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Welcome to the doctor nurse 
podcast. 

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I'm Sandra magenta a doctoral. 
We prepared nurse practitioner 

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and I am your guide into the 
world of nursing job, options, 

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take a seat and relax and let's 
get started with today's guests.

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Hi, welcome to the doctor nurse 
podcast. 

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Today, on the podcast. 
I have Ashley Evans. 

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She is a nurse practitioner and 
the CEO and founder of Psych, 

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life Tea Company. 
She has her master's in health 

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administration. 
Thracian, and she has a masters 

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in nursing and she is a board 
certified psychiatric, mental 

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health nurse practitioner. 
She graduated in 2021 from the 

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University of Alabama at 
Birmingham with her master's 

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degree. 
She's currently working at a 

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psych mental health clinic at 
the Veterans Affair hospital. 

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She created the site life Tea 
Company out of her desire to 

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create a positive experience for
those who felt different by 

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normalizing. 
The conversation around mental 

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health, her challenge. 
All mental health professionals 

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is to empower others to share 
their stories of mental health. 

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Until the stigma is no more. 
Oh, I love that. 

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Just seems like fires you up, 
and honestly, I love driving out

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stigmas. 
I think they're just a way that 

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we limit ourselves. 
So, beautifully said and welcome

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to the podcast. 
Thank you excited to be here 

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with you today. 
Well, I'm so happy to have you 

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on me to really dive into how 
you've carved your career. 

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And then also how you've made 
your business. 

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Tell me about About your current
role and your job title. 

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And then what you do for a 
living, all the pots that you're

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involved in? 
Okay, wonderful. 

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I am a psychiatric mental 
health, nurse practitioner 

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working for the VA here in 
Temple, Texas, in this Clinic. 

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We treat a myriad of mental 
illnesses from depression and 

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anxiety to PTSD schizophrenia. 
Bipolar. 

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We really see the gamut and we 
also treat lots of substance 

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abuse as well. 
Still have programs that we 

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refer veterans to some of those 
programs are real residential 

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programs, where they go in order
to detox and to seek help for 

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coming off of the substances. 
They would actually go into an 

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inpatient unit to do that so 
that they can be closely 

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supervised. 
And then once they have detox 

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fully, they go into the 
residential program where they 

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can learn how to cope. 
If being without substances and 

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learn what they can do, instead 
there really is a very 

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comprehensive program. 
We're very proud of it. 

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I actually did a rotation in 
Psych mental health at the VA, 

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when I was a nursing student, 
and it was an incredibly 

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eye-opening experience, watching
and listening to these veterans 

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that were experiencing mental 
dysfunction and illness. 

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And I'm never going to forget 
one of the guys just seemed 

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completely normal. 
You came into the room. 

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He sat down and he was 25 26 
years old. 

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And I looked at my preceptor. 
I said he seems completely 

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normal. 
Why is he here? 

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And she said, just listen. 
And so as he began to talk, he 

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began to describe how he had two
phds. 

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And these all these different 
fallacies and delusions of 

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grandeur. 
When I began to look around and 

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go. 
Oh my goodness, like this. 

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This person is not well and yet 
they seem. 

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They seem so normal. 
And it's just again, kind of 

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going That stigma that we all 
have. 

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I feel like driving out the 
stigma of this mental health 

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disease and people struggling 
with their mental health is 

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critical because it can happen 
to any of us. 

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It isn't just something that it 
can affect anyone and it could 

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be in your family. 
You make a great point and I 

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want to pause here. 
I don't want us to proceed 

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without really drawing out. 
What you just said. 

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The person looked normal quote 
unquote. 

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Boat, that's very important. 
And it's important. 

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Because of this, what is normal,
right? 

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Especially as it relates to 
having a mental illness or a 

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physical illness, right? 
Like you can't tell that a 

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person has hypertension by 
looking at them, right? 

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You can't tell that a person has
anything. 

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You cannot tell, right? 
It is the same way for mental 

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illnesses. 
I think there's there's one 

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thing that we have to understand
and if the fact that mental 

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illness is in the past, it was 
associated with Beggars on the 

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street nomadic people who look 
like their quote unquote crazy. 

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I don't use that word, but I'm 
trying to make a point in the 

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fact that that's not how mental 
health actually looks is, what 

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is portrayed to us. 
However, I have the face of 

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Don't go, right? 
You have the face of mental 

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health. 
In the reason why I say I have 

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that faith is because I 
personally have had a 16-year 

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journey myself was having just 
battling depression and anxiety.

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And I guarantee you I told him 
quote look normal, right, but 

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that's what we have to get away 
from this notion that there's a 

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particular. 
Look, if you will. 

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Those seated with having a 
mental illness. 

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Yeah, because we can write, it 
can be yes. 

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And who has the most money in 
the world, money in the world is

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not going to keep you from being
sad. 

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It's not that I can't be anxious
and it's certainly not going to 

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keep your genetics from 
developing, whatever you develop

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which we know, genetics, play a 
huge parking and to 

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schizophrenia and bipolar. 
Well, it's Jenna. 

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Going to do those things. 
That's a guarantee. 

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Tell me about how you developed 
your t-shirt company. 

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So, you've been working. 
How long have you been working 

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at the VA? 
I have been working at the VA 

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for five years, and prior to go 
back in and tell you a little 

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bit of my history because prior 
to working at the VA. 

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I worked in a community hospital
back in our hometown, Auburn, 

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Alabama. 
And at that particular, It'll is

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when I had my first experience 
inside. 

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You can imagine these 
adolescents had severe. 

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Trauma, trauma. 
You can't even imagine the worst

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of the worst adverse childhood 
experiences. 

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These children had indoor from 
from rape to other sexual 

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assaults, to being beaten. 
I mean the list just goes on and

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it was very When I went into 
that unit stops myself. 

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Oh my God. 
This is going to be a cakewalk. 

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Right? 
I'm just gonna go and keep some 

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kids. 
Keep I I didn't understand just 

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how impactful the psychiatric 
realm of nursing truly was, is 

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far beyond sitting with some 
patients. 

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It's done that. 
I know a couple of years back 

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there was The notion of all 
psychiatric. 

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Nurses, do is sit around and 
play cards. 

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Have you heard that before? 
I heard somebody, some Senator 

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said something about all nurses,
do sit around and play Clefairy 

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and we just sit around and play 
cards, right? 

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But if that's all we did, can 
you imagine how much talking we 

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do while we're playing those 
cards? 

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I mean, it is a therapy session 
24 hours. 

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When I started working in the 
Adolescent unit, these kids 

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date. 
Need a lesson in the fact that 

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you cannot show up on bubbly and
think that your loveliness is 

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going to rub off on them on day 
one. 

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It just does not work that way 
when you have been exposed to 

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the types of trauma that these 
people have been exposed to and 

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let down over and over and over 
again. 

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It really changes them in a way 
that is very difficult to 

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understand but they don't Don't 
just perk up and feel like 

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you're a knight in shining 
armor. 

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I mean in because you're so nice
and sweet, it takes for you to 

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show up, time and time again, 
day in day out. 

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Shh, the shift to really 
influence them the way that you 

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really want to influence them 
and and start chiseling away at 

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that hardcore surface that they 
have built over the number of 

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years that that Alma was 
happening to them. 

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So what I learned here was that 
they really experienced a great 

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deal of embarrassment. 
They experienced a great deal of

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just feeling like people are 
talking about them. 

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Looking at them. 
They feel like pariahs their own

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family. 
They feel like their families, 

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don't love them, and many of 
them, their families have 

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abandoned them. 
So they have every reason to 

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feel like they're not love and 
most of the time, they feel like

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it. 
Is because of their mental 

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illness, right? 
We know that at the end of the 

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day, that's not the real reason.
Why their family abandoned them.

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Their families had lots of 
trauma that were going on with 

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them as well. 
And I've been ill necess it is 

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something that runs in families.
Although the child is 

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experiencing a mental illness. 
We can't forget that the parent 

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usually is too especially when 
you have a child that young 

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experiencing it. 
I started working at the VA and 

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I started working with adults. 
I noticed that the very same 

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things that kids are plagued by 
in terms of just embarrassment 

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and feeling so isolated and 
feeling. 

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So different adults are playing 
with the same thing. 

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They feel like their diagnosis 
has ruined their lives and 

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because of that, they feel like 
they can't be love. 

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They're unworthy is what they 
think in there. 

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They think that people are 
looking at them, that they're an

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embarrassment and they're 
ashamed of themselves, because 

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the caring this diagnosis. 
And so I said, how can I give 

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back? 
How can I show them that? 

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That's not what we're thinking, 
especially people who are in 

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health care, giving them 
treatment. 

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We're not looking down on them. 
We want to build them up. 

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And so I say what when a person 
has on a shirt, right? 

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And the shirt is a nice t-shirt,
Alabama. 

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Like I said earlier. 
Well, if you saw me with the 

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Nike shirt, that represented 
Auburn University, you would 

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know two things. 
I love Nike and I love our 

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University. 
Right? 

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So I said, if I created an 
apparel line that pulled 

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together, really, beautiful 
bright messages on bright, teas 

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and show support for the middle.
No Health Community and show 

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support for those who suffer 
with mental illnesses. 

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I wonder how that would 
translate to them. 

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I placed myself in their shoes 
quite literally because though, 

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I've never been a patient on an 
inpatient unit. 

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I can empathize when you have 
empathy and you can place 

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yourself in someone's shoes what
they are experiencing and you 

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try to do Thing that prevents 
them from experiencing a bad 

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onboarding into an inpatient 
unit or a bad exchange. 

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And so that's why I came up with
the team because the tea light 

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has beautiful things. 
Mental. 

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Health matters, reflective 
practice. 

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You are worthy, just so many 
different things. 

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I love God, reinforces our 
advocacy from us to the patient.

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And it's an awesome as well. 
What have, you know, do you wear

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it to work? 
If you notice like any response 

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from patients? 
Oh, yeah, is definitely a 

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conversation starter. 
Oh, that is so cool. 

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Yeah, because when I do me an 
example of, like, one of the 

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conversations you've had with a 
patient. 

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Absolutely, so, I went and got 
one patient from the lobby, and 

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I had on my mental health 
matters shirt, and he came into 

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my office, sat down, and he also
stole my mug sitting there on. 

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That's because well, they don't 
have matters and he said, you 

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really care, don't you? 
And I looked at him and I was 

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like, care about what you really
care about mental health. 

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I said, absolutely. 
I said, I am Ashley all things 

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mental, health Evans, and he was
like, wow. 

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He said this isn't just a job 
for you. 

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I said, it's my life. 
That's a really good segue into 

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Into how you became a nurse and 
how you decided to be a psych 

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mental health, nurse because 
your Journeys really interesting

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starting in the corporate world,
kind of realizing that there was

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something missing. 
When, did you decide to become a

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nurse, and then walk me through 
your steps through nursing 

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school and then to your master's
degree. 

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I will make it as concise as 
possible. 

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But when I first went to 
college, I went I obtained. 

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My undergraduate degree from 
Florida State University, go 

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knows we won't hold that against
you here, but Head and I wanted 

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to become a doctor. 
I wanted to become a 

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psychiatrist. 
Okay, interesting. 

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So if pre-med psychology after 
the second psychology class, I 

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look like this is for the birds.
This is the best thing and then 

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I started delving into the math 
and science courses that had to 

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take for premium. 
I am I'm going to have to change

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00:14:24,400 --> 00:14:28,900
my major because I cannot tell 
my dad that I'm going to fail a 

231
00:14:28,900 --> 00:14:31,900
class. 
Because it's so difficult and 

232
00:14:31,900 --> 00:14:34,900
I've always struggled in math 
and science. 

233
00:14:34,900 --> 00:14:37,600
Well, let me just say my health 
has always represented an 

234
00:14:37,600 --> 00:14:40,400
opportunity for improvement to 
me. 

235
00:14:40,600 --> 00:14:45,400
I love how you worried about 
that's fabulous because it's his

236
00:14:45,400 --> 00:14:48,200
right. 
Love that absolutely changed. 

237
00:14:48,200 --> 00:14:50,200
My man. 
International Fair, something 

238
00:14:50,200 --> 00:14:53,700
totally different age classes 
graduated. 

239
00:14:54,000 --> 00:14:59,100
Yes to Birmingham, Alabama and 
started working for Blue. 

240
00:14:59,100 --> 00:15:00,400
Cross Blue Shield. 
I'll be a month. 

241
00:15:00,500 --> 00:15:04,200
And when I started working 
there, I started out and claims 

242
00:15:04,200 --> 00:15:07,400
and told my husband I said, well
I'm going to go back and I'm 

243
00:15:07,400 --> 00:15:10,100
going to get a masters in 
healthcare administration. 

244
00:15:10,100 --> 00:15:12,200
I've decided I'm going to climb 
the corporate ladder. 

245
00:15:12,200 --> 00:15:14,900
This is for me. 
I love Administration. 

246
00:15:14,900 --> 00:15:19,300
I convinced myself that. 
That was good enough. 

247
00:15:19,300 --> 00:15:24,100
I went back to school attain 
that Masters and eventually we 

248
00:15:25,100 --> 00:15:29,200
went into another position there
at Blue Cross, but I still had 

249
00:15:29,200 --> 00:15:32,800
that now. 
Nagging urge that kept telling 

250
00:15:32,800 --> 00:15:36,500
me pulling on me. 
This isn't what you want to do. 

251
00:15:36,800 --> 00:15:37,800
I ignored it. 
Why? 

252
00:15:37,800 --> 00:15:40,900
Because the money was good. 
I mean, people say it's the norm

253
00:15:40,900 --> 00:15:43,900
in handcuffs, right? 
And they say that there's the 

254
00:15:43,900 --> 00:15:45,900
salary is the price. 
You pay to let go of your 

255
00:15:45,900 --> 00:15:49,100
dreams. 
Like, yeah, that money was good.

256
00:15:49,200 --> 00:15:52,300
Okay. 
I was getting my regular 

257
00:15:52,300 --> 00:15:55,300
paycheck one Friday and the next
Friday. 

258
00:15:55,300 --> 00:15:59,700
I was getting was known at that 
company as PB people. 

259
00:15:59,900 --> 00:16:04,400
Foreman. 
Spaced a and honey, my bonus is.

260
00:16:04,500 --> 00:16:08,200
I mean they were awesome. 
I stayed there for a couple of 

261
00:16:08,200 --> 00:16:11,300
years because the benefits were 
so amazing. 

262
00:16:11,400 --> 00:16:12,500
Good. 
Yeah. 

263
00:16:13,100 --> 00:16:15,200
Yeah. 
No, they can catch it on that. 

264
00:16:15,400 --> 00:16:17,700
It was affecting my mental 
health. 

265
00:16:17,700 --> 00:16:22,300
It was a very good job. 
People stay in jobs that are 

266
00:16:22,300 --> 00:16:27,200
dead in and, you know, 
psychological safety and jumps 

267
00:16:27,200 --> 00:16:29,700
where there's no support 
encouragement inspiration. 

268
00:16:29,800 --> 00:16:32,500
Operation. 
And they do it all in the name 

269
00:16:32,500 --> 00:16:37,600
of a benefit, right? 
And to me because it's affecting

270
00:16:37,600 --> 00:16:39,600
your mental health. 
Were you having mental health 

271
00:16:39,600 --> 00:16:42,000
issues out this job or work? 
Okay. 

272
00:16:42,000 --> 00:16:45,600
So it was just you were still 
having that nagging feeling that

273
00:16:45,600 --> 00:16:47,600
you were meant to do something 
else. 

274
00:16:47,700 --> 00:16:51,400
And I was like what I just I 
really want to go back and do 

275
00:16:51,400 --> 00:16:54,800
something else before I really 
listened to myself and my 

276
00:16:54,800 --> 00:16:58,700
husband and I we had a baby this
is when I develop postpartum 

277
00:16:58,700 --> 00:17:03,900
depression at Time after we had 
a baby and my mom had died when 

278
00:17:03,900 --> 00:17:06,500
I was 15. 
And so, I had, I had my first 

279
00:17:06,500 --> 00:17:11,800
son when I was 23. 
And I tell people all the time 

280
00:17:11,800 --> 00:17:17,500
when I speak about grief that I 
did not fully understand nor 

281
00:17:17,500 --> 00:17:22,599
process, my mother's death until
I had my first son, it's me to 

282
00:17:22,599 --> 00:17:27,700
bring a child into the world to 
really process loss of her. 

283
00:17:27,700 --> 00:17:32,700
And what that law is Resented 
and because maternally, you 

284
00:17:32,700 --> 00:17:38,800
expect for your mother to be 
there with you during this 

285
00:17:38,800 --> 00:17:43,600
incredible time in her life. 
And she was not then having all 

286
00:17:43,600 --> 00:17:48,000
of the hormones in my body, just
going through so much. 

287
00:17:48,000 --> 00:17:53,200
That is when I develop and I 
ended up seeing a psychiatrist. 

288
00:17:53,200 --> 00:17:56,800
He really changed my life and I 
saw him at the urging of my 

289
00:17:56,800 --> 00:17:59,200
husband who noticed that I 
wasn't the same. 

290
00:18:00,300 --> 00:18:04,200
That he had known for so many 
years and I'm so thankful that 

291
00:18:04,200 --> 00:18:08,400
he noticed that and me now this 
person who was crying all the 

292
00:18:08,400 --> 00:18:10,500
time. 
Didn't want to hang out with the

293
00:18:10,500 --> 00:18:14,000
baby, didn't want to make our 
price limit of. 

294
00:18:14,000 --> 00:18:16,800
It was just not me. 
Right? 

295
00:18:16,800 --> 00:18:20,400
And I'm thankful that he 
encouraged me, but the one thing

296
00:18:20,400 --> 00:18:22,900
I said went because I didn't 
immediately say, okay. 

297
00:18:22,900 --> 00:18:25,800
I'll go see the doctor when she 
said, maybe going to see a 

298
00:18:25,800 --> 00:18:28,600
doctor. 
I was like no you need to go. 

299
00:18:29,300 --> 00:18:41,800
Yeah. 
I was just thinking that. 

300
00:18:41,800 --> 00:18:44,700
Yeah, with being 
African-American, we the beat 

301
00:18:46,000 --> 00:18:48,300
Community. 
If we're going to move the 

302
00:18:48,300 --> 00:18:52,100
needle, we have to do it in a 
very honest and transparent 

303
00:18:52,200 --> 00:18:53,500
fashion. 
Okay. 

304
00:18:53,500 --> 00:18:56,200
Yeah, and so I was part of that 
group of people. 

305
00:18:56,300 --> 00:18:59,600
I stand here before you part of 
that group of people. 

306
00:19:00,300 --> 00:19:04,800
So myself, mental health does 
not exist in black people 

307
00:19:04,800 --> 00:19:07,900
because we are too strong, but 
it was which is the exact 

308
00:19:07,900 --> 00:19:11,600
opposite its exact opposite. 
It's the strong that I asked for

309
00:19:11,600 --> 00:19:14,600
help like that's vulnerable T. 
That's the strength and 

310
00:19:14,600 --> 00:19:17,600
vulnerability and in my 
weakness. 

311
00:19:17,700 --> 00:19:21,000
I was like, yeah, there's no way
I'm going to do that. 

312
00:19:21,000 --> 00:19:24,800
That I mean, it doesn't exist 
from too strong, like the first 

313
00:19:24,800 --> 00:19:28,400
person in my family who's ever 
going to college, like I started

314
00:19:28,400 --> 00:19:32,200
naming these things. 
But those things have nothing to

315
00:19:32,200 --> 00:19:36,000
do with your hormones and 
neurotransmitters in your body, 

316
00:19:36,200 --> 00:19:39,400
increasing and decreasing and 
making you feel sad. 

317
00:19:39,900 --> 00:19:42,500
So, how did you overcome that? 
How did you overcome that? 

318
00:19:42,700 --> 00:19:47,700
The stigma, the culture, your 
own rap sheet of success. 

319
00:19:48,000 --> 00:19:51,000
How did you say? 
All right, I'm going, that's a 

320
00:19:51,000 --> 00:19:55,500
great question. 
I listen to my husband and I 

321
00:19:55,500 --> 00:19:59,600
said, what I have a little one 
it is best for me. 

322
00:19:59,900 --> 00:20:04,100
To go and see if I need to talk 
to someone about how I'm feeling

323
00:20:04,100 --> 00:20:06,300
because I was crying all the 
time and I knew that wasn't 

324
00:20:06,300 --> 00:20:09,600
normal, right? 
And so when I went to the 

325
00:20:09,600 --> 00:20:13,900
psychiatrist he treated me with 
such respect. 

326
00:20:13,900 --> 00:20:19,200
He was a Caucasian male and I 
know I was so blessed. 

327
00:20:19,200 --> 00:20:24,300
I was so blessed to have someone
who treated me. 

328
00:20:24,600 --> 00:20:29,600
Ethically who treated me with 
beneficent who treated me with. 

329
00:20:29,700 --> 00:20:34,400
With respect who didn't rush me,
but wanted me to fully process 

330
00:20:34,400 --> 00:20:37,700
the grief that I had held for so
long. 

331
00:20:37,900 --> 00:20:42,500
He is with me through those 
things, and I decided at that 

332
00:20:42,500 --> 00:20:44,900
point. 
I've got to go back to school 

333
00:20:45,000 --> 00:20:47,900
because I want to help people 
like he's helping people. 

334
00:20:48,100 --> 00:20:51,800
And so that's what made me end 
up talking to my husband about. 

335
00:20:51,800 --> 00:20:54,300
Hey, I've got to get back to go 
back to school again. 

336
00:20:54,300 --> 00:20:57,700
He's like, oh God, again because
I had already finished my 

337
00:20:58,000 --> 00:21:01,000
masters and Buster's. 
And probably. 

338
00:21:01,000 --> 00:21:03,200
Yes, I have to I said, but don't
worry. 

339
00:21:03,200 --> 00:21:05,400
I'm just going to go and get an 
associates. 

340
00:21:05,600 --> 00:21:07,900
I just want to be a nurse. 
Okay. 

341
00:21:08,100 --> 00:21:12,400
I just want to be a nurse and so
I went back and we moved back 

342
00:21:12,400 --> 00:21:16,100
home over so that we can have 
some help with our little one. 

343
00:21:16,400 --> 00:21:20,000
And I started going to school 
after work at the community 

344
00:21:20,000 --> 00:21:25,100
college and in Auburn Opelika, 
and I finished that degree in 

345
00:21:25,100 --> 00:21:29,500
2012. 
But his saddle for I don't sell.

346
00:21:29,900 --> 00:21:35,100
Okay, I keep going like the 
Energizer but and so I started 

347
00:21:35,100 --> 00:21:38,400
working in a NICU then my 
husband and I we decided that we

348
00:21:38,400 --> 00:21:40,900
would be moving to Texas before.
Then. 

349
00:21:41,000 --> 00:21:45,600
I say, well I need to get back 
to school and get my BSN because

350
00:21:45,600 --> 00:21:49,200
that's the only way that I'm 
going to be able to really make 

351
00:21:49,200 --> 00:21:53,400
changes and in and get back into
Administration as a nurse. 

352
00:21:53,600 --> 00:21:56,000
And I said this is it. 
I'm not going back to school 

353
00:21:56,000 --> 00:21:59,200
after this. 
I go back to school and we moved

354
00:21:59,200 --> 00:22:03,200
to, Texas. 
Is and I completed my BSN, and 

355
00:22:03,300 --> 00:22:05,500
that's when I started working 
for the VA. 

356
00:22:05,800 --> 00:22:09,200
And, oh, my God, it was such a 
wonderful experience. 

357
00:22:09,200 --> 00:22:13,600
I love working with that. 
And when you love doing 

358
00:22:13,600 --> 00:22:17,600
something, when you're 
passionate about something, and 

359
00:22:17,600 --> 00:22:23,100
you can be more impactful, if 
you get additional schooling, 

360
00:22:23,400 --> 00:22:27,500
you're just gonna do it. 
And I'm just gonna go, I'm about

361
00:22:27,500 --> 00:22:31,000
to have my husband yet again. 
But at this point, you've 

362
00:22:31,000 --> 00:22:32,900
condition them. 
He's ready for it. 

363
00:22:32,900 --> 00:22:34,900
I'll get this point. 
Okay, but you were to go to 

364
00:22:34,908 --> 00:22:37,300
school. 
So I said, babe, just one more 

365
00:22:37,300 --> 00:22:38,700
time. 
I want to go back and get a 

366
00:22:38,708 --> 00:22:43,100
nurse practitioner degree. 
And so he knew how much I loved 

367
00:22:43,100 --> 00:22:46,600
psyche. 
And he said, absolutely here. 

368
00:22:46,600 --> 00:22:48,900
I am. 
And I'm already having a 

369
00:22:48,900 --> 00:22:51,500
conversation about. 
Should I do the PHD? 

370
00:22:51,500 --> 00:22:54,400
Should I do the DMV? 
So we're not done. 

371
00:22:54,400 --> 00:22:57,300
He's now, I love your hunger for
knowledge. 

372
00:22:57,300 --> 00:22:59,600
I love for your hunger for 
self-development. 

373
00:22:59,700 --> 00:23:03,800
And to continually improve your 
ability to impact patients lives

374
00:23:03,800 --> 00:23:06,900
and I share your love for the 
veterans. 

375
00:23:07,000 --> 00:23:10,500
I also work with veterans and I 
absolutely love the population. 

376
00:23:10,500 --> 00:23:13,500
It's actually the population 
that I felt like, I meant to 

377
00:23:13,500 --> 00:23:17,300
work with just because they are 
so real and raw. 

378
00:23:17,500 --> 00:23:20,400
And they tend to be in that age 
group that I love. 

379
00:23:20,400 --> 00:23:23,100
I'm an adult nurse practitioner 
board-certified. 

380
00:23:23,100 --> 00:23:26,400
And so, that's really what I 
like, or just the older adults. 

381
00:23:26,400 --> 00:23:29,500
And so, it's just a total optic,
complete Hospital older. 

382
00:23:29,600 --> 00:23:31,500
So like this is like my 
playground. 

383
00:23:31,500 --> 00:23:34,700
I love this this place which is 
sweet, man, that story about 

384
00:23:34,700 --> 00:23:38,900
country that gave so much for 
for us to be free. 

385
00:23:39,100 --> 00:23:43,800
It is so easy to just, enjoy 
serving the veterans when you 

386
00:23:43,800 --> 00:23:47,600
see that they gave up so much so
that we could be free. 

387
00:23:47,600 --> 00:23:50,000
The least I can do is just take 
care of them. 

388
00:23:50,000 --> 00:23:55,200
Well, so I completely aligned 
with you and I again it does 

389
00:23:55,200 --> 00:23:58,100
give you a different sense of 
purpose when you go to work. 

390
00:23:58,100 --> 00:24:02,000
I only work two days a week, but
But I do go in and they say, how

391
00:24:02,000 --> 00:24:04,500
is your baby? 
And I'm like, oh, he's good. 

392
00:24:04,500 --> 00:24:07,300
And they're like, I remember you
were pregnant when you went out 

393
00:24:07,300 --> 00:24:09,800
and I was worried about you or 
they brought me gifts when I 

394
00:24:09,800 --> 00:24:13,000
came back to work. 
And so I just think there are 

395
00:24:13,000 --> 00:24:16,400
some of the salt of the earth 
people and more nurses need. 

396
00:24:16,400 --> 00:24:20,000
If you are burned out or tired, 
go work at the VA is a 

397
00:24:20,000 --> 00:24:23,700
population is incredible. 
You will enable weigh them and I

398
00:24:23,700 --> 00:24:26,700
have enjoyed them. 
So I love that you're sharing 

399
00:24:26,700 --> 00:24:32,200
that I will pay every veteran. 
And some of the most transparent

400
00:24:32,200 --> 00:24:34,000
people on the Earth. 
I agree. 

401
00:24:34,000 --> 00:24:37,800
They don't have a filter and I 
love, it was wrong. 

402
00:24:37,800 --> 00:24:41,000
They're going to tell you. 
And in the sight of you love 

403
00:24:41,000 --> 00:24:44,800
that because you don't want to 
have to go fishing and pulling 

404
00:24:44,800 --> 00:24:48,900
out things that or asking 
questions about things that are 

405
00:24:48,900 --> 00:24:53,200
not pertinent to them. 
The most part veterans, tell you

406
00:24:53,200 --> 00:24:56,000
exactly was going on. 
They tell you what they're 

407
00:24:56,000 --> 00:24:59,500
thinking, what they're having a 
difficult time with it. 

408
00:24:59,600 --> 00:25:05,100
And in the population that I see
in the clinic, these people deal

409
00:25:05,100 --> 00:25:08,700
with lots of nightmares, they 
deal with lots of 

410
00:25:08,700 --> 00:25:16,200
hyper-vigilance and the PTSD is 
very strong, and they also deal 

411
00:25:16,200 --> 00:25:19,500
with lots of schizophrenia and 
bipolar as well. 

412
00:25:19,500 --> 00:25:25,400
But the, the population is 
amazing and I absolutely love 

413
00:25:25,400 --> 00:25:29,100
it. 
And I love how when they come in

414
00:25:29,100 --> 00:25:31,500
very. 
Draw meeting the treatment 

415
00:25:31,500 --> 00:25:34,000
needing to get stabilized on 
meds. 

416
00:25:34,200 --> 00:25:38,000
But being a little untrusting 
like I don't know if I really 

417
00:25:38,000 --> 00:25:40,800
want to take these medications 
and then you do your 

418
00:25:40,800 --> 00:25:45,200
psychoeducation with them do 
Psychotherapy, give them 

419
00:25:45,200 --> 00:25:48,800
medication. 
Give them some group therapy and

420
00:25:48,800 --> 00:25:52,900
they come back in a few months 
and they are transformed like is

421
00:25:52,900 --> 00:25:58,000
wonderful to see them in that. 
Lets you make them up believer. 

422
00:25:58,100 --> 00:25:59,500
Hey guys. 
Thanks for listening. 

423
00:25:59,700 --> 00:26:02,700
The podcast, I hope you're 
enjoying the conversation. 

424
00:26:02,700 --> 00:26:05,000
I want to take a second to 
remind you guys to join the 

425
00:26:05,000 --> 00:26:07,100
doctor nurse podcast, email 
list. 

426
00:26:07,400 --> 00:26:11,500
I send out weekly emails about 
podcast episodes weekly blogs 

427
00:26:11,500 --> 00:26:15,500
and creating with information 
about nursing and building side.

428
00:26:15,500 --> 00:26:18,000
Hustles. 
I want to provide nurses with 

429
00:26:18,000 --> 00:26:22,700
information that I am gleaning, 
as I grow my podcast and my 

430
00:26:22,700 --> 00:26:24,700
business. 
The link is in the show notes, 

431
00:26:24,700 --> 00:26:27,000
guys. 
Be sure to check it out and 

432
00:26:27,000 --> 00:26:28,400
let's get back to the 
conversation. 

433
00:26:28,500 --> 00:26:30,300
Ya know. 
It's Funny that you say that 

434
00:26:30,300 --> 00:26:32,800
because I had a patient 
recently, I treated, and he had 

435
00:26:32,800 --> 00:26:36,000
said, I need to go see my side 
doctor, because, or my site 

436
00:26:36,000 --> 00:26:38,600
nurse practitioner because he's 
like, oh, these meds are 

437
00:26:38,600 --> 00:26:40,500
working. 
And I was like, okay, let me tag

438
00:26:40,500 --> 00:26:42,900
her real quick on a note. 
So, I tagged the nurse 

439
00:26:42,900 --> 00:26:45,600
practitioner, but it was just, 
it was just, he was wrong. 

440
00:26:45,600 --> 00:26:47,300
He came in. 
I was like, I don't think he's 

441
00:26:47,300 --> 00:26:49,400
meds are working. 
My mom's driving me nuts. 

442
00:26:49,400 --> 00:26:53,600
So it was just a moment of just,
yes, it was like where he was 

443
00:26:53,600 --> 00:26:55,800
that day. 
And he was okay and nothing 

444
00:26:55,800 --> 00:26:59,200
concerning was going on, but he 
was just wrong and I was like, 

445
00:26:59,200 --> 00:27:01,400
yeah. 
I love this population and Lou 

446
00:27:01,400 --> 00:27:04,400
much. 
It's totally my jam and it's 

447
00:27:04,400 --> 00:27:07,100
what I meant to take care of 
because I really, really like 

448
00:27:07,100 --> 00:27:09,700
that. 
So actually tell me a little bit

449
00:27:09,700 --> 00:27:12,800
about a challenge that you had 
to overcome in your career. 

450
00:27:12,800 --> 00:27:16,100
A moment that you felt like this
is Ashley's out. 

451
00:27:16,100 --> 00:27:19,300
She's not going to make it but 
then you overcame whatever that 

452
00:27:19,300 --> 00:27:21,000
was. 
You have an experience like 

453
00:27:21,000 --> 00:27:23,100
that. 
There are many times that we 

454
00:27:23,100 --> 00:27:25,500
make decisions that we later 
regret. 

455
00:27:25,600 --> 00:27:29,200
And I remember I was in a cute 
site. 

456
00:27:29,600 --> 00:27:34,400
At the VA and I work there for 
maybe eight or nine months and I

457
00:27:34,400 --> 00:27:38,100
saw a management position come 
up and I was like, I've got a 

458
00:27:38,100 --> 00:27:42,900
plan for this. 
I've got this and apply and I 

459
00:27:42,900 --> 00:27:47,600
got the job. 
And I remember finding out cuz 

460
00:27:47,600 --> 00:27:51,500
the the lady who I would be 
reporting to the nurse manager. 

461
00:27:51,700 --> 00:27:56,600
She was hiring to assistant 
nurse manager, and I remember 

462
00:27:56,600 --> 00:27:59,400
finding out who the second 
assistant. 

463
00:27:59,600 --> 00:28:03,400
Manager was going to be and 
there's always going to be 

464
00:28:03,400 --> 00:28:08,600
people who Aura and whose life 
does not align with yours. 

465
00:28:08,600 --> 00:28:12,900
You hear the talk about them, 
but you know, you know know 100%

466
00:28:12,900 --> 00:28:16,900
but you're kind of like pretty 
certain that this person isn't 

467
00:28:17,200 --> 00:28:21,000
of the earth type of people. 
And so I remember finding out 

468
00:28:21,000 --> 00:28:24,700
that this person was going to be
your counselor. 

469
00:28:24,700 --> 00:28:28,500
Yeah. 
Yeah, and and I prayed about it 

470
00:28:28,500 --> 00:28:32,600
over the weekend. 
And like I got the job offer and

471
00:28:32,800 --> 00:28:35,100
I prayed about, I told my 
husband, I said, you're not 

472
00:28:35,100 --> 00:28:38,000
going to believe this, we prayed
about it and we were just like, 

473
00:28:38,000 --> 00:28:41,800
what just go ahead and do it. 
Hopefully, you'll be in a 

474
00:28:41,800 --> 00:28:46,000
separate case. 
And so I ended up calling that 

475
00:28:46,200 --> 00:28:51,200
Monday and I spoke to a manager 
and I said, hey am I going to 

476
00:28:51,200 --> 00:28:53,900
have a separate office? 
And she said, yeah, who are 

477
00:28:53,900 --> 00:28:56,700
still having separate offices? 
Well, I never did sell her my 

478
00:28:56,700 --> 00:28:58,700
concerns. 
I just told her I wanted to 

479
00:28:58,700 --> 00:29:02,900
separate. 
And I remember starting that job

480
00:29:03,100 --> 00:29:05,700
from the time that I got in that
job. 

481
00:29:05,700 --> 00:29:11,500
This person was trying to 
sabotage me and essentially just

482
00:29:11,500 --> 00:29:16,000
ruined my, my career ruined my 
credibility and who I am 

483
00:29:16,000 --> 00:29:20,600
everything that I stood for as a
person this person was trying to

484
00:29:20,600 --> 00:29:25,500
dismantle and I didn't 
understand why and come to find 

485
00:29:25,500 --> 00:29:29,600
out. 
He was doing this because a In 

486
00:29:29,600 --> 00:29:33,600
that he was saying, on the unit 
that we have worked for, I was 

487
00:29:33,600 --> 00:29:37,500
friends with and he didn't like 
the fact that he, that she and I

488
00:29:37,500 --> 00:29:40,100
were friends. 
So he was trying to ruin my 

489
00:29:40,100 --> 00:29:46,400
reputation because I was trying 
to instill worthiness and hers 

490
00:29:46,400 --> 00:29:50,000
to tell her that she's worth 
more than being with a person 

491
00:29:50,000 --> 00:29:53,500
who treats her so poorly like he
was treating her. 

492
00:29:53,500 --> 00:29:55,700
So poorly. 
This is oh my goodness. 

493
00:29:55,900 --> 00:29:59,400
That is that is some psych drama
is the true. 

494
00:29:59,800 --> 00:30:03,700
Tiny. 
And so, when he found out that I

495
00:30:03,700 --> 00:30:08,400
was saying those things to her 
building her up, he was livid. 

496
00:30:08,400 --> 00:30:10,600
But I didn't know about that 
because she didn't tell me. 

497
00:30:10,800 --> 00:30:16,000
He started saying all these ugly
- things dismantling my like, oh

498
00:30:16,000 --> 00:30:18,200
my gosh. 
Oh my gosh, ever. 

499
00:30:18,400 --> 00:30:21,500
And what happened? 
I talked to my nurse manager and

500
00:30:21,500 --> 00:30:25,600
I said, hey, I'm going back to 
keep site and it was only after 

501
00:30:25,600 --> 00:30:29,400
about seven months at the end of
the day, money doesn't matter - 

502
00:30:29,600 --> 00:30:35,800
A matters who I am matters, what
I stand for matters, but piece I

503
00:30:35,800 --> 00:30:40,200
went back to a cute site and I 
should have never left because 

504
00:30:40,200 --> 00:30:44,600
as soon as I found out, who's 
gonna be my peer, I knew it 

505
00:30:44,600 --> 00:30:47,600
didn't feel right. 
But sometimes you do things that

506
00:30:47,600 --> 00:30:50,600
don't feel right. 
And back to the unit and I gave 

507
00:30:50,600 --> 00:30:54,800
the unit 1000%, I may have been 
given nine hundred and 

508
00:30:54,800 --> 00:30:58,800
ninety-nine percent before 
giving them a thousand percent. 

509
00:30:58,800 --> 00:31:04,200
Now. 
And went all in and was able to 

510
00:31:04,500 --> 00:31:09,500
bring in ideas that I had 
brought changes for on the 

511
00:31:09,500 --> 00:31:11,300
previous unit. 
That I was working for. 

512
00:31:11,300 --> 00:31:14,500
Those eight months that seal 
see, which is the residential 

513
00:31:14,500 --> 00:31:18,900
area for geriatric patients, and
was able to implement some of 

514
00:31:18,900 --> 00:31:23,100
those ideas that I created there
and brought them over to a cute 

515
00:31:23,100 --> 00:31:24,900
side. 
So that's cool. 

516
00:31:25,200 --> 00:31:29,000
But it was an incredibly 
difficult experience that I was 

517
00:31:29,000 --> 00:31:32,100
able to get. 
Through and able to give back up

518
00:31:32,100 --> 00:31:35,100
even more. 
Once I got back to the place 

519
00:31:35,100 --> 00:31:38,200
that I really loved and see what
I love about that. 

520
00:31:38,300 --> 00:31:42,300
You think that would that wasn't
great, but you still walked away

521
00:31:42,300 --> 00:31:45,400
with so much knowledge, so much 
experience. 

522
00:31:45,400 --> 00:31:48,800
And so even though you tried it 
and it wasn't for you. 

523
00:31:49,000 --> 00:31:51,000
You still are better because of 
it. 

524
00:31:51,000 --> 00:31:53,600
And I really want my nurses and 
nurse practitioners that are 

525
00:31:53,600 --> 00:31:58,000
hearing this podcast today, to 
let that sink into your soul, 

526
00:31:58,200 --> 00:32:00,800
not every decision you're going 
To make you're going to fit in. 

527
00:32:00,800 --> 00:32:02,600
It's going to be perfect. 
Absolutely. 

528
00:32:02,600 --> 00:32:05,500
It will make you stronger and 
you will come out of it. 

529
00:32:05,600 --> 00:32:09,500
A better NP if you allow it to 
or better nurse and you'll be 

530
00:32:09,500 --> 00:32:13,500
more chiseled in a way that that
experience caused you some type 

531
00:32:13,500 --> 00:32:16,900
of learning or some type of Gap 
closure or something that you 

532
00:32:16,900 --> 00:32:19,200
go. 
Alright, that wasn't the best 

533
00:32:19,200 --> 00:32:21,700
experience but I still learn 
something from there still a 

534
00:32:21,708 --> 00:32:23,700
lot. 
I can I can throw from that 

535
00:32:24,000 --> 00:32:29,400
discomfort for me represents an 
opportunity for me to learn and 

536
00:32:29,600 --> 00:32:34,700
For me to get more comfortable 
with something that I would 

537
00:32:35,000 --> 00:32:40,000
usually walk away from nursing 
in my regular life before I 

538
00:32:40,000 --> 00:32:42,300
became a nurse. 
If something got difficult, I 

539
00:32:42,300 --> 00:32:45,700
would walk away from it. 
When things go in a Direction, 

540
00:32:45,700 --> 00:32:51,000
you don't want to go in, nursing
is such a robust feel, you can 

541
00:32:51,000 --> 00:32:54,900
literally like apply for a job 
today and have another job 

542
00:32:54,900 --> 00:32:57,200
tomorrow. 
And that's what's so wonderful 

543
00:32:57,200 --> 00:32:59,400
about nursing and that's the 
reason. 

544
00:32:59,500 --> 00:33:02,900
Then why I was able to get 
through those eight months as 

545
00:33:02,900 --> 00:33:06,600
the assistant nurse manager. 
Because I knew that the options 

546
00:33:06,600 --> 00:33:11,600
were Limitless. 
I wasn't bound to stay in that 

547
00:33:11,600 --> 00:33:14,100
place. 
It was just a matter of time 

548
00:33:14,100 --> 00:33:20,400
before I put my mental health 
first and made the decision to 

549
00:33:20,400 --> 00:33:24,800
not worry about the money but to
worry about my health. 

550
00:33:24,900 --> 00:33:28,200
First me first over the 
paycheck-to-paycheck. 

551
00:33:29,000 --> 00:33:32,900
Yeah. 
It will come, you know, yes, I 

552
00:33:32,900 --> 00:33:34,900
love that. 
And that resiliency, I know is 

553
00:33:34,900 --> 00:33:38,000
something that you put into your
business and you put into your 

554
00:33:38,000 --> 00:33:42,500
t-shirt business, that fervor 
that you have for mental health.

555
00:33:42,500 --> 00:33:46,700
And that, and that passion that 
you have is being displayed. 

556
00:33:46,700 --> 00:33:49,500
In your t-shirts. 
It's in the messaging that 

557
00:33:49,500 --> 00:33:52,000
you're conveying to your 
patients. 

558
00:33:52,000 --> 00:33:55,700
And I think the best thing we 
could do as nurse practitioners 

559
00:33:55,700 --> 00:33:58,900
is to remind people that they're
worthy of Love, worthy of 

560
00:33:58,900 --> 00:34:01,500
attention. 
In worthy of time and that 

561
00:34:01,500 --> 00:34:04,500
messaging is just something that
I think a lot of us don't get a 

562
00:34:04,500 --> 00:34:07,700
lot as children. 
And so you just become adults. 

563
00:34:07,700 --> 00:34:10,100
I still need those things just 
because you're different ages. 

564
00:34:10,100 --> 00:34:11,800
That mean those things are not 
important. 

565
00:34:11,800 --> 00:34:14,600
I love your journey. 
I love how that time that you 

566
00:34:14,600 --> 00:34:17,100
were, you were taking care of 
the adolescence, it helped. 

567
00:34:17,100 --> 00:34:20,800
You still see those same needs 
in the adult population and then

568
00:34:20,800 --> 00:34:24,400
you're looking to kind of fill 
in that Gap with subliminal, but

569
00:34:24,400 --> 00:34:26,900
not. 
So subliminal messaging of you 

570
00:34:26,900 --> 00:34:29,000
are worthy. 
Mental health matters. 

571
00:34:29,500 --> 00:34:32,600
That's your passion and that you
have found it and you are 

572
00:34:32,600 --> 00:34:35,900
operating in your zone of 
strength and in your zone of 

573
00:34:35,900 --> 00:34:38,500
passion, which is, which is 
perfect, which is just the 

574
00:34:38,500 --> 00:34:40,600
perfect zone for for your 
career. 

575
00:34:40,600 --> 00:34:44,100
You know, it really is and one 
of my many mentors. 

576
00:34:44,100 --> 00:34:47,199
Oh God, you're going to say. 
One other thing that I would 

577
00:34:47,199 --> 00:34:51,100
like to say. 
I think it's know many patients.

578
00:34:51,100 --> 00:34:54,699
So many people who have a mental
illness. 

579
00:34:55,100 --> 00:34:59,300
They believe they are the mental
illness that they have. 

580
00:34:59,500 --> 00:35:02,700
Does that make sense? 
That is definitely true, they 

581
00:35:02,700 --> 00:35:07,900
identified themselves as 
actually the depressed person. 

582
00:35:08,000 --> 00:35:10,900
I am depressed. 
That's who I am. 

583
00:35:10,900 --> 00:35:14,500
I am depressed. 
Everything I do is depressed. 

584
00:35:14,600 --> 00:35:17,800
Like, we have to get out of that
mindset, though. 

585
00:35:18,100 --> 00:35:21,400
You are not the illness that you
have. 

586
00:35:21,400 --> 00:35:26,800
My name is Ashley Evans. 
I am a child of God. 

587
00:35:26,800 --> 00:35:29,200
That's who I am. 
I might. 

588
00:35:29,400 --> 00:35:33,400
I have depression and anxiety 
which I do. 

589
00:35:33,400 --> 00:35:37,000
Thankfully, they are under 
control, and I'm stable. 

590
00:35:37,000 --> 00:35:41,200
But what I am saying is that 
they don't Define me as a 

591
00:35:41,200 --> 00:35:44,900
person, they don't I love that 
every day. 

592
00:35:44,900 --> 00:35:51,700
My job that I have for myself, 
is to debunk the stigma that's 

593
00:35:51,700 --> 00:35:56,100
associated with those who have 
mental illnesses, because most 

594
00:35:56,100 --> 00:35:59,300
people think they are poorly 
functioning people. 

595
00:35:59,400 --> 00:36:03,300
Belen, is just not true. 
Give me a very highly functional

596
00:36:03,300 --> 00:36:07,600
person and suffer with mental 
illness. 

597
00:36:07,600 --> 00:36:12,700
So, that's one thing I want to 
draw out that you are not what 

598
00:36:12,700 --> 00:36:16,700
you wear your struggle with not.
Yeah, you're not the diagnosis 

599
00:36:16,700 --> 00:36:18,300
that you carry. 
Yeah. 

600
00:36:18,300 --> 00:36:20,500
Absolutely. 
I get this word picture of like 

601
00:36:20,500 --> 00:36:22,700
the body, right? 
And so you like arms, and you 

602
00:36:22,707 --> 00:36:25,500
have legs, and you have hair, 
and you've got nose and years 

603
00:36:25,500 --> 00:36:27,600
all these different body parts 
and you don't walk around to 

604
00:36:27,607 --> 00:36:31,200
finding yourself by your nose, 
or Your ear, you're a total 

605
00:36:31,200 --> 00:36:32,700
picture, right? 
It's everything. 

606
00:36:32,700 --> 00:36:35,400
You're the, accumulation of all 
these different things and 

607
00:36:35,400 --> 00:36:37,400
parts. 
And so it's the same thing with 

608
00:36:37,400 --> 00:36:42,200
past struggles or depression, 
anxiety, or diagnosis that you 

609
00:36:42,200 --> 00:36:44,300
carry. 
I mean, people with cancer all 

610
00:36:44,300 --> 00:36:46,900
these different things. 
They had that same Mantra of 

611
00:36:46,900 --> 00:36:51,500
like I am not this, I am this by
focusing on what you are. 

612
00:36:51,700 --> 00:36:53,700
You can Elevate yourself up to 
that spot. 

613
00:36:53,700 --> 00:36:57,000
If you focus in on the bad 
parts, the things that aren't 

614
00:36:57,000 --> 00:36:59,000
working. 
Well, things that are, everyone 

615
00:36:59,000 --> 00:37:01,600
has Little something. 
So well that doesn't quite work 

616
00:37:01,600 --> 00:37:04,300
the way it used to anymore. 
You can't look at that. 

617
00:37:04,300 --> 00:37:07,100
You have to look at all that you
do have, that's working and 

618
00:37:07,100 --> 00:37:08,900
functioning. 
Well, powerful. 

619
00:37:08,900 --> 00:37:13,800
The brain is powerful and really
focus on the - Sandra. 

620
00:37:14,000 --> 00:37:17,400
Then that's exactly what's going
to manifest in your life. 

621
00:37:17,500 --> 00:37:25,500
Let's see you to daily reframe. 
The cognitive distortions that 

622
00:37:25,500 --> 00:37:29,300
you struggle with. 
Please don't think that I am. 

623
00:37:29,500 --> 00:37:32,200
Perfect. 
In my thought life is just not 

624
00:37:32,200 --> 00:37:34,000
true. 
No one is. 

625
00:37:34,000 --> 00:37:35,400
Come on. 
Okay. 

626
00:37:35,400 --> 00:37:41,300
Where you're thinking something 
- you have to daily reframe it. 

627
00:37:41,600 --> 00:37:44,000
Santa. 
Thankfully we can do that 

628
00:37:44,000 --> 00:37:49,400
because the brain is neural 
plastic and that neuroplasticity

629
00:37:49,600 --> 00:37:54,800
allows him to reframe. 
All of those things that you 

630
00:37:54,800 --> 00:37:59,300
have dwelled on a ruminated on 
consistently in. 

631
00:37:59,400 --> 00:38:02,100
In your life, you can reverse it
right now. 

632
00:38:02,100 --> 00:38:06,300
Yeah, I posted today. 
That how amazing is the soul 

633
00:38:06,300 --> 00:38:09,500
that both the devil and God are 
both after it. 

634
00:38:09,500 --> 00:38:13,800
And it is so true because it's 
this battle, right? 

635
00:38:13,800 --> 00:38:16,300
This battle between submitting, 
your thoughts. 

636
00:38:16,300 --> 00:38:19,800
Either to positive things. 
Things that are true or 

637
00:38:19,800 --> 00:38:21,200
submitting. 
Your thoughts of the things that

638
00:38:21,200 --> 00:38:23,400
are not true and you are not 
your depression. 

639
00:38:23,400 --> 00:38:27,000
You are not your anxiety. 
You are so much more than those 

640
00:38:27,000 --> 00:38:31,000
things and so leaning onto the 
Earth holding onto it. 

641
00:38:31,100 --> 00:38:34,100
I look at it like just holding 
on for dear life. 

642
00:38:34,100 --> 00:38:36,700
Off the side of a cliff just 
holding onto the truth. 

643
00:38:36,700 --> 00:38:39,600
And just saying, this has got to
work because this is all I got 

644
00:38:39,700 --> 00:38:41,700
is kind of the picture that I'm 
getting to. 

645
00:38:41,707 --> 00:38:43,600
I don't think you described any 
mentors along your way. 

646
00:38:43,600 --> 00:38:45,000
But sounds like your husband's 
been. 

647
00:38:45,000 --> 00:38:48,700
Your biggest Mentor, coach. 
Keep you going. 

648
00:38:48,700 --> 00:38:51,400
But have you had any nurse 
mentors along the way? 

649
00:38:51,400 --> 00:38:57,700
As a matter of fact, I did not 
have a mentor until about a year

650
00:38:57,700 --> 00:39:02,300
and some change ago. 
Emma last position at the VA. 

651
00:39:02,600 --> 00:39:06,200
I was the high reliability 
organization lead and I know you

652
00:39:06,200 --> 00:39:09,400
are familiar with her liability 
because you're at the VA as 

653
00:39:09,400 --> 00:39:14,700
well, but I was the leave for 
our organization here in 

654
00:39:14,900 --> 00:39:18,800
Central, Texas. 
And so for those who don't know,

655
00:39:18,800 --> 00:39:22,400
could you explain what that is? 
So how reliability is really 

656
00:39:22,400 --> 00:39:28,000
awesome. 
It is a type of organization 

657
00:39:28,300 --> 00:39:34,200
that Understands that it has 
many high risk in the 

658
00:39:34,200 --> 00:39:38,000
organization. 
But so, do you have lots of 

659
00:39:38,000 --> 00:39:42,700
high-risk hospitals? 
Do they have lots of high-risk? 

660
00:39:42,700 --> 00:39:48,500
You still want to have a very 
low adverse event rate and so 

661
00:39:49,000 --> 00:39:54,800
really organizations Pride 
themselves on giving their staff

662
00:39:54,800 --> 00:39:58,400
or instilling in their staff. 
Psychological safety, which 

663
00:39:58,400 --> 00:40:03,400
empowers Them to speak up when 
they see a safety concern 

664
00:40:03,400 --> 00:40:08,100
because it allows the 
organization to work proactively

665
00:40:08,100 --> 00:40:10,900
and not reactively. 
Split it h. 

666
00:40:10,900 --> 00:40:14,200
R0 is. 
And we have been on this journey

667
00:40:14,500 --> 00:40:19,000
as an Enterprise in the va's, 
just 2019, but slowly were 

668
00:40:19,000 --> 00:40:24,900
trickling to each system to 
spread High reliability which is

669
00:40:24,900 --> 00:40:29,200
going to take a while because 
it's 160 facilities and over 15.

670
00:40:29,400 --> 00:40:31,900
You see box. 
But anyway, I'm sorry. 

671
00:40:31,900 --> 00:40:33,700
I was actually thinking of 
empress. 

672
00:40:33,700 --> 00:40:37,600
She knows, I don't even know the
need for over a year and it 

673
00:40:37,600 --> 00:40:41,400
still pumps in my veins. 
I still get very excited and the

674
00:40:41,400 --> 00:40:47,400
whole incident with the nurse 
about a week ago, a redundant. 

675
00:40:47,800 --> 00:40:51,100
Oh my God, I posted about that. 
I'll have to share it with you. 

676
00:40:51,400 --> 00:40:54,500
But that has everything to do 
with high reliability. 

677
00:40:54,800 --> 00:40:57,800
Nursing. 
It is really at a Crossroads 

678
00:40:57,800 --> 00:41:01,700
with that verdict because 
Because nurses are on the 

679
00:41:01,700 --> 00:41:08,100
Frontline day in and day out. 
If the system is not in 

680
00:41:08,100 --> 00:41:14,200
stirring, safety for patients 
and nurses, then it's the system

681
00:41:14,200 --> 00:41:17,000
that is failing. 
Us is not the nurses that are 

682
00:41:17,000 --> 00:41:19,900
failing because we're percent of
the there should have been 

683
00:41:19,900 --> 00:41:24,500
systems in place to prevent, and
this is all high reliability. 

684
00:41:24,600 --> 00:41:28,200
There should have been systems 
in place to prevent redundant 

685
00:41:28,200 --> 00:41:32,300
from from Some of the errors 
that she made in that incident, 

686
00:41:32,300 --> 00:41:36,600
but because those systems were 
in place such as her ability to 

687
00:41:36,600 --> 00:41:40,400
give the the medication without 
scanning it, because she's in 

688
00:41:40,400 --> 00:41:42,200
the Pet Scan room. 
Don't care. 

689
00:41:42,200 --> 00:41:46,500
What room you in. 
You need to stand the man area. 

690
00:41:47,300 --> 00:41:50,000
That's bad failed. 
Run Tonda. 

691
00:41:50,700 --> 00:41:53,900
Okay, this she met are 
absolutely. 

692
00:41:54,200 --> 00:41:56,800
But guess what? 
Ashley has made an error. 

693
00:41:56,900 --> 00:42:01,800
I guarantee you've made an are 
we Humans, that's why doesn't 

694
00:42:01,800 --> 00:42:05,400
this system has to protect its 
human. 

695
00:42:05,600 --> 00:42:09,400
But this goes if in mind with 
this because through high 

696
00:42:09,400 --> 00:42:13,700
reliability is when I met the 
most wonderful, most awesome 

697
00:42:13,700 --> 00:42:16,400
nurse. 
She was actually a colonel in 

698
00:42:16,400 --> 00:42:18,800
the Army. 
Her name is one of Janka. 

699
00:42:18,800 --> 00:42:21,400
Shoutout. 
So Colonel Jenkins, I love her 

700
00:42:21,400 --> 00:42:25,700
was a charm. 
Roll executive coach, and she 

701
00:42:25,700 --> 00:42:29,700
served me in that capacity. 
So I was able to come Day or 

702
00:42:29,700 --> 00:42:33,400
night with any problems at hand 
very quickly. 

703
00:42:33,800 --> 00:42:37,800
When you meet people Sandra and 
I know what to do, even though 

704
00:42:37,800 --> 00:42:42,900
it's in a professional capacity.
You very quickly, learn to be 

705
00:42:42,900 --> 00:42:46,000
friends with her. 
I'm saying, you think to 

706
00:42:46,000 --> 00:42:50,800
yourself. 
She loved her like her fervor, 

707
00:42:51,100 --> 00:42:56,800
which is the energy energy that 
know that finesse her ability to

708
00:42:56,800 --> 00:42:59,200
talk to everybody in the 
c-suite. 

709
00:42:59,300 --> 00:43:02,600
We because it's like she created
the c-suite. 

710
00:43:02,700 --> 00:43:04,200
Yeah. 
No, I know what you're talking 

711
00:43:04,200 --> 00:43:06,000
about. 
Oh, I love that. 

712
00:43:06,000 --> 00:43:08,400
Yeah, and she is God of the 
earth. 

713
00:43:08,400 --> 00:43:12,900
Most wonderful person very 
selfless and will literally sit 

714
00:43:12,900 --> 00:43:18,300
in the back while you do your 
thing, and she has totally 

715
00:43:18,400 --> 00:43:22,700
helped to prepare you and she 
sitting in the very back and 

716
00:43:22,700 --> 00:43:25,800
doesn't want the microscope on 
her. 

717
00:43:25,900 --> 00:43:29,100
She's totally good with you 
being. 

718
00:43:29,400 --> 00:43:35,100
The front that makes her day. 
You are pinpointing her ability 

719
00:43:35,100 --> 00:43:38,500
to be a humble leader. 
She would rather create leaders 

720
00:43:38,500 --> 00:43:42,200
around her and through that 
creation getting it makes the 

721
00:43:42,200 --> 00:43:44,800
baiting herself, but she doesn't
think that's what she's doing. 

722
00:43:44,800 --> 00:43:48,200
She's just she's elevating 
others, but it's through doing 

723
00:43:48,200 --> 00:43:50,400
that. 
That other people then go this 

724
00:43:50,400 --> 00:43:54,000
person is awesome. 
Even though she's doing is 

725
00:43:54,000 --> 00:43:55,500
working on making everybody 
else. 

726
00:43:55,500 --> 00:43:57,300
Awesome. 
I remember a couple of months 

727
00:43:57,300 --> 00:44:00,600
ago before I exited the position
and I went into mental health. 

728
00:44:00,800 --> 00:44:05,600
She said, Ashley, I need you to 
put in to become a presenter at 

729
00:44:05,600 --> 00:44:08,700
emphasis emphasis is a 
conference and they do this 

730
00:44:08,700 --> 00:44:12,900
conference two to three times a 
year and is for healthcare 

731
00:44:12,900 --> 00:44:16,600
professionals, but you're 
presenting to military 

732
00:44:16,600 --> 00:44:18,100
Healthcare professionals. 
Right? 

733
00:44:18,200 --> 00:44:21,800
And I was like, I've never done 
a presentation before. 

734
00:44:21,800 --> 00:44:26,800
Like like not that kind of right
like where you have delegates 

735
00:44:26,800 --> 00:44:32,100
who are coming and they Hearing 
you as the expert of whatever 

736
00:44:32,100 --> 00:44:34,700
you're thinking about right now 
is the time. 

737
00:44:34,700 --> 00:44:36,700
But not in that way. 
Miss Wanda. 

738
00:44:36,900 --> 00:44:39,000
She was like, well, that's what 
you're about to do. 

739
00:44:40,300 --> 00:44:44,400
I love that. 
So she said, what I want you to 

740
00:44:44,400 --> 00:44:47,900
put together something and I 
didn't it was chosen and I 

741
00:44:48,200 --> 00:44:51,000
present it at a conference for 
the very first time. 

742
00:44:51,000 --> 00:44:54,400
So just things like that, that 
she inspires me. 

743
00:44:54,400 --> 00:44:56,900
I never want to let her down. 
So when she asked me to do 

744
00:44:56,900 --> 00:45:00,900
something, I'm gonna kill ya. 
No, the main point I'm hearing 

745
00:45:00,900 --> 00:45:06,300
in that is by taking your time 
and investing in others, you 

746
00:45:06,300 --> 00:45:09,900
will grow yourself, even though 
you don't even know you're doing

747
00:45:09,900 --> 00:45:14,500
it and people, you will change 
people's lives in a lasting way.

748
00:45:14,500 --> 00:45:16,900
It'll be your legacy. 
And so I think that's 

749
00:45:16,900 --> 00:45:18,700
incredible. 
And that's what she's doing 

750
00:45:18,700 --> 00:45:20,900
either intentionally or not. 
But it sounds like she's a 

751
00:45:20,908 --> 00:45:24,000
pretty intentional person. 
So I'm sure she's intentionally 

752
00:45:24,400 --> 00:45:26,600
doing that. 
So for the last question of our 

753
00:45:26,600 --> 00:45:30,900
podcast interview, it is about A
piece of advice that you would 

754
00:45:30,900 --> 00:45:33,600
give to a new nurse starting off
that you wish, you would have 

755
00:45:33,600 --> 00:45:37,500
known go back to that, Ashley, 
who's just, like, I want to help

756
00:45:37,500 --> 00:45:40,300
people that you wish you would 
have known a piece of advice to 

757
00:45:40,300 --> 00:45:45,200
toss and a piece of advice to 
keep toss and keep one of each. 

758
00:45:45,300 --> 00:45:51,800
So I would love to give you this
piece of advice, no matter what 

759
00:45:51,800 --> 00:45:57,400
mistake you've made speak up. 
No matter what mistake you've 

760
00:45:57,400 --> 00:46:00,400
witnessed speak up. 
And the reason why that's 

761
00:46:00,400 --> 00:46:06,200
important Sandra is, because if 
the error was made to mr. 

762
00:46:06,200 --> 00:46:11,100
Jones, we want to prevent that 
same error from happening to 

763
00:46:11,100 --> 00:46:14,500
another mr. 
Jones, or whoever else don't be 

764
00:46:14,500 --> 00:46:17,300
afraid of how you quote on quote
made. 

765
00:46:17,300 --> 00:46:21,400
Look, throw that out of the 
equation. 

766
00:46:21,600 --> 00:46:26,000
And what I tell people all the 
time is to do the substitution 

767
00:46:26,000 --> 00:46:29,100
test because of mr. 
Jones were your dad. 

768
00:46:29,700 --> 00:46:35,500
Your brother if he were any of 
those people and you were in the

769
00:46:35,500 --> 00:46:39,800
room, wouldn't you want that 
nurse to speak up and let people

770
00:46:39,800 --> 00:46:45,100
know what happened with mistake.
I respect people much more who 

771
00:46:45,100 --> 00:46:50,600
are transparent and don't try to
hide things over people who try 

772
00:46:50,600 --> 00:46:55,200
to hide things and are very 
mischievous about it, because 

773
00:46:55,200 --> 00:46:58,400
you're not admitting what we all
know to be true. 

774
00:46:58,600 --> 00:47:03,200
We all make Okay, so that's one 
thing that I want to tell people

775
00:47:03,200 --> 00:47:07,300
because in nursing school, it is
drilled into you that you have 

776
00:47:07,300 --> 00:47:09,200
to be perfect. 
I don't know about your nursing 

777
00:47:09,200 --> 00:47:12,300
school sander, but that's how 
you can't make mistakes. 

778
00:47:12,300 --> 00:47:15,500
You got to be perfect. 
But y'all that's false. 

779
00:47:15,500 --> 00:47:20,100
It's an illusion is not reality.
So it makes nurses walk on 

780
00:47:20,100 --> 00:47:22,500
eggshells. 
The standard is unattainable 

781
00:47:22,800 --> 00:47:26,100
being perfect as completely 
unattainable. 

782
00:47:26,400 --> 00:47:29,300
And so, what, what I also want 
to drive home. 

783
00:47:29,500 --> 00:47:32,700
At, I think it's good that 
you're saying is I know that 

784
00:47:32,700 --> 00:47:36,500
what I've come forward with a 
mistake in any capacity that 

785
00:47:36,500 --> 00:47:41,200
I've worked in patients, are way
more receptive than if you did 

786
00:47:41,200 --> 00:47:44,400
not tell them. 
And then you continue on. 

787
00:47:44,700 --> 00:47:49,000
As if you were in that perfect 
State, I have received more 

788
00:47:49,000 --> 00:47:52,900
grace and more covering. 
When I've said we made a mistake

789
00:47:52,900 --> 00:47:55,200
here and I've owned up to it in 
the moment. 

790
00:47:55,200 --> 00:47:58,400
I've let the family know the 
patient know and that same vein 

791
00:47:58,400 --> 00:48:01,400
of what would I want? 
And to my family member and I 

792
00:48:01,400 --> 00:48:05,900
have always been received with 
thank you for telling us and we 

793
00:48:05,900 --> 00:48:09,500
trust you more now because you 
took that moment and you could 

794
00:48:09,500 --> 00:48:12,800
have covered it for your ego, 
but you humbled yourself and you

795
00:48:12,800 --> 00:48:15,600
said, I'm not perfect. 
I made a mistake here and 

796
00:48:15,600 --> 00:48:19,700
there's a humility that I 
believe that nurses need to have

797
00:48:19,700 --> 00:48:22,200
should have probably mostly do 
have. 

798
00:48:22,200 --> 00:48:25,800
And I think that's also why the 
redonda case bothers me? 

799
00:48:25,800 --> 00:48:29,200
Because she came in and said, I 
made a mistake and so I think 

800
00:48:29,200 --> 00:48:32,300
that When we confess, and we 
say, Hey, listen, I screwed up 

801
00:48:32,300 --> 00:48:34,300
here. 
We need to be met with and we 

802
00:48:34,300 --> 00:48:37,200
typically are with from a 
patient standpoint were met with

803
00:48:37,200 --> 00:48:40,600
with Grace. 
And so again, there is I think a

804
00:48:40,607 --> 00:48:43,900
lot more to gain by being honest
than being just an estate trying

805
00:48:43,900 --> 00:48:46,100
to cover to look like a certain 
way. 

806
00:48:46,100 --> 00:48:49,300
Absolutely, one thing that 
someone told me and it made so 

807
00:48:49,300 --> 00:48:51,600
much sense. 
I don't know if you are going to

808
00:48:51,600 --> 00:48:54,100
want to remove this from the 
podcast. 

809
00:48:54,100 --> 00:48:57,200
If you do, that's totally fine, 
know if you purchase it like 

810
00:48:57,200 --> 00:49:03,500
that, it stays Ashley people 
Sue. 

811
00:49:03,500 --> 00:49:09,200
It's so true. 
He sent when you are honest and 

812
00:49:09,600 --> 00:49:13,100
you tell people I am, sorry, I 
made this mistake. 

813
00:49:13,500 --> 00:49:16,300
I was overwhelmed. 
I don't know what happened. 

814
00:49:16,500 --> 00:49:19,800
But I made an error. 
He said, those are the people 

815
00:49:19,800 --> 00:49:22,400
who get through. 
Those aren't the people whose 

816
00:49:22,400 --> 00:49:28,100
families press charges. 
It's about what they did. 

817
00:49:28,200 --> 00:49:30,800
The people who Ooh, hide the 
same. 

818
00:49:30,800 --> 00:49:33,500
It's very difficult to 
reconcile. 

819
00:49:33,800 --> 00:49:35,800
I agree. 
It's been very disturbing for 

820
00:49:35,800 --> 00:49:37,800
healthcare professionals. 
Because Physicians have also 

821
00:49:37,800 --> 00:49:41,000
been like this is terrible. 
Nurses, of course, are up in 

822
00:49:41,000 --> 00:49:43,100
arms. 
Like this is super scary and 

823
00:49:43,100 --> 00:49:46,100
what it will do, it will drive 
us away from the bedside. 

824
00:49:46,100 --> 00:49:49,800
Like it will drive good nurses 
away from the bedside, which is 

825
00:49:49,800 --> 00:49:52,900
not what we need right now. 
Don't think you need to be 

826
00:49:52,900 --> 00:49:55,200
perfect. 
Be honest. 

827
00:49:55,200 --> 00:49:57,800
That is that is the most 
beautiful thing, you can do with

828
00:49:57,800 --> 00:50:00,700
your nursing career, because 
you've got people Grants and 

829
00:50:00,700 --> 00:50:04,600
honest, there's one other thing 
I'll say is to be authentic and 

830
00:50:04,600 --> 00:50:07,700
you can go home and know that 
you've made a difference. 

831
00:50:07,900 --> 00:50:11,400
Be the difference. 
Don't worry about the naysayers 

832
00:50:11,400 --> 00:50:15,200
that work the say Susie Q was 
always trying to brown-nose 

833
00:50:15,200 --> 00:50:18,400
somebody, girl. 
Listen, who cares about what 

834
00:50:18,400 --> 00:50:21,700
these people say. 
They are jealous because you 

835
00:50:21,700 --> 00:50:24,800
have a fire in you. 
I love that. 

836
00:50:25,100 --> 00:50:27,200
That's what we ended on love 
that. 

837
00:50:27,300 --> 00:50:29,300
Last part of the interview is 
the rapid fire. 

838
00:50:29,400 --> 00:50:31,500
Questions. 
These you cannot prepare for and

839
00:50:31,500 --> 00:50:35,100
they will come at you fast and 
you will have to just spit out, 

840
00:50:35,100 --> 00:50:37,800
whatever comes out. 
What's your holiday Christmas? 

841
00:50:38,100 --> 00:50:40,400
What is your favorite beverage 
water? 

842
00:50:40,400 --> 00:50:43,100
I'm so boring. 
Oh, that was so boring. 

843
00:50:43,100 --> 00:50:46,200
It was not expecting that. 
I was born like, like a 

844
00:50:46,207 --> 00:50:47,900
margarita. 
You seem like, you like have 

845
00:50:47,900 --> 00:50:50,300
fun. 
And what would you call? 

846
00:50:50,900 --> 00:50:53,300
What would be a spirit animal 
that you could look at animal 

847
00:50:53,300 --> 00:50:55,200
and go? 
I think I'm that animal. 

848
00:50:55,500 --> 00:50:59,300
You're going to laugh which one 
I've tiger tiger. 

849
00:50:59,800 --> 00:51:03,800
Because baby, I'm a go-getter 
Tigers honey. 

850
00:51:03,800 --> 00:51:06,600
They sit back. 
They have a vision. 

851
00:51:06,900 --> 00:51:10,200
They create a plan and baby. 
They parents own it. 

852
00:51:10,300 --> 00:51:13,100
Thanks for listening five times 
today. 

853
00:51:13,400 --> 00:51:16,600
Thanks Ashley for sharing your 
journey and for just being so 

854
00:51:16,600 --> 00:51:20,100
animated and fun. 
It's been a great time and I'll 

855
00:51:20,100 --> 00:51:22,400
put it in the show notes where 
to find your t-shirts. 

856
00:51:22,400 --> 00:51:24,800
If we have any mental health 
nurse practitioners, that are 

857
00:51:24,800 --> 00:51:28,800
wanting some cool swag where 
they can find and pick up some 

858
00:51:28,800 --> 00:51:32,300
of those items so that they can 
support their patients and just 

859
00:51:32,300 --> 00:51:35,600
tell people that they're worthy.
And that mental health matters, 

860
00:51:35,600 --> 00:51:38,800
and all the wonderful messaging 
that you're providing on your 

861
00:51:38,800 --> 00:51:40,900
company. 
And yeah, thank you so much for 

862
00:51:40,900 --> 00:51:42,300
your time. 
Thank you. 

863
00:51:42,300 --> 00:51:44,500
It was a pleasure. 
All right, guys, continue to 

864
00:51:44,500 --> 00:51:47,700
enjoy the journey. 
So that's a wrap. 

865
00:51:47,800 --> 00:51:49,300
Be sure to subscribe to the 
show. 

866
00:51:49,300 --> 00:51:52,200
So you don't miss an episode and
leave me a review. 

867
00:51:52,200 --> 00:51:55,000
If you like the show. 
I would love to get 5 stars. 

868
00:51:55,100 --> 00:51:58,600
The doctors podcast is on the 
world wide web, YouTube 

869
00:51:58,600 --> 00:52:01,700
Instagram. 
This book, Twitter, Patriot and 

870
00:52:01,700 --> 00:52:05,300
Tick-Tock subscribe to my 
newsletter for updates on new 

871
00:52:05,300 --> 00:52:08,800
podcast episodes and other 
information to help you on your 

872
00:52:08,800 --> 00:52:11,200
own nursing Journey. 
You can always message me at the

873
00:52:11,200 --> 00:52:14,200
doctor nurse podcast at 
gmail.com with any career 

874
00:52:14,200 --> 00:52:17,000
professions that you're 
interested in hearing about and 

875
00:52:17,000 --> 00:52:18,300
just a friendly. 
Reminder. 

876
00:52:18,300 --> 00:52:21,700
The information on this podcast 
is for educational purposes. 

877
00:52:21,700 --> 00:52:25,100
Only and the information should 
not be used in substitute for 

878
00:52:25,100 --> 00:52:27,300
Professional Care by a medical 
provider. 

879
00:52:27,600 --> 00:52:31,100
The information in this podcast 
is Not represent medical or 

880
00:52:31,100 --> 00:52:33,000
professional advice or services?
