Latest / Becoming Anchored / Becoming Anchored S1E10: The Intersection Between Mental Health and Medical Care with Chelsey Medley

Transcript

Becoming Anchored S1E10: The Intersection Between Mental Health and Medical Care with Chelsey Medley · Becoming Anchored

• 0:00
  Hi, everyone.
• 0:01
  Welcome back to the becoming anchored podcast.
• 0:03
  So glad that you're with us today.
• 0:05
  I'm so pumped for this episode.
• 0:08
  Before we get into all of the content, I would like to just do a
• 0:15
  quick little intro and a disclaimer, and then we'll kind of jump in.
• 0:18
  So, um, I'm Lauren Jackson.
• 0:21
  I'm part of a group practice in the Brentwood, Tennessee area.
• 0:25
  Um, we specialize in the treatment of eating disorders, outpatient,
• 0:29
  along with many other presenting concerns all through the lifespan.
• 0:34
  We're so excited to have this new platform to connect with
• 0:37
  you guys and reach you guys.
• 0:40
  A quick disclaimer for.
• 0:42
  This episode and all episodes, um, all of the content here is really
• 0:46
  for informational purposes only.
• 0:48
  So it's not meant to substitute therapy or any kind of medical advice.
• 0:51
  And so if you find that as you're listening, you could benefit from therapy.
• 0:55
  I would so encourage you to reach out to someone local.
• 0:58
  If you're local to us, reach out to us.
• 1:00
  We'd love to connect with you and work with you.
• 1:19
  So I want to.
• 1:20
  I want to jump in.
• 1:21
  Um, so pumped.
• 1:22
  We've got a guest on the, um, episode of the podcast today.
• 1:26
  We have Chelsea Medley.
• 1:27
  She is a amazing medical provider here in the greater Nashville area.
• 1:33
  Um, she, um, uh, works, well, I'll let you, I'll let her introduce herself
• 1:38
  and kind of tell you what she works with, but we love Chelsea so much.
• 1:41
  We collaborate a lot with her with our eating disorder clients and other clients.
• 1:45
  She, um, really is a fabulous provider.
• 1:48
  Um, Especially in that medical space.
• 1:51
  And so, um, so let's just kind of jump in.
• 1:54
  So, hi Chelsea.
• 1:55
  It's so good to have you.
• 1:57
  Hi, thanks for having me.
• 1:58
  This is exciting.
• 2:00
  Yes.
• 2:00
  Yes, we're so excited.
• 2:01
  So, I'd love it if you could just maybe tell us a little about yourself, what you
• 2:06
  do, how you got to where you're at now.
• 2:09
  Yeah, of course.
• 2:10
  So, I'm a family nurse practitioner.
• 2:13
  I've been practicing for 10 years this year, which kind of blows my mind.
• 2:17
  Um, like you said, in the Nashville area, I've been in Nashville for about
• 2:22
  seven and, um, kind of stumbled into doing medical management for eating
• 2:27
  disorders and just generally kind of an empathic, I'm an enneagram too.
• 2:33
  If.
• 2:34
  People are familiar with the Enneagram, so I feel like that fits my profession well,
• 2:37
  but um, I really enjoy treating patients with mental illness, even though I'm not
• 2:44
  like a mental health nurse practitioner.
• 2:47
  I enjoy treating those conditions too, and it's just part of primary
• 2:51
  care, so it's a lot of what I do.
• 2:54
  Yeah, yeah, so it sounds like you as a medical provider have awareness around the
• 3:03
  impact of mental health on medical health or how they're kind of like, you can't, we
• 3:07
  can't really, can't really separate them.
• 3:10
  You can't.
• 3:11
  I think some providers do, like I've, I've heard many medical
• 3:15
  providers say that that's just not the kind of medicine they enjoy.
• 3:18
  And like in primary care, really in all medical conditions, you can't,
• 3:23
  they're not two separate things.
• 3:24
  Mental health impacts physical health.
• 3:27
  Um, so many times I have seen physical symptoms, um, from anxiety,
• 3:34
  stress, PTSD, over and over and over.
• 3:38
  So you can't ignore that or pretend, like it's not part of
• 3:42
  the issue that are going on.
• 3:43
  Yeah.
• 3:44
  Yeah.
• 3:45
  Um, what, I'm curious what.
• 3:49
  How that shows up in your daily practice with, with your patients, just in
• 3:55
  terms of, um, how, how you're kind of, um, having those conversations
• 4:02
  with, with your patients who are maybe, you know, coming in for
• 4:05
  phys, physiological, medical things.
• 4:08
  And you are, you kind of have the lens of medical and mental health at the same
• 4:15
  time.
• 4:16
  Exactly.
• 4:16
  So most people who come to me aren't.
• 4:19
  Saying, oh, my stomach hurts because I have anxiety.
• 4:21
  You know, they're coming in, like you said, for a physical symptom.
• 4:25
  And it's my job to kind of tease that out and figure out, is this,
• 4:29
  you know, what's contributing to it?
• 4:32
  What's at the bottom of it?
• 4:34
  And so we never just, well, I never just assume, oh, they're anxious.
• 4:39
  That's all this is.
• 4:40
  You know, you've got to rule other things out, ask the right questions.
• 4:44
  Um, but often all, you know, we talk through their symptoms, which can
• 4:49
  kind of run the gamut, and I think more people are aware, especially
• 4:53
  like the brain gut connection.
• 4:55
  So many of my, you know, patients with gut issues really have a lot
• 5:00
  of stress in their life, or they're super anxious, they're depressed,
• 5:03
  they have trauma, and it manifests kind of with digestive symptoms.
• 5:08
  So that's always a question I ask.
• 5:10
  What's your stress level like?
• 5:12
  Have you felt anxious?
• 5:13
  Is there anything big going on in your life?
• 5:17
  So it's not where I go first.
• 5:20
  You know, you want to listen to the whole picture and not
• 5:22
  assume that's what's going on.
• 5:23
  But I think people are pretty open when you approach it that way or it might
• 5:28
  have been in the back of their head like Oh, could stress be causing some
• 5:32
  of this and they're almost relieved to hear like, okay That's kind of what I
• 5:35
  thought and now it's validating to hear This could be from, you know, from stress
• 5:40
  or from mental health stuff going on.
• 5:42
  Yeah, yeah.
• 5:43
  And then what do you do?
• 5:45
  Like, what's, what's kind of your next step?
• 5:47
  Always therapy.
• 5:50
  I don't know how many times I have said, like, I wish we were just
• 5:53
  assigned a therapist at birth.
• 5:55
  I think everyone could benefit from therapy some more than others,
• 5:59
  but of course, you know, there's access issues and not having
• 6:04
  the resources to pursue that.
• 6:07
  So I do some coaching in like mindfulness practices, stress reduction,
• 6:12
  you know, kind of introducing You know, boundary work might need to be
• 6:18
  done or there are things they need to be saying no to Getting their
• 6:22
  work life family balance corrected.
• 6:25
  Um, you know, a lot of people are just overworked and so so many Like anxiety
• 6:31
  stress complaints are work related and you know, if you're working 60 hours a week
• 6:36
  I don't think there is any way you can feel balanced or well It's just too much.
• 6:41
  I think for almost everybody So it's kind of introducing it giving them
• 6:46
  some resources I don't have unlimited time, but at least try to start
• 6:53
  that conversation of here are some things you could look at or pursue.
• 6:56
  Yeah.
• 6:57
  Yeah.
• 6:57
  I love, I love hearing that you start the conversation with some of your patients
• 7:04
  around mindfulness and boundaries.
• 7:07
  And I mean, I think a lot of us think of that as being like, Um, a kind
• 7:11
  of a therapy space topic, but you having that mental health lens being
• 7:18
  a holistic part of the holistic view of, of the patient, it makes sense
• 7:23
  that that would be a part of how you, how you even treat your patients.
• 7:29
  Um, I'm curious, do you have, do you ever have any patients
• 7:33
  that come in who have had.
• 7:36
  And I'm sure you have, but who have had like a, a poor or negative
• 7:39
  experience with a previous medical doctor that wasn't, wasn't also
• 7:44
  looking through a mental health lens.
• 7:47
  Oh, absolutely.
• 7:48
  Yeah.
• 7:49
  Yeah, so many people, especially people who have suffered with anxiety or
• 7:53
  depression a lot of their life, they get blown off by medical providers.
• 7:57
  They don't listen to them because they They're, oh, they're just an anxious
• 8:01
  patient, or, you know, if, if they don't have a proper perception of depression,
• 8:07
  oh, they just don't care, they won't do anything to take care of themselves.
• 8:09
  And, um, it's so damaging to people's health because they avoid
• 8:15
  medical care after that, obviously.
• 8:18
  So they have a bad experience, they don't go back, then they develop a
• 8:21
  ton of anxiety around going into a doctor's office, um, and they may delay
• 8:28
  preventative screenings and end up with.
• 8:30
  Real medical consequences.
• 8:33
  of that negative interaction, which is, you know, nothing
• 8:37
  makes me madder than that.
• 8:40
  Unfortunately, it's fairly common.
• 8:42
  Yeah.
• 8:43
  Yeah.
• 8:43
  Yeah.
• 8:44
  So I know that you're passionate about this, like, non shame, non shaming kind of
• 8:50
  trauma informed approach to medical care, which lines up with that mental health.
• 8:56
  lens that we've kind of been talking about that you also have on with your patients.
• 9:01
  Um, the, the non shame trauma informed piece stands out to me as a medical
• 9:07
  provider because when I think of a medical provider, a doctor, my family doctor, I'm
• 9:12
  not going into their office thinking that they're trauma informed, um, which is
• 9:19
  okay with me because I don't necessarily, or which I'm, I can, I can handle or
• 9:26
  deal with because I don't necessarily have a, a very massive trauma history.
• 9:33
  And so I can stay relatively regulated and whatnot.
• 9:36
  Um, especially if that is true that they, Are not trauma informed or are
• 9:42
  not like I'm not experiencing that from them, but I'm just curious, you know,
• 9:46
  because I'm sure a lot of our listeners, you know, are probably, can probably
• 9:51
  resonate with, like, yeah, I don't really think of my PCP or our pediatrician
• 9:56
  as necessarily being trauma informed.
• 9:58
  So I'm just, I'm curious about how, how, how that is part of your daily practice.
• 10:03
  And then if you could also speak a little bit more to what does it mean
• 10:07
  for you to be, to, for you to take a non shaming approach to your medical care.
• 10:12
  Yeah, I think First, there just has to be that awareness of how past trauma
• 10:18
  is going to impact them physically, mentally, how they're going to hear
• 10:23
  what I'm saying, if they're going to trust me, like establishing You know, a
• 10:29
  relationship can be harder be, you know, because of what someone's been through.
• 10:33
  Um, and I think I just stumbled into it.
• 10:35
  I don't know that I really got specific training about trauma.
• 10:39
  I think I'm just generally empathetic and try to put myself in someone else's shoes.
• 10:45
  I understand like the privilege I have had in my life and that that's not.
• 10:49
  A lot of people's experience and then just through, you know, treating patients
• 10:53
  for 10 years and hearing people's stories and, um, it's really impactful.
• 10:59
  Um, there is good data now to, well, some data coming out about the impacts
• 11:04
  of like, Um, your ACE score, so your adverse childhood, um, events
• 11:09
  impacting health, even from developing heart disease, diabetes, the things
• 11:15
  we think of like substance use or mental health issues, but really
• 11:18
  other, you know, more physical issues.
• 11:22
  impacts as well.
• 11:23
  So I think you've got to be aware of that.
• 11:25
  Um, I see a lot of chronic pain in trauma patients, headaches, digestive issues.
• 11:33
  So again, it's not, you don't want to just blow things off or label it, but
• 11:37
  also this awareness of like this, this could be part of what's happening too.
• 11:41
  And, and you've got to address trauma or likely your, your pain may not improve.
• 11:48
  Versus avoidant behaviors, pushing it down, not addressing
• 11:55
  trauma that you've had.
• 11:56
  Yeah, yeah, yeah.
• 11:57
  Well, we know that the most important thing to a trauma informed kind of
• 12:03
  approach is safety, which is, you know, obviously what you mentioned is so
• 12:07
  important to you, and that, like you said, you've learned over all of your
• 12:11
  years of sitting with clients and their stories or patients and their stories
• 12:15
  is that they all need safety with really whatever they're dealing with.
• 12:19
  You know, coming in with physically and then maybe also emotionally as well.
• 12:24
  Um, Yeah, so does that, does that feel, um, does the non shame approach
• 12:31
  feel similar, kind of, um, well, I guess, yeah, in line with the, the, the
• 12:38
  trauma informed piece as well for you?
• 12:41
  Yeah, I don't think shaming patients is productive or effective, like that, at
• 12:47
  the end of the day, it's not going to produce better health, health outcomes
• 12:51
  if I'm, you know, I'm not generally a judgmental person, so I think I'm just.
• 12:56
  It's kind of in that zone anyway, but also understanding that
• 13:00
  that's not productive or helpful.
• 13:02
  Um, and unfortunately I do think some medical providers do think it's helpful.
• 13:06
  Or it's, and I've heard occasionally even patients saying, No, you've got
• 13:10
  to fuss on me, you need to fuss on me to, You know, to like, get me to
• 13:14
  do right or, you know, exercise, take their medications regularly, whatever
• 13:18
  it happens to be, but I'm like, well, you're not going to get that from me.
• 13:22
  Yeah.
• 13:22
  Like you've had, you've had patients say that to you.
• 13:25
  Oh, wow.
• 13:26
  Yep.
• 13:27
  Wow.
• 13:27
  Cause we're just so used to that.
• 13:29
  Yeah.
• 13:30
  It's really interesting when that comes up where they, you know, they assume
• 13:35
  I'm going to fuss on them because their blood sugar went up or their weight
• 13:39
  went up or, you know, any other factor.
• 13:42
  Um, You know, so many people are just in different seasons of life.
• 13:48
  And you never know what people are going through, what they're experiencing.
• 13:51
  So yeah, taking that shame approach of, I can't believe you're not exercising
• 13:56
  five days a week, or it's more like, okay, well, what's life been like?
• 14:00
  Oh, your mom's on hospice and you're a single mom.
• 14:03
  And, you know, of course you're not exercising five days a week.
• 14:07
  That's not, that's not the priority or should it be.
• 14:12
  So I think it's, it's really like just listening to people and, and asking
• 14:16
  them questions, figuring out what, what their deterrents are to having, I don't
• 14:22
  know, say having better health, like that's in people's control all the time.
• 14:26
  But it's often, you know, being healthy also has this moral implication of like,
• 14:33
  Oh, if you're healthy, you're good.
• 14:34
  And if you're not healthy, you must've done something bad to get there.
• 14:37
  And I don't love that either.
• 14:42
  So it's more about what does that mean to them?
• 14:44
  What's well being mean?
• 14:45
  To the person in front of me.
• 14:47
  Yeah.
• 14:48
  Yeah.
• 14:48
  Yeah.
• 14:50
  Um, I think that's such a perfect example of how Mental health and
• 14:56
  medical care intersect because because You know, in the therapy space,
• 15:03
  behaviorally, what we know is that shame does not produce effective change.
• 15:08
  It actually does the very opposite.
• 15:11
  Though we keep, we keep shaming people all the time, right?
• 15:14
  And so I hear you wanting it and trying to, you know, be a part of
• 15:22
  this movement that is moving away from that type of change approach.
• 15:27
  Um, which I think in the in the mental health space.
• 15:33
  Um, there's perhaps like an element of us having moved past that, but
• 15:38
  it seems like sometimes in the medical space, still sometimes.
• 15:42
  Yeah.
• 15:43
  So I just like, I, like, you know, I, I keep pioneering that.
• 15:50
  Trail, because we need it.
• 15:53
  Yeah, well maybe if
• 15:54
  more medical people would go to therapy and do their own work, that will be
• 15:59
  helpful for the world in general.
• 16:01
  Yeah, so I know earlier you spoke to, um, your kind of specialty as well in,
• 16:08
  um, medically treating eating disorders.
• 16:12
  Um, and so, I'm, I'm curious, you know, one of, that's one of the populations
• 16:17
  that here at Anchored we treat a lot and work with a lot is from the mental
• 16:23
  health side of things, is eating disorders, disordered eating, body
• 16:27
  image concerns, um, maybe people who feel like they're really, really sick.
• 16:31
  stuck in diet culture and whatnot.
• 16:34
  I'm curious from a medical perspective and your medical lens, um, that what are
• 16:39
  some of the nuances to treating, treating eating disorders as a medical provider?
• 16:47
  Yeah, well, it's very complicated and it requires a team approach.
• 16:53
  Like I definitely can't treat an eating disorder on my own.
• 16:57
  Um, so I so appreciate when a patient's able to have a team.
• 17:02
  a dietitian, preferably like a mental health, um, psychiatrist or nurse
• 17:07
  practitioner that can, it kind of takes a whole team, I feel like to move people
• 17:12
  forward and outpatient treatment, um, in primary care, it's tricky because
• 17:17
  This is really like a specialty niche where they need a lot of time and
• 17:23
  primary care is more just moving people through, you know, a sore throat,
• 17:27
  diabetes management, you throw an eating disorder patient in there and it, it's
• 17:30
  complicated and more time consuming.
• 17:33
  Um, but rewarding and much needed their medical complication risk is so high
• 17:39
  of electrolyte imbalances, monitoring, One work, we do blind weights when we
• 17:46
  can, if a patient's not having that done with their dietician, we do blind
• 17:49
  weights in the office to monitor that.
• 17:52
  Um, orthostatic vital signs is something eating disorder patients need,
• 17:57
  which is just where you check vital signs laying, sitting, and standing,
• 18:01
  but it takes a little extra time.
• 18:02
  You've got to know to do that and look for really subtle changes.
• 18:06
  Um, cause eating disorder patients will, um, they can worsen really quickly,
• 18:12
  their labs can change very abruptly.
• 18:15
  So, so often, everything's normal when we check their labs, it's normal, and
• 18:19
  their vitals are normal, and they, They see that and go, see, I'm fine.
• 18:24
  I don't know why everyone's so worked up about this.
• 18:28
  Um, because that eating disorder loves to tell them that they're not sick.
• 18:31
  And so just having to reiterate that, I mean, just over and over and over.
• 18:36
  Like, yep, your labs may be normal, but that's one moment in time.
• 18:40
  And the next time you purge or overexercise.
• 18:43
  Or restrict all day.
• 18:45
  They may not be normal after that.
• 18:48
  I'm just getting across like how sick that person is and how
• 18:52
  dangerous their behaviors are.
• 18:55
  I'm curious, how often are you seeing a new patient who has an eating disorder?
• 19:00
  Like, what does the frequency look like for you?
• 19:02
  Yeah, so, so often, especially in the beginning when I started this.
• 19:07
  You guys were sending patients to me.
• 19:09
  So they kind of had their team and I was just the medical piece.
• 19:12
  And then as I got into that and learned more and more, I was
• 19:16
  identifying issues and patients.
• 19:18
  Who didn't know anything about that I did that, and we're just coming
• 19:21
  in for a new patient appointment.
• 19:23
  Um, and picked up on it, but I will say disordered eating constantly.
• 19:29
  Diet culture abounding.
• 19:32
  That's all the time.
• 19:34
  Weekly, for sure.
• 19:36
  Um, a true, like, DSM 5 meets criteria for an eating disorder.
• 19:41
  Um, I mean, I see probably five to ten eating disorder patients a week.
• 19:47
  Thanks.
• 19:48
  But new patients probably a few times a month that I might really pick up on
• 19:52
  a problem.
• 19:52
  Yeah, yeah, yeah.
• 19:54
  And how often are you requiring your eating disorder patients to be seeing you?
• 19:59
  Yeah, it really varies on their behaviors and the level of support they have.
• 20:04
  Um, sometimes weekly.
• 20:06
  Um, you know, we'll have patients that really need to go to treatment, can't
• 20:11
  or won't for whatever reason, so they need to be monitored more consistently.
• 20:15
  Okay.
• 20:16
  Others are checking in with their team regularly, so I'm
• 20:19
  just kind of like, Hey, I'm here.
• 20:20
  You know, if things, if things change or something comes up, check in sooner.
• 20:23
  Otherwise, I'll see you once a month or every three months.
• 20:27
  Just kind of depending on where they are.
• 20:29
  Mm hmm.
• 20:30
  Yeah.
• 20:31
  Yeah.
• 20:32
  So, um, I know that you practice from a health at every size lens, right?
• 20:40
  Yeah.
• 20:40
  Um, You know, maybe some of, some of the people listening have heard
• 20:45
  of this before, know a lot about it.
• 20:47
  Maybe you've never, maybe this is the first time you've
• 20:49
  heard of health at every size.
• 20:51
  So, um, maybe could you speak to that just a little bit and then
• 20:55
  how you practice from that lens?
• 20:57
  Because I know that's probably part of your non shame approach, right?
• 21:00
  Yes.
• 21:01
  Yep.
• 21:01
  I don't know how you could treat eating disorders and not get to
• 21:06
  the health at every size lens.
• 21:08
  I hadn't heard of it.
• 21:09
  before and the eating disorder treatment is what drew me in and I realized.
• 21:14
  You know, I know I did a lot of harm early on in my practice because I had
• 21:18
  no eating disorder awareness and, you know, we're taught in school diet and
• 21:23
  exercise for all these conditions.
• 21:24
  And so I for sure gave that advice for a long time and then realized, you know,
• 21:30
  It was the same story, like people would, Oh, well I tried, I did really good for a
• 21:34
  few months, and then, you know, something happened, and I lost some weight, and
• 21:38
  I gained it all back, and then some, and now we have so much data showing.
• 21:42
  That's normal.
• 21:43
  That's what happens when you go on a diet.
• 21:45
  They don't work.
• 21:46
  There's not a single study about that.
• 21:49
  Diet a diet that works long term for weight loss.
• 21:51
  So even if you're assuming weight loss is good We have not had a way medically
• 21:57
  that was actually effective And so in my practice, it's a it's about not assuming
• 22:04
  things about people's health because of their body size Um, it's not bringing
• 22:09
  their weight up, um, necessarily unless they bring it up or want to discuss it.
• 22:16
  Um, weighing people backwards if they want to or not weighing them
• 22:20
  at all, if that's their decision and not pushing back on that.
• 22:24
  But just recognizing you can be healthy and be in a bigger body.
• 22:29
  That's, that's a real thing that can happen, um, and does all the time.
• 22:35
  And it's, it's game changing.
• 22:36
  Most of my patients who have had traumatic medical experiences,
• 22:41
  it was weight related.
• 22:42
  Yes.
• 22:43
  So often.
• 22:43
  Yes.
• 22:44
  Yes.
• 22:44
  They came in for a sore throat, they were preached to about their weight.
• 22:49
  Um, everything was blamed on their weight.
• 22:52
  I've had patients who had rheumatoid arthritis that went
• 22:55
  misdiagnosed for 20 years.
• 22:58
  They were told, Oh, if you would just lose weight, your knees would stop hurting.
• 23:01
  And I did blood work.
• 23:03
  They rheumatoid arthritis.
• 23:04
  It's an autoimmune disorder that they now have irreversible joint damage because.
• 23:10
  These assumptions were made about their body for that long.
• 23:13
  It's just disgusting and horrible and needs to change.
• 23:17
  Yeah,
• 23:18
  yeah, yeah.
• 23:19
  So I would imagine that that's, when we talked earlier about, do you have patients
• 23:23
  who come in who have had a negative experience with a doctor in the past?
• 23:27
  That's probably a lot of what it is.
• 23:30
  Yeah.
• 23:30
  So much.
• 23:31
  Yep.
• 23:32
  Yeah, so, um, as we kind of start coming to end of our time together, I'd love
• 23:37
  to hear from you your thoughts on, so, you know, if, if we have any listeners
• 23:42
  out there who are like, Oh, maybe I need a new doctor after listening to this.
• 23:46
  What would you, like, what would be some things that you would encourage people
• 23:50
  to look for when maybe they're trying to find a medical doctor who We'll care
• 23:54
  for them well, holistically, with, uh, with, uh, no shame, trauma informed,
• 24:00
  mental health included, and all of that.
• 24:02
  Yeah, I mean, it's so hard to know until you're in.
• 24:06
  A room with a medical provider, but reading reviews can be helpful and reading
• 24:11
  their bios, like most providers will have some kind of a biography on their website.
• 24:16
  And so if, if you get a lot of like diet culture, words coming out, like they do
• 24:21
  weight management, obesity management, I would, you know, that's kind of
• 24:25
  a red flag, but it's really hard to know until you're in front of someone.
• 24:30
  Are they going to listen to you?
• 24:31
  Are they open to hearing your perspective?
• 24:34
  If you don't feel listened to or you feel blown off, I think just move on.
• 24:38
  There's a lot of medical providers out there, even though primary care is tough,
• 24:44
  access is not great, there's long waits.
• 24:47
  I would try to find someone good, someone recommended either by word of mouth or who
• 24:51
  have, A ton of good reviews or a really long wait For a patient appointment like
• 24:56
  that's a good sign that they're probably that's how you know, they're good.
• 24:59
  Yeah Yeah, just get on their list get on the list Even if it's six
• 25:04
  months away eight months away Just make the appointment that'll be here
• 25:07
  before you know it If you need a walk in clinic or establish with someone
• 25:11
  else in the meantime At least you've kind of got got a backup a plan b.
• 25:15
  Yeah.
• 25:16
  Yeah, so I love this idea of like you can You can go to an appointment
• 25:21
  You See how you feel in the room.
• 25:24
  If you don't feel good, find somebody else.
• 25:27
  Like you have permission to find someone.
• 25:29
  Yeah.
• 25:30
  Yeah.
• 25:30
  That's good.
• 25:31
  Absolutely.
• 25:31
  Of course, not, you know, insurance companies rule
• 25:34
  the world still in that way.
• 25:36
  Network, but yeah, outside of outside of those factors.
• 25:40
  Yeah.
• 25:42
  So Chelsea, where can we find you?
• 25:43
  Where, where do you work?
• 25:46
  So I just started at a new office, Cool Springs Internal Medicine and Pediatrics.
• 25:52
  Great.
• 25:53
  So do you, do you primarily see adults or are you, do you do pediatrics as well?
• 25:59
  No, I
• 25:59
  just.
• 26:00
  Okay.
• 26:00
  I mainly do adults,
• 26:01
  um, especially
• 26:02
  for, for eating disorder stuff.
• 26:04
  Okay.
• 26:04
  Okay.
• 26:04
  So 18, 18 and older.
• 26:06
  Okay.
• 26:06
  Awesome.
• 26:06
  You got it now.
• 26:07
  Okay.
• 26:08
  Awesome.
• 26:11
  So we always end each of our episode with a little affirmation and some homework
• 26:16
  to for our listeners to take away.
• 26:18
  We kind of like to mirror what sessions might kind of look like, even though this
• 26:22
  is not therapy, but we do love to give our clients and now our listeners something
• 26:27
  to take away with them to chew on and have with them, um, throughout their week.
• 26:32
  So my affirmation from you is that you deserve non shame trauma
• 26:35
  informed medical care where you feel seen, heard, and cared for.
• 26:39
  Um, which is really just the theme of what we talked about today.
• 26:42
  And I am, um, Fully confident and know that Chelsea gives
• 26:47
  that care to her clients because I've shared clients with her.
• 26:49
  And so I know that.
• 26:50
  And so my homework and just like Chelsea said if you're listening and
• 26:57
  you're like, oh you kind of have like a gut a gut little Reaction like do
• 27:00
  I do I need to find a new doctor?
• 27:02
  Like I had this experience.
• 27:03
  Maybe that's a red flag I would encourage you to maybe like Reflect on that and
• 27:08
  perhaps do a little bit of research and see who's in network with your insurance
• 27:12
  and read reviews and And Maybe go find a new doctor if that's something If
• 27:19
  that's what you need to do and give yourself permission to, um, to go to an
• 27:24
  appointment, see how you feel in the room with them, and if it doesn't feel good,
• 27:29
  kind of go back to the drawing board.
• 27:31
  Um, we have, you have permission to do that.
• 27:34
  So, um, thank you so much, Chelsea, for joining us.
• 27:37
  This was so great.
• 27:38
  You're welcome.
• 27:39
  for having me.
• 27:40
  Yes.
• 27:41
  Amazing.
• 27:41
  Well, I hope you guys have a great day and thanks for joining us on
• 27:45
  the Becoming Anchored podcast.