Latest / The Inspired Stories Podcast / When Speaking Your Truth Changes Lives: Manda Ayoub's Leadership Philosophy | Nursing Home Series | Senior Care
Transcript
- 0:04Welcome to another edition of the Inspired Stories podcast,
- 0:08where leaders share their experiences so we can learn from
- 0:11their successes and be inspired by how they've overcome
- 0:14adversity. My name is Anthony Kotaspodi and
- 0:16today's guest is Manda IU, chief operating officer at Pomeroy
- 0:21Living. Founded over 30 years ago in
- 0:24Michigan, they provide compassionate and innovative
- 0:27senior services which includes assisted living, memory care,
- 0:31skilled nursing, short term rehabilitation and more.
- 0:35Their mission is to deliver adaptable, high quality care
- 0:39that celebrates life at every stage.
- 0:41Amanda has been part of the organization since 2011,
- 0:45bringing over 30 years of experience in the healthcare
- 0:48industry. She overseas the operations and
- 0:51outcomes of the clinical team while ensuring regulatory
- 0:55compliance. Among her many responsibilities,
- 0:57Amanda is particularly passionate about team building,
- 1:01system implementation and education.
- 1:04Amanda has played a pivotal role in opening 2 state-of-the-art
- 1:08assisted living communities and integrating newly acquired
- 1:12properties into the Pomeroy portfolio and business model.
- 1:15She also spearheaded numerous healthcare initiatives that have
- 1:19significantly improved patient outcomes.
- 1:22And in 2023, Amanda earned recognition for completing the
- 1:26Reducing Implicit Bias in Healthcare workshop from
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- 2:02All right, back to our guest today, the COO of Pomeroy
- 2:05Living. Amanda, I appreciate you making
- 2:07the time to Share your story today.
- 2:09Thank you, Andy. It's great to be here.
- 2:11Honored. So, 30 years of experience in
- 2:15the healthcare industry, what first drew you in?
- 2:19Oh, that's a good question. So I got into healthcare because
- 2:23of my grandfather. I was a very young child.
- 2:27My grandfather was foreign speaking and he was sick and in
- 2:33the end of his life hospitalized almost monthly.
- 2:37So my siblings and I and my parents all took turns staying
- 2:41in the hospital with him. And one night after sleeping in
- 2:46a chair all night, there was some interactions, some amazing,
- 2:50some not so amazing. And one of those interactions
- 2:55kind of set a bit of a fire in me that people needed amazing
- 3:01care. So at the young age of, I think
- 3:0611 or 12, I decided I was going to be a nurse and then became a
- 3:09candy striper, I think somewhere around 15.
- 3:14And then in high school, we had a health occupations class in
- 3:20which we became nurse assistants.
- 3:21And I did that in my senior year and won first place actually in
- 3:26a national competition for nurse aids on my bed making abilities
- 3:30and the ability to take blood pressures, etcetera.
- 3:34You know, so started really early for me.
- 3:37There was a question for healthcare.
- 3:40What was the negative experience?
- 3:42Your grandfather just wasn't receiving the kind of attention
- 3:45that he deserved. You know, I think there's
- 3:47negative experience in everything, right?
- 3:49But there's there was tons of positive, but the negative was
- 3:53my grandfather was a tall man. He was about 6 foot and didn't
- 3:58speak English and he had diabetes.
- 4:00And, you know, his legs were affected.
- 4:03And so he needed help getting up to the restroom.
- 4:05And he was a very dignified person.
- 4:08And this nurse instead of helping him, kind of pushed him
- 4:12back in bed. And I'm sure it was a timing and
- 4:16a moment, and I'm hoping it wasn't who she was all the time,
- 4:24but it hurt my soul to a level I didn't think could be hurt.
- 4:28So I just knew at that moment that wasn't going to happen
- 4:31under my watch. So I needed to be that nurse and
- 4:34show them how it was done. And so you became a nurse.
- 4:38You. Became a nurse.
- 4:40And you started early candy striper.
- 4:43Candy striper Nurse. Aide nurse.
- 4:45Tech nurse. Yeah, long time.
- 4:47And then and then when did you get involved in more of the
- 4:50administration side of things? You know, that was funny.
- 4:55So as you work up every position you're in, right, you can't wait
- 4:59to be in that next position 'cause you realize you can
- 5:02impact more. So when I was a nurse aide, I
- 5:04couldn't wait to be a nurse so that I could not just take care
- 5:08of them, but like make sure their meds were right and answer
- 5:11their questions and be by their bedside.
- 5:13And, and then when I was a nurse, then I wanted to be a
- 5:15unit manager because I wanted to make sure all the nurses that
- 5:18worked on the unit were great. When I was the unit manager, I
- 5:20wanted to be the director of nursing because then I could
- 5:23ensure all the nurses were great.
- 5:25And then when I was the director of nursing, I wanted to be the
- 5:28administrator because at the end of the day, the decisions the
- 5:31administrator make affect all the patients.
- 5:34And it's that crazy drive to affect as many people as
- 5:37possible. That kind of drove me.
- 5:41I, I just, I wanted more. I wanted to make the decisions
- 5:46that affected the patient outcomes.
- 5:50So we hear about the inspiration for getting into healthcare in
- 5:53the 1st place, the experience there with your grandfather.
- 5:56Did you have role models that sort of gave you the confidence
- 6:00growing up that you could aspire to these higher levels of
- 6:05responsibility? Oh God, yeah.
- 6:07Along the way everywhere. When it started as a candy
- 6:10striper at by County Hospital, there was a nurse I worked for
- 6:14who who showed me things, you know, that maybe candy stripers
- 6:17weren't supposed to see, but she she incited passion, told me it
- 6:22could be more. And then as a nurse aide at the
- 6:26Holy Cross Hospital, I worked under amazing nurses who were
- 6:30constantly teaching me and telling me how great I could be
- 6:33in this industry. There was tons of amazing
- 6:36clinicians who inspired me. One of my biggest inspirations
- 6:40is a woman named Angie Shimlinski, who heads Health
- 6:43Cap, which is an insurance program.
- 6:45She was my administrator Once Upon a time in the nursing home,
- 6:49and she did it with style and grace.
- 6:53Like this woman would be at a patient's bedside in one minute.
- 6:57She was also a nurse and a nursing home administrator.
- 7:00And then the next minute I would find her in the kitchen with a
- 7:02hair nut on the food line. And I was, I was inspired by so
- 7:08many amazing, amazing nurses. So many mentors, couldn't even
- 7:16name them all if I wanted to. I was very lucky.
- 7:18I've been surrounded by amazing humans.
- 7:21And then how did the opportunity at Pomeroy first open up for
- 7:25you? That's a good one.
- 7:28So I was working for a company that managed one of Pomeroy, Mr.
- 7:35Pomeroy's first nursing homes. He owned multiple but didn't
- 7:40manage them. Every one of them was managed by
- 7:43a different organization. So he had a building.
- 7:46It was in a little bit of trouble and they, the management
- 7:51company that I worked for said we really need you to go into
- 7:54this building it, it needs you. And I then met with Mr. Pomeroy
- 7:59and his president at the time and, you know, talked about who
- 8:07I was and what I could do. And then, you know, after some
- 8:10conversations, they gave me an offer to come out and run their
- 8:14building in Rochester. And it was in a little bit of
- 8:17trouble at the time, right. The management company that was
- 8:21managing it, that I worked for was having a hard time really
- 8:24getting the right leader in that community.
- 8:26And so that's where it started. I went in and just started
- 8:31working. And So what was the biggest
- 8:34problem you needed to clean up first?
- 8:39I think most healthcare problems are tied back to validation and
- 8:46the tough conversation. We have a lot of leaders who
- 8:51want to be liked and want to be friendly, but that's not what a
- 8:57leader really is. A leader is a person who's OK
- 9:00with the tough conversations, who is fair and consistent, who
- 9:04holds people accountable, who can love you even when they have
- 9:10to let you go, right? So leadership is tough, and it's
- 9:15not for everyone. And a lot of people strive to be
- 9:18leaders and get into these roles, but aren't really ready
- 9:21to do what it takes to make it work.
- 9:26Where do you think your comfort with having these hard
- 9:30conversations comes from? That's my parents.
- 9:34So I am born of a woman who has no filter.
- 9:41God love her. And she was a tough mom and I,
- 9:46my dad was tough growing up as well, but very loving, right?
- 9:50So there was a little bit of both.
- 9:52But my dad also promoted debate in our house.
- 9:56You know, like, if my siblings and I were arguing, he wouldn't
- 9:59really stop us. He would make us debate it out,
- 10:03which was nice. You know, we got comfortable
- 10:06being uncomfortable. And that's a lot of people don't
- 10:11get that same practice at home. They're silenced.
- 10:13Their opinions don't matter. Our opinions mattered from an
- 10:16early age. We had family dinners in which
- 10:18we debated politics. I mean, what 10 year old has an
- 10:23opinion about politics? Well, you know, most 10 year
- 10:26olds have the opinions of their parents.
- 10:27We had our own and we were promoted to have so.
- 10:33That's really interesting. So you mentioned A10.
- 10:35I've got a 10 year old son and an 8 year old son and man, they
- 10:39go at it like cats and dogs. And my wife and I, our reflex is
- 10:45guys just knock it off. It doesn't just please be quiet.
- 10:48Stop arguing. And now I wonder if we're we're
- 10:51taking the wrong approach right. Like, you know, I this this
- 10:55conversation with you today and just yesterday I had a
- 10:58conversation with another strong woman as CFO of 1000 person
- 11:02company and she had similar comments about, you know how her
- 11:05ability to have these difficult conversations is her superpower.
- 11:09It's like a big reason for her success.
- 11:13And I wonder if by sort of, you know, shushing the kids all the
- 11:17time, if we're sort of robbing them of sort of developing that
- 11:20skill themselves. I think sometimes there's a need
- 11:24to be shushed, right? I think sometimes there's a need
- 11:26for debate. So you got to decide, is this
- 11:29the time in which you want their debating skills to come out?
- 11:32You want them to be able to defend themselves and to defend
- 11:35their theory on why they're arguing.
- 11:39And so was your dad providing coaching during these?
- 11:42Sometimes, sometimes it was just a hey, you know, speak kindly,
- 11:47argue your point. And then there were times the
- 11:51shushing came along because we weren't getting anywhere.
- 11:53But he really did promote our debating.
- 11:57And yeah, I kind of have a passion for debate.
- 12:01I love it. I tell my team's here.
- 12:03If you just yes, me, I'm not going to appreciate it.
- 12:05I need because I think greatness comes from debate.
- 12:09I think we've come to great things in this organization
- 12:12because I do have a team who debates me and I love that.
- 12:20OK, so you come into this one building people who had been
- 12:23afraid to have the hard conversations.
- 12:26Amanda is not. So you come in, you're having
- 12:30the hard conversations, probably letting some folks go, probably
- 12:33telling folks you're doing the wrong things.
- 12:36How long before you kind of saw things start to shape up?
- 12:40Less than 90 days. That's pretty fast.
- 12:44When there's fairness and consistency and you teach your
- 12:47teams to do the exact same thing you do, and you lead by example,
- 12:52you can make change really quickly.
- 12:54So we turned this building around from a one star to a five
- 13:00star in under 6 months. And and explain that rating
- 13:04system, what is 1 star? I mean, obviously it's an
- 13:07improvement. Oh, absolutely.
- 13:09So CMS rates are homes and the system has changed over the
- 13:13years, right. So the CMS star rating system
- 13:16has changed. They've added other triggers and
- 13:19other indicators. At the time, you know, it was
- 13:21basically about care survey outcomes, staffing, etcetera.
- 13:26And this building had some survey issues.
- 13:29Licensing was there constantly due to complaints and, and
- 13:32listen, overall the care was really great.
- 13:34It was the communication that was faltering and failing and it
- 13:38was not consistency in the accountability.
- 13:42So there was some staff that was performing on point every day
- 13:46and then there was others who people weren't touching because
- 13:48they felt like, you know, they wouldn't be supported.
- 13:52And so they allowed the bad behaviors to continue.
- 13:55And so we just, we started addressing it and I think when
- 13:59the staff saw that managers were being held to the same standard
- 14:03as staff, that changed everything very quickly there
- 14:07'cause I think that was probably our biggest issue in that
- 14:10community was there was almost like A2 tier system, you know,
- 14:15frontline staff and the management staff and they were
- 14:18not held to the same standard. Well, that changed pretty quick
- 14:21and everyone kind of fell in line and we worked together.
- 14:25You know, when you see your administrator up answering call
- 14:27lights or passing food trays, you know, like I said, I learned
- 14:30from Angie. I've been found in the kitchen
- 14:32with a hair nut. You know, we had a cook who had
- 14:35a family emergency and there was a group text and I said I'm on
- 14:38my way. And two of my nurses from
- 14:41another building met me there. And we ended up cooking and
- 14:43serving dinner. I mean, might not have been the
- 14:45best dinner in the world, but nobody missed a meal that day.
- 14:50That's right. There wasn't actually.
- 14:51There wasn't any complaints. I think we did OK.
- 14:55So yeah. So, OK, so you come in, you help
- 14:59to turn this one facility around and it kind of been in bad
- 15:03shape. Obviously your work gets noticed
- 15:06and they say, OK, Amanda, we'd like for you to take on some
- 15:10more responsibility. What did that next step look
- 15:12like? So the next step was Keith
- 15:17deciding that maybe he didn't want a management company
- 15:20managing his businesses anymore. So we started with just one and
- 15:28it was the Rochester community and we brought it on and it was
- 15:32really, it was functioning beautifully.
- 15:34And we then started building our assisted living in Northville
- 15:37and Keith said, I think it's time to let go of the management
- 15:43company here. And I want you to come to the
- 15:45corporate office and be my VP at the time and.
- 15:49That sounds like a pretty big transition.
- 15:52Like for somebody who's on the outside of healthcare and senior
- 15:56living looking in, what exactly is the management company doing?
- 16:00Everything, everything. We did everything.
- 16:03So the management company and I worked for the management
- 16:05company, right? I came from that company to the
- 16:08building that they were managing.
- 16:09I've been with them for. This is an outside third party.
- 16:12Yes, that both not only their own homes, but managed other
- 16:16homes. So I was working with them
- 16:19mainly in their own homes as a kind of a senior admin, training
- 16:23new administrators for them, helping with calls and
- 16:25questions. But when they put me here, I
- 16:29don't know that their intention was ever for me to leave them
- 16:31and work directly for Mr. Pomeroy.
- 16:33And it wasn't my intention. But you know, when it came up
- 16:37and I talked to them, they were like, man, this is a great
- 16:40opportunity. They were such a great employer.
- 16:42I learned so much from them and. The management company was
- 16:45supportive of you making this transition.
- 16:47Yeah, they were like this is your.
- 16:48Being an employee to almost a competitor, right, OK.
- 16:53And to this day, I still have a great relationship with them.
- 16:56They've sold their businesses since and they're both retired,
- 16:58but we still have the utmost respect for one another.
- 17:02But they were like, you have something do this and, you know,
- 17:06had a little bon voyage for me, sent me a beautiful plant that I
- 17:10still have all these years later.
- 17:13They they're great humans. And it was, it was fun, But a
- 17:18management company does so much. They handled our IT, our HR, our
- 17:22billing, our collections, you know, the day-to-day.
- 17:27They oversaw our legal compliance.
- 17:31They they. This is a lot.
- 17:33You're right and. How do you begin to extract that
- 17:38management company and put in all of your own people and
- 17:42processes? So it started just by hiring the
- 17:46administrator and then taking myself out of that role and then
- 17:51starting to detangle us from each one of those management
- 17:55level contracts. So I had to become and and
- 17:59listen working for the management company for as long
- 18:01as I did. I knew our operations.
- 18:03I knew HRI knew ITI knew or billing did I, was I the expert
- 18:09in them? No, but I knew who to contact
- 18:11and I knew how to build the team to support the communities.
- 18:16So, and in this industry, it's kind of interesting.
- 18:21We do support each other, even if we're in separate
- 18:24organizations. You know, there's some pretty
- 18:26big nursing home organizations in Michigan, you know, two to
- 18:30three really big ones. And I know the ownership and
- 18:32management of each of them, and they know me and we call each
- 18:35other, we support each other. Because at the end of the day,
- 18:38if you really care about seniors in the industry that you serve,
- 18:41you don't want them to have bad outcomes either because it
- 18:45affects those seniors that live with them.
- 18:47When we raise the bar, we want the bar raised for everybody,
- 18:50not just us. And so when you call folks at
- 18:54some of these, we'll call them competitors that you've got a
- 18:57good relationship with, what? What kinds of things are you
- 18:59talking about? We talk about everything.
- 19:02For example, there's a new earned sick Leave Act that just,
- 19:05you know, rolled out in Michigan in which employers have to give
- 19:09so many hours of sick time for each employee.
- 19:13That works, you know, 30 hours. And so that was new, and the
- 19:18rule kept changing. And in the final hour, it
- 19:20changed again. And so we're all, like,
- 19:21panicking to get it done. Well, we'll call each other and
- 19:25sometimes we'll even do group texts of, hey, you know, this
- 19:28act, how are you guys handling it?
- 19:29How are you handling it? What are you doing for your
- 19:31contingent staff? Are you front loading it or back
- 19:34loading it, or is it accrued? And so you share how you're
- 19:39handling it. You debate with one another and
- 19:41you realize at the end of the day we all have the same
- 19:44regulation and if we can help each other, we should.
- 19:48You're all trying to navigate the same complexity.
- 19:51We are and we are high. And I remember hearing about
- 19:53this law. What, where did it end up?
- 19:55Like what? What are the new requirements?
- 19:57Well, it changed the day before it was supposed to be
- 20:01implemented, which is like that night at midnight.
- 20:05It is crazy. So you have to notify each of
- 20:09your staff in English and in Spanish about this new earned
- 20:13sick time rule. But the flyer has changed.
- 20:15So we had already started having our staff sign the flyer and
- 20:18give them copies and now we have to start over.
- 20:20Fine, fine, fine. And they have to start accruing.
- 20:23And so we are working with our payroll companies.
- 20:25The accruals started on the day of the event.
- 20:28The time clocks are not yet ready, but we're in process.
- 20:32So even though they can't see it yet, it's, it's working in the
- 20:36background. And so we're going to get it so
- 20:38that they can see that they're earning it.
- 20:40But we're also revising because as a company we had combined
- 20:43time off. So our CTO timer combined time
- 20:47off was really generous. It actually overcompensates this
- 20:53law. But the problem is our
- 20:56contingent staff don't get that. But in this law, your contingent
- 21:00staff who aren't really full time, they just pick up a shift
- 21:02here and there, they need to earn it as well.
- 21:05So now we have to adjust our policy, right?
- 21:08And so we work with lawyers and spend way too much money.
- 21:13But it is what it is. This is regulation and we have
- 21:17to well. Hopefully you spent a little bit
- 21:18less money by sharing notes with your.
- 21:21Colleagues, it does help that, yes.
- 21:23We had this idea. What do you guys think?
- 21:26Oh, we were told this. And let.
- 21:27Me go back to my. Attorney, which is interesting.
- 21:30So yeah, the attorney kind of pushes out this one policy to
- 21:35most of us, right with with specific, you know, changes
- 21:39between us. Gotcha.
- 21:41It's so great that you've got sort of that network of support
- 21:44people that are doing the same thing that you're doing at a
- 21:46higher level. They're seeing the same kinds of
- 21:48things running into the same issues and you can pick up the
- 21:51phone and say, hey, you know how, how are you guys dealing
- 21:54with? This, yeah.
- 21:54And you can tell the better the better.
- 21:57Companies aren't afraid to share, right?
- 22:00So we share. We work together, we compromise.
- 22:04It really is for the benefit of the industry.
- 22:07Yeah, like you said, if you really care about taking care of
- 22:09seniors, you, you know, you, you want to take care of everybody.
- 22:13That's right. With the aging population that
- 22:16we have, you know, the boomers getting older there, there is no
- 22:19shortage. No, the shortage for us is
- 22:22really staff and we have to figure out how to overcome that
- 22:25shortage. Yeah.
- 22:28What do you do? Like what are some effective
- 22:31strategies you found to recruit and retain folks?
- 22:35That's $1,000,000 question there.
- 22:37We are constantly changing things.
- 22:39There's really no cookie cutter answer.
- 22:42I have 7 buildings in different areas and different things work
- 22:47in different areas. You know, it's about the culture
- 22:50of the area, the community. Is there a community?
- 22:53Are they coming in from other communities?
- 22:56You know, I, I wish there was a one-size-fits-all answer to that
- 23:00question. There isn't.
- 23:02People's love languages are different.
- 23:05How they feel inspired and driven is different.
- 23:10Different by geography. This.
- 23:13This part of Michigan versus that part of Michigan folks are
- 23:16looking for something. Can you give me one example of a
- 23:18difference? I have one building that is only
- 23:22driven by cash. Only cash.
- 23:25I have another building because our our wages are pretty set
- 23:29across the board. Doesn't matter what location you
- 23:32work at, if this is what you do and this is your yours
- 23:34experience, this is what you get paid.
- 23:37But one building, it's like this one building, it's never enough.
- 23:42But my other buildings it is ample.
- 23:45And they appreciate the employee appreciation and all the other
- 23:48things that kind of feeds their love language because we're
- 23:51always celebrating our staff. And then this one building
- 23:55doesn't matter how much you celebrate, doesn't matter what
- 23:57the wages, it's never enough. And it's it's a community thing,
- 24:01right? So.
- 24:03Speaking of community, how do you find yourself and Pomeroy
- 24:07getting involved in each of the communities that you're located
- 24:11in? Oh my God, I don't know.
- 24:13We're so deeply involved. I don't know how not to be.
- 24:17Sometimes I think we're too in the weeds, which stops our high
- 24:21level thinking sometimes because we are so involved in the
- 24:24day-to-day. What tell me about the the child
- 24:29safe program? What is that?
- 24:31Child Safe, that's a Keith Thummer and passion project.
- 24:34So him and our president, Nick Perino are very active and both
- 24:40active members of the board. Child Safe is a Michigan foster
- 24:44care program that Keith drove or built up and it basically it's a
- 24:52passion project. It's about taking care of
- 24:55Michigan's children in the foster system.
- 24:59And Keith worked really hard. We actually partnered with the
- 25:02Judson Center, which is a national organization, and every
- 25:05year we honor Michigan's foster kids.
- 25:11We have a ceremony. We raise tons of money, at least
- 25:15a half million at these events for Michigan foster care.
- 25:19These, you know, it's backward. It's getting them supplies,
- 25:23backpacks, school supplies, Christmas presents, you know,
- 25:27things that you need for just day-to-day life that people take
- 25:30for granted, right? But these kids really do need
- 25:35love and support. If they have a mentor program,
- 25:37they have they, they just do so much, so much for them.
- 25:42And actually this year at our annual event, we're honoring
- 25:45Keith Pomeroy. I don't know if he knows that
- 25:47yet, but he's going to be our honoree because he is done.
- 25:51And I, I keep saying it should be a lifetime achievement award
- 25:53because he really, he has started the foundation.
- 25:56He's amazing. And he's the I'm guessing by the
- 26:00name, he's the founder of Pomeroy.
- 26:02Yes, he is our boss and he. Is and you get to work closely
- 26:06with him on a regular basis. You know, not so much.
- 26:08I work closer right now with Nick Perino, who's our
- 26:11president. Who who drives Keith's dream
- 26:15right. So Keith and Nick are the the
- 26:17gentleman that I am honored to work for and they both have a
- 26:22true passion for seniors having scale living.
- 26:27And so when Keith is in town, I love working with him.
- 26:30But on the day-to-day, it's, you know, me and Nick and like, we
- 26:35were here last night till 6:30 at night, just kind of catching
- 26:38up and talking about what's next for Palmer Living.
- 26:41And I love working for people who allow me to have my passion
- 26:46and let me drive the healthcare side and support it.
- 26:49And it couldn't be in a better spot.
- 26:54So, so let's talk a little bit about the services at Pomeroy.
- 26:57What kind of sets you guys apart from some of the other senior
- 27:00living facilities? What do?
- 27:01You do, you know, I don't I, we all do a lot.
- 27:05Well, I, I never want to downplay what my peers do, but
- 27:11we're, we're a little different. Like our homes are beautifully
- 27:14stunning. We think about every approach
- 27:19and I think because we are smaller than some of our
- 27:21competitors, we can do things a little differently.
- 27:26For example, we have an essential oil program, right?
- 27:29So we're trying to treat patients without medication
- 27:32first. Essential oils have been found
- 27:34and we have years of case study of our own, right?
- 27:38So behaviors, we use this essential oil and we give them
- 27:42hand massages and how does that affect their behavior?
- 27:45Using certain smells and essential oils prior to meals
- 27:48helps increase appetites. How is it helping with weight
- 27:50loss, right? Instead of giving maybe for
- 27:53example, there's a medication make Ace that they use as an
- 27:56appetite stimulant, which wasn't why it was intendedly made, but
- 28:01we use that to help patients who aren't eating right as well.
- 28:04Before we do that, let's try this.
- 28:06And if it doesn't work, then we can go to the medication and
- 28:10sometimes we avoid meds. So I think it's pretty cool that
- 28:13we do these things right. We also we use science.
- 28:18We have patients who are on anti psych meds and they have to go
- 28:22through gradual dose reductions because it's a requirement.
- 28:26But we have this gene site testing where we swab the inside
- 28:29of a cheek and we can see this Med will work for them.
- 28:32This Med won't, right? And then because we have the
- 28:35proof of it, we don't have to do the gradual dose reduction.
- 28:38So we're not messing, you know, 'cause with a gradual dose
- 28:41reduction, you get them to a certain level, they're
- 28:43functioning, they're great. But now you have to take them
- 28:45off of it to see if they're going to be OK.
- 28:47Well, with this testing, it really does take the guesswork
- 28:51out and it helps you be better at at care, right?
- 28:57So I mean it's it's. What's the name of that testing?
- 28:59Gene site testing and so we do that with our site group and it
- 29:05really. I can see how that means.
- 29:07Super, right. Yeah, you get patients.
- 29:09You know, what's a what's a good fit for that person?
- 29:11What's? Not the blindfold is off.
- 29:13You know exactly what to do. And there's more and more of
- 29:16that. More and more science is coming
- 29:18to the forefront. So, you know, we we use
- 29:21technology and AI to scan our charts to look for trends that
- 29:26we may have missed. You know, we're putting
- 29:29technology in our patient rooms that lay over beds that will
- 29:34count respirations and trigger to our staff.
- 29:36Hey, breathing heavier, Hey, some temperatures changing.
- 29:41Hey, something's not right. So I think, you know, just even
- 29:46from our inception, when Keith started our communities, these
- 29:49skilled buildings, even though they were managed by other
- 29:52agencies, he built them different.
- 29:54You know, we had antique cars in in the common spaces and just
- 30:00the most beautiful communities and, you know, wood carved bars
- 30:05where they had happy hour. This was 30 years ago.
- 30:07Who was having happy hour in their nursing homes 30 years
- 30:10ago? Keith Pomeroy was he's.
- 30:13Ahead of He's ahead of his. Time he definitely was tell.
- 30:16Me more about the AI tech that you guys are using.
- 30:19I'm going to tell you the names because that's all secret.
- 30:21But no, but tell, tell me what you're doing with it.
- 30:24Like I want to hear how people are actually using it in their
- 30:28industry. We're using it.
- 30:29So you never want it to take over.
- 30:32You want it to supplement, right?
- 30:34Because it's technology and it's imperfect, right?
- 30:37So, but if you can get it to help scan a chart to look for
- 30:42change and just let it flag you, it sends you in the right
- 30:46direction. So for example, your nurses go
- 30:48in, they take vitals, temps, blood pressures, etcetera.
- 30:51They're putting it in the Mar. Mar is the medication
- 30:54administration record that is now in the chart.
- 30:56The chart sees that this person normally runs let's just say 120
- 31:00/ 80. All of a sudden today they're
- 31:03168 / 90 and they pick that up automatically. 160 / 90 isn't an
- 31:10alarming blood pressure. It's a little high, right?
- 31:13But it's not alarming. But it is for that person
- 31:15because they normally run completely different.
- 31:19So when you're doing so many of them, are you always, as a nurse
- 31:24thinking about, well, what's their norm?
- 31:27No, sometimes you're doing the task and so AI will help you go,
- 31:32hey alert, this is not the norm and.
- 31:35It's looking and it's looking for it real time.
- 31:37Exactly. It's not, it's not like a day, a
- 31:40week later. It's looking as it's happening
- 31:42and you're getting notifications and pings about, hey,
- 31:45something's wrong here. So it it is helpful.
- 31:50And listen, sometimes it sends you on a goose chase that's
- 31:52wrong. But it's OK because all it's
- 31:55doing is having you look at your patients a little bit more.
- 32:00You'd rather have a few false positives than actually miss an
- 32:03event. That's really important.
- 32:04For you to. That's exactly it.
- 32:06That's exactly it. So you were catching up with,
- 32:09was it Nick? Was it Nick Perino, the
- 32:11president the other day, just last night, and you were talking
- 32:14about what's next for Pomeroy, What?
- 32:17What's coming? I think we're starting to get to
- 32:21a place in which we might be ready to grow a little bit, but
- 32:24we're always looking for the right buildings.
- 32:28You know, Nick is pretty dedicated to, to, to that part
- 32:33of our business and, and looking because I, I can't.
- 32:36But when he's ready, I'm there, right.
- 32:38So we each have a different skill set and his is
- 32:41impressively different than mine.
- 32:43And maybe that's what makes us great together.
- 32:47So yeah, he's, he's always on the lookout for the next
- 32:51business opportunity. He gives me courage and autonomy
- 32:58to drive the healthcare side and he thinks about all of my crazy
- 33:03ideas and gives me feedback, right?
- 33:06And never holds back, which is great.
- 33:08He too has no issue being honest and upfront and say the tough
- 33:13things, which is nice because I don't have to guess what he's
- 33:16thinking, right? So if I come up with some crazy
- 33:19idea and he says, Amanda, that's a crazy idea, I love it, right.
- 33:23Tell me what you're thinking. I don't want to guess.
- 33:25I don't want to spend time wondering, right.
- 33:27So, yeah, it's just we're, we're looking to grow.
- 33:31We're ready. I think, you know, our last
- 33:33purchase set of purchases was in 19 and then our crazy pandemic
- 33:38happened. And, you know, we've been
- 33:41stabilizing post pandemic. And I think we're kind of in the
- 33:46space now that if the right thing came along, we're ready.
- 33:51So the the growth fee would be acquisitions, not kind of like a
- 33:54ground up potential both. OK, open to both.
- 34:00Let me shift gears on you. I'm I'm kind of curious to
- 34:02understand more about implicit bias and why this is a potential
- 34:07problem in healthcare. That's a good question it.
- 34:11Was a deep sigh. Oh, there's, I think in the
- 34:15political environment we're in right now, I think there's,
- 34:20there's some people who go and plus biases crap.
- 34:23But I, I, I don't think it is. I think there is something to be
- 34:26said about it. I think how patients get
- 34:28treated. I think we all have biases.
- 34:32I think as a woman I have a very strong opinion about biases
- 34:37about women and their strengths and some of the treatments we
- 34:41get with no pain relief. Oh, that's interesting.
- 34:48So this is a thing where women are receiving more treatments
- 34:53without painkillers than men. Would absolutely, absolutely.
- 34:57And I think it's real. I think, you know, we can all
- 35:02say that, you know, we're not biased or we don't think that
- 35:05way or we don't work that way, but there are studies to prove
- 35:08otherwise. What do you think is sort of
- 35:12going on under the surface, sort of subconsciously or consciously
- 35:16to where that's actually playing out?
- 35:21Like not being a good judge ever.
- 35:23Pain. I think I, I would hate to say
- 35:29that I think sometimes things are perceived right, Like women
- 35:34go through childbirth and they're like, look, look how
- 35:36strong they are. They can do this right?
- 35:38They do it already. So why when putting in an IUD,
- 35:42for example, should they have pain meds and then they don't
- 35:44and they tell you, oh, you're going to be a little
- 35:46uncomfortable? Well, women have said it's life
- 35:49altering and they're scarred and damaged after them, right?
- 35:53But a gentleman will go through a vasectomy, also a very serious
- 35:58procedure, but they will be medicated, put to sleep, feel
- 36:04nothing, right. So is that an implicit bias?
- 36:09Why is that treatment plan different?
- 36:13It's very much a bias, right So. And how do you combat?
- 36:18It you teach, you teach, you educate, you get people to
- 36:22understand what an implicit bias is, you go through the training,
- 36:25you share it. I'm hoping this healthcare
- 36:32administration doesn't change those trainings and those
- 36:34educations that are required to renew licenses.
- 36:37I think they're critical. I think as healthcare providers,
- 36:41sometimes we say, oh, the course of action is to do this, But
- 36:45just because it's to do this without pain meds doesn't mean
- 36:48we should, right? We need to think about the
- 36:51patient and what they're going through.
- 36:55It's crazy. It's really interesting.
- 36:56Things I've never thought of, yeah.
- 36:59Because we probably don't live our lives thinking about the
- 37:02biases, right? We, we do the right things,
- 37:05hopefully. And I mean, being a patient will
- 37:09teach you a lot about how you want to be treated.
- 37:12So if you're healthy and you never have a hospital
- 37:16experience, you'll never know what it feels like when someone
- 37:19has to come in and bathe you, for example, and how undignified
- 37:25that can feel if you do it wrong.
- 37:27And so, you know, we have these thoughts in our heads while
- 37:33they're here and they're sick and they need me.
- 37:34So I'm just going to do this. But they're still human and they
- 37:38still have feelings and they still have dignity and and
- 37:41you're how you're doing. This person's more than a box to
- 37:44check on your skin. Exactly.
- 37:46And being a patient is the best thing you can do to be a good
- 37:49caregiver that. Should be.
- 37:51That should be part of the training, almost.
- 37:53You would think. Let's shift gears again.
- 37:57You recently partnered with Shirana Health.
- 38:00I think it's pronounced to introduce an institutional
- 38:03special needs plan. Tell me about this partnership.
- 38:08So Quran is it's kind of its own version of a managed care
- 38:14program, right? So managed care programs are
- 38:16taking off, they're everywhere. And if you follow me on any
- 38:22social media platform, you'll know that I am not a big fan of
- 38:24managed care. I think it's goal is to save
- 38:30money at the patient's expense at times.
- 38:33And so my my family who I coach and care for, I always tell them
- 38:39to stay in their traditional Medicare plan.
- 38:41You might pay additional costs, you may have to pay more
- 38:44co-pays, but at the end of the day, your care is about you.
- 38:49Managed care comes up with criterias and protocols and you
- 38:54know, if you've this diagnosis, you can go to this community for
- 38:57this many days and then you're done.
- 39:01But we're not cookie cutter. No one is the same.
- 39:04And I might be admitted for, for example, a knee replacement.
- 39:08But I also might be a cardiac patient with hypertensive
- 39:14reactions, right? Especially the pain.
- 39:16And so should I go home after a knee replacement or should I be
- 39:20in the hospital because my blood pressure likely is going to go
- 39:23through the roof and my pain control is critical and I live
- 39:28in a house with stairs. How does your managed care take
- 39:33into account all of those other things when making its
- 39:36decisions? Right.
- 39:37So then it was, you know, everyone's enrolling in these
- 39:43can't stop them from enrolling. It's their right, right.
- 39:45And they sell themselves beautifully.
- 39:47Oh, we're going to save you money and you'll never pay for
- 39:49out of pocket costs. Karina Health's a little bit
- 39:53different to me. They, they give you the extra
- 39:57perks and they don't cookie cutter you like a traditional
- 40:01Medicare program. So my seniors can still have
- 40:04grocery spend, right? They'll bring them specialty
- 40:08foods to the nursing home if that's what they need and
- 40:11they'll get their ears checked. And that's a covered expense.
- 40:15We're under a lot of plans. It's not a covered expense.
- 40:17So we chose them because they're just, they're different.
- 40:20They do more for our clients and.
- 40:25I want my clients to get everything they deserve because
- 40:28it's the right. I know Amanda, let's let's talk
- 40:34about a serious challenge that you've overcome, something
- 40:38personal or professional, maybe a combination of the two.
- 40:41What was that like going through it and what are some lessons
- 40:44that you learned coming out the other side?
- 40:47There's been so many, There have been so many challenges.
- 40:54Being a woman in a leadership role is a challenge.
- 41:01Say more about that. That's a whole subject for me.
- 41:06Could I maybe connect some dots on my own here and say, not only
- 41:10are you woman in a leadership role, but you're a very
- 41:12outspoken woman? Yeah.
- 41:14You know, you're very comfortable, you know, having
- 41:17that hard conversation, saying the difficult things that need
- 41:20to be said. Yes.
- 41:22So you can imagine that some people don't love me.
- 41:25And, you know, I think as a woman, we want to be loved.
- 41:30And as a woman, we still want to be treated like a woman
- 41:33sometimes. But then you take out a very
- 41:35dominant role and there's some loss of identity sometimes,
- 41:39right? So at work, I, I might be a
- 41:43strong force, but then at home I still want to be a wife and, you
- 41:47know, kind of coddled once in a while.
- 41:49And it's hard. The division of women leadership
- 41:52is really, really hard. And yeah, it's, it's tough.
- 41:57I'm actually writing a book. I never thought it would do
- 42:01that, but my life coach has talked me into it and I've
- 42:07started it and it is a lot harder to do than I thought.
- 42:11I'm not going to lie. You know, I did the research
- 42:14part first. And that was easy, putting the
- 42:15research on paper, but then sharing all the personal
- 42:18stories, the the coming to terms with how people may feel about
- 42:23you or hearing what people may say about you.
- 42:26You know, if you cut us, we all bleed and we all have feelings
- 42:30at the end of the day. And for some of us, coming to
- 42:33terms with how you're perceived or spoken about, it's tough.
- 42:45It's tough. And you can try and do all the
- 42:47right things and you're still gonna be the villain in
- 42:49someone's story. And you have to come in terms
- 42:51with it. And, you know, you get a
- 42:54therapist and you move on. You work through it.
- 42:58It's tough. Is it your sense that it's
- 43:00easier for a man to be in this role where the hard things need
- 43:05to be said, the hard conversations have to be had
- 43:09because, oh, well, he's a man and he's a strong personality.
- 43:13Whereas when a woman sometimes steps into that role, there are
- 43:19some terms that are not so nice that are kind of associated with
- 43:22that. Yeah.
- 43:23That authority, that leadership, that power.
- 43:25Yeah, that. B Word that gets used about us.
- 43:27Yeah. So there's actually stats in the
- 43:30book that I'm writing that I've done my research on that, talk
- 43:35very much about how women are perceived in those roles.
- 43:37Were bossy. Were, you know, other things.
- 43:40But itchy. Itchy.
- 43:42Scratchy, yeah. Itchy Scratchy yes, we we become
- 43:45those things and. And it's tough and you know, I
- 43:49I've had such crazy things happen to me.
- 43:53I had, I've had people on my team who I have thought were my
- 43:59right hand then to find out they're not, they, they were
- 44:05undermining me the entire time. And I was totally not aware, not
- 44:11aware because I focus on the work relationship.
- 44:14And I didn't realize, you know, some of my teams in the past
- 44:18have wanted the personal side of me and, and I think they
- 44:22perceived our work relationship as a personal friendship.
- 44:25And then, you know, as I got busier or was growing the
- 44:29business or working on projects and had less time for them then
- 44:32it was, you know. They took that personally.
- 44:36And then I became the villain in the story, and then that got
- 44:39pushed out, right? And then not even aware that it
- 44:43was happening, but then having to overcome it all because you
- 44:48can't say anything, right? You still they talk bad about
- 44:52you, you hear about it, you still can't defend yourself
- 44:56because in defending yourself, you would then be talking bad
- 44:59about the employer, the employee that said that, which then turns
- 45:03you into them. So all you can say is I need you
- 45:06to judge you, me on my actions and my actions alone with you,
- 45:10not someone else's opinion and hope for the best.
- 45:14So you would have other employees coming to you saying
- 45:17I've got a problem with you because this other person has a
- 45:20problem with you and you want to defend yourself, kind of give
- 45:24your side of the story. But you can't because it takes
- 45:26you down to their level. You, you need to be the leader.
- 45:29You need to set a better example.
- 45:30And so while it's hard, you just kind of have to say, listen,
- 45:34judge me on what I'm doing in our interactions together, not
- 45:39on what you've heard second hand.
- 45:41And that's tough because again, at the end of the day, we're all
- 45:44feeling, we're all we have feelings.
- 45:46We're human. You cut as we bleed, you talk
- 45:49about as we hurt. But again, in our defense, we
- 45:53just, we have the struggle is real and we have to own it.
- 45:55And with leadership comes great responsibility and how you
- 45:58respond to finds you. Do you also find it difficult,
- 46:03Amanda, to like on a nightly basis to sort of move from that,
- 46:09that tough leadership role at work to I'm a wife and a mom at
- 46:16home and I, I want to be a woman and I want to be cuddled
- 46:20sometimes. And like, how do I like make
- 46:24such an abrupt shift in my day? I struggle.
- 46:29I struggle. I am bossy at home.
- 46:31My poor husband. Every day I come home and he's
- 46:34there. I am utterly surprised he puts
- 46:36up with me. But I think that God gives you
- 46:41exactly what you need. And my husband is exactly what I
- 46:45need. He's the kindest human alive and
- 46:48he has signed on to the rodeo and amazingly doesn't complain
- 46:52and continues to show up for me and tries to anticipate my
- 46:56needs. And I got to tell you, I can't
- 46:59anticipate my own needs. So this guy is impressive.
- 47:03It's tough. It's tough because you do want
- 47:05that. You want to go home and, but
- 47:08when you wear this job for as many hours as I do, sometimes
- 47:14when you walk in the door, you're still wearing it, right?
- 47:16You still wear the shield and the, the uniform of of sorts,
- 47:20right? That imaginary uniform of being
- 47:22a soldier and, and doing what you need to do for your patients
- 47:26and your company and having the tough conversations.
- 47:28And yeah, you don't need to do that with your spouse, but you
- 47:32get into a mode. And I sometimes even do it with
- 47:34my parents. I like I've caught my my
- 47:36siblings, like my sister at times is like, hello, can I get
- 47:40Amanda, not the COO? And I'm like, yeah, a good call.
- 47:44It's almost like what you need to do is kind of like a reverse
- 47:47Superman thing at the end of the day, where you strip away the
- 47:51alter ego and you put the Clark Kent outfit back on as you're
- 47:54walking in the house. And you know, that would kind of
- 47:58help with that transition. Yeah, I've learned that.
- 48:01The one thing I do now is I go for my business attire into my
- 48:06home attire, which is very comfortable.
- 48:08And that, that immediate change kind of puts me in that relaxed
- 48:14set. And I, I didn't do that for many
- 48:17years. I would come home, stay in my
- 48:18work clothes, start preparing dinner with my husband, you
- 48:21know, kind of now I go right into I'm changing.
- 48:23I'm getting into comfy Manda because I have to, like you
- 48:27said, do that reverse superhero thing where I'm reminding myself
- 48:31I'm home now and it's my space. A friend of mine, Todd Herman,
- 48:35wrote a book a while back called The Alter Ego, and it talks
- 48:39about kind of that transition the other way.
- 48:41Sort of like you get up in the morning, you put on your blazer
- 48:45or, you know, the glass or like whatever it is that kind of like
- 48:48puts you into sort of, you know, warrior workforce mode so that
- 48:53you can make that transition into the superhero that you need
- 48:56to be for the day. But it's interesting that what
- 49:00we're highlighting here is you also need to make that
- 49:02transition back. Exactly.
- 49:04For me, it's putting on my face every morning, right.
- 49:07For women, it's our makeup. And so, you know, you put on
- 49:11your business attire, but your makeup.
- 49:13And then the second I get home, it's the first thing I take off.
- 49:16It's my makeup and I get comfy and.
- 49:18Off comes the mask outcomes, Yeah.
- 49:21The real deal version. Of Manda, yeah.
- 49:24And again, my husband continually shows up, so I'm
- 49:26grateful. Yeah, I've, I've got a wife
- 49:29who's who deserves a similar amount of credit to your husband
- 49:32in in the same kind of way. That's great.
- 49:35We're very lucky then. Very much so, thank you, Kayla.
- 49:40What's your husband's name? My husband's name is Majid.
- 49:44Nice, Majid, So do you have a working name for the book yet?
- 49:50I do, actually. It's hold on.
- 49:53I got to tell you. It's, I want to look it up real
- 49:55quick. Hold on, I have changed it a
- 49:59couple times. And you might change it again
- 50:01before it gets published. Yeah, I'm looking it up right
- 50:04now. I think what I ended up with,
- 50:07and I wrote it in the notes where like I put some other
- 50:12options in the notes. I think it was leadership,
- 50:16Wonder Woman style. Hold on, because that was
- 50:19probably one of the first things that I did once leading
- 50:22fiercely, Wonder Woman style. Leading fiercely, Wonder Woman
- 50:26style. Yeah, Wonder Woman's my favorite
- 50:28action hero. That's a good one.
- 50:31Yeah, I wanted to be here growing up.
- 50:33Yeah, that's a good role model, too.
- 50:35Yeah. How about some daily habits or
- 50:39practices, Things that help keep you centered on track, keep you
- 50:44rooted in who you are? Lots.
- 50:47So start my day pretty early. I for the last two years have
- 50:52been working out with a trainer. Monday, Wednesday, Friday my
- 50:56sessions start at six. AMI think that's probably the
- 51:03most critical thing that I do because it's the one hour that I
- 51:07am not thinking about work wholeheartedly.
- 51:11I don't have a chance. They don't give you an
- 51:12opportunity. Saturday I go to arms class with
- 51:16them and again, you don't get the opportunity to even think
- 51:22you are moving and you are working and you are focusing on
- 51:26your health and they are driving you.
- 51:28And I have to tell you those these last two years of doing
- 51:33this has been, I wish I would have started this young.
- 51:36I wish I would have invested in my health before I turned 50.
- 51:40I mean, I started it at 49 so I guess I did.
- 51:42But I wish I, you know, when I was growing in my career, I
- 51:47spent a lot of hours at a computer sitting and I didn't
- 51:54take care of my mental health as much as I should have.
- 51:56And working out, I will wholeheartedly tell you, is
- 52:00important for your mental health, not just your physical
- 52:03health. You, it's great.
- 52:06You decompress, you take out your stresses.
- 52:08It's critical. I tried a sauna and then my gym
- 52:15coach Andre got me doing ice baths.
- 52:21Those are intense. Those are something.
- 52:25And I actually did a team building with a couple of my
- 52:27leaders and Nick went as well and we did a ice bath challenge.
- 52:32So when I first started it, my teams asked.
- 52:35I was just telling my teams were like no way, you're not going to
- 52:37do it. I'm like yeah, yeah, I am.
- 52:40And they said, I said, well, how long do you think I can do it
- 52:44for? So they started this in house
- 52:46bat and the highest amount of time they said was 3 minutes.
- 52:51She had to. Beat that.
- 52:53I did and I recorded it and I did it for 6 minutes.
- 52:57Wow. And then I started doing it for
- 52:5910 and 11 and 12 minutes. And yeah, it's a great thing.
- 53:04It, it shocks your body, it is tough, but it proves to you what
- 53:09you're able to do when you set your mind to something and the
- 53:13studies tell you it's really good for you.
- 53:14So. How do you feel when you come
- 53:16out? Cold, cold.
- 53:19Relaxed, energized. Just cold.
- 53:21Cold. Just cold, it takes you a couple
- 53:23minutes after you get out to, you know, get your, your body
- 53:28will take care of itself, right? Your, your body is amazing and
- 53:31what you're doing is you're shocking it and it'll help with
- 53:35getting rid of those stubborn fats.
- 53:37They call them the brown fats and it you know, your body will
- 53:41work harder and it'll metabolize faster and it'll heal
- 53:45inflammations and they believe it helps your cardiovascular
- 53:48health. And so I think I started it as a
- 53:54challenge, but now I do it because I know it's good for me.
- 53:57I don't do the plunges as much as at the end of my showers, I
- 54:01turn on the ice cold water and I sit there as long as I can
- 54:05because the place I used to go to for my ice plunges is closed
- 54:08and I haven't found a local place.
- 54:10It was right next door to my gym, which was convenient.
- 54:13And then they sold and went to Rochester Hills.
- 54:16And that not so convenient, right?
- 54:18So I can't do my workout and then do an ice plunge.
- 54:20I have to. So yeah.
- 54:23You can always acquire one for in home you.
- 54:27Can I know? My trainer has one in his yard
- 54:30and it turns into a block of ice every day and he has to go out
- 54:33there with a weighted kettlebell and break it up and then he gets
- 54:38in it. God bless him.
- 54:41I have this thing about dirty water, so yeah, that's not going
- 54:44to work for me. OK, well, you said so you got a
- 54:46physical coach, you're also working with a life coach who's
- 54:49encouraged you to to work on this book.
- 54:51Yeah. So I invest in, in bettering
- 54:54myself. I, I, I think we're so
- 54:59imperfect, right? We should always be striving to
- 55:02be better. We should always be striving to
- 55:04learn. We don't know everything.
- 55:07There are people who are afraid to say, hey, I don't I don't
- 55:09know what that means. Can you define it?
- 55:11I, I in the middle of this interview, if you ask me
- 55:13something I'm not aware of, I'll ask you to explain it to me.
- 55:16I, I don't have any issues showing my weaknesses.
- 55:21I don't have any issues saying I don't know that answer.
- 55:24Let me get back to you. I, I know I'm imperfect and I
- 55:29just tried be better everyday. My I got rid of my therapist
- 55:34about three years ago. I've been working with my life
- 55:37coach Matt now for three years and I'm honored because he got
- 55:41rid of all of his other clients because of his current job, but
- 55:44has kept me because we have made such great strides together.
- 55:47And he, he pushes me and some days I'm so mad at him, but in
- 55:55the same breath, I have the utmost love and respect for what
- 55:59he's done with me. He's been amazing for me.
- 56:02And do you feel like he's helped in the personal side of your
- 56:05life, the professional side of your life?
- 56:07Absolutely. Both.
- 56:09Absolutely he has. He has made me a better wife to
- 56:14my husband, a better sibling to my my siblings, a better
- 56:20daughter to my parents, a better Co worker to my team.
- 56:23Wow. You're a better version of
- 56:25Amanda today. Every day, every time I meet
- 56:28with him, it's a better version of me, yeah.
- 56:31Amanda, I've just got one more question for you.
- 56:32But before I ask it, I want to do 2 things.
- 56:35Everyone listening today, I invite you to hit the follow or
- 56:37subscribe button on your favorite podcast app so you can
- 56:40continue to get more great episodes like this.
- 56:42And I also want to let people know the best way either to get
- 56:45in touch with you personally to continue following your story or
- 56:49that of Pomeroy Living. What would that be?
- 56:53Probably the most I share as it relates to my growth is LinkedIn
- 57:02and I think it's Amanda AU on LinkedIn and you can follow me
- 57:07there. I put my struggles, I think last
- 57:09Sunday I did something about pushing through the tough times
- 57:12because I, I was in a tough time and I was frustrated and I put
- 57:17my thoughts together and then I posted it on LinkedIn.
- 57:19It's like my small little stories instead of going to the
- 57:23book, right? So I love LinkedIn.
- 57:26I love sharing my growth on LinkedIn and sharing my
- 57:30struggles. And I do this thing where I'm
- 57:32like just another venting session or, you know, I just
- 57:36have to rant and they I have people come up to me going, I
- 57:39need to hear a new rant. And I'm like, well, I don't have
- 57:41one. I don't create them.
- 57:42It's like when they happen, I put that right.
- 57:44So when they. Happen.
- 57:45You talk about them. Yeah, that's great.
- 57:47Well, we'll include a link to your LinkedIn profile on the
- 57:50show notes, but for those folks listening, Amanda MANDAIUAYOUB,
- 57:59so we'll include that link there.
- 58:00But last question for you, Amanda.
- 58:03As you look to the future, what is the single thing that you're
- 58:06most excited about at Pomeroy kind of unfolding?
- 58:12One most excited. I think there's a lot.
- 58:22So I'm excited because the team I have currently is the best
- 58:28we've ever been. So I'm excited to see where the
- 58:32growth happens next, right? So we've gotten here.
- 58:35And if you would have asked me two years ago, if I had the same
- 58:38confidence in my team, I would have definitely said no, we
- 58:43weren't where we needed to be for growth.
- 58:45We are definitely there now. I'm excited because I I trusted
- 58:53Nick and Keith to grow us and I'm excited and whatever the
- 58:57next adventure is, and, you know, until it's there, I can't
- 59:01even fathom. But I love that we embrace
- 59:04technology. We believe in doing it better.
- 59:07We believe in graceful senior living.
- 59:09I mean, I've told them I I know where I want to live when I
- 59:12retire. And it's one of our communities
- 59:14and I already have my room picked out and I expect a
- 59:17discounted rate. And yeah, I listen, I think no
- 59:22healthcare community is perfect and you're never going to always
- 59:25have a perfect experience, right?
- 59:27Dropping off your loved one and hoping that everything goes OK
- 59:30is not OK. You have to be an active
- 59:32participant in their care and you have to help.
- 59:35Just dropping them off is not like, oh, it's done.
- 59:38No, it's not how it works. That's not how good a care
- 59:41happens. Not in any hospital setting, not
- 59:43in any private pay setting, nowhere.
- 59:45You have to be an active participant in your own life and
- 59:47in the lives of your family. And I think, you know, yes,
- 59:52we're imperfect, but I think we're better than most.
- 59:56And I love that. I love that we are pushing the
- 59:59envelope and always trying to raise the bar.
- 1:00:02Amanda, I want to be the first one to thank you for sharing
- 1:00:04both your time and your story with us today.
- 1:00:06Thank you very much. Thank you for being interested
- 1:00:08enough to ask. Folks, that's a wrap on another
- 1:00:12episode of the Inspired Stories podcast.
- 1:00:14Thanks for learning with us today.