Running on Empty: The Reality of Provider Burnout (Part 3)

Burnout in healthcare is real and it's affecting more providers than ever.

In this three-part conversation, Ashley  and Tarra get honest about the growing burnout crisis in medicine. From endless charting and packed schedules to the emotional weight of caring for others, the demands on healthcare providers have never been higher.

They break down what provider burnout actually looks like, why it’s becoming so common, and how it impacts both the people delivering care and the patients who rely on them.

If you're in healthcare, chances are you've felt it or you're getting close.

In this episode:

• What provider burnout really looks like
 • Why burnout is skyrocketing in healthcare
 • The emotional and physical toll of constant caregiving
 • Why the system makes it hard for providers to recharge
 • How conversations like this are the first step toward change

The Ashley Clinic

We Are Building a New Way of Staying Healthy

Several factors provided the inspiration for the creation of the Ashley Clinic.  Primarily, corporate medicine changed the focus from the patient centered care model to a business management platform. The healthcare industry now focuses on time and money management, resulting in inflated healthcare costs.  Many patients are discouraged with the current overpriced system, causing them to seek treatment later in their disease process, oftentimes worsening their outcomes. In the interest of patient centered care, health, and well being, Ashley wanted to provide a more affordable platform to the people in the community she grew up in. Utilizing her advanced education and skills, Ashley provides exceptional healthcare at an affordable cost. Additionally, Ashley uses alternative approaches to health maintenance by offering integrative medicine practices as well.

Website: 

https://theashleyclinic.com/

Email

hello@TheAshleyClinic.com

Phone

(850) 741-3146

Address

2400 S Hwy 29
Cantonment, FL  32533

Transcript

SPEAKER_00 0:00

Yep, it takes a bad over two real life providers in real life. Health habits. Well, let's get the pro healthcare system. We're gonna educate, empower, and entertain you. What appointment free? This is healthcare without the bullshit.

SPEAKER_01 0:18

Okay. Well, I like this too. What? Protected time for documentation. Oh my god, I love that. Because if you didn't finish your documentation, they wanted you to clock out and do your documentation on your own time. Absolutely not. Because nobody gets paid if we don't document. Yeah, well, tough shit. Make time for me to make documentation. I know. No one gets paid if we don't document. So don't inundate us. There just isn't. They want it. So why isn't there time for it? That's not part of the rhythm. That's a good one. That'd be great. I like it. Oh my god, that'd be amazing. And then, like you said, treating healthcare workers as humans. Not units of productivity.

SPEAKER_02 1:02

Mm-hmm. I don't know. Okay, so boundaries.

SPEAKER_01 1:09

Start off with your boundaries. Protect your time, your days off. Yeah. Keep doing what you're doing. I'm pretty proud of these people that are standing up for themselves and saying, no, we're not going to be taking eight patients. No, we're not going to work an extra shift. Uh I have a life outside of this healthcare system. If you're not comfortable with that many patients, say it. Say it. Yes. And and you're probably going to have a few of us salty A-holes in the back being like, eh, Maggie May, I could do 47 patients and who cares? Acuity is different. Still, if it's your boundary, it's your boundary. It's not our boundary. Yeah. Um so don't feel bad about your own boundary. True story.

SPEAKER_02 1:49

You you live live.

SPEAKER_01 1:52

Bottom line, too, staff your damn hospital appropriately. It's just really simple. If you don't have nurses, you don't have a hospital. You're not gonna you're gonna have empty beds, you're gonna lose productivity, and it's only gonna get worse the worse you keep treating them. Throw some money on them. I bet you I mean, don't give them a damn pizza. God, don't give them a pizza. I think that the pizza jokes have circulated for so many times. I'm so sick of it. It's still happening. I know. They're still giving pizza. I think that I think eventually that that is not just gonna be rhetoric anymore. And then for Nurses Week or whatever, don't give me a freaking umbrella with your fucking logo. I don't care. I'm like, I don't like it. I don't. And I don't want your beach chair either. And I don't want your towel. These nurses, some of these nurses are like, I'm sorry, you got an umbrella? Okay, well, let's ask, let's talk about that. What do you think? And be I want to massage. Be reasonable. Nurses we what would be something that would heal? I would love these ideas too. That would heal a nurse's soul that is cost effective for a company. You gotta look at both sides. Do we know they have a gagillion dollars? Yes, but we're not saying that they're going to buy a. I'm sorry that my bone, my uh little treat took it out of your bonus, your quarterly bonus. I'm just saying, what are your thoughts? Uh, give me a coffee. Coffee? I like coffee. Do not go to the Walmart and buy kick ups. I don't want to. Don't do that. Don't do that. That's gross. I want a I want to be able to go down to the coffee bar that's in my hospital and say, hey, I want this, I want this particular drink. That's what I want. That'd be a great one. So simple. Or um, even like if you were to do, I was thinking about this a$25 gift card to a grocery chain in your area. We used to get that on Thanksgiving. It would buy your turkey. I haven't seen that in years. It's been about 15 years. I think we used to. But what about that? Is a good, I mean, I think like everything has the potential to be poo-pooed on. Give the nurses a bonus. You get a bonus. Why not give the nurses a bonus once a year? Yeah. Y'all done so great. You've got productivity. Oh, uh, but whatever, give them a bonus. What about keeping the people you have retention bonuses? I think we've talked about that for years. I mean, I can remember talking about that 20 years ago about retention bonuses. And nobody I've only worked for one company that provided a retention bonus. Never had one. And and and when I said it one place for 15 years. When that happened, I gotta tell you, like, I got a pen. Really was thankful for it. It was interesting. Yeah. I was thankful for that. As a nurse practitioner, I think so. I think RVU basis in healthcare is I know that it is, it is, there's pros and cons to- I feel like I couldn't make enough. But why can't there be like RVU bonuses across the board? Because there is a way to pull this information out for an RVU bonus. So let's say you're not getting an RVU base, but a bonus would be That'd be nice. Let's say they'll do it for 30 days or something. You know, it doesn't have to be every I don't know. I'm just thinking of things that would make your workers feel like you actually are thinking of them. Alcohol. Another I love alcohol. Alcohol's a solid choice. But I guess it's questionable because not everybody can drink alcohol. Right. Not everybody can drink alcohol. But you can get a little gift card to a bar and grill. Bar and grill. I like that. That way you can choose. You can get a drink or you can get and use it as a for your meal or something. Yeah, I like that too. Those are those are things that I you know, I don't know. I just think about these things. Um I just don't know why they have to be so cheap. I mean, if you if it was left to the CEOs, it's because nobody is making because we're basically closing every hospital in the world for the in the next month. Okay. Because of our bottom, you know, closing it down. Every hospital's every single hospital in the world, if you hear the higher-ups say we're all shutting down next month. I've got my four million dollar bonus, but this hospital can't stay afloat for one more day. Not one more day. Not one more day. I mean, at least that's what you see like in the in the news, right? Yeah. Fear of closing, fear of closing, fear of closing, fear of closing. But and it just doesn't matter. But they have gotten rid of some departments. Like there was a whole OBG WAN department that left one of the that hospital Ozan Mobile. They don't have liver and delivery anymore. There's a lot of rural hospitals. Yeah. Rural hospitals. Rural. Rural. Rural. But that's a prominent. That's a whole subject in and of itself. Yeah. So okay. What do we want? What do we want? What did we want as nurses? Money. Look, I will take a clicky pen. I love a clicky, a good writing clicky pen. So that and with one of those my name on it. Oh, yeah. With my name on it. And one of those little pen lights, you're always, oh, and scissors, the things that you're actually going to use and work as a nurse. Yeah. I will use those things for sure. But I think clicky pens could be that could just be because it's a random Tuesday and we had a bad day. Yeah. Give us a pen. Clicky pens could be done for that. I'm talking about like for for to show really money is the bottom line. Right. If you're looking at ways to make your workers feel but I'm not going to take your stupid beach chair to the beach with your name on the back of it and advertise for you. I'll use a marker. Not gonna lie. I love an umbrella. Not like the one. I like the big one that has Oh no, they don't do that. They do I have one. It was given to my mother, but not me. I actually got a really good umbrella from a small rural hospital that I loved working at. Yeah. It was a great umbrella. It's still in my garage right now. Coolers, don't want that. Oh, something belug around. Lunch boxes. Don't want it. Who gets lunch anyway? What about compression socks? I would like compression soccer. I'd even funny ones. Or I'd even wear them with your logo. If they're good ones. Not doing that then. It's embedded in the back of your skin. Absolutely. I would. I'm just saying, if it was a good pair and not like, you know, crappy pairs. You could even give me a$10 gift certificate to your gift shop. Oh, that's good too. You can buy some lip gloss with your little gift certificate. I do like the idea of providing gift cards to whatever is in your facility. For sure. Because a lot of places have, you know, different restaurants and stuff. Wendy's Subway, Canera, all of Darby's. Yeah. Give gift cards to that. Mm-hmm. I like that. Or if you were gonna do like for Nurses Week, what about hiring baristas? That'd be amazing. You know what? Give me a nurse's lounge. On each floor, you'd have to do that. On each floor. And I need an outside area where I can step outside and breathe for a second. On each floor. A veranda. A veranda. A nice little veranda. That would be nice. That would have been nice. I'm gonna tell you, as a floor nurse, if I could have just sat down in a lounge area. Actually, I'm not gonna lie, we had a we had a nurse's lounge. It looked like shit. I mean, it had lockers in it. Yeah, it wasn't aesthetically pleasing. And the staff bathroom is in there, so if someone takes a poop, you gotta smell it while you're sitting there trying to relax. Not neat not in the new, not in one of the new ERs around. We changed that. Where do you poop? They have their uh the they put them outside at a lounge so that you didn't have to be in there while other people eating your lunch and smelling poop poop. Or listening.

SPEAKER_02 9:43

Sorry.

SPEAKER_01 9:45

We're out of toilet paper, it's already out there. Hey man, can you hand me some toilet paper? Yeah, so someone thought that through. So that was a good idea. Probably a woman. It definitely was. Because you know we're the ones that also said put the plugs up on the wall but instead of down behind the bed. God needs to get on my nerves. Let's put a plug right at the base of the of the floor and you can plug the bed in here. And only one wall. Oh my god. None of the other walls, because God forbid we ever want to plug anything else in in a room. Just put it in. You don't need that ventilator to run off batteries. Okay. So yeah, I think I think that that is so those are easy to obtain. It's what it would f it would benefit other people within your facility. Those are great ideas. You know what else you could do? You could actually take the staff surveys and the suggestions that you make that people make on how you can make things better and actually enact something every once in a while. Not just like give us a survey to make us feel like, oh, we've been heard. We put it on our survey. It's a bunch of bunk. Or or make the survey for what they want versus what they could do better. You know what they tell us as providers? Listen to your patient. They're gonna tell you exactly what's wrong with them. Listen to your nurses, they'll tell you exactly what they want. Same thing. Right. Open your ears and listen. If you'll just listen to what the nurses want, what they need, listen, I'm gonna need some energy drink coming to sign up with takes two liters of clear one energy drink from your kidneys to just one a day, it's fine. Just I'm gonna need some of y'all to get in there with the nurses with the A or something. Because, like Nikes with all the athletes, like nurses need energy drinks. Where are you guys? Where are you guys? We need y'all to partner with the energy. Do they know how much revenue they make with just healthcare stuff alone? I have no idea. Like a lot. We should tag them in this. What are we gonna tag? Alani. Alani. Monster. Um, rock star, Red Bulls, of course, Red Bulls, of course. All you guys, y'all need to be looking into how much us nurses. Nurses Edition, that's what you say. Nurses Edition. Yes for Nurses Week. That's smart. Oh, smart advertising right there. Because you know them bitches would just go get them by the flat and put them in their in their house. Absolutely. And if you could do one for each specialty, like E C U O B I C U. Call ICU the Getty Community. Will crush VR is the West Side. Crush it. Med surge is the burbs. The burbs. That is not the burbs. It's the burbs. Well, what's the burbs? L and D? What? I don't know. I guess I guess it'd have to be the bur. Outpatient is the burbs. Outpatient is the burbs. Mm-hmm. Outpatient is the burbs. Well, that's a thought. Anyway, that's a great idea. Yeah, what def what else can we do to fix burnout? To fix burnout within the system. I mean, we talked about outside of the system. You have to do a lot of you have to take the onus on yourself, right? Sure. It's coming for you.

SPEAKER_02 12:57

Mm-hmm.

SPEAKER_01 12:58

One way or the other. So yeah, you've got to take a lot of that on your own. And I think, like I said, they are. They are doing it. But I think that just I think it's the older generation C-suite people that actually have to feeling appreciated. Not with pizza. Oh. I'll never have to eat pizza another day in my life ever again. P uh pizza at this point, I mean, I will say I think I have PTSD every time my kids want pizza. I'm like, fuck. Let me tell you this. I'll tell there's two different types. The pizza that the provider orders because it's getting crushed. That is appreciated. Way different. You may not get to eat it. The pizza that is ordered by the manager of the bar. Look what we got you. Look what we got you. Or the working right next to me, also appreciated. The pizzas from C-suite people that do not know my name. It's the ones that say, look what I got you. We got you pizza. Look, guys, we got you pizza. Look at me. Look what I did for you. Fuck off. It doesn't feel genuine. No. It really doesn't feel genuine. I do, I have though had bad days where my managers and directors are working right next to me, trying to crank it out. And they're like, hey, let's order pizza just because nobody's getting a lunch. And it's not like a because pizza's easy and we can do it. So are hamburgers. You can go to freaking Whataburger and get like, who's going? One of them C-suite people that ain't on freaking hourly. I'm talking about this, huh? I'm talking about when we're managers can go too. When we're in the throws, when the the managers are working with you. I do actually appreciate it in that scenario. But not when it's just ordered because they know we're already short. Yeah, when you start at the day with pizza's coming at 10 o'clock and it's 7 30. Oh, you're cooked. Mm-hmm. You just scheduled pizza. Not a good thing. Scheduled pizza is a bad idea. I I think entirely. That's when it's not right. So so yeah, like it it doesn't mean pizza always is the not the answer, but half the time you don't even get to eat it anyway. No. But at least it's available and you can jump in the room, scrape the top off, go. Yeah. I used to chart during trauma so I could hide pretzels in my pocket. I'd be like, I'd be like eating my pretzel. You know what I did, I did not appreciate when we were hammered like that and someone caught you eating graham crackers, peanut butter, and drinking a ginger ale. That's what we keep on the units is graham crackers, peanut butter, and ginger ale. And you want something, you don't have time to eat. I can't warm up my food and then carry my sandwich. I just take it early about it. We're not for CRE patient. Patient nourishment. I'm like, well, bitch, what the hell else am I gonna eat? Because I don't have time to even go take a pea break, much less go heat up any food or go get any food because I'm hammered over here. So if I'm in the the nourishment room and I'm grabbing a really quick graham cracker peanut butter, it's not gonna cost you too much. By the way, that's the breakfast. That is the meal of meal of chamber. Why is it peanut butter? How why is it the graham cracker companies started endorsing nurses? Oh my god! And pee do they know? Smucker's peanut butter. That's the little smokers thing in smokers. GIF was the in GIF too. That was the bigger ones. Those were good. Shasta ginger, is it shasta? Uh we have right now.

SPEAKER_02 16:31

No. Wait. We have uh I can't think of who it is. I don't know. But yeah. Well if they know about any of this.

SPEAKER_01 16:42

Why don't they? They know. Do you think they know? They don't know. I don't think they know the culture of nursing. Like every single nurse can say in with unless they have peanuts. I don't know one nurse that hasn't done that. That has not made a PBJ with a graham cracker um randomly because they have not been able to warm up their food. Yeah, I always wanted the great. I like strawberry. I do like them both. Oh, if you get an apple one, uh, it's on. Apple jelly. Oh my god. It was random, but before you get it, that's a good peanut butter and gel at graham cracker. So yeah, there's a lot of things that could be done. Or it just not even nobody's eating those graham crackers. The patients aren't eating that shit. Well, no one's eating the none the nerd the your staff is not eating them because they're trying to get one over on the company. They're eating one because they're dying. If you see me drinking an orange juice, you know my sugar's low and I have to drink something. So if I'm standing at that fridge eating drinking a patient orange juice, leave me alone. Like, yeah. I'm not gonna just completely bankrupt how many orange juice I'm drinking. Right. Yeah, I mean, be reasonable. It's we're not stealing company product, that's really what they come for. Or you're stealing the patient's nourishments. Like, if you see that, I think you should take a minute and reflect on why is my nurse eating peanut butter and crackers standing in the nurse in the nourishment room. Why is that happening? Like, that should be that I I think as a as a manager that I would that's what should be. But that's what you should be thinking. Instead of, hey, don't be doing that. You shouldn't be eating that. I'm gonna write you up for that. Why don't you come over here? Let's go sit down, let's go get it. Or hey, can I tell you? Can I help patients while you go eat? Oh, there is some. There are some. And we love those. There are some that are really, really good at doing that. And because they were nurses for a very long time. And then they went into management because they wanted to make a change. And they also have eurosceps from not peeing 12 hours. Yeah. They also have uh neurogenic bladders and have to self-cat themselves because they never got to pee when they wanted to. We're all headed there. All right, I'm gonna ask you some questions. You ready? No. What would health care look like if we designed it around the people doing the work? I think you would have increased patient satisfaction. Because you know that's how we're reimbursed. Is we hospitals are reimbursed on patient satisfaction. That's why you get those surveys and the mail and things. Imagine if all of your employees enjoyed coming to work. Imagine if they didn't dread it. Imagine if your employees didn't cry in the bathroom daily. Or at three in the morning for three days because I never got to process. Imagine you had a wait list of people wanting to work there to work there. Oh my god. Yes. Everybody wants to work there. Like I want to create that facility. Could you imagine that? No, I could not. And no, you wouldn't go bankrupt because if your staff is happy, you're gonna have more patients coming to that facility. And use your brain. And I'll tell you another thing. I only go personally with my friends and family. I am only going to places that I've had, like I'm only choosing a physician that I've had a good interaction with. Yeah. You could be the best surgeon in the world, but if you were an absolute shithead at 3 a.m. Not that you care. You don't care about my business. You don't care. But I ain't going there. And I'm not sending when my mother-in-law asks me, hey, where would you r it isn't gonna be you? Yeah. That's another thing. Nurses know who you want to take care of. We have a list I don't want this person to take care of me. I don't want this person to take care of me, I don't want this person to take care of me. And it's also it's how they treat the nurses, but also how they treat the patients too. But a lot of it's how they treat the nurses. If you treat the nurses like shit, I have never seen I've never seen a uh a provider treat a patient wonderfully and nurses shitty. If you're treating patients or nurses shitty, you're probably shitty patients. Just a shitty human. Probably treating your patients. And that's across the board. It's not just physicians, that's NPs, that's PAs, that's nurses, that's everybody in healthcare. If you treat people like shit, it's gonna reflect across the board. But do not treat your nurses like shit because they will make or break you. Oh yeah. They'll make your life hell. They will. They will. By following the rules, your rules. To a T. Just saying. To a T. I I mean, I can't even imagine a facility like that. I bet it would. Alright, what part of yourself have you lost? Empathy. How about what what have you protected? Nothing. Nothing. I didn't protect any. No, I am soulless. I'm trying to protect it now. I am too. I'm doing much better at it now. I think I have a I'm doing the work now. I have like the this much of it left. And I'm like super protective. I mean, I'm an apathetic. I'm just indifferent a lot. Well, now I am much better. Now I definitely have empathy. Yes, definitely. Big time now. But when I was working in the corporate healthcare system, it was indifference. And I think since I came it was self preservation. You had to protect yourself. Yeah. Stepping out with you. Yeah. Helped me realize that I needed to protect myself. Watching you protect yourself makes me know that I have to protect my own a little bit.

SPEAKER_02 22:08

Oh yeah. I need to Okay.

SPEAKER_01 22:12

What do healthcare workers need permission to say out loud? I think you should meet energy. Not everybody's as aggressive. I think you should meet energy. Not everybody's as aggressive as you. Listen, if you got the balls to say something to me, you better have the fucking spine to back it up. Because I'm gonna come for you. Passive aggressive. I'm full on aggressive. Do you think passive aggressive or do you think I'm aggressive? I think you start passive aggressive and then you get aggressive. And I love it. And then I just lose my mind. Um she's like, we had an incident last week. It was great. And I said, hey, I'm gonna go burn this place down. She goes, Do we lock them? Did we lock the workers inside? I'm like, yes, yes, we do. Just let me know. We're not gonna burn anything down. Okay. I'm just saying it's just a metaphor. Yeah, right. So okay, I'm gonna use that one. What should we have the permission to say out loud? I want to burn this place to the ground. I should be allowed to say the words that I am feeling. Why do we have to filter and rise above? Why do we have to take the high road all the time? All the time. All the time. Why can't you have a slip? We're human too. Why can't I say well, that's a thing that my uh life coach said. Give you write yourself a permission slip to do certain things. And it really makes a difference when you actually do say, I give myself not to work out permission not to work out this week or next week if I want to, because I'm taking that time off. And let me tell you something, it makes a huge difference. So if I give myself permission to meet you where you stand, I'm gonna meet you where you stand. If you start out ugly, I'll meet you on that level. There, why do I have to take the high road every single time? Right. Every single cuss at me, I'm gonna cuss at you. I think that they I I I like that one that we said earlier, like permission to grieve what you have lost. I think that's a big thing. That's what we're doing now. That's outside. We're doing that. All of you guys in my age group. Give yourself permission to grieve. We are not like the new new kids are coming out. They're getting the mental health ahead of time. They are better than us. They are better than us mentally. Mentally. Um they may not be as smart. See, there you are. I get it. You're giving love and taking it back. Giving love, but not that much. Battered wife syndrome. Here I am. Here we are. I'm not a battered wife, it's just a syndrome. So, yeah, that would be say it, do what you need to do. Do what you need to do to And I don't mean that I'm not saying they're smart, I'm saying we're just more seasoned. Let me say they're not as seasoned. Right.

SPEAKER_02 24:48

But they'll get there.

SPEAKER_01 24:50

I remember we used to eat our young. Do you remember that shit? Oh my god. I remember having bites taken out of me. Yes, when I was young. And that's what exactly what I I figured it out real early. Like, if I if I cried, but you never had the mistake again. No, I didn't. But also, like I literally have said to new people in the emergency department that's I said, I said, wow, no one's ever asked you if you were fucking stupid in the middle of a trauma and in front of everyone, right? Like nobody has like asked you if you were special needs, like in front of everybody, because you put up the fluids on a dial of flow. Not that you did the wrong fluids or anything, but you put it at a rate. That was that was it. There is no rate in trauma. There is no rate in trauma. It's wide open. But obviously the trauma was over at this point, and one had hung specific. No, I mean so the story is is that this is when we used to write orders out. This particular trauma surgeon was known to be difficult. Male or female? Female. I know. And fluids were a thing. Like it was always sailing. Well, we're not doing the Parkland formula right now. And you're rolling it in, rolling it in, rolling it in. Okay, right? So trauma technically is kind of over at this point. You know what I mean by over, but we've already packed it. We've been to CT, we're headed up to ICU. Dispositions are being made. Yeah. Somebody puts a written out set on my desk, and there's nothing that tells me what it is. But there is a specific formula. I mean, a specific fluid written on there with a rate. And I thought, oh my God, well, let me go ahead and do that right now because that she orders that. Oh my God, today. And so I did it. Well, they happened to walk back in and immediately lost their mind because the fluid was off of their head, be was going in at a scheduled rate. And um they then I said, I'm sorry, I saw it. It doesn't tell me what kind of orders these are, but you're so specific. And they yell, they look at me and said all kinds of things. But then they said, These are post op orders. Take it from me, rip it into a million pieces, and then throw it and walk off.

SPEAKER_02 27:26

And I said, I guess you don't want to lower knocks before surgery.

SPEAKER_01 27:32

Oh my god. And that was that. And so that's how um it was in my day. Yeah. Like there was physical things that happened. Or throwing charts or scalpels in the OR, trays because it was set up wrong. So yeah, we came from a I've never seen a more concentrated group of adults throw temper tantrums as I have in and with no repercussions. None. Well, one of them had to go to anger management. Well, I mean, but across the board, we all tell these stories, and there is very rare, very rarely has anything been done about it. Like we just exactly, we were expected to just, well, that always What could you have done better, Tara? Well, if you set it up right, it wouldn't have gotten thrown at you. Oh if you would have ducked, it wouldn't have hit you. Got it. Noted. If I would have set it up right, well, I didn't know. I set it up because of the impending trauma that was coming in. I just so I think that is another aspect of our season is we had providers, physicians, surgeons mostly, who would have full-on temper tantrums, call you all kind of names, and then there was no repercussion for them. You think these youngins are gonna stand for that shit these days? Absolutely not. I love you for it. And if you are, stop, please. Do not perpetuate the or you could pull a Joey Pollard and get in that surgeon's face like this and say, You ready to go outside? Are you ready to go outside? I should have done that. No, I should have done that. Off with your head. I said a couple, I mean I eventually learned to stand up for myself, but and then guess what? A lot of it stopped. Yeah, it stops when you say stand up for yourself. That's another thing, too. That's what we should tell the young people, stand up for yourself. Oh, and let's talk about let's talk about getting fired. So what? Who cares? Move on. Obviously, that's not your path. It wasn't meant for you. And don't like change yourself because you don't fit into that place. Like keep find your place early. Find it early. So that's that's all I got. I'm trying to think if I've ever been fired. I haven't been fired, but there have there's a lot of people that have. And it they talk about how like it destroys them. Yeah. In the moment. In the moment. But I mean a lot of times it is it happens for a reason. Just because they got something bigger to go to. Mm-hmm. That path is done. Next one. Move on. But that's an old school thing, loyalty. Like we were told to have these. Oh, there is no loyalty. Oh no, these young ones move every what, two, three years? Out, move. Yeah. That's smart because every time you move, you get more pay. Yeah. I wish I'd have known that. I did too. We were too scared. We were taught loyalty is everything. I still have a pension, thank God, from the place that I worked at for 15 years. They cut off the pension probably 10 years in, but I still have it. But they don't have that either. No, nobody has a pension anymore. I have a pension. I don't I mean no nobody. Not new, not now. No. I mean it maybe there's some companies out there that doesn't. Maybe that's something they need to think about. Maybe that is something that would be a good thing. Maybe that's a retention thing. People a pension again.

SPEAKER_02 30:56

Mm-hmm.

SPEAKER_01 30:57

That'd be pretty smart. It can't be more expensive than paying into the 401s. 401s. I don't know. I'm not a I'm not a financier, so no, but that'd be great. Do the pension thing again. Or yeah, something like that. That'd be a great idea. Mm-hmm. I'm glad I thought of that. You did. Pay attention. Well, that's what I that's what I know. That's what I have to say about it. Let me say that. I think the kids, the the kids, the younger coming up generation, I love that they get out and they do things and they realize that they don't want to be house poor and they want to travel and they want to um, you know, their education is, you know, okay. We don't all have to strive and want to be nurse practitioners, but that is one thing I will say. Don't get into nursing just to become a nurse practitioner because you don't know what you don't know. Don't go straight through school. That's doing yourself and your community a huge disservice. Same with physicians. Like I have what from being in the the system for so long, like I've learned from so many physicians, like it is not what they thought it was. It sure isn't. And I don't know how you would teach that. Well, you can't really teach it because nowadays we work on algorithms and metrics, protocols, and that's what you're told what to do. You learn in school how to take care of things, or we did how to take care of things appropriately. This is evidence-based practice. And then when you get in the real world, you have these algorithms and protocols that you have to follow, click the box, and that's what you have to do. But not everybody fits in the box. So they feel defeated because they say, Oh no, I would rather do this than this. Well, entrance isn't gonna pay for this, or that's not on the algorithm, even though you know this is gonna be better for them in the long run because they don't fit in this box over here. But we'll go ahead and do the box. So I think they're willing to pay for those the outliers. You know what I mean? Like they don't fit in the box. So I think they attribute for the time that it's gonna take to get this person transferred to, you know, uh Kalamazoo or whatever. Because there's only them that's only gonna happen like once or twice or whatever, a day or shift. I'm not sure. I'm not sure. I'm thinking that they do. I would love to talk to people that are in that realm. Which one? The young people or the No, like the the finance, the the moguls that come up with. They're not gonna talk to us. No, I know. They would never. But I think it's interesting. Or maybe the people that have researched those if you'll just tell me why you're making this decision, I can swallow it better. If you tell me it's for your bottom line because your manager can't get their quarterly bonus, or they don't staff appropriately because it affects their quarterly bonus, that's gonna piss me off.

SPEAKER_02 33:45

Mm-hmm. What about my bonus? There is no bonus for the trenches. No. Well, all right. Well, that's what we got. That's what I know about burnout.

SPEAKER_01 34:00

You got something to add? Mm-mm. I don't think so. I think we covered it. That was depressing. It is. But it needs to be talked about. Because we're burnt out. It needs to be talked about. But we're getting better. Mm-hmm. I think like verbalizing a lot of your thoughts is super helpful. And I mean, I don't know if the younger generation wants to hear a bunch of old hags going over the probably not. Probably not. But out of set, out of mind. But I think it helps our kids. It helps our people. Mm-hmm. Yeah. It may help them too. I don't know. Maybe they'll learn something. They'll learn what not to do. That that part. That part. They'll learn what not to put up with. Mm-hmm. I think so. Stupid beach chairs. Goodbye.

SPEAKER_02 34:48

Alright. See you later.

SPEAKER_01 34:49

Bye.

SPEAKER_00 34:56

Health habits. Well, let's get the broken healthcare system. We're to educate, empower, and entertain you. One appointment free. It's healthcare without the bullet.