Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Kelli (00:16):
Hey everybody, welcome
back to another episode of
Tattoos and Telehealth.
I'm Kelli White.
This is my great colleague,nicole Baldwin, and our lawyers
always make us say that thisvideo does not constitute a
patient provider relationshipand this is by no means
considered medical advice of anykind.
Now we had a very interestingsituation come up this week with
(00:37):
something that Nicole was verypassionate about.
So there have been a lot ofthings in the news lately.
You guys know it's cold and fluseason and that means that
there is a lot of things in thenews lately.
You guys know it's cold and fluseason and that means that
there's a lot of illnesses goingaround, and with those
illnesses comes some verycontroversial topics about a
certain virus.
We have to choose our wordscarefully, because those words
key and trigger our videos to betaken down.
(00:58):
So we're going to talk aboutwhat we specifically do for our
patients and how me and Nicolecan make this a safe space for
one patient education to a veryopen and positive learning
experience, because, nicole, Idon't know about you, but I'm
learning every day.
Like before we hit record, youand I were chatting about things
(01:20):
that I didn't know anythingabout and I need to go do some
research about just some stuffthat comes up.
So things change.
Things change in medicine.
It happens all the time.
It's like you walk into, youwalk into a store I almost said
the store.
You walk into a store and buy anew laptop.
By the time you get to the carthe laptop is outdated and
you've got to go.
You know what I mean.
Medicine changes that fast too.
(01:40):
So I think that as providers, Icertainly try to hold a space
where I am open minded enough tolearn from my patients as well.
So I think that we have to behumble in knowing that we may or
may not have endorsed or agreedwith certain things where now
(02:01):
that data is coming out, thatprobably wasn't the best
decision.
As humans, we realized thatwasn't a great decision.
You specifically have seen somereports where maybe certain
things came out a little tooquickly and now we as the public
are reaping some prettydamaging effects of those
decisions.
(02:22):
And so how do we, as providers,how do we combat that?
I know I try my best to hold asafe space for patients to ask
all the questions.
So how do you, how do youcombat that?
How do you say I'm not going tonecessarily hold to this
particular protocol just becausethe CDC says I have to.
Nicole (02:42):
Yeah, for sure it's
called practice medicine for a
reason, right, it's calledpractice medicine, and so we're
going to speak kind ofcryptically today.
So hopefully so we don't gettaken down, because this week I
did a post about a personalthing For me.
It was a post about how I didnot allow my daughter to get
vaccinated, choosing thechildbearing age, and it got
(03:03):
taken down.
So it was just my opinion, itwasn't medical advice, it wasn't
.
It just says, hey, I get thisquestion a lot, and it got taken
down.
So, with that being said, youhave to be careful how we choose
our words.
But that was just a specificsituation this week, and so
something that Kelly and I wantto talk about is it is okay to
come to our practice and tell uswhether you were or were not
(03:27):
got the poke.
Kelli (03:27):
I know that it's okay.
It's okay.
I don't have a strong feelingone way or the other.
If you did or didn't, I'm stillgoing to take care of you.
That matters not to me, it'ssimply just a question.
So I know which way my brainneeds to go when we're talking
about certain symptoms.
Nicole (03:41):
A hundred percent.
So it doesn't matter.
To us it is really irrelevant,it is a personal decision,
that's it.
And there is coming out somealternative therapies and we're
not going to name those.
But there is alternativetherapies that patients are
trying and I've read successabout them, and that is also a
(04:01):
patient preference.
Patients have the right totreatment.
They have the right to be ableto speak to their provider in a
safe space where they're notgoing to be judged.
And I think, just as nurses, wecome from such a place of
patient advocacy.
We've all been, you and I,we've both been in situations
where a doctor will ordersomething and we'll say are you
sure that's what you want?
(04:22):
Are you sure that's what youwant?
And if a nurse ever says to adoctor, if you're a doctor, and
if a nurse ever says, are yousure that's what you want to
give?
That is not what you want togive, that is us saying to you
no, no, no.
You might want to rethink that,because you're human too, right
.
And so, as nurses, we are builtto stand up for our patients,
(04:45):
to advocate for our patients,and sometimes that means bucking
and a doctor's order orwhatever, whatever.
But we are the voice for ourpatients, and so I think that's
where probably this comes from,from you and I, kelly is that we
are built to be advocates forour patients, no matter what
that means, and even if it meanswe're going against the grain,
(05:06):
that's okay.
And I think that we, asclinicians, been doing this.
Even if it means we're goingagainst the grain, that's okay,
and I think that we, asclinicians, been doing this for
long enough that we're okay togo against the grain as long as
it's safe and as long aspatients are aware.
Now, we always maintainconfidentiality.
We always maintain that this iswhat's recommended, but if you
go off of that, I'm not going tojudge you.
I can recommend you to, let'ssay, have as simple as a
(05:29):
colonoscopy.
It's your choice if you do itor not.
I can recommend whatever, butit's your choice if you, if you
do that, and I can order youlabs, but it's your choice if
you go do them or not.
And so there is recommendations, and some of them are good and
some of them were starting torethink those right, just as a
society we're rethinking, isthat was the best option, and
maybe it was the best option atthe time.
(05:51):
Kelly and I both provide a verysafe space for patients to come
and discuss alternative optionsthat are available for
different conditions.
Whether it's a sinus infection,whether it's cancer, whether
it's some kind of virus, nomatter what it?
is.
We're okay with you saying youknow what?
(06:13):
This is not the route I want togo, but this is what I was
thinking and we're okay that I'mvery patient driven.
We want to make sure that weare working together the
provider and the patient becauseyou're going to be much more
compliant and much more if we'renot just throwing a bunch of
things at you that you should dothis, this, this, this and this
, and if you don't, then I don'twant to see you, because that's
(06:35):
happened where if you don'thave this, this or this poke, I
won't see you not with me, notwith Kelly.
But we've heard of thosesituations happening and so I'm
interested to see what types ofalternative therapies and you
guys can post in the comments,but what type of alternative
therapies you thought about oryou tried and had had success or
(06:56):
not.
Kelli (06:57):
I'm curious to see some
patient feedback.
I'd love to see what otherpeople have tried and what's
worked for them hasn't workedfor them.
I tell my patients your body,your rules.
I can tell you what has workedin the past and hasn't worked in
the past.
I can tell you anatomy.
I can tell you pathophysiologyof medications.
I can talk to you abouthistorically what has happened
(07:18):
with certain situations.
But at the end of the day, itis your body, your body, your
rules.
I can tell you smoking is badfor you, but I can't make you
quit your body, your rules.
And so I can tell you therepercussions of certain things.
But at the end of the day, likeNicole said, we want you to be
happy, healthy and want toreturn for care, and so that
(07:40):
means that whatever, whateveryou choose to be your treatment,
we want to be sure that we'reworking with you as a team,
because that's going to meanthat you have the best outcome,
because you believe in thatalready as your treatment of
choice.
So we know that that meansyou're already set up for
positive results because youbelieve that that's going to
work for you.
So if we partner along with youon that journey, then the
(08:02):
chances of you having successare already going to be great.
And then the other part to thatis this next thing that I
remind my patients of when youcome in for that appointment I
think I've said this before,nicole.
Patients need to be remindedthat in that moment, we work for
them.
They are paying me to be theirprovider.
I work for them.
In that moment, it's nodifferent than me hiring a
(08:23):
contractor to come in and do myplumbing.
He works for me.
In that moment, in that momentwhen that patient comes in to
see me, I work for them.
They should have my undividedattention.
I should be willing to hearwhat they have to say.
I should be open to whatever itis that they feel is important
for them.
It's their situation, it'stheir body.
They know what they've beenthrough, and I think that that's
kind of where we, as America ingeneral, have gone wrong.
(08:46):
Before we hit record, we weretalking about how things went so
wrong, because certaincompanies have a goal and it was
a race to get to the goal by acertain time, and in doing so, I
think they skipped a lot ofpaths that they should have
taken and it created some unsafeend results.
(09:07):
And so I think we're seeingthat now.
This is why Nicole and I justwant to be sure that our
patients, or any patient thatchooses to come see us,
understands that this is a safespace, and we are absolutely
open to hearing what you guyshave to say about that wanted to
try, thought about trying.
Nicole (09:21):
What have you opted out
of and why and why, tell us.
The last five years has beenchallenging in medicine for
everyone, for everyone, forevery company, from the top to
the bottom.
(09:41):
It's been difficult, but wewant to know.
What have you tried?
What have you opted in for,what have you opted out for?
Sometimes patients will willsay, look, this option, I've
tried this alternative optionbecause it was less risky or
it's pretty much a benignwhatever, and this is the more
benign way to go.
So tell us what.
(10:03):
I remember this is not a HIPAAcompliant space, so if you're
posting in the comments, justplease be mindful of that.
But you can say whatever youwant, just be mindful that it's
not a HIPAA compliant space.
But what have you tried orheard about that you want to
know more information about?
You can always to talk to us,you can always reach out to
Kelly or I and we're veryinterested.
So it's very short today.
(10:23):
We're just very interested ingetting more information to see
what is out there.
What are patients truly, trulyopting in and out for?
Kelli (10:32):
Yeah, I learn more, I
think, from my patients
sometimes than I do in otherways.
It's a very therapeuticrelationship I get from them.
It's awesome.
Nicole (10:40):
It is.
Kelli (10:41):
I'm like let me get a pen
.
You did what and that?
Well, hold on.
I need to try that.
Nicole (10:46):
Yeah, sure, so anyway,
if you would like to speak with
us personally under a compliancespace, you can find me at
HamiltonTelehealthcom and youcan find Kelly at.
Barihealthcom,c-h-a-r-i-healthcom, and we'll
be happy to see you.
We'll be happy to see you,happy to take care of you.
Reach out to us.
We're happy to hear from you.
Bye guys, bye.