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 00:01:03,100 --> 00:01:05,600 On today's episode, I am chatting with dr. 22 00:01:05,600 --> 00:01:09,500 Ellen lulara. And Lacy Lynch, both are crnas 23 00:01:09,600 --> 00:01:13,300 and the host of the podcast scrub caps and sippy cups. 24 00:01:13,700 --> 00:01:17,200 Their podcast is a podcast for moms who are balancing 25 00:01:17,200 --> 00:01:21,400 motherhood, careers, finances relationships, and social life. 26 00:01:21,700 --> 00:01:24,600 Check them out. On Apple podcast, we chat on 27 00:01:24,600 --> 00:01:28,600 episode 46 about all things nursing, and it was a blast, 28 00:01:28,600 --> 00:01:35,400 enjoy the chat for today. Hi, thank you for coming onto 29 00:01:35,400 --> 00:01:38,100 the doctor nurse podcast, Lacy, and Ellen. 30 00:01:38,100 --> 00:01:39,900 I'm so happy to have you on today. 31 00:01:40,000 --> 00:01:42,300 Oh, thanks for having us. We're super excited to be on 32 00:01:42,300 --> 00:01:44,100 your. Thank you so much for having us. 33 00:01:44,100 --> 00:01:48,100 Yes, so let's Dive Right In. If you guys are both of you 34 00:01:48,107 --> 00:01:50,600 guys, could just describe what you do for a living, your 35 00:01:50,600 --> 00:01:53,700 current job titles and roles if you guys specialize in a certain 36 00:01:53,700 --> 00:01:56,400 area, just really dive into what you do. 37 00:01:56,500 --> 00:01:59,900 Okay, Ellen, take away. All right, so I'm Ellen I like 38 00:01:59,900 --> 00:02:01,300 you said I'm a nurse anesthetist. 39 00:02:01,300 --> 00:02:06,900 My experience has been In almost every single specialty. 40 00:02:06,900 --> 00:02:09,900 Except I'm not a fan of Pediatrics, mainly, because my 41 00:02:09,900 --> 00:02:13,300 little heart can't take it. I have been specialized before, 42 00:02:13,300 --> 00:02:15,200 and Trauma. I've done Hearts, I've done 43 00:02:15,200 --> 00:02:17,800 everything, surgical all populations. 44 00:02:17,800 --> 00:02:20,700 And right now, my biggest role, I'm on maternity leave. 45 00:02:20,700 --> 00:02:25,500 So I'm a mommy right now person foremost, I just had my third 46 00:02:25,600 --> 00:02:29,900 and actually in the past year I have branched out into medical 47 00:02:29,900 --> 00:02:33,200 Esthetics. So I am injector know. 48 00:02:33,400 --> 00:02:37,200 No to which I absolutely loved. It totally allows me to use my 49 00:02:37,200 --> 00:02:40,300 clinical skills, my critical thinking really like function at 50 00:02:40,300 --> 00:02:44,300 the highest level, and just a little less risk and liability 51 00:02:44,300 --> 00:02:48,100 and death and Lacey. So I am obviously nurse 52 00:02:48,100 --> 00:02:52,600 anesthetist the practice that I'm in now, is in a health 53 00:02:52,600 --> 00:02:56,800 system at a smaller site outside of the big Trauma Center. 54 00:02:56,800 --> 00:03:03,000 So we have the ideal practice. So we do a variety of Ages from 55 00:03:03,100 --> 00:03:06,800 like Under 12 101 and we don't do hearts. 56 00:03:06,800 --> 00:03:09,900 Thankfully I really don't like hearts but we do some big it 57 00:03:09,900 --> 00:03:13,800 like exciting crannies and some trauma although we do ship a lot 58 00:03:13,800 --> 00:03:16,600 of it which is also great but when we just have like a really 59 00:03:16,600 --> 00:03:20,700 wide range of cases and so we do a lot of what people call bread 60 00:03:20,700 --> 00:03:24,100 and butter stuff, we do a lot of ortho in GYN in surgery and 61 00:03:24,100 --> 00:03:26,600 general surgery. But I just really like the 62 00:03:26,600 --> 00:03:29,800 diversity of the cases that I'm able to do. 63 00:03:29,800 --> 00:03:33,200 I could do neurosurgery one day and I can do Peds ENT. 64 00:03:33,400 --> 00:03:35,700 The next day. And I can do dental one day and 65 00:03:35,700 --> 00:03:39,600 I can do C-sections one day and and I just really love like that 66 00:03:39,600 --> 00:03:44,200 diversity of being in a smaller practice where I can kind of 67 00:03:44,200 --> 00:03:46,200 pick and choose instead of feeling like I need to 68 00:03:46,200 --> 00:03:49,600 specialize straight up front where it's like, I'm a 69 00:03:49,600 --> 00:03:52,500 neurosurgery CRNA or I'm a cardiacs here. 70 00:03:52,500 --> 00:03:56,800 I am just a nurse anesthetist and I get to do a whole lot of 71 00:03:56,800 --> 00:03:58,200 different things and I love that. 72 00:03:58,200 --> 00:04:02,300 Yeah, that's really cool. So the role of the CRNA for 73 00:04:02,300 --> 00:04:04,000 those that are listening Are like, whoa. 74 00:04:04,000 --> 00:04:05,400 She's finally got to see her nayeon. 75 00:04:05,400 --> 00:04:07,600 Like, how did they like figure this out? 76 00:04:07,600 --> 00:04:10,300 What do they do? What exactly did like, describe 77 00:04:10,300 --> 00:04:12,100 how your structure works for your job? 78 00:04:12,100 --> 00:04:15,000 So you guys put people to sleep. We all know that. 79 00:04:15,000 --> 00:04:17,800 But how does your structure work with your supervising intent? 80 00:04:17,800 --> 00:04:20,200 I think really, it depends on where you work and what state 81 00:04:20,200 --> 00:04:22,900 you are consump, eople, don't have supervising, attending some 82 00:04:22,900 --> 00:04:24,400 states. We are completely opt-out 83 00:04:24,400 --> 00:04:26,100 states, which mean that we function completely 84 00:04:26,100 --> 00:04:29,100 independently, all states are supervising. 85 00:04:29,100 --> 00:04:31,500 Some states are direct, it really depends, and then it 86 00:04:31,500 --> 00:04:33,200 really also depends on the practice. 87 00:04:33,300 --> 00:04:35,000 You're in. And what your role is, what your 88 00:04:35,000 --> 00:04:36,800 scope of practice is in your state. 89 00:04:36,800 --> 00:04:39,000 If you are recognized as an advanced practice nurse or 90 00:04:39,000 --> 00:04:41,500 you're not license you function under, there's really a lot of 91 00:04:41,500 --> 00:04:44,500 differences, I'm in New Jersey and we are recognized as 92 00:04:44,500 --> 00:04:46,800 advanced practice nurses. Here, we function under that 93 00:04:46,800 --> 00:04:50,500 license, not the RN license. So we're able to see our own 94 00:04:50,500 --> 00:04:53,300 patients, do our own H and PS, everything the nurse 95 00:04:53,300 --> 00:04:55,500 practitioner can do in our roles. 96 00:04:55,500 --> 00:04:59,300 It really depends on if you are in the hospital during normal 97 00:04:59,300 --> 00:05:02,400 hours versus on-call hours. Like if a trauma comes in, we 98 00:05:02,400 --> 00:05:05,600 can do completely. Independently same for any 99 00:05:05,600 --> 00:05:09,200 emergency and then during normal functional hours, technically, 100 00:05:09,200 --> 00:05:12,500 we need physician signature on charts for Medicaid billing. 101 00:05:12,600 --> 00:05:15,200 But in terms of features where I work, we did everything 102 00:05:15,200 --> 00:05:18,900 ourselves, we do it all Central lines, arterial lines all 103 00:05:18,900 --> 00:05:21,700 regional, anesthesia all general, anesthesia local 104 00:05:21,700 --> 00:05:25,300 anesthesia everything, so it really just depends on your 105 00:05:25,300 --> 00:05:28,600 practice, your state and your relationship that you have with 106 00:05:28,600 --> 00:05:31,400 your co-workers and kind of your skill level. 107 00:05:31,400 --> 00:05:32,800 I would say, how about you Lacey. 108 00:05:32,900 --> 00:05:33,800 Let's see. Oba. 109 00:05:33,800 --> 00:05:38,100 There is such a wide variety of ways. 110 00:05:38,100 --> 00:05:42,400 You can practice as a CRNA. You can work as a completely 111 00:05:42,400 --> 00:05:46,700 independent CRNA in more rural areas, but there's like solo 112 00:05:46,700 --> 00:05:50,200 nurse anesthetists where like you are the only person who 113 00:05:50,200 --> 00:05:55,100 knows how to give anesthesia in a 30-mile radius or you can work 114 00:05:55,100 --> 00:05:58,700 in a CRNA practice where it's like only nurse anesthetists. 115 00:05:58,700 --> 00:06:03,200 There's no anesthesiologist and it's just you and your CRNA. 116 00:06:03,400 --> 00:06:06,300 Colleagues and then there's like a practice like mine, which is 117 00:06:06,300 --> 00:06:10,000 like kind of a the next level up from that which is like we have 118 00:06:10,000 --> 00:06:13,600 supervising anesthesiologist, they tend to be very hands-off. 119 00:06:13,600 --> 00:06:16,800 So you see them at the beginning for induction you do your case, 120 00:06:16,800 --> 00:06:19,200 you might text them back and forth, saying I've got a problem 121 00:06:19,200 --> 00:06:22,400 or whatever and then you may or may not see them at the end. 122 00:06:22,400 --> 00:06:26,400 So you are very autonomous, you are the one in there, giving 123 00:06:26,400 --> 00:06:30,000 anesthesia and it's great. And then you can go all the way 124 00:06:30,000 --> 00:06:33,100 up to a like big Academic Center. 125 00:06:33,300 --> 00:06:37,200 Are you working with srna is an anesthesiologist residents and 126 00:06:37,200 --> 00:06:40,000 anesthesiologists? And you kind of have like a much 127 00:06:40,000 --> 00:06:41,300 bigger. There's all the sudden for 128 00:06:41,300 --> 00:06:43,600 people instead of two people in your anesthesia team so you can 129 00:06:43,600 --> 00:06:45,800 go from one person in your anesthesia team to four people 130 00:06:45,800 --> 00:06:48,700 in your anesthesia team. And so that's there's a wide 131 00:06:48,700 --> 00:06:53,100 diversity in anesthesia. My practice is I really love it 132 00:06:53,100 --> 00:06:57,000 because we work in a collaborative environment with 133 00:06:57,000 --> 00:07:01,200 our anesthesiologist Partners. We work together to give 134 00:07:01,200 --> 00:07:05,000 anesthesia care to our patients. I'm the one in the room who's 135 00:07:05,000 --> 00:07:07,800 giving the anesthesia. We talk about our plan, we do 136 00:07:07,800 --> 00:07:10,900 have a respectful environment. And so we talked back and forth 137 00:07:10,900 --> 00:07:12,500 about what we're going to do for our plan. 138 00:07:12,500 --> 00:07:16,600 We initiate our plan and everything is hunky-dory and so 139 00:07:16,600 --> 00:07:18,100 I hope that answers your question. 140 00:07:18,200 --> 00:07:20,800 No, it does it answers it perfectly and that's the similar 141 00:07:20,800 --> 00:07:22,800 relief that I have with the surgeons, right? 142 00:07:22,800 --> 00:07:25,900 So like I'm not a surgeon but I do procedures where I actually 143 00:07:25,900 --> 00:07:27,700 burned bladder tumors out of ladders. 144 00:07:27,700 --> 00:07:30,800 And so sometimes I get into a situation where I'm like this is 145 00:07:30,800 --> 00:07:33,500 above my pay grade but so you have those moments We're at 146 00:07:33,500 --> 00:07:35,400 attending a walk in the room and you're just all right. 147 00:07:35,400 --> 00:07:38,400 We got a couple of the plan. Things are not what they seemed 148 00:07:38,400 --> 00:07:41,300 and so it's actually kind of that same relationship. 149 00:07:41,300 --> 00:07:44,400 I really like that in my job as well as you were describing and 150 00:07:44,400 --> 00:07:47,500 I was connecting to that. So so how did you both get to 151 00:07:47,700 --> 00:07:51,100 choose CRNA as your career, like what was your specific Journey 152 00:07:51,100 --> 00:07:55,200 from nursing school to your time working as our ends to then 153 00:07:55,200 --> 00:07:59,400 going, it's time to go back and be a CRNA or get my doctorate or 154 00:07:59,407 --> 00:08:01,700 whatever that process was and that Journey was for each one of 155 00:08:01,700 --> 00:08:06,300 you and so I knew And I wanted to be a CRNA from the time that 156 00:08:06,300 --> 00:08:09,600 I was a sophomore in high school because I was volunteering at a 157 00:08:09,600 --> 00:08:11,200 hospital. Because originally, I wanted to 158 00:08:11,207 --> 00:08:13,700 go to medical school because I didn't know the power of 159 00:08:13,700 --> 00:08:18,400 Nursing, and I happen to be on the labor and delivery floor. 160 00:08:18,400 --> 00:08:20,900 And they were like, hey, do you want to go Shadow this nurse 161 00:08:20,900 --> 00:08:22,000 anesthetist? And I was nervous. 162 00:08:22,000 --> 00:08:25,000 What? And so, I immediately fell in 163 00:08:25,000 --> 00:08:26,200 love. I had no idea. 164 00:08:26,200 --> 00:08:28,300 Like I said of the power of nursing, I had no idea that 165 00:08:28,300 --> 00:08:30,600 nurses do anything other than bedside nursing. 166 00:08:30,700 --> 00:08:34,900 I had no idea of all the skills that That you can have outside 167 00:08:34,900 --> 00:08:38,200 of that side nursing and I was completely intrigued. 168 00:08:38,200 --> 00:08:42,000 I am a research junkie and even at that age I just like went and 169 00:08:42,000 --> 00:08:43,700 just looked it up and just couldn't get enough. 170 00:08:43,700 --> 00:08:46,000 So I knew going into college, that's what I wanted. 171 00:08:46,000 --> 00:08:48,700 And I went to the University of Pittsburgh got my Nursing degree 172 00:08:48,700 --> 00:08:51,000 and I for me there was there was no stopping. 173 00:08:51,000 --> 00:08:54,000 I was from the frame of mind. We're like, why would I spend 174 00:08:54,000 --> 00:08:56,200 time on a med-surg floor? If I knew that I didn't belong 175 00:08:56,200 --> 00:08:59,500 on the mud turtle or just to get to the, I wanted to be, I was 176 00:08:59,500 --> 00:09:01,800 like screw this. I'm going to apply to a nurse 177 00:09:01,800 --> 00:09:06,900 residency that Carriages and trains nurses in the ICU right 178 00:09:06,900 --> 00:09:08,900 off the bat. So I did that, I started at 179 00:09:08,900 --> 00:09:13,300 Georgetown Hospital, I paid my dues and my next stop was in a 180 00:09:13,308 --> 00:09:16,400 seizure school so I just followed the little algorithmic 181 00:09:16,400 --> 00:09:19,300 pathway of becoming a CRNA and did the. 182 00:09:19,300 --> 00:09:22,300 And after that my World opened up it was like you could be a 183 00:09:22,300 --> 00:09:24,200 CRNA and do a million different things. 184 00:09:24,200 --> 00:09:27,200 And then you can also be a CRNA and go get your doctorate which 185 00:09:27,200 --> 00:09:31,400 I did because I wanted to teach, I wanted to have the opportunity 186 00:09:31,400 --> 00:09:34,600 in the future to sit on the Boards or do research or make 187 00:09:34,600 --> 00:09:37,400 decisions or go in any path, I wanted a nursing and I didn't 188 00:09:37,400 --> 00:09:40,200 want to ever be stopped by. Someone telling me that I didn't 189 00:09:40,200 --> 00:09:42,600 have a credential. So I just went and got all the 190 00:09:42,600 --> 00:09:45,500 credentials I could, and then I injecting faces with botox, so 191 00:09:45,500 --> 00:09:47,400 that's where I'm at. That's what's so great about 192 00:09:47,400 --> 00:09:50,500 nursing as you can make it what you want it to be. 193 00:09:50,500 --> 00:09:53,400 And it's just it's so you can just tailor, make it, you can 194 00:09:53,400 --> 00:09:57,100 literally like, I feel like doctors have to like order off 195 00:09:57,100 --> 00:10:00,100 the menu and with nurses like you can go out Lockhart like 196 00:10:00,100 --> 00:10:02,700 what do you want? It's just so clutch. 197 00:10:02,800 --> 00:10:05,300 And what about Lacey. I kind of alluded to this in our 198 00:10:05,300 --> 00:10:08,500 previous conversation, on our podcast that we just recorded. 199 00:10:08,500 --> 00:10:11,900 But I remember a very distinctly remember, being a kindergarten 200 00:10:11,900 --> 00:10:15,100 at taking a tour of our hospital and they were giving out hats. 201 00:10:15,300 --> 00:10:17,400 So we were. So it was like, we were lined up 202 00:10:17,400 --> 00:10:20,000 and my last name started with s, so I was like towards the end 203 00:10:20,000 --> 00:10:22,300 and all the boys wanted the doctor had and all the girls 204 00:10:22,300 --> 00:10:24,700 wanted the nurse hat. And by the time they got back 205 00:10:24,700 --> 00:10:28,000 towards be, they were like, you girls can be doctors too. 206 00:10:28,100 --> 00:10:30,400 And I was like do I want the nurse hat? 207 00:10:30,400 --> 00:10:32,900 Like I was like no, no give me the nurse had and I was like, I 208 00:10:32,908 --> 00:10:36,500 want To be a nurse and then like obviously I went through phases 209 00:10:36,500 --> 00:10:38,900 of like watching the Olympics and deciding on be Christian 210 00:10:38,900 --> 00:10:42,800 micucci instead. But we all heard that came back 211 00:10:44,800 --> 00:10:46,900 to like when I was in eighth grade. 212 00:10:47,000 --> 00:10:49,400 I picked the nursing college. I wanted to go and I said, I'm 213 00:10:49,400 --> 00:10:53,000 gonna go to this University, I'm going to become a nurse and to 214 00:10:53,008 --> 00:10:55,900 be a nurse. And that's what I did. 215 00:10:55,900 --> 00:10:57,700 And I went to that nursery school and I graduate in four 216 00:10:57,700 --> 00:11:00,900 years and it was great. And then I got to the floor and 217 00:11:00,900 --> 00:11:03,700 I was like, okay, I have arrived like I Here. 218 00:11:03,700 --> 00:11:06,500 This is what I said, my whole life to get here too, and I was 219 00:11:06,500 --> 00:11:10,000 like, oh, is this what I said? My whole life to get hurt 220 00:11:10,000 --> 00:11:13,000 because I really wanted to be a Cardiology nurse practitioner. 221 00:11:13,000 --> 00:11:16,200 I loved cardiac in nursing school and I was like, I Want To 222 00:11:16,200 --> 00:11:17,600 Be A cardiology nurse practitioner. 223 00:11:17,600 --> 00:11:19,600 That's what I'm going to be. And then I got there and I 224 00:11:19,600 --> 00:11:23,000 worked on a cardiac floor. And I was like, oh, this is like 225 00:11:23,000 --> 00:11:24,900 they did. I think it was just a group of 226 00:11:25,000 --> 00:11:28,400 the group of Cardiology nurse practitioners that I worked with 227 00:11:28,400 --> 00:11:31,300 but I was like, these people are mean they're mean, and I don't 228 00:11:31,300 --> 00:11:34,200 want to be that. And so then, Then I was like, 229 00:11:34,200 --> 00:11:37,300 well maybe I picked wrong, maybe I should be a doctor instead. 230 00:11:37,300 --> 00:11:39,800 Maybe I should have picked the doctor hat back in kindergarten 231 00:11:39,800 --> 00:11:42,300 on that tour. And so I actually started taking 232 00:11:42,300 --> 00:11:44,400 my pre-med classes. I took the MCAT. 233 00:11:44,400 --> 00:11:48,500 Oh, wow! And I like did it and I went to 234 00:11:48,500 --> 00:11:51,300 like meet with the curriculum person. 235 00:11:51,300 --> 00:11:53,900 Wow, this is cool. And I met with the first person 236 00:11:53,900 --> 00:11:57,100 at the nurse at the medical school, that was in the town 237 00:11:57,100 --> 00:12:00,000 that I was working in and he looked at me. 238 00:12:00,000 --> 00:12:03,100 And by then I had gotten my way, I'd found a way to the ICU. 239 00:12:03,300 --> 00:12:07,000 You looked at me and he was like, you're an ICU nurse and I 240 00:12:07,000 --> 00:12:09,600 was like, yes. And he's like, why don't you 241 00:12:09,600 --> 00:12:13,200 become a nurse anesthetist? And I was like, excuse me, I'm 242 00:12:13,200 --> 00:12:15,000 here to talk about medical school. 243 00:12:15,100 --> 00:12:18,300 He's like, no, no, no. My wife is a nurse anesthetist. 244 00:12:18,300 --> 00:12:22,600 I'm watching where things are headed and you really, really 245 00:12:22,600 --> 00:12:27,000 need to look at this because this is going to be like the way 246 00:12:27,000 --> 00:12:29,700 the future of Health Care is going wow. 247 00:12:29,800 --> 00:12:32,100 Amount of time. It's going to take you to get to 248 00:12:32,100 --> 00:12:35,600 the same place. It's like you need to really 249 00:12:35,600 --> 00:12:37,700 look at this. And that's when I was like, 250 00:12:37,700 --> 00:12:40,400 okay? And and I think like, when Ellen 251 00:12:40,400 --> 00:12:43,400 said something about like the power of nursing earlier, I 252 00:12:43,400 --> 00:12:47,200 actually wrote down when she said that that I didn't believe 253 00:12:47,200 --> 00:12:51,600 in the power of nursing when I was pursuing medicine because I 254 00:12:51,600 --> 00:12:54,200 was like, well, I need to be a doctor in order to do the things 255 00:12:54,200 --> 00:12:56,500 that I want to do and that really wasn't true. 256 00:12:56,500 --> 00:12:59,600 I just didn't believe in the power of Nursing and what we 257 00:12:59,600 --> 00:13:02,800 really could do. And so, then long story short, I 258 00:13:02,800 --> 00:13:05,200 have a And who's a nurse anesthetist and she is like 259 00:13:05,200 --> 00:13:07,600 mentored me. She was my neighbor growing up 260 00:13:07,600 --> 00:13:11,000 and she is always been like a few years ahead of me. 261 00:13:11,000 --> 00:13:13,900 So she's always kind of been like, the carrot that's like you 262 00:13:13,900 --> 00:13:14,900 could do this. Yeah. 263 00:13:14,900 --> 00:13:19,400 And so so her name is Karen and she's amazing but she talked to 264 00:13:19,400 --> 00:13:21,500 me about it and I was like so I was ready to apply to medical 265 00:13:21,500 --> 00:13:24,000 school and the guy was what don't do that. 266 00:13:24,000 --> 00:13:27,200 I really enjoy the patient Community like the patient 267 00:13:27,200 --> 00:13:30,000 interaction in the ICU and like the interaction with families 268 00:13:30,000 --> 00:13:33,100 and it was a surprise for people to see me going to Anesthesia 269 00:13:33,200 --> 00:13:35,700 Asia rather than be an NP because I really thrived in that 270 00:13:35,700 --> 00:13:37,700 interaction. But I think that it's one of the 271 00:13:37,700 --> 00:13:40,800 areas that I thrive in any anesthesia and we see people in 272 00:13:40,800 --> 00:13:44,300 like their most vulnerable and in, in their worst sometimes and 273 00:13:44,300 --> 00:13:47,400 they're scared and they're going through a very traumatic event. 274 00:13:47,400 --> 00:13:51,000 Whether it be they lost a baby, another, having a DNC to a 275 00:13:51,000 --> 00:13:54,400 trauma, two, just like they have cancer and they're having their 276 00:13:54,400 --> 00:13:57,200 cancer cut out of their body and to be able to like formulate 277 00:13:57,200 --> 00:14:00,400 those like connections with patients, the two or three 278 00:14:00,400 --> 00:14:04,700 minutes that we have with them is Thing that I really enjoy in 279 00:14:04,700 --> 00:14:06,600 my career. And so I'm really happy that I 280 00:14:06,608 --> 00:14:08,600 kind of took a I didn't really take a circuitous route. 281 00:14:08,600 --> 00:14:10,400 Like I was a nurse then I became a nurse nessus. 282 00:14:10,400 --> 00:14:14,400 But like my emotional journey to get to this point was a bit 283 00:14:14,400 --> 00:14:17,000 circuitous and I'm really grateful for that. 284 00:14:17,000 --> 00:14:20,500 I like how you describe that and who was the guy that told you to 285 00:14:20,500 --> 00:14:23,800 consider nursing? He was so he was like the PHD 286 00:14:23,800 --> 00:14:28,000 curriculum person of the school in the town that I was working 287 00:14:28,000 --> 00:14:30,200 as a nurse in. Yeah, we need we need to have a 288 00:14:30,208 --> 00:14:33,400 drink in honor of that man right now because we're isn't, We like 289 00:14:33,400 --> 00:14:36,100 called, I don't know. I've actually thought about like 290 00:14:36,100 --> 00:14:39,600 looking up that person and see like I'm sure he's retired and 291 00:14:39,600 --> 00:14:42,300 he's going to be like I met with like hundreds of thousands of 292 00:14:42,300 --> 00:14:45,200 like literally doctors like why would I remember this? 293 00:14:45,200 --> 00:14:48,200 But but it was like it a profound conversation because if 294 00:14:48,200 --> 00:14:51,400 somebody who likes stopped and was like, wait a minute, like 295 00:14:51,400 --> 00:14:55,800 you are an ICU nurse with years of experience, why don't you 296 00:14:55,800 --> 00:14:58,900 become a nurse anesthetist? She's like, I see where medicine 297 00:14:58,900 --> 00:15:02,200 is going. I see where payers are going and 298 00:15:02,200 --> 00:15:05,700 where These are going to be coming from and, and you really 299 00:15:05,700 --> 00:15:08,900 need to stop it and think about what you're trying to accomplish 300 00:15:09,000 --> 00:15:11,700 with it. And, and when that's when I 301 00:15:11,700 --> 00:15:15,000 really, I think I started to believe in the power of nursing 302 00:15:15,000 --> 00:15:16,500 where I didn't before. Yeah. 303 00:15:16,500 --> 00:15:19,500 That's really a profound. So I love both of those 304 00:15:19,500 --> 00:15:21,400 Journeys. Those are just so neat and so 305 00:15:21,400 --> 00:15:23,900 individual and really special to hear. 306 00:15:23,900 --> 00:15:27,000 Thank you for sharing them. Could you guys give an example 307 00:15:27,000 --> 00:15:29,500 of one of your biggest successes in your career that you felt 308 00:15:29,500 --> 00:15:33,000 like was a real big win? Like this was a real high. 309 00:15:33,100 --> 00:15:35,200 In my career Lacey, you go first. 310 00:15:35,200 --> 00:15:37,900 I don't know. I'm trying to think of it and I 311 00:15:37,900 --> 00:15:42,700 don't know that I can give you a like career-high example. 312 00:15:42,800 --> 00:15:48,300 But I had a situation today where a patient asked for a 313 00:15:48,300 --> 00:15:51,300 specific type of anesthesia. And the surgeon said no I'm 314 00:15:51,300 --> 00:15:54,000 going to need a Mac and the so that it's like where we do 315 00:15:54,000 --> 00:15:56,200 sedation it's not fully asleep. You don't put a breathing tube 316 00:15:56,200 --> 00:15:59,400 in and then the surgeon said, no I need a general has to be a 317 00:15:59,408 --> 00:16:01,900 general because we're going to position this patient and then 318 00:16:01,900 --> 00:16:04,200 the anesthesia else went to the And I told him we're gonna have 319 00:16:04,200 --> 00:16:07,000 to a general and the patient had questions but then the 320 00:16:07,000 --> 00:16:09,000 anesthesia was came back and talked to me was like, well the 321 00:16:09,000 --> 00:16:11,800 patient I didn't love that but but I think I answered the 322 00:16:11,800 --> 00:16:13,900 patient questions. If I set up for a general and I 323 00:16:13,908 --> 00:16:16,900 go to get this patient and by the time I got there the patient 324 00:16:16,900 --> 00:16:20,900 thought of like a million other questions and because of this 325 00:16:20,900 --> 00:16:24,300 patients conditions and his specific needs. 326 00:16:24,300 --> 00:16:26,100 So like that he had all these concerns. 327 00:16:26,100 --> 00:16:27,500 But why were you doing a general? 328 00:16:27,600 --> 00:16:30,800 And so I said okay here's what we're going to do I'm not going 329 00:16:30,800 --> 00:16:33,300 to give you your sedation work because normally I would Give a 330 00:16:33,300 --> 00:16:36,000 little verse said before heading back to the, or take the edge of 331 00:16:36,000 --> 00:16:37,300 things. I called the happy, I don't care 332 00:16:37,300 --> 00:16:39,300 anymore medicine. I was like, I'm not gonna give 333 00:16:39,300 --> 00:16:42,200 you this medicine, we're gonna go back, I called the surgeon, 334 00:16:42,200 --> 00:16:44,600 and I called the PA, and I said, this patient has some questions. 335 00:16:44,600 --> 00:16:47,600 Let's talk in the or I get back to the or, and I'm like this, 336 00:16:47,600 --> 00:16:49,400 these are these patients concerns. 337 00:16:49,400 --> 00:16:51,700 And this is why he's okay with this. 338 00:16:51,700 --> 00:16:54,500 Can we try this instead? And the patient was able to take 339 00:16:54,500 --> 00:16:56,400 you late, it to the surgeon and the surgeon. 340 00:16:56,400 --> 00:16:59,900 Listen and like, okay, yep, we can position this way instead, 341 00:16:59,900 --> 00:17:03,700 so then we can do Mac instead and just like to read Advocate 342 00:17:03,700 --> 00:17:07,700 for that patient and stop and Zack know, we're like let's not 343 00:17:07,700 --> 00:17:10,800 rush through and just Slam in the tube and do all the things. 344 00:17:10,800 --> 00:17:14,000 But like this patient had very specific concerns that were 345 00:17:14,000 --> 00:17:16,400 completely legit. And so we were able to really 346 00:17:16,400 --> 00:17:20,300 tailor the patient's care to what that patient needed. 347 00:17:20,400 --> 00:17:23,599 And so like that is just a win. Like I love those moments so it 348 00:17:23,608 --> 00:17:25,700 may not be it's not like a career highlight. 349 00:17:25,700 --> 00:17:27,000 Like a graduate anesthesia school. 350 00:17:27,000 --> 00:17:28,099 That was a beautiful moment. Yeah. 351 00:17:28,099 --> 00:17:31,300 But like to have these moments throughout my career, just give 352 00:17:31,300 --> 00:17:34,800 me like Hope on the bad days. As when you're like, oh my God, 353 00:17:34,800 --> 00:17:36,600 this sucks. What you're describing is. 354 00:17:36,600 --> 00:17:39,700 Why nurses need to be in the rooms making decisions. 355 00:17:39,700 --> 00:17:43,600 It's why nursing believing in the power of nursing that's it. 356 00:17:43,600 --> 00:17:45,900 Right there. Advocating for your patient 357 00:17:45,900 --> 00:17:48,400 because in those moments, isn't that what you want is for the 358 00:17:48,408 --> 00:17:50,000 people around you to be listening to you? 359 00:17:50,000 --> 00:17:52,300 You're not just a body, they're going to put to sleep with your 360 00:17:52,300 --> 00:17:55,200 person. And so I just feel like nurses, 361 00:17:55,200 --> 00:17:59,100 do a really good job at making people people and making them 362 00:17:59,100 --> 00:18:02,500 feel like people and letting them know, we see you feel to be 363 00:18:02,500 --> 00:18:06,100 seen It's just everything but we're gonna send one of the 364 00:18:06,100 --> 00:18:07,900 Hallmark of nursing or something. 365 00:18:07,900 --> 00:18:11,300 Is that a nurse can look at a patient whose sound asleep and 366 00:18:11,300 --> 00:18:12,600 know if they're comfortable or not. 367 00:18:12,600 --> 00:18:15,800 We're just like everyone else. Like just looks at the patient 368 00:18:15,800 --> 00:18:18,600 but you can look at a patient and you can say like they're 369 00:18:18,600 --> 00:18:20,400 going to be uncomfortable, are they? 370 00:18:20,700 --> 00:18:24,600 You can notice those tiny little things that other people just 371 00:18:24,600 --> 00:18:26,800 don't even see. You get that in your time in the 372 00:18:26,800 --> 00:18:28,600 trenches. I'm going back to our earlier 373 00:18:28,600 --> 00:18:31,100 conversation and, you know, on your podcast, I think you 374 00:18:31,100 --> 00:18:34,100 learned that you learn. To read people. 375 00:18:34,100 --> 00:18:38,200 And to understand I learned that on my time as a med-surg nurse 376 00:18:38,200 --> 00:18:41,500 it's just you start to understand and see people in a 377 00:18:41,500 --> 00:18:45,100 way that you didn't outside of yourself, the empathy begins to 378 00:18:45,100 --> 00:18:48,000 grow in the trenches. I think he's I don't know, least 379 00:18:48,000 --> 00:18:49,900 from at least for me, I can only speak for myself. 380 00:18:49,900 --> 00:18:53,100 That it really did grow a lot and just hearing you describe. 381 00:18:53,100 --> 00:18:54,500 That is so cool. I would agree. 382 00:18:54,500 --> 00:18:56,400 That's a high. Definitely a high. 383 00:18:56,500 --> 00:18:58,700 What about you? So yeah, I've given it some 384 00:18:58,700 --> 00:19:01,000 thought, while weeks he was talking that was a killer should 385 00:19:01,000 --> 00:19:02,900 have gone first. I will tell you this. 386 00:19:03,100 --> 00:19:06,600 That I'm not going to say a high of my career, because I'm not 387 00:19:06,600 --> 00:19:10,300 done yet, and I'm not even know. Like I feel. 388 00:19:10,300 --> 00:19:13,600 Yes, evolving. We keep like, who thought that I 389 00:19:13,600 --> 00:19:16,000 would have been here even two years ago when I graduated my 390 00:19:16,000 --> 00:19:18,300 dnp. So my highs of my career, 391 00:19:18,300 --> 00:19:20,800 comment every stage, like my high, like Lacey said, was 392 00:19:20,800 --> 00:19:23,500 graduating getting her first job and, like, saving your first 393 00:19:23,500 --> 00:19:25,100 trauma. And then your high is, when you 394 00:19:25,100 --> 00:19:28,000 get your dnp and then Landing a teaching job or whatever, and 395 00:19:28,000 --> 00:19:31,600 then training and doing Aesthetics, but my highs daily 396 00:19:31,600 --> 00:19:34,700 are in anesthesia. Oh, it's getting that patients. 397 00:19:34,700 --> 00:19:38,400 Trust in three to five minutes of meeting them when they are 398 00:19:38,400 --> 00:19:40,300 terrified and they have to trust us. 399 00:19:40,300 --> 00:19:42,400 And people think, oh, you put people to sleep, but really we 400 00:19:42,400 --> 00:19:44,300 wake people up. That's what we do putting 401 00:19:44,300 --> 00:19:45,700 somebody to sleep. You can teach a monkey 402 00:19:45,800 --> 00:19:48,200 maintenance in the middle. It is the wake-up. 403 00:19:48,200 --> 00:19:51,200 It is an art waking somebody up. Making sure they're safe, 404 00:19:51,200 --> 00:19:53,200 they're comfortable, they're pain-free like the beat. 405 00:19:53,300 --> 00:19:55,800 We do it so much that people take it for granted, they're 406 00:19:55,800 --> 00:20:00,200 like oh whatever those them up, but it is so individualized and 407 00:20:00,200 --> 00:20:02,900 that's why people say anesthesia is like flying an airplane. 408 00:20:03,000 --> 00:20:06,300 I mean, the take-off is putting people to sleep, The Landing is 409 00:20:06,300 --> 00:20:08,400 emergence. And, you know, those are the 410 00:20:08,400 --> 00:20:10,700 most critical aspects that people. 411 00:20:10,700 --> 00:20:13,700 They just Breeze over it because it's just what we do. 412 00:20:13,700 --> 00:20:17,000 But there's just such an art to it and I take it. 413 00:20:17,000 --> 00:20:20,400 So personally, every time somebody trusts me and I take 414 00:20:20,400 --> 00:20:24,100 the highest honor to take care of them during those moments, 415 00:20:24,200 --> 00:20:27,400 that every day that goes by, I feel like is a high when 416 00:20:27,400 --> 00:20:30,600 somebody tells me that an even anesthetics any day that goes by 417 00:20:30,600 --> 00:20:32,900 and someone says no one has ever taken the time. 418 00:20:33,000 --> 00:20:36,200 Time to educate me and people are like, oh ha ha, Botox 419 00:20:36,200 --> 00:20:38,600 fillers, because it's so it's vanity. 420 00:20:38,700 --> 00:20:42,200 But it's still a level of trust that somebody needs to have in 421 00:20:42,200 --> 00:20:45,800 you, because so many experiences that people come to me with her, 422 00:20:45,800 --> 00:20:48,000 like oh, they just put me in a chair and just stab me in the 423 00:20:48,000 --> 00:20:49,800 face with needles and told me, that's what I need. 424 00:20:49,800 --> 00:20:52,600 Or they pick my face apart, make me feel like, crap, just to make 425 00:20:52,600 --> 00:20:56,100 me, you know, have these procedures done and like, so 426 00:20:56,100 --> 00:20:59,100 awful to me to think that because it's still a person. 427 00:20:59,200 --> 00:21:01,400 And I treat my Aesthetics job. The same. 428 00:21:01,400 --> 00:21:05,000 I treat my anesthesia job as My job first and foremost is to 429 00:21:05,000 --> 00:21:10,700 have this person trust me and believe me and allow me the 430 00:21:10,700 --> 00:21:15,100 honor of treating them and I get there by educating them and 431 00:21:15,100 --> 00:21:17,800 sometimes the education people are like, oh well I don't know. 432 00:21:17,800 --> 00:21:20,700 That's not where I came here for and I release them. 433 00:21:20,700 --> 00:21:22,600 I'm like that's totally fine but I'm not going to treat you. 434 00:21:22,600 --> 00:21:26,100 I'm not going to sacrifice what I know to be right. 435 00:21:26,100 --> 00:21:30,300 And what I know to be ethical to give you a quick fix or to do 436 00:21:30,300 --> 00:21:33,100 something other people have done to you because at the end of The 437 00:21:33,100 --> 00:21:36,900 day, my job is to take care of a patient ethically and to my best 438 00:21:36,900 --> 00:21:39,500 of my ability. I think that a lot of the trends 439 00:21:39,500 --> 00:21:42,600 are taking away from the Merit of that and allowing people to 440 00:21:42,600 --> 00:21:46,600 do at home procedures or filler parties or that like lip filler 441 00:21:46,600 --> 00:21:50,000 pain and stuff like that. That really diminish, the art 442 00:21:50,000 --> 00:21:52,700 that is of medical Esthetics just like, there's an art to 443 00:21:52,700 --> 00:21:55,000 Anesthesia, we don't put people to sleep at home. 444 00:21:55,100 --> 00:21:59,300 I really want to highlight what you said about like the Finesse 445 00:21:59,300 --> 00:22:02,800 of emergence. Because like it made me think of 446 00:22:03,300 --> 00:22:05,600 We have watched the Winter Olympics and you watch curling 447 00:22:05,600 --> 00:22:07,900 and there's these people throwing a stone and like they 448 00:22:07,900 --> 00:22:10,300 do the broom to like get the stone exactly where they want to 449 00:22:10,300 --> 00:22:12,300 see. It looks so freaking easy. 450 00:22:12,300 --> 00:22:14,900 You're like how is this an Olympic sport and then you try 451 00:22:14,900 --> 00:22:16,500 it and you like fall flat on your face. 452 00:22:16,500 --> 00:22:18,800 Then the ice and you're like, oh my God I can't even stand up out 453 00:22:18,800 --> 00:22:20,200 here. How do these people do that? 454 00:22:20,200 --> 00:22:23,500 But it's like that is like the Finesse of emergence. 455 00:22:23,500 --> 00:22:27,500 That's really where the Art and Science of nursing come together 456 00:22:27,500 --> 00:22:30,300 is in that moment of like emergence and you're trying to 457 00:22:30,300 --> 00:22:32,900 like bring someone out and like it. 458 00:22:33,000 --> 00:22:36,400 Looks really easy because we do it so often and and you're 459 00:22:36,400 --> 00:22:39,100 trying to quick, because right time is money and turnovers and 460 00:22:39,100 --> 00:22:42,200 all of that and so you're trying to like get someone like from 461 00:22:42,200 --> 00:22:45,500 one state of mind to another state of mine really quickly to 462 00:22:45,500 --> 00:22:48,800 get him to the recovery room and it looks super fast and it's 463 00:22:48,800 --> 00:22:51,000 easy and all of that. But like that's really where the 464 00:22:51,000 --> 00:22:54,400 Finesse comes in and that's where I think anesthetist that's 465 00:22:54,400 --> 00:22:56,500 where, like, you really show off your skills. 466 00:22:56,500 --> 00:22:58,800 What do you think Ella? Yeah, totally and I think when a 467 00:22:58,800 --> 00:23:01,800 patient wakes up and they say, wow, I'm done already or I 468 00:23:01,808 --> 00:23:04,700 didn't feel like mmm. Anything that is like, I mean 469 00:23:04,700 --> 00:23:07,500 music to my ears. Nobody wants to do anything bad 470 00:23:07,500 --> 00:23:09,800 and we take it for granted people around us, take it for 471 00:23:09,800 --> 00:23:12,000 granted, they don't know exactly what we do and that's okay. 472 00:23:12,000 --> 00:23:16,000 But I think that that to me is the high of my career every 473 00:23:16,000 --> 00:23:19,200 single day of my career that's good as you were describing that 474 00:23:19,200 --> 00:23:20,800 as well. I got tears in my eyes, I was 475 00:23:20,800 --> 00:23:24,100 like that's what the crnas thinking, it just sets me at 476 00:23:24,100 --> 00:23:27,700 ease and what you're saying Lacey about the whole Olympics 477 00:23:27,700 --> 00:23:29,500 thing. I saw this meme today on 478 00:23:29,500 --> 00:23:31,400 Instagram. That was like, so for the 479 00:23:31,400 --> 00:23:35,300 Olympics, what we need on? The side of the competitors like 480 00:23:35,300 --> 00:23:37,900 competing in the Olympics is an average person doing what 481 00:23:37,900 --> 00:23:54,100 they're doing and they were like okay like we're on Earth, it's 482 00:23:54,100 --> 00:23:57,600 such a big difference. Yeah I don't just like poopoo 483 00:23:57,600 --> 00:24:01,300 it, I take is such a high honor to do that and so it's just like 484 00:24:01,300 --> 00:24:02,800 when you're landing on an airplane, there's like the 485 00:24:03,000 --> 00:24:05,200 Eyelets that you touch down. You can barely feel the wheels, 486 00:24:05,200 --> 00:24:07,700 touch the ground, that Pilots that like slam down and you're 487 00:24:07,700 --> 00:24:10,200 like, oh, praise God. We're so anesthesia's for me. 488 00:24:10,300 --> 00:24:13,100 Yeah, that's described beautifully. 489 00:24:13,200 --> 00:24:15,900 So, what were some challenges that you guys had to overcome in 490 00:24:15,900 --> 00:24:18,500 your careers and this could just be anything from, like a nurse 491 00:24:18,500 --> 00:24:22,300 bully to a really hard class in school. 492 00:24:22,300 --> 00:24:24,900 Just anything that you just look back and you're like, that was a 493 00:24:24,900 --> 00:24:27,000 mountain. I had to climb and I did, I see 494 00:24:27,000 --> 00:24:28,100 you want to go first, or you want me to go? 495 00:24:28,300 --> 00:24:31,000 I can go first. So, I mean, well, obviously, 496 00:24:31,000 --> 00:24:34,300 like the person you told me that I Shouldn't be a doctor but be 497 00:24:34,300 --> 00:24:38,200 like like overcoming moment of my career, but a good moment. 498 00:24:38,200 --> 00:24:42,300 But my time in the ICU I worked in what was known quietly 499 00:24:42,300 --> 00:24:45,400 throughout the whole hospital as the meanest unit in the 500 00:24:45,400 --> 00:24:47,000 hospital. And so it was just like the 501 00:24:47,000 --> 00:24:49,100 undertone is those people inside. 502 00:24:49,100 --> 00:24:52,900 I see you owe those people and then those people all went on to 503 00:24:52,900 --> 00:24:55,700 become nurse anesthetist so they did with those as I see you in 504 00:24:55,700 --> 00:24:58,400 stage of people. So I worked in like a very 505 00:24:58,400 --> 00:25:03,100 Cutthroat and I had to overcome a lot and really learn how To 506 00:25:03,100 --> 00:25:06,100 have Teflon skin and just let it go. 507 00:25:06,100 --> 00:25:10,400 And that was really helpful to gain that skill. 508 00:25:10,400 --> 00:25:15,500 Then because in anesthesia I'm able to not be afraid to have 509 00:25:15,500 --> 00:25:18,200 the conversation that I did today with that surgeon. 510 00:25:18,200 --> 00:25:21,500 And and we have a very respectful conversation about 511 00:25:21,500 --> 00:25:25,400 our patient care and everybody was born on the same page and 512 00:25:25,400 --> 00:25:28,700 ever participated, but it was like to even be able to bring 513 00:25:28,700 --> 00:25:34,200 that up is like I got that ability from my time spent in 514 00:25:34,200 --> 00:25:36,600 the meanest team didn't ask. There you go. 515 00:25:36,700 --> 00:25:38,200 I love that. Love it. 516 00:25:38,200 --> 00:25:39,400 What about you? I want. 517 00:25:39,400 --> 00:25:45,200 I think it was finding my voice because as females were always 518 00:25:45,200 --> 00:25:48,300 kind of and I hate to play that card like as females, but really 519 00:25:48,400 --> 00:25:52,100 we are people Pleasers by nature and we don't want to cause a 520 00:25:52,100 --> 00:25:56,900 Ruckus or make people hate us or be mad at us and sometimes 521 00:25:56,900 --> 00:26:00,300 standing up for yourself for speaking up is taken in like a 522 00:26:00,300 --> 00:26:04,600 very offensive Manner, and At the same time, we're encouraged 523 00:26:04,600 --> 00:26:07,100 to speak up and stand up for ourselves or our patient. 524 00:26:07,100 --> 00:26:09,400 So it was really difficult to find my voice. 525 00:26:09,400 --> 00:26:12,400 And that was the biggest challenge for me because it's 526 00:26:12,400 --> 00:26:16,100 also a way to command respect, but in a way that is 527 00:26:16,100 --> 00:26:19,500 non-threatening. And so, luckily I've been put in 528 00:26:19,500 --> 00:26:22,300 this position because it allowed me to gain that skill. 529 00:26:22,300 --> 00:26:26,200 There was a time when some, there was a physician who kind 530 00:26:26,200 --> 00:26:30,600 of demeaned me in front of a patient and my skill level, or 531 00:26:30,600 --> 00:26:32,700 my importance in the operating room. 532 00:26:32,900 --> 00:26:35,500 And this is somebody who I was working alongside of we were 533 00:26:35,500 --> 00:26:38,600 Pierce. And so, for me, I had to speak 534 00:26:38,600 --> 00:26:42,100 up in that moment because I knew that it was important for the 535 00:26:42,100 --> 00:26:47,000 patient who because they need to understand moving forward that 536 00:26:47,000 --> 00:26:50,000 they need to respect their nurse anesthetist and their nurse in 537 00:26:50,000 --> 00:26:52,800 general. And if they will not if they see 538 00:26:52,800 --> 00:26:56,500 that, we don't respect ourselves so that for me was the biggest 539 00:26:56,500 --> 00:26:59,800 challenge of my career so far, because it took such guts for me 540 00:26:59,800 --> 00:27:02,800 to just say, you can't talk to me like that. 541 00:27:03,000 --> 00:27:04,800 And especially not in front of a patient. 542 00:27:04,800 --> 00:27:07,500 Because if you talk to me like that how is the patient going to 543 00:27:07,500 --> 00:27:09,500 trust me, right? Because you basically just 544 00:27:09,500 --> 00:27:13,200 demean me no level and just everything my education. 545 00:27:13,300 --> 00:27:16,800 And so that was the biggest challenge for me and then also 546 00:27:16,800 --> 00:27:19,200 afterwards sitting down with that person and having like a 547 00:27:19,208 --> 00:27:22,500 complete conversation about, here's what you did here is, why 548 00:27:22,500 --> 00:27:25,500 it was awful and here's why it will never happen again. 549 00:27:25,500 --> 00:27:28,600 And it was very unlike me at the time and I was a very young 550 00:27:28,600 --> 00:27:30,800 nurse anesthetist, so it's kind of like your age is playing 551 00:27:30,800 --> 00:27:32,700 against you to, because everyone's always like, oh well, 552 00:27:32,900 --> 00:27:36,100 You just graduate, but commanding respect is really 553 00:27:36,100 --> 00:27:39,300 difficult in an operating room, especially, when you were a 554 00:27:39,300 --> 00:27:44,000 young female typically kind of soft spoken and it required me 555 00:27:44,000 --> 00:27:45,800 to make a scene and I'm okay with it. 556 00:27:45,800 --> 00:27:47,600 I'm really happy. It happened that day because 557 00:27:47,600 --> 00:27:50,800 from that moment on that person and nobody did that to me ever 558 00:27:50,800 --> 00:27:53,100 again. Yeah, it sets a precedence and 559 00:27:53,100 --> 00:27:56,200 then it sets a tone, right? Like you're just that's not 560 00:27:56,200 --> 00:27:57,800 okay. And you teach people how to 561 00:27:57,800 --> 00:28:00,800 treat you, right? So that very moment what? 562 00:28:00,800 --> 00:28:03,200 Yeah, what do they say? You get It. 563 00:28:03,200 --> 00:28:05,300 How do you tolerate it? Because you tolerate how you're 564 00:28:05,300 --> 00:28:09,400 treated and that is so true. It's very true. 565 00:28:09,400 --> 00:28:12,400 I think that's a good lesson to learn and it's definitely for 566 00:28:12,400 --> 00:28:14,700 our listeners and nurses that are starting off in their 567 00:28:14,700 --> 00:28:16,600 careers. There's going to be that moment 568 00:28:16,700 --> 00:28:21,500 and so think back to what Ellen is saying and her experience and 569 00:28:21,500 --> 00:28:25,100 just know that like in those moments you if you tolerate it, 570 00:28:25,200 --> 00:28:28,100 they'll keep dishing it out. So you got to call it out and 571 00:28:28,100 --> 00:28:29,700 it's going to be awkward for a little bit, but you'll be 572 00:28:29,700 --> 00:28:31,500 stronger on the other side because of it. 573 00:28:31,500 --> 00:28:33,900 So that's what we learn about. Our challenges and everyone 574 00:28:33,900 --> 00:28:36,200 every single time I've asked a nurse about that. 575 00:28:36,200 --> 00:28:38,800 I see that every challenge is actually some really cool 576 00:28:38,800 --> 00:28:40,900 blessing. And you think in the moment, 577 00:28:40,900 --> 00:28:43,100 this is the worst thing, but in the end you look back here like 578 00:28:43,100 --> 00:28:45,100 that actually was great. So what about? 579 00:28:45,100 --> 00:28:47,400 I think both of you kind of describe some mentors, but maybe 580 00:28:47,400 --> 00:28:49,400 just briefly, if you want to give a shout out to anyone that 581 00:28:49,400 --> 00:28:52,400 you felt like really helped you in your career, I know Lacey a 582 00:28:52,408 --> 00:28:55,100 describe the crn, a that was a little bit of ahead of her and 583 00:28:55,100 --> 00:28:58,000 would always dangle the carrot. But I don't know if Ellen wanted 584 00:28:58,000 --> 00:29:00,000 to share anyone or Lacey. You had anyone else you wanted 585 00:29:00,000 --> 00:29:02,200 to share anyone? They give you advice along the 586 00:29:02,200 --> 00:29:04,000 way I see. When you want to shout, I will 587 00:29:04,000 --> 00:29:06,900 give a shout out to care an ace at the Mayo Clinic. 588 00:29:06,900 --> 00:29:12,200 That's, that's my Karen and she was my neighbor growing up and 589 00:29:12,200 --> 00:29:14,800 she was starting nursing school when I was starting high school 590 00:29:14,800 --> 00:29:18,100 and she was working as a nurse when I was graduating. 591 00:29:18,100 --> 00:29:20,700 And then she was in anesthesia school as I was trying to figure 592 00:29:20,700 --> 00:29:22,700 out my life. And then, she really like the 593 00:29:22,700 --> 00:29:24,300 day. I got accepted to Anesthesia 594 00:29:24,300 --> 00:29:27,400 school, I called her and she sent me flowers, and it was just 595 00:29:27,400 --> 00:29:30,800 like the sweetest thing and she's her, she's just as been, 596 00:29:30,900 --> 00:29:35,900 just a really great mentor. So the whole Karen thing like I 597 00:29:35,908 --> 00:29:40,300 know I feel bad like her, like her name is now like synonymous 598 00:29:40,300 --> 00:29:43,100 with like a bad thing and I was like she didn't pick her name, 599 00:29:43,100 --> 00:29:46,600 she's not a carrot, he's like the OG Karen. 600 00:29:46,700 --> 00:29:50,300 Yeah, I think I've had a lot of mentors. 601 00:29:50,300 --> 00:29:51,800 I someone told me a long time ago. 602 00:29:51,800 --> 00:29:54,100 It's really important to have somebody along side of you who's 603 00:29:54,100 --> 00:29:57,700 in the same state as you someone about three to five years ahead 604 00:29:57,700 --> 00:29:59,700 of you and someone three to five years behind you. 605 00:29:59,800 --> 00:30:03,500 And so I've tried to always kind of keep that rule I've had a lot 606 00:30:03,500 --> 00:30:06,800 of mentors I can say first job as a nurse anesthetist, my 607 00:30:06,800 --> 00:30:10,300 friend, Carol lent. And she still such an integral 608 00:30:10,300 --> 00:30:13,400 part of my schooling and my experience as a nurse. 609 00:30:13,400 --> 00:30:17,800 And just as a female, I should say, Lieutenant, Carol went. 610 00:30:17,800 --> 00:30:20,900 She's just such a strong woman and she's a mom. 611 00:30:20,900 --> 00:30:23,300 She was a lieutenant in the military. 612 00:30:23,400 --> 00:30:25,200 She was deployed with young kids. 613 00:30:25,200 --> 00:30:28,100 I mean, she's done everything. Anesthesia she's always shows up 614 00:30:28,100 --> 00:30:30,800 with a smile on her face. Has the greatest work ethic I've 615 00:30:30,800 --> 00:30:34,300 ever seen in a human being and she Is so highly respected, but 616 00:30:34,300 --> 00:30:37,700 always has a smile on her face and like sun shines out of her, 617 00:30:37,700 --> 00:30:41,100 but amazing. So as a CRNA she was my mentor. 618 00:30:41,200 --> 00:30:44,600 I have to shout out the amazing TRNA, who trained me. 619 00:30:44,700 --> 00:30:49,200 Her name is Kelly Herman's. She just gives so much back to 620 00:30:49,200 --> 00:30:52,600 the community of crnas who want to advance their practice. 621 00:30:52,700 --> 00:30:55,600 And although I follow other injectors throughout the nation 622 00:30:55,600 --> 00:30:58,100 who have been doing this for very long time and I learned so 623 00:30:58,100 --> 00:31:01,300 much from them. She just really stands up for 624 00:31:01,300 --> 00:31:05,800 our profession and what Right? And what is allowed for us to 625 00:31:05,800 --> 00:31:10,100 yearn for and that it's okay to want more, and I think that's so 626 00:31:10,100 --> 00:31:13,100 important. So shout out to Kelly Herman's 627 00:31:13,100 --> 00:31:15,200 as well. I think women nursing, 628 00:31:15,300 --> 00:31:20,000 especially with mentorship and coming alongside and giving back 629 00:31:20,000 --> 00:31:22,500 to the ones behind us. And for the ones that are in 630 00:31:22,500 --> 00:31:24,900 front of us to look back and say, like, Hey listen, I got you 631 00:31:24,900 --> 00:31:26,800 like, let me show you some of the things that I learned 632 00:31:26,800 --> 00:31:29,300 sooner, or like, that is also another heart of the doctor 633 00:31:29,300 --> 00:31:32,500 nurse podcast to just share, where we've been what we've gone 634 00:31:32,500 --> 00:31:33,800 through. Through and I believe that, 635 00:31:33,800 --> 00:31:37,200 like, in these little moments, you get little morsels and it's 636 00:31:37,200 --> 00:31:39,900 like, yeah, I'd be great like to have like, one-on-one mentoring, 637 00:31:39,900 --> 00:31:42,500 but it is just nice to hear someone share their journey and 638 00:31:42,500 --> 00:31:45,200 hear how they got to where they are and what they're doing with 639 00:31:45,200 --> 00:31:47,200 their careers. So, yes, very cool. 640 00:31:47,200 --> 00:31:50,300 Like an aside, we have what, we have one more person that we 641 00:31:50,300 --> 00:31:52,400 need to shout out in our community. 642 00:31:52,400 --> 00:31:56,400 Tanya Bales, oh yes. Oh my gosh, go to her, I know 643 00:31:56,400 --> 00:31:59,000 and I mean, there's so many people, so we have a nurse 644 00:31:59,000 --> 00:32:01,800 anesthetist mom's Community, that's kind of where podcast was 645 00:32:01,800 --> 00:32:05,100 born. This woman is a nurse 646 00:32:05,100 --> 00:32:07,800 anesthetist, who survived dirty jobs. 647 00:32:07,800 --> 00:32:12,500 That was her first husband, the LA times did a big podcast on 648 00:32:12,500 --> 00:32:16,900 dirty, John who was like a psychopath, who was very 649 00:32:16,900 --> 00:32:19,600 manipulative. And kind of just left this like 650 00:32:19,600 --> 00:32:22,500 trail of Destruction, which ended up leading up to his 651 00:32:22,500 --> 00:32:24,400 murder, spoiler alert if you didn't see it. 652 00:32:24,400 --> 00:32:27,200 It's been out for years so I won't tell you who killed them. 653 00:32:27,200 --> 00:32:30,600 That's the surprise. But she survived this. 654 00:32:30,600 --> 00:32:33,600 I think it was like 10-year marriage with A sociopath. 655 00:32:33,600 --> 00:32:37,500 And she, I mean so much. She just released, I think it's 656 00:32:37,500 --> 00:32:39,600 on Audible. The, it's called like the first 657 00:32:39,600 --> 00:32:41,900 wife or something. So it's like her story as the 658 00:32:41,900 --> 00:32:44,100 first five because they're really dirty John's and they 659 00:32:44,100 --> 00:32:46,900 made to do Netflix show. But the dirty John's story 660 00:32:46,900 --> 00:32:51,500 really focuses on his later years that leading leading up to 661 00:32:51,500 --> 00:32:53,300 his murder. And while yes, it's not murder, 662 00:32:53,300 --> 00:32:55,700 its we're like self-defense. But anyways, that's, that's a 663 00:32:55,700 --> 00:32:59,000 little care for your. But she Advocates so much for 664 00:32:59,000 --> 00:33:02,100 women in our community who are in bad relationships. 665 00:33:02,100 --> 00:33:03,800 Yeah. With advice. 666 00:33:03,800 --> 00:33:06,100 And then she's also. Now taking this platform that 667 00:33:06,100 --> 00:33:08,900 she was given unintentionally, she didn't seek it out the LA 668 00:33:08,900 --> 00:33:12,400 Times contacted her about this and they created this podcast, 669 00:33:12,400 --> 00:33:14,200 which then blew up and led to all these other things. 670 00:33:14,200 --> 00:33:17,500 But she's taken this platform and really run with it. 671 00:33:17,500 --> 00:33:19,800 And like when you were talking about Kelly and the way she 672 00:33:19,800 --> 00:33:23,000 advocates in our communities, it's so true. 673 00:33:23,100 --> 00:33:27,000 All that Kelly has done in advocating for nurses and really 674 00:33:27,000 --> 00:33:30,800 like nursing assistants showing people really what is possible 675 00:33:30,900 --> 00:33:34,600 and that like you Like it's okay to ask for more and that you 676 00:33:34,600 --> 00:33:38,000 can't have more, but Tanya has also done a really good job in 677 00:33:38,000 --> 00:33:40,700 our community. And now across the internet, 678 00:33:40,700 --> 00:33:44,800 taking her story of like you said, that bad situation that 679 00:33:44,800 --> 00:33:48,500 like horrible Mountain, it, you had to climb and go through and 680 00:33:48,500 --> 00:33:51,400 using that to help other people. And so will give a shout out to 681 00:33:51,400 --> 00:33:53,900 Tanya's. Well, totally Shameless plug for 682 00:33:53,900 --> 00:33:57,500 a dirty, John the podcast, the series, and then now the first 683 00:33:57,500 --> 00:34:01,600 wife podcast audible from her perspective, totally Shameless 684 00:34:01,600 --> 00:34:04,800 plug go Listen to, it is mind-blowing. 685 00:34:04,800 --> 00:34:06,700 If you haven't, I'm definitely going to check it out. 686 00:34:06,700 --> 00:34:09,800 What advice do you have to give a new nurse that starting off on 687 00:34:09,800 --> 00:34:11,600 her career? Maybe she wants to be a nurse 688 00:34:11,600 --> 00:34:13,000 anesthetist. Maybe she does it. 689 00:34:13,000 --> 00:34:14,900 She has no idea what she wants to do. 690 00:34:15,000 --> 00:34:18,000 What's something that you wish you would have known sooner? 691 00:34:18,000 --> 00:34:22,300 I think it's important to like explore all the Avenue that 692 00:34:22,300 --> 00:34:25,500 nursing can take you down even as a nurse anesthetist, like, 693 00:34:25,600 --> 00:34:28,000 not just being the nurse anesthetist, you know. 694 00:34:28,199 --> 00:34:32,600 Yeah, floor the roles you can have administrative Lee. 695 00:34:32,699 --> 00:34:34,500 Or the roles. You can have anesthetics, 696 00:34:34,500 --> 00:34:37,800 explore the rules. You can have teaching explore so 697 00:34:37,800 --> 00:34:41,199 much more than just anesthesia and waking people up every day 698 00:34:41,199 --> 00:34:44,000 for a living, which is okay too. But I think it's important to 699 00:34:44,000 --> 00:34:48,199 know that there's so much more out there that you don't have to 700 00:34:48,199 --> 00:34:51,199 limit yourself or just like wait for somebody to introduce you to 701 00:34:51,199 --> 00:34:52,500 it. Yeah, that's good. 702 00:34:52,500 --> 00:34:54,100 I like that. What about you Lacey? 703 00:34:54,199 --> 00:34:55,900 I should have gone first and this is speaking. 704 00:34:55,900 --> 00:35:00,300 Now is a seasoned nurse because I graduated nursing school in 705 00:35:00,300 --> 00:35:03,900 2007 and it is now 20 21. Don't even want to do that. 706 00:35:03,900 --> 00:35:06,400 But I feel like naively. Like I went into it and I was 707 00:35:06,400 --> 00:35:07,400 like, we're going to help people. 708 00:35:07,400 --> 00:35:10,000 And we're all part of the healthcare team and it's 709 00:35:10,000 --> 00:35:11,500 beautiful, and it's great. We all were together. 710 00:35:11,500 --> 00:35:14,300 Take care of these patients and then like once you really start 711 00:35:14,300 --> 00:35:17,500 getting into it and you start to see some of the power struggles, 712 00:35:17,500 --> 00:35:21,300 some of the politics that's played behind the scenes and 713 00:35:21,300 --> 00:35:24,000 like that stuff, really drains on me. 714 00:35:24,000 --> 00:35:27,100 I've now kind of reached a point of like, acceptance of it's not 715 00:35:27,100 --> 00:35:28,600 ideal. It's a double-edged sword. 716 00:35:28,600 --> 00:35:30,600 One like you want the one you got to take the other two. 717 00:35:30,600 --> 00:35:32,300 I'm half both edges of the sword. 718 00:35:32,400 --> 00:35:37,700 I I didn't know that that was a factor or even really out there 719 00:35:37,700 --> 00:35:41,500 and not really understanding that and think being hit with 720 00:35:41,500 --> 00:35:42,900 it. I just kind of had to learn that 721 00:35:42,900 --> 00:35:45,500 like this is just double edged sword and you if you want the 722 00:35:45,508 --> 00:35:47,000 one Edge you guys take the other Edge too. 723 00:35:47,100 --> 00:35:50,000 And so and maybe that's not the best approach but I feel like 724 00:35:50,000 --> 00:35:52,700 it's really led me to a place of Peace where it's like I can 725 00:35:52,700 --> 00:35:55,900 advocate for myself and my career and my profession. 726 00:35:56,100 --> 00:35:59,200 But like I recognize that there's just going to be some 727 00:35:59,200 --> 00:36:03,000 people who do not see the value in what I do because Of the 728 00:36:03,000 --> 00:36:05,300 letters behind my name. No, that's good. 729 00:36:05,300 --> 00:36:08,300 I think don't feel like that's a negative point. 730 00:36:08,300 --> 00:36:12,200 I think it's truth and the truth resonates with people so that 731 00:36:12,300 --> 00:36:14,100 that is something that you need to know. 732 00:36:14,100 --> 00:36:17,100 It's the it's the business part of healthcare, right? 733 00:36:17,100 --> 00:36:20,500 And you kind of think it's like going to be this like unicorns 734 00:36:20,500 --> 00:36:22,400 and ponies and it's going to be super great. 735 00:36:22,400 --> 00:36:24,500 And you're just everyone's going to love you and you just 736 00:36:24,500 --> 00:36:25,800 amazing. Yeah. 737 00:36:25,800 --> 00:36:28,700 And it's just not and there's going to be like a McDreamy and 738 00:36:28,700 --> 00:36:31,300 you're like where is McDreamy and get all these things. 739 00:36:31,400 --> 00:36:32,800 So like I think you're right. Right. 740 00:36:32,800 --> 00:36:35,800 I think there are just things that you have to deal with that. 741 00:36:35,800 --> 00:36:38,500 You're like, this is really great, but this is not so great 742 00:36:38,500 --> 00:36:40,400 and that's kind of with every job. 743 00:36:40,400 --> 00:36:42,500 So do your best to tweeze that out. 744 00:36:42,500 --> 00:36:44,900 Find some side hustles, so you're not dependent on that 745 00:36:44,900 --> 00:36:47,700 stuff so that if it gets bad enough and you don't enjoy it, 746 00:36:47,700 --> 00:36:50,600 it's time to go do something else and it's always good to 747 00:36:50,600 --> 00:36:53,500 have that perspective, right? I think that's the right way to 748 00:36:53,500 --> 00:36:55,300 approach that. So, thank you for sharing. 749 00:36:55,300 --> 00:36:58,200 So the last part of the interview is a rapid fire 750 00:36:58,200 --> 00:36:59,500 questions. These are questions you could 751 00:36:59,500 --> 00:37:02,600 not prepare for that. Are going to be just one too. 752 00:37:02,800 --> 00:37:04,900 Answer. Punch, same. 753 00:37:04,900 --> 00:37:08,700 I'm always prepared. We have plans, ABCD and E all 754 00:37:08,700 --> 00:37:10,100 lined up. Oh my God. 755 00:37:10,200 --> 00:37:13,200 Here is option, f for yeah. All right, cats or dogs? 756 00:37:13,200 --> 00:37:14,800 Cats are ducks doctor. Dogs. 757 00:37:14,800 --> 00:37:19,400 Totally a dog person to and talk or texting texting text. 758 00:37:19,400 --> 00:37:22,500 Yeah, yeah. And give me your favorite day of 759 00:37:22,500 --> 00:37:25,900 the week and why? I don't know. 760 00:37:25,900 --> 00:37:29,700 I'm going to say Wednesday because I feel like that's like 761 00:37:29,700 --> 00:37:32,000 when you go over the hump and it's downhill from there and you 762 00:37:32,008 --> 00:37:34,700 have the whole again to look for a good answer, I'm gonna I'm 763 00:37:34,700 --> 00:37:37,000 gonna go with Thursday for the same reasons but like you're 764 00:37:37,000 --> 00:37:40,600 just further over the hump so totally revising of Gina movie 765 00:37:40,600 --> 00:37:43,400 where she's like, pick your favorite day and she was like 766 00:37:43,600 --> 00:38:01,600 April, We are at the end of our time 767 00:38:01,600 --> 00:38:04,000 together. I really enjoyed the chat, 768 00:38:04,100 --> 00:38:06,900 please be sure to subscribe to the show so you don't miss an 769 00:38:06,900 --> 00:38:10,100 episode and leave us a review. If you like the show, I would 770 00:38:10,100 --> 00:38:12,900 love to get 5 stars. The doctors podcast is on 771 00:38:12,900 --> 00:38:14,800 Instagram. So please follow us there for 772 00:38:14,800 --> 00:38:18,700 any updates on new podcasts and inspirational information to 773 00:38:18,700 --> 00:38:21,500 help you on your own Journey. You could always message me at 774 00:38:21,500 --> 00:38:24,200 the doctor nurse podcast at gmail.com with any Career 775 00:38:24,200 --> 00:38:27,900 Information or professions that you're interested in hearing 776 00:38:27,900 --> 00:38:30,000 about. And as always, It's for 777 00:38:30,000 --> 00:38:32,600 listening. I want to thank my biggest fan 778 00:38:32,600 --> 00:38:35,500 supporter on patreon. Kevin prior for your support of 779 00:38:35,500 --> 00:38:38,100 this podcast. If you love this podcast and 780 00:38:38,100 --> 00:38:40,700 want to throw some support my way, I would greatly appreciate 781 00:38:40,700 --> 00:38:42,900 it. My link is in the show notes and 782 00:38:42,900 --> 00:38:45,600 just a reminder the information in this podcast is for 783 00:38:45,600 --> 00:38:48,800 educational purposes only and the information should not be 784 00:38:48,800 --> 00:38:51,500 used in substitute for Professional Care by medical 785 00:38:51,500 --> 00:38:53,300 provider. The information. 786 00:38:53,300 --> 00:38:56,800 This podcast is not represent medical or other, professional 787 00:38:56,800 --> 00:38:58,300 advice or services.