00:09:09,300 --> 00:09:11,800 doing the wrong thing. Their friends are all doing 162 00:09:11,800 --> 00:09:14,100 something different. So Healthcare Providers are 163 00:09:14,100 --> 00:09:17,900 really at the center of this and my dog allows me to give them 164 00:09:17,900 --> 00:09:21,500 the tools and resources to make this a better experience and 165 00:09:21,500 --> 00:09:25,100 also bring in more evidence-based, care to this 166 00:09:25,300 --> 00:09:27,600 clinical domain where it's really lacking? 167 00:09:27,600 --> 00:09:30,200 Yeah. And that is a very interesting 168 00:09:30,200 --> 00:09:33,200 way to use your Nursing degree and the ability and what you've 169 00:09:33,200 --> 00:09:37,100 learned through your experience as a nurse practitioner to 170 00:09:37,400 --> 00:09:41,400 actually be able to have a corporate job to work in 171 00:09:41,400 --> 00:09:44,700 Corporate America and be able to bring that side, almost the 172 00:09:44,700 --> 00:09:48,100 humanistic sock. The people that you are creating 173 00:09:48,100 --> 00:09:52,300 the formula for your actually bringing what I, what I kind of 174 00:09:52,300 --> 00:09:55,500 see is this humanistic side to, Hey, listen, how do we Bridge 175 00:09:55,500 --> 00:09:58,700 those gaps between what the medical community is doing 176 00:09:58,700 --> 00:10:01,200 between the patient between what we're providing as a form. 177 00:10:01,400 --> 00:10:03,300 The company. And I think that's actually 178 00:10:03,300 --> 00:10:06,900 really, really cool. And I, you know, I want to make 179 00:10:06,900 --> 00:10:09,900 sure that I'm staying true to what I believe and again I think 180 00:10:09,900 --> 00:10:12,000 this is just something for me. Personally, hear the doctor 181 00:10:12,000 --> 00:10:15,400 nurse podcast that I believe breastfed breastfed babies and 182 00:10:15,400 --> 00:10:17,600 babies that are breastfed, is the best thing for them. 183 00:10:17,700 --> 00:10:20,200 As a healthcare professional, we know that milk comes. 184 00:10:20,300 --> 00:10:23,100 That comes from you as the moment is the best and that they 185 00:10:23,100 --> 00:10:25,600 children, that are breastfed have lower rates about ear 186 00:10:25,600 --> 00:10:28,900 infections diarrhea, vomiting helps reduce the rate of type 2 187 00:10:28,900 --> 00:10:31,200 diabetes and mothers as well as certain cancer. 188 00:10:31,300 --> 00:10:34,100 Sirs, we know that it's an active food, right? 189 00:10:34,300 --> 00:10:36,400 That it has enzymes that in live cells. 190 00:10:36,400 --> 00:10:39,100 That tailored to your babies need day in day out. 191 00:10:39,100 --> 00:10:42,700 These are Concepts that are just irrefutable it in the literature 192 00:10:42,700 --> 00:10:44,800 and we know that that's these things are true. 193 00:10:44,800 --> 00:10:48,200 However, I also know, and that you said very briefly that there 194 00:10:48,200 --> 00:10:51,600 are situations that make it hard for Mom's, right. 195 00:10:51,600 --> 00:10:55,100 We've talked a little bit about systemic issues, such as lack of 196 00:10:55,100 --> 00:10:58,800 maternity, leave the things that moms don't have access to, they 197 00:10:58,800 --> 00:11:02,800 don't have support at home, there aren't Obvious in and 198 00:11:02,800 --> 00:11:07,400 always easily accessible resources like, like lactation 199 00:11:07,400 --> 00:11:10,200 Consultants things like that. That help bridge, those gaps 200 00:11:10,200 --> 00:11:12,400 that you're having, if you are breastfeeding and kind of like 201 00:11:12,400 --> 00:11:15,700 what you're saying, dreading every moment of breastfeeding. 202 00:11:16,000 --> 00:11:18,900 However, what I think, and what I really wanted to create a 203 00:11:18,900 --> 00:11:22,900 conversation around was, you know, as formula companies and 204 00:11:22,900 --> 00:11:25,900 as a company that's creating formula, they have an obligation 205 00:11:25,900 --> 00:11:28,300 to provide a certain formula quality. 206 00:11:28,300 --> 00:11:31,000 And then, as parents, we have to make those decisions. 207 00:11:31,300 --> 00:11:34,800 We also know that not all formulas are created equals and 208 00:11:34,800 --> 00:11:37,400 that there are like we said earlier, there are circumstances 209 00:11:37,400 --> 00:11:39,400 that prevent moms from doing that again. 210 00:11:39,400 --> 00:11:41,500 You could have had a breast augmentation surgery that can 211 00:11:41,500 --> 00:11:44,700 cause you to not produce milk. They were real real things that 212 00:11:44,700 --> 00:11:48,600 people are dealing with that. Make it hard to breastfeed. 213 00:11:48,600 --> 00:11:50,600 I found an interesting last night when I was doing research. 214 00:11:50,600 --> 00:11:53,300 That 84 percent of American babies are breastfed at Birth 215 00:11:53,500 --> 00:11:56,300 and then by three months that number has fallen to 50%. 216 00:11:56,300 --> 00:11:59,600 And then by six months, that number is down to 25%. 217 00:11:59,600 --> 00:12:03,400 So 75% of baby. Getting some type of formula by 218 00:12:03,400 --> 00:12:05,300 six months, right? I mean, that's that's the 219 00:12:05,300 --> 00:12:09,300 reality of the situation so we can we can, you know, walk 220 00:12:09,300 --> 00:12:11,600 around the Nuance but we can also realize that no, these 221 00:12:11,600 --> 00:12:14,400 things are things that we're having to deal with as parents. 222 00:12:14,400 --> 00:12:17,400 And so we're hoping that there is so many Bridging, the Gap 223 00:12:17,400 --> 00:12:21,600 between the medical community and the providers and us as the 224 00:12:21,600 --> 00:12:23,700 parents. So I think that's really, really 225 00:12:23,700 --> 00:12:25,600 interesting and good to talk about. 226 00:12:25,600 --> 00:12:30,000 And again, this is a global issue that we've got to chat. 227 00:12:30,000 --> 00:12:32,900 And again, Bobby is Actually, what I purchased, I purchased 228 00:12:32,900 --> 00:12:35,200 two cans prior to having my baby. 229 00:12:35,200 --> 00:12:39,200 I am eight weeks, postpartum and I purchased your formulas for my 230 00:12:39,200 --> 00:12:41,600 daughter. Just in case, I wasn't able to 231 00:12:41,600 --> 00:12:44,300 produce milk because I need to feed my baby. 232 00:12:44,300 --> 00:12:48,300 And so I felt like your formula was the best that I did. 233 00:12:48,300 --> 00:12:51,000 My research on, I'm only speaking for myself, this is not 234 00:12:51,000 --> 00:12:53,300 coming from them. I did my own research and felt 235 00:12:53,300 --> 00:12:55,600 like this was the best thing and so I actually supported your 236 00:12:55,600 --> 00:12:57,700 company. So, I was glad again to chat 237 00:12:57,700 --> 00:13:00,500 with you about it today. Giving all of that and feeling 238 00:13:00,500 --> 00:13:04,000 that way, So tell me a little bit about why you feel like this 239 00:13:04,000 --> 00:13:09,100 culture is their surrounding moms and the guilt that we feel 240 00:13:09,600 --> 00:13:14,600 about kind of feeling push to breastfeed versus supplementing 241 00:13:14,600 --> 00:13:17,700 or yeah, kind of weird. This stems from and your 242 00:13:17,700 --> 00:13:19,600 experience kind of where you've been working. 243 00:13:19,600 --> 00:13:21,000 What if you've been getting from people? 244 00:13:21,300 --> 00:13:24,300 Yeah well thank you for everything you just shared as 245 00:13:24,300 --> 00:13:27,000 well. I think it's interesting and 246 00:13:27,000 --> 00:13:30,200 maybe be helpful to provide some contacts just to share a little 247 00:13:30,200 --> 00:13:35,400 bit about my I own became story. My mom is actually, or was a La 248 00:13:35,400 --> 00:13:37,300 Leche League leader when I was growing up. 249 00:13:37,300 --> 00:13:42,300 And if you aren't familiar with lilac, tingly beating because he 250 00:13:42,300 --> 00:13:45,700 organization in traditional, they've done a lot of things. 251 00:13:45,900 --> 00:13:49,400 Sick work in this Beast, for getting that Brassfield to his 252 00:13:49,400 --> 00:13:52,700 channel support. All of what side they are. 253 00:13:52,700 --> 00:13:57,600 Incredibly dogmatic about breastfeeding and do not allow 254 00:13:57,600 --> 00:14:00,700 any sort of discussion of formula whatsoever. 255 00:14:00,700 --> 00:14:03,800 They're very focused. August attachment parenting and 256 00:14:03,800 --> 00:14:06,400 be parents being with their babies 24/7. 257 00:14:06,400 --> 00:14:10,500 We allow them to proceed which, you know, is fantastic. 258 00:14:10,500 --> 00:14:15,400 And is a deal that does not fit into any lifestyle. 259 00:14:15,400 --> 00:14:19,800 You know, it not inclusive of parents who are not lactating 260 00:14:19,800 --> 00:14:23,400 period or couples that do not have a lactating period, and it 261 00:14:23,400 --> 00:14:27,100 doesn't really align very well with parents who are working 40 262 00:14:27,100 --> 00:14:30,500 hours, 40 hours, plus having to go back to work at six weeks. 263 00:14:31,700 --> 00:14:34,300 It also just said in the line with some people's preferences. 264 00:14:34,400 --> 00:14:38,200 So, you know, I think it's important to incorporate in this 265 00:14:38,200 --> 00:14:41,500 conversation, you brought up a lot, pull examples for why 266 00:14:41,500 --> 00:14:44,200 someone may not be able to breastfeed at all, or why they 267 00:14:44,200 --> 00:14:48,200 may be not able to breastfeed exclusively why they may need 268 00:14:48,200 --> 00:14:52,800 supplementation. Those other Stones situations 269 00:14:52,800 --> 00:14:56,500 like that, and it cost of just want to call out to parents, who 270 00:14:56,500 --> 00:15:00,500 maybe feel for whatever reason that this is a good choice for 271 00:15:00,500 --> 00:15:04,000 them. Because those people exist, they 272 00:15:04,000 --> 00:15:06,700 don't think they. Oh, it's you or I, or to their 273 00:15:06,700 --> 00:15:12,000 health care provider or to their friends or their mother-in-law. 274 00:15:12,000 --> 00:15:14,700 It's necessarily had a reason, right? 275 00:15:14,700 --> 00:15:21,100 Like, it's their body and their baby and that's their decision. 276 00:15:21,300 --> 00:15:24,100 Then I just want to be respectful at that because there 277 00:15:24,100 --> 00:15:28,200 are so many reasons whether it is their mental health, whether 278 00:15:28,200 --> 00:15:33,600 it's a history of trauma, whether ER, it's how they just 279 00:15:33,600 --> 00:15:35,700 Envision their parenting or driving. 280 00:15:35,700 --> 00:15:40,500 Or, you know, I have a very close friend to is planning to 281 00:15:40,500 --> 00:15:45,100 get pregnant in the next year, who just has likes to be your 282 00:15:45,100 --> 00:15:48,900 anxiety around health, and body, and you've already made the 283 00:15:48,908 --> 00:15:50,000 decision. I'm going to, she's going to 284 00:15:50,000 --> 00:15:54,600 exclusively formula feed, and it's just because she knows that 285 00:15:54,600 --> 00:15:58,600 it will destroy her parenting experience to try to have 286 00:15:58,600 --> 00:16:01,100 another thing involves that involves her body. 287 00:16:01,200 --> 00:16:04,600 Being self-sufficient, that's definitely something to digest 288 00:16:04,600 --> 00:16:09,700 then like work on and it's not ideal that she feels that way 289 00:16:09,700 --> 00:16:13,800 but she's made that decision. And I would just want to respect 290 00:16:13,800 --> 00:16:16,300 all those people that have decided that that is not the 291 00:16:16,300 --> 00:16:19,300 decision for them. Going back to the thing that you 292 00:16:19,300 --> 00:16:21,700 said before. It is true from CDC data. 293 00:16:21,700 --> 00:16:26,000 We know that about 75 percent of u.s. parents will use formula in 294 00:16:26,000 --> 00:16:30,600 the first year and there's other research that calls out that 295 00:16:30,600 --> 00:16:34,500 about two-thirds of the parents will feel guilty of doing. 296 00:16:34,700 --> 00:16:37,900 So, do you thirds of pairings for use for real answers either 297 00:16:37,900 --> 00:16:40,600 baby, in some capacity, will feel guilty about that. 298 00:16:40,900 --> 00:16:45,800 Just this morning, I was talking to and ibclc who works in the 299 00:16:45,800 --> 00:16:49,800 New York City area and she was sharing with me that, you know, 300 00:16:49,800 --> 00:16:53,000 she sees parents who like have gone through traumatic birth, 301 00:16:53,000 --> 00:16:57,400 sort of, in septic post break and had to supplement. 302 00:16:57,800 --> 00:17:00,300 Because obviously they're not creating a full milk supply. 303 00:17:00,300 --> 00:17:03,200 I think that and there Like wrought with guilt about doing 304 00:17:03,200 --> 00:17:05,200 that. I had to do that. 305 00:17:05,500 --> 00:17:07,700 Yeah, I had to do that. When my son was born in the 306 00:17:07,700 --> 00:17:11,099 NICU, he was born with blood sugar issues, and my milk hadn't 307 00:17:11,099 --> 00:17:13,300 come in. And so we had to supplement with 308 00:17:13,300 --> 00:17:17,099 formula while he was in the NICU for 4 days. 309 00:17:17,300 --> 00:17:19,500 And so, yes, I hundred percent agree with you. 310 00:17:19,500 --> 00:17:21,900 I didn't have. And again, can you imagine, like 311 00:17:22,000 --> 00:17:24,400 I feel awful this birth experience, is gone 312 00:17:24,599 --> 00:17:27,700 traumatically the wrong way. I don't, I did not even you 313 00:17:27,700 --> 00:17:31,100 know, again, C-section all the things and he's in the ICU. 314 00:17:31,200 --> 00:17:33,400 See you. I never got to hold him like, 315 00:17:33,400 --> 00:17:35,400 until the first, like, for the first four hours. 316 00:17:35,400 --> 00:17:38,200 I didn't even know where he was when it was very traumatic. 317 00:17:38,200 --> 00:17:41,100 And so, then I go up there and see him, and my milk is not 318 00:17:41,100 --> 00:17:42,600 here. And he's hungry, and he's hungry 319 00:17:42,600 --> 00:17:46,400 because he has the blood sugar issue that's causing him to need 320 00:17:46,400 --> 00:17:49,400 nutrition immediately. And so, we have to, we have to 321 00:17:49,600 --> 00:17:52,300 formulate, I had to supplement with formula right from the get, 322 00:17:52,300 --> 00:17:54,200 right? I didn't have an option because 323 00:17:54,200 --> 00:17:57,100 my kid needed food, so I get, I totally agree with you. 324 00:17:57,100 --> 00:18:00,500 There are many situations that require you to use formula and 325 00:18:00,500 --> 00:18:03,400 again, And you do feel awful because not only has this 326 00:18:03,400 --> 00:18:06,100 experience, not gone the way that I wanted the trauma of 327 00:18:06,100 --> 00:18:08,300 birth. But now, the feeding part, the 328 00:18:08,300 --> 00:18:11,400 part that I'm supposed to be naturally equipped to do, I 329 00:18:11,400 --> 00:18:14,400 can't do right now. I've gotta feed him again or 330 00:18:14,500 --> 00:18:17,000 like the way that I don't want further. 331 00:18:17,300 --> 00:18:22,100 Furthering the trauma of this is not what I want and but I have 332 00:18:22,100 --> 00:18:24,400 to do it. So yes, I totally agree with 333 00:18:24,400 --> 00:18:25,300 you. Yeah. 334 00:18:25,300 --> 00:18:28,500 That's and it's so unfortunate. It like breaks my heart to think 335 00:18:28,500 --> 00:18:32,800 about because this is such a this Is such a magical time or 336 00:18:32,800 --> 00:18:36,300 has the potential to be such a magical time and entering the 337 00:18:36,300 --> 00:18:39,600 into Parenthood and Forest and feeding your baby. 338 00:18:39,600 --> 00:18:43,400 Also, the ability to be improving and there's just so 339 00:18:43,400 --> 00:18:47,300 many touch points where it has become a disempowering 340 00:18:47,300 --> 00:18:54,500 experience that creates trauma that sets people up to feel like 341 00:18:54,800 --> 00:18:58,100 they lost something or they should have. 342 00:18:58,100 --> 00:19:00,700 Had it differently? I think we'll, you mentioned 343 00:19:00,700 --> 00:19:03,400 Seaside. Stands or surgical births and I 344 00:19:03,500 --> 00:19:07,200 thought it was a great parallel and ways, but I'm really 345 00:19:07,200 --> 00:19:11,500 starting to like shift The Narrative on that you would be 346 00:19:11,500 --> 00:19:15,400 like the only way to have a quote unquote successful birth. 347 00:19:15,400 --> 00:19:19,200 It's to have like an on Medicaid for God's role. 348 00:19:19,200 --> 00:19:22,400 Every you don't put a shirt for that by the way, you don't you 349 00:19:22,408 --> 00:19:24,900 don't get a shirt at the end of him for doing it that way. 350 00:19:24,900 --> 00:19:30,000 So bring on the up and down and then it's just so like it just 351 00:19:30,000 --> 00:19:33,500 colors there, huh? Hold up, stardom experience to 352 00:19:33,500 --> 00:19:36,200 feel like they had that option taken away from them. 353 00:19:36,200 --> 00:19:38,900 And, you know, I don't want to Sidetrack guys. 354 00:19:38,900 --> 00:19:44,300 Getting into all the nuances of Bertha that's Bertha system and 355 00:19:44,300 --> 00:19:46,800 joys and birth like that's a whole nother conversation but I 356 00:19:46,808 --> 00:19:52,100 do think it as a good parallel because you would never have an 357 00:19:52,100 --> 00:19:54,900 OBGYN go to a parent who Stephanie. 358 00:19:55,100 --> 00:19:59,100 Well, you know, if you don't have a vaginal delivery like 359 00:19:59,100 --> 00:20:03,600 you're doing second best. I'm like We need to keep pushing 360 00:20:03,600 --> 00:20:08,000 and risk your health and the health of your baby and put 361 00:20:08,000 --> 00:20:10,600 everything on the line to make sure that you have a vaginal 362 00:20:10,600 --> 00:20:14,000 delivery and in some ways, that's kind of what's happening 363 00:20:14,000 --> 00:20:18,300 with a lot of breastfeeding and care that it's just, that's like 364 00:20:18,300 --> 00:20:23,000 one track mind that there's no room for a conversation. 365 00:20:23,000 --> 00:20:25,200 There's no Wayne of risk in Plymouth. 366 00:20:26,100 --> 00:20:29,200 And I think for me, as thinking about the healthcare provider 367 00:20:29,200 --> 00:20:32,900 and how they can improve it. There isn't shared decision 368 00:20:32,900 --> 00:20:36,100 making. So we know as healthcare 369 00:20:36,100 --> 00:20:40,500 providers that if you are going to talk to a patient about an 370 00:20:40,500 --> 00:20:44,000 intervention about the medication, any decision about 371 00:20:44,000 --> 00:20:48,000 whether you should be using shared decision-making, and that 372 00:20:48,000 --> 00:20:50,800 should be decision that you're making together. 373 00:20:51,200 --> 00:20:54,100 Where you helps, you understand the patient's goals and 374 00:20:54,100 --> 00:20:57,500 preferences. You share with them some medical 375 00:20:57,500 --> 00:21:03,500 information or Banks you split. Transfer them with your clinical 376 00:21:03,500 --> 00:21:06,600 insight, and then you work together to find how those 377 00:21:06,600 --> 00:21:09,500 things intersect. I do not see providers in 378 00:21:09,500 --> 00:21:12,400 powered or educated to do that with infant feeding. 379 00:21:12,800 --> 00:21:17,000 I see that they have two sides of the coin and they're either 380 00:21:17,300 --> 00:21:21,800 pushing one thing or dismissing it, but I don't see that they 381 00:21:21,800 --> 00:21:25,600 know how to take the time to help patients navigate that 382 00:21:25,600 --> 00:21:28,500 complexity. And I think that that's really 383 00:21:28,500 --> 00:21:30,000 something that we can all work on. 384 00:21:30,000 --> 00:21:33,300 It's something that I'm Trying to work on in the education that 385 00:21:33,300 --> 00:21:36,100 we put out and bought in the community that we're building. 386 00:21:36,300 --> 00:21:40,000 Because I think the more and more that providers, who touch 387 00:21:40,000 --> 00:21:43,400 the patients earning in the first year of Life, are able to 388 00:21:43,400 --> 00:21:49,400 have those conversations, the more impact journal and feel 389 00:21:49,400 --> 00:21:53,200 like they're walking into something as a decision that's 390 00:21:53,200 --> 00:21:57,100 supporting their goals rather than as having their options 391 00:21:57,100 --> 00:21:59,500 stripped from them, out of necessity. 392 00:21:59,700 --> 00:22:02,400 Thanks for listening to the That I hope you're enjoying the 393 00:22:02,400 --> 00:22:04,900 conversation. I wanted to take this time and 394 00:22:04,900 --> 00:22:08,400 remind you to check out the success and PSE shop. 395 00:22:08,700 --> 00:22:13,500 It's a shop that I design with my best girlfriend, cute nurse, 396 00:22:13,500 --> 00:22:17,400 practitioner gear, hats bags, anything you could think of, as 397 00:22:17,400 --> 00:22:22,300 well as adorable, digital products mom life stuff. 398 00:22:22,300 --> 00:22:26,700 So resources for nurses to come, we're just excited about our 399 00:22:26,700 --> 00:22:30,300 shop, it's another way to support the podcast and to get 400 00:22:30,300 --> 00:22:31,600 really cool cute. Here. 401 00:22:31,800 --> 00:22:34,800 Check it out and be sure to tell your friends about the podcast 402 00:22:34,800 --> 00:22:36,500 as well as the Su shop if you'd like. 403 00:22:36,500 --> 00:22:41,000 And what I'm building here, any promotion, any sharing helps 404 00:22:41,000 --> 00:22:43,300 build my audience and I greatly appreciate it. 405 00:22:43,300 --> 00:22:45,200 Now let's get back to the episode. 406 00:22:45,200 --> 00:22:48,800 Yeah, and I think what you're describing there is the crust, 407 00:22:48,800 --> 00:22:51,900 the crutch of it, right? Which is what are your goals? 408 00:22:52,000 --> 00:22:55,900 Everybody has different goals and that's why when things don't 409 00:22:55,900 --> 00:22:59,900 go as you want, as you see planned either in birth or with 410 00:22:59,900 --> 00:23:03,600 breastfeeding. And you do feel a level of guilt 411 00:23:03,600 --> 00:23:06,100 shame, all these different concepts around it. 412 00:23:06,100 --> 00:23:08,600 Because you had these expectations that things were 413 00:23:08,600 --> 00:23:11,800 going to be a certain way, which is why when my birth went very 414 00:23:11,800 --> 00:23:14,400 differently than what I envisioned, it was the 415 00:23:14,400 --> 00:23:17,500 expectation of what I thought versus the reality of what it 416 00:23:17,500 --> 00:23:21,000 was. And so again for me at that 417 00:23:21,000 --> 00:23:22,600 point the goal is shifted, right? 418 00:23:22,600 --> 00:23:25,100 So I was just like, I'm just going to focus in on doing the 419 00:23:25,100 --> 00:23:31,000 best that I can to breastfeed my baby at my pace and so whenever 420 00:23:31,100 --> 00:23:33,700 We're home will do the but, you know, like so that became the 421 00:23:33,700 --> 00:23:35,500 shift, right? That became the shift, but I 422 00:23:35,508 --> 00:23:39,900 never let the goal of what I wanted to be altered. 423 00:23:39,900 --> 00:23:41,700 I was going to do the best that I could. 424 00:23:41,700 --> 00:23:44,600 I think that's the part that we need to give each other a little 425 00:23:44,600 --> 00:23:48,200 more grace on is doing the best that you can in the situation 426 00:23:48,200 --> 00:23:51,500 that you had. And I agree with you if an OBGYN 427 00:23:51,500 --> 00:23:54,300 were to have said that to me and the moment then I would have 428 00:23:54,300 --> 00:23:57,100 been like, okay, well do I keep trying? 429 00:23:57,100 --> 00:23:59,400 Like it would have put me at risk, right? 430 00:23:59,400 --> 00:24:03,000 And so now when she leaned over, The drape and said, hey Mama you 431 00:24:03,000 --> 00:24:06,300 did the best thing right now. For that baby, that you needed 432 00:24:06,300 --> 00:24:09,100 to come out. That was comforting to my soul. 433 00:24:09,100 --> 00:24:11,300 Right? And so and I have it engraved in 434 00:24:11,300 --> 00:24:14,000 my memory and I you know, unless something happens to my brain, I 435 00:24:14,000 --> 00:24:16,300 will always remember her leaning over the drape and telling me 436 00:24:16,500 --> 00:24:18,700 that we saved him and that was the right thing to do. 437 00:24:18,700 --> 00:24:21,400 And in those moments, you know, when you're just like laying 438 00:24:21,400 --> 00:24:24,700 there completely helpless and and having this major abdominal 439 00:24:24,700 --> 00:24:27,000 surgery to park, you know, have your baby out into the world. 440 00:24:27,000 --> 00:24:29,500 You need to hear those things. You need to hear again. 441 00:24:29,500 --> 00:24:31,000 What? I want mom's to here, which is 442 00:24:31,100 --> 00:24:34,100 As you are doing the best you can in the situation that you 443 00:24:34,100 --> 00:24:39,000 are in and I think that's the rhetoric that we need to hear 444 00:24:39,000 --> 00:24:41,800 now, they are some moms that are just not doing the best that 445 00:24:41,800 --> 00:24:43,300 they can. They don't want to do the best 446 00:24:43,300 --> 00:24:45,100 that they can. And that's a whole other class 447 00:24:45,100 --> 00:24:47,600 of people write like we can't pretend like that stuff doesn't 448 00:24:47,600 --> 00:24:49,100 exist. There are moms that are not 449 00:24:49,100 --> 00:24:51,800 doing the best that they can but there are I think the majority 450 00:24:51,800 --> 00:24:55,100 of mothers that are doing the best that they can to situations 451 00:24:55,100 --> 00:24:58,500 that they're in and that's that's the stuff that neat the 452 00:24:58,500 --> 00:25:00,900 mom's guilt in the moms, shames got to stop her. 453 00:25:01,100 --> 00:25:05,000 And because we are all for the most part, try and do the best 454 00:25:05,000 --> 00:25:08,600 that we can in the situations that were in and again, 455 00:25:09,000 --> 00:25:11,300 protecting your mental health protecting, you know? 456 00:25:11,300 --> 00:25:13,800 Again, if your vision is for something else and your goals 457 00:25:13,800 --> 00:25:17,200 are for something else, then do those things because that's what 458 00:25:17,200 --> 00:25:20,800 works for you and I think that that is kind of where the cot 459 00:25:20,800 --> 00:25:24,900 was for the where the buck stops really is, where you feel like, 460 00:25:24,900 --> 00:25:27,900 Hey, listen, this is good for my life, and you have to live with 461 00:25:27,900 --> 00:25:30,900 whatever that will be and we all have to make those decisions. 462 00:25:31,000 --> 00:25:33,600 Ins in our life towards different things at every moment 463 00:25:33,600 --> 00:25:36,000 of the day. And so, yeah, I think having 464 00:25:36,000 --> 00:25:39,400 that conversation and providers kind of standing in the Gap and 465 00:25:39,400 --> 00:25:42,200 letting people know if this is what's best for you and if this 466 00:25:42,200 --> 00:25:45,800 aligns with your goals, then I'll walk with you along side of 467 00:25:45,800 --> 00:25:49,900 that and I'll support you. I'm going to present to you the 468 00:25:49,900 --> 00:25:51,700 truth. I'm going to present to you the 469 00:25:51,700 --> 00:25:55,400 facts, but I'm also going to take into your situation 470 00:25:55,400 --> 00:25:58,400 specifically so that we can tailor a plan that works with 471 00:25:58,400 --> 00:26:00,700 your goals. I believe that's what we as 472 00:26:00,700 --> 00:26:01,900 prey. Your providers have a 473 00:26:01,900 --> 00:26:04,600 responsibility to do. And so yeah. 474 00:26:04,700 --> 00:26:08,100 So how would you recommend? You know, those are that's kind 475 00:26:08,100 --> 00:26:11,400 of my feeling about it is again, reverberating almost like Mantra 476 00:26:11,400 --> 00:26:14,300 like status. This is what works for me. 477 00:26:14,500 --> 00:26:17,300 How do you think that women can combat this mom guilt, 478 00:26:17,300 --> 00:26:19,900 especially, circling around feeding feeding their baby? 479 00:26:20,000 --> 00:26:23,800 Yeah, I mean, I think that what you said is really aligned with 480 00:26:23,800 --> 00:26:27,000 a lot of the things that we've talked about it, Bobby, we had a 481 00:26:27,000 --> 00:26:31,500 campaign in the fall about combination feeding, and That 482 00:26:31,500 --> 00:26:35,200 one of the mantras was that your best is best, right? 483 00:26:35,200 --> 00:26:39,100 Like, I think that that messaging is so important and I 484 00:26:39,108 --> 00:26:43,000 think the Expectations vs. Reality concept that you brought 485 00:26:43,000 --> 00:26:46,400 up is actually a perfect starting place. 486 00:26:46,800 --> 00:26:52,100 So that is kind of those expectations are how you create 487 00:26:52,100 --> 00:26:56,000 a vision of what success looks like for you and what and 488 00:26:56,000 --> 00:27:00,900 Empower and positive experior looks like and so on. 489 00:27:01,100 --> 00:27:05,000 There's a lot of Education that can happen there about shaping, 490 00:27:05,000 --> 00:27:09,400 those expectations, and I think it's a really sticky topic to be 491 00:27:09,400 --> 00:27:12,000 quite honest, right? Focused with you out. 492 00:27:12,100 --> 00:27:15,600 Breast milk is sticky, icky formula of sticky. 493 00:27:16,300 --> 00:27:20,100 Yes, I think that, you know, we actually have a research study 494 00:27:20,100 --> 00:27:23,100 coming out. What I'll be excited to share on 495 00:27:23,100 --> 00:27:27,600 expectations versus what the actual experience is and how 496 00:27:27,600 --> 00:27:30,400 that impacts mental health and there's been other research and 497 00:27:30,400 --> 00:27:35,500 they stay face to specifically around feeding, but in the 498 00:27:35,500 --> 00:27:39,500 conventional kind of lactation education space there is this 499 00:27:39,500 --> 00:27:45,400 idea that you never want to kind of talk negatively about 500 00:27:45,400 --> 00:27:47,700 breastfeeding and how challenging it might be your 501 00:27:47,700 --> 00:27:51,000 about how you might need prevalent side of like, very 502 00:27:51,000 --> 00:27:55,700 severe scenarios because you just, you don't want to, like, 503 00:27:55,700 --> 00:27:58,600 scare parents away from breastfeeding. 504 00:27:58,700 --> 00:28:02,700 And so, I think that's kind of, its kind Pull the wool over the 505 00:28:02,700 --> 00:28:05,700 eyes of terrorists in some ways, like, you know, they cure things 506 00:28:05,700 --> 00:28:09,100 from their friends, but like it would be really nice if we were 507 00:28:09,100 --> 00:28:12,900 able to have really transparent conversations that were both 508 00:28:12,900 --> 00:28:17,000 educational and empowering to set people up for a CD and 509 00:28:17,000 --> 00:28:21,100 experience. So, helping them understand all 510 00:28:21,100 --> 00:28:25,700 the different touch points where they may face Challengers and 511 00:28:25,800 --> 00:28:29,400 tough understand the statistics to understand their own and 512 00:28:29,400 --> 00:28:33,300 scenario, like, you know, it if someone is going into a surgical 513 00:28:33,300 --> 00:28:36,400 birth or if they're having a premature baby for really 514 00:28:36,400 --> 00:28:42,000 explaining educating their feeding experience, maybe like 515 00:28:42,300 --> 00:28:46,400 which is the left out of the conversation and allowing that 516 00:28:46,400 --> 00:28:52,400 to be something that isn't seen as there's dark like creeping 517 00:28:52,700 --> 00:28:55,800 thing that's going to sabotage their potential to be a 518 00:28:55,800 --> 00:29:00,300 successful at breastfeeding but and something that is actually 519 00:29:00,300 --> 00:29:07,300 going to help I'm more realistic expectation and have a clearer 520 00:29:07,300 --> 00:29:11,900 vision, all the different ways that they can feed their baby so 521 00:29:11,900 --> 00:29:14,700 that they're not completely blindsided. 522 00:29:14,900 --> 00:29:19,100 And feel like the vision that they have is just mashed and now 523 00:29:19,100 --> 00:29:23,700 they're doing this thing that they feel totally crappy about. 524 00:29:23,900 --> 00:29:27,900 So, it is challenging because those resources, both from the 525 00:29:27,900 --> 00:29:32,400 clinical providers and just in general, General are you know 526 00:29:32,400 --> 00:29:37,600 they're not as prominent as we would like them to be in that 527 00:29:37,600 --> 00:29:41,300 meeting by this good that participated in an honestly 528 00:29:42,500 --> 00:29:44,100 ashamed. To say, some of the ones that I 529 00:29:44,100 --> 00:29:48,600 used to lead for Renewal period, work movie to talk about formula 530 00:29:48,600 --> 00:29:52,000 at all except to help parents figure out how to navigate a 531 00:29:52,008 --> 00:29:55,500 avoiding formula used when it's recommended in the hospital in 532 00:29:55,500 --> 00:29:58,700 certain situations because that is what you are taught in a lot 533 00:29:58,700 --> 00:30:01,800 of the lactation education. And I I think that there's an 534 00:30:01,800 --> 00:30:07,200 opportunity there to Providers and the lactation Fabricators 535 00:30:07,500 --> 00:30:10,600 include a more holistic conversation so that people feel 536 00:30:10,600 --> 00:30:14,600 like they understand everything that is on the table for them 537 00:30:14,900 --> 00:30:17,100 and how they can use it as a tool. 538 00:30:17,100 --> 00:30:21,700 Just like we use medication as a tool or therapy as a tool to 539 00:30:21,800 --> 00:30:24,300 make a feeding darting that works for them. 540 00:30:24,700 --> 00:30:30,000 So clinician Network and also with network Partners in the 541 00:30:30,000 --> 00:30:33,000 medical space, it's called feeding friendly and those 542 00:30:33,000 --> 00:30:35,700 partners are committed to providing that sort of 543 00:30:35,700 --> 00:30:37,800 education. So whether it's a pediatric 544 00:30:37,800 --> 00:30:42,000 provider or a parenting education platform, maybe you 545 00:30:42,000 --> 00:30:46,000 can go there and loaded the card and that your aunt is goat. 546 00:30:46,000 --> 00:30:50,200 Not going to like eight key information about infant feeding 547 00:30:50,600 --> 00:30:54,300 and is going to make sure that you understand the full spectrum 548 00:30:54,500 --> 00:30:58,500 of how you can navigate your own situation, what the options are. 549 00:30:58,900 --> 00:31:03,300 So I think that Daddy in seeking out that type of education is 550 00:31:03,300 --> 00:31:06,800 really important on the patient side and then I always just kind 551 00:31:06,800 --> 00:31:09,900 of add on the provider side that I honestly think the biggest 552 00:31:09,900 --> 00:31:13,800 thing is like when they and really hearing what parents are 553 00:31:13,800 --> 00:31:17,700 telling you, you know, we we all want to think that were very 554 00:31:17,700 --> 00:31:22,400 good as this, but many providers are stuffed with time and 555 00:31:22,400 --> 00:31:26,400 resources, you know, especially I really feel for Pediatric 556 00:31:26,400 --> 00:31:29,700 providers seeing babies. They get a lot of heat for not 557 00:31:29,700 --> 00:31:32,600 being good at not. Beginning infant feeding and 558 00:31:32,600 --> 00:31:35,500 not, you know, supporting breastfeeding about like they 559 00:31:35,500 --> 00:31:38,900 have 15 minutes to do a full newborn and pairing assessment. 560 00:31:38,900 --> 00:31:42,200 Then didn't have any does very complex topic? 561 00:31:42,200 --> 00:31:45,100 I should really hot light and we're its Lane involved. 562 00:31:45,500 --> 00:31:49,400 So they just really taking the time to listen to that area and 563 00:31:49,400 --> 00:31:53,000 here where they're at that is just so essential. 564 00:31:53,700 --> 00:31:57,100 Yeah, Hoping to either take the same amount of things. 565 00:31:57,500 --> 00:32:00,500 I think that, you know, the more that we can create team-based 566 00:32:00,500 --> 00:32:02,600 care to That as well is really helpful. 567 00:32:02,600 --> 00:32:06,100 So if you feel like you don't have the time in the office, to 568 00:32:06,500 --> 00:32:10,400 address the situation, like bringing in a team of mental 569 00:32:10,400 --> 00:32:13,600 health professionals, lactation, and feeding support providers, 570 00:32:14,200 --> 00:32:17,200 who can do that of getting on the phone with the OB and 571 00:32:17,200 --> 00:32:20,200 talking to them about what you're seeing postpartum, so 572 00:32:20,200 --> 00:32:23,100 that you can all collaborate together to make sure this 573 00:32:23,100 --> 00:32:25,600 parent is supported in the healthcare space. 574 00:32:25,900 --> 00:32:30,300 Yeah, I think what you're saying and what I'm hearing most most 575 00:32:30,300 --> 00:32:34,900 from that, That from that speech is that basically, we've got to 576 00:32:34,900 --> 00:32:38,500 support mom's better, and that's kind of what I would like this 577 00:32:38,500 --> 00:32:42,700 podcast episode to really say is that, if you're a mom, a nurse 578 00:32:42,700 --> 00:32:46,000 mom, or a provider that is listening, and you're just like, 579 00:32:46,000 --> 00:32:48,400 wait a minute. Like, I haven't really thought 580 00:32:48,400 --> 00:32:51,500 about this again, listening to what women are saying and 581 00:32:51,500 --> 00:32:53,900 hearing them and then referring them to the appropriate. 582 00:32:53,900 --> 00:32:57,200 Resources, can keep someone who's trying to breastfeed. 583 00:32:57,200 --> 00:33:00,100 If those are her goals breastfeed, and if there's a 584 00:33:00,100 --> 00:33:02,800 woman that is Listen, I don't want to do this anymore. 585 00:33:02,800 --> 00:33:07,400 I'm tired exhausted, mentally fatigued, it's affecting my 586 00:33:07,500 --> 00:33:09,700 mental health, whatever. Whatever it is. 587 00:33:09,700 --> 00:33:11,800 I'm not making enough. My baby is not gaining weight. 588 00:33:11,800 --> 00:33:14,800 The mirror out of things that can be going on, then having 589 00:33:14,800 --> 00:33:18,200 those conversations and again, refocusing goals and say, Hey 590 00:33:18,200 --> 00:33:19,900 listen, if we're going to do this and these this is the 591 00:33:19,900 --> 00:33:22,600 reality of what we're doing. And these are the resources that 592 00:33:22,600 --> 00:33:26,300 we have and taking that time will keep people successful or 593 00:33:26,300 --> 00:33:29,300 will help people make the lives that they want with, you know, 594 00:33:29,300 --> 00:33:32,100 with their feeding jury with their Aaron and will make them a 595 00:33:32,108 --> 00:33:35,800 better parent because if you're not, you know, feeling like 596 00:33:35,800 --> 00:33:37,600 you're being heard and supported. 597 00:33:37,800 --> 00:33:40,800 We've heard recently in the news that there was a mother that you 598 00:33:40,800 --> 00:33:44,000 know, hurt herself and her three children and you love him. 599 00:33:44,000 --> 00:33:46,500 You're just like people are really dealing with a lot of 600 00:33:46,500 --> 00:33:49,400 mental health issues. And again, as health care 601 00:33:49,400 --> 00:33:51,800 providers, we have the unique opportunity of stepping into 602 00:33:51,800 --> 00:33:55,400 these people's lives, every so often and seeing how things are 603 00:33:55,400 --> 00:33:57,900 going. And I think that we can have, 604 00:33:58,000 --> 00:34:00,600 like, you said those conversations and refer people 605 00:34:00,600 --> 00:34:03,800 for Those that are wondering what those resources are, you 606 00:34:03,800 --> 00:34:06,600 know, lactation Consultants are always available. 607 00:34:06,600 --> 00:34:08,600 And again, they're not in every area. 608 00:34:08,600 --> 00:34:11,699 So you've got to seek them out if they're not there. 609 00:34:11,900 --> 00:34:14,400 That was one of the things that I remember the nurse as I was 610 00:34:14,400 --> 00:34:17,500 leaving the hospital. The lactation consultant nurse. 611 00:34:17,500 --> 00:34:21,100 She came into the room, and I've been waiting for her all morning 612 00:34:21,100 --> 00:34:25,300 and she's busy. And so she, she was surprised to 613 00:34:25,300 --> 00:34:27,500 see me again because she'd help me with my breastfeeding with my 614 00:34:27,500 --> 00:34:29,699 first and she said, oh my goodness, you have another baby. 615 00:34:29,699 --> 00:34:32,199 I said, yeah I did and we were talking And then she said, you 616 00:34:32,199 --> 00:34:36,199 know, most people leave before I get here because they don't want 617 00:34:36,199 --> 00:34:38,300 to wait for me. And I told her I said I would 618 00:34:38,300 --> 00:34:41,400 not have left until you got here, because I wanted to have 619 00:34:41,400 --> 00:34:44,400 this conversation with you. And so, reframing your mindset 620 00:34:44,400 --> 00:34:46,500 around that like, oh, it's okay. I'll just go home and figure it 621 00:34:46,500 --> 00:34:48,800 out when I get home. It's like, no, I'm not going to 622 00:34:48,800 --> 00:34:51,600 leave until I had that conversation with the lactation 623 00:34:51,600 --> 00:34:55,300 consultant do to get help because I was when my daughter 624 00:34:55,300 --> 00:34:57,400 was watching, it was not going well. 625 00:34:57,400 --> 00:34:59,800 And I was getting a little frustrated because it was 626 00:34:59,800 --> 00:35:02,300 hurting. And I Pain is a pretty good 627 00:35:02,300 --> 00:35:04,400 driver to get you to stop doing something. 628 00:35:04,400 --> 00:35:07,300 And so when she came into the room and she helps me with 629 00:35:07,300 --> 00:35:12,200 breastfeeding, I looked up at her and I was like, she was like 630 00:35:12,500 --> 00:35:14,600 she just laughed, you know, she was just like, what are you 631 00:35:14,600 --> 00:35:17,100 talking about? Is like, it doesn't hurt and so 632 00:35:17,100 --> 00:35:18,400 again, like, he imagined them all. 633 00:35:18,400 --> 00:35:20,100 And that's at home, like which app nipples? 634 00:35:20,100 --> 00:35:22,000 And she's hurting and she's miserable. 635 00:35:22,000 --> 00:35:25,200 I mean, these are things that again, you know, when you're in 636 00:35:25,200 --> 00:35:27,900 the hospital and those moment don't leave until you see them, 637 00:35:27,900 --> 00:35:30,500 make sure you get a little bit of hand on the ground help. 638 00:35:30,800 --> 00:35:34,800 And yeah as you go to postpartum appointments like speak up if 639 00:35:34,800 --> 00:35:37,500 things are not going well because sometimes doctors don't 640 00:35:37,500 --> 00:35:40,100 have the time to even ask you. So you've got to speak up, 641 00:35:40,100 --> 00:35:42,000 you've got to do that work. So I really want to empower 642 00:35:42,000 --> 00:35:45,300 people to not be expecting systems to reach out to them 643 00:35:45,300 --> 00:35:48,200 because the systems are broken in there over War over 644 00:35:48,300 --> 00:35:52,500 overworked and so be quick to speak up for yourself. 645 00:35:52,600 --> 00:35:55,600 And I think that's something I really feel passionate to say. 646 00:35:55,600 --> 00:35:59,700 So I'm going to say it. So Serie tell me again to kind 647 00:35:59,700 --> 00:36:03,000 of finish up and Wrap up the podcast here. 648 00:36:03,200 --> 00:36:05,400 Tell me, what is it? That what is your vision? 649 00:36:05,400 --> 00:36:10,200 Again for providers and nurse practitioners and lactation, 650 00:36:10,200 --> 00:36:14,600 consultants, and parents to really know about formula. 651 00:36:14,600 --> 00:36:17,800 If you could give them one take-home formula versus 652 00:36:17,800 --> 00:36:20,000 breastfeeding, I know you can't speak on the specifics of the 653 00:36:20,000 --> 00:36:22,900 formula that you make, your company makes, but could you 654 00:36:22,900 --> 00:36:25,100 kind of give us kind of a take-home message that you're 655 00:36:25,100 --> 00:36:27,900 really wanting to provide to my listeners? 656 00:36:28,300 --> 00:36:30,900 Yeah, I think you know you really Eat. 657 00:36:30,900 --> 00:36:34,400 Eat it up right there by asking formula versus breastfeeding 658 00:36:34,400 --> 00:36:38,400 because what I would love for both providers and for patients 659 00:36:38,700 --> 00:36:43,200 and as we shift The Narrative, about infant feeding moving 660 00:36:43,200 --> 00:36:45,200 forward. And try to innovate in this 661 00:36:45,200 --> 00:36:49,700 space is that we stop having a be breastfeeding British formula 662 00:36:49,700 --> 00:36:53,200 and we start talking about impeding holistically unleaded, 663 00:36:53,200 --> 00:36:55,800 it doesn't become this black or white thing. 664 00:36:56,200 --> 00:37:00,700 I think there is such a tendency to keep things. 665 00:37:00,900 --> 00:37:03,600 Black and white in the health space, you know, you're a 666 00:37:03,607 --> 00:37:08,600 crunchy mom, or you're like beating your kids to read O's or 667 00:37:08,600 --> 00:37:11,700 your sleep training, or your attachment parody. 668 00:37:12,300 --> 00:37:14,600 And, you know, I think most of us who are seasoned Healthcare 669 00:37:14,600 --> 00:37:19,400 Providers and parents realize that, that is not reality. 670 00:37:19,600 --> 00:37:23,600 And I think that it sets people up for failure because you can't 671 00:37:23,600 --> 00:37:27,100 really exist in those pieces. And for a lot of us, you know, a 672 00:37:27,100 --> 00:37:31,300 lot of Bobby parents statistically many pair Parents 673 00:37:31,400 --> 00:37:35,400 who are working or just parents, you're pretty good beating. 674 00:37:35,400 --> 00:37:39,000 You're also using breast milk and some capacity and so 675 00:37:39,000 --> 00:37:42,100 creating this division where you have to live on one side of the 676 00:37:42,100 --> 00:37:45,300 aisle is a serving anywhere. In the, I would argue that it's 677 00:37:45,300 --> 00:37:51,700 actually hurting progression. My speedy and education because 678 00:37:51,700 --> 00:37:54,800 were saying you're not allowed in this club and last two can do 679 00:37:54,800 --> 00:37:56,800 it exclusively. Hmm. 680 00:37:56,900 --> 00:38:01,200 So I think that the more that we can see this as a spa Germ of 681 00:38:01,200 --> 00:38:04,100 infant feeding both in the way we care for patients. 682 00:38:04,500 --> 00:38:08,100 And in the way, we go into our own Journeys, the better, 683 00:38:08,100 --> 00:38:12,000 everyone will feel. The more successful patients 684 00:38:12,000 --> 00:38:16,100 will feel the less disempowered, they'll feel the latch same, no 685 00:38:16,100 --> 00:38:18,100 feel. And the more Healthcare 686 00:38:18,100 --> 00:38:23,000 Providers will feel like they are able to support people 687 00:38:23,000 --> 00:38:26,200 because they don't have to just squish them into a box. 688 00:38:26,500 --> 00:38:28,900 Mhm. So that would really be the 689 00:38:28,900 --> 00:38:33,000 number one thing that, you know, oh, I hope personally that I'm 690 00:38:33,000 --> 00:38:36,800 passionate about and also that I'm striving for in the way we 691 00:38:36,800 --> 00:38:39,000 engage Healthcare audiences, it Bobby. 692 00:38:39,000 --> 00:38:42,300 And what we're working for and fading in the community of 693 00:38:42,300 --> 00:38:45,900 feeding friendly practitioners and Healthcare explain X. 694 00:38:46,300 --> 00:38:49,600 And there's a lot of work to be done in that space like it's 695 00:38:49,600 --> 00:38:52,000 gonna take a long time. Yeah. 696 00:38:52,000 --> 00:38:55,300 But what we have seen such positive reception because I 697 00:38:55,300 --> 00:38:58,900 think so many people see this problem and they see that it's 698 00:38:58,900 --> 00:39:02,300 not serving themselves and their Dance or didn't serve them when 699 00:39:02,300 --> 00:39:05,900 they repair it. And that it's, it's empowering 700 00:39:06,100 --> 00:39:08,900 to parents in their healing Journey. 701 00:39:09,400 --> 00:39:12,400 So, excited to continue doing that work. 702 00:39:12,700 --> 00:39:14,800 Yeah, I know. I love it and I think it's so 703 00:39:14,800 --> 00:39:17,800 great that this company has hired a nurse to work in this 704 00:39:17,800 --> 00:39:20,800 space because we know that nurses, that's what our thing 705 00:39:20,800 --> 00:39:23,600 is, right? Is we care about people and 706 00:39:23,600 --> 00:39:26,500 people matter. And again what you're saying 707 00:39:26,500 --> 00:39:29,400 over and over again is we are trying to put with the person 708 00:39:29,400 --> 00:39:32,500 wants at the center. And move towards that goal. 709 00:39:32,600 --> 00:39:35,900 Whichever that is we want to support, however you want. 710 00:39:35,900 --> 00:39:39,800 They're feeding journey to look like and I love the economist 711 00:39:39,800 --> 00:39:42,800 Emily oyster austere thing concerning Lian. 712 00:39:42,800 --> 00:39:46,800 ER yeah yeah, I know, she's so smart and I reading her book, 713 00:39:46,800 --> 00:39:51,600 crib sheet and I've read expecting better and I read I'm 714 00:39:51,600 --> 00:39:54,400 reading currently crib sheet and so she talks a little bit about 715 00:39:54,400 --> 00:39:58,100 breastfeeding and she's you know, kind of combating really 716 00:39:58,100 --> 00:40:01,500 what does the data show, right? And and Those are get. 717 00:40:01,500 --> 00:40:03,100 I encourage you to read the book yourself. 718 00:40:03,100 --> 00:40:05,200 I'm, I've actually just started in, I think I'm going like 719 00:40:05,200 --> 00:40:06,400 chapter 2 or something like that. 720 00:40:06,400 --> 00:40:09,000 I was reading it at my doctor's appointment in the waiting room 721 00:40:09,000 --> 00:40:11,500 and I just thought it was so interesting to see her 722 00:40:11,700 --> 00:40:15,700 perspective as she looks at the data to kind of, you know, 723 00:40:15,700 --> 00:40:19,400 again, work that exact line is pretty much where she comes back 724 00:40:19,400 --> 00:40:22,200 to, right? And so she comes back to if it 725 00:40:22,200 --> 00:40:26,100 works for you. It works and so do it and yet, 726 00:40:26,200 --> 00:40:28,100 you know, but what does the data show? 727 00:40:28,100 --> 00:40:30,600 And so I from having it an interesting. 728 00:40:30,700 --> 00:40:35,100 Timer reading that and hearing the perspective of its maybe not 729 00:40:35,100 --> 00:40:38,500 this thing that we touted as in the data. 730 00:40:38,500 --> 00:40:41,700 And so again, guys read it on your own, if you make your own 731 00:40:41,700 --> 00:40:45,300 decisions in your own, you know, opinions on that, that you can 732 00:40:45,300 --> 00:40:47,500 take. But I think it does kind of let 733 00:40:47,500 --> 00:40:51,000 up a little bit on Mom's for feeling like you're failing 734 00:40:51,000 --> 00:40:53,900 because it's the data even showing that. 735 00:40:53,900 --> 00:40:56,700 If you do these things, that they will really make a change 736 00:40:56,700 --> 00:40:59,300 in the outcomes, which I find very interesting. 737 00:40:59,300 --> 00:41:02,400 So yes, I think I think that there is so much more discussion 738 00:41:02,400 --> 00:41:06,900 that can be had in the more educated health care, nurse 739 00:41:07,000 --> 00:41:10,300 driven perspectives, we could have in the space, the better we 740 00:41:10,300 --> 00:41:13,700 will all because I think that is the sign of intelligence of a 741 00:41:13,707 --> 00:41:17,500 communities to be able to hold two separate idea and in your 742 00:41:17,500 --> 00:41:19,800 brain and to battle them out for yourself, right? 743 00:41:19,800 --> 00:41:22,700 And I think that for me kind of like what you're saying, being 744 00:41:22,700 --> 00:41:25,800 that black and white that's fine, but hold them both and let 745 00:41:25,800 --> 00:41:27,400 them battle in the moment, right? 746 00:41:27,400 --> 00:41:29,800 You could have both thoughts in your brain like oh, a breast is 747 00:41:29,800 --> 00:41:32,000 best. Oh, Oh, you know, formula is 748 00:41:32,000 --> 00:41:34,800 best but at the same time, hold this to thoughts and see if 749 00:41:34,800 --> 00:41:37,400 there's some middle ground that we can live in, or we can 750 00:41:37,400 --> 00:41:40,100 protect people's mental health, we can support people that don't 751 00:41:40,100 --> 00:41:42,200 have systems, that really support them, because the most 752 00:41:42,200 --> 00:41:45,300 successful, women breastfeeding, are those women that stay home? 753 00:41:45,700 --> 00:41:47,400 Well, not all of us. Get to stay home. 754 00:41:47,400 --> 00:41:51,900 So, how do we, how do we miss, you know, navigate those spaces? 755 00:41:51,900 --> 00:41:55,600 And then how do we not throw guilt on the moms that are doing 756 00:41:55,600 --> 00:41:57,800 their best? Because best is what you can do. 757 00:41:57,900 --> 00:41:59,200 That's all that you can guarantee. 758 00:41:59,200 --> 00:42:01,900 And so, yeah. Thank you for saying all that. 759 00:42:01,900 --> 00:42:04,200 Thank you for having this conversation with me around it. 760 00:42:04,300 --> 00:42:06,500 I definitely think it's something that we need to be 761 00:42:06,508 --> 00:42:09,100 doing more of. So thank you, sheriff or coming 762 00:42:09,100 --> 00:42:10,600 all. Yeah, thank you for the 763 00:42:10,600 --> 00:42:12,400 opportunity. I feel like we could talk about 764 00:42:12,400 --> 00:42:16,700 this for hours and hours but if it's been really fantastic three 765 00:42:16,700 --> 00:42:19,000 great. Yeah so for the last part of the 766 00:42:19,000 --> 00:42:21,400 interview Shira I do rapid fire so I'm going to give you some 767 00:42:21,400 --> 00:42:22,400 rapid fire. You ready? 768 00:42:22,800 --> 00:42:25,100 I don't know. Okay yeah I did. 769 00:42:25,100 --> 00:42:27,400 Y'all be afraid. Do I have to accept it? 770 00:42:29,400 --> 00:42:32,100 Good. Five percent, but I will try. 771 00:42:32,300 --> 00:42:34,000 No, you're good. If you had to give up to 772 00:42:34,000 --> 00:42:37,900 somebody, what would it be? Oh gosh, it would be Eros the 773 00:42:37,900 --> 00:42:40,200 Bittersweet. Oh, well I'd ever heard of that 774 00:42:40,200 --> 00:42:41,000 off. Check it out. 775 00:42:41,200 --> 00:42:44,300 What it renders. Its poetry is poetry French 776 00:42:44,300 --> 00:42:46,400 poetry. Okay like that and what are you 777 00:42:46,408 --> 00:42:47,600 watching on Netflix? What are you? 778 00:42:47,600 --> 00:42:51,000 Netflix and chill and these days it's on a flex that I watching 779 00:42:51,000 --> 00:42:54,300 succession, and I just finished cheer, which, I know is very 780 00:42:54,300 --> 00:42:57,800 2020, but I highly recommend. If you haven't watched it, that 781 00:42:57,800 --> 00:43:00,600 you go back and watch it for three, 24 and 0. 782 00:43:00,800 --> 00:43:02,600 Season. If you had to pick a season of 783 00:43:02,600 --> 00:43:05,800 the year that you feel like in bodies, you that you would want 784 00:43:05,800 --> 00:43:09,000 to run all throughout the year, what season would it be Deborah? 785 00:43:09,000 --> 00:43:11,100 Spray. Bring a dozen glaring is hard to 786 00:43:11,100 --> 00:43:12,300 eat. Yeah. 787 00:43:12,400 --> 00:43:14,700 Spring spring spring. I was going to say, I feel like 788 00:43:14,700 --> 00:43:16,000 you're a fall person. I don't know why. 789 00:43:16,000 --> 00:43:18,600 I just got like fall vibes from you, but then I think it's maybe 790 00:43:18,600 --> 00:43:21,500 your shirt and going back and forth between spring and fall, 791 00:43:21,500 --> 00:43:24,300 but spraying that, you know, there's just a lot of 792 00:43:24,600 --> 00:43:26,600 opportunity. Yeah. 793 00:43:27,000 --> 00:43:29,700 Speaking of poetry and being deep spring is like the hope of 794 00:43:29,700 --> 00:43:32,200 something new. So, Oh yes, love it, love it. 795 00:43:32,200 --> 00:43:34,900 Well, thank you Shira for your time and guys again don't forget 796 00:43:34,900 --> 00:43:36,500 to enjoy the journey of your careers. 797 00:43:36,800 --> 00:43:51,000 Thanks for hanging out. So that's a wrap, be sure to 798 00:43:51,000 --> 00:43:54,300 subscribe to the show so you don't miss an episode and leave 799 00:43:54,300 --> 00:43:56,500 me a review. If you like the show, I would 800 00:43:56,500 --> 00:43:59,800 love to get 5 stars. The doctors podcast is on the 801 00:43:59,800 --> 00:44:03,400 world wide web, YouTube Instagram, Facebook, Twitter, 802 00:44:03,400 --> 00:44:07,900 patreon, and Tick-Tock subscribe to my newsletter for updates on 803 00:44:07,900 --> 00:44:11,600 new podcast episodes and other information to help you on your 804 00:44:11,600 --> 00:44:14,000 own nursing Journey. You can always Message me at the 805 00:44:14,000 --> 00:44:17,000 doctor nurse podcast at gmail.com with any career 806 00:44:17,000 --> 00:44:19,800 professions that you're interested in hearing about and 807 00:44:19,800 --> 00:44:22,300 just a friendly. Reminder, the information on 808 00:44:22,300 --> 00:44:25,400 this podcast is for educational purposes only and the 809 00:44:25,400 --> 00:44:28,400 information should not be used in substitute for Professional 810 00:44:28,400 --> 00:44:31,900 Care by a medical provider. The information in this podcast 811 00:44:31,900 --> 00:44:35,800 does not represent medical or professional advice or services. 812 00:44:13,300 --> 00:44:16,700 Message me at the doctor nurse podcast at gmail.com with any 813 00:44:16,700 --> 00:44:19,800 career professions that you're interested in hearing about and 814 00:44:19,800 --> 00:44:22,300 just a friendly. Reminder, the information on 815 00:44:22,300 --> 00:44:25,400 this podcast is for educational purposes only and the 816 00:44:25,400 --> 00:44:28,400 information should not be used in substitute for Professional 817 00:44:28,400 --> 00:44:31,900 Care by a medical provider. The information in this podcast 818 00:44:31,900 --> 00:44:35,800 does not represent medical or professional advice or services.